Image Suite Online Help Topics

CARESTREAM Image Suite Online Help Topics
Table of Contents
Getting Started .............................................................................................................................................. 2
About the Online Help System ...................................................................................................................... 2
Document Conventions ............................................................................................................................. 2
Contacting Carestream Health, Inc............................................................................................................... 3
Authorized European Representative........................................................................................................ 3
Image Suite Overview ................................................................................................................................... 4
CARESTREAM Image Suite Software ...................................................................................................... 4
Specifications ................................................................................................................................................ 5
Image Suite Components.............................................................................................................................. 7
Typical Workflow ........................................................................................................................................... 8
Logging into the System................................................................................................................................ 9
Logging out of the System .......................................................................................................................... 11
Manual Logout ......................................................................................................................................... 11
Automatic Logout..................................................................................................................................... 11
Locking the Screen ..................................................................................................................................... 12
Changing Roles........................................................................................................................................... 14
Changing Privileges .................................................................................................................................... 15
Overview of the Radiographer/Physician Roles.......................................................................................... 16
System Control Bars................................................................................................................................ 16
Panel Launch Bar ................................................................................................................................. 16
Status Bar ............................................................................................................................................. 17
System Tray.......................................................................................................................................... 18
Patient Registration..................................................................................................................................... 19
Registering a Patient................................................................................................................................... 19
Editing Patient Information .......................................................................................................................... 21
Unassigned Images .................................................................................................................................... 23
Assigning Patient information to an Unassigned image .......................................................................... 23
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Table of Contents
Optimizing the Exam ................................................................................................................................... 24

Determining the Exposure Index................................................................................................................. 24
What is the Exposure Index (EI)?......................................................................................................... 24
Viewing Images for Quality Assurance ....................................................................................................... 26
Viewing Images ........................................................................................................................................... 26
Layout Selection ...................................................................................................................................... 26
Image Tools ............................................................................................................................................. 27
Page Navigation ...................................................................................................................................... 27
Combining Windows ................................................................................................................................ 27
Working with Images in Image View ........................................................................................................... 28
Using Image View Features ........................................................................................................................ 28
Changing the Layout of the View Panel .................................................................................................. 28
Adjusting the Image Quality..................................................................................................................... 28
Image Processing Adjustment .................................................................................................................... 29
Sharpness Tab ........................................................................................................................................ 29
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Brightness Tab............................................................................................................................................. 30
Sharpness Tab ............................................................................................................................................ 31
Body Part Tab.............................................................................................................................................. 32
Options Tab ................................................................................................................................................. 33
Advanced Tab.............................................................................................................................................. 34
Noise Suppression Software....................................................................................................................... 35
Black Surround Mask Software................................................................................................................... 36
Grid Suppression ........................................................................................................................................ 37
True-size Printing ........................................................................................................................................ 38
Monitor Calibration ...................................................................................................................................... 39
Image Preview ............................................................................................................................................ 40
Worklists...................................................................................................................................................... 41
About the Worklist ....................................................................................................................................... 41
Other Worklist Functions ......................................................................................................................... 41
Worklist Buttons .......................................................................................................................................... 46
Tag Edit ....................................................................................................................................................... 48
Changing the Image Number ...................................................................................................................... 50
Query Keys ................................................................................................................................................. 51
Changing the Query Key Name List ........................................................................................................... 53
Deleting a Query Key Name ....................................................................................................................... 54
Doing a Quick Search ................................................................................................................................. 55
Series Lists.................................................................................................................................................. 56
Image Preview ............................................................................................................................................ 57
Using the Web Viewer................................................................................................................................. 60
Web View Toolbar ....................................................................................................................................... 60
Web Appointment........................................................................................................................................ 63
Create Order Tab..................................................................................................................................... 63
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Table of Contents
Search Order Tab .................................................................................................................................... 64

User Level Configuration............................................................................................................................. 65
To create user level Hot Keys & Right-Click:........................................................................................... 65
System Level Configuration ........................................................................................................................ 66
Web Viewer Client Description.................................................................................................................... 67
Create Order Tab ........................................................................................................................................ 69
Search Order Tab ........................................................................................................................................ 71
Overlay Configuration ................................................................................................................................. 72
General Configuration ................................................................................................................................. 77
System Level Worklist Column Configuration............................................................................................. 78
System Level DICOM Toolbar Group.......................................................................................................... 80
System Level Hot key & Right-Click Group ................................................................................................ 81
Web Viewer Worklist ................................................................................................................................... 82
Adjusting the Window Width and Window Center (W/L)............................................................................. 84
Adjusting the Window Width and Window Center Manually.................................................................... 84
Using the Window Width and Window Center Presets ........................................................................... 84
Resetting the Window Width and Window Center................................................................................... 85
Using the Image Suite Workstation............................................................................................................. 86
Workstation Roles ....................................................................................................................................... 86
Scanning at the Workstation ....................................................................................................................... 87
Image Suite Workstation Toolbar ................................................................................................................ 88
Exam Order List .......................................................................................................................................... 90
Customizing the Toolbar.............................................................................................................................. 92
Overview of the Administrator Role............................................................................................................. 93
User Management....................................................................................................................................... 94
User Settings............................................................................................................................................... 95
Features of the User Settings Screen: .................................................................................................... 95
v
System Configuration.................................................................................................................................. 97
System Settings....................................................................................................................................... 97
Changing the Image Processing Settings................................................................................................... 99
Changing Password Policy Settings ......................................................................................................... 100
Password Policy .................................................................................................................................... 100
Set the following: ................................................................................................................................ 101
Changing the Worklist Columns................................................................................................................ 102
Changing the Display Settings.................................................................................................................. 104
Changing Window/Level Presets .............................................................................................................. 105
Adding/Editing a Window Width and Window Center Preset ................................................................ 106
Deleting a Window Width and Window Center Preset .......................................................................... 107
Changing the Overlay Settings ................................................................................................................. 108
Changing the Print Settings ...................................................................................................................... 109
Changing the Rule Settings ...................................................................................................................... 110
Image View.................................................................................................................................................111
View Overview............................................................................................................................................111
Image View Screen ................................................................................................................................... 112
Features................................................................................................................................................. 112
Selecting Images....................................................................................................................................... 114
Selecting a Single Image ....................................................................................................................... 114
Selecting Multiple Images...................................................................................................................... 114
Selection Tools ...................................................................................................................................... 114
Image Operation ....................................................................................................................................... 115
Image Processing at the Workstation ....................................................................................................... 117
Reprocess Using the Body Part Tab ..................................................................................................... 118
Image-Changing Options....................................................................................................................... 118
Saving Changes with the Advance Tab................................................................................................. 119
vi
Table of Contents
Edit Mask................................................................................................................................................... 120

Annotating Images at the Workstation ...................................................................................................... 121
Deleting an Annotation .............................................................................................................................. 123
Playing the Cine ........................................................................................................................................ 124
Printing, CD Burning, Archiving................................................................................................................. 125
Print Panel Overview................................................................................................................................. 125
Using the Print Controls ............................................................................................................................ 127
Printing the Image ..................................................................................................................................... 130
Paging Tools.............................................................................................................................................. 132
Page Navigation .................................................................................................................................... 132
Page Controls ........................................................................................................................................ 132
Removing Image(s) from the Layout: ................................................................................................. 132
Delete Page ........................................................................................................................................ 132
Add Page ............................................................................................................................................ 132
Clear All .............................................................................................................................................. 132
Auto Clear Frame ............................................................................................................................... 132
Print Job Management .............................................................................................................................. 133
Job Queue Self-maintenance ................................................................................................................ 134
Multi-format Printing .................................................................................................................................. 135
Filtering Print Jobs .................................................................................................................................... 138
Job Status .............................................................................................................................................. 138
Job Priority ............................................................................................................................................. 139
Job Control, Priority, and Print Status Relationships............................................................................. 139
Job Controls........................................................................................................................................... 139
Print Configuration .................................................................................................................................... 140
CD/DVD Direct .......................................................................................................................................... 141
Opening the Study List .......................................................................................................................... 141
Viewing Images ..................................................................................................................................... 142
Image Tools ........................................................................................................................................... 143
Selection Types ..................................................................................................................................... 144
vii
Split and Layout ..................................................................................................................................... 144

Exporting Images ...................................................................................................................................... 145
To export images to a CD/DVD: ............................................................................................................ 145
Export Options .......................................................................................................................................... 147
Export Window .......................................................................................................................................... 148
Server Transfer List................................................................................................................................... 149
Export Procedure................................................................................................................................ 150
Archiving Images....................................................................................................................................... 151
To burn images from the Database PreCD (CD Buffer) to the CD:....................................................... 151
Restoring Archived Images ....................................................................................................................... 152
Transferring Images .................................................................................................................................. 153
Local Export List .................................................................................................................................... 153
Unassigned Images .................................................................................................................................. 155
Assigning Patient information to an Unassigned image ........................................................................ 155
Report Management ................................................................................................................................. 156
How to write a report from the Image View Toolbar .............................................................................. 156
Report Toolbar....................................................................................................................................... 156
Editing a Report ........................................................................................................................................ 158
Using Reports............................................................................................................................................ 159
Creating a Report .................................................................................................................................. 159
Archiving a Report ................................................................................................................................. 159
Cassette Handling and Scanning.............................................................................................................. 161
Cleaning Cassettes ................................................................................................................................... 161
To clean storage phosphor screens: ..................................................................................................... 161
Supported Cassettes................................................................................................................................. 162
CR Cassettes......................................................................................................................................... 162
Cassettes for the KODAK Point-of-Care Image Processor ................................................................... 162
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Table of Contents
Processing a Cassette .............................................................................................................................. 163

Using the Classic CR System ................................................................................................................... 164
Loading a Cassette................................................................................................................................ 164
Local User Interface Main Menu ............................................................................................................... 165
Using the Point-of-Care System ............................................................................................................... 169
Scanning to Acquire an Image .................................................................................................................. 170
Append/Replace Mode .......................................................................................................................... 171
Hanging Protocol ................................................................................................................................... 171
Improving Image Acquisition Techniques.................................................................................................. 174
Guidelines for Good Exposures............................................................................................................. 174
Scanning Additional Views for the Same Body Part ................................................................................. 175
Troubleshooting......................................................................................................................................... 176
Screen Freezes, Cursor Hangs................................................................................................................. 176
Cannot Make the Toolbar Work................................................................................................................. 176
LLI Composite Image Does Not Form ...................................................................................................... 176
Blocking Uncollimated Radiation .............................................................................................................. 176
System Management ................................................................................................................................ 177
Launching the Management Panel ........................................................................................................... 180
Changing the System Settings.................................................................................................................. 182
Time Limits............................................................................................................................................. 182
Hospital Information............................................................................................................................... 182
Export Settings.......................................................................................................................................... 184
Import Settings .......................................................................................................................................... 185
Archiving Files........................................................................................................................................... 186
System CD Buffer List ........................................................................................................................... 186
Read CD Task List................................................................................................................................. 187
Task Processing ................................................................................................................................. 187
Transferring Images .................................................................................................................................. 188
Local Export List .................................................................................................................................... 189
ix

Configuring Hot keys................................................................................................................................. 190
Adding a Hot key/Right Click ................................................................................................................. 190
Deleting a Hot key ................................................................................................................................. 190
Assigning a Hot key to Launch a Panel................................................................................................. 190
Hanging Protocols ................................................................................................................................. 190
Long Length Imaging ................................................................................................................................ 191
LLI Portable Imaging System Overview.................................................................................................... 192
Specifications......................................................................................................................................... 192
CARESTREAM CR Long-Length Grid...................................................................................................... 193
Optimizing Long-Length Image Quality..................................................................................................... 194
Exposing the CR Long-Length Portable Cassette .................................................................................... 195
Scanning the CR Long-Length Portable Cassette .................................................................................... 198
Disposing of the CR Long Length Cassette.............................................................................................. 199
Loading the Portable Cassette.................................................................................................................. 200
Wall-Mounting the Portable Imaging System ............................................................................................ 202
Removing the Long-Length Cassette ....................................................................................................... 203
Moving and Storing the Portable Grid ....................................................................................................... 204
Mammography Feature............................................................................................................................. 205
Mammography Exam Overview ................................................................................................................ 205
Acquiring Mammograms ........................................................................................................................... 206
Applying a Marker to a Mammogram........................................................................................................ 207
Printing Mammograms .............................................................................................................................. 208
What is a Mammography View? ............................................................................................................... 209
The CR Mammography Feature ............................................................................................................... 210
Understanding the Mammography Imaging Chain ................................................................................... 211
Glossary .................................................................................................................................................... 212
Index.......................................................................................................................................................... 215
x
CARESTREAM Image Suite Software Online Help
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, Inc. 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 any use of this information, even if loss or damage is caused by Carestream Health's negligence or other
fault.
This equipment includes parts and assemblies sensitive to damage from electrostatic discharge. Use caution to prevent damage
during all service procedures.
CARESTREAM, DIRECTVIEW, and DRYVIEW are trademarks of Carestream Health, Inc.

The Kodak trademark and trade dress are used under license from Kodak.
26 April 2010
P/N 2G8833
Carestream Health, Inc.

150 Verona Street
Rochester, New York 14608
1
Getting Started
About the Online Help System
This Online Help provides two ways of locating information:
 Use the Contents feature to find the information you need easily and quickly.
 Use the Search feature to type in specific words or questions to search for additional information.
To use this Online Help:
 Select the blue text to display an image or illustration. Select the text again to close the window.
 Select the underlined blue text to link to another topic for additional information. Select the Back arrow to return to the previous screen.
Document Conventions
The Online Help uses the following messages to emphasize information or potential risks to personnel or equipment:
Notes provide additional information, such as expanded explanations, hints, or reminders.
Importants highlight critical policy information that affects how you use this information and this product.
Cautions point out procedures that you must follow precisely to avoid injury to yourself, others, damage to the system or
any of its components, loss of data, or corruption of files in software applications.
2
Getting Started
Contacting Carestream Health, Inc.

Before you contact Technical Support for help, see one of the department's trained personnel to solve the problem.
If you need further assistance, in the United States and Canada contact the Technical Service Center at 1-800-328-2910.
Authorized European Representative

Carestream Health France
LES MECURIALES
40, rue Jean Jaures
93176 BAGNOLET CEDEX
France
3
Image Suite Overview

CARESTREAM Image Suite software provides a low-cost platform for health imaging management and patient/study data
administration in the hospital. Image Suite software is a self-contained radiographic imaging system designed to meet the need of
small clinics.
The Image Suite hardware consists of one radiographic image capture device attached to a personal computer (PC) workstation with
either a standard or a high-resolution monitor.
The image capture device is accessed either by the CARESTREAM Image Suite for Classic CR or CARESTREAM Image Suite for
Point-of-Care 140/360.
CARESTREAM Image Suite software lets you enter patient information, follow workflows, acquire images, display a patient study,
process, print, route, quality control, archive images, as well as write and print reports. It also serves as a Web Server to support web
clients to distribute images for quick viewing and diagnosis.
CARESTREAM Image Suite software employs Enhanced Visualization Plus (EVP) image processing software to enhance the image
quality and provide the maximum flexibility for users by adjusting the parameters and getting the best display.
Do not install game software or any third-party software on the system. Deleting any files in the system may result in a malfunction.
CARESTREAM Image Suite Software
The following software is available for purchase:
 CARESTREAM Image Suite/for Classic CR
 CARESTREAM Image Suite/for Point-of-Care 140/360
 Web Viewer 4 License Bundle/for Image Suite
 Web Viewer 2 License Bundle/for Image Suite
 Web Viewer Single License/for Image Suite
 DICOM Store SCP Software/for Image Suite
 Clinical Support Software/for Image Suite
 Web Appointment Multiple Instance Software/for Image Suite
 Long Length Imaging Software/for Image Suite/ for Classic CR Reader
 Mammography Feature Software/for Image Suite for Classic CR (outside US only)
4
Getting Started
Specifications
Hardware Intel PIV 2.53 GHz CPU or equivalent
512 MB RAM
CD/DVD writer
100/1000M NIC
17 in. monitor
Modem
Recommended Hardware Intel PIV 3.0 GHz CPU
1 GB DDR RAM
40 GB + 80 GB hard disk
CD/DVD writer
10/100/1000M NIC
17/19 in. LCD monitor
1 GB DDR
Modem
Recommended Operating System MICROSOFT WINDOWS XP Professional SP3
Operating Environment Limits Temperature: -5 to +40°C (23 to 140°)
Relative Humidity: 40 to 80%

Voltage: 200 to 240V DC
Keep away from places subject to environmental conditions
(chemicals, gas, etc).
5
Media A CD is the software media.

