Vitrea 6.6.

3 Release Notes

VPMC-13457B
Copyright © 1997-2014 Vital Images, Inc. All rights reserved. Date of Publication July 2014.
VitreaAdvanced® protected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,031,504; 7,136,064; 7,362,329; 7,574,029; 7,590,272;
7,660,481;7,929,748;7,991,210; 8,214756; 8,249,687 Other Patents Pending in the U.S. and other countries.
VitreaWorkstation™ protected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,031,504; 7,136,064; 7,362,329; 7,574,029; 7,590,272;
7,660,481;7,929,748;7,991,210; 8,214756; 8,249,687 Other Patents Pending in the U.S. and other countries.
VitreaCore protected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,039,723; 7,136,064; 7,362,329; RE42,952; Other Patents Pending in the U.S.
and other countries.
VitreaView® protected by U.S. Patents 6,130,671; 6,219,059; 7,136,064; and 7,362,329. Other Patents Pending in the U.S. and other countries.

VPMC-13457A Vitrea 6.6.3 Release Notes

TM
This publication is valid for VitreaCore 6.6.3, VitreaWorkstation 6.6.3, Vitrea fX 6.6.3, and VitreaAdvanced 6.6.3, VitreaExtend 6.6.3 and later software
versions.
No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including
photocopying and recording, or by any information storage or retrieval system without permission in writing from Vital Images.
Trademarks
Vital Images, Vitrea, VitreaAdvanced, VitreaView, ViTAL, and ViTAL U are registered trademarks of Vital Images, Inc.
All other marks are property of their respective owners.
Restricted Rights Legend
If this software or documentation is delivered to the Department of Defense (DOD) of the U.S. Government, it is delivered with Restricted Rights as
follows:
Use, duplication or disclosure of the software by the U.S. Government is subject to restrictions as set forth in subparagraph (c)(l)(ii) of the Rights in
Technical Data and Computer Software clause at DFARS 252.227-7013.
If this software or documentation is delivered to any unit or agency of the U.S. Government other than DOD, it is delivered with Restricted Rights and
use, duplication or disclosure by the U.S. Government is subject to the restrictions as set forth in FAR 52.227-19 (b)(3). If the software or documentation
is delivered to NASA, it is delivered with Restricted Rights subject to the restrictions set forth in 18-52.227-86(d) of the NASA FAR Supplement.
Limits of Liability and Disclaimer of Warranty
VITAL IMAGES SHALL HAVE NO LIABILITY OF ANY KIND FOR ANY DIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES BASED ON ANY
DEFECT, FAILURE OR MALFUNCTION OF THE SOFTWARE,OR USE OF ANY VITAL IMAGES DOCUMENTATION, WHETHER THE CLAIM IS
BASED UPON WARRANTY, CONTRACT, TORT OR OTHERWISE. VITAL IMAGES MAKES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING
BUT NOT LIMITED TO, ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WHETHER ARISING FROM
STATUTE, COMMON LAW, CUSTOM OR OTHERWISE.
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This software and the information in this software including, but not limited to, the ideas, concepts and know-how are proprietary, confidential and trade
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Software License Notice
This software is a licensed product of and is distributed by Vital Images, and may only be used according to the terms of that license on the system
identified in the License Agreement. In the event of any conflict between these terms and the terms of any written agreement or agreement assented to
through electronic means with Vital Images, the terms of such written or assented agreement shall control.

Australian Sponsor: Australian Sponsor:

CELEO Pty Ltd Toshiba Australia Pty Ltd
15 Alvarado Court PO Box 350
Broadbeach Waters, QLD 4218 North Ryde, NSW 1670
Australia Australia

MDSS GmbH
Schiffgraben 41
30175 Hannover, Germany
CELEO Pty Ltd. and Toshiba Australia Pty Ltd are authorized sponsors in Australia and act on behalf of Vital Images, Inc. in the communication of
safety-related incidents and regulatory matters with Therapeutic Goods Administration in Australia. Distributors are still the first line of communication
with their customers regarding service and complaints.

