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Kodak CR Topics Soft Ver 5 2 PDF
Kodak CR Topics Soft Ver 5 2 PDF
8G0242
29 January 2009
Version 2.0
Table Of Contents
General Information ...................................................................................................................................... 1
New Features................................................................................................................................................ 1
Use of CR System and DR System Terminology.......................................................................................... 2
About Online Help ......................................................................................................................................... 3
Software Version ....................................................................................................................................... 3
How Do I Access and Navigate Help?....................................................................................................... 3
Document Conventions ............................................................................................................................. 3
KODAK DIRECTVIEW Software................................................................................................................... 4
Trademark and Copyright Information....................................................................................................... 4
FCC Compliance ....................................................................................................................................... 4
How to Contact Carestream Health, Inc. ...................................................................................................... 5
AEC Calibration............................................................................................................................................. 6
CR System Overviews .................................................................................................................................. 7
Main Menu Functions.................................................................................................................................... 7
Quick Reference Button Guide ..................................................................................................................... 9
Radiographer's Screen Guide..................................................................................................................... 12
CR System Software Overview................................................................................................................... 13
CR Modality Overview................................................................................................................................. 14
Brightness, Latitude, and Detail Contrast Definitions.................................................................................. 15
Scheduled Workflow ................................................................................................................................... 17
Workflow Configurations ............................................................................................................................. 17
Modality Performed Procedure Step (MPPS) ............................................................................................. 18
Scheduled Workflow Configurations ........................................................................................................... 19
Scanning Equipment and Procedures ........................................................................................................ 21
Scanning CR Cassettes Menu .................................................................................................................... 21
Using the Touch-Screen.............................................................................................................................. 22
High-Resolution Scanning........................................................................................................................... 23
What Are Scan Modes?........................................................................................................................... 23
Slow System Response .............................................................................................................................. 24
CR System Freeze-up................................................................................................................................. 25
Scanning on a Classic/Elite CR System ..................................................................................................... 26
Loading a Cassette.................................................................................................................................. 26
Scanning on a CR 825/850 System............................................................................................................ 27
Loading a Cassette.................................................................................................................................. 27
Scanning on a CR 950/975 System............................................................................................................ 28
Loading Cassettes ................................................................................................................................... 28
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General Information
New Features
Select the links below for more information about the new features introduced with this software
version.
Auto-Associate—An automatic association of a cassette with a View is introduced on the
Classic/Elite and 825/850 CR Systems.
Backup and Restore—Wonder what's backed up and what's not? A complete map of backup
features by equipment type is included.
Bar-Code Configuration—Configuration for all bar-code readers. New bar-code samples are
provided for all bar-code readers.
Bar-Code Requisition—The system retrieves an exam from the work list when reading a bar-
code record of the Accession Number, or Patient ID at the Main Menu or Image Review
Screen.
Capture Link System—The Range of Operation describes which system configurations are
transferred to CR and DR devices when a change in the Capture Link System occurs.
Carestream Health Display Pro Target—Provides a visual density scale to determine whether
the monitor needs to be calibrated.
Local User Interface—A complete feature menu is available on the Classic/Elite CR System,
replacing the Scan Status Screen function.
Manual Cropping— Manual Cropping lets you crop an image when printing it onto a film that is
smaller than the cassette in which the image was exposed. A crop box is displayed when the
Manual Crop feature is activated. The aspect ratio of the crop box is fixed depending upon the
printer selected. From the Main Menu, select Image Review.
Measurement Tools— You can measure and display the Distance, Angle, and Cobb Angle
during the process of reviewing images on the CR or DR Console.
More Image Data—You can edit patient information at any time before image delivery.
Patient CD—You can make a CD of a patient's study or of all studies for a patient with a push of
a button.
Region of Interest—The Region of Interest (ROI) is a defined region on the image that reveals
the mean pixel value of a selected point. This software version adds optical density to the
calculation, so the displayed value now includes the value for the raw (unprocessed) image,
as well as the processed image.
QA by Image Mode—The Key Operator selects this option in the Delivery Preferences
Screen. When an image is associated with a view on the Patient Input Screen, it will
immediately open the Image Viewer Screen.
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General Information
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The information contained herein is based on the experience and knowledge relating to the
subject matter gained by Carestream Health, Inc. prior to publication. No patent license is
granted by this information.
Carestream Health reserves the right to change this information without notice and makes no
warranty, express or implied, with respect to this information.
Carestream Health shall not be liable for any loss or damage, including consequential or special
damages, resulting from the use of this information, even if loss or damage is caused by
Carestream Health's negligence or other fault.
FCC Compliance
This equipment has been tested and found to comply with the limits for a Class A digital device,
pursuant to Part 15 of the FCC Rules.
These limits are designed to provide reasonable protection against harmful interference when
the equipment is operated in a commercial environment. This equipment generates, uses, and
can radiate radio frequency energy and, if not installed and used in accordance with the
instruction manual, may cause harmful interference to radio communications.
Operation of this equipment in a residential area is likely to cause harmful interference in which
case users will be required to correct the interference at their own expense.
29 January 2009
Online Help Version C1.4
PN 8G0242
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General Information
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AEC Calibration
The X-ray energy dependence of Computed Radiography detectors may be different than that
of intensifying screens used to expose film. Adjustment of the AEC configuration may be
necessary to account for the transmission of the KODAK DIRECTVIEW CR Cassette.
If AEC adjustment is required, it is appropriate to adjust AEC photo timers over the full range of
X-ray energies (kVp) that are used. The recommended exposure level is a general
recommendation based on balancing the requirements for high image quality and minimum
patient dose. All adjustments that affect patient dose should be done under the guidance of a
certified medical physicist to ensure that exposures are in compliance with all applicable
guidelines and local regulations.
A Medical Physicist or, if permitted by applicable regulations, qualified personnel under direction
of a Medical Physicist should:
• Perform the necessary acceptance testing
• Ensure the X-Ray Unit’s Automatic Exposure Control (AEC) is properly calibrated for use with
KODAK DIRECTVIEW CR Cassettes and meets applicable regulations.
• Establish and/or approve the use of an exposure technique control chart.
If required, Carestream Health, Inc. can provide guidance for the AEC calibration procedure.
Contact your Carestream Health Inc. representative for more information.
All AEC adjustments and calibrations must be performed by qualified X-ray equipment
manufacturers or trained service providers.
See Also
Contact Carestream Health, Inc.
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CR System Overviews
Main Menu Functions
The headings throughout the Help are color-coded for easy reference.
Function Name Description
Study Data • Locate Patient and Exam Data
• Enter New Patient Data
• Create New Studies
• Access Work Lists
Image Review • Search for and View all Stored Images
• Change Image Presentation
• Add Markers, Change Orientation, Reverse Viewing; turn on/off
Grid Suppression and Noise Suppression
• Change Image Quality Controls, Masking
• Reprocess
• Print Images as Single or Multi-Format
Scan Status • Display the Last Scanned Image
• Erase the Cassette
• Display the Erase Lamp Status
• Release Cassette and Phosphor Screen Jams
Key Operator • Set up and Manage System Configurations
Functions
Service Functions • Service the Machine (Qualified Service personnel only)
Utilities • Change Password
• System Status
• Software Updates
• Image Recovery
• Image Recovery Capture Link
• Capture Link Server Status
Security • Generate User Names
Administrator
• Manage User Accounts
Functions
• Role Settings
• User Configuration
• Security Log Configuration
• Archive Security Log Entries
New Patient Button • Immediately opens the Patient Input Screen to create a new patient
record.
patient record.'
Quick Menu Button • Provides quick access to logon, logout, and shutdown menus.
Images Not • Displays the number of images on the system that are not
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Assigned Button assigned. Pressing the button takes you to the Image Review
Screen where the images are available.
The Key Operator Functions, Service Functions, and Security Administrator Functions are only
accessible by authorized personnel.
See also:
Quick Reference Button Guide
Radiographer's Screen Guide
Key Operator Functions
Utilities Menu
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CR System Overviews
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Discontinue/Cancel
Multi-format Trauma
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CR System Overviews
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CR System Overviews
See also:
Brightness, Latitude, and Detail Contrast
Reducing Noise in an Image
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CR Modality Overview
The DIRECTVIEW CR (Computed Radiography) product family consists of a series of medical
scanners utilizing phosphor screen technology to produce diagnostic quality images. The
different product members offer a variety of performances and functional capabilities to meet the
demands of a range of large centralized sites to small clinics.
Each scanner allows the radiographer to input the required data manually or interface with the
site's HIS/RIS to retrieve patient information. Using the device's User Interface, the radiographer
can verify proper image placement and check for motion prior to routing images to printers or
store devices. The products can communicate with other medical devices, specifically store
devices and printers, that support the DICOM 3 standard.
The products support a number of add-on options that allow extended functionality, such as
advanced image processing, ability to perform long-length imaging, image reject analysis, and
various workflow enhancements. The products also support the use of the optional Total Quality
Tool (TQT) as a means to verify the integrity of the image acquisition and erase sub-systems
and the individual cassettes.
In addition, the CR System provides a Remote Operations Panel (ROP) that can be used to
interact with the product. This remote workstation allows control of certain CR System functions
from a remote location.
See also:
What is TQT?
Remote Workstation Options
Scanning on a Classic/Elite CR System
Scanning on a CR 825/850 System
Scanning on a CR 950/975 System
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CR System Overviews
See also:
Using the Image Viewer Screen
Using the Image Adjustment Tab
Adjusting Image Parameters
Viewing More Detail
Adjusting Image Quality Controls
Low Contrast Images
Increasing Latitude
Using the Histogram
Reprocessing an Image
How to Use Window and Level
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Scheduled Workflow
Key Operator Functions > System Configuration > Display
Configuration
Workflow Configurations
A Key Operator configures the System workflow to organize the way images are foldered at the
workstation. To set-up this configuration, go to Key Operator Functions > System
Configuration > Display Configuration. Select the Patient Input Tab. You can select the
radio button to configure your system with one of two ways to identify images:
Image Identifier Result
Select Create new procedure steps Create new procedure steps from the
from Patient Input to keep the same Patient Input Screen.
Study Instance Unique Identifier
(SIUID)This places the images into the
same study.
Select Create new Studies from Create new studies from the Patient
Patient Input to generate a new Study Input Screen.
Instance Unique Identifier (SIUID) and a
new Procedure Step.
Scheduled Workflow is an option that may be used with either of the workflow configurations
listed above.
Your system may be configured for either mode for Integrated Healthcare Enterprise (IHE)
compliance.
See also:
MPPS Mode
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See also:
Using the Patient Input Screen
HIS/RIS Configuration
HIS/RIS Polling Query
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Scheduled Workflow
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Scanning Equipment and Procedures
Scanning CR Cassettes Menu
Scanning on the Classic/Elite CR System
Scanning on the CR 825/850 System
Scanning on the CR 950/975 System
High-Resolution Scanning
Scanner Error
Slow System Response
CR System Freeze-up
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Scanning Equipment and Procedures
High-Resolution Scanning
• High-Resolution scanning produces diagnostic quality images with 97 micron spacing between
pixels. The bar-code on the cassette tells the CR System that a GP Plus Cassette is inserted,
and the scan rate changes to 97 microns.
• GP Plus Scan Mode, available worldwide, produces high-resolution images with KODAK GP
Plus cassettes.
• If the scanner does not recognize the bar-code, manually specify the cassette type.
What Are Scan Modes?
Scan Modes are unique to the Classic/Elite CR Systems. Scan Modes affect large cassettes
such as 35 x 35 cm and 35 x 43 cm.
You can set three scan modes from the Local User Interface (not from the Console):
Standard Speed Mode: High Resolution
High Speed Mode: Standard Resolution
This mode scans in the least amount of time.
Reduced Border: Images on 35 x 35 cm and 35 x 43 cm cassettes are captured with pixel
sizes of 171 microns rather than 168 microns. The scanned image area increases slightly,
producing borders smaller than those produced on other systems.
See also:
Scanning CR Cassettes
What do I do if I receive an error while scanning?
Scanning on the Classic/Elite CR System
Scanning on a CR 825/850 System
Scanning on a CR 950/975 System
Automatic delivery vs manual delivery
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Scan Status
See also:
Restarting Versus Rebooting
Shutting Down the CR System
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Scanning Equipment and Procedures
CR System Freeze-up
If it is not possible to reboot the CR System using normal Shutdown procedures, it may be
necessary to manually reboot the System.
1. Select and quickly release the computer's Power button.
2. Wait 30 seconds.
3. Turn the computer back on.
If the power down sequence still does not initiate:
1. Select and hold the computer's Power button.
2. Wait 10 seconds.
3. Reinitiate the UPS system.
Use the computer's Power button to turn the computer back on if there is no UPS system.
If the Remote Operations Panel (ROP) won't respond:
1. Select the Quick Menu/Shutdown button to reboot the ROP.
2. If the Shutdown button is not available:
3. Turn Off the Power button located under the ROP's front panel.
4. Wait 10 seconds and turn the ROP back on.
See also:
How to Logon, Log Out
Shutting Down the CR System
Restarting Versus Rebooting
Using the Shutdown button
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Loading a Cassette
The cassette feed slot lets you insert a single cassette manually.
1. Hold the cassette with the yellow corner facing up and toward you.
2. Place the cassette in the feed slot with the tube side facing to the right.
3. Push the cassette into the slot. The CR System beeps once when it reads the cassette bar-code
label.
4. Push the cassette all the way to the back until the CR System beeps twice, signaling that you
can let go of the cassette.
After the cassette has been scanned, the CR system releases it, and displays the Remove
Cassette message on the Local User Interface.
5. Manually remove the cassette.
Make sure that the Tube Side label faces to the right, and the cassette's yellow corner is always
up and towards you.
See also:
Auto-Associating Information
Local User Interface Main Menu
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Scanning Equipment and Procedures
Loading a Cassette
1. Slide the cassette into the front of the cassette feed slot at the top of the CR 825/850 System.
When you insert the cassette into the CR 825/850 System, the cassette is pulled into scan
position and scanning starts immediately.
After the cassette has been scanned, the system releases it automatically.
2. Remove the cassette from the cassette feed slot.
Make sure that the tube side label faces to the right, and the cassette’s yellow corner is always
up and towards you.
When the CR System scans the phosphor screen, it erases any residual image before it places
the phosphor screen back into the cassette for re-use.
See also:
CR System Freeze-up
What Is High Resolution Scanning?
Scanning CR Cassettes
Slow System Response
Scanner Error
Auto-Associating Information
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Loading Cassettes
1 Place exposed cassettes on the right side of the feed slot.
1. Push a cassette all the way into one of the drive belt slots.
2. Set the cassette into the transport mechanism.
3. Make sure the cassette is perpendicular when loaded and pushed all the way to the back of the
slot.
You can load up to eight cassettes of all sizes at one time.
Make sure that the tube side label faces to the right, and the cassette’s yellow corner is always
up and towards you.
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Scanning Equipment and Procedures
When the CR System scans the phosphor screen, it erases any residual image before it places
the phosphor screen back into the cassette for re-use.
Place exposed STAT cassettes in the second slot to the right of the center process slot. If there
is already a cassette in the second slot, remove it first. Do not load or remove cassettes from
Slot 1.
The CR 950/975 has moving parts. Avoid contact with the belt.