The CD should have no exterior distortion or scrapes.
The CD cover label should be visible and clear.
6
Getting Started
Image Suite Components

Components consist of a personal computer (PC) and monitor.
The Image Suite workstation is networked with up to 8 computers for the Web Viewer.
The medical facility selects a capture device such as the KODAK Point-of-Care reader or a KODAK DIRECTVIEW Classic CR
System.
The capture device is networked to the Image Suite workstation.
7
Typical Workflow
1. Through the existing network, the Receptionist uses a computer to access the Image Suite workstation (by the Web Viewer) to enter patient and
exam information.
2. The Radiographer takes an X-ray of the patient.
 Uses the Image Suite workstation or Web Viewer for Image Suite to access patient or exam information or change the entry.
 Makes the exam active at the workstation.
 Processes the cassette in a Point-of-Care reader or Classic CR System.
3. The software associates the image with the active patient order.
The image is available at the Image Suite workstation and the Web Viewer for Image Suite.
4. The Radiologist or Physician reviews, prints, archives, and routes the study from either the Image Suite workstation or Web Viewer for Image
Suite.
The Web Viewer client has limited functions compared to the Image Suite workstation. Reports, printing, archiving, and adjustments
to the image processing must be done from the Image Suite workstation. Physicians can use other Web Viewers (maximum of 8
Web Viewer clients) to review images and reports.
See Also:
Web View Description

Web Viewer Toolbar
Using the Classic CR System
Using the Point-of-Care System
8
Getting Started
Logging into the System

The features that are available vary with the User Roles and responsibilities.
Before you can log into the system, a User Account is required. Only the Administrator can set up User Accounts, User IDs, and
passwords.
1. Turn on the computer to start the system.
The login screen appears.
2. Input your user name in the User Name field.

3. Input your password in the Password field.
4. Select a login role (Radiographer, Physician, or Administrator) on the Role drop-down list.
5. Click Login.
9
See Also:
Logging Out of the System
10
Getting Started
Logging out of the System

You can log out of the system manually, or automatically.
Manual Logout
1. Click Log out in the bottom right corner of the system tray.
2. Select Log out on the pop-up menu.
Automatic Logout
The Administrator specifies a "wait" time that causes the system to log out automatically after a set period of inactivity.
To log back into the system:
1. Type your user name in the User Name field.
2. Type your password in the Password field.
4. Click Login.
See Also:
Logging Into the System
11
Locking the Screen

If you want to stay logged into the system, but need to step away from it for a while, you can lock the system and "save" your place.
1. Click Logout in the system tray and select Lock Screen.

The Lock Screen dialog box displays.
2. To return to the system, click Unlock.

The Unlock screen dialog box displays.
12
Getting Started

4. Click OK.
See also:
Changing Roles
13
Changing Roles
You can change Roles from the Logout menu by clicking on a role without logging out.
1. Click the Logout button in the system tray.
The Logout menu appears.
3. Click OK.
14
Getting Started
Changing Privileges
To change your password or access levels, select System Management>User Profile Management.
User Management Screen
See Also:
Changing Roles
System Management Overview
Launching the Management Panel
15
Overview of the Radiographer/Physician Roles

The roles of Radiographer and Physician grant the same access to those users. The appearance of panels, icons, and permissions
are also the same.
The control bars consist of the panel launch bar, status bar, and system tray.
System Control Bars
Panel Launch Bar
Butto Name Description

n
Worklist Click to display the Worklist and bring it to the front of the screen. The
Worklist is a list of all of the patients who have had scans.
Image View Click to display the Image View panels and bring them to the front of the
screen. The Image View Panels let you load, view, and change images.
System Click to display the six System Management menu items. System
Management Management lets you change roles and responsibilities, and configure the
system.
Image Export Click to display the Transfer Panel. The Transfer Panel lets you transfer
images to CD/DVD or a USB drive.
Image Import Click to display the Image Import utility. Image Import lets you import
images and documents into the Image Suite System.
16
Getting Started
Image Archive Click to display System CD Buffer List. The CD Buffer list lets you archive
images to CD/DVD.
Report Panel Click to access the seven Report menu functions, including Open, Archive,
Save and Print report, Diagnosis Template Explorer, Diagnosis Template
Management, and Print Template Management.
Status Bar
Button Name
Status Information displays
the current activity and
response from the Image
Suite Software.
Current Used Space click
to display the space used
and available for information
on the hard disk.
Communication Indicator
click to display a blue icon
when the Image Suite
system is connected to the
network.
17
System Tray
Button Name Description

Minimize Click to minimize the application. This icon lets you
access the desktop. The screens in the application are
in the same place when you resume activity.
Auto Hide Click to hide the system tray.
Lock When red and closed, this padlock the panels on the
Panels screen do not change position while the user is logged
on. When the image is blue and the lock is open, you
can move the panels on the screen with the mouse
and reposition them.
Help/About Click to display context sensitive Help topics for
software for Image Suite. You can also view the
software version, license, and a list of embedded
software.
Logout Click to display a logout menu that lets you change
modes easily, exit to desktop, lock the screen, and
shutdown the application.
System Displays the computer time.
Time
See Also:
Changing Roles
Changing Privileges
Locking the Screen
18
Patient Registration
Registering a Patient
At the Web Viewer for Image Suite:
1. Receptionist Role:
The Receptionist mode registers patient/exam entries. It is only available in the Web Viewer in the Web Appointment screen.
Patient information is accessed from any of eight Web Viewer clients or at the Image Suite workstation.
The Create Order screen appears.
2. Enter the patient information on the Create Order screen. Rows containing required fields are outlined in red. You cannot complete an order if
these fields are left blank.
3. Select Save Order, Save and Next, or Clear Fields.
19
The Receptionist searches for an existing scheduled order by selecting a Date Range, or filtering to reduce the search on the
Search Order screen.
At the Image Suite workstation:
1. Type your user name in the User Name field.
3. Click Login.
4. Select Worklist if the Worklist does not display.

5. Click Scan.
6. Select the Create Order tab.
7. Enter the patient information.
8. Click Save.
20
Editing Patient Information

There are three ways to update patient information:
 Update the patient order in Web Appointment, through the Web Viewer client.
 From the Worklist screen, select Tag Edit on the drop-down menu to enter the Patient Edit window. Tag Edit lets you edit all patient
information except Patient ID, Accession Number, and Study Series Date and Time.
 Apply the Modality Worklist (MWL) patient information.
You can also use the Modality Worklist to search for an existing patient record to replace with the existing information. The
Modality Worklist icon appears when you click from the tool bar.
1. Click Modality Worklist.

The Modality Worklist screen displays.
21
2. Search for a patient in the Modality Worklist.

3. Select the record in the list.
4. Select Apply.
5. Select Return.
The patient information in the Patient Edit window updates immediately.
6. Select Save.
22
Unassigned Images
Unassigned images occur when a cassette is scanned before the exam order is Active. The image displays in Image View after
scanning, but without the correct patient information. The Worklist displays the study as unassigned in the Patient ID field and Last
First in the Patient Name field.
Assigning Patient information to an Unassigned image
1. Create a patient record if one has not been created.
2. Highlight the unassigned record on the Worklist.
3. Select Tag Edit.
4. Select MWL (Modality Worklist) .

5. Search for the existing patient record by entering information in the Patient ID or Patient Name field.
You can achieve broader results by placing an asterisk (*) in front of the search criteria.
6. Click Search .
7. Find and select the correct patient study and click Apply .
8. Click Return .
9. Click Save .
10. The correct information is assigned to the image.
11. Unload the image from Image View and reload it to the View panel to see the correct information associated with the image.
12. Reprocess the image with the correct body part and View position.
See Also:
Scanning to Acquire an Image
23
Optimizing the Exam
Determining the Exposure Index
What is the Exposure Index (EI)?
 The Exposure Index (EI) is the average code value for the area that the image processing software determined was the Region of
Interest (ROI).
 If the system used the incorrect ROI, the EI value may be inaccurate.
 The EI is affected by exposure, kVp, collimation, the View chosen for processing, and filtration in the X-ray tube.
 Under standard X-ray beam conditions, 80 kVp with 0.5 mm Cu and 1.0 mm Al filtration at the tube, the relationship between EI and
the cassette incident exposure level mR is EI = 1000 x log 10 (mR) + 2000.
For example, at 1.0 mR exposure level, the EI should be 2000. Every time the dose is doubled or halved, the Exposure Index will
increase or decrease by 300.
Use EI as a guide, not as an absolute value.
What should the EI value be?
Users should define the exposure techniques for acceptable image quality, then define the EI range guidance for a variety of exam
types. Typical EI ranges can be from 1500 to 1800.
What if the EI is too low?

If the EI is too low make sure that these kVp guidelines are used:
 Make sure that the image quality is acceptable for diagnosis. If not, try adjusting the image quality controls first.
 Use a minimum of 55 kVp on extremities.
 Use 85-90 kVp for average-sized, non-grid portable chests.
 Because the EI is calculated by image processing algorithms, it is possible that the processing has failed to correctly report the EI.
 A lower EI may mean that the exposure factors were not adequate, and the image will be noisy, grainy, or mottled.
What 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.
24
Optimizing the Exam
 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.
Why does my image look light when the exposure is high?

A light image could be caused by:
 An excessive dose that could cause image processing to fail.
 Misidentification of the region of interest. The EI is the average code value of the Region of Interest if the direct exposure regions have
been identified as the Region of Interest.
Why is the EI so high? I did not overexpose it.

A high EI may be caused by a misidentification of the Region of Interest in the image processing.
Reasons for this may include:
 excessive scatter
 poor collimation
25
Viewing Images for Quality Assurance
Viewing Images
Image View is the area where the Physician Role optimizes views, evaluates and delivers the patient images.
1. Click Image View on the panel launch bar to bring the Image View panels to the front of the screen.
2. Click the icon on the bottom left side of the View Panel to display or hide the View Panel buttons.
Layout Selection
To facilitate image viewing you can select different page layouts.
1. Click Grp Layout (Group Layout) or Layout on the View panel.
2. Select a layout on the drop-down list such as: 1x1, 2x2, 2x3, etc.
Image View arranges the loaded images using the selected layout.
26
Viewing Images for Quality Assurance
Image Tools
The Image Toolbar provides various tools for viewing and enhancing images.
 Click the Image View button on the panel launch bar to display the Image Toolbar panel.
See also:
Image Suite Workstation Toolbar
Page Navigation
To navigate through pages, click the corresponding page buttons.
For example, click the page button numbered "1" to display the first page, and the page button numbered "2" to display the second
page. Three navigation buttons are shown at a time.
 To show more page buttons, click the Back or Forward arrows to scroll through the images.
 Click the X button to clear all images.
 Press the PgUp or PgDn keys on the keyboard to scroll through the pages of images.
Combining Windows
You can combine two windows so that they can work as one window.
1. Press Shift/Ctrl and click on the two windows to select them. A green highlight appears around the border of the selected windows.
2. Click Combine to link the windows.
3. Click Separate to remove the link.
After linking, paging operations affect both windows for the zoom and W/L operations, while holding down the Ctrl key.
27
Working with Images in Image View
Using Image View Features
Changing the Layout of the View Panel
1. Select the grouping Tab at the bottom of the View panel.
2. Select a layout with which to view the image(s).
A layout of 2x1 divides the panel in two.
Adjusting the Image Quality
Changing the Image Processing Parameters
28
Image Processing Adjustment

EVP Plus Software provides an image processing method that lets the system parameters provide independent control of important
image quality attributes such as:
 Brightness
 Latitude
 Contrast
 Sharpness
 Noise Suppression
To adjust these powerful parameters, select an image in Image View and select the Image Processing icon .
There are five tabs displayed in the Image Processing Adjustment Tab:
Brightness Tab
Sharpness Tab
Body Part Tab

Options Tab
Advanced Tab
29
Brightness Tab
The Image Processing Brightness Tab lets you make an image lighter or darker, change contrast, brightness, and latitude. To
make these changes, move the sliders back and forth on the tab while you watch the resulting changes in the image in the View
panel.
 Latitude—Controls the number of shades of gray visible in the image. Increasing the latitude increases the number of gray levels,
making deep blacks and bright whites less apparent. You may want to increase the latitude if important anatomical information is in the
black or white region of the image and it cannot be seen clearly.
 Contrast—The degree of difference between the lightest and darkest areas of an image. Increasing detail contrast makes anatomical
features more pronounced. You may want to decrease detail contrast in images with metallic prosthesis if dark borders appear around
the implant. Detail Contrast controls the local contrast of medium-sized structures such as joint spaces, vertebral body spacings, or
ribs.
See Also:
Processing Adjustment
30
Sharpness Tab
The Image Processing Sharpness Tab lets you control the definition of the edges.
 Noise—Controls the appearance of quantum noise in areas of low exposure.

