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1. CAPTERA USER MANUAL Captera User Manual Foreword Proprietary Notice and Disclaimer The information herein disclosed is the property of tCRco 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 tCRco Copyright Copyright iCRco Inc 2003 2010 All rights reserved Trademarks CR 26000 CR 100060 CR 1000 Dual CR 260068 CR 2600 Dual CR 2600SF CR Vet R CR CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 36000 CR 3600SFR CR VERTX 1DR 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 100068 CR 1000 Dual CR 26000 CR 2600 Dual CR 2600SF CR 36000 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 CR dual unit througho
2. L 2 Check the box next to the desired default name Click the Set button The entry will be set as the default selection 6 1 7 Users The Users tab allows an administrative User the right to add manage User names and passwords for accessing the Captera application The Require Login toggles the User Login box functionality If users must authenticate before using Captera turn this feature on If user accounts are not desirable turn this feature off Adding a User Account 1 Open Captera 2 Login with the appropriate User name and password 3 Click the Configuration button in the lower left hand corner of the Patient Information window 4 Enter the appropriate password to access the configuration settings 5 Click on the Users tab 6 Click on the Add button The Add User dialog will pop up 7 Enter the desired User name and password the password will need to be entered twice once in the Password text field and again in the Confirm Password text field then click the Finish button 8 If the new User account is to have administrative privledges select the button Allow Access To Configuration Settings 2007 2009 23 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 9 The new User account will be created amp ready to use Changing a User s Password I Zn Q oOo N A a Ha Open Captera Login with the appropriat
3. 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 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 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 limitatio
4. and Image Index END is set to 16 Ol Click the Preview button to preview the print job 6 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 7 Click the Print button to print the films 7 5 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 2007 2009 29 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 7 4 Configuring Printing Options in the Clarity Viewer Preferences Configuration Version 1 4 0 Annotations Compression Language Tools License Information Printing Timeout Monitor Reporting Report Site Choose The Default Film Patient Annotations Possible Annotations Chosen Annotations Study Description Reading Radiologist Scanner Model Name Position E Text Alignment i Size Choose The Default Image Annotations Possible Annotations Chosen Annotations e A x Position ae Text Alignment i A XS a Apply a Cancer 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 fo
5. click the end of either line and readjust the position 2007 2009 15 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 5 1 17 Units of Measurement The Units of Measurement allow the User to toggle the displayed unit of measurement between inches millimeters and pixels To change the unit of measurement open the pop up menu on the left hand side of the screen Then click the desired unit of measurement The unit of measurement will change to reflect the selection 5 1 18 Erase Annotation The Erase Annotation tool allows the User to erase a single annotation at a time To erase an annotation first select it then click Erase Selected button from the pop up menu on the left hand side of the screen 5 1 19 Erase All Annotations The Erase All Annotations tool allows the User to erase all annotations made on an image To erase all annotations click Erase Selected button from the pop up menu on the left hand side of the screen 5 1 20 Arrow The Arrow tool allows the User to draw an arrow on the image To use the Arrow tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the arrow to the desired length and position Release the mouse button when the arrow is sufficient 5 1 21 Text Annotation The Text Annotation tool allows the User to write text on an image To use the Text An
6. image Click hold and drag the box to the desired size Click the Confirm Crop button The Crop tool will first copy the image then apply the cropping to the new image thus preserving the original image The cropping will be applied 5 1 10 ICE2 Processing The ICE2 Processing allows the User to apply different image enhance ments to the image By default every image receives Standard processing If the Standard processing is not adequate the User may reprocess the image to suite their needs The Soft process will yield a more film like image i e finer tonal gradation with less sharpness while the Sharp process will yield an image with more contrast and greater edge sharpness To use ICE2 Processing first open the pop up menu on the left hand side of the screen Then click the desired processing button Depending on the computer speed the process may take a minute The progress is shown in the image thumbnail on the right hand side of the screen while the image is being processed it will say processing in the lower left hand corner of the image thumbnail 5 1 11 CR Markers CR Markers allow the User to place an or marker on the image to indicate the laterality To use a CR Marker first open its pop up menu from the left hand side of the screen Then click where the marker should be There are three different sizes of marker The User may toggle De the size e clicking on the marker again At any time