See also:
CR System Freeze-up
High-Resolution Scanning
Scanner Error
Slow System Response
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PN 7E9471
The part name to ask for is CR Erase Lamp Bulb.
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Logging and Shutdown Procedures
Logging On and Logging Out of the Modality
To logon to the Modality:
1. Select the User Name field and type in your user name.
2. Select the Password field and type in your password.
3. Select Logon.
The Security Administrator determines what your log on information is.
If your system is configured without user names and passwords, select the Logon Tech button.
If you forgot your password:
• Contact your Security Administrator for logon information.
• Your Security Administrator can reset your password.
Your Security Administrator can configure your system so that user names and passwords are
not required.
To log out of the Modality:
1. Select the Quick Menu button (left most button on the bottom of the screen) to bring up the
menu.
2. Select the Logout button.
See also:
Shutting Down the CR System
Restarting Versus Rebooting
Using the Shutdown Button
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1. Select the Quick Menu button , the lower left button on any CR System screen.
2. Select the Shutdown button.
3. On the Shutdown screen, select the appropriate radio button:
• Restart: restarts the interface without turning off the machine.
• Reboot: turns off and resets the machine.
• Shutdown/Power Off: turns off all power to the machine and the interface.
4. Select OK.
The UPS shuts down up to one minute after the KODAK DIRECTVIEW CR Software and
MICROSOFT WINDOWS Operating System shut down.
Select the blue link below to for instructions on how to shut down the Classic/Elite CR System.
Classic/Elite CR System
To turn off the CR System:
1. At the Main Menu, select the Quick Start Menu button.
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Logging and Shutdown Procedures
2. Select System Shutdown/Power Off and select OK. The CR computer shuts down.
3. Turn off the power switch on the side of the Classic/Elite CR System.
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Logging and Shutdown Procedures
See also:
Restarting Versus Rebooting
Shutting Down the CR System
How to Log On and Log Out
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Scan Status Screen
Patient Information Bar
The Patient Information Bar appears at the bottom of every image in the Image Viewer Screen.
It provides the current patient information for the displayed image.
• When selected, it opens the patient record on the Patient Input Screen.
See also:
Using the Patient Input Screen
Using the Image Viewer Screen
Using the Scan Status Screen
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See also:
Using the Scan Status Screen
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Scan Status Screen
See also:
Purchasing Erase Lamps
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Classic/Elite CR Systems
Only the Scan Status Tab is available on the Console of the Classic/Elite CR Systems. The
Erase Cassette Tab, System Recovery Tab, and Erase Lamp Tab functions are available on
the Local User Interface of the Classic/Elite CR Systems.
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Scan Status Screen
See also:
Local User Interface Main Menu
Using the Scan Status Tab
Using the Erase Cassette Tab
Using the Scan Status Tab
Using the System Recovery Tab
Using the Erase Lamp Status Tab
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See also:
Using the Scan Status Screen
Using the Image Viewer Screen
Assigning an Image
Patient Information Bar
Pass-through Mode
Using the Patient Input Screen
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Scan Status Screen
See also:
Using the Scan Status Screen
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Cassettes, Troubleshooting, and Error Messages
Local User Interface
Scan Status
Cassette Jams
CR 825/850/950/975 Systems
If a cassette jam occurs when you are using the CR 825/850/950/975 Systems, open and close
the front door of the CR System. This resets the CR System hardware and clears most cassette
jams.
If the cassette fails to release, do the following:
1. At the Main Menu, select Scan Status.
2. Select System Recovery.
3. Select Clear Cassette Jam to reverse the movement of the transport mechanism.
4. Select Release Cassette to move the cassette to the "home" position.
5. If the cassette is released, remove the cassette.
6. If the problem persists, call your Service Representative.
Classic/Elite CR Systems
1. Select the Local User Interface Utilities menu.
2. Select System Recovery.
3. Select Cassette Jams.
See also:
Local User Interface Main Menu
Using the System Recovery Tab
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Scan Status
Scanner Error
If you receive an error on the CR screen while scanning a cassette, make sure that the cassette
is inserted properly and follow the instructions on the screen.
See also:
Cassette Jams
Scanning CR Cassettes
Resolving a Cassette ID Error
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Cassettes, Troubleshooting, and Error Messages
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See also:
Using the Patient Input Screen
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Bar-Code Scanner
Entering Information with the Bar-Code Scanner
You can populate ANY field in the Modality using the bar-code scanner. Select a data field and
scan a bar-code to place its value in the field. The system is capable of recognizing and
automatically placing the values. This feature is the system's ability to automatically recognize
certain data fields and enter the information without selecting that field in advance.
The Modality and the Bar-Code Scanner can:
• Expedite data entry by reading bar-codes for selected fields and place those values into the
fields.
• Automatically place the correct value in the correct field if you read an accession number or
Patient ID and the patient exam is opened automatically.
This includes:
• Accession #
• Patient ID
• Procedure Code
• Cassette ID
• Tech ID
• Automatically executes a local query to retrieve Work List or patient records that match the value
read.
See also:
Information Does Not Appear
Where Can I Use the Bar-Code Scanner?
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Bar-Code Scanner
See also:
Entering Information with the Bar-Code Scanner
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CR System Exams
See also:
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Radiographer's Software
See also:
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Radiographer's Software
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See also:
Defining a View
Deleting a View
Changing the View Name
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Radiographer's Software
See also:
Adjusting Image Parameters
Correcting Image Artifacts
Adjusting Image Quality Controls
Flagging an Image
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Radiographer's Software
See also:
Image List Screen
Using the Image Viewer Screen
Adjusting Image Parameters
Reprocessing an Image
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See also:
Harvesting Flagged Images
Using the Image Viewer Screen
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Radiographer's Software
See also:
How to Use Window and Level
Image Processing Failure
Brightness, Latitude, and Detail Contrast Definitions
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Rejecting an Image
If you do not want to accept an image:
1. Select the Reject Image button.
If the system has the optional Administrative Analysis and Reporting feature installed,
you must select a reason for rejection such as Motion or Clipped Anatomy.
2. Select the reason for rejecting the image.
3. Select Save Changes.
If you select "Other" as a Reject reason, you must enter a Reject comment.
The Key Operator determines how the system retains rejected images for further review.
See also:
Accepting the Image
Adjusting Image Parameters
Remote Workstation Options
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Radiographer's Software
Reviewing Images
Once an image is acquired, you may want to review it in detail and possibly make changes
before accepting it. Changes to images are made on the Image Viewer Screen.
To review an acquired image:
1. Select the thumbnail image you would like to review from the Patient Input Screen.
or
From the Main Menu, select Image Review.
The Image List Screen opens.
2. Select the thumbnail image you would like to review.
The Image Viewer Screen opens.
3. In the Image Viewer Screen, select from the palettes of Image Adjustment, Masking,
Markers, Printing, Orientation, Magnification, Look Adjustment, Crop Box Adjustment,
Magnification, and Measurement Tools.
There are Help screens for each of the palettes to explain the Image Viewer functions. On the
Image Viewer Help Screen, select the icon of the function you wish to use to see information
for that function.
See also:
Using the Image Viewer Screen
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See also:
Changing the View Name
Modifying a Delivered Image
Viewing More Detail
Low Contrast Images
Increasing Latitude
Reprocessing an Image
Applying Automatic Masking
Applying Manual Masking
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Radiographer's Software
See also:
Viewing More Detail
Using the Image Viewer Screen
Accept Image Button
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Radiographer's Software
Increasing Latitude
Latitude controls the number of shades of gray visible in the image. Increasing the latitude
increases the number of gray levels, making blacks and whites less apparent. You may want to
increase the latitude if important anatomical information appears in the black or white region of
the image and it cannot be visualized clearly.
Increasing latitude:
• Increases the number of gray levels
• Decreases the apparent black and white values
See also:
Brightness, latitude, and detail contrast definitions
Adjusting Image Parameters
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See also:
How to Use Window and Level
Low Contrast Images due to IPL Parameters Failure
Reprocessing an Image
Using the Histogram
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Radiographer's Software
See also:
Modifying a Delivered Image
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See also:
Using the Image Viewer Screen
Image Processing Failure
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Radiographer's Software
See also:
Brightness, Latitude, and Detail Contrast Definitions
Low Contrast Images due to IPL Parameters Failure
Increasing Latitude
Using the Histogram
Using the Image Viewer Screen
Viewing More Detail
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Radiographer's Software
Quick Menu (logging out, shutting down, flagging images for review)
Make sure you select Save Changes before closing the Image Viewer Screen.
See also:
Flagging an Image
Additional Topics
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See also:
Adjusting Image Parameters
Adjusting Image Quality Controls
Low Contrast Images due to IPL Parameters Failure
Increasing Latitude
Using the Histogram
Using the Image Viewer Screen
Using the Image Adjustment Tab
Reprocessing an Image
How to Use Window and Level
Flagging an Image
What are Brightness, Latitude, and Detail Contrast?
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Radiographer's Software
Assigning an Image
Assigning a View.
1. At the Main Menu, select the Images Not Assigned button.
2. Select the image from the list to open the Image Viewer Screen.
3. At the Image Viewer Screen, select the Look/Adjustment Tab.
4. Select the View Name field to correctly designate the appropriate body-part specific algorithm.
5. Select Reprocess Image.
6. Select Save Changes.
Assigning an image to the Patient
1. Select Assign Image. Assign the image to a patient.
2. At the Patient Query Screen:
Enter the search criteria to search for the correct patient.
or
Select New Patient.
3. Select Add View.
If New Patient was selected, enter the patient information.
4. Select Save Changes.
The image is assigned. The Patient Input Screen opens.
See also:
Assigning an Image to a Different Patient
How an Image Becomes Unassigned
Unassigning an Image
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See also:
Using the Image Viewer Screen
Assigning an Image
Unassigning an Image
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Radiographer's Software
See also:
Assigning an Image
Unassigning an Image
Assigning an Image to a Different Patient
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Unassigning an Image
To unassign an image from a patient ID or from a trauma ID:
1. Select the image to be unassigned.
The image opens in the Image Viewer Screen.
2. Select Unassign Image.
The patient information is removed from the image. The image information is retained with
the image.
See also:
Assigning an Image
How an Image Becomes Unassigned
Assigning an Image to a Different Patient
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Cropping Images
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See also:
Creating a True-size Print
Using Manual Cropping
Creating Multi-format Prints
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See also:
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Using Manual Cropping on a Multi-format Print 1. Make sure that the image is
included in a multi-format layout. If it is not, the cropping choices for multi-format will be grayed
out.
2. Select one of the following:
True-size
Manual Crop
Best Fit
You can mix cropping selections from the 1-up and multi-format menus on the Crop Box
Adjustment tab. For example, you can select True-size for 1-up and Manual Crop for the multi-
format print. Both crop boxes are displayed.
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Delivering Images
See also:
Unusable Image
Viewing a Thumbnail Image
QA by Image Mode
Pass-through Mode
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See also:
Using the Image Viewer Screen
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Radiographer's Software
Study Data
Auto Display in QA Mode
When you are operating in QA Mode, you can configure the system to automatically open an
image in the Image Viewer Screen after the image is processed instead of selecting the image
manually to inspect it.
See also:
Automatic Delivery or Manual Delivery
Pass-through Mode
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Pass-through Mode
In Pass-through mode: all images are routed directly to destinations without inspection.
When Pass-through mode is configured, you can select the Pause the Pass-through function
on the Scan Status Screen to inspect an image.
Select Resume Pass-through to continue scanning and to allow images to go to destinations
without inspection. When the system distributes the image, you can recall the image for review
at that time, if necessary.
In QA mode, the radiographer must view and approve the image before distributing it across
the network.
See also:
QA Mode
Automatic Delivery or Manual Delivery
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See also:
Destination Status Button
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Distributing Images
See also:
Using the Image Viewer Screen
Accepting the Image
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See also:
Automatic Delivery or Manual Delivery
Destination Status Button
Change Destination Profile Button
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Radiographer's Software
Auto-Associating Information
On the KODAK DIRECTVIEW Classic/Elite CR Systems and CR 825/850 Systems, the Key
Operator can configure the machine to automatically associate the Cassette Identity to a View
icon, which eliminates the need to use an external bar-code scanner for this purpose. The
Modality must be operating independently from a Remote Operations Panel (ROP). If a ROP is
defined as an external device to one of the Modalities, the Auto-Associate button will not be
enabled. Conversely, when Auto-Associate is enabled and a ROP is added, the Auto-Associate
button will be disabled. To turn ON the Auto-Associate feature, go to Key Operator Functions
> System Configuration > Next Page > Scanner Options > and check the Auto-Associate
Enabled check box.
To initiate Auto-Associate from the Patient Input Screen:
1. Select a View.
For an image to be auto-associated with a View, the desired View must be selected
(highlighted)and displayed on the Patient Input Screen at the time of scanning until the bar-
code appears in the View icon.
2. Insert the cassette.
When the cassette is scanned, the image is automatically associated with the View icon that
was selected (highlighted) when the scan began. The system automatically highlights the
next View after the cassette scanning process has started.
3. Insert the next cassette.
4. Repeat until each View is scanned.
Each cassette will be associated automatically with the View that was selected when the
cassette was inserted.
Make sure that the View you want to scan is selected (highlighted) before inserting the cassette.
If you do not select a View prior to inserting the cassette, an Unassigned Image will result.
If a cassette is bar-coded accidentally, the information will not be used by the system if the
Auto-Associate feature is enabled. The image file that is sent to other devices will contain the
cassette ID of the cassette that was scanned, not the cassette ID that was accidentally read
using the bar code scanner.
See also:
Scanning on a Classic/Elite CR System
Scanning on a CR 825/850 System
Assigning an Image
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See also:
Using the Patient Input Screen
New Study Button
Defining a View
How to End a Study
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Radiographer's Software
See also:
Using the Patient Input Screen
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See also:
Using the Patient Input Screen
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Radiographer's Software
• The CR Cassette non-tube side (back) is displayed when a View is automatically flipped (such
as Chest-PA-Erect).
• The CR Cassette tube side (front) is displayed when a view is not automatically flipped (such as
Chest-AP-Erect).
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Modifying Information
You can modify the patient, exam, and image data at any time up until the image is delivered.
To modify information from the Patient Input Screen:
1. Select a field.
2. Select Backspace.
3. Enter the correct information from the keyboard.
To modify information from the Patient Query Screen:
1. Select a field.
2. Select Backspace.
or
Select the Clear All Fields button on the bottom of the screen to delete information in all the
fields.
All fields that have pre-defined values will be reset to the default value when you select the
Clear All Fields button.
See also:
Using the Patient Input Screen
Using the Patient Query Screen
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See also:
Using the Patient Input Screen
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See also:
Assigning an Image
Assigning an Image to a Different Patient
Using the Patient Input Screen
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Radiographer's Software
Exam Information
Patient Last Name Required
Patient First Name Optional
Patient ID Required
Gender Male, Female, other
Date of Birth Patient's date of birth
Patient Location Room
Department Name Select from user-defined list or enter from keyboard
Referring Physician Select from user-defined list or enter from keyboard
Priority Low, routine, urgent, STAT
Study Date Entered automatically
Procedure Name Select from tabbed palette, Thorax, Contrast Studies,
Spine, Upper Extremity, Cranium, Abdomen, etc.