 The Enable Noise Suppression check box turns Noise Suppression ON or OFF.
To change the amount of sharpness or noise suppression, move the sliders.
See Suppressing Noise.
See Also:
31
Body Part Tab

In the Image Processing Body Part tab, select a different body part and projection to use to reprocess the selected image. The
parameters of the new body part quickly reprocess the image.
See Also:
32
Options Tab
Options Tab
In the Options tab, you can enable Black Surround Mask Software, set the mask to black, enable Grid Suppression, and set the Noise
Suppression level.
See Also:
Working with Black Surround Mask
Grid Suppression Software.
33
Advanced Tab
In the Advanced tab, the settings that result from your changes in Processing Adjustments can be:
 saved and used as the default for each body part and position
 reset to the previous customer default settings
 used to reset the selected body part/position back to factory default settings.
See Also:
34
Noise Suppression Software

Noise is defined here as unwanted density that appears in low exposure areas of an image. Noise 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 Administrator 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, move the slider on the Image Processing control.
 This feature selectively applies a Noise Suppression algorithm to only those areas of the image with low exposure.
 When you apply Noise Suppression, the improved low exposure areas appear clearer and smoother.
See Also:
35
Black Surround Mask Software

Black Surround Mask Software causes the unexposed areas around the image to be displayed black and makes soft tissue and
low contrast detail more visible. Mask placement normally corresponds to the placement of collimator blades.
1. Click Edit Mask to manually apply the mask to the image.
2. The first time you use Edit Mask, you must click four places on the image in order to create a Crop Box.
3. After you create the Crop Box, drag the corners or sides to adjust the box and the resulting Mask will follow the Crop Box pattern.
4. When the box is in position, click Edit Mask again to apply the Mask.
See Also:
36
Grid Suppression
Grid Suppression Software can reduce the effects of grid lines and moire artifacts. It is very effective when used with grids of 103
lines per inch, but very limited when used with stationary grids at higher than 103 lines per inch. Therefore, we recommend using
grids at 103 lines per inch or less.
You can also use your department’s specification for using stationary grids. This recommendation does not apply to reciprocating
grids. With reciprocating grids you can use any grid ratio.
37
True-size Printing
True-size produces the same size image you would get if you were using a film-screen system. 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.
Use the Monitor Calibration tool in Image View to calibrate the distance in both the horizontal (x) and vertical (y) directions of a
known-sized object (such as a radiographic ruler) in the image. This is done to calibrate Image View measurement tools with a
known source in the image.
See also:
Monitor Calibration
38
Monitor Calibration
To use the Monitor Calibration utility:
1. Expose a cassette with a known marker (such as a radiographic ruler) in the image, so that measurements can be defined in both the horizontal
(x) and vertical (y) directions.
2. Process the cassette.
3. Load the image in Image View.
4. Select the Monitor Calibration tool from the toolbar.
5. Select the Horizontal direction to define the horizontal distance of the known marker in the image. To do this, hold down the left mouse button to
define the starting point and then release the button on the end point.
6. Input the real value of the known marker in the dialog box.
7. Repeat steps 4–6 for the Vertical direction.
8. Verify the calibration process by using the Ruler measurement tool to measure the horizontal and vertical directions of the known marker in the
image.
The results should match the real values that were input in the horizontal and vertical directions.
See Also:
39
Image Preview
1. Click the Patient or Study button to select a patient or a study.
The drop-down list has the following options:
Patient Drop-Down Tab Study Drop-Down Tab
Once a patient or a study has been selected, the Thumbnails List shows all the images of the selected patient or study.
2. If the number of thumbnails exceeds the preview capacity, click Page Selection to switch between pages.
3. Click the back or forward arrows to show more than four pages.
4. To switch to another series, click Select Series.
The Series Bar can show only three series buttons. Click the back or forward arrows to show more.
40
Worklists
About the Worklist
The Worklist is a list of patients that have been scanned. If you are searching for a patient that has not been scanned yet, select the
Scan button and use the Search Order tab on the Exam Order List.
The Worklist you see depends on the criteria you search by. For example, if the Study date is TODAY, the Worklist will return a list
of patient scans only done today.
The Administrator, Radiographer, and Physician each have access to the Worklist. The function buttons across the top of the
Worklist become active when you select a patient.
 Click Worklist on the panel launch bar to open the Worklist.

The Worklist consists of five areas:
 Toolbar
 Query Shortcuts List
 Image Preview
 Studies List
 Series List
The hierarchy for patient records to final image files is Patient >Study >Series >Images. Each level can have several sub-levels.
 You can configure the Query shortcut to search for specific criteria.
 Use the Edit Query button to modify the existing query or to create additional query shortcuts.
 Save the new/modified queries on a User basis.
 Use the arrow buttons on the upper right screen to scroll for additional patient records.
 DICOM CD lets you browse the CD for images.
Other Worklist Functions
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Load Image Click to load the image(s) for that study into Image View
Load Key Image Click to load a designated image in the study.
Edit Shortcut Lets you edit the shortcut that appears in the left pane of the Worklist.
42
Worklists
Transfer Images Set destination, name, and compression of image transfer.
Delete Study Click to delete complete study after providing reason.
Reserve When an image in the Worklist is selected, clicking the Reserve button
places it on Reserve, or unavailable.
Unreserve
Clicking the button displays Unreserve, or available.
Merge Study Lets you merge two studies together. Click to display a query screen.
Input Patient ID, Name, and/or gender and search . Clear results to
search again.
Tag Edit Edit the DICOM tags for the study selected from the Worklist. Click the
icon to display a pop-up form for editing patient's name, study, and series.
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Change Edit the image number or image order manually for the selected series.
Series/Image Order Select a patient study from the Worklist and click the icon to display a
pop-up form. A preview of the images displays.
Refresh Updates all studies in the Worklist that have had changes since the last
refresh.
Image Replace Append adds the selected patient or study loaded from the Worklist to
Mode the Patient or Study that is currently loaded in Image View. Replace
replaces the patient or study that is currently loaded in the Image View,
Image Append
with the selected patient or study loaded from the Worklist.
Mode
Scan This button indicates your intention to scan the patient. It opens the Exam
Order List, where scanning takes place.
You can load studies into the Worklist by highlighting the patient order and selecting the Load image button. Rows of fields marked
with red outlines must be filled in or the order will not process.
Select Create Order to enter new patient records.
See also:
44
Worklists

Worklist Buttons
Tag Edit
Query Shortcuts
Changing the Query Key Name List
Deleting a Query Key Name
Doing a Quick Search
Study and Series Lists
Changing the Image Number
45
Worklist Buttons
Load Image Load the images for the selected studies.
Load Key Image Load only key images (with a key mark) for the selected studies.
Edit Shortcut Lets you change the existing shortcut. You can use the up and down
arrows on the left panel to rearrange multiple shortcuts in the list.
Transfer Images Transfer images to another workstation or 3rd party PACS. This function
only supports DICOM format. The standard compression is lossless.
After you transfer, you can see it in the transfer panel (Image Export
button).
Delete Study Used to delete a study from the Worklist and requires adding a reason
for deleting a study.
This action cannot be undone for normal users. The system administrator can
restore the images.
Reserve Protect the selected study from removal.
Unreserve Remove the protection for the selected study.
Merge Study Search for the correct patient so a study can be merged into the correct
patient’s study records.
Tag Edit Edit the patient and study information for the selected study.
46
Worklists
Change Series/Image Renumber the series or images for the selected study.
Order
Refresh Reload the query results from the server.
Replace/Append Mode switch toggles between Replace and Append modes:

 Replace: The current study shown in the Navigator will be replaced with the
loaded study.
 Append: A newly loaded study will be added after the current study shown in
the Navigator.
Save Query Save the query shortcuts.
Scan Launches the Exam Order List.
Page Scroll Scroll additional pages of the Worklist.
See Also
About the Worklist
47
Tag Edit
You can use Tag Edit after image processing to correct patient/exam information.
1. Select the patient record.
48
Worklists
2. Select Tag Edit.

3. Correct the patient information.
4. Select Save.
You can use Tag Edit if images were scanned before making a patient record "active" on the CR Classic System. The patient record
displays Unassigned in the Patient Name field.
You can also select the Modality Worklist to locate patient information .
See also:
Unassigned Images
49
Changing the Image Number

1. In the drop-down menu, click Change Series/Image Order to enter the Edit window.
2. Click Manual Edit to change the image order.
3. Click the list header to switch between Sort Ascending and Sort Descending.
See Also:
About the Worklist
50
Worklists
Query Keys
The buttons located on the upper left side of the Worklist under the shortcut are called Query Keys. You can combine preset criteria
into one Query Key which lets you quickly do a search with one click of a button. You can create a maximum of 64 query keys.
To create a Query Key:
1. Click Edit Shortcut.
The Edit Shortcut dialog box appears.
2. Type a name for the new query key in the Shortcut Name field.
The length must be less than or equal to 24 bytes (CR/One Month).
3. Specify the following query standards:
 Site Select: Select the shortcut query limits (e.g., Local, other PACS, or DICOM CD).
 Study Date: Select the query period (e.g., within one month).
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 Modality: Select the modality used for the study (e.g., CR).
 Body Part: Select the body part to query (e.g., Chest).
 Status: Select the status of studies to query (Printed, Unprinted, Notprinted, Reserved, Unreserved, Read, Unread,
Inconsistent).
 Image Source: Select the study source (e.g., All local or All Remote).
4. Click Save.
The new quick query button appears in the Query Key Name list.
5. Click Return.
You are returned to the Worklist screen.
The query keys appear in the Query Key bar in the same order as the Query Key Name List. Only four buttons are visible at a
time. If the new query key does not appear, you can change its order in the Query Key Name list by clicking the back or forward
arrow.
6. Click the shortcut name to find the desired query (e.g., CR/One Month).
You cannot view more than 20,000 records for one query. There are 20,000 records per section. If the query result contains more
than 20,000 records, the system will ask you which section you want to view.
See Also:
About the Worklist
52
Worklists
Changing the Query Key Name List
1. Click Edit Shortcut .

2. In the Edit Shortcut dialog box, input the desired shortcut name.
3. Make the desired changes to the query criteria using the drop-down lists on the screen.
4. Click Save to save your changes.
5. Click New to edit another shortcut.
6. Click Return to exit the screen.
53
Deleting a Query Key Name

1. Click Edit Shortcut.
2. In the Edit Shortcut dialog box, highlight the desired query key name in the Query Key Name list.
3. Click Delete.
4. Click Return.
See Also:
About the Worklist
54
Worklists

If you already have some patient information (ID, name, etc.), you can perform a Quick Search query instead of creating query keys.
The first row of the Study List is the Quick Search field.
The fields marked with asterisks (Printed, Modality, Study Date, Body Part, Reserved, Read, NetAEName) must contain information.
You can build combined queries and save them as shortcuts.
 Enter search keywords in one or more Quick Search fields.
Enter an asterisk (*) for a wildcard search.
The following characters are not allowed:
o single quotation mark (’)
o double quotation mark (")
o backslash (\)
o percent (%)
The search results will appear in the Study List.
55
Series Lists
 Click a study record to show its related series records in the Series List.
The following information appears:
o Serial No.
o Modality
o Body Part
o Series Description
o Series Number
o Number of Serial Related instances
o Series Date
o Series Time
o NetAEName
See Also:
56
Worklists
Image Preview
Before viewing images, the physician must load images from the study record.
Button Description
Click the arrows to move from image to image. Forward and Back
Arrows
Click to display the entire series. All Series
Click to display each page of images. Page one and two
57
Click to cancel the last request, or indicates Ready/Cancel

Ready.
Click to append images or select an image and Append/Replace

click to replace.
Click to remove all images from the Viewer. Unload All
1. Click the Patient or Study button to select a patient or a study.

The drop-down list has the following options:
Patient Menu Study Menu
Linda Smith/PAT000001 Linda Smith/20091120/accno000001
View selected patients View selected studies
View key images of selected patients Send selected studies to...
Export selected patients Unload selected studies
Send selected patients to... Load all images for selected studies
Unload selected patients
Load all images for selected patients
Once a patient or a study is selected, the Thumbnails list shows all of the images in the first series.
2. Click Patient to select a patient on the Patient ID list.
3. Click Study to select a study on the Study ID list.
4. If the number of thumbnails exceeds the preview capacity, click Page Selection to switch between pages.
5. Click the back or forward arrows to show more than four pages.
6. To switch to another series, click Select Series.
58
Worklists
The Series bar can show only three series buttons. Click the back or forward arrows to show more.
7. Click Hanging Protocol to choose a hanging type.
For more information about hanging protocols, see Changing the Display Settings.
The Replace/Append button lets you choose whether to replace the current images or add after the current images when hanging
new images.
59
Using the Web Viewer
Web View Toolbar
Web View features display additional choices in the Toolbar. Some buttons have dark or white triangles in the corners of the icon. If
you pass the mouse over these buttons, additional related features will appear. For example, passing the mouse over the 2x
magnification icon may reveal a 4x or 8x magnification icon. Selecting the Angle icon will reveal seven additional selections, as
shown.
Button Name Description Name Description
Select Image Click to select text Text Click to insert a text

or images marker
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Reset Reset Ruler Click and drag to

transformation another point to
such as flips or measure a distance
zoom
Pixel Value Click to measure Flip Horizontal Flip the image
Measurement pixel value horizontally
Pan Move the image Flip Vertical Flip the image vertically
Invert Reverse the W/L Click to adjust contrast

polarity and brightness values
Select All Make changes that ROI W/L Calculates the pixel
affect all images value for the region
defined and adjusts the
W/L automatically
Rotate CCW Rotate 90° Zoom Click to enlarge the
counter-clockwise view of the image
Rotate CW Rotate 90° ROI Zoom Zoom in on the Region

clockwise of Interest
Angle Click, drag, and Magnifier X2 Magnify the image by 2
click to create an
angle
Cobb Angle 1. Click on a start Fit Width Fit the image to the
point width of the window
2. Drag to create one
side
3. Click to end the
side
4. Drag to create
another side
61
5. Click to end the

side
6. Repeat steps 1 - 5
Arrow Click to insert an Fit Window Fit the window to the
arrow screen
Rectangle Click to draw a Show Annotation Click to display
rectangle annotations made in
the image
Select Click to select an Show Ruler Click to show ruler
Annotation annotation marks at the edge of
the screen
Stamp Click to insert a
stamp in the image
See Also:
62
Web Appointment
The Web Appointment screen appears in Web View. It is used by the Receptionist to enter patient and exam information. Once the
information is saved in Web View, it can be accessed from the Search Order tab in the Image Suite Workstation.
Create Order Tab
The Receptionist role uses the Create Order Tab to enter patient and exam information.
Rows with required fields are indicated by a red outline. A patient order cannot be processed if the required fields are not completed.
The Accession Number is generated automatically and cannot be edited.
The prefix can be configured by the Administrator.
63
Search Order Tab

Use the Search Order Tab to locate studies that are scheduled but have not yet been processed. Use the Query icon
to begin the search after entering the search criteria.
The Receptionist can search for an existing scheduled order.

Each column in the Search Order Tab is a filter that can be used to narrow the search. Input the name, or patient ID, for example,
and the search results will be more specific. Use * for a global search.
In each column, you can perform a search by using a character that was contained in the corresponding patient information. The
result will quickly narrow your search. For example, if you wanted to find PIN1234, you could input PIN1 to narrow the search.
All Roles can enter and search for scheduled orders in the same way that the Receptionist can.
See Also:
64
User Level Configuration

All of the Roles except the Receptionist can access the User Level Configuration to set up their own toolbars and Hot key/Right-Click
functions.
Each user has access to the following User Level Configurations:
 User Level DICOM Viewer Toolbar Group setting
 User Level Hot key & Right-Click Menu setting
At the Web Viewer client, log in with your user name, password, and role.
1. Select User Level Configuration.
2. Select User Level DICOM Viewer Toolbar Group.
3. Select New.
4. Enter the toolbar name.
5. Select the toolbar item and click the arrow to place it.
6. Save the toolbar.
To create user level Hot Keys & Right-Click:

1. At the Web Viewer client, log on with your User Name, Password, and Role.
2. Select User Level Hot key & Right-Click Menu.
3. Select the hot key item from the menu item list and click the arrow to place it.
4. Assign a hot key sequence of any combination to include CTRL + ALT and a number or letter.
5. Click Set.
These configurations are seen at the Web Viewer client for this particular user but not at the workstation.
65
System Level Configuration

The Administrator can access and configure the following System Level Configurations:
 Overlay Configuration
 General Configuration
 System Level Worklist Column Configuration
 System Level DICOM Viewer Toolbar Group setting
 System Level Hot key & Right-Click Menu setting
 System Level Configurations are the system defaults and seen by ALL users. You can access System Level Configuration for the
Web Viewer client.
 Overlay Configuration: Configure the data that appears in the corners of the image in Image View and on the printed image.
 General Configuration: Configure system defaults such as auto logoff, patient ID prefix, Accession Number prefix, etc.
 System Level Worklist Column Configuration: Configure the categories that appear in the Worklist columns.
 System Level DICOM Toolbar Group: Configure DICOM Toolbar Groups by selecting toolbar items and applying them to a group.
 System Level Hot key & Right-Click Group: Configure Hot key and Right-Click combinations system-wide.
66
Web Viewer Client Description

The Web Viewer for Image Suite is accessed by a remote computer.
There are modes for the Receptionist, Administrator, Radiographer and Physician in the Web Viewer client. See the Product Overview.
The Web Viewer client lets users with any role schedule appointments for exams through Web Appointment for Image Suite.
However, Web Appointment is the only function that is available for the Receptionist role.
The Web Viewer client lets the Radiographer or Physician evaluate and modify images.
See Also:
Image Suite Web Viewer Login Screen
General Configuration
Web Appointment
67
Create Order Tab

Search Order Tab
Web Viewer Worklist
System Level Configuration
Web Viewer Toolbar
68
Create Order Tab

In the Web Viewer client, you can create a new patient work order that is accessed on all workstations.
1. Select the Create Order tab.
2. Input the required information for the red highlighted rows.