Manufactured by: Vital Images, Inc; 5850 Opus Parkway, Suite 300; Minnetonka, MN, USA; 55343; Phone 866.433.4624

Vitrea 6.6.3 Release Notes VPMC-13457B

Table of Contents
INTRODUCTION ............................................................................................................................................... 1
CONTACT US ................................................................................................................................................... 1
CAUTIONS AND NOTES .................................................................................................................................. 2
GENERAL NOTES ............................................................................................................................................ 2
NEW 6.6 FEATURES AND ENHANCEMENTS................................................................................................. 3
NEW 6.6.3 FEATURES AND ENHANCEMENTS .............................................................................................. 5
KNOWN LIMITATIONS ..................................................................................................................................... 5
KNOWN ISSUES ............................................................................................................................................ 10
RESOLVED ISSUES ....................................................................................................................................... 15
VERSIONING INFORMATION – 6.6.3 ............................................................................................................ 23

Vitrea 6.6.3 Release Notes VPMC-13457B

Introduction

This document contains the following information:


TM
Cautions and Notes that are new to the VitreaCore, VitreaAdvanced, VitreaWorkstation, and VitreaExtend 6.6, 6.6.1, 6.6.2 and
6.6.3 releases;
 known limitations for the VitreaCore, VitreaAdvanced, VitreaWorkstation, and VitreaExtend 6.6, 6.6.1, 6.6.2 and 6.6.3 releases;
and
 known and resolved issues for the VitreaCore, VitreaAdvanced, VitreaWorkstation, and VitreaExtend 6.6, 6.6.1, 6.6.2 and 6.6.3
releases.
NOTE: references to VitreaAdvanced and VitreaWorkstation also include VitreaAdvanced fX and VitreaWorkstation fX.

CAUTION: For general Safety and Regulatory Considerations, refer to the appropriate Education and Reference Guide.

CAUTION: Federal law restricts this device to sale by or on the order of a physician, as directed by 21 CFR 801.109(b)(1).

Contact Us

 For general, non-technical support questions, contact us through our Web site: www.vitalimages.com.
 For customer technical support, contact us at:
o In the U.S., call the Customer Support line at 1.800.208.3005; or
o Outside the U.S., contact your Vital Images distributor; or
o Send an email to support@vitalimages.com.
 To provide feedback about this document or other Vital Images product documentation, send an email to
feedback@vitalimages.com.
 Contact Customer Support for a printed version of the release notes, education and reference guide, or installation guides.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 1 of 23
Cautions and Notes

As of
Products Description
Version

6.6.1 VitreaExtend There are known image quality issues when running VitreaExtend on Windows XP 32-bit and 64-bit
(SP2 and SP3) where images display tearing artifacts. To avoid any image quality issues, Vital
recommends you use Windows 7.
6.6.1 VitreaExtend Console Logout Restrictions
VIT-10705 Once any user logs into the VitreaExtend Host System, they must not log out if any Remote sessions
are active. If they do log out, then those sessions will become unresponsive. If there are no active
Remote sessions, a user can log out of the VitreaExtend Host System without issue. For more
information, refer to the VitreaExtend Install Guide.
6.6.1 VitreaExtend Remote sessions will log off after 15 minutes of inactivity. This amount of time is configured by your
System Administrator.
6.6.1 VitreaExtend If all remote sessions are in use, you will be notified that no additional sessions are available. The user
names using the open sessions will be listed.
6.6.1 VitreaExtend When loading very large datasets and/or using applications with high computation needs (such as Brain
Perfusion 4D) while using multiple concurrent remote sessions, you may notice longer loading and
processing times.
6.6.1 VitreaExtend VitreaExtend supports loading the same dataset on multiple sessions concurrently. Be aware that
software does not prevent multiple users viewing the same patient study at the same time.
6.6 VitreaAdvanced By default, both the Anticipatory Processing and MINT services are disabled. Only one of these two
VitreaWorkstation services should be enabled on a VIMS node with 8GB of RAM or less. If both services are needed, the
VIMS node should be upgraded to 16GB of RAM or more.
Anticipatory
Processing
6.6 VitreaAdvanced Some of the Anticipatory Processing scripts require customization in order to operate correctly in a
VitreaWorkstation particular environment. Before enabling the Anticipatory Processing services, all scripts should be
reviewed and/or updated by Vital Professional Services to ensure a proper configuration for the site.
Anticipatory
Processing