Procedure Code Enter from keyboard
Accession Number Enter from keyboard or bar-code
Tech ID Read bar-code ID, select from user-defined list or enter
from keyboard
More Information
Patient Comments Enter from keyboard
Contrast Agent Enter from keyboard
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See also:
List Configuration
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See also:
Using the Patient Input Screen
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See also:
Auto-Associating Information
Creating an Additional Study
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The new feature is to let you edit image data after the image has been scanned and processed.
To edit a processed image:
1. Select Edit Image Data.
After scanning the image(s), the Patient Input Screen appears.
2. Select Edit Image Data.
The button changes to Edit Is On.
3. Select a thumbnail image and then select any of the input tabs on the Patient Input Screen
You will be in edit mode and can add or change selected fields of information.
See also:
Using the Patient Input Screen
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Layout Configuration
Determining the Exposure Index
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Radiographer's Software
More Information
The More Information tab on the Patient Input Screen contains additional patient information.
Use the keyboard to enter the following information, if available:
Referring Physician Primary physician who referred patient.
Patient Comments Comments the patient makes concerning his or her exam.
Procedure Step The procedure step used in this study.
Description
Requested Procedure A code the RIS provides to identify a study.
ID
Requested Procedure The name the RIS provides to identify a study.
Description
See also:
Layout Configuration
Using the Patient Input Screen
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See also:
Reducing Noise
Using Grid Suppression Software
Reversing the Image
Using the Image Viewer Screen
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Radiographer's Software
Reducing Noise
Noise is density that appears in low exposure areas of an image. Noise is generally unwanted
and can make it difficult to see important detail in an image. Noise Suppression Software can
reduce or eliminate unwanted noise without adversely affecting the rest of the image. The Key
Operator can configure this feature.
Use Noise Suppression to reduce the amount of apparent noise in low exposure areas of the
image.
To apply noise suppression:
See also:
Using the View/Look Adjustment Tab
Using the Image Viewer Screen
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See also:
Using the View/Look Adjustment Tab
Using the Image Viewer Screen
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Radiographer's Software
Magnification Tab
The Magnification Tab lets you change the level of magnification you see in the image
displayed in the Image Viewer window and move the view by selecting different points on the
screen.
To use the Magnification Tab:
1. Select the zoom level (200%, 100%, 50%, 25%).
2. Move the area of view by selecting the image, the thumbnail, or the arrows, or by dragging
across the image.
3. Increase or decrease the magnification of the image for viewing on the Modality.
4. Select Fit to Screen:
• To exit Pan and Zoom mode.
• To make all areas of the image accessible for viewing.
See also:
Using the Image Viewer Screen
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See also:
Using the Print Tab
Using the Multi-format Configuration Screen
Printing an Image
Using the Image Viewer Screen
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See also:
Using the View/Look Adjustment Tab
Using the Image Viewer Screen
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See also:
Using the Image Viewer Screen
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Radiographer's Software
Image Review
Review Needed Status
Occasionally, EVP Plus Software may not fully predict the parameters for an image. When this
happens, it produces a Review Needed status.
To use the Review Needed Status:
• Check the contrast and brightness of the image.
For images with the Review Needed Status, you have access to the brightness, latitude, and
detail contrast controls to correct the image in the Image Viewer Screen.
Review Needed should not be confused with Need Approval, which is a status of images
which have not yet been approved and are waiting for destinations. Need Approval is located on
the Image List Screen.
See also:
Adjusting Image Quality Controls
Brightness, Latitude, and Detail Contrast Definitions
Using the Image List Screen
Using the Image Viewer Screen
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Markers
Markers Menu
Adding Markers
Adding the Text Marker
Moving a Marker
Removing a Marker
Using the Favorites Markers
Using the Measures Markers
Using the Others Markers
Using the Time Markers
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Adding Markers
You can add an unlimited number of markers to an image. Once a marker is added to an image,
it will be visible when it is sent to a destination.
1. From the Image Viewer Screen, select the Markers Tab.
2. Select the type icon as indicated in the table below.
3. Select the desired location on the image.
4. Select Save Changes.
Favorites Markers Group
.
The marker remains in place until you change its position.
When you add a Free-Form Text marker, use the keyboard to enter text in the Free-form text
field. You must select Enter every time the Free-Form text field is changed.
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See also:
How do I add a free-form text marker?
Using the Markers Tab
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See also:
Markers Menu
Adding Markers
Removing a Marker
Using the Favorites Markers
Using the Measures Markers
Using the Others Markers
Using the Time Markers
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Moving a Marker
1. Select the marker on the image.
The marker is highlighted when selected.
2. Select a new location.
See also:
Markers Menu
Adding Markers
Adding the Text Marker
Removing a Marker
Using the Favorites Markers
Using the Measures Markers
Using the Others Markers
Using the Time Markers
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Radiographer's Software
Image Review
Removing a Marker
A marker can be removed from an image before or after it is saved to the Modality database.
1. Select a marker on the image. The marker is highlighted when selected.
2. Select the trash can.
See also:
Markers Menu
Adding Markers
Using the Favorites Markers
Using the Measures Markers
Using the Others Markers
Using the Time Markers
Adding the Text Marker
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Image Review
Using the Favorites Markers
• To delete a marker from the image, select the marker on the image and then select the trash
can.
See also:
Adding the Text Marker
Using the Others Markers
Using the Time Markers
Using the Measures Markers
Markers Menu
Adding Markers
Removing a Marker
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Radiographer's Software
Image Review
Using the Measures Markers
The Measures Markers include markers for different positions, including:
• 15°, 30°, 45°, 60°, and 90°
• Semi-supine
• Semi-erect
• L Lat Decub
• R Lat Decub
• Oblique
• MLO
• CC
• Scout
• Post Reduction
To use the Measures Markers:
• To place a marker on the image, select the marker name on the palette and then select a point
on the image to locate it.
• To delete a marker from the image, select the marker on the image and then select the trash
can.
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Image Review
Using the Others Marker Group
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Radiographer's Software
• To delete a marker from the image, select the marker on the image, then select the trash can.
See also:
Using the Favorites Markers
Using the Time Markers
Using the Measures Markers
Markers Menu
Adding Markers
Adding the Text Marker
Removing a Marker
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Image Review
Using the Time Markers
• To delete a marker from the image, select the marker on the image and then select the trash
can.
See also:
Using the Favorites Markers
Using the Others Markers
Using the Measures Markers
Applying Markers
Adding Markers
Adding the Text Marker
Removing a Marker
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Masking
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See also:
Masking Failure
Applying Automatic Masking
Mask Points Are Off the Screen
Applying Manual Masking
Reprocessing After Using a Mask
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Radiographer's Software
Masking Failure
When Automatic Surround Mask fails, apply Manual Surround Mask.
See also:
Applying Manual Masking
Mask Points Are Off the Screen
Reprocessing After Using a Mask
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See also:
Using the Surround Mask Tab
Using the Image Viewer Screen
Applying Manual Masking
Reprocessing After Using a Mask
Mask Points Are Off the Screen
Reducing Noise
Using Grid Suppression Software
Adjusting Image Parameters
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See also:
Applying Manual Masking
Reprocessing After Using a Mask
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See also:
Using the Image Viewer Screen
Applying Automatic Masking
Mask Points Are Off the Screen
Reprocessing After Using a Mask
Adjusting Image Parameters
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See also:
Region of Interest Tool
Reprocessing the Image
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Measurement Tools
the Image Viewer Screen .The Measurement Tools calculate angles and distances
between specified points at the film plane. The system does not make adjustments to the
measurements based on the relative positions of the tube, patient and CR cassette. The
reported values from the measurements are directly calculated at the detector plane without any
compensation of geometric magnification.
Three different measurement tools are available. Select the Tool Icon below to see a sample of
the tools.
Tool Function Directions for Use
Measures the Select the Distance icon on the Measurement
distance Tools Tab.
between two
Select a point to anchor the tool.
points.
Distance Select another point on the image to form the
line.
To move the Distance Tool, use the directional
arrows on the Measurement Tool Tab to move
the line.
To change the Distance Tool, select the points
and select another location on the image.
To remove the Distance Tool, select the line on
the image and then select the trash can.
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See also:
Measurement Tool Sample
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Radiographer's Software
See also:
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Radiographer's Software
See also:
Changing Image Processing Preferences
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• If an exam is not collimated closely, direct areas of exposure may adversely affect the image
processing and consequently the final image.
See also:
What do I do if the EI is too high?
• Check to see if the image quality is acceptable for diagnosis. If not, try adjusting the image
quality controls first.
• Because the Exposure Index (EI) is calculated by image processing algorithms, it is possible
that the processing has failed to correctly report the EI.
• A higher Exposure Index may indicate that a large amount of radiation struck the cassette. Often
this happens when a large cassette is used for an exam such as a cross-table lateral hip or
when collimation is not adequate.
• If an exam is not collimated closely, direct areas of exposure may adversely affect the image
processing and consequently the final image.
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Patient CD
Study Data
Patient CD (optional)
Patient CD is an optional feature that lets you easily create a CD (or DVD) of a single patient
study, or all studies for a single patient. The images recorded on the CD are in both a DICOM
DIR format and JPEG (.jpg) format. The Patient CD lets you transport images easily and allows
viewing by anyone having a computer with a DICOM Viewer.
You can compose a Patient CD on a Console or a Remote Operations Panel, but the media is
actually created at the Console containing the CD writer. Only CR Systems having this optional
feature will display the Patient CD Queue Screen or the Write Patient CD menu option in the
Quick Menu.
Creating a Patient CD does not interfere with normal CR System operations. There is no effect
on the Graphic User Interface (GUI) and the time it takes to move from screen to screen.
How to delete a Patient CD job:
1. From the Patient CD Jobs Screen, select the job you would like to delete.
2. Select Remove from List.
You can view images on a personal computer using DICOM Viewer software (available free at
http://medical.nema.org/).
To create a Patient CD:
1. Select a blank, non-formatted CD or DVD. Images cannot be appended to other sessions.
2. On the Patient Input Screen, create a patient record and acquire images.
3. Select the Quick Menu.
4. Select Write Patient CD.
5. If multiple studies were created, a pop-up message asks you to select one of the following:
• Write all images in this study to CD; Only save images for the opened study.
• Write all images from all studies to CD; Save images for all studies for this patient.
6. Select OK.
The CD request is added to the Patient CD Jobs queue.
7. Either select the Disc icon at the top of the page or select the Quick Menu > Patient CD Jobs
List to enter the Patient CD Jobs Menu (also located in Main Menu > Utilities > Patient CD
Jobs).
8. The PatientCD Jobs Screen appears.
9. If multiple CD jobs exist, select the desired row from the list and select Write To CD.
The status for th3e selected job changes from Ready > Burn CD > Burning CD > Done.
10. Select the Back button to return to the Utilities Menu.
To return to the Patient Input Screen, use the Quick Menu to select the Patient Record.
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Writing images to the Patient CD does not change the delivery status of any image.
When you are performing a Backup and Restore function, make sure that the user at the ROP
does not initiate a Patient CD.
• Select OK.
The Disc icon at the top of the page changes to a burning disc icon.
Writing images to the Patient CD does not change the delivery status of any image. When you
are performing a Backup and Restore function, make sure that the user at the ROP does not
initiate a Patient CD.
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Printing
The changes can be seen in the Image Viewer as you make them.
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Radiographer's Software
The Key Operator can set the default flip and rotate characteristics for each View.
See also:
Positioning an Internal Text Box
Positioning an External Text Box
Rotating and Flipping the Image
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2. Select the section of the layout where you want the image to appear.
3. Select a thumbnail.
4. Select from the following:
• Justification (right, left, center)
• Image Internal Text Boxes, Image External Text Boxes, Page External Text Box
• Flip Horizontal
• Rotate 90° CW (Clockwise)
5. When images have been acquired, positioned, and oriented, select Print.
Any quadrants not used will print black.
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See also:
Selecting a Destination
Creating Multi-format Prints
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Selecting a Destination
Select Destination lets you automatically deliver your images to specific printers or PACS
workstations. Select Destination is located on the Image Viewer Screen.
To select a destination:
• Place a check mark next to the destination on the Select Destination Screen. The destination
may be a specific film size or type of image that requires a specific printer.
To select a different Destination Profile:
• Select Change Destination Profile from the Patient Input Screen.
To print an image:
1. Select the thumbnail to display the image in the Image Viewer Screen.
2. Select Save & Accept Image to send the image to all pre-defined destinations.
See also:
Using the Print Tab
Using the Patient Input Screen
Using the Multi-format Configuration Screen
Creating Multi-format Prints
Creating a True-size Print
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See also:
Positioning an Internal Text Box
Positioning an External Text Box
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See also:
Using the Image Viewer Screen
Using the Multi-format Configuration Screen
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See also:
Selecting a Text Box
Using the Image Viewer Screen
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Image Review
Creating a True-size Print
True-size produces the same size image you would get if you were using a film-screen system.
True-size always crops the print slightly. Use the crop box to determine what part of the image
will be printed.
1. At the Image Viewer Screen, select the Crop Box Adjustment Tab .
2. Select the True-size Print radio button.
3. Select the Crop Box Orientation arrows to locate the crop box on the area of the image to be
printed.
4. Select Save Changes.
5. Select Accept Image to send the image to selected printers and workstations.
True-size printing delivers the image to the destination at 100% +/-2%. Because
variations exist in scanners and printers, use caution when using these images for exact
measurements. Use a known marker at the subject level when making the exposure and
calculating image magnification.
To support True-size printing, a printer must support DICOM Requested Image Size. See
the printer’s DICOM Conformance Statement to determine if a printer supports
Requested Image Size.
See also:
Using the Image Viewer Screen
Using the Print Tab
Printing an Image
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See also:
Creating Multi-format Prints
Selecting Multi-formats
Adding a Multi-format Print
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Radiographer's Software
The Multi-format icon on the Image Viewer Screen indicates whether the image is
currently in a multi-format print. If it is not, the button appears as a blue rectangle. If an image is
in a multi-format print, then a multi-format icon appears.
Select the Multi-format icon to do one of the following:
• Create a new multi-format print for this study.
• Change an existing multi-format print.
• Print a multi-format print.
The Multi-format Configuration Screen opens so that you can make additional changes to the
print if desired.
To set up a multi-format print:
1. Select the blue button next to the Save & Accept Image button.
2. Select the format for the multi-format print.
3. Select the image to place in the highlighted box.
4. Select True-size, if desired.
5. Select whether to deliver the individual images with the multi-format prints.
The image displays the Text Box and the True-size print outline if it was set up in multi-
format.
You do not need to have two or more images before accessing the multi-print screen.
To position a multi-format print:
1. Select an image to place it in the first empty square in the multi-format print.
2. To select a different location, select the location, then select the image.
The image is added to the print layout. The layout location is highlighted in yellow.
3. The thumbnail image frame turns green when selected.
4. Continue selecting images until the layout is complete.
You can include an image as many times as you like.
To remove an image, select the image and then select the trash can.
You can flip or rotate images after they have been included in a multi-format print.
5. Select Save Changes.
To change the orientation in a multi-format print, open the image in the Image Viewer Screen,
make and save the changes.
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See also:
Using the Multi-format Configuration Screen
Selecting Multi-formats
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Selecting Multi-formats
If you have started a multi-format print and you change your mind, you can select a different
layout without starting over.