3. Select New to create a new patient order.
A new Accession number is generated automatically.
4. Use Save & Next to save the current information and clear the fields so that another patient can be ordered.
Fields
Name First, Last, Middle
Patient ID Generated from the system
Date of Birth mmddyyyy
69
Gender Male, Female, Other

Referring Physician Input from the keyboard
Accession Number Generated from the system
Body Part Select from the drop-down list
Examined
Scheduled Date mmddyyyy
Symptom/Notes Input from the keyboard
See Also:
Web Viewer Description
Search Order Tab
70
Search Order Tab

To find an existing patient order, select the Search Order Tab.
1. Select the scheduled date of the exam by the drop-down menu at the top of the screen.
2. Search on that date.
3. View the results of the search.
4. Select Clear Condition to start another search.
See Also:
Web Appointment
Create Order Tab
Web Viewer Description
71
Overlay Configuration
Overlays are DICOM information that appears in the corners of the image. They are information tags configured on the Overlay
Configuration screen. The Administrator can configure which DICOM fields will populate the tags that appear on Image View and
in the printed image. The DICOM fields correspond to the patient, exam, and hospital information.
72
To configure an overlay in Web View:
 Select the Grid Coordinates:
73
o Grid X and Y positions determine where the DICOM overlays display on the image.
o Grid X refers to 3 points on the horizontal axis (0, 1, 2). There are three possible positions (left, middle, right).
o Grid Y refers to 3 points on the vertical axis (0, 1, 2). There are three possible positions (top, middle, and bottom).
o Offset X and Y determine where DICOM overlays display in the grid.
Both start with the number 1 or –1 depending on the axis and location in the grid.
You can add a Prefix and/or a Suffix describing the DICOM value.
Select New to add the DICOM Overlay.
To configure an overlay:
1. Select New.
2. Select the Modality Type from the drop-down list.
Each <caret> represents a DICOM overlay key.
3. Select the Overlay Key, such as Accession Number, Institution Name, etc. from the pop-up menu.
The overlay key called Fixed Text lets you add information for an unsupported tag or unavailable tag. You can type in any
information or name in this tag.
74
4. Select the Grid Coordinates.
Offset X and Y determine where DICOM overlays will display in the grid.
Both start with the number 1 or -1, depending on the axis and location in the grid.
Click here for sample overlays.
75
5. Add a Prefix and/or Suffix.

6. Click Apply, Delete, or Clear.
To configure the appearance of the overlays:
1. Select the font from the drop-down menu.
2. Select the size from the drop-down menu.
3. Select Save.
76
General Configuration
The General Configuration screen appears each time you log in to the Web Viewer as an Administrator. The purpose of the screen
is to allow you to configure system defaults. Click the blue link to view the General Configuration screen. The features of the
screen include:
 Page Size—Select the number of rows (1-100) in the default grid page size. This setting controls the number of rows displayed for the
Web Viewer's Worklist page.
 Auto Logout—Select the number of minutes (1-60) before the page automatically logs out.
 Log Level—Select the level of message that will be logged, such as Information (Service only).
 Network—Select the packet size (Intranet or Internet) (Service only).
 Patient ID Prefix—Lets the Administrator input a prefix for the patient ID.
 Accession Number Prefix—Lets the Administrator input a prefix for the Accession Number.
The Administrator also views the address of other users logged into the system.
77
System Level Worklist Column Configuration

Changes to the Worklist configuration affect the Web Viewer client and the Image Suite workstation. You must log into the
workstation again for the changes to take effect.
To configure the categories that appear in the Web Viewer client Worklist columns:
1. Select the item you want to appear in the Worklist columns.
78
2. Use the arrows to change the order of the items.
79
System Level DICOM Toolbar Group

Only the Administrator can configure the System Level settings.
Changes to the toolbar configuration affect the Web Viewer client, but not the Image Suite workstation.
To configure a new DICOM Toolbar Group:
1. Select New.
2. Input a toolbar name.
3. Select toolbar items from the window on the left.
4. Apply the selected toolbar items to a group in the center window.
 Click New to start a new toolbar group.
 Click Edit to make changes in a toolbar group.
 Click Save to save the toolbar group.
 Click Delete to delete a toolbar group.
To modify the existing Standard System Level Toolbar:
1. Select Standard from the Toolbar Group List.
2. Modify as needed.
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System Level Hot key & Right-Click Group

Only the administrator can configure the System Level settings.
Changes to the system level hot key configuration affect the Web Viewer client but not the Image Suite workstation.
To configure special Hot key & Right-Click Group combinations:
1. Select the desired item from the Menu Item List.

2. Move the item to the Selected Menu Item List.
3. Click the Enable/Disable Hot key check box.
4. Press Ctrl + Alt and input a number to complete the Hot key combination.
81
Web Viewer Worklist

Click Worklist Query to locate a Patient record from the Worklist and select a Patient ID to access Image View from the Web
Viewer client.
 If the Show History Study check box is selected, then previous studies will be loaded into Image View with the selected study.
 The Auto Refresh cycle is 10 seconds. The Web Viewer client queries information from the Image Suite workstation.
82
 The system will not automatically log out when Auto Refresh is checked.
See also:
83
Adjusting the Window Width and Window Center (W/L)

The Web Viewer client uses W/L on all images. The window width and window center presets are intended to be used for third party
PACS images or images that are in a Presentation state.
Due to the different density of organs, the correct W/L (window width and window center) setting is important for displaying the best
images.
 Window width refers to the covering range of the image grayscale
 Window center refers to the center point in the grayscale
There are two ways to adjust the W/L settings:
 Adjusting manually
 Using presets
Adjusting the Window Width and Window Center Manually
1. Click W/L.
2. To adjust only the Region of Interest (ROI), click W/L, then select ROI W/L on the drop-down list.
3. Move the mouse over the image(s) of interest.
4. Click and drag the mouse in four directions to change the W/L values as follows:
 Down to decrease the window level
 Up to increase the window level
 Left to decrease the window width
 Right to increase the window width
The exact values of W/L are shown in the lower-left corner of the image by their default settings. If using ROI W/L, you must click
on four points in the image to draw a rectangular box that indicates specifically where to adjust.
5. Release the mouse button to apply the changes.
Using the Window Width and Window Center Presets
A W/L Preset is a group of parameters for a specific body part. You can use this tool to apply W/L values to selected body parts.
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Resetting the Window Width and Window Center
 To restore the original W/L values, click Reset .

Images scanned at the Image Suite workstation are scanned for Processing. Images scanned at the workstation are scanned using
brightness and latitude (B/L) rather than W/L.
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Using the Image Suite Workstation
Workstation Roles
The following Roles have permissions at the Image Suite Workstation:
 Administrator
 Radiographer
 Physician
 The Receptionist Role is created here for the Web Viewer.
Only the Administrator can set up all the features in System Management settings.
The Roles of the Radiographer and Physician can only set up User Management settings.
See Also:
Overview of the Administrator Role
User Profile Management
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Scanning at the Workstation

Images scanned at the Workstation are For Processing and use BL (Brightness/Latitude) instead of WL (Window/Level).
See Also:
Scanning Additional Views for the Same Body Part
Point-of-Care System
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To use the toolbar icons, click on an image on Image View.
When the image is active, a green border appears and the toolbar icons are also active. You can then adjust and control images by
using the buttons on the Image toolbar. The toolbars are described below.
If a button has a dark triangle in the corner, click and hold down the left mouse button on the item to reveal additional related tools.
Button Name Description Button Name Description
Select Selection Stamp Selecting this icon reveals
a list of preconfigured
markers to choose from
Rotate Rotate the image Select Choose to make changes
Clockwise 90° clockwise Image that affect one or more
images
Invert Reverse the Fit Window Fit the image in different
polarity locations on the screen
Flip Horizontal Flip the image left Show Show or Hide DICOM
to right Overlay Overlays
Cine Used for Undo Image Reset transformation
CT/MRI/US to run Processing resets flips/zooms, etc.
images in a loop
BL (Brightness Change the Key Image Used to identify certain
and Latitude) contrast and images in a study
brightness
W/L Predefined Select for default DICOM Display associated DICOM
W/L values Header tags
Viewer
Zoom Magnify the entire Set Scout Select an image then
image Line All select source to display the
line on the scout image
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Magnifier 2X Magnify a specific Print Select to open the print

area of the image panel
Pan Move the images View Report View a report or open the
across the screen Report Panel
Edit Mask Change the Export Export an image to a CD or

dimensions of the Selected external drive
mask Images to
Local Disk
Pixel Value Display the raw Monitor Used to calibrate the
Measurement pixel value for any Calibration- monitor for ruler
given point Horizontal measurements
Selection Use to select Image
certain areas Processing
including stamps
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Exam Order List

The Exam Order List screen is where you associate a CR cassette with a patient order before scanning the cassette into the CR
System. The following features are available:
 Create Order—Select to enter new patient records.
 Save & Next—Use to save the current information and clear the fields so that another new patient can be ordered.
 Accession Number—Automatically generated by the system.
 Active—Select when you are ready to process the CR cassette. Insert the cassette into the CR System to associate the CR cassette
with the patient order. The image automatically displays with the active patient order.
 Add Another Order—Select a patient order, then select Add Another Order to keep the same patient information, and create
separate studies.
 Patient ID and Accession Number—Retained by the system.
 Update Order—Used to update patient and exam information.
 Delete—Used to delete a created order.
 Complete Order—Used to set an exam order to a complete status. Exam orders cannot be scanned again in this state.
 Clear Query Condition—Used to clear all query fields.
 Refresh—Refreshes the screen.

Update Click to refresh the order display with any changes.
Order
Add Click to return to the Create Order tab to add another

Another view to the patient's order.
Order
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Delete Click the patient row you want to delete, then click
Delete. Answer Yes to the prompt if you want to delete.
Active Begin scanning operation or scan in Demo mode.
Complete Set order to Complete. Order must be scanned.

Order
Clear Clear search criteria in the top row of the Search Order
Query tab.
Condition
Refresh Click to refresh the screen.
See also:
Create Order Tab
Search Order Tab
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Customizing the Toolbar
1. Click Customize Toolbar on the far right end of the Image Toolbar in Image View.
The Customize Toolbar dialog box displays. All available tools are shown as icons in the Button list.
2. Select the icons in the Button list for the tools you want on your customized toolbar.
The tools will display in your customized toolbar.
Roll your cursor over the buttons and the name of each button is displayed.
3. Click OK to return to the standard toolbar.
4. Click Standard Toolbar and My Toolbar to switch between the two displays.
See Also:
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Overview of the Administrator Role

The Administrator can perform all of the functions of the Radiographer and Physician. In addition, the Administrator can perform
additional configurations in the System Management Panel.
The Administrator can configure the following:
 User Management
 System Settings
 System Monitor
 Role Management
 Export Settings
 Import Settings
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User Management
The User Management screen lets the Administrator add users, passwords, and assign user roles. Each user can access the
System Management to update their profile, including changing their password.
Double-click User Role to access additional User Role settings, including setting up Hhot keys and Right-Click shortcuts.
User Profile Edit Screen
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User Settings
Each user can set up their own settings here. To do this, go to System Management > User Management.
1. Highlight the User Name.
2. Select Edit.
3. Highlight the User Role.
4. Select Edit User Role Settings.
Features of the User Settings Screen:
 Auto Locking—Lock the screen if there is no activity.
 First column display on the Worklist—Select which status (Read/Reserved/Printed) displays a check mark in the first column of the
Worklist.
 Default Selection Mode—Select the default setting for Image View. Choosing Select Image only affects changes made to the active
image (if more than one image is displayed).
 Image Preview Number—Set the maximum number of preview images displayed on the Worklist screen.
 Prompt to Save State—If checked, the Save Changes? dialog box will display if changes were made to the image and you are
attempting to leave Image View.
 Save State—If Prompt to Save State is not checked, then you can check this box to automatically save changes to the image. If
neither check box is checked, then any changes made to the image will not be saved.
 Auto-hanging to Print Panel—If checked, all images loaded into Image View will also automatically load into the Print Panel.
 Auto-load history by double-click—If checked, previous study images will load into the View pane along with the selected patient
record.
 Intermediate display—At the Image Suite Workstation, the rate the software transitions from one image to another.
See Also:
User Settings
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System Configuration
 Click System Settings on the System Management panel.
The System Configuration screen appears.
The System Configuration tab allows the Administrator to configure settings for System Settings, Display Settings, Print Settings,
and Rule Settings.
System Settings
The System Settings tab allows the Administrator to configure the Workstation Name, Institution Name, Auto Logout, Patient ID,
and Accession Number prefixes, and enable Demo Mode for the Workstation.
Only the Patient ID and Accession Number prefix configurations will be seen at both the Workstation and the Web Viewer.
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You can change the following settings:

System Settings
Display Settings
Print Settings
Rule Settings
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Changing the Image Processing Settings

The Image Processing screen lets the Administrator configure settings for the image processing and Long Length Imaging Source
to Image Distance defaults.
Enable Collimation Mask—Enables the use of the Edit Mask tool.