General Notes

As of
Products Description
Version

6.6 VitreaAdvanced Cardiac: Pediatric Functional CT protocol is no longer included with Multi-Chamber CFA license
VitreaWorkstation In earlier releases, the CT Cardiac Multi-Chamber Functional Analysis license provided access to the 3-
Cardiac: Pediatric Chamber Functional Analysis preset in two protocols: Cardiac Functional CT and Cardiac Pediatric
Function CT Functional CT. This license continues to provide the 3-chamber preset in the CT Cardiac Function CT
protocol. However, the Cardiac Pediatric Functional CT protocol will not be available. Snapshots created
in earlier releases using the Cardiac Pediatric Functional CT protocol will not be restorable.

Vitrea 6.6.3 Release Notes VPMC-13457B

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New 6.6 Features and Enhancements

The following features, functionality and enhancements have been incorporated into VitreaAdvanced, VitreaExtend, and
VitreaWorkstation products:
Clinical Application Enhancements
1. Vessel Tracking Improvements - CT Angiography vessel tracking and segmentation results have been improved in this release
for high hounsfield unit exams. These improvements include the following:
 Improved vascular algorithm performance
o The algorithm can process 80 kVp – 100 kVp source images
o We support 80 kVp – 100 kVp input images
o These features have been validated at high hounsfield unity thresholds
 Improved vessel tracking, lumen segmentation, and centerline creation
 Improved compatibility with scan acquisitions and iterative reconstruction methods
 Key benefits are reduced editing time, workflow efficiency, and reproducibility

2. CT Liver Enhancements - Vital has added the following new features and enhancements to the Resection Planning protocol, part
of the CT Liver Analysis Application:
 One click liver segmentation with improved bone (rib) removal
 One click segmentation of Portal and Hepatic Veins with improved vessel grow
 One click segmentation of Hepatic Artery with improved vessel grow
 Vessel tree editing tool with “show” tree feature
 Improved 3D image rotation for segmented anatomy and smaller regions
 Better visual display of multiple series with triple volume 6-up layouts
 Multi-Volume Fusion (provides ability to fuse arterial and venous structures into one 3D image)
 New user HELP button to guide a user through the liver workflow

3. CT Lung Enhancements - Vital has added the following new features and enhancements to the CT Lung Analysis Application:
 New dictation table captures clinically relevant findings for monitoring and tracking lung nodules such as:
 Added “Fleischer Clinical Criteria” for assisting with follow-up and management of nodules
 Automatic nodule measurements including RECIST and WHO (Max and Short Axis Diameter)
 Ability to restore nodules from prior exams
 Manual nodule probe tool enables ability to find, create and edit a nodule region
 The Nodule Management table was increased in size to minimize scrolling for analyzing multiple nodules

4. CT Brain Perfusion Enhancements– we have added the following support for Perfusion Datasets
 Created a more simplified product structure with the following name and licensing changes:
o 2 CT Brain Perfusion Licenses available – CT Brain Perfusion 2D and CT Brain Perfusion 4D
o CT Brain Perfusion is now CT Brain Perfusion 2D
o CT Brain Analysis 4D is now CT Brain Perfusion 4D
 Support for Wide Volume Thin slice Brain Perfusion datasets from Toshiba Aquilion Prime Scanners
 Support Thick Slice “Jog Shuttle” from Philips Scanners (2D Perfusion)
 Summary maps are now available in all CT Brain Perfusion protocols without a separate license (except for VitreaLT)

5. Head and Neck Bone Subtraction - CT Angiograms of the head and neck contain bone and vessels together; the fundamental
workflow is to separate them to visualize the vessels optimally. We have added the following new features to the Vascular COW
CT and Vascular Carotid CT protocols:
 Ability to load two identical series (non-contrast and post-contrast)
 Two NEW icons in the Application Tab and VitreaAdvanced for a visual cue for the new feature
 Automatic Registration and Subtraction Processing
o Head ONLY uses Rigid Registration
o Head/Neck uses Deformable Registration
 Manual Registration and Subtraction buttons available if needed
 Volume Navigation with renaming option
 Dual Volume layout (default) with optional 6-up layout for Pre, Post, and Sub
 Fusion of Pre and Sub series