To select a different multi-format layout:
1. From the Multi-format Configuration Screen, select Delete Multi-format Print.
2. Select a new multi-format layout if desired.
3. Select the image and new location.
4. Select Save Changes.
Deleting a multi-format print
• Deletes the current multi-format layout in the Multi-Format Configuration Screen.
• Lets you select a new multi-format layout if desired.
• Deletes only formatting. The images are not changed.
See also:
Using the Multi-format Configuration Screen
Adding a Multi-format Print
Creating Multi-format Prints
What Is Multi-format Printing?
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See also:
Using the Multi-format Configuration Screen
Using the Patient Input Screen
Using the Image Viewer Screen
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Searching Techniques
Finding an Image
There are at least two options for finding an image you cannot locate quickly. Both options begin
at the Main Menu.
1. At the Main Menu, select Study Data.
2. At the Patient Query Screen, select Find Locally.
3. Select the study from the Patient Work List.
4. Select the image.
or
At the Main Menu, select Image Review.
5. At the Image List Screen, filter the database for the patient's image.
6. Select a status (All, Unassigned, Delivered, etc.).
7. Select the image.
See also:
Searching for an Existing Patient
Improving Search Results
Using the Patient Query Screen
Using the Patient Work List Screen
Using the Image List Screen
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See also:
Finding an Image
Improving Search Results
Searching for an Existing Patient
Using the Patient Work List Screen
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4. After entering the search criteria, select the Find Study Locally or Find Study Remotely
button if you want to retrieve the record from the HIS/RIS. Using the Find Study Locally will
only search the System's database.
Large returns of records can cause system slowdowns. For best results, narrow the search by
selecting a narrow time window such as Yesterday to Tomorrow.
Why can't I find a specific patient when I select Find Study Locally?
The record may not be on the local system.
The record may not be on the local system because the patient record may not have been
received by the system via the DICOM Work List.
• Select Find Study Remotely to search and retrieve the patient record from the Work List
provider.
The search criteria may be incorrect or too limiting.
1. Review the criteria to make it less restrictive.
2. Select Find Study Locally again.
The system only finds patient records that satisfy all the search criteria specified.
Why don't I see a Work List when I select Find Study Remotely?
Select a different search criteria.
If the Find Study Remotely function does not return a Work List that includes the individual
patient you are searching for, it is usually because the search criteria is incorrect or too limiting.
• Review the criteria or make it less restrictive and select Find Study Remotely again.
The Find Study Remotely operation may "time out" if the Work List provider is not
functioning properly. The Work List providing device is part of your site’s HIS/RIS and is
normally supported by the IT group.
Contact the IT group for assistance if this problem occurs repeatedly.
See also:
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Radiographer's Software
See also:
Improving Search Results
Using the Patient Query Screen
Using the Patient Work List Screen
Finding an Image
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If emergency patient information is not available or emergency circumstances do not allow the
time to enter data, immediately proceed to using the Trauma function.
See also:
Finding an Image
Improving Search Results
Searching for an Existing Patient
Using the Patient Work List Screen
Using the Image List Screen
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See also:
Improving Search Results
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• Need Approval
This filter generates links to all images that have not been accepted.
• Unassigned Images
This filter generates links to all images that do not have a patient assigned to them. This filter
is linked to the Images Not Assigned button that appears on the Main Menu.
• Failed Delivery
This filter generates links to all images that have been accepted and sent to destinations, but
failed. You can access this group from a button on the Main Menu Screen at any time.
• Pending Delivery
This filter generates links to all studies that have been accepted and sent but the CR/DR has
not heard back from the destination-delivery is in progress.
• Need Destination
This filter generates links to all studies that have been accepted but not assigned a
destination.
• Delivered Images
All images that have been delivered to printers and workstations. A delivered image cannot
be changed or reprocessed unless a copy of the image is made.
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See also:
Improving Search Results
Finding an Image
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Views
Defining a View
A View is a pre-set image type that a radiographer can select to represent an exam. It consists
of position, projection, and image processing preferences. It is the basic element in the CR or
DR image chain.
Views are associated with procedures on the Patient Input Screen with the optional Procedure
Mapping.
When the Key Operator creates a view, it appears on the Patient Input Screen.
See also:
Adding a View
Deleting a View
Changing the View Name
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Adding a View
You can choose from three procedure workflows to add Views to a study. You can add as many
Views as you like.
Setting Up Views for Procedures
In most instances, the View selection is complete once the procedure is selected.
See also:
Defining a View
Using the Patient Input Screen
Add View Button
Deleting a View
Changing the View Name
Setting Up Views for Procedures
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Deleting a View
1. Select the tutor image.
A yellow highlight appears around the icon to indicate this image has been selected.
2. Select the Delete View button on the bottom of the screen.
An image that has been acquired cannot be deleted from the Patient Input Screen.
See also:
Using the Patient Input Screen
Defining a View
Adding a View
Changing the View Name
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Radiographer's Software
After the image is acquired, you can change the View Name on the Image Viewer Screen.
1. At the Image Viewer Screen, select the Image Processing Options Editor Tab .
2. Select the View Name field.
3. Select a region from the Primary Category.
4. Select a body part from the Secondary Category.
5. Select a View.
6. Select Save Changes.
Categories
Primary Select an
Category anatomical region.
Secondary Select a body part.
Category
Views Select a view.
While the image has a new View Name, it retains the image processing of the former View
Name. Select Reprocess to process the image with the new name.
Reprocess the View Name if it is an incorrect match for the image. Do not reprocess if the
image processing is satisfactory.
When you select a view, the Brightness, Latitude, and Detail Contrast settings are
determined automatically and applied for you if reprocessing an existing image.
See also:
Defining a View
Using the Patient Input Screen
Using the Image Viewer Screen
Reprocessing the Image
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Capture Link System
Basic information
Joining Devices
To join a Console to the Capture Link System:
1. Deliver all undelivered images that were scanned in Standalone mode.
2. At the Capture Link Configuration Screen, enter the IP address of the Capture Link Server.
3. Select Connect to a Capture Link Server.
4. Select Save Changes and reboot.
5. When you get the message "Do you want to connect?" select Yes.
Once a machine joins the Capture Link System, it is no longer in Standalone mode. Patient and
exam data created in Standalone mode and images captured on the machine in Standalone
mode are not accessible in Capture Link mode (although they all remain on the hard drive).
Make sure to deliver all images captured in Standalone mode before joining to the Capture Link
System. When joining to the Capture Link System, a message reminds you to deliver all
images.
See also:
Introducing the Capture Link System
Capture Link System Workflow
Capture Link System Range of Operation
Identifying Active Devices
Identifying Icons
Standalone Mode
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See also:
Capture Link System Range of Operation
Identifying Active Devices
Identifying Icons
Introducing the Capture Link System
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Defaults
Display Patient Query
Configuration Tab
Patient Input
Tab (Including
Auto Populate
Tech ID)
Patient Link
Tab
Other Tab
(Except key
clicks and
volume)
Bar-Code All except
Configuration Device Type
& Com Port
Delivery Remove Print
Preferences from 1-up on
MF Print
Upper Case
on Delivery
Translate
Body Part and
Projection
HIS/RIS All Fields
Polling and
Remote Query
Regional All Fields
Configuration
Customizable All Fields
Field
Descriptions
Long-Length Auto update
Configuration sub-images to
s delivered
System All
Maintenance
Configurable Marker
Text Boxes Transparency
Remote All Fields
Device
Configuration
Security All User
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Administrator Configuration
s
Security All Security
Administrator Configuration
s
Security All Roles
Administrator Configuration
s
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Capture Link System
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See also:
Using the Capture Link Server Status Screen
Using the Capture Link Server
Troubleshooting the Capture Link System
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Identifying Icons
Once you configure a Console for the Capture Link System and communicate with the Server, a
Capture Link icon appears in the upper right corner of the title bar on the Console or device
screen. When communication is active and intact, the icon is green.
If the network becomes disconnected from the device and is unable to automatically reconnect
within 10 minutes, the icon turns red.
When you see this It means What you should do
icon
Always shown on Capture Use the Capture Link
Link Server or Mini-Capture System.
Link Server.
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See also:
Rejoining the Capture Link System
Removing a Console from the Capture Link System
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Capture Link System
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o KODAK DIRECTVIEW Remote Patient Data Entry Software Version 5.1 or higher
o KODAK RIG/RDET Software for KODAK DIRECTVIEW CR 800/900 Series
o A HIS/RIS System that supports the DICOM Modality Work List
• KODAK DR Systems that are running KODAK DIRECTVIEW System Software Version 5.0 and
higher.
See also:
Joining Devices
Capture Link System Workflow
Capture Link System Range of Operation
Identifying Icons
Standalone Mode
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Standalone Mode
When the Console is configured for the Capture Link System, but is not yet connected, it is in
Standalone mode. A console is fully functional in Standalone mode. Standalone mode lets
you continue using your System if Network problems or other causes disable access to the
Capture Link Server.
Standalone mode is useful for correcting error conditions, such as communication errors that
display the red icon.
When should I enter Standalone mode?
• Enter Standalone mode whenever it is necessary to operate the System and the Capture Link
network is unavailable.
If the network to which the System is connected becomes unavailable, it will be possible to
enter patients and scan images, but it will not be possible to deliver images to destinations.
• Enter Standalone mode to intentionally remove your machine from the Capture Link network.
To enter Standalone mode:
1. Select Shutdown.
2. Deselect Join Capture Link Server after Restart.
3. Select Reboot and OK.
See also:
Introducing the Capture Link System
Identifying Devices
Capture Link System Workflow
Capture Link System Range of Operation
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See also:
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With this profile set, any images scanned on Machine B will not go to printer XYZ.
Does setting up a new profile override the others in the Capture Link System?
The Capture Link Server selects the profile with the highest priority set by the user. Each image
is distributed in accordance with the first profile it matches. The profiles are listed by priority on
the interface. You can change the priority by moving profiles up and down the list.
The Default Destination Profile will always appear at the bottom of the Destination Profile Name
list.
For example:
The first profile: 18 x 24 Machine A images print to printer XYZ.
The second profile: 24 x 30 images print to printer ABC.
If an 18 x 24 cassette is scanned on Machine A, the first profile is selected, and it delivers to
printer XYZ.
If a 24 x 30 cassette is scanned on Machine A, the first profile does not match, so the software
moves to the next, and the image is delivered to printer ABC.
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Destination Profiles are included in the configuration settings that may differ between Capture
Link mode and Standalone mode. To duplicate the settings between modes, back them up from
the Capture Link server and restore them to each machine in Standalone mode.
See also:
Using the Capture Link System
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See also:
Entering Data with the Capture Link System
Image Review with the Capture Link System
Multi-format Printing with the Capture Link System
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Capture Link System
See also:
Using the Patient Work List Screen
Using the Patient Query Screen
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See also:
Using the Capture Link System
Changing Image Processing
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Capture Link System
See also:
Using the Capture Link System
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See also:
Introducing the Capture Link System
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Capture Link System
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If you are in a Standalone mode and then join the Capture Link System, an image on your
system will not be visible or accessible unless you use the Image Recovery to Capture Link
utility.
The recovered image is retrieved but unassigned to a patient/exam record if there is no
match of the Accession Number and Patient ID.
2. Select the image.
3. Selecta patient record from the RIS or create one manually.
4. Assign the image.
See also:
Rejoining the Capture Link System
Re-delivering an Image
Using Image Recovery to Capture Link List
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Capture Link System
See also:
Image Recovery on the Capture Link System
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Redelivering an Image
When a machine joins the Capture Link System, it cannot access the patient records that were
previously captured while in Standalone mode. To avoid this, deliver all images acquired in
Standalone mode before connecting to the Capture Link System. A message reminds you to do
this before you connect.
If a Standalone mode image must be redelivered after reconnection to the Capture Link
System, two methods are available.
Method 1—Redeliver in Standalone Mode
1. Return the machine to Standalone mode.
2. Select the image(s) from the Image Review list.
3. Redeliver as needed.
Method 2—Image Restoration in Capture Link Mode
1. At the Main Menu, select Utilities.
2. Select Image Recovery to Capture Link.
3. Select the row that represents the image you are looking for.
4. Select the image to recover. The image is retrieved but unassigned to a patient/exam record if
there is no match of the Accession Number and Patient ID.
5. Recreate a patient exam record for the image. (You may do this with a Query to the local or
remote Work List or a manual entry at the Patient Input screen.)
6. Assign the image to the patient and exam.
7. Review the now-assigned image and proceed in the usual manner.
The following data appears in a row for each image stored on the machine’s hard drive:
• Accession Number
• Patient ID
• Acquisition Date and Time
• View Name
• Cassette ID (CR only)
What happens in Image Recovery?
If you acquired an image while in Capture Link mode, and now operate in Standalone mode (or
acquired the image in Standalone mode and are now in Capture Link mode), you are no
longer connected to the CR/DR System that owns the image. Image Recovery lets you access
the image on the hard drive of the machine that scanned the image.
See also:
Image Recovery on the Capture Link System
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Capture Link System
See also:
How do I assign an image?
Using the Capture Link System
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975B:
1. Back up the optional Procedure Mapping and Views component at the CR 975A.
2. Restore the Procedure Mapping settings and Views component at the CR 975 B.
The Server records the new CR 975B Preference Editor settings.
Restore the optional Procedure Mapping settings and Views from the back up and use the
Local Database Only check box to transfer the Preference Editor settings onto each Modality
for when the CR is in Standalone Mode. You can do this while still joined to the Server.
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See also:
Backup and Restore Configurations
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A Capture Link Mini Cluster Server is a Capture Link System consisting of two modalities, where
one of the modalities acts as a Server.
See also:
Joining Devices
Capture Link System Workflow
Using the Capture Link System
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Capture Link System
See also:
Capture Link System Requirements
Removing a Console from the Capture Link System
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See also:
Backup and Restore
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Capture Link System
See also:
What Is Standalone Mode?
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Capture Link System
What happens if the Capture Link Server is unavailable on the hospital network?
If your system is configured for and connected to Capture Link and you encounter data network
problems, you can switch to Standalone mode.
The system will repeatedly attempt to overcome the network problems unless you switch to
Standalone mode. Choose an action:
• Go into Standalone mode and run independently.
• Do not restart in Standalone mode. Wait for the network problems to be resolved, and then
reconnect to the Server.
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Capture Link System
See also:
Capture Link Server Safety and Regulatory
Using the Capture Link Server
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Capture Link System
See also:
How to Use the Capture Link Server Status Screen
How to Recover Images from Capture Link
How do I enter data in Capture Link?
How do I connect?
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Key Operator Functions
Key Operator Functions Menu
Select a blue link below for information about the Key Operator Functions.
How to Protect or Delete Exam Records
Technologist Statistics
Destination Summary Statistics
Rejected Image List
Download Statistics
Cassette Statistics
Erase Cycles
Monitor Configuration Introduction
System Configuration
Flagged Image List
Capture Link Configuration
Register and Activate Options
Backup and Restore
Total Quality Tool
CSA Log Viewer
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Key Operator Functions
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Backed-up settings can always be restored to the machine from which they were created. You
can back up configurations to a particular drive and restore them to this or another machine.
You can back up information to either the machine hard drive or to the removable media
suitable to the machine computer (may include CD, DVD, USB, or floppy disk devices).