Set Mask Black—Applies black over the masked area.
Enable Grid Suppression—Grid Detection and Suppression software automatically detects and suppresses grid lines in the image.
Suppression Level—Test an image with Grid Suppression set to 5. If the lines are not acceptable, test the maximum at 18. If the
image is acceptable, test again at a mid-range, such as 12. Continue to divide the range and test until you set the optimum image.
Enable Noise Suppression—Reduces the appearance of noise in areas of low exposure while preserving the diagnostic image
quality of the entire image.
LLI Source to Image Distance (cm)—Refers to using the Portable Long Length Imaging system.
 The default SID (Source to Image Distance) can be set up for the Portable LLI cassette in the Upright and Supine positions.
 It is important that the actual SID used be within +/- 1 cm of the default SID setting. There may be a distortion along the stitch line if the
SID is beyond +/- 1 cm.
See the Long Length Imaging section for more details on using the Portable LLI system.
Body Part Synonym—If the software for CARESTREAM Image Suite receives images from a third-party modality (such as CR, CT,
US, etc.) that uses a different DICOM tag for the body part name than the software uses, the Body Part Synonym setting will sync
the two modalities so that the images from the third-party modality will be recognized at the Image Suite workstation.
For example, a customer sends images from their CR Modality to the software for Image Suite and uses the body part name CX for
their chest images, but the software uses Chest as the body part name. In order to unify the body part name in the software, we can
use this function to create one matching rule Chest-CX. Then all of the DICOM images sent from the third-party modality with the
body part name CX will be changed to Chest at the Image Suite workstation.
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Changing Password Policy Settings

Password Policy
The Password Policy tab lets the Administrator configure Password Settings.
1. To set the length of time before a password expires, click Password Policy.
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Set the following:
Setting Duration Default

Password Expiration Days 30-180 90 days
Notify Days Before Expire 7-45 15 days
Minimum Password Length 4-18 6 characters
Minimum Number of Numeric 0-18 1 number
Maximum Repeated Number 1-6 2 numbers
2. Click Save.
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Changing the Worklist Columns

The Worklist Column tab lets the Administrator configure the Worklist screen for the Image Suite Workstation.
Changes to the Worklist configuration will affect the Web Viewer and the Workstation.
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To select the columns to display:

1. Click the Worklist Column sub-menu.
2. Select a column title from the Available Columns list on the left.
3. Click the right arrow to move the item to the current columns list on the right.
The new title is added to the Current Columns list.
4. Click the up or down arrows to adjust the column order, if necessary. Items at the top of the list display from left to right at the Worklist.
5. Click Save.
To hide a column:
1. Select the column you want to hide in the Current Columns list.
2. Click Out.
3. Click Save.
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Changing the Display Settings

The Display Layout tab lets the Administrator configure the default layout for Image View.
This can be configured for the different modalities sent to the Image Suite Software. For example, you can set a 1x1 layout for the
CR modality. When CR images load into the View Panel for CR, all images will have a 1x1 layout.
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Changing Window/Level Presets

This information only applies to third-party modalities.
The W/L Preset tab lets the Administrator configure W/L settings per body part on the Image Suite Workstation.
You can create several W/L presets for different body parts. Each body part can be assigned a setting group, including Modality Type
and default W/L values.
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Adding/Editing a Window Width and Window Center Preset

1. Click the W/L Presets sub-menu.
2. Click Add.
3. Click the Body Part Examined list and select a body part on the drop-down list.
or
To modify an existing preset, select the Preset, then click Edit.
The Edit W/L screen displays.
4. Click the Body Part Examined list and select a body part on the drop-down list.
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5. The Preset name is generated as Modality-Body Part.

6. Input the correct W/L values as defaults for that body part.
The window range is 0 to 65535 and the level range is -65535 to 65535.
7. Click Save.
The new Preset appears in the Presets List.
Deleting a Window Width and Window Center Preset
1. From the W/L Presets list, select the Preset name that you want to delete.
2. Click Delete.
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Changing the Overlay Settings

The Overlay Settings tab lets the Administrator configure which DICOM overlays will display on Image View and the printed image.
Changes to the Overlay Settings affect Web Viewer and the Image Suite Workstation. Configuring Overlays are a different process at
Web Viewer.
To configure an overlay at the Image Suite Workstation:
1. Select the Modality Type from the drop-down list.
2. Select Add.
3. Choose an Overlay Key such as Accession Number, Institution Name, etc., from the drop-down list.
4. Select the Grid Coordinates.
5. You can add a Prefix and/or a Suffix describing the DICOM value.
6. Select OK to add the DICOM overlay.
7. To modify an existing overlay, click the existing icon and select Edit or Delete. You can select Clear All to remove all overlays.
For information about configuring Overlays at Web Viewer, see Overlay Configuration.
See Also
Overlay Configuration
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Changing the Print Settings

The Print Settings screen lets the Administrator configure the modality type and default print layout for the Print panel.
You can set a default print layout by Modality Type or by a specific layout from the drop-down menu, similar to Display Settings.
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Changing the Rule Settings

The Data Routing Rule tab allows the setup of images to be automatically routed to a remote location. Service must configure the
system so that the destination appears, but the Administrator determines the interval at which they are sent.
 Click Rule Settings in the left tree menu.
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Image View
View Overview
There are four functional areas available to you when you access the View icon in the task bar. Click the links below for
information about these functions.
Image View Describes functions of Image View in the workstation.
Image Operation Displays the Image Operation buttons and describes their
functions.
Image Describes the steps to begin Image Processing and the tools
Processing to use.
System Control Describes the functions of the controls in the panel launch bar,
Bars status bar, and system tray.
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Image View Screen

There are three panels in the workstation's Image View screen. Each panel can be sized and placed where you want it to be on the
screen. There are many tools in the toolbar panel to change and process the image. See Image Suite Workstation Toolbar.
The Image View screen appears in Web View client with various tools for the Radiographer and Physician to use.
The images at the Web View client are in a Presentation state, and the brightness and contrast can be modified with the W/L button.
In Presentation state the Image Processing controls for brightness, contrast, and latitude are not available.
Features
When accessing the screen, a history of studies appears, if available. You can add or replace studies.
Replace/Append Mode—Used for multiple studies for a single patient in Web Viewer client.
Append—Adds a study to the current study in the View panel.
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Image View
The Image Suite workstation supports appending multiple patients.

Hanging Protocols—determine the way an image or series of images displays.
Replace Mode—Replaces a study when accessed.
Free Hang—Images will not automatically load into the View panel.
Patient (System)—If more than one patient record is loaded into Image View, each patient is separated by column. (Only supported
by the workstation Image Viewer.)
The Web View client only supports Study and Series hanging protocols.
Study (System)—If more than one study is loaded into Image View, each study is separated by column.
Series (System)—If more than one series is loaded into Image View, each series is separated by column.
See Also:
Unassigned Images
Selecting Images
Image Operation
Image Processing
Edit Mask
Annotating Images at the Workstation
Deleting an Annotation
Playing the Cine
Viewing Images
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Selecting Images
Selecting a Single Image
1. Click Select on the Image Toolbar.
2. Click the image of interest.
The selected image is bordered by a yellow box.
Selecting Multiple Images
1. Click Select on the Image Toolbar.
2. Click the first image of interest.
3. Press CTRL and click on the additional images of interest.
The selected images are bordered by yellow boxes.
To use Zoom, Pan, or W/L Adjustment on multiple images, the CTRL key must be pressed. Otherwise, only the selected image will
be affected.
Selection Tools
1. Click Select Image to access a drop-down list.
2. On the drop-down list, select one of the following methods:
 Select Image
 Select Group Visible
 Select Group All
 Select Visible
 Select All
A group refers to the current sub-window and linked sub-windows.
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Image View
Image Operation
Following are the Image Operation button functions.
Pan The cursor changes to a hand and is used for
moving the image within the frame.
Zoom The cursor changes to a magnifying glass. Left-click
and drag left to shrink the image or right to expand
the image. The aspect ratio is kept.
ROI Zoom Draw a region of interest. Left-click and drag left to
shrink the image or right to expand the image. The
aspect ratio is kept. Only the boxed region will be
affected.
Magnifier 2X Select 2X, 4X, or 8X magnification.
Fit Window Options:

 Fit Window
 Fit Width
 Fit Height
 Fit Original
 Fit True Size
Edit Mask Edit Mask is used to define a region in the image
which is to be hidden;Shutter is the opposite. Clear
Mask/Shutter to restore the original.
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Print Options:
 Print (print all images)
 Print Key Images (only images with key mark will be
printed)
Export Options:
Selected
 Export Selected Images to local disk
Images to
Local Disk or  Export Selected Images to remote destination
Export
Selected
Images to
Remote
Destination
Monitor Monitor Calibration is used to calibrate the distance
Calibrate - of a known sized object in the image for accurate
Horizontal measurements.
 Monitor Calibrate-Horizontal
 Monitor Calibrate-Vertical
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Image View
Image Processing at the Workstation

 Select the image to begin image modification. Next, click the corresponding tool button.
 Each function has a separate button that you can select from the toolbar. Or create your own toolbar with buttons of your choice.
 The system presents the image with a global automated look for each image.
 The image is in a For Processing state, which means that the Image Processing can be changed at the Image Suite workstation to
create a unique look.
 Select the Image Processing Tab to make adjustments to the image's look.
See Changing the Image Processing Parameters.
The image processing tool functions are shown below:
Invert Make a negative picture of the image.
Flip Horizontal Generate a horizontal mirror picture of the image.
Flip Vertical Generate a vertical mirror picture of the image.
Rotate Rotate the image 90° clockwise.

Clockwise
Rotate Counter Rotate the image 90° counter-clockwise.
Clockwise
Image Select to change the look of the image.
Processing
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 Undo Image  Undo last image processing parameter.:

Processing
 Reset change.
 Reset
 Reset to image defaults.
Transformation
 Reset
Stamp Displays an alphabetical list of labels to use on the image, from A to White.
Key Image Mark the selected image as a key image.
Reprocess Using the Body Part Tab

You can select a different body part and projection to reprocess the image for a different look.
1. Select the Body Part tab from the Processing Adjustment screen.
2. Select the body part from the drop-down menu.
3. Click Apply.
Image-Changing Options
You can enable Black Surround Mask Software, set the mask to black, enable Grid Suppression Software, and set the Noise
Suppression level.
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Image View
Saving Changes with the Advance Tab

You can save your changes as the default for each body part and position, reset to the previous customer default settings, or reset
the selected body part/position back to factory default settings.
1. Select one of the following:
 Save as a Customer Default
 Reset to Customer Default
 Reset to Factory Default
 Undo All
2. Click Save.
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Edit Mask
1. Click Edit Mask to manually apply the mask to the image.
2. The first time you use Edit Mask, you must click four points (of your choice) on the image to create the crop box.
3. After you create the crop box, you can drag the corners or sides of the box to. This adjusts the mask.
4. When the box is where you want it, click Edit Mask again to apply the mask.
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Image View

You can make graphic and text annotations on an image.
1. Hold down the left mouse button over the arrow on the Annotation button.
2. Select an annotation tool on the drop-down list.
The Annotation button changes to the icon of the selected tool.

3. Drag the mouse over the image to draw the annotation graphic.
The length, area, or angle value are marked automatically.
Following are the Annotation button functions. For each annotation, click the tool first to begin:
Button Name Directions
Text 1. Click and drag on the image to indicate exactly where you want to put text.
A text box appears.
2. Type the text in the text box.
3. Click outside of the text box.
The annotation text displays at the selected point.
Ruler  Click on a start point and drag to the end point.
 A line appears between the points with the length marked on the image.
Rectangle  Click on a start point and drag to its diagonal point.
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 A rectangle appears with area value marked.

Angle 1. Click on a start point.
2. Drag to create one side of the angle.
3. Drag to create another side in a different direction.
4. Click to finish the angle with its degree marked.
Arrow  Click on a start point and drag outward.
 An arrow appears.
Cobb 1. Click on a start point.
Angle
2. Drag to create one side.
3. Click to end the side.
4. Drag to create another side.
5. Click to end the side.
6. Repeat steps 1– 5.
See Also:
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Image View
1. Click Select .
2. Select Selection on the drop-down menu.

3. Move the mouse over the annotation.
4. When the cursor changes to a crosshair, click the mouse button.
5. Press Delete on the keyboard.
See Also:
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Playing the Cine

Available in all modes, Cine is used to play all selected images in the Image View at a specified interval.
1. Click Cine .
The Cine dialog box displays.
2. Select the playing options:
 Once (play images only once)
 Loop (play images repeatedly)
 Back and Forth (play back and forth repeatedly)
3. Drag the Frame Rate slidebar to adjust the playing speed. The larger the number, the faster the speed.
4. Check the Cine Page option box if you want to play the slide show across all pages.
5. Select Reverse if you want to play the slide show in reverse order.
6. Click the Play arrow to start the slide show.
See Also:
View Overview
Image View Screen
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Printing, CD Burning, Archiving
Print Panel Overview
Physicians and Radiographers can send images and reports to a selected printer. To select an image, click in the image area. A
selected image displays a green highlighted border. You can format the View panel to display a multi-format layout. You can click
and drag an image to move within the layout, or use the layout commands at the bottom of the panel.
Select the Print icon from the Image View toolbar to access the Print Panel.
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The Print Panel features include:

 View panel
 Paging controls
 Size controls
 Layout controls (Image layout, Group layout, ReLayout)
 Add/Delete pages
 Combine View panels
 Print settings
 Print Job Management (PJM)
 Clear all settings
 Print
See Also:
Using the Print Controls
Paging Tools
Print Management
Multi-format Printing
Printing the Image
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 Click Print on the Image View toolbar to access the Print Panel. To select an image, click in the image. A selected image displays a
green highlighted border. You can format the View panel to display a multi-format layout. You can click and drag an image to move
within the layout, or use the layout commands at the bottom of the panel.
 View Panel—View, compare, and arrange images for printing.

 Paging Controls—Scroll through pages of images for printing.
 Size Controls—Select size of the final output of the print.
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 Layout Controls (Image layout, Group layout, ReLayout)—Select Image Layout for the a selected image, or Group Layout for a
group of images. Select ReLayout to rearrange the positions of the images in the View panel to automatically eliminate blank panels
for a multi-format print.
 Add/Delete Pages—Add or delete pages of images. If you add an image to the Print Panel, the icon appears in the View panel
with the image.
 Combine View Panels—Select two or more panels in the View panel and click Combine to join the panels into one. To undo this
action, click Separate.
 Print Settings—Use this screen to select the Environmental Settings for Paper Print Configuration.
 Print Job Management (PJM)—Lists collections of images, or "jobs" in queue for printing. The Print Job Panel lists a wide selection
information such as Patient ID, Status, Priority, the Printer, Number of Pages and Copies. Input the Patient ID and select the Query
button to locate the patient order.
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 Clear All—Click to delete the images in the Print Panel.

 Print—Sends the print job to the selected printer.
See Also:
Printing the Image
Paging Tools
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Printing the Image

After you are satisfied with the layout you can print the image(s).
1. Click Print Settings to display the Paper Print Configuration Screen.
2. Set the print options.

 Click Apply to keep these settings for this print job or Default to keep them for all print jobs.
 Click Exit to leave the screen.
3. Click Print.
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The print job is added to the Print Queue as a new job which can be managed when you click the PJM (Print Job Management)
button.
If the system administrator sets the current print job as the default, all pages will be included as one print job. If the default is set
to print the current page, only the selected page is printed.
See Also:
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Paging Tools
Page Navigation
To navigate through pages of images, click the corresponding page buttons on the Print Panel.
For example, click the page button numbered 1 to display the fist page, and the page button numbered 2 to display the second page.
Six navigation buttons are shown at a time.
 Click the Back or Forward arrows to scroll through more pages of images.
Page Controls
Removing Image(s) from the Layout:
Delete Page
 Click the Delete Page button to delete the current page.

Add Page
 Click the Add Page button to add a new page.

Clear All
 To cancel the entire job, click Clear.