7. installing in the computer 2 Double click Setup exe to begin the installation process 3 Click Next at the Welcome screen ie Captera Setup Welcome to the Captera Setup Wizard The Setup Wizard allows you to change the way Captera features are installed on your computer or to remove it from your computer Click Next to continue or Cancel to exit the Setup Wizard 4 Check the box next to I accept the terms in the Licence Agreement then click Next to continue ie Captera Setup End User License Agreement Please read the following license agreement carefully Common Public License Version 1 0 THE ACCOMPANYING PROGRAM IS PROVIDED UNDER THE TERMS OF THIS COMMON PUBLIC LICENSE AGREEMENT ANY USE REPRODUCTION OR DISTRIBUTION OF THE PROGRAM CONSTITUTES RECIPIENT S ACCEPTANCE OF THIS AGREEMENT 1 DEFINITIONS Contribution means 5 Click Next at the Custom Setup screen to continue 2007 2009 32 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual ie Captera Setup Custom Setup Select the way you want features to be installed Click the icons in the tree below to change the way features will be installed Captera The necessary files to run Captera Md Program Files E Demonstration Images This feature requires 103MB on your hard drive raters 6 Click Install to begin the installation iz Captera Set
8. of the image To use the Window Level tool first select it from the pop up menu on the left hand side of the screen Then move the mouse over the image Moving the mouse vertically while holding down the mouse button will adjust the brightness while moving the mouse kore ontally will adjust the contrast 5 1 3 Zoom The Zoom tool allows the User to alter the on screen magnification level of the image To use the Zoom tool first select it from the pop up menu on the left hand side of the screen Then move the mouse cursor over the image and move towards the top of the image to increase the zoom level or towards the bottom of the image to decrease the zoom level 5 1 4 Pan 2007 2009 12 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual The Pan tool allows the User to move the image to different positions on the screen To use the Pan tool first select it from the pop up menu on the left hand side of the screen Then click and drag the image until the desired region is visible 5 1 5 Magnify The Magnify tool provides a small window that displays a region of the image at increased magnification To use the Magnify tool first select it from the pop up menu on the left hand side of the screen Move the mouse over the desired region of interest then click and hold the mouse button and the region of interest will be magnified While holding
9. to automatically query a DICOM Modality Worklist Server See Section 6 1 1 for more information on configuration The worklist can then be queried by Last Name Patient ID Accession Number Referring Physician Exam Date or Study Status The query can be based on any of these fields or a combination of fields 1 In the Worklist Query fields at the top of the Patient Information screen enter the desired search criteria into the appropriate search boxes For example to query by Patient Name enter part or all of the patient s name into the LAST NAME search box To query by Accession Number enter the Accession Number into the ACCESSION NUMBER search box 2 To query by a combination of values enter the desired search criteria into more than field C CAPTERA Last Name Patient ID Accession Last Physician Last Exam Date Study Status ES ES ES GS MEE Name Test ThumbRot 876583 DOB 1 1 2010 Sex F Last Exam Date 9 15 2010 6 34 PM Study ID 898012 Physician Dr Roberts Accession Name Aguilar Maria 000713900 DOB 12 15 1930 Sex F Last Exam Date 8 25 2010 3 23 PM Study ID 1 2 840 113711 6744819 2 Physician David A Hall Accession 1189844 3 The results of the query will be displayed in the Patient Information List just below the search fields 2007 2009 6 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 4 Acquiring an Ima
10. to print the films When the images have been sent to the printer Print Mode will close 7 4 Print Options After entering Print Mode the User can access the Print toolbar which allows the User to choose the Print Options 2007 2009 26 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 7 1 Clarity Elements DICOM Print Tool s Print toolbar In the Print toolbar the User can 1 8 9 10 11 7 4 1 Select the printer to use 2 Select the film size 3 Select the film type 4 5 6 r 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 include or exclude options different from the defaults Preview the print job Add a different patients image to the same film Print the film s Exit Print Mode 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 2007 2009 27 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 7 2 Print Tool s Annotation Menu lt Annotation Menu Film Patient Annotations Possible Annotations Chosen Annotat