Backing Up Configurations
To back up a configuration:
1. Insert or connect the media to receive the backup file.
2. Select the check boxes of the categories of configuration information that you want to back up,
or Select All.
3. Select the Backup/Restore directory to select a Drive to save the backup to.
4. To create a folder for the backup file, select New Folder and enter the folder name.
5. Highlight the folder name and press Select.
6. Select Backup.
7. When the progress bar indicates the transfer is complete, select OK.
Restoring Configurations
To restore a configuration:
1. Insert or connect the media to receive the backup file.
2. Select the check boxes of the categories of configuration information that you want to backup, or
Select All.
3. Select the Backup/Restore directory to select a Drive to restore the Backup from.
4. Select the folder name of the backup file (if applicable).
5. Select the Select button.
6. Select Restore.
7. When the progress bar indicates the transfer is complete, select OK.
To see all of the configurations listed, select the arrows at the right side of the screen.
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Key Operator Functions
Navigational Buttons
Select Selects the highlighted directory for backup/restore process.
Select All Selects every configuration for backup or restore process.
Deselect Clears the check box for every selection. No configurations are
All selected.
Backup Writes the selected configurations and hidden parameters to the
selected backup directory.
Restore Loads the selected configurations, or all configurations if you Select
All.
New Creates a folder on the selected drive to contain the configurations.
Folder
Cancel Aborts the backup or restore process.
Save Saves the New Folder name.
Main Menu Exits the current screen and Returns to the system Main Menu.
Back Returns to the previous screen.
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See also:
Bar-Code Programming Samples 5
How to Configure a Bar-Code
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Key Operator Functions
Bar-Code Programming
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Key Operator Functions > System Configuration > Bar-Code Configuration > Bar-Code
Configuration
Bar-Code Configuration
1. On the Bar-Code Configuration Screen, enter the Prefix, Data, and Suffix information.
2. Select Save Changes.
3. At the Bar-Code Configuration menu, select Bar-Code Programming.
4. Select a category of information that displays sample bar-codes.
5. Scan the appropriate bar-code to configure the bar-code scanner for each change.
You can configure the bar-code to get the result you desire. The selections you make on the
Bar-Code Configuration Screen add or subtract information that is read from the Bar-Code.
For example, if the bar-code is a series of characters such as Pid00001-XX and you need to
change it to 01, the following three options are available to you on the screen:
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4. The You must reprogram the bar-code scanner after changing the Cassette ID Format
Must reprogram bar-code scanner Notification pop-up message appears.
5. Select OK.
6. Return to Bar-Code Programming > Prefix& Suffix and reprogram the bar-code reader.
See also
How to Strip Middle Characters from a Bar-Code
Changing the Prefix and Suffix
Bar-Code Configuration
Bar-Code Programming
Bar-Code Programming Samples
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Key Operator Functions > System Configuration > Bar-Code Configuration > Bar-Code
Programming
Bar-Code Programming
1. Select the feature you wish to program.
2. Scan the sample bar-code for that feature with the hand-held bar code reader.
See also:
Bar-Code Programming Samples
Country Code
Prefix and Suffix
Automatic Trigger
Beeper Mode
Reread Delay
How to Configure a Bar-Code
Do not scan the test bar-code more than once. If you scan it twice, it will fail.
If you change the Cassette ID format, the country code, or bar code reader prefix or suffix
characters, then you must program the Bar-Code Scanner.
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See also:
Bar-Code Programming Samples 7
Bar-Code Programming Samples 5
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See also:
Bar-Code Programming
Changing the Prefix and Suffix
Bar-Code Programming Samples
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Save
Generally, the following characters are not supported by the scanner for countries other than the
U.S.:
@| $ # { } [ ] = / ' \ < > ~
You can make all of your changes on the Bar-Code Configuration Screen and then select
Save Changes when finished.
See also:
Bar-Code Programming Samples
How to Configure a Bar-Code
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See also:
Bar-Code Configuration
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See also:
Bar-Code Programming Samples
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Key Operator Functions
See also:
Trigger Modes
Bar-Code Programming Samples 6
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See also:
How to Strip Middle Characters from a Bar-Code
How to Configure a Bar-Code
Bar-Code Configuration
Changing the Data Field Size
How to Change the Prefix and Suffix
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For example, if the bar-code is a series of characters such as ABC-01752-001 and you need to
change it to AC-01752-1, do the following:
Field Strip Size Strip Prefix Data Strip Suffix Strip
Size
Accession 1 X B 8 X 00
Number
Legend:
Prefix = B
Data = AC-01752-1
Suffix = 00
See also:
How to Configure a Bar-Code
Using the Bar-Code Configuration Screen
Changing the Data Field Size
How to Change the Prefix and Suffix
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This example of a 128 bar-code indicates a Prefix of -+@# and a data set of 1234567801234.
By configuring the bar-code, you can output only the Data portion of the code 1234567801234.
See also:
How to Strip Middle Characters from a Bar-Code
How to configure a Bar-Code
Bar-Code Programming
Programming the Serial Bar-Code Reader
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Test Code
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Add Prefix
Add Suffix
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Number 0
Number 1
Number 2
Number 3
Number 4
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Number 5
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Number 6
Number 7
Number 8
Number 9
Save
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Bar-Code A
Bar-Code B
Bar-Code C
Bar-Code D
Bar-Code E
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Bar-Code F
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Automatic Trigger
Manual Trigger
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Add Prefix 9
9 0
4 0
4 0
4 Save
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Add Suffix 9
9 0
4 0
4 0
4 Save
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5 2
3 0
4 0
4 0
4 Save
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Add Prefix 9
9 0
4 0
4 0
4 Save
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Add Suffix 9
9 0
4 0
4 Save
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5 2
3 0
4 0
4 0
4 Save
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Add Prefix 9
9 5
B Save
Add Suffix 9
9 5
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D Save
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5 2
3 5
D Save
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Key Operator Functions
Defaults
Serial Port
2. If the Add # to Cassette IDs to make them 11 digits check box is checked, scan the following
bar code.
Add # Suffix for Interleaved 2 of 5 via Data Formatter
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2. If the Add # to Cassette IDs to make them 11 digits check box is checked, scan the following
bar-code.
Add #Suffix for Interleaved 2 of 5 via Data Formatter
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Enter the information for your system and select Save Changes.
The selection for the following list is determined by the Procedure Mapping configuration of the
HIS/RIS Broker. To change selections, the Broker must be reconfigured.
HIS/RIS Procedure Mapping
DICOM Field Name DICOM Tag Requested
Procedure Code
Sequence
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The purpose of this screen is to select which RIS is used with CR Procedure Mapping.
If you enable your system for Scheduled Workflow, PerformedProtocol Code is selected
automatically, and is not configurable.
Navigation Buttons
Main Exits the current screen and returns you to the
Menu system Main Menu.
Back Returns to the previous screen.
See also:
HIS/RIS Polling Query
HIS/RIS Configuration
See also:
HIS/RIS Configuration
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Key Operator Functions > System Configuration > HIS/RIS Configuration > HIS/RIS Polling and Remote
Query
Filter by Station Name Select either Station Name or AE Title to filter the
information. Only records that contain matching data in
these fields appear.
Filter by AE Title Select either Station Name or AE Title to filter the
information. Only records that contain matching data in
these fields appear.
Station Name/AE Title Enter your station names or AE Title.
The system retrieves records that contain only the names
specified.
The system sends an immediate request for records to the hospital's HIS/RIS system, queried
from the Patient Query Screen.
Polling
Poll Model Active Select to activate Polling Configuration.
Filter by Station Name Select either Station Name or AE Title to filter the
information. Only records that contain matching data in
these fields appear.
Filter by AE Title Select either Station Name or AE Title to filter the
information. Only records that contain matching data in
these fields appear.
Station Name/AE Title Enter your station names or AE Title.
The system retrieves records that contain only the names
specified.
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The System requests records at a defined interval, filtered by modality, station name, A/E title,
and date and time. Carestream Health recommends approximately 100 records per poll.
Polling Interval
• Hours Before Current Time.
• Hours After Current Time.
• Minutes Between Search Updates.
Initial search time: (default is ± 12 hours from the current time, range 1 - 48 hours). Only records
that have a date and time that falls in this range appear.
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You can view the colors that have already been used by selecting the Used Colors Tab.
Select Reset to reset the list. Select to reset the color to the factory default.
You can select a general, overall color scheme for buttons and backgrounds to save time. At the
bottom of the screen select either Apply Gray Theme or Apply Blue Theme in order to
automatically select a color-coordinated palette for common groups of preferences.
For a quick reference to the palette you are using, select Colors in Use. These palettes will
clearly display the colors that are designated within your system.
Navigational Buttons
Save Completes the action by writing the information to the local
Changes database.
Main Menu Exits the current screen and returns you to the system Main Menu.
Back Returns to the previous screen.
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Delivery Preferences lets you select the general image instance number:
• Every image is its own Series. Instance Number is always 1.
• Every image is its own Series. Instance Number is unique.
• Every image is in the same Series. Instance Number is unique.
The Image Instance Tab has different configurations to help with hanging protocols at the
PACS. Consult your PACS Administrator to determine which setting is required for your PACS
system.
See also:
Storage Commitment Support
QA Mode
Pass-through Mode
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Unrestricted
Modality
CR
DX
RT
All
Patient Input Select the output of images based on the workflow you use.
Screen Procedure Step or New Study Creation.
Create new Procedure Steps from Patient Input.
A Study Instance Unique Identifier (SIUID) and a New Procedure
Step are generated each time you select New Procedure Step for
that patient.
Create new Studies from the Patient Input Screen.
Select the way the Profiles will be applied in the workflow.
Profile change applies to current step only.
Profile change applies to all incomplete steps for this patient.
Require confirmation to end a Procedure Step. A pop-up message
will appear if this option is selected.
After accepting all images in one or more procedure steps or studies,
set the status to Completed.
Auto-populate Tech ID with logged-in user.
Auto-populate the Tech ID field with the logged-in user.
Display Tutor image.
Select the check box to allow when the Query panel can be used on
the Patient Input Screen.
Always
When the image has been delivered
When the Study has been started
Other Image Viewer Options
Display ID Window -Select to display the ID window on the image
Viewer Screen. You can use this to identify the orientation of the
cassette during the exposure. Adjust the size of the Region of
Interest (ROI) box that appears in the Preference Editor.
Keyboard Clicks
Allows an audible "click" when a virtual keypad is selected.
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Audio Volume
Set the speaker volume by moving the slider control.
Blue Tint
Use the slider control to set the amount of blue tint to add to images
displayed on the CR, DR, or ROP.
Patient Link Fast Patient Switching
Patient Link Enabled - This allows you to select patients from the
Quick menu for faster access.
Repeat Patients
Number of shortcuts
Enter the number of shortcuts allowed
Button Sort Order
Most recently accessed appears at the top of the list
Most recently accessed appears at the bottom of the list
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To harvest images:
1. Filter the list using the search filters:
• All Images
• Flagged Images
• Rejected Images
2. Use the check boxes to the left of each thumbnail to select the image of interest, or Select All
images.
3. Select Harvest all Checked Images.
4. Select a destination directory.
5. Select the Select button.
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Key Operator Functions
A transfer icon appears at the top of the screen to indicate that the transfer is in progress. The
icon disappears when the transfer is complete and a pop-up message confirms that the harvest
was successful.
For any image you can remove all protected health data by selecting the Remove PHI data
(Protected Health Information) check box.
Select the Unflag the Image after Harvesting check box to return the image to the workflow.
To harvest images to a CD/DVD:
1. Filter the list with the search filters described above.
2. Use the check boxes to the left of each thumbnail to select the image of interest, or Select All
images.
3. Select Harvest all Checked Images.
4. Select a destination directory.
5. Select CD ROM.
6. Select Select.
To change the destination:
When you select Harvest Checked Images, a screen appears for you to select the destination
directory.
1. Select the directory pull-down menu to see available directories. You can select New Folder
and give it a name.
2. Highlight the folder you want and then select Select. The selected images are copied there.
Why Didn't My Images Transfer?
Images cannot be harvested if enough space is not available on the destination drive. The total
space required and the available space are reported on the screen. If the images did not
transfer, make room on the destination drive and harvest the files again.
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Monitor Calibration
See also:
How Do I Order a VERILUM CHROMA 5 Pod?
How Do I Calibrate the Monitor?
How Do I Measure the Luminance for Gamma?
How Do I Measure the Luminance for Tracking?
Monitor Configuration
How to Calibrate the Touch-screen
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Key Operator Functions
See also:
Monitor Calibration Introduction
Monitor Configuration Screen
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Key Operator Functions
Do not save the information to a MACBETH Color Chart. Luminance for Tracking is a black-and-
white test.
See also:
Monitor Calibration Introduction
Measuring Luminance for Gamma
Monitor Calibration
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See also:
Monitor Calibration Introduction
Measuring Luminance for Tracking
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Key Operator Functions
System Configuration
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Patient Input Select the name of the layout format to see the samples
Screen in the blue link.
Patient Input
Screen Layout
Samples
Select the blue link from
the table below to view the
appearance of the sample
layout.
Exclude Hospital
Location Default
and with
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Key Operator Functions
Priority Multi-byte
Name
Exclude Simplified
Middle with
Name, Multi-byte
Location, Name
and
Priority
Hospital MP
Default Controls
with with
Middle Patient
Name Data
Hospital Simplified
Default Data with
without Patient
Middle Age
Name
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The marker is
highlighted.
3. Select from the control
tabs at the right of the
palette, such as Add
Marker before Column.
4. Enter the marker label
in the Free Form Text
field.
5. Save Changes.
6. The new marker
appears.
If you accidentally deleted
a marker, such as the
arrow or Right or Left
marker, select the Marker
Images Tab and select a
replacement.
Selecting the yellow
triangle opens a blank
palette that you can fill
with markers of your
choice. The palette is
limited to 5 rows across
and 6 rows down.
To reset any palette to its
original condition, select
Restore Factory
Defaults.
Remote Patient Data Use the Default setting unless your region specifies the
Entry System (RPDES) need to support Multi-byte Names.
Patient Names Select the radio button for Single Byte Names or Single
and Multiple Byte Names.
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Key Operator Functions
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Move Lets you move the button to another position on the tab. "Move" does
not let you move the button to another tab.
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crosswise.
Change View Configuration Quick access to View Configuration. Lets you add,
delete, and modify views for use in procedure
mapping. Select the Back button in View
Configuration to return to Procedure Mapping.
Turn Edit On Lets you edit the procedure. Select this button to
make changes such as name, category (body
part, position) procedure code, destination, auto
position.
Save Changes Completes the action by writing changes to the
local database.
Main Menu Exits the current screen and returns you to the
system Main Menu.
Back Returns to the previous screen.
See also:
Using the Multi-format Configuration Screen
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The Cancel button toggles to the Back button after you have selected
Save Changes.
The Cancel button displays the Confirm changes confirmation dialog.
It does not immediately leave the screen.
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Key Operator Functions
Navigational Buttons
Main Exits the current screen and returns you to the system Main Menu.
Menu
Back Returns to the previous screen.
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Key Operator Functions
2. Select Primary and Secondary Category, and View that already exists in the system (or close
the window at the desired level).
3. Select Change Look to select a starting point for correction.
4. Select Accept this Look.
5. Change the image processing values to correct the image by moving the slider controls.
6. Select View Before and After to compare your changes.
7. Select View After only.
8. Select Deliver to select a printer or a workstation to send the image to for evaluation..
9. Select Save Changes.
There is no confirmation on the status of the delivered image.