Vitrea 6.6.3 Release Notes VPMC-13457B

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6. CT Cardiac Analysis – New functionality that supports the display and processing of Toshiba scanner generated coronary
subtraction series. This new functionality offers the following analysis tools:
 Ability to display a Subtraction and Non-Subtraction (CTA) series in a comparison side-by-side layout
 Available in the Cardiac Arteries CT protocol
 Auto Link/Lock function for both the CTA and Subtraction Series (cannot unlock)
 Vessel Probe will copy over to both series
 Requires a “Toshiba scanner generated” cardiac subtraction series

Partner Integration Improvements

1. Olea Sphere Integration - We have integrated Olea Sphere into VitreaAdvanced which replaces both Olea MR and Olea MR LC.
This integration reduces product gaps, provides clear workflows for a combined analysis that integrates the various imaging
sequences and post processing steps. Key new features include:
 Perfusion and Diffusion
 DCE, DTI/Fiber Tracking
 Pre-designed structured workflows

2. Medis (QMass and QFlow) – We have updated to the latest released version of the Medis products into VitreaAdvanced. Key new
features include:
 QMass 7.6 - MassK mode (automatic papillary muscle segmentation)
 QFlow 5.6 - Support for smaller vessels
 Integration – improved snapshot identification to enable display of snapshots on the report tab

3. TomTec Integration – We have updated to the latest released version of the TomTec product into VitreaAdvanced, TomTec-
Arena 1.1. This integration update addresses defects and issues within the software.

General Features and Enhancements

1. Anticipatory Processing - Anticipatory Processing moves time-consuming operations outside of the user’s critical path by
enabling the system to perform the right “action” without having to provide further input. The following new functionality includes:

 Pre-fetch priors for defined Patient ID

o Analyze incoming studies from PACS using a set of pre-fetch rules
o Query and Retrieve relevant prior studies for study comparison
 Auto-batch (CT, MR and PET)
 Auto-bone removal
o Performs segmentation to isolate specific anatomical structures for incoming series.
 Ability to configure “AP” rules by site

2. Reporting Templates
 Six NEW report templates
o Portrait: 1 x 2, 1 x 3, 2-up, 3-up, and Portrait Run-off layout
o Landscape: 3-up, 4-up
 Minimized “white spaces” and reduced print margins
 Optional header/footer information
 Thumbnail display for easy image sizing assessment

General Serviceability
The following “Serviceability,” in terms of installation and updates of Vital products have been implemented:
 System Upgrade/Install Enhancements – “Serviceability” of Vital products represents a key area of focus for improvements. We
have made the following changes in an effort to simplify and reduce time during installation.
 System Check Tool that validates settings before installation eliminating time-consuming trouble shooting and starting over.
Available for VIMS, VitreaAdvanced and VitreaCore Server
 Upgrade Version Messaging. Dialog box pop-up detects version restrictions when upgrading to version 6.6
 VitreaCore Installer support for Internet Explorer 10 and Windows 8

Vitrea 6.6.3 Release Notes VPMC-13457B

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New 6.6.3 Features and Enhancements

The following features, functionality and enhancements have been incorporated into VitreaAdvanced, VitreaExtend, and
VitreaWorkstation products:
Translated User Interface and documentation
For the 6.6.3 software release, the User Interface and the Education and Reference Guides will be translated in multiple languages.
Refer to the Help tab to view the translated documents.