11. 1 25 Hide Show Annotations The User may hide or show all annotations on the image To hide all annotations first open the pop up menu on the left hand side of the screen Then click the Hide Show Annotations button The annotations will no longer be visible To make the annotations visible again click the Hide Show Annotations button NOGI If annotations are hidden no new annotations can be made on the image To make a new annotation make sure the annotations are not hidden 5 1 26 Information Overlay The Overlay tool allows the User to show hide the patient information associated with the image currently being viewed To use the Overlay tool first open the pop up menu on the left hand side of the screen Then click the Overlay button until the desired amount of patient information is displayed on screen 5 1 27 Frequently Used Tools The bottom section of the Tool Bar is reserved for frequently used tools This gives the User quick access to the tools most used in the workflow 2007 2009 17 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 6 Configuration 6 1 Configuration The Configuration window contains all of Captera s preference amp User settings Only Users with Administrative privileges can access the Configuration window Figure 6 1 Captera s Configuration Screen Configuration Device X Ray Settings Tubes DICOM
12. 4 GB recommended e 7200 RPM Disk 1 2 Software Requirements Genuine Microsoft Windows Operating System WindowsXP SP3 or Windows7 with Microsoft NET 4 and Java Version 1 6 or higher 2007 2009 1 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 2 Launching amp Logging In 2 1 Logging In Administrator Account After running the Installer the User should double click on the Captera short cut on the desktop to open Captera The first User account created is the administrator account The administrator account is able to access the program configuration dialog create new Users grant User privileges and quit the application 2 2 Logging In 1 Inthe User Login dialog enter a User name and password Alternatively the User may select from a drop down list of previously entered User names by clicking the arrow button on the right hand site of the User name text field 2 Click Finish to login Figure 2 1 Captera s User Login Screen CLARITY CAPTERA User Password SS ten a 2007 2009 2 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 3 Managing Patient Data 3 1 Creating Patients 1 From the Patient List window click the Schedule Patient button 2 Fill in the desired patient information Last Name First Name Referring Physician a
13. Settings Defaults Users About Text Annotations DICOM Worklist Auto Send Setup Inputs Targets Pending List of known DICOM AETs Name 192 168 0 47 11112 Local Settings 6 1 1 DICOM The DICOM tab holds all the DICOM target information as well as configuration settings for DICOM Modality Work List Query and DICOM Auto Send DICOM Setup The DICOM Setup tab contains a list of AET s known to Captera From the DICOM Setup tab the User may add remove edit and test AETs using the appropriate button 2007 2009 18 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Work List Inputs The Work List Query tab allows the User to easily set DICOM Modality Work List Query Check the box next to the desired AET then choose the query interval Auto Send Targets The Auto Send Targets tab allows the User to easily set DICOM Auto Send Check the box next to the desired AET and when an image is accepted it will be automatically send to the checked target s Pending The Pending tab provides the User with a list of files that have been scheduled to DICOM Send but have not actually been sent yet This is only a list of files the User may not interact with anything on this tab To DICOM Send ensure the computer has the proper network connection and the Auto Send Targets tab has been correctly configured 6 1 2 Device Settings The CR Settings
14. aled A higher number means that some useful information will be clipped when the data is scaled Only a certified iCRco Applications Specialist should adjust this parameter Language Sets the language of the User interface Current supported languages are Chinese English Hindi Russian and Spanish Default Unit System Sets the units of measurement for the measurement tools Supported units of measurement are Imperial and Metric Maximum Zoom Value Sets the maximum value for the Zoom tool Options are 100 200 or 400 Magnification Box Size Sets the size of the Magnification tool as a value of total viewable size Options are z 1 or 5 Graphics Acceleration Controls whether the graphics rendering is done by the software or the video card If the User notices problems with the display of the graphics this option should be disabled 2007 2009 21 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual On Screen Keyboard Toggles Captera s built in on screen keyboard Auto Sort Patients Automatically sorts patients within the selected date range Available date ranges are Within One Year Within One Month Within One Week Yesterday and Today or Today Imaging Domain Sets the scan interface for Medical general radiography Mammography Veterinary small animal or Equine Launch Applications Interface The Appl
15. ardous 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 Captera 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 CRco 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 hardware and software are covered 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 shipm
16. atient in the Patient List window 2 Click the desired patient s Patient Information Bar 3 In the Study Information window click the Study Information Bar 2007 2009 4 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 3 3 Click the Study Information Bar to edit study information S Name Foote John 10017 DOB 01 January 2010 Sex M Last Exam Date 4 March 2010 3 38 PM Study ID 126 Physician Dr Doctor Accession Date 4 March 2010 3 38 PM Body Part Not Selected Physician Dr Doctor Accession Comments Return To Patient List Schedule New Study 4 Edit the desired information 5 Click the Finish button to save the changes and return to the Study Information window 3 4 Removing Single Patients A patient can only be removed if it contains NO studies 1 From the patient list select the patient to be removed 2 In the Study Screen click on the Patient Information bar to open the Edit Patient screen 3 In the Edit Patient screen click the Remove Empty Patient button A conformation dialog box will open To remove the patient click Yes If successful the User will be returned to the Patient List window 2007 2009 5 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 3 5 Querying a Worklist Captera can be configured