Navigational Buttons
Select New View Select New View lets you select a Primary Category,
Secondary Category, or an individual view. When you select
an entire Category, the changes you make affect every view
in that category.
For example:
Select the Thorax Category.
Select the Close button (red X).
Change Chest AP Brightness from 3 to 5 (+2), thus changing
Chest Lateral, currently at 6, to 8 (+2).
Select Save Changes.
Since Thorax is the highest level, this selection changes all
images at all levels.
The Viewer is color-coded to indicate the level you have
chosen.
Change Look Pre-configured examples of Brightness, Latitude, Detail
Contrast, Sharpness, and Noise to choose from to start
building the look you want.
Deliver Select the workstation or printer to send the image to.
View Before & After Displays the image before adjustment and after.
Zoom Use the Zoom feature to evaluate images. To return to
normal view, select Zoom to clear the check box.
When the image is in Zoom mode, you can change the
viewing area by "panning" or changing the view by selecting
the image area by selecting a point on the image and
dragging across the image area.
Select the image and drag across.
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See also:
Adjusting Image Parameters
Adjusting Image Quality Controls
Changing the Look
Using View Before and After
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Key Operator Functions
See also:
Changing the Look
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The Key Operator can configure the size of the Region of Interest window in Display
Configuration.
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Key Operator Functions
Detail Contrast, Sharpness, and Noise should be adjusted with careful inspection.
See also:
Changing Image Processing Preferences
What Is a Look?
Changing the Look
Using View Before and After
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See also:
Changing Image Processing Preferences
Image Processing Controls
Using View Before and After
Changing the Look
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Key Operator Functions
See also:
What Is a Look?
Changing Image Processing Preferences
Image Processing Controls
Using View Before and After
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See also:
Destination Profile Configuration
Define multiple profiles with criteria so you can assign the data’s destinations.
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Key Operator Functions
How do I create a destination profile for images from a cassette size (CR Only)?
1. Select Turn Edit On.
2. Select the Destination Profile Name field and enter a name for the profile.
3. Select Clear for the Category and Department fields.
4. Touch the Cassette field and select the desired cassette size (CR Only).
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Navigational Buttons
Turn Edit Edits the profile. Select this button to make changes to filters such as
On name, category, department, physician, cassette size.
Save Completes the action by writing changes to the local database.
Changes
Main Menu Exits the current screen and returns you to the system Main Menu.
Back Returns to the previous screen.
See also:
What is a Destination Profile?
Configuring Destination Profiles with the Capture Link System
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Key Operator Functions
View Configuration
For every View, there is an associated look and customized changes for each of the preference
editor controls. These can be seen, but not modified in the View Configuration Screen.
• Brightness
• Latitude
• Sharpness
• Contrast
• Noise
To create a new View:
1. Reduce the number of Views in the list by selecting the Category radio buttons.
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2. Select the check box of the View with a similar body part/projection you want to copy.
3. Select Copy Checked Views to copy the View settings and create a new View.
4. Select a Primary and Secondary Category to associate with the copy.
5. Select the new View name tabbed keyboard.
6. Select the radio button to display the parameters for the View (column selection).
7. Select the item that you want to change and enter a new value from the tabbed keyboard.
Repeat for each parameter you want to change.
8. Select Show View Details to edit all configurations of the View at once, or use the Column
Selection radio buttons to control which columns are displayed in the View list.
9. Select the Global Edit check box to apply the changes you make to every row of the Category
selected.
10. Select Save Changes.
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Key Operator Functions
• Look Name
• Grid Suppression
• Noise Suppression
• Raw
• Skin Line Detection
• Internal Text Box
• Cropping Type
• Surround Mask
Navigational Buttons
Show View Details Lets you view the settings such as, Noise Suppression,
Detail Contrast, Latitude, Brightness, and Sharpness. You
can change settings such as, Grid Suppression, Raw,
Surround Mask, the indicator color, True-size, Tick Marks,
Skin line detection, and cropping type.
Select the tutor image to change the tutor image for the
View.
Select internal Text Box to add a text box configuration to
the View.
Select the tutor image to place the Text Box.
Select the External Text box setting to be at the bottom,
left, or off.
Delete Checked Views Selects the check box of the Views you want to delete and
then select Delete Checked Views.
A confirmation message appears. If the Views are
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Tab Controls
Keyboard Activates when you select a button. The button becomes
active for editing. Type the information from the keyboard.
Color Allows you to choose the colors of the buttons from over
200 individual colors.
Color Palette Provides a full color palette of blended hues.
Body Part* Provides three tabs containing all body parts in use to
create a View.
Projection* Provides from three tabs containing all projections in use to
create a View.
Position* Provides all positions in use to create a View.
Flip/Rotate Flips or rotates, and lets you select the degree.
Tutor Image Selects the graphic tutor image that represents the View.
Both Gold and silhouette images are available.
* You can use the virtual alphanumeric keyboard to change body part, projection, or position.
After saving, the new item appears in the appropriate keyboard.
See also:
What Is a SNOMED® Code?
Managing View Categories
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See also:
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See also:
View Configuration
Managing View Categories
What Is a SNOMED® Code
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Key Operator Functions
See also:
What Is a SNOMED® Code
Changing View Configuration Details
View Configuration
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See also:
Changing View Configuration Details
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Key Operator Functions
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See also:
Changing Trauma Defaults
Hiding Trauma Defaults
Procedure Mapping Configuration
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Key Operator Functions
See also:
Trauma Defaults Configuration
Hiding Trauma Defaults
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See also:
Trauma Defaults Configuration
Changing Trauma Defaults
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Key Operator Functions
Statistics
See also:
Downloading Statistics
Navigational Buttons
Main Exits the current screen and returns you to the system Main Menu.
Menu
Back Returns you to the previous screen.
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Key Operator Functions
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See also:
Exporting Data
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You can use this screen to identify a problem with the erase lamp assembly if the erase lamps
are burning out sooner than expected.
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Key Operator Functions
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Key Operator Functions
See also:
Editing a Text Box
Selecting a Default Multi-format Text Box
Using a Single Image Internal Text Box
Using a Multi-format Page External Text Box
Configurable Text Box Menu
Selecting a Default Multi-format Text Box
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Key Operator Functions
See also:
Editing a Text Box
Using a Multi-format Image External Text Box
Using a Multi-format Image Internal Text Box
Selecting a Default Multi-format Text Box
Using a Multi-format Page External Text Box
Configurable Text Box Menu
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• The Multi-format Image Internal Text Box appears inside each image area on a multi-format
print.
See also:
Selecting a Default Multi-format Text Box
Editing a Text Box
Configurable Text Box Menu
Using a Multi-format Image External Text Box
Using a Single Image Internal Text Box
Using the Single Image External Text Box
Using a Multi-format Page External Text Box
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Key Operator Functions
• Use this text box when you want the information to fall outside a multi-format image.
• Text boxes appear on the print only. They do not appear when the image is viewed on a
workstation.
See also:
Selecting a Default Multi-format Text Box
Editing a Text Box
Configurable Text Box Menu
Using a Multi-format Image Internal Text Box
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• Text boxes appear on the print only. They do not appear when the image is viewed on a
workstation.
See also:
Selecting a Default Multi-format Text Box
Editing a Text Box
Using a Single Image Internal Text Box
Multi-format Image Internal Text Box
Using a Multi-format Image External Text Box
Editing a Text Box
Configurable Text Box Menu
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Key Operator Functions
• Text boxes appear on the print only. They do not appear when the image is viewed on a
workstation.
See also:
Editing a Text Box
Selecting a Default Multi-format Text Box
Using a Single Image Internal Text Box
Using the Single Image Internal Text Box
Using a Multi-format Page External Text Box
Using a Multi-format Image External Text Box
Using a Multi-format Image Internal Text Box
Configurable Text Box Menu
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See also:
Editing a Text Box
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Key Operator Functions
Move Prior Moves the current selected field to the previous position.
Restore Small Returns the text box to the small default configuration.
Default
Restore Large Returns the text box to the large default configuration.
Default
DICOM Field Select the DICOM Field. From the Keyboard, select Show
most common DICOM fields only to reduce the size of the
list. Select the field. Select the field you want to change and
select Assign Field.
DICOM Tag Displays the DICOM Tag associated with the DICOM Field.
Assign Field After selecting a field in the text box, select a field from the
DICOM field list and select Assign Field. The new field
appears in the text box.
Text Field Label Enter a label for the field with the keyboard.
Field Length Enter the maximum length of the selected field. Keep the font
size in mind.
Font Size Enter the font size for the selected field with the keypad and
select Enter.
Justification Place the text Left, Right, or Center within the selected field.
Restore Factory Return Multi-format Image Internal and Page External text
Default boxes to their original format.
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See also:
Using a Multi-Format Image Internal Text Box
Using a Multi-Format Image External Text Box
Using a Multi-Format Page External Text Box
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No E-mail Available
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If there is no access to e-mail or the network is down, the options stay active for several days to
give you time to send the Option Activation Request and retrieve the Activation File from a
remote computer.
Navigational Buttons
Activate Makes the selected option immediately available in the system.
Option
Main Menu Exits the current screen and returns you to the system Main Menu.
Back Returns to the previous screen.
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Remote Devices
Key Operator Functions > System Configuration > Remote Device
Configuration
Configuring Remote Devices
For the Key Operator to configure a Remote Operations Panel (ROP):
At each CR System:
1. Select New Device.
• Key Operator: Enter the IP address of the ROP.
• Key Operator: Select Remote Operations Panel as the device type.
• Key Operator: Repeat these steps for all Remote Operations Panels.
2. Select Edit ROP Links.
3. Enter the IP address of every CR System that will be linked to the ROP.
4. Select Save to All.
This adds all CR links to each ROP that you added in steps 2-4.
5. Select Delete Device to remove a device from the CR System.
At each ROP:
The initial link from the ROP to the CR System must have already been done by a qualified
installer.
1. Select the link to the CR System on which you just made changes.
2. Once the ROP is linked, select Key Operator Functions.
3. Select Fetch ROP Links.
This adds the new links you added in step 3 above.
4. Select the Quick Menu and select ROP Links to display the new links.
This button does not exist at the CR System or the ROP.
Navigational Buttons
Edit ROP Changes the configuration of the existing communication links between
Links ROPs and other devices. Takes you to the ROP Links Configuration
Screen.
Ping Lets you ping selected devices to verify their connection. If the ping is
Devices successful, a green indicator appears in the left corner of the table. If
there is no connection, the indicator turns red.
New Lets you add a new IP address.
Device
Delete Lets you delete a device.
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Device
Main Exits the current screen and returns you to the system Main Menu.
Menu
Back Returns to the previous screen.
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Remote Devices
You must always enter :56333/ at the end of the IP address when setting up a remote function.
To locate your System’s IP address, from the Main Menu, select Utilities, and select the
System Status Screen.
See also:
Remote Workstation Options
Easy to Use Remote Access Software
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See also:
Exporting Data
Configuring Remote Devices
Setting Up Remote Access
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Remote Devices
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See also:
Configuring Remote Devices
Setting Up Remote Access
Remote Workstation Options
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Remote Devices
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The CR Admin Reporting TQT workbook contains reports designed for the structure and content
of the Total Quality Tool Software option only. Do not use this workbook for other reports.
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Remote Patient Data Entry System
Remote Patient Data Entry System (RPDES)
Remote Patient Data Entry Software is a software option for entering patient data at a
workstation. It is installed on the CR System and allows communication between a customer-
supplied computer workstation and the CR System.
If the Remote Patient Data Entry option has been enabled, the Remote Access Software lets
you access the Patient Input Screen to pre-populate the Work List. A radiographer-level
password is required when logging into the CR from the customer PC.
A RPDES must have a fixed IP address. If the PC is configured to use DHCP (dynamic IP
address assignment on boot),or the link with the CR System may be lost when the PC is
rebooted.
Setting up the RPDES at the CR
1. Load the Remote Access Software onto the customer's computer (see Remote Workstation
Options section).
2. Follow the steps in Setting Up Remote Access to the CR or DR System.
Entering Patient Information using the RPDES:
The Remote Patient Data Entry System saves time by letting you input patient information from
a remote location.
1. Log on into the CR remotely.
2. Select the Remote Patient Data Entry menu bar.
3. Enter the patient information.
4. Select Save Changes.
This clears all the fields and lets you enter the next patient record.
You can retrieve the patient information at the CR System.
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Local User Interface
Local User Interface Main Menu
The Local User Interface is available only with the KODAK DIRECTVIEW Classic and Elite CR
Systems. It is accessed through the LCD display on the top of the machine.
The menu is dynamic. The menu choices may appear in the following order, or a different order
depending on the directional arrows you choose.
To use the Local User Interface Menu:
Select the icon on the Classic or Elite System to access the menu selections. The functions are
listed in the table below.
Utilities Volume Settings Button Click
Control the volume of the Alarms
following settings: Bar-Code Read
• The response of selecting Cassette Loaded
Touch the icon on the a button on the remote
Classic or Elite System interface.
to access the Utilities
• The sound of alarms on
menu.
the CR System.
• The sound of the Bar-
Code Scanner.
• The sound that occurs
when you place a
cassette in the cassette
feed slot and it is ready to
scan.
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Local User Interface
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Bar-Code Cassette
Read Loaded
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Long-Length Imaging
Long-Length Imaging Menu
Acquiring Images
Performing a Long-Length Exam
Optimizing a Long-Length Exam
Entering Data for an LLI Exam
Determining the SID
LLI Techniques
Scanning LLI Images on Capture Link System
Assigning and Unassigning LLI Images
CR Long-Length Grid Ratio
Tips for Optimizing LLI Image Quality
Composite Images
Printing Long-Length Images
Viewing Long-Length Images
No Composite Image
Images are Stitched Incorrectly
Distorted Composite Image
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Acquiring Images
Long-Length Imaging
The composite image is represented by the fifth image placeholder for the Vertical Cassettes
and the third image placeholder for the Portable Cassette. The number of the cassettes used in
the exposure appears on this image.
The SID for the Portable Long-Length Cassette is determined automatically by the Position field
selection on the Patient Input Screen (Supine or Erect). The defaults for these positions are
set by the Key Operator. The radiographer can override this setting for the combined image
body part and projection as desired from the More Image Data button on the Patient Input
Screen.
To use your CR System for long-length imaging, a Carestream Health Representative must
install KODAK DIRECTVIEW CR System Software Version 5.1 or higher.
See also:
Optimizing a Long-Length Exam
Entering Data for an LLI Exam
Determining the SID
Assigning and Unassigning Long-Length Images
CR Long-Length Grid Ratio
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Long-Length Imaging
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See also:
Performing a Long-Length Exam
Optimizing a Long-Length Exam
Determining the SID
LLI Techniques
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Long-Length Imaging
See also:
Long-Length Imaging Configuration
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LLI Techniques
The software looks for sharp edges in each of the sub-images to combine when applying the
stitching algorithm. Therefore, if you collimate closely when performing a long-length exam, your
results will improve.
See also:
Assigning and Unassigning Long-Length Images
CR Long-Length Grid Ratio
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Long-Length Imaging
See also:
Introducing the Capture Link System
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See also:
How do I enter data for a long-length image?