VitreaExtend
The VitreaExtend software is available as of the 6.6.1 release

Known Limitations

As of
Products Description
Version
6.6.1 VitreaExtend Unsupported Monitor Resolution may result in degraded performance
The VitreaExtend software supports the following monitor setups:
 a single 24" standard format monitor with a supported resolution of 1920x1200.
 a single 30” monitor with a supported resolution of 2560x1600.
Performance may suffer if larger than 2560 X 1600 monitor resolution is used.
6.6.1 VitreaExtend VitreaExtend does not support multi-monitor configurations
6.6.1 VitreaExtend Unsupported functionality on remote sessions
The following functionalities are not supported on remote sessions:
 Import from Media (Network/Desktop/CD/DVD)
 Export to Media (Desktop/CD/DVD)
 Save As feature for snapshot PNGs
 Export to Media for non-DICOM data (CSV, EP files)
6.6.1 VitreaExtend Colon auto flythrough may cause image tearing on the flythrough screen
VIT-10485 This issue occurs when you launch a colon study using VitreaExtend, select the Colon protocol and
Flythrough preset, and select the Auto Flythrough option in the upper left corner of toolbar. As a
result, the image may produce tearing on the flythrough screen.
NOTE: This issue is seen during display only and captured images are not affected. This issue only
affects VitreaExtend Windows XP clients.
6.6.1 VitreaExtend Spin rotation may cause image tearing
VIT-11152 This issue occurs when you launch a Cardiac or Vascular study using VitreaExtend and perform a spin
rotation on the 3DVR image. As a result, the image may produce tearing.
NOTE: This issue is seen during display only and captured images are not affected. This issue only
affects VitreaExtend Windows XP clients.
6.6.1 VitreaExtend A 1 Gbit/s connection between the remote client and the server is recommended (you may
experience reduced performance if a lower connection speed is used)
6.6 VitreaWorkstation Using side clicks with a tilt-wheel mouse causes application to crash
VitreaAdvanced System crashes have been experienced with tilt-wheel mice performing a side click action. As a
SUSENG-4044 workaround, use a basic mouse.

6.6 VitreaExtend Internet Explorer 11 is not a supported Internet browser for VitreaExtend Host System
deployments

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 5 of 23
 As of
Products Description
Version
6.6 VitreaAdvanced MPR views no longer display fused images for Liver CT protocol
VitreaWorkstation If you perform fusion in the Liver CT protocol, the MPR views do not display fused images. Fusion is
VitreaExtend available in 3D only and does not apply to 2D images for this release.

6.6 VitreaAdvanced Siemens scanners that acquire three slice CT Brain Perfusion are not supported
VitreaWorkstation
VitreaExtend

Known Limitations, continued

As of
Products Description
Version
6.6 VitreaAdvanced Circle of Willis (COW) Protocol: Jog Shuttle does not build one volume
VitreaWorkstation The shuttle jog builds two volumes instead of one volume. Jog Shuttle is not supported in the COW
VitreaExtend protocol.

6.6 VitreaWorkstation IPv6 is not supported at this time.

VitreaExtend Internet Protocol version 6 (IPv6) is not supported at this time.
6.6 VitreaAdvanced VitreaAdvanced Servers and VitreaWorkstations require at least 12GB of RAM to support the Liver
VitreaWorkstation application.

6.6 VitreaAdvanced Lung Density Analysis gives an incorrect result for patient with only one lung
VitreaWorkstation When you use the Lung Density Analysis preset for a patient with only one lung, the lung is divided into
VitreaExtend a left and a right portion and the results are incorrect.