Auto Clear Frame
 Selected by the Administrator, the system will clear the job after it has been delivered.
See Also:
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Print Job Management

This Print Panel feature is used to view, resend, or pause print jobs. You can also view a history of printed jobs.
 Click PJM (Print Job Management) on the Print Control Bar to access the Print Job Panel.
By default, the Print Job Panel shows all print jobs, including the following information:
o ID
o Status (functions available to each status vary)
o Priority
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o Patient Name
o Patient ID
o Printer
o Pages
o Copies
o Created Time (the time when you created the print job)
o Sent Time (the time when the print server submitted the print job)
o User name (the login name of the user submitting the print job)
Job Queue Self-maintenance
The Print Panel can automatically maintain the print job queue by deleting specific jobs within a set time range or capacity range.
Deletion starts from the oldest print job. Typically, the system retains jobs for two days.
See Also:
Filtering Print Jobs
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When you want to present all of the images in a study in one print, or compare images from more than one study in one print, you
can format the Print Panel to display and print multiple images. Use the controls at the bottom of the Print Panel to create
Multiformat prints.
 Group Layout—Select a format that displays one or multiple images on one page, especially useful for Multiformat printing.
 Image Layout—Divides a single image panel within the Group Layout. Select Cancel Image Layout to undo the Image Layout
change.
 Combine—Combines two or more image panels into a single image panel. To do this:
1. Hold down the CTRL key and select two or more images in the Print Panel by clicking in each image area.
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Selected images are indicated by a bright green border around each image.
2. Click Combine.
3. To save this new layout, select the Group Layout button and select Save Pattern.
4. To undo this action, select Separate.
To select a multi-format print configuration:
1. Select Group Layout and select a layout configuration for your print.
2. Select the Print Settings tab to see a list of print configuration settings.
3. Modify the settings if desired and select Apply to use them in the current print job or Default to assign them to all print jobs.
4. Select Print.
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See Also:
Print Management
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Filtering Print Jobs

You can limit the search and display only the jobs you want by setting up filters for the search. To do this:
1. Set up the search standards:
 Select a printer on the Printer drop-down list.
 Select a time on the Time drop-down list.
 Select a status on the Status drop-down list.
 Type the Patient ID.
You can search with one filter or combination of filters.
2. Click Query.
Job Status
The job status has six possible levels:
 New—The job was just added to the print queue and has not been sent to the printer.
 Pending—The job is being sent to the printer.
 Paused—The job is paused and will not be sent to the printer until you manually restore it.
 Failed—The job cannot be sent to the printer due to an error.
 Unsent:—The printer specified in the job cannot be connected (the usual cause is network failure).
 Success—The job has been sent to printer successfully.
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Job Priority
You can change the job priority you set when doing the page layout.
To assign a priority to a job:
1. Click a job on the job list.
2. Click a Priority radio button:
 HIGH
 MEDIUM
 LOW
The job priority changes immediately.
Not all jobs can change priority setting. It depends on the job status. See below:
Job Control, Priority, and Print Status Relationships
The relationship between the controls and the job status are described below:
 New jobs can be paused, deleted, and prioritized.
 Pending jobs are not open to any action.
 Paused jobs can be restored.
 Failed jobs can be deleted, resubmitted, and prioritized.
 Undelivered jobs can be deleted, resubmitted, and prioritized.
 Success jobs can be deleted and resubmitted.
Job Controls
You have access to some of the following controls for a print job (availability depends on the job status):
 Pause
 Restore
 Delete
 Resend
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Print Configuration
Customize the output of the Print Panel by selecting the Print Settings button on the Print Control Bar. The following screens are
displayed:
 Film Settings—For output of images to film, from drop-down lists select Media Size, Polarity (normal or reverse), Magnification, and
Smoothing Type.
Select a border (Trim), and the color and density of borders for the image. You can choose a Portrait (lengthwise) or Landscape
(crosswise)orientation for the printed image, as well as selecting True Size output.
 Print Settings—Identify the printer by selecting the printer name from a drop-down list. The specifications for the printer then appear
automatically. Set the number of copies from 1 to 99. Select the Priority (HIGH-MED-LOW) if there are multiple modalities sending
images to the same printer, and set the destination.
 Header & Footer Settings—Add a header and/or footer to the printed image by checking the Header and/or Footer check box(es).
Change the information by clicking the Add, Edit, Delete, or Delete All buttons. Selecting Add opens the Overlay Edit screen, letting
you change the overlay that appears on the image.
 Environment Settings— Lets you select Auto Layout, Prompt Before Printing, Auto Clear Frame, and Rotate Overlay. Select the
font family and font size from the drop-down menu; a sample of the selection appears in the center of the screen.
All of the tabs on the Print Configuration Screen let you select Apply to apply the settings to the selected print job, or Default to
apply the settings to all print jobs, and Exit to return to the Print Panel.
See Also:
Changing the Overlay Settings
Using the Print Panel Controls
Using the Print Panel Controls
Printing the Image
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CD/DVD Direct
CD/DVD Direct is a light DICOM image viewer which is distributed with the DICOM CD/DVD.
Opening the Study List
1. From the Worklist screen, select the images that you want to burn to a CD/DVD.
2. Right-click and select Export.
The Transfer panel displays.
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3. Click Format to format the CD/DVD.

4. You can view the Patient information before exporting the images to the CD/DVD.
5. Click Export to begin the process for burning to the CD/DVD.

A confirmation message appears when the burning process is complete.
Each level contains several sublevels. The hierarchy begins with Patient>Study>Series>Images.
6. Click a record to enter the View Tab.
Viewing Images
To view the images on the CD/DVD Direct, insert the CD into a CD/DVD drive and the application automatically opens.
The Patient Information, image tools, selection types, and layout are displayed on the right side.
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Image Tools
Selection Click to select the image. The selected image
will have a red box around it.
Reset Click to restore images to the original status.
Invert Make a negative picture of the image.
Horizontal Flip Generate a horizontal mirror picture of the

image.
Vertical Flip Generate a vertical mirror picture of the image.
Rotate Rotate the image 90°.
Zoom The cursor changes to a magnifying glass.

Press down the left button of mouse and drag to
left to shrink the image, to right to expand the
image. The aspect ratio is kept. Zoom arrange:
0.25 to 10.
Fit Window Fit image to window.
Fit Original Display image at a 1:1 ratio.
Show/Hide Click to show or hide annotation.

Annotation
Pan The cursor changes to a hand shape, used for
moving the image within the frame.
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Cine Used to play a slideshow of all selected images.
Show DICOM Click to show DICOM header.

Header
Save Selected Click to save current image to files in JPG
Image As format.
Set W/L Input W/L values in the right side box; click to
set the W/L.
Preset Click to display a drop-down menu, including
preset Max. and Min. values, and preset W/L
and VOI LUT.
Selection Types
There are three selection types: Image, Group, and All.
Split and Layout
You may use default splits and layout, or customize them by using Split Manager or Layout Manager.
1. Click to set.
2. Click Apply to All to apply the custom layout to all frames.
See Also:
Exporting Images
Archiving Images
Restoring Archived Images
Transferring Images
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Exporting Images
To export images to a CD/DVD:
1. Set up the printing configuration if necessary.
2. At the Worklist, select the studies you want to export to CD/DVD. Hold the CTRL Key down to click and select multiple studies.
3. Right-Click and select Export to CD.
4. Transfer to local or remote locations. The icons described below indicate the process for selecting those destinations.
 To transfer images to a local location, select the blue Export Images icon from the Image Toolbar in Image View. If no folder is
defined, the images are transferred to the Local Export List in the Transfer Panel. Select the Image Export button in the
system tray to open the Transfer Panel.
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or
 Select the red Export Images icon from the Image Toolbar in Image View to transfer images to a remote location. You can view
the status of the transfer in the Server Transfer List in the Transfer Panel. Select the Image Export button in the System Tray to
open the Transfer Panel. Select the red arrow at the top of the screen to view the Server Transfer List.
See Also:
CD/DVD Direct
Export Options
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Export Options
The Export Options Screen appears after printing is configured and the blue Export button is selected from the Image View
Toolbar.
 Determine the destination of the Export file.
 View the Export Name.
 Select the Export format from a drop-down list: DICOM, JPEG, BMP, AVI.
 Change the default setting for patient information (Do Not Reserve Any). The exported images contain the patient information if you
select Reserve Patient Information.
See Also:
Exporting Images
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Export Window
The Export Window appears when you click the Format CD icon on the Local Export List.
The status messages of a successful export, or any errors, appear in the window.
If a CD /DVD is not inserted, the window displays a message to insert the CD or cancel the operation.
See Also:
Exporting Images
Export Options
Transferring Images
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Server Transfer List

The Server Transfer List displays a list of images that have been sent to a remote location.
 Transfer Name
 Destination
 Item Count
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 Status
 Created Date
 Executed Number
 Success Number
 Compress Rate
Export Procedure
1. Select the Transfer Images button from the Worklist or the Export Selected Images to a Remote Destination tool from the Image View
toolbar.
2. Select a location.
3. Select a Transfer Name.
4. Select a compression (if desired).
See Also:
Exporting Images
Export Options
Export Window
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Archiving Images
Images are automatically added to the archive buffer after processing the cassette. You will get a message to burn images to a CD
when the buffer is full.
The Image Archive screen has two parts:
 System CD Buffer List for archiving
 Read CD Task List for restoring offline images
To burn images from the Database PreCD (CD Buffer) to the CD:
1. Insert a formatted CD/DVD into the CD/DVD drive.
2. Highlight the FULL 100% CD Buffer row.
3. Select the Record CD button.
Studies are archived to the CD/DVD.
You must wait until the burning process is complete before exiting the screen.
See Also:
CD/DVD Direct
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Restoring Archived Images

 After the high water limit for storing images has been reached, images stored the longest are dropped off the system.
 Patient orders stay on the Worklist, but the image status becomes Off Line.
1. To restore Off Line images to the Worklist (making them On Line), select the patient order and select Load.
Image View opens and indicates where the patient images are located.
2. Insert the indicated CD/DVD and select the Image Archive button in the system tray.
The System Management Panel opens. The top half of the screen is the System CD Buffer List. The bottom half of the screen
is the Read CD Task List and displays a list of patients on the CD.
3. Select the patient order and select the Read CD button.
The images are restored to the system and are available as On Line images.
See Also:
Exporting Images
Export Options
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Transferring Images
In addition to printing and archiving, digital images may be exported to a server or local hard drive.
 Click Image Transferring.
The Local Export List displays by default.
Local Export List

The Local Export List displays:
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 Export Name
 Export Time
 Item Count
 Export Format
 Reserve Patient Information
 Image Count
 MBytes
1. Select an item.
2. Click Details for more information.
3. Click Clear to delete an item.
Export Procedure
1. Select Export selected patients or Export selected studies in the drop-down list.
The Transfer Options dialog box appears.
3. Type the transfer name.
4. Select a Transfer Format (DICOM, JPEG, BMP, or AVI) in the drop-down list.
5. Choose to Reserve Patient information.
6. Click OK.
See Also:
Exporting Images
Export Options
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Unassigned Images
Unassigned images occur when a cassette is scanned before the exam order is Active. The image displays in Image View after
scanning, but without the correct patient information. The Worklist displays the study as unassigned in the Patient ID field and Last
First in the Patient Name field.
Assigning Patient information to an Unassigned image
1. Create a patient record if one has not been created.
2. Highlight the unassigned record on the Worklist.
3. Select Tag Edit.
4. Select MWL (Modality Worklist) .

5. Search for the existing patient record by entering information in the Patient ID or Patient Name field.
You can achieve broader results by placing an asterisk (*) in front of the search criteria.
6. Click Search .
7. Find and select the correct patient study and click Apply .
8. Click Return .
9. Click Save .
10. The correct information is assigned to the image.
11. Unload the image from Image View and reload it to the View panel to see the correct information associated with the image.
12. Reprocess the image with the correct body part and View position.
See Also:
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Report Management
How to write a report from the Image View Toolbar
Physicians can input in a diagnosis into a report. The report can be previewed, then archived by clicking Archive .
The report is saved in a DICOM format so that it can be archived to a CD with the images.
Once the report has been archived, the patient’s order is updated to a Read status in the Worklist and displays the following icon
.
Report Toolbar
Click each icon to do the following:
Open Report Open an existing report.
Save Report Save a report.

As Is
Archive Archive current report.
Current Report
Print Template Display the print template list.
Explorer
Diagnosis Load templates that have been created in
Template Diagnosis Template Manager.
Explorer
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Report Management
Diagnostic Import templates from other systems. Click to edit

Template the diagnostic templates.
Manage
Print Template Import or export print templates from other
Manage workstations.
See Also:
Editing a Report
Using Reports
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Editing a Report
When editing a report, you can use a diagnostic template or a print template, or edit the report manually.
The digital image displays on the top of the report content.
 Click + to zoom in on the image.
 Click - to zoom out of the image.
 Click Edit or Preview to switch between screens.
 The Print, Preview, and Zoom buttons allow you to view or print the report.
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Report Management
Using Reports
You can write a report, preview it, edit it, and add images to it.
Creating a Report
 In the Image View Toolbar, select Transfer Selected Images to Report.
Archiving a Report
 After writing the report, select Archive Current Report to archive the report.
Once you have archived the report, the patient's order is updated to a Read status in the Worklist (if configured) and displays the
following icon: .
Available Tools for Reports:
Button Name Function
Open Click to open an existing report.
Save Click to save a report.
Archive Current Report Click to archive report.
Print Template Explorer Click to display the print template list.
Diagnosis Template Explorer Used to load templates that have been created in Diagnosis
Template Manage.
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Diagnostic Template Manage Click to edit the diagnostic templates.
Print Template Manage Used to import or export print templates from other workstations.
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Cassette Handling and Scanning
Cleaning Cassettes
 Storage phosphor screens are not subject to physical contact in normal use and consequently do not require a routine surface cleaning
procedure.
 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).
To clean storage phosphor screens:
 Open each cassette and extract the screen to inspect for dust or scratches.
Make sure you follow the manufacturer's instructions for handling and cleaning storage phosphor screens.
 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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Supported Cassettes
The following tables list supported cassette sizes for use with this software for Image Suite:
CR Cassettes
Product Name Cassette Size

KODAK DIRECTVIEW CR Cassette 35 x 43 cm
KODAK DIRECTVIEW CR Long-Length Imaging 35 x 84 cm
Cassette
KODAK DIRECTVIEW CR Mammography Cassette 24 x 30 cm
KODAK DIRECTVIEW CR Mammography Cassette 18 x 24 cm
KODAK DIRECTVIEW CR Dental Cassette 15 x 30 cm
Cassettes for the KODAK Point-of-Care Image Processor
Cassette Size
8 x 10 in
10 x 12 in.
24 x 30 cm
14 x 17 in.
11 x 14 in.
15 x 30 cm
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14 x 33 cm
Processing a Cassette
See the following topics:
Image Acquisition.
Local User Interface Main Menu
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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 barcode label.
4. Push the cassette all the way to the back until the CR reader emits a long beep, signaling you to 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 (LUI).
5. Manually remove the cassette.
Make sure that the tube side label faces to the right, and that the cassette's yellow corner always faces up and towards you.
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Local User Interface Main Menu

The Local User Interface is available only with the KODAK DIRECTVIEW Classic CR System. 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 in a different order depending on the directional
arrows you choose.
To use the Local User Interface Menu:
 Select the icon on the Classic CR 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 Cassette Loaded
selecting a button on the
remote interface.
 The sound of alarms on
the CR System.
 The sound of the
Barcode Scanner.
 The sound that occurs
when you place a
cassette in the cassette
feed slot and it is ready to
scan.
Scanner Information Scan Count

 Scan Count is a Laser Hours
consecutive count of Erase Lamp Status
scans on the machine.
 Laser Hours is a
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consecutive count of the

hours the laser has
operated.
 Erase Lamp Status gives
a picture of the current
performance of each pair
of erase lamps in the
machine.
Display Settings Brightness

 Brightness: Use the + Sleep
and - buttons to control
the brightness of the
display on the interface.
 Sleep: Select the interval
for the interface to be
active without being
accessed.
Scan Mode High Speed

Scan Modes are unique to Reduced Border
the Classic and Elite CR Standard Speed
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 the Console):
 Standard Speed Mode:
Standard Resolution,
High Resolution,
Enhanced Resolution.
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 High Speed Mode:

Standard Resolution,
High Resolution,
Enhanced Resolution.
 Reduced Border: Images
on 35 x 35 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.
Active Console IP address

Provides the name and IP
address of the Classic
System currently in
communication with the
Image Suite workstation.
System Recovery Release Cassette

Touch this button to release Cassette Jam
a jammed cassette in the
Classic CR System.
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Erase Erase Cassette

Cassettes
 Insert the cassette.
Erasing begins
automatically.
The phosphor screen in the

cassette is erased and
released.
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1. Select a patient on the Exam Order List.
2. Click Active.
3. Insert the cassette.
Upon completion, the View Panel appears with the image displayed.
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To scan an image on the Image Suite workstation:
1. Select Worklist .
The Worklist displays a list of patients that have been scanned. To scan a new image:
2. Select Scan.
3. Search for an existing order.
or
Select the Create Order tab.
4. Enter the patient information.
5. Select the body part.
6. Select Save.
7. Select the Search Tab.
8. Select a View Position.
9. Select the patient.
10. Click Active.
The patient information row turns orange, and the status changes to SCANNING.
9. Insert the cassette into the reader.
 Scanning starts automatically.
 The cassette ejects automatically from the Point-of-Care reader when scanning is complete.
 You can remove the cassette from the Classic CR System after you hear two beeps. In addition, the LUI on the Classic CR
System displays the Remove Cassette message when scanning is complete.
To review an image:
1. Select the Worklist screen.
2. If the Exam List displays, select Close to enter the Worklist.
3. Locate the patient record.
4. Double-click the record.
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or
Select Load Image.
The image displays in Image View.
Append/Replace Mode
You can set the study to add or append each image to it. The button appears with that selection.
When you click the button again, it changes to , and the image replaces the last image in this mode.
Hanging Protocol
The Hanging Protocol determines how an image or a series of images will display.
171
172
See Also:
Improving Image Acquisition Techniques
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Improving Image Acquisition Techniques

Guidelines for Good Exposures
 Reduce back-scatter radiation.
 Reduce off-focus radiation.
 Make sure that the collimator blades are working efficiently.
 Use grids when appropriate.
 Use good collimation practices. Be mindful of the cathode/anode orientation and heel effect.
To improve image quality:
 Choose the appropriate cassette size.
 Choose the appropriate View (body part and projection).
See Also:
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1. Go to the Exam Order List.
2. Select the Search Order Tab.
3. Re-select the same patient study.
4. Select a View Position.
5. Select Active.
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Troubleshooting
Screen Freezes, Cursor Hangs
If the cursor becomes an hourglass for a period of time and you cannot click anything on the screen, do the following:
1. Press and hold CTRL + ALT + DEL.
2. At the dialog box, click Logoff.
3. Restart the system.
This may take several minutes.
4. After logging in, you should be at the same screen that froze originally.
Cannot Make the Toolbar Work

In order to make changes by using the Image Toolbar, you must first select the image to make it active. Then the toolbar icons will be
active.
LLI Composite Image Does Not Form

If no LLI composite image forms:
 Make sure that the Long-Length option is enabled.
 Print the individual segments True-size and tape them together to form one image.
Blocking Uncollimated Radiation

 Use lead strips to block primary or scatter x-ray when careful collimation may not be adequate
 For example, even with careful collimation to the body part size, you can improve lateral lumbar spine image quality by placing a lead
strip on the x-ray table behind the patient's back to block any primary or scatter radiation from being collected by the CR cassette.
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System Management
This information is for the system administrator, who can help you customize your system and make it better suited to your needs.
1. Click System Management on the panel launch bar .

The System Management panel displays the following menus:
 User Management
 System Settings
 System Monitor
 Role Management
 Export Settings
 Import Settings
In Radiographer/Physician Mode, only User Management is available.
2. Click User Management.

The User Management screen displays. Only the current user's information appears.
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3. Select a patient.
4. Click Edit.
or
Double-click the user information.
The User Profile Edit screen displays.
5. Change the password, title, department, names, and user role, as necessary.
6. Select a user Role and click Edit User Role Setting.
The User Role Configure screen displays.
7. Change the User Role Configuration, as necessary.
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System Management
See Also:
Changing the System Settings
Export Settings
Import Settings
Changing Privileges
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1. The following buttons display when the administrator logs in to the Image Suite system.
Button Name Function
Worklist Provides a list of patients that have been
scanned. Clicking this button brings the
Worklist to the top for easy viewing.
Image View Provides three panels for image viewing,
adjusting, and delivering. You can position the
Navigator panel, View Panel, and Image
Toolbar and lock them into place.
System Provides six screens to manage system
Management functions according to role. Functions include
User Management, System Settings, System
Monitor, Role Management, Import and Export
Settings, Changing System Settings.
Image Import Opens the Image Import screen. This
screen lets you import an image from a
source outside the workstation,
Image Export This screen lets you export files to CD or to
a USB drive. Check the Auto Delete button if
you want to delete the image from the
Image Suite.
Image Export to CD or USB drive to save patient
Archive studies and remove them from the system.
Quit Exit the screen.
2. Click System Management .
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System Management
The System Management screen displays. There are six main options:
 User Management
 System Settings
 System Monitor
 Role Management
 Export Setting
 Import Setting
3. Change the settings, as necessary.
4. Click Quit to close the panel.
See Also:
Export Settings
Import Settings
Archiving Files
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 Click System Settings in the left menu tree.
Time Limits
You can set:
 Auto Logout Time (minutes)
 Worklist Page
Hospital Information
1. Input the Station Name.
2. Input the Institution Name.
3. Click Save.
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System Management
See also:
Changing the Image Processing Settings
Changing the Password Policy Settings
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Export Settings
 The Export Settings Ttab lets the Administrator export settings for the system setup, role, user profile, etc.
 The Administrator should export the settings after the installation to return to factory settings.
 The Administrator should export settings after making any configuration changes so that those changes will not be lost.
 Click Export Settings to set export path for the files.
See Also:
Import Settings
System Management Overview
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System Management
Import Settings
The Import Settings tab allows the Administrator to import ALL settings.
1. Click Import Setting.
2. Browse to the folder that contains the file(s) you want.
3. Select a file.
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Archiving Files
The System Management Panel has two sections: the System CD Buffer list and the Read CD Task list.
System CD Buffer List

The System CD Buffer list shows you when to archive image files. The list displays:
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System Management
 CD Buffer
 Disk No (generated by system)
 Status
 Used Space (%)
 Study Amount
 Start Time
 End Time
 Image Count
Read CD Task List
The Read CD Task list is for archiving and reading Off-line images (archived images on a CD). The list displays:
 Task No.
 Disk No.
 Patient ID
 Patient Name
 Gender
 Study Date
 Study Time
 Status
Task Processing
1. Click Refresh to obtain the updated task list.
2. Double-click a task.
A message directs you to insert a CD.
3. Insert the CD.
4. Click Details.
Click Delete to cancel the task.
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Transferring Images
In addition to printing and archiving, digital images may be exported to a server or local hard drive.
 Click Image Transferring.
The Local Export List displays by default.
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System Management
Local Export List

The Local Export List displays:
 Export Name
 Export Time
 Item Count
 Export Format
 Reserve Patient Information
 Image Count
 MBytes
1. Select an item.
2. Click Details for more information.
3. Click Clear to delete an item.
Export Procedure
1. Select Export selected patients or Export selected studies in the drop-down list.
The Transfer Options dialog box appears.
3. Type the transfer name.
4. Select a Transfer Format (DICOM, JPEG, BMP, or AVI) in the drop-down list.
5. Choose to Reserve Patient information.
6. Click OK.
See Also:
Exporting Images
Export Options
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Configuring Hot keys

You can set up the toolbar context menu, toolbar hot keys, and Panel Launch hot keys.
Adding a Hot key/Right Click
1. Click the Hot key sub-menu under System Settings.
2. Select the menu item to add on the left.
3. To assign a hot key for the menu item, select Enable Shortcut.
4. Type the key combination you want to use (e.g., Ctrl+K) as a Hot key.
5. Click the arrow pointing to the right. These items are available when right-clicking in Image View.
6. Click the up or down arrows to adjust the position, if necessary.
7. Click Save.
Deleting a Hot key
1. Select the Hot key you want to delete in the column to the right.
2. Click the arrow pointing to the left.
3. Click Save.
Assigning a Hot key to Launch a Panel
1. Select the panel.
2. Select Enable Shortcut.
3. Type the key combination you want to use (e.g., Ctrl + V).
4. Click Save.
Hanging Protocols
Refer to the related content in Image Acquisition.
See also:
Loading a Series
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Long Length Imaging
The Portable Long Length Imaging (LLI) system is supported with the software for Image Suite.
To acquire an LLI study, follow the general radiographic steps.
There are two possible SID (Source to Image Distance) values, based on the body part with the Supine or Upright positions built into
them. The SID position default values are:
 122 cm for the Supine position
 180 cm for the Upright position
The Administrator can change these defaults in System Management/Image Processing. Check with the Administrator for the actual
SID values.
It is important to use the correct SID (within +/- 1 cm) in order to prevent a distortion along the stitch line.
The composite image (stitched image) automatically displays after both ends of the cassette have been processed.
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LLI Portable Imaging System Overview

The system includes the CARESTREAM CR Long-Length Portable Cassette and the CARESTREAM CR Long-Length Portable Grid.
In addition, a software license for accessing image-stitching software is necessary in order to use the system.
Specifications
Portable Grid with Wheeled Caddy
Weight 7.7 kg (17 lb )
Dimensions 43 x 3 x 102 cm (17 in. wide x 1.2 in. deep x 40.2 in. high )
Grid Ratio 10:1
Power Supply none
Support Weight 159 kg (350 lb)
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Long Length Imaging
CARESTREAM CR Long-Length Grid

 CARESTREAM Long-Length Grid for Vertical Cassette Holder
 CARESTREAM Portable Grid
Performance for LLI image quality is optimized with these grids. If you choose another grid, make sure you evaluate the best
conditions for image quality:
 Grid Ratio: 8:1
 103 LP
Handle the grid with care. Dropping or bumping the grid causes serious internal damage that produces permanent, unacceptable
imaging artifacts.
Carestream Health, Inc. has not tested other grids.
193
Optimizing Long-Length Image Quality

 You can optimize the image quality of long-length images by measuring the Source to Image Distance (SID) accurately.
 SID is one of the measurements used for pixel size calculations. If the calculated pixel size is not the actual pixel size, angular
measurements made from the image display may be inaccurate. Therefore, measured SID must be within +/- 1 cm of the value
assigned in the system.
 The CARESTREAM CR Long-length Portable Cassette has a recommended SID of 150 cm (60 in.). You can set the default SID value
from 101 to 183 cm (40 to 72 in.), depending on site and grid requirements. You must enter SID values in centimeters (cm).
 Your staff radiographers can move the tube from the default position for an exam, but must override the default distance and enter the
measured SID when entering exam information. The actual SID must be within +/- 1 cm of the value assigned in the system.
194
Long Length Imaging
Exposing the CR Long-Length Portable Cassette

The Portable Cassette contains two 35 x 43 cm screens that overlap approximately 2.5 cm (1 in.) at the center of the cassette.
Exposing the Portable Cassette on a table
195
Exposing the Portable Cassette on the floor
Exposing the Portable Cassette on the wall
196
Long Length Imaging
197
Scanning the CR Long-Length Portable Cassette

Use the CR Long-Length Portable Cassette only with the Classic CR System.
Although the image stitches properly regardless of the order in which you process the images on the cassette, for best practice, use
this workflow to ensure that both screens are processed every time:
1. Scan the cassette with the processing label number 1 face up and the yellow corner toward you.
2. Scan the cassette with label number 2 face up and visible.
This way, every time you remove a Long-Length Portable cassette from the CR System with the label number 2 face up, you will
know that both screens have been scanned.
198
Long Length Imaging
Disposing of the CR Long Length Cassette

CARESTREAM CR Long-Length cassettes contain lead. Disposal of lead may be regulated due to environmental conditions. For
disposal or recycling information, contact your local authorities.
For further information concerning these products, inside the United States, call Carestream Health at 1-800-328-2910. If outside the
United States, write to Carestream Health, Inc. in your country.
199
Loading the Portable Cassette

You can load the Portable Cassette from a variety of positions.
To load from an upright position:
1. Hold the grid upright.

2. Hold the Portable Cassette at a slight angle so that the lower right corner enters the grid first. Let the weight of the cassette press down the
release latch.
3. Slide the cassette into the grid.
To load from a horizontal position:
200
Long Length Imaging
1. Turn the grid so that the back side is open and facing you.
2. Place the grid on a table or floor.
3. Hold the cassette flat with one corner leading into the grid.
4. Push the cassette into the grid and let the weight of the cassette push down on the release latch.
201
Wall-Mounting the Portable Imaging System

You can mount the Portable Grid on the wall using brackets (not supplied) or by hanging the handle on a hook.
202
Long Length Imaging
Removing the Long-Length Cassette

1. Stand the grid upright and hold it with the release latch facing you.
2. Tilt the grid slightly towards the latch edge.
3. Press the release latch down.
203
Moving and Storing the Portable Grid

To move or store the Portable Grid, grasp the handle and pull the grid so that the screen markers are facing up. The wheeled
grid makes moving the portable system easy to do. For best results, do not push the grid.
The rollers can turn if the grid is stored upright with the processing labels facing out, and the unit could fall. Make sure that you store
the grid with the markers facing out as shown in the picture above.
Handle the grid with care. Dropping or bumping the grid causes serious internal damage that produces permanent, unacceptable
imaging artifacts.
204
Mammography Feature
Mammography Exam Overview
You will need four cassettes for a standard mammography exam.
Refer to the following topics:
Unassigned Images
Acquiring Mammograms
What is a Mammography View?
The CR Mammography Feature
What is the Mammography Imaging Chain?
205
Acquiring Mammograms
The Mammography X-ray Unit is used with the CR System in the same manner as with conventional mammography, where you use
an intensifying screen and film to acquire patient images. The techniques (target, filtration, kVp setting, proper positioning, and
compression, etc.) used are similar for exposing the CR Mammography Cassettes, and requires that the X-ray Unit components
(such as X-ray generator, AEC, compression paddles, cassette Bucky/grid, etc.) are calibrated and maintained to function according
to the manufacturer's stated requirements.
What kind of digital images are produced?
Digital images are produced as follows:
EHR Cassette Sampling Rate Image Size Pixel Spacing
Size (approximate)
18 x 24 cm 20.6 pixels/mm 34 MB/image 48.5 microns
24 x 30 cm 20.6 pixels/mm 57 MB/image 48.5 microns
What kind of technique is used?
X-ray exposure techniques with the CR Mammography Cassette are similar to those used with the screen film system:
Technique Result Comment
Lower kVp Reduce noise and grid Recommended for
pattern. thinner, fatty breasts.
Raise kVp Increase penetration Recommended for
and reduce motion blur. thick, glandular breasts.
How should I orient the cassette?
Make sure that the tube side is up, and the yellow ID window that appears in Image View always appears on the chest wall. If the
yellow ID window does not display, contact your Key Operator. In addition, you can check the orientation by viewing the phosphor
screen's serial number on the non-chest wall side of the image.
The CR Mammography Cassette is compatible with modern mammography Automatic Exposure Control (AEC) systems. Although in
many cases you can adjust the density setting of the AEC to achieve an optimized exposure, you may need the X-ray equipment
company’s service representative to adjust the AEC settings.
206
Mammography Feature
Applying a Marker to a Mammogram

1. From Image View, select Stamp.
2. Right-click to view the markers to select.
3. Click on the image to apply the marker.
If a marker from the CR System covers breast tissue, reposition the marker by selecting it and clicking on another location.
Use markers to identify points of interest on a mammogram. Once the marker is saved, it becomes an integral part of the image.
Make sure that metal markers do not cover breast tissue. If a metal marker covers breast tissue, the patient must be re-exposed.
207
Printing Mammograms
 Use only a Mammography printer that is intended for use in mammography applications, when reviewing hardcopy printed images.
 For hardcopy printing of mammography images, Carestream Health recommends that you configure the CR System for use with a
KODAK DRYVIEW Mammography Laser Imager using KODAK DRYVIEW Mammography Laser Imaging Film. Contact your
Carestream Health Sales Representative for more product information.
 When you select justification on multi-format mammography prints, only one millimeter separates the prints for comparison viewing.
 Overscan that occurs during mammography exposures of the chest wall is automatically cropped out.
 You can achieve a Dmax of 4.0 (the darkest part of the image), to display soft tissue, without adding contrast.
You can send digital mammogram images to a DICOM compatible Mammography Printer from the CR System. The Mammography
printer produces a high-resolution, diagnostic quality, hardcopy (film) output of the digital mammogram images. You view the
hardcopy print for diagnosis on a view box. The view box must be of adequate brightness with uniform light output across the entire
viewing area to ensure that the image captured on the film can be effectively diagnosed.
208
Mammography Feature
What is a Mammography View?