17. d 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 2007 2009 iv of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 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 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 customer support at 310 921 9559 In order to evaluate a warranty service request CRco 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 it
18. e User name and password Click the Configuration button in the lower left hand corner of the Patient Information window Enter the appropriate password to access the configuration settings Click on the Users tab Select the User account to modify by selecting the desired User account from the list Click the Change Password button The Change Password dialog will pop up Enter the new password in the Password text field then enter the new password again in the Confirm Password text field amp click the Finish button The User s password will be changed amp ready to use Removing a User Account Q O 0 N OA Aa Ha Open Captera Login with the appropriate User name and password Click the Configuration button in the lower left hand corner of the Patient Information window Enter the appropriate password to access the configuration settings Click on the Users tab Select the User account to remove by selecting the desired User account from the list Click the Remove button The Remove User dialog will pop up Confirm the removal of the User account by clicking Yes in the Remove User dialog The User account will be removed 6 1 8 About The About tab provides the User with more information about the Captera software in cluding the software version number and the approximate date of the software warranty expiration 2007 2009 24 of 35 Document CAP 01A Rev A Confiden
19. e screen Then click hold and drag out the first line of the Cobb Angle to the desired length and position Release the mouse button when the length and position are sufficient For the second line of the Cobb Angle click hold and drag out the line Release the mouse button when the length and position is sufficient At any time the User may click the end of either line and readjust the position of the angle 5 1 15 Center Point The Center Point tool allows the User to define two points on the image with a third point the center mark To use the Center Point tool first select it from the pop up menu on the left hand side of the screen Click once where the first point should be and once where the second point should be A third point will appear marking the center point on the line At any time the User may select either end point and readjust the position 5 1 16 Heart to Lung Ratio The Heart to Lung Ratio tool allows the User to measure the heart to lung ratio on an image To use the Heart to Lung Ratio tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the first line of the Heart to Lung Ratio to the desired length and position Release the mouse button when the length and position are sufficient For the second line of the Heart to Lung Ratio click hold and drag out the line Release the mouse button when the length and position is sufficient At any time the User may
20. ent from iCRco subject to the limitations set forth herein If a product proves to be defective in material or workmanship 2007 2009 iii of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 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 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
21. ent 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 2007 2009 v of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual This warranty applies only to products manufactured by or for iCRco and that can be identified by an iCRco serial number as originally affixed to the product Any modifica tion 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
22. ge 4 1 Acquiring an Image 1 In the Patient List window open the desired patient s Patient Information Bar This will open the Study Information window or click Schedule Patient and enter the patient information Configuration CLARITY CCARTERA Name Test Test4 10004 DOB 01 January 2010 Sex F Last Exam Date 04 June 2010 4 16 PM Study ID 104 Physician iCRco Accession Name Test Test3 10003 DOB 01 January 2010 Sex F Last Exam Date 04 June 2010 4 16 PM Study ID 103 Physician CRco Accession Name Test Test2 10002 DOB 01 January 2010 Sex F Last Exam Date 04 June 2010 4 15 PM Study ID 102 Physician CRco Accession Name Test Testi 10001 DOB 01 July 1975 Sex M Last Exam Date 04 June 2010 9 19 AM Study ID 101 Physician iCRco Accession Schedule Patient Studies Name Test Test4 10004 DOB 01 January 2010 Sex F 77 Last Exam Date 04 June 2010 4 16 PM Study ID 104 Physician iCRco Accession Date 4 June 2010 4 16 PM Body Part Not Selected Physician CRco S Accession an Comments y Return To Patient List Schedule New Study 2007 2009 7 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 3 Enter the desired study information then click the Finish and Scan button Schedule New Study Patient Info Patient ID Automatically Generate Patient ID First Name St