How do I print long-length images?
Why are the images stitched incorrectly?
Why is the composite image distorted?
What do I do when there is no composite image?
How do I determine the SID?
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Long-Length Imaging
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Long-Length Imaging
374
Long-Length Imaging
Composite Images
See also:
How do I make a True-size print?
Why are the images stitched incorrectly?
Why is the composite image distorted?
What do I do when there is no composite image?
How do I determine the SID?
How do I enter data for a long-length image?
What techniques can I use with long-length imaging?
How do I unassign and assign long-length images?
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See also:
Viewing Modes
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Long-Length Imaging
No Composite Image
If no composite image forms:
• Make sure the Long-length option is enabled.
• Print the individual segments True-size and tape them together.
• Unassign the sub-images and reassign them to produce a composite image.
See also:
Images are Stitched Incorrectly
Distorted Composite Image
Viewing Long-Length Images
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See also:
Assigning and Unassigning LLI Images
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Long-Length Imaging
See also:
Images are Stitched Incorrectly
No Composite Image
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Total Quality Tool
What Is TQT?
The DIRECTVIEW Total Quality Tool (TQT) is a comprehensive, quality assurance system
that evaluates various aspects of image quality on KODAK DIRECTVIEW CR Systems and
KODAK DIRECTVIEW CR Cassettes. With a few quick steps, you can verify that the system is
functioning within its normal operating specifications.
TQT is an optional feature for DIRECTVIEW CR Systems. If the TQT option is not activated,
contact Carestream Health for purchase information.
Carestream Health recommends the use of the KODAK DIRECTVIEW Total Quality Tool as
part of a quality control program for KODAK DIRECTVIEW CR Systems. Additional quality
control tests should be incorporated into the quality control program as required by local
regulations.
The KODAK DIRECTVIEW Total Quality Tool does not directly evaluate or provide a
quality control capability for the X-ray equipment used or output destination devices
(such as workstation monitors or film printers) connected with the CR System. Quality
control procedures for other components in the imaging chain must be followed at the
recommended intervals according to the manufacturer's instructions.
The KODAK DIRECTVIEW CR System must be calibrated at the recommended intervals
according to instructions from Carestream Health, Inc. All components in the imaging
chain (such as the X-ray equipment, workstation monitors, or film printers) must be
calibrated at the recommended intervals according to the manufacturer's instructions.
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What is TQT?
Performing System Tests
Testing Cassettes
Appending the Session
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Testing Cassettes
Test all of your cassettes at least twice a year using the Total Quality Tool for General
Radiography. You can test all your cassettes at once or extend the tests over a period of time.
Tests on multiple machines can be accumulated, consolidated, and reported over an indefinite
period of time. This feature lets you perform long-term trend analysis.
Test your KODAK DIRECTVIEW CR Cassettes to verify that the cassette quality is within
acceptable limits.
To begin test procedures:
1. Obtain a complete list of cassette IDs for all cassettes in your inventory.
2. Answer the following questions:
• Has someone already started a cassette test?
• Which cassettes have not been tested?
• Should test results for the cassettes you want to test be appended to the previous session or
should you start a new session?
This information will help you decide whether a cassette needs to be tested and if your test
results should be part of the previous testing session or the start of a new session.
See also:
What is TQT?
Appending the Session
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What is TQT?
Appending the Session
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What is TQT?
Selecting a Test Phantom
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Exposure
See also:
What Is TQT?
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See also:
What Is TQT?
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System Testing
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Total Quality Tool
See also:
What Is TQT?
Performing System Tests
Testing Cassettes
Selecting a Test Phantom
Positioning a Test Phantom
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See also:
Determining the Exposure
Positioning a Test Phantom
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Total Quality Tool
See also:
Flat-Field Image Tests
What Is TQT?
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Performing the Erased Image Test
What Is TQT?
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Total Quality Tool
Cassette Testing
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Performing a Flat-Field Test
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Total Quality Tool
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Total Quality Tool
See also:
Flat Field Test Failure
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Cassette Testing Menu
Testing Cassettes with TQT
Flat-Field Image Tests
Performing a Flat-Field Image Test
Viewing Test Result Indicators
Reported Cassette Test Results
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Total Quality Tool
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Testing Cassettes with TQT
Best Results from Cassette Testing
Viewing Test Result Indicators
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Total Quality Tool
Results
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Troubleshooting TQT for General Radiography
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Total Quality Tool
See also:
Exporting Data Using Administrative Analysis and Reporting Software
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Additional Tests
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Total Quality Tool
Cleaning Cassettes
• Storage phosphor screens are not subject to physical contact in normal use and consequently
do not require a routine procedure surface cleaning.
• Clean storage phosphor screens when you have identified a specific artifact associated with
screen surface contamination (such as persistent dust or fingerprint artifacts).
• Clean storage phosphor screens according to the manufacturer's instructions (available
separately).
• Open each cassette and extract the screen to inspect for dust or scratches.
• Record all the cassette numbers, the corresponding phosphor screen identification numbers,
and any notes on their condition. Note surface defects and scratches on the cassette inventory
record.
• Carefully close and latch each cassette.
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Troubleshooting
The Aspect Ratio is then computed as the ratio of the average slow-scan pixel size to the local
fast-scan pixel size.
The Aspect Ratio Error is the percentage deviation from the designed aspect ratio (unity) for
the left, middle and right sides of the image.
The Average Aspect Ratio Error is computed as the ratio of the Average Slow-Scan Pixel
Size to the Average Fast-Scan Pixel Size.
Aspect Ratio is reported as the Aspect Ratio Error Left, Aspect Ratio Error Middle, Aspect
Ratio Error Right, and Aspect Ratio Error Average each expressed as a percentage of the
designed aspect ratio.
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Corrective Action
• Note if the Aspect Ratio Error is Left, Middle, Right, or Average.
• Verify that the phantom is properly exposed and not under-collimated.
• Repeat the test and record any failed values.
Scan Linearity
Scan Linearity is the measurement of the deviation of the aperture locations from their
expected locations, based on the linear least-squares fit of the measured locations used to
compute the Pixel Size. From these measurements, the variation in scan speed with position is
calculated for each direction.
The deviation from Scan Linearity is calculated as the maximum deviation of scan speed from
the average speed. The Fast-scan Speed Error and the Slow-scan Speed Error are
expressed as a percentage of the average speed.
This measure of Scan Linearity represents the maximum possible percentage error in length
measurements that could be made by using mean pixel spacing values.
Scan Linearity is reported as the peak-to-peak Fast-Scan Speed Error and Slow-Scan
Speed Error expressed as a percentage of the average scan speed in the respective direction.
Corrective Action
• Note if the Scan Linearity is Fast Scan or Slow Scan.
• Verify that the phantom is properly exposed and not under-collimated.
• Repeat the test and record any failed values.
Exposure Response
Computed Radiography requires that the code value at each pixel accurately reflects the X-ray
exposure at that location. KODAK DIRECTVIEW CR Systems produce raw code values that are
linearly related to the logarithm of X-ray exposure. One of the most important steps in quality
control testing is to verify the large-area exposure response linearity, since all other tests will
be done in terms of these code values.
The average response of three uniform areas of the phantom test image is computed. Image
segmentation methods are used to identify three areas of the image. The large square area in
the center of the phantom test plate has minimal attenuation. The smaller square area directly
below the central square has uniformly high attenuation. Areas to the left and right of the central
square have a middle value of attenuation. In each of these areas, the average of the code
values in a square 2.0 x 2.0 cm is computed. The expected attenuation of the phantom test
plate is used to predict the exposure response for these three levels of attenuation under the
specified X-ray beam conditions.
The Exposure Response Test results are reported in the Total Quality Tool.
The error in the average code value (CV) for each of the three levels of attenuation is reported
in the Total Quality Tool as: Low-Exposure Response Error (CV), Mid-Exposure Response Error
(CV), and High-Exposure Response Error (CV). These are compared with the expected code
values based on the predicted attenuation of the test phantom.
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Corrective Action
• Verify that the phantom is properly exposed and not under-collimated.
• Verify that the exposure conditions are correct:
o 0.5 mm Cu + 1 mm Al filtration
o 80 kVp
o 10 mR ± 0.2 (0.0876 mGy ± 0.00175 mGy)
• If high-exposure result is PASS and mid- or low-exposure results are FAIL, check kVp.
• If high-, mid- and/or low-exposure results are FAIL, check mR (mGy).
• Inspect the screen. If the screen has discolored, repeat the test with a second cassette.
• Verify that the phantom is oriented properly on the cassette.
• Repeat the test and record failed values.
• Call Service.
Noise
Image Noise depends on factors such as:
• Exposure Technique
• Performance of the CR System
• Image Processing
• Display
Evaluate noise under well-defined exposure conditions and in a way that is independent of
arbitrary image processing and display choices. Because noise measurements are very
sensitive to image artifacts, they normally require specially prepared materials and laboratory
conditions. The Total Quality Tool uses algorithms that distinguish between artifacts and the
underlying noise.
The Noise test results are reported in the Total Quality Tool.
The noise results are reported as the estimated mean pixel deviation for each of the three
exposure levels used for the Exposure Response test.
Corrective Action
• Verify that the phantom is properly exposed and not under-collimated.
• Verify that the exposure conditions are correct:
o 0.5 mm Cu + 1 mm Al filtration
o 80 kVp
o 10 mR ± 0.2 (0.0876 mGy ± 0.00175 mGy)
• If high-exposure result is PASS and mid- or low-exposure results are FAIL, check kVp.
• If high-, mid- and/or low-exposure results are FAIL, check mR (mGy).
• Inspect the screen. If the screen has discolored, repeat the test with a second cassette.
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MTF
The best predictor of CR system sharpness is obtained from measurements of spatial frequency
response. This measurement is also called the Modulation Transfer Function or MTF. Total
Quality Tool measures MTF automatically. To be a useful measure of the CR system, it is
important to minimize the influences of other components of the image chain, such as the
exposing equipment and the display devices.
Pre-sampling MTF measurements are obtained from the edges of the slightly slanted square in
the middle of the Test Phantom image.
Image segmentation methods are used to automatically determine the edge locations. The
centers of the transition for a series of adjacent lines are estimated and fit to a straight line. The
pixels on each line are then displaced accordingly, and a sub-pixel representation of the Line
Spread Function (LSF) is obtained. The pre-sampled MTF is computed from the fourier
transform of the sub-pixel LSF.
The MTF test results are reported in the Total Quality Tool.
MTF is reported at two frequencies for each of the two scan directions. These frequencies
depend on pixel size. The results reported by the Total Quality Tool include:
• the Fast-scan MTF @ 95% of Nyquist
• the Fast-scan MTF @ 50% of Nyquist
• the Slow-scan MTF @ 95% of Nyquist
• the Slow-scan MTF @ 50% of Nyquist
Corrective Action
• Verify that the phantom is oriented properly on the cassette.
• Inspect the phantom for damage such as kinks or creases.
• Repeat the test and record failed values.
• Call Service.
Pixel Position
Flat-Field (Uniform) exposures provide the most stringent subjective test for many common
image artifacts that occasionally occur in CR Systems. However, there are some artifacts that
cannot be detected with flat-field exposures.
Because CR images are read with a scanning laser beam, the relative timing of data acquisition
for each line of data is critical if the pixels are to be aligned in adjacent lines. Normally this
alignment is maintained to a very small fraction of a pixel. You can detect sub-pixel shifts in
pixel position between adjacent lines before these effects become large enough to affect image
quality in clinical images.
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The linear features that are used for MTF measurements are also used to assess the line-to-line
fluctuation in pixel placement. Image segmentation methods are used to determine locations of
the edges of the central square in the test phantom image. The centers of the transition for a
series of adjacent lines are then estimated from the code values along each line. These
locations are fit to a straight line and the deviations from linearity are computed. The RMS error
of the transition centers from the fitted line is used as a measure of the line-to-line pixel
placement error.
The Pixel Position RMS test results are reported in the Total Quality Tool.
• Pixel Position RMS is reported as the RMS error in the line-to-line pixel placement as a fraction
of the Pixel Size.
Corrective Action
• Record results.
• Call Service.
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Banding
• Banding is caused by periodic fluctuations in the slow-scan direction.
• Slow-Scan Banding is reported as a code value representing the magnitude of pixel variations
with reference to slow-scan velocity.
Corrective Action
• Call Service.
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Chatter
Chatter may result from inadequate lubrication of the lead screw. This results in quasi-periodic
fluctuations in the slow-scan direction that are not correlated with the pitch of the slow-scan.
Slow-Scan Chatter is reported as a code value representing the magnitude of pixel variations
associated with chatter in the motion of the slow-scan assembly.
Corrective Action
• Call Service.
Streaks
Streaks may result from a number of possible causes. Isolated deviations from the background
are analyzed for correlations in the slow-scan and fast-scan directions. Both the location (pixel
or line number) and amplitude (code value) of these are calculated.
The largest magnitude Slow-Scan Streaks and Fast-Scan Streaks are reported as code
values.
Corrective Action
• Check for streaks or lines on the cassette.
• Clean the screen and look for scratches.
• Call Service.
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Utilities
Utilities
Utilities Menu
The Utilities Menu is accessed from the Main Menu. On this Help Screen, select the blue link
in the table below to access the information for the desired topic.
Quick Reference
Change Password How to Change Your Password
System Status How to View the Status of System Communications
Software Updates How to Install Software Updates
Image Recovery How to Recover Images
Capture Link Status How to Check the Capture Link Server Status
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Utilities
See also:
Rejoining the Capture Link System
Re-delivering an Image
Using Image Recovery to Capture Link List
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Glossary
1
1 cm scale: When selected, a one centimeter (cm) scale is applied along a horizontal and vertical edge of an image.
A
AC: Applications Consultant
Accession Number: A DICOM term; it is a number assigned to an exam and linked to the site's billing system.
Activate option: Install a floppy diskette, CD, or USB drive that contains codes that make the selected option immediately
available in the system.
Assign image: Connect an image to patient information. Only Unassigned Images can be Assigned.
auto associate: The automatic connection of a scanned image to the Patient Name and View currently active on the console.
B
Back button: Returns you to the previous screen or function. If you have made changes, the Back button toggles to Cancel.
Backup and Restore: Lets you save configurations to a removable device, and restore selected configurations into other
machines.
Bar-Code: A series of black and white lines that represent data that can be scanned and digitized.
Bar-Code Configuration: Change the way the bar code scanner reads the Accession Number, Tech ID, and Patient ID, and
Procedure Code.
Begin Study button: Sends a message to the HIS/RIS that the study is started. Appears on the Patient Input Screen when
New Patient is selected.
Body part: The area of the body that is imaged.
Brightness: Makes an image lighter or darker.
C
Calibrate: To configure a monitor or touch screen to a standard, repeatable response.
Cancel button: Returns you to the previous function without automatically saving changes; toggles to the Back Button after
you have selected Save Changes. The Cancel button displays the Confirm changes confirmation dialog.
Capture Link System: In a Capture Link System, all patient records and all patient images from any device joined to the
Capture Link System are available for review and use on any device joined to the Capture Link System
Cassette: The outer casing that contains the storage phosphor screen. The cassette is inserted into the CR System.
Cassette ID: The number that identifies the cassette holding the storage phosphor screen on which the patient was exposed.