A Mammography View is a combination of breast type, view position, and the image processing algorithms designed to give you the
optimum image.
Selecting the correct Mammography View gives you the optimum viewing and printing results for your image. Mammography-specific
configurations include Mammography Views created with corresponding projections to use for producing mammography images.
209
The CR Mammography Feature

The KODAK DIRECTVIEW CR Mammography Feature lets you use a CR Classic System, with CR Mammography Cassettes with
EHR-M screen, to produce clinical digital images for screening and diagnosis of breast cancer. You can use the CR Mammography
Feature in the same clinical applications as traditional film-based mammography systems, where:
 The CR Mammography Cassette with EHR-M/M2/M3 screen replaces the traditional film/screen cassette.
 The Classic CR System replaces a conventional film processor.
See the CARESTREAM Image Suite Hardware Guide for descriptions of this system.
210
Mammography Feature
Understanding the Mammography Imaging Chain

Obtaining high quality mammography images is dependent on many factors. All equipment in the Mammography Imaging Chain
must be properly calibrated for use and quality control checked for proper functionality per each manufacturer's recommendations.
The technologist plays a key role in successfully achieving high quality digital mammograms by understanding the best exposure
techniques to use, based on breast thickness and composition, and the capabilities of the equipment in the imaging chain. In addition
to the CR Mammography Feature, Carestream Health provides Mammography workstation and Mammography printer solutions, thus
optimizing the system performance of this equipment in the Mammography Imaging Chain.
 Acquisition
 Capture and Processing
 Softcopy Viewing and Storage
 Hardcopy Printing and Viewing
211
Glossary
A
Acquisition: Techniques used to capture an image.
B
Black Surround Mask: Black Surround Masking Software automatically detects the collimated area of the image and applies a black mask to it.
Body Part: Area of the anatomy to be examined.
Brightness: Controls the lightness or darkness of an image.
C
Cassette: The outer casing that contains the storage phosphor screen. The cassette is inserted into the reader.
CD/DVD Direct: CD/DVD media containing the images of a single patient, viewed with an included DICOM viewer.
Collimation: To reduce the size of the X-ray beam by restricting it, usually with lead shutters.
Contrast: The degree of difference between the lightest and darkest areas of an image. Contrast is analagous to Window Width.
CR: Computed Radiography, the process of creating digital radiographic images.
D
Default: Predefined information that is automatically applied, but can be replaced with a specific selection.
Destination: A location where an image is sent. Destinations include laser printers and clinical and diagnostic workstations.
DICOM: Digital Imaging and Communications in Medicine. A standard communication format that allows different types of equipment to work together when connected through a
network.
E
Edit Mask: Lets you manually create and apply a mask to an image.
EI: The Exposure Index (EI) is the average code value for the area that the image processing software determined was the Region of Interest (ROI).
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 system.
EVP: Enhanced Visual Processing software is an advanced image processing software that extends an image's latitude without loss of detail contrast. EVP provides an excellent
view of anatomy, especially in trauma lateral cervical spine images.
212
Glossary
Exam: A set of images, usually of the same body part, which are part of a procedure and have a common accession number.
Exam Information: Data pertaining to the way an exam is performed.
F
For Processing: Image Processing can be optimized at the workstation.
G
Grid Suppression: Automatically detects and removes grid lines from images.
H
High Water Limit: The Administrator determines the maximum amount of disk space that can be used by images in the system. When that limit is reached, images begin to drop
off the system.
I
Icon: A symbol representing a feature, process, or action in the software.
Image: An optically formed duplicate of an object. In Image Suite, an X-ray. A single picture.
L
Latent Image: An image that has been created by X-ray exposure, captured on a storage phosphor screen, but not yet processed.
Latitude: Controls the number of shades of gray visible in the image.
LLI: Long Length Imaging
Local Export List: Displays status messages of a successful export, or errors.
Look: A combination of image processing parameters designed to optimize the appearance of a body part.
LUI: Local User Interface on CR Classic System.
M
Mammogram: An X-ray of the breast designed to detect cancer.
Modality Worklist: A DICOM Modality Worklist enhances your workflow by importing patient demographics and study information from an information management system.
Using the Worklist eliminates errors from manual entry, lets exams begin on time, and assures the information is catalogued correctly.
Multi-format: An image output such as a print that contains more than one image.
213
N
Noise: Unwanted density that appears in low exposure areas of an image.
O
Optimize: To improve or develop as far as possible.
P
Parameter: A fixed boundary or limit. Image Processing Parameters are used by the system to optimize image quality.
Preset: A predefined and pre-programmed group of parameters for a specific body part.
R
Reset: Restores the original values.
ROI: Region of Interest
S
Scan: Process the exposure on the phosphor screen to form a digital image.
Shutdown: The process of exiting current tasks and applications and turning the power off.
Study: An X-ray or related series of X-rays and data for a single patient.
T
Tools: Functions identified by image icons that assist in performing tasks to enhance, measure, mark, or deliver images.
True-size Print: True-size printing delivers the latent image to the destination at 100%, +/- 2%. Because variations exist in the scanner, printer, and softcopy displays, 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.
U
Unassigned Images: When a cassette is scanned before the exam order is Active, the image displays properly, but without the correct patient information.
214
Glossary
View: A View is a combination of body part, view position, and the image processing algorithms designed to give you the optimum image.
W
W/L: Window Width/Level
Window Center: The center point in the grayscale
Window Level: The covering range of the image grayscale. See Brightness.
Window Width: See Contrast.
Index
215
103 LP........................................................................................................................193 Description, Web Viewer..............................................................................................67
Access level, changing ................................................................................................15 determine export destinations....................................................................................147
Acquiring Display settings, changing .........................................................................................104
image.....................................................................................................................170 Disposing of cassettes ...............................................................................................199
mammograms........................................................................................................206
Edit mask ...................................................................................................................120
Acquisition techniques, improving..............................................................................174
Edit Shortcut ................................................................................................................53
Administrator ................................................................................................................86
Editing, report.............................................................................................................158
Administrator Role .......................................................................................................93
Entering patient information .........................................................................................63
Applying marker to mammogram...............................................................................207
export options ............................................................................................................147
Archiving images........................................................................................................151
export status window .................................................................................................148
Assigned images..................................................................................................23, 155
exporting files to CD/DVD ..........................................................................................148
Automatic logout ..........................................................................................................11
Exporting images .......................................................................................................145
Back-scatter radiation ................................................................................................174
Exposing CR Long-Length Portable Cassette ...........................................................195
Black surround mask ...................................................................................................36
Film settings...............................................................................................................140
BSM .............................................................................................................................36
General ........................................................................................................................66
Cassette disposal.......................................................................................................199
Getting help....................................................................................................................3
Cassette size .............................................................................................................174
grid suppression controls .............................................................................................33
CD/DVD Direct ...........................................................................................................141
Grids ..........................................................................................................................174
Changing
Long Length ..........................................................................................................193
access levels ...........................................................................................................15
suppression .............................................................................................................37
display settings ......................................................................................................104
image processing parameters .................................................................................29 Heel effect..................................................................................................................174
image processing settings .......................................................................................99 How to assign patient information........................................................................23, 155
password .................................................................................................................15
privileges .................................................................................................................15 Image preview
Query Key Name list................................................................................................53 Radiologist...............................................................................................................57
roles.........................................................................................................................14 Technician ...............................................................................................................40
users........................................................................................................................14 Image processing...................................................................................................37, 38
Window/Level presets ...........................................................................................105 parameters, changing..............................................................................................29
Changing password policy settings............................................................................100 settings, changing ...................................................................................................99
Cine............................................................................................................................124 image processing controls ...........................................................................................33
Classic CR System, using..........................................................................................164 Image Suite Workstation toolbar..................................................................................88
Collimation .................................................................................................................174 Image Viewer .............................................................................................................112
Configuration..........................................................................................................66, 95 Image Viewer features .................................................................................................28
Contacting Carestream Health, Inc................................................................................3 Images
acquiring ................................................................................................................170
Create order .................................................................................................................63 archiving ................................................................................................................151
Deleting Improving acquisition techniques...............................................................................174
Query Key Name .....................................................................................................54
shortcut....................................................................................................................54 LLI ..............................................................................................................193, 194, 198
cassettes ...............................................................................................................199
216
Glossary
composite image does not form ............................................................................176 Play Cine....................................................................................................................124

Loading Portable cassette, removing ......................................................................................203
portable cassette ...................................................................................................200 Print............................................................................................................................135
Local User Interface Main Menu ................................................................................165 configuration ..........................................................................................................140
Locking screen.............................................................................................................12 Printing...............................................................................................................135, 140
Logging into system .......................................................................................................9 mammograms .......................................................................................................208
Logging out of system Printing the Image......................................................................................................130

automatically............................................................................................................11 Privileges, changing.....................................................................................................15
manually ..................................................................................................................11 Query Key Name list, changing ...................................................................................53
Long-Length Image Quality........................................................................................194 Query Key Name, deleting...........................................................................................54
Long-length Imaging ..................................................................................................193
Query keys...................................................................................................................51
LUI .............................................................................................................................165
Quick search ................................................................................................................55
Mammograms
Radiographer ...............................................................................................................86
acquiring ................................................................................................................206 role ..........................................................................................................................16
printing...................................................................................................................208
Receptionist .................................................................................................................86
Manual logout ..............................................................................................................11
Registering a Patient....................................................................................................19
Masking........................................................................................................................36
Removing the portable cassette from grid .................................................................203
Media .............................................................................................................................4
Report, editing............................................................................................................158
Modes
Administrator .............................................................................................................4 Roles, changing ...........................................................................................................14
QA .............................................................................................................................4 Scanning ....................................................................................................................164
Radiologist.................................................................................................................4 LLI portable cassette .............................................................................................198
Technician .................................................................................................................4
Screen, locking ............................................................................................................12
Monitor Calibration.......................................................................................................38
Search order ................................................................................................................63
Multi-format ................................................................................................................135
printing...................................................................................................................135 Searching.....................................................................................................................55
for a patient .............................................................................................................63
Off-focus radiation......................................................................................................174
select the export format .............................................................................................147
Opening work list .........................................................................................................41
Series
Orientation .................................................................................................................140 lists ..........................................................................................................................56
Overlay...................................................................................................................66, 72 sharpness control.........................................................................................................31
Overview ........................................................................................................................4 Shortcuts......................................................................................................................51
Physician role ..........................................................................................................16 changing ..................................................................................................................53
Radiographer role....................................................................................................16 deleting....................................................................................................................54
PACS Toolbar ..............................................................................................................28 Slide show..................................................................................................................124
Password, changing.....................................................................................................15 Specifications
Patient registration .......................................................................................................19 hardware ...................................................................................................................4
operating system .......................................................................................................4
Physician......................................................................................................................86
role...........................................................................................................................16 Split pane viewing ........................................................................................................28
PJM ............................................................................................................................130 Study lists.....................................................................................................................56
217
System components ......................................................................................................7 Wall mounting portable cassette................................................................................202

System Level Hot Key & Right-Click Group.................................................................81 Web Appointment ........................................................................................................63
Toolbar .........................................................................................................................66 Web Viewer..........................................................................................................63, 112
configuration ............................................................................................................80 description ...............................................................................................................67
True-size printing .........................................................................................................38 Web Viewer Worklist....................................................................................................82
Unassigned images .............................................................................................23, 155 Window/Level presets, changing ...............................................................................105
Understanding the mammography imaging chain .....................................................211 Worklist ........................................................................................................................66
User Settings ...............................................................................................................95 buttons.....................................................................................................................46
opening....................................................................................................................41
Users, changing ...........................................................................................................14
Worklist Column Configuration ....................................................................................78
Using
Workstation roles .........................................................................................................86
Classic CR System................................................................................................164
View ...........................................................................................................................174
218

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CARESTREAM Image Suite Online Help Topics

Optimizing the Exam ................................................................................................................................... 24

Search Order Tab .................................................................................................................................... 64

Edit Mask................................................................................................................................................... 120

Split and Layout ..................................................................................................................................... 144

Processing a Cassette .............................................................................................................................. 163

Export Procedure................................................................................................................................ 189

CARESTREAM, DIRECTVIEW, and DRYVIEW are trademarks of Carestream Health, Inc.

Carestream Health, Inc.

Contacting Carestream Health, Inc.

Authorized European Representative

Image Suite Overview

Relative Humidity: 40 to 80%

Media A CD is the software media.

Image Suite Components

Web View Description

Logging into the System

2. Input your user name in the User Name field.

Logging out of the System

Locking the Screen

1. Click Logout in the system tray and select Lock Screen.

2. To return to the system, click Unlock.

3. Type your password in the Password field.

User Management Screen

Overview of the Radiographer/Physician Roles

Butto Name Description

Button Name Description

4. Select Worklist if the Worklist does not display.

Editing Patient Information

1. Click Modality Worklist.

2. Search for a patient in the Modality Worklist.

4. Select MWL (Modality Worklist) .

What if the EI is too low?

What if the EI is too high?

Why does my image look light when the exposure is high?

Why is the EI so high? I did not overexpose it.

Image Processing Adjustment

Body Part Tab

 Noise—Controls the appearance of quantum noise in areas of low exposure.

Body Part Tab

Noise Suppression Software

Black Surround Mask Software

 Click Worklist on the panel launch bar to open the Worklist.

Load Key Image Click to load a designated image in the study.

Transfer Images Set destination, name, and compression of image transfer.

Delete Study Click to delete complete study after providing reason.

Scanning to Acquire an Image

Unreserve Remove the protection for the selected study.

Refresh Reload the query results from the server.

Replace/Append Mode switch toggles between Replace and Append modes:

Scan Launches the Exam Order List.

Page Scroll Scroll additional pages of the Worklist.

1. Select the patient record.

2. Select Tag Edit.

Changing the Image Number

Changing the Query Key Name List

1. Click Edit Shortcut .

Deleting a Query Key Name

Doing a Quick Search

Click to display each page of images. Page one and two

Click to cancel the last request, or indicates Ready/Cancel

Click to append images or select an image and Append/Replace

Click to remove all images from the Viewer. Unload All