6.6 VitreaAdvanced Snapshot Restorability limitations

VitreaWorkstation In certain cases, snapshots are not restorable:
1. Snapshots created in version 6.4 and 6.5 will not be readable or useable in previous versions of
the product.
2. Snapshots sent as monochrome will not be restorable.
3. Snapshots taken when disparate patients are loaded (i.e. not identified as the same person) will
not be restorable.
4. Snapshots created in 6.2 or 6.3 ECF-based VitreaWorkstation for XA studies with dicomSnapMode
ON will not be restorable when using the 6.4 VIMS-based VitreaWorkstation. When restoring to
VitreaCore, not all attributes of advanced applications can be restored.
Snapshots created in 6.2 or 6.3 ECF-based VitreaWorkstation that are migrated to a 6.4 VIMS based
VitreaWorkstation will display the migration timestamp on all snapshots.
NOTE: Snapshots that do not have DICOM Snapshot Mode enabled will not migrate from previous
versions of VitreaWorkstation.
6.6 VitreaAdvanced Mirada Saved Session is unavailable after an upgrade
VitreaWorkstation The Mirada saved sessions are used to go back to an incomplete workflow. All the evidence previously
collected is still available to consume in the report.
As a workaround, you can complete the Mirada workflow before the upgrade or redo the workflow
after the upgrade in absence of the saved sessions.
6.6 VitreaCore VitreaCore query only returns results if the patient scan is within the last eight years.
6.6 VitreaAdvanced SQL Server 2005 Express Edition limits the total available DICOM data storage to 1 TB
VitreaWorkstation DICOM data storage is limited to 1 TB due to SQL Server 2005 Express Edition having a 4 GB
database size limitation. This issue is usually encountered when running VitreaWorkstation fX on
Windows XP.
As a workaround, upgrade the Windows Operating System to Windows 7 for a VitreaWorkstation or
upgrade to Windows Server 2008 R2 for a VES system. SQL Server 2008 R2 provides up to 2TB of
DICOM storage and is used by default on Windows 7. SQL Server Standard Edition should be used in
situations where the SQL database size is expected to be larger than 10 GB.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 6 of 23
 As of
Products Description
Version
6.6 VitreaAdvanced Vital does not generate Encapsulated PDF DICOM data
VitreaWorkstation Vital does not have the capability of generating Encapsulated PDF DICOM data. Therefore, any
generated Encapsulated PDF evidence from third party software will be in a Secondary Capture and
will properly display in the Vital Reporting tray.
6.6 VitreaAdvanced CD/DVD Report Viewer application requires .NET 4.0
VIC-678 If a user burns a CD/DVD from the VitreaCore Report page and then tries to select the AutoRun.exe
option from the auto-populated dialog, a “.NET Framework Initialization Error” will display if .NET 4.0 is
not installed on the system.

Known Limitations, continued

As of
Products Description
Version
6.6 VitreaAdvanced NAS path is permanent
VitreaWorkstation The Network-Attached-Storage (“NAS”) path is permanent. Customers that wish to replace or rename
the NAS path must keep the original hostname or reprocess all patient data.
6.6 VitreaAdvanced Vitrea Review Tab
The Vitrea Review tab is not available in VitreaAdvanced. This functionality is currently offered through
the ‘Report Tray’ in the Data Manager to support report distribution.
6.6 VitreaAdvanced Study Directory Access
The VitreaWorkstation Study Directory is not available from VitreaAdvanced. Key features and
functionality that are only available on the standalone workstation include – Study Viewer and Disk
Space Indicator.
6.6 VitreaAdvanced Sub-Volume Loading not available in VitreaAdvanced
The Vitrea Study Directory supports the ability to select discrete points within a study’s 3D volume for
loading into the viewer. This capability enables users to manage local resources by only loading a
subset of the data and is not available in VitreaAdvanced.
6.6 VitreaAdvanced Endovascular Planning: Exporting files to media may not save
This following occurs when in VitreaAdvanced on a server or on Vitrea Powerstation:
1. Insert CD into drive.
2. Load dataset into Cardiac: EP Planning protocol, 3D Analysis preset.
3. After segmentation is complete, click on Save 3D button in lower left hand corner and wait for
“Save Done” message to display in lower right hand corner.
4. Go to the Report page or study directory.
5. From the Report page, click on burn CD/DVD. From the Study Directory, right-click on a dataset
and choose Save to media.
6. The option box is grayed out and files are not found in patient directory.
The Endovascular Planning 3D Model is for standalone workstations only.
6.6 VitreaAdvanced 3D image appearance differences when rendered by GPU vs. CPU
VitreaWorkstation The appearance of 3D images can be different when rendered with a dedicated GPU versus CPU-
based rendering.
6.6 VitreaAdvanced Multi-volume fusion limitations with older GPU’s
VitreaWorkstation Multi-volume fusion of more than three volumes is not supported on older graphic cards (Examples:
Quadro FX3500 and ATI FirePro V5800). Vitrea will only allow three volume Multivolume fusion with the
older graphic cards and will allow up to four volumes with the newer graphic cards.
6.6 VitreaAdvanced System Administration issue: Duplicate patientID entered with slightly different name
If two studies with the same patient ID and different names (such as one with a middle name and the
other without) are sent to Vitrea cache and auto-delete rules specify that the two studies should be
deleted, only the newer study will be deleted. The other study is orphaned.
A system administrator can delete the orphaned study folder manually.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 7 of 23
 As of
Products Description
Version
6.6 VitreaCore Findings do not display in the Report tab when using McKesson HRS-A and Internet Explorer 6
Findings will not display in the Report tab when integrated with McKesson HRS-A PACS while both 6.4
and 6.5 VES Clients are installed and the browser version is Internet Explorer 6. As a workaround,
please update to a supported version of Internet Explorer.
6.6 VitreaAdvanced Rendering: Multi-volume fusion is only available in GPU mode. This includes generic volume fusion (up
VitreaWorkstation to four volumes) and fusion features in Myocardial CT and 4D Brain Perfusion.