23. hs 22426 Dd ES A Se eee 12 ONO 2200 Ms ees oie ao ee A a os ee ee es iras 12 Oe eat gy Sa E eee Be bre Ss oe Ase ae oe ei ee ee og 12 Oly Wilashiiy suso CS BS eS Pees e Ae bes CAS EO 13 O46 INVertimaces 4 audios Ge eee ol ok ee eee den 13 5 1 7 Rotate Clockwise amp Counter Clockwise 13 SLS Flip Vertical amp Horizontal esra a iaca Geo eS Sed ae beh oS 13 Oe CIOD e As AA es 13 Orel Ot GE Process sins ot a gt dr O Std Se eh ee S 14 Olek MeR Markers 426 65 ete ho ee bead ome Bae Eee ee Ae 14 SLI Measurement ca cto tie be ek A a A le ee ee EE Be Ai 14 Solo JAM Os Grant ota Be A Bao O ad E 15 Sd C ODDATE ss ados ia RS iaa a Rs 15 Lalo Center Omit 003 aren ee Be E a A ee a 15 dle 101 Klearl tO Une RANO pana Dar ee ew wed Ba eee ARA 15 2007 2009 vii of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual SALI Units OL Measurement a pre A ae 16 Dale LO Erase Annotation s da EAS sl a 16 DL O Erase All AMO tatONS sona 6 6 ha Oe RAR ORES EES See 16 ONO GLOW ee oe Bee eas a os oe ee Ge AE es ee R 16 Dl 1 TEX ANnnOlbOMi se bs dhe ee eo be a a a S 16 5 1 22 Pre defined Text Annotation lt lt 16 A A ae oe Sh Re ce a Be 17 3 124 Extended Lines a e keene ra wawowk eee a a eed 17 5 1 25 Hide Show Annotations 080 eee eee 17 3 120 AformatiCn Overlay pe 4 6 34d bea A Bone Gg eS 17 31 27 Freque
24. ications Interface allows the User to define custom anatomy projects and specify per anatomy processing levels 6 1 5 Text Annotations The Text Annotations tab allows the User to add a list of terms that can be automatically chosen when making a text annotation on the image To add an annotation click the Add button enter the desired term then click the Finish button To remove a term from the list check the check box next to the desired term then click the Remove button 6 1 6 Defaults The Defaults tab allows the User to predefine the Referring Physician and Institution names so that when the User is scheduling a patient the only action needed is selecting the desired Referring Physician and Institution name instead of having to manually enter the names each time Adding a Referring Physician Institution 1 Navigate to Configuration gt Defaults tab 2 Click the Add button in either the Referring Physician or Institution section 2007 2009 22 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 3 Enter the desired name 4 Click the Finish button Removing a Referring Physician Institution 1 Navigate to Configuration Defaults tab 2 Select the desired information to remove by click the checkbox next to the name 3 Click the Remove button in the appropriate section Setting a Default Referring Physician or Institution
25. idden Files and Folders in Windows The following instruction is applicable to both Windows XP and Windows 7 1 Open My Computer then click on Folder Options 2 In the Folder Options dialog select the View tab 3 1 2 Check the box labeled Show hidden files and folders then click the OK button Ensure that Hidden Files and Folders are viewable as cover in Section A 3 1 Navigate to the iCRco Captera folder e On Windows XP the path is C Documents and Settings All Users Application Data iCRco Captera e On Windows 7 the path is C Program Data iCRco Captera In the iCRco Captera folder delete the folders CapteraPatients and CapteraStudies and all the content of both folders 2007 2009 35 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc
26. ill be displayed in the Image Display window Current Action a b 10005 canning an No Action Chest 2 PA 2 2 L e W 24208 L 39447 DOB 1 1 2010 Doctor iCRco Study Date Time 7 21 2010 11 17 AM Institution iCRco I Accession Comments i Image Date Time 7 21 2010 12 30 PM Plate Size 14INX17IN i 162 DPI Exposure Index Undefined Cancel 8 When the image is finished scanning make the desired manipulations and annota tions All Captera manipulation and annotation tools are selected in the Tools Menu Bar on the left side of the Image Display window The Window Level Zoom Pan Zoom and Crop tools are shown in the graphic below Game a b 10005 Operation Complete Window Level Chest a PA Study List 2007 2009 10 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 9 When the User is finished manipulating the image click the Accept button in the lower left hand corner of the Image Display window When the Accept button is clicked 1t will save the current image manipulations and DICOM Send the image a b 10005 Chest PA gt 2 2 2007 2009 Confidential and Proprietary W 17473 L 44449 View DOB 1 1 2010 Doctor CRco gt Study Date Time 7 21 2010 11 17 AM Institution CRco Accession Comments Image Date Time 7 21 2010 12 30 PM Plate Si
27. ions Study Description Reading Radiologist Scanner Model Name Position rd Text Alignment Include Image Annotations Possible Annotations Chosen Annotations py Position A Text Alignment a aa aa 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 7 4 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 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 7 3 2007 2009 28 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 7 3 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 Open the series 2 Use the Layout Manager to change the image layout to four 4 viewing panes 3 Click the Print button to enter Print Mode 4 Ensure the Image Index START is set to one 1