Cassette Testing: TQT, requires a flat-field image.
Change Destination Profile: Changes the automated process of selecting destinations for an image based upon user-
specified criteria.
Change Profile: Changes the selected destinations for an image or study.
Clear all Fields button: Removes all the information entered in the search criteria fields.
Clipped Anatomy: Default reason for rejecting an image. Anatomy that was not captured because the cassette was mis-
aligned at exposure. Image data is physically missing from the image.
Collimation: To restrict the size of the X-ray beam by reducing it, usually with lead shutters, to accurately localize the area of
interest on the patient and reduce the patient's overall exposure to radiation.
Console: A Modality that is included in a Capture Link System
CR System: Computed Radiography System, used to create digital radiographic images.
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D
Default: Predefined information that is automatically applied, but which can be replaced with a specific selection.
Delete All Patients button: A Key Operator function to delete all patient information on the system. There is no recovery from
this command. It deletes even protected records.
Delivered: An image that has been accepted and sent to destinations such as a workstation or a printer is called a delivered
image. A delivered image cannot be modified unless it is copied, and then you can modify the copy.
Destination: A location where an image is sent. Destinations include laser printers and clinical and diagnostic workstations.
DICOM: Digital Imaging and Communication in Medicine.
Disk Manager: The automated function that controls storage space for images on the hard drive. Disk Manager deletes the
oldest images when the amount of free space reaches a Key Operator specified level.
Dose Measurements: The measure of the amount of energy (using a dosimeter) deposited in tissue due to X-ray exposure.
DR: Digital Radiography; the use of a photo conductor-based image capture method,
E
Error Message: A message displayed in a dialog box or in the System Errors log that describes a problem that occurred
during the operation of the CR System.
EVP: Enhanced Visualization Processing: a contrast enhancement algorithm contained within the IPL.
Exam: A set of images, usually of the same body part, which are part of a procedure and have a common accession number.
A collection (set) consisting of a raw image, its versions, Exam Information, and Patient Information.
Exam Information: Data pertaining to the way an exam is performed.
Exam Type: View. body part and projection (from the Exam Information) and, optionally, position.
Export: Transfer information from the CR or DR System so that it can be analyzed and used.
Exposure Index: A numerical value computed from the average code value of those areas of the image data that are used by
the image processing algorithm to compute the optimal tonescale.
External Device: A ROP or a RPDES that is connected to a CR or DR System, or a Capture Link Server.
External Text Box: For a printed image, the area external to the image in which the user specifies information to be displayed.
When an external text box is used, the image area is reduced. Some printers may not support this feature.
F
Failed to Deliver button: Displays a list of images that have not been successfully delivered to a destination.
Find Study Locally button: Searches the modality database to locate all patient records meeting the criteria entered.
Find Study Remotely button: Searches the HIS/RIS database to locate all patient records meeting the criteria entered.
Flag: Mark an image for review by a Key Operator at a later time.
Flat-field: An X-ray exposure that is made without use of a phantom image or a clinical image.
Focus: Configurable, which field starts with the cursor.
G
Grid Detection and Suppression: The optional feature that automatically detects and suppresses grid lines from images. This
feature is configured for each view.
GUI: Graphical User Interface - the user interface observed at the Modality monitor.
H
Half-Value Layer: The thickness of a specified substance which, when introduced into the path of a given beam of radiation,
reduces the exposure rate by one-half. HVL is a measure of beam quality and usually is specified by millimeters of
aluminum for diagnostic units. The higher the HVL, the more penetrating the X-ray beam.
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Glossary
I
IHE: Integrated Healthcare Enterprise
Image: A single picture. A data structure that contains image data, patient information, and information relating to the method
of creating the image data; in a DICOM-compliant format.
Image Adjustment: The ability of the user to change the Image Processing using the following attributes: Brightness, Latitude,
Detail Contrast, Window /Level.
Image Processing Library: The IPL contains the parameters and algorithms used to process images for optimal diagnostic
use.
Image Receptor: For Computed Radiography, the image receptor is the phosphor screen. For DR, the image receptor is the
flat panel detector.
Images not assigned: On the Main Menu, this button indicates the number of Unassigned Images currently in the system.
Internal Text Box: For a printed image, the area within the image containing user-specified information about the patient and
exam. The user can specify the default and actual location and orientation of the Internal Text Box.
Inventory: Inventory includes everything on the itemized list of components, accessories, options and user manuals
purchased.
IPL: The IPL contains the parameters and algorithms used to process images for optimal diagnostic use.
K
Key Operator: The category of user authorized to administer the modality. They Key Operator may change the setup and
operation of the machine.
kV: Kilovolts (thousands of volts) - measurement unit for x-ray beam strength.
kVp: Kilovolts Peak.
kVp Accuracy and Reproducibility: Test used to ensure that the indicated peak X-ray beam energy is accurate and
reproducible so that consistent X-ray output and contrast are maintained.
L
Look: A preset appearance for an image that includes the elements of brightness, latitude, detail contrast, sharpness, and
noise reduction.
LUT: Look-Up Table. A set of values that can be mathematically applied to the digital image which alters the look of the image.
The LUT is generated by the image processing algorithms.
M
Magnification: With respect to film screen, 100% is the same size as film screen, 93% is 93% the size of a film screen.
Mandatory Destination: A classification of Destinations. Images specified for delivery to a Mandatory Destination cannot be
deleted from the modality hard drive until the Mandatory Destination has received them. They Key Operator specifies
which, if any, destinations are Mandatory
Marker: An electronic identifier added to the image that is printed and stored.
mAs: Milliamp-seconds - measurement unit for the amount of X-ray energy delivered.
Modality: The System that is in use, such as CR System or DR System.
MPPS: MPPS is an element of the optional Scheduled Workflow software feature. The Scheduled Workflow feature
communicates with the Modality Performed Procedure Step Manager every time a procedure starts, ends, or is
discontinued using the appropriate button on the Patient Input Screen.
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Noise: Visible, low-contrast anomaly that appears in areas of low exposure in the image.
O
On Focus Field: Refers to the data field currently selected or active.
Options: Software programs and functions that are purchased in addition to base system software. An option must be
activated after purchase.
P
Pass-through Mode: The operating mode in which the CR System accepts, processes, and routes the exam without user
intervention.
Patient Information: The demographic data pertaining to a patient.
Patient Information Bar: The box located beneath the displayed image that displays the patient information for the displayed
image.
Patient Input Screen: Used to enter patient information and set up exams for processing.
Patient Query Screen: Used to locate Work List entries or patient studies. Enter search criteria to return a filtered list that
meet the criteria.
Patient Work List Screen: The screen that lists Work List entries or patient studies. The list may be filtered using search
criteria.
Phantom: A test object that simulates the average composition of various structures within a body part.
Positioning: The art and skill the radiographer / technologist uses to adequately demonstrate the anatomy in different
projections.
Prefix: When used with the barcode reading function, it is an optional character preceding the standard content of a printed bar
code. Prefixes and Suffixes are used when necessary to differentiate bar coded data fields.
Print button: Sends an image to a selected printer. The profile set for the cassette and image typically has a printer selected.
Processed Image: An image to which the image processing algorithms have been applied.
Projection: The relative orientation of the anatomy to the X-ray beam. Examples include Lateral, Antero-posterior.
Protected records: Patient and image records that are prohibited from being removed from the computer hard drive during the
normal operation of the Disk Manager process.
Q
QA Mode: Operating mode where the user causes images to be delivered by Accepting them after reviewing them for quality.
R
Radiolographer Technologist: Trained person who performs the radiographic examination that creates the images needed
for diagnosis.
Radiopaque Marker: An identification label introduced into path of the X-ray beam that is permanently included in the image.
Often used to specify left or right laterality.
Raw Image: Unprocessed Image. An image to which the image processing algorithms have not been applied.
Redeliver image button: Select this button to deliver an image that has been delivered previously. The current destination
selection is used to redeliver an image.
Reject: If you do not want to accept an image, and cannot modify it to your satisfaction, select Reject Image. The image moves
to the Rejected Image Screen. The image cannot be delivered to a workstation or a printer.
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Glossary
Result sort order: Specifies the sequence in which lists of information are sorted. Selections often include alphabetical or date
order sequence.
RIS: Radiology Information System.
ROP: Remote Operations Panel- an auxiliary device at which CR exams can be initiated and images can be reviewed.
Routing: The act of transferring an image from the Modality to a specified destination.
S
Scan Status Screen: The screen at which the progress of image scanning can be seen. Also includes control of Cassette
Erasing, Cassette Transport release, Erase Lamp status.
Search: To enter criteria to find a Work List or patient record. The more specific the criteria you enter, the narrower the search.
If you do not enter any criteria, a list of all records is returned.
Select Destination button: Lets you change the destinations that will receive the image.
Session: A set of tests for cassette quality. When you start a new TQT testing session, all previous data becomes inaccessible
Shutdown: The process of exiting current tasks and applications and turning off the power to the Modality. Shutdown is
located in the Quick Menu in the lower left corner of each screen.
SNOMED: (SNM3) code is a coded sequence of numbers that identifies attributes of a view. They are a standard naming and
encoding convention for identifying body part, position, and orientation in the DICOM header.
standalone mode: When a modality is configured to be in a Capture Link System but is not currently operating with the
Capture Link System.
Study: A collection of related images and data. A Study is started and ended on the Patient Input Screen. If a HIS/RIS is used,
ending a study sends a message to close the patient record.
Study Status: Current state of completion for a study.
Suffix: When used with the barcode reading function, it is an optional character following the standard content of a printed bar
code. Prefixes and Suffixes are used when necessary to differentiate bar coded data fields.
Surround Mask: Fills in the area outside of the Region of Interest with a dark background. Enhances the ability to see detail in
soft tissue or low contrast areas of the image.
System: A self-contained computed radiography machine or several machines joined together.
System Recovery: A tab located on the Scan Status Screen on CR 825/850/900/975. Selecting System Recovery allows
access to Clear Cassette Jams.
T
Technique: Imaging methods, exposure quantity and duration, positions, for performing X-ray exams. The goal is to produce
consistent, diagnostic images.
Test Result Indicators: Colors that indicate the Status of test results when testing with the DIRECTVIEW Total Quality Tool.
Gray =Ready; Green=Pass; Amber=Pass; Red=Fail; Purple=NA.
Text Box: The informational area that is viewed on a sheet of film. The Key Operator can configure the size and shape of the
Text Box, and the type of data that is recorded there.
Thumbnail: A small view of an acquired image. Any saved changes to an image are reflected in the thumbnail image.
Selecting a thumbnail anywhere in the system will open a full view in the Image Viewer Screen.
Tonescale: An element of image processing in which a graduated range of gray values are constructed to optimize an image
for clinical diagnosis by highlighting the body structures of interest.
Total Quality Tool: The DIRECTVIEW Total Quality Tool (TQT) is a series of tests, standards, and recommendations that
evaluate the image quality of the CR System and the quality of the cassettes used in the system.
Trauma Button: On the Patient Query screen, this optional feature permits the immediate start of an exam without having to
specify patient demographics. The characteristics of the exam are specified using the Trauma defaults
Trauma defaults: The Key Operator function to set up different Trauma exams for use with the optional Trauma feature.
True-size Print: True-size printing delivers the image to the destination at the same size as it was captured (100%, +/- 2 %).
Note: Because of the variability in scanning, printing, and displaying images, use caution when using these images for
exact measurements. For exact measurements, place a known marker at the level of the subject when making the
exposure and calculating image magnification.
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U
UID: Unique identifier: a number assigned to ensure unambiguous identification of a logical object in software (usually for a set
of data).
Unassign: Disassociate an image from a patient record.
Unassigned Image: An image that has not been connected with a patient exam record. Unassigned Images can be delivered
to all destinations except those designated as Mandatory.
V
View: The description of an image its attributes. A View is specified by a body part, projection, and patient position. The Key
Operator may configure the automated processing of images individually for each View. For best results, use the View
that best matches the image being created.
View Modification: A tab in the Image Viewer that lets you invert the image, apply grid suppression to suppress grid lines, and
apply noise reduction to reduce the appearance of noise in low exposure areas.
W
Water Mark: Disk High Water Mark and Disk Low Water Mark indicate the upper and lower limits of hard drive space use
permitted on the system. When the High Water Mark is reached, the Disk Manager deletes the oldest images until the
Low Water Mark is reached.
Window/Level: The mode in which the user changes the brightness and contrast of an Unprocessed Image. This mode is
used if the automated Image Processing is not satisfactory.
Work List: The list of patient records that describes the patients to be examined during a given time interval.
Workflow: A series of tasks necessary to perform a repeatable function.
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Index
433
A Capture Link Configuration Screen ...................................177
Capture Link icon...............................................................185
accept image................................................................. 61, 94
capture link server .............................................................215
accessing logs .................................................................. 429
EMC ..............................................................................212
add a marker ..................................................... 118, 119, 121 logon .............................................................................213
add multi-format print ........................................ 149, 156, 161 safety ............................................................................212
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Index
D grid ratio.............................................................................377
grid suppression ................................................................112
data ................................................................................... 218
restore .......................................................................... 218
H
Deleting
exam information .......................................................... 101 harvesting images .............................................................276
image record................................................. 269, 328, 349 HIS/RIS..............................................................................263
multi-format................................................................... 160 capture link....................................................................194
patient information ........................................................ 101 communication..............................................................429
procedure step.............................................................. 101 configuration .................................................................263
records.......................................................................... 349 polling query..................................................................265
views............................................................................. 175
histogram.............................................................................75
destination profile...................................................... 308, 310
HR Scanning .......................................................................23
destination summary statistics .......................................... 327
detail ................................................................................... 15 I
detail contrast................................................................ 15, 69 IHE.......................................................................................17
DICOM .............................................................................. 321 image delivery modes
Pass-through mode.........................................................91
DICOM GSDF ................................................................... 302 QA mode.........................................................................92
distorted long-length image............................................... 383 image failure ..........................................................62, 73, 132
distributing images .............................................................. 95 image icons displayed .......................................................100
download statistics.................................................... 329, 332 image presentation ......................................................73, 132
duplicate cassette ID................................................... 48, 106 image processing
capture link system .......................................................190
E changing .........................................................................15
edit mask........................................................................... 130 contrast ...........................................................................79
controls .........................................................................305
Elite ..................................................................................... 26
image recovery ..........................................................203, 423
enable reduced border...................................................... 352
Image Review Screen .......................................................171
end study .......................................................................... 102
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L monitor
calibrating......................................................278, 280, 281
language display pod ................................................................................285
changing ....................................................................... 286
more image data........................................................104, 108
latitude .......................................................................... 15, 69
increasing ................................................................. 15, 72 more patient data.......................................................104, 109
managing view categories ................................................ 320 patient input screen .................................... 99, 107, 108, 176
begin study button.........................................................107
manual crop ........................................................................ 86 more image data ...........................................................108
manual reboot ..................................................................... 25 more patient data button ...............................................109
manual surround mask ..................................................... 135 patient query screen ..........................................................169
markers patient work list screen ..............................................163, 170
adding................................................................... 119, 121 performing the exam..........................................................140
deleting ......................................................................... 123
favorites ........................................................................ 124 phantom.....................................................................389, 396
measures...................................................................... 125 positioning.....................................................................389
436
Index
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Software and Key Operator Online Help Topics V 5.2 1.29.09
438