28. mp Institution are required fields 3 Click the Finish button to return to the Patient List window or click the Finish And Scan button to begin the process of scanning an image Figure 3 1 Captera s Patient Data Entry Screen Schedule Patient Patient Info Patient ID Y Automatically Generate Patient ID Last Name First Name eme Study Info Study ID Accession Referring Physician Institution Study Date Visit Comments Study Time Anatomy Current Anatomy Cancel Finish Finish And Scan 3 2 Editing Patient Information 1 Locate the desired patient in the Patient List window 2 Click the desired patient s Patient Information Bar 2007 2009 3 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 3 In the Study Information window click the Patient Information Bar again Figure 3 2 Click the Patient Information Bar to edit Patient Information S Name Foote John 10017 DOB 01 January 2010 Sex M Last Exam Date 4 March 2010 3 38 PM Study ID 126 Physician Dr Doctor Accession Date 4 March 2010 3 38 PM Body Part Not Selected Physidan Dr Doctor Accession Comments Return To Patient List Schedule New Study 4 Edit the desired information 5 Click the Finish button to save the changes and return to the Study Information window 3 3 Editing Study Information 1 Locate the desired p
29. n of remedies also applies to claims against any suppliers or dealers of tCRco iCRco 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 Revision History Revision Author Date Notes A MS 2010 03 02 Initial Release 2007 2009 vi of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Contents Foreword 1 Contact Information dress Ad er ii Salety IMOrmaloON yepi eenaa Soe ay A KEES ee 111 ICRC WAAI 2 bared ae et AA a a ee Se 111 1 System Requirements LI Hardware Requirements sois ad aca maene da 1 L2 Sotware Requirements a 4 43 6 osa A a a DES 1 2 Launching amp Logging In 2 2 1 Logging In Administrator Account aooaa o 2 22 Lopene Nes o AAA a AAA AAA 2 3 Managing Patient Data 3 A ia A ANA 3 3 2 Editing Patient Information sa ir a a hee bes 3 29 Edhe Study IOrmaltOl s degree e Be nd hee das 4 oA Remowneoimcle Patents y seme ae oe ep eS a GS ew we ae 5 20 Quy ne aA WOKS aod Bee ole een a A he oe we A ed 6 4 Acquiring an Image 7 A Acurio al IMAGO ca oe Chee Be ee by A Ses 7 5 Tools amp Processing 12 5L Jimace Manipulanon Tools saqa ama a a o a Bae ws 12 5 1 1 Smart Box Window Level 12 5 2 Window Level
30. notation tool first select it from the pop up menu on the left hand side of the screen Then click in the where the text should appear on the image and enter the desired text Press the Enter key to finalize the entered text 5 1 22 Pre defined Text Annotation The Pre defined Text Annotation tool allows the User to apply pre set text to the image To use the Pre defined Text Annotation tool select it from the pop up menu on the left hand side of the screen then select the desired pre defined text Click in the desired location on the image and the pre defined text will be applied 2007 2009 16 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 9 1 23 Line The Line tool allows the User to draw a line on the image To use the Line tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the line to the desired length and position Release the mouse button when the line is sufficient 5 1 24 Extended Line The Extended Line tool allows the User to draw a line on the image that extends all the way through the image To use the Extended Line tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the line to the desired position Release the mouse button when the line is sufficient A line will be drawn all the way through the image 5
31. nt size extra small small medium larger or extra large 7 6 Printing Multiple Patients per Film The User can print more than one patient per film by using the Add Patient button Figure 7 5 in the Print toolbar 2007 2009 30 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Figure 7 5 Click the Add Patient button to add another patient to the film HIP HARRIET Pat ID 10012 R Orientation PORTRAIT m Number of Copies m E Include Annotations _ _ Annotation Menu 1 Enter Print Mode by clicking the Print button 2 In the Print toolbar click the Add Patient button 3 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 2007 2009 31 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual A Appendix A 1 Installing USB Drivers USB drivers for iCRco hardware are installed automatically with the installation of Captera A 2 Installing Captera 1 Insert the media containing the Captera
32. ntiy Used Tols 0 4 a hl amp ide A Se ER OE A 17 6 Configuration 18 6 1 CONMSUIGHON ene ae ad a he es Bey Oe eke ee ee ER 18 OL DICOM eiua g Gd ae oe e Ga SS gt ab SE ee ee ad 18 OA DEVICE SCUINGS ada eee RS AAA es 19 olo ATAV DUDES sanidad es 20 GG DENES q 0 dd bos bbs iran ars pde boe de 20 Olo TExtAnNNo NONS 4 65 24 ts ia vada a Ce ee eee AS 22 GAG Defd lls e area A te eS Be aaa 22 Oslo SBS es a AA AE E A A e eG 23 l ADO ja 2 as ES a Se Bee 24 DUO OIL we acess as as a Ds BE A F 25 7 Printing 26 TL Enterine PrntMode sra dona a a E AAA 26 72 Image Layoutand Annotations eras 4 ow ae aa AA 26 Poo E WOT KHOW 0 ads E ag oe a hed a ad sd act 26 A PAN COPDUONS dio oh a a a aid dad AR a 26 fel AQDOLaHMOn Menis y cara ada AAA E A 27 fag Wsineg the Image nde ay a wishes de oo ads e Ba a 28 7 5 Configuring Default Print Options oo e e 0 29 7 6 Printing Multiple Patients per Film aaau aaa 30 A Appendix 32 AT Installing USB DAYS 0 AAA a ee ee ee F 32 A2 stalling Captia sega he 3 Ge oa a a a a dos de a dd 32 Ao Remo nc AIL Patients sya sacru cara AAN 35 A 3 1 Showing Hidden Files and Folders in Windows 35 2007 2009 viii of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 1 System Requirements 1 1 Hardware Requirements e 2 2 GHz CPU e 1000 MHz Front Side Bus e 2 GB RAM
33. so the user to scan in demo mode a with a scanner attached The scanner will then run the motor but will not acquire an image from the plate instead it will use an image from the Demo images library Condition Plate Allows the User to perform a deep erasure of the IP Plate 6 1 3 X ray Tubes The X ray Tubes tab allows the User to specify the model of X ray tubes attached to the system Current options are Sedecal Stationary or Sedecal Portable The COM Port of the attached X ray tubes may also be specified The Exposure Count displays the total number of scans made on the system 6 1 4 Settings Data Representation The bit depth of the DICOM file when it is DICOM sent or exported out of Captera Current options are 16 12 10 or 8 bit 2007 2009 20 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Look Up Table Type The type of Look Up table that is embeded in the DICOM file when it is DICOM sent or exported out of Captera Current options are Linear or Sigmoid If Sigmoid is selected the DICOM Value of Interested Look Up Table VOI LUT entries are generated and stored in the DICOM header Data Conversion Clipping Level The level of noise removed from the data when the 16 bit data is scaled to a lower bit resolution using the Data Representation drop down menu A lower number means more noise will be included when the data is sc
34. tab allows the User to specify the scanner model attached to the computer system the specification of the spot size for normal and high resolution scans enable demo scans deep erase IP Plates and provides access to the hardware EEPROM dialog For this Device This drop down menu allows the User to select the scanner model Plate Size and Spot Size Each plate size can hold it s own spot size settings for both normal and high resolution scans To set a plate and spot size 1 Select the desired plate size from the Plates sized drop down menu 2 Select the desired spot size for both normal and high resolution using the Spot Size drop down menus 3 Click the Close and Accept button to save the changes 2007 2009 19 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual CR Settings Only iCRco certified technicians should alter the CR Settings Entering improper values may damage the hardware The CR Settings allows the User to view the Exposure Index information System Speed Alpha and Mu values The Advanced button reads in the settings from the scanners EEPROM and allows the User to edit these values Demo Settings Turning on the Enable Demo CR option will allow the User to scan an image without a scanner attached to the computer An image from the demo images library will appear when scanned Turning on the With CR Motor option will al
35. 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 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 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 thir
36. the mouse button the User may drag the magnified box to different areas of the image 5 1 6 Invert Image The Invert Image tool allows the User to transpose the image data To use the Image Invert tool first select it from the pop up men on the left hand side of the screen Then click the Image Invert button The image data will be inverted 5 1 7 Rotate Clockwise Counter Clockwise The Rotate tools allow the User to rotate the image in 45 increments To use the Rotate tools first open the pop up menu on the left hand side of the screen Then click either Rotate Clockwise or Rotate Counter Clockwise until the y desired rotation is achieved A single mouse click on the Clockwise or metia button will rotate the image 45 5 1 8 Flip Vertical amp Horizontal The Flip tools allow the User to invert the image either horizontally or vertically To use the Flip tools first open the pop up menu on the left hand side of the screen Then click either Flip Vertical or Flip Horizontal until the desired orientation is achieved 5 1 9 Crop 2007 2009 13 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual The Crop tools allows the User to discard unwanted information around the edges of the image usually collimation To use the Crop tool first select it from the pop up menu on the left hand side of the screen A green box will appear around the
37. the User may click hold and drag to reposition the marker 5 1 12 Measurement The Measurement tool allows the User to draw a line with a linear measurement on the image To use the Measurement tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the measurement line to the desired length and position Release the mouse button when the measurement line is sufficient The measurement will appear next to the line 2007 2009 14 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 5 1 13 Angle The Angle tool allows the User to draw an angle with the interior mea surement on the image To use the Angle tool first select it from the pop up menu on the left hand side of the screen Then click hold and drag out the first leg of the angle to the desired length and position Release the mouse when the first leg is sufficient Click the mouse again at the point where the second leg of the angle should end The second leg of the angle will be drawn and the measurement displayed at the vertex At any time the User may click the end of either leg or the vertex and readjust the position of the angle 5 1 14 Cobb Angle The Cobb Angle tool allows the User to draw a Cobb Angle with an angle measurement on the image To use the Cobb Angle tool first select it from the pop up menu on the left hand side of th
38. tial and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 6 1 9 Quit The Quit tab provides a button allowing the User to exit amp close the Captera application 2007 2009 25 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 7 Printing 7 1 Entering Print Mode Before entering Print Mode the User must select the correct images and add the desired annotations The User can then enter Print Mode from the Study Screen by clicking the Send Study Print Study button The Print tool will open 7 2 Image Layout and Annotations Annotations are performed in Captera s Image Manipulation window The image annota tions are then automatically transferred over when the Print button is clicked 7 3 Print Workflow Open the desired patient from the Worklist Use the Layout Manager to layout the images as desired Perform the desired 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 A OF Ff 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 QO Click the Preview button to ensure that the image layout is correct 9 Click the Print button
39. udy Info Study ID Referring Physician Institution foo LW poo Lv Study Date Visit Comments ao EEOC MO Study Time mts EE Ge Anatomy Current Anatomy Cancel Finish Finish And Scan 4 Select the region of the anatomy by clicking on the appropriate body region then select the anatomy by clicking on the appropriate body part Select Anatomy Test Test4 10004 Anatomy Medical x Cancel 2007 2009 8 of 35 Confidential and Proprietary Property of iCRco Inc Document CAP 01A Rev A March 2 2010 Captera User Manual 5 Select the appropriate view for the anatomy then select the appropriate laterality e g left or right if necessary If the anatomy selected in the previous step does not require a laterality selection the buttons for laterality will be grayed out and not selectable If this is the case please skip to the next step Test Test4 10004 AP VERTICAL AP TRANSVERSE Laterality CR Control 14 x 17 inches 10 x 12 inches 8 x 10 inches Test Test4 10004 Chest Views gt P atera AP VERTICAL AP TRANSVERSE AP LANDSCAPE Oblique AP Non Std View Laterality CR Control Return To Previous Screen 14 x 17 inches 10 x 12 inches 8 x 10 inches 2007 2009 9 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual 7 As the image is acquired it w
40. up Ready to install Captera S Click Install to begin the installation Click Back to review or change any of your installation settings Click Cancel to exit the wizard Cancel 7 Please be patient while Captera installs Depending on the speed of the computer and available RAM this process could take a few minutes T Captera Setup Installing Captera Please wait while the Setup Wizard installs Captera 8 Click Continue Anyway if prompted by the Windows compatibility wizard 2007 2009 33 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual ie Captera Setup Software Installation The software you are installing has not passed Windows Logo testing to verify its compatibility with Windows XP Tell me why this testing is important Continuing your installation of this software may impair passed Windows Logo testing Please attach your device to this computer any time after the installation has finished Cancel 10 Click Finish to finish the Captera installation ig Captera Setup Click the Finish button to exit the Setup Wizard 2007 2009 34 of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual A 3 Removing All Patients Once removed patient data is not recoverable Perform a back up before removing any patient data A 3 1 Showing H
41. ut 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 2007 2009 i of 35 Document CAP 01A Rev A Confidential and Proprietary March 2 2010 Property of iCRco Inc Captera User Manual Contact Information CRco Inc Adaress Phone Fax Email Web CRco Inc Adaress Phone Email Web USA 2580 West 2374 Street Torrance CA 90505 1 310 921 9559 1 310 542 7236 info icrcompany com http www icrcompany com Europe 31a Ridlerstrasse 80339 Munich Germany 49 89 2555 757 150 info icrcompany com http www icrcompany com Captera Information Please Enter the details of the Captera system here Serial Number Date Purchased Interface Type USB 2 0 2007 2009 ii of 35 Confidential and Proprietary Property of iCRco Inc Document CAP 01A Rev A March 2 2010 Captera User Manual Safety Information Read and understand the installation and operating instructions before starting the Captera 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 haz
42. y 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 IfiCRco 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 and 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 Additional Warranty Limitations and Ext
43. ze 14INX17IN 162 DPI Exposure Index Undefined Property of iCRco Inc Operation Complete Scan Image Study List Patient List 11 of 35 Document CAP 01A Rev A March 2 2010 Captera User Manual 5 Tools amp Processing 5 1 Image Manipulation Tools All Captera image processing manipulation and annotation tools are selected in the Tools Menu Bar on the left side of the Image Display window 5 1 1 Smart Box Window Level The Smart Box Window Level tool allows the User to automatically adjust the brightness and contrast of the image with a user selectable box The optimal window level settings will be determined by the user defined selection To use the Smart Box Window Level tool first select 1t from the pop up menu on the left hand side of the screen Then mouse click and drag until the Smart Box is the desired size Upon releasing the mouse button the Window Level setting will be automatically calculated The User may resize the box at any time by selecting the Smart Box by one of the corners and dragging to the desired size The User may also move the Smart Box around the image to yield different Window Level settings by clicking and dragging from the middle of the Smart Box To hide the Smart Box and apply the settings click the Smart Box button in the toolbar 5 1 2 Window Level The Window Level tool allows the User to adjust the brightness and contrast

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