6.6 VitreaAdvanced Internet Explorer 11 is not a supported Internet browser for the 6.6 software release
VitreaWorkstation
VIM-1640

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 8 of 23
Known Limitations, continued

As of
Products Description
Version
6.6 VitreaWorkstation Shadows display in CTA/Aorta when Auto Bone or Remove Fragments are used with CPU
SUSENG-2880 Rendering
The Auto Bone or Remove Fragments options when used with CPU rendering can cause ghosted or
shadow remnant of ribs in some cases. As a workaround, use the Dilate feature in the Regions
Options menu to improve the 3D image quality.
6.6 VitreaAdvanced .NET 4.5 is not supported for the 6.6 software release
FRDB-1199 Do not install .NET 4.5 on a VIMS Server or it will close unexpectedly.
6.6 VitreaAdvanced Brain Perfusion - Summary Map options do not save as part of Modified Preset
VIT-6815 For Brain Perfusion studies loaded into VitreaAdvanced, Summary Map options or controls are not
saved as part of Modified Presets.
6.6 VitreaAdvanced SQL Express database size limits the total DICOM data storage utilized by the system
VitreaWorkstation Any system where SQL Express 2008 or older is used and where more than 1TB of storage is used,
VIM-1685 you are limited to using 1TB or less of storage for your DICOM data.
As a workaround, upgrade your Windows Operating System to Windows 7 for a VitreaWorkstation or
upgrade to Windows Server 2008 R2 for a VES system. Then, SQL Server 2008 R2 will be used and
you can utilize up to 2TB of storage.
6.6 VitreaAdvanced Coronary Subtraction – Studies with multiple subtraction series and CTA series do not display
VitreaWorkstation correctly in VES
VIT-10900 You are unable to launch a sub series and corresponding CTA series into the subtraction application
using the Series tab on VES. Fortunately; you can launch into the Coronary Subtraction application
using the select Application data option from the Application tab on VES. VitreaWorkstation has no
issues with the data and launches and groups properly.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 9 of 23
Known Issues

As of
Products Description
Version
6.6.3 VitreaAdvanced Custom template with custom logos or icons are lost during an upgrade
VitreaWorkstation This issue occurs when you complete the following workflow:
SUSENG-4077 1. Create a custom template with logos or icons for a specific application
2. Upgrade site from previous version to later Vital version
3. Load patient data and attempt to create a report with the previously generated template
As a result, the custom template, institution logos, or icons may not be retained after an upgrade. As a
workaround, Vital Customer Support should backup custom logos and icons before an upgrade and
use the report template backup to restore customer reports. An alternative is to recreate the custom
reports manually.
6.6.2 VitreaAdvanced TAVR Annulus Size checkbox may be grayed out
VitreaWorkstation This issue occurs when you complete the following workflow:
SUSENG-4043 1. Load a TAVR series into Vitrea
2. Click “Annulus Size” in the measurements section
3. Double click within the axial view to automatically select the Annulus
As a result the checkbox for the Annulus Size is grayed out and not selectable. As a workaround, right
click the Annulus contour in the axial viewer and select Annulus Size. The checkbox is now active and
can be selected.
6.6.2 VitreaAdvanced Restoring a Myocardial CT snapshot does not restore the heart rate value
VitreaWorkstation Snapshots taken within Myocardial CT do not restore the Heart Rate value in the viewer. As a
SUSENG-11745 workaround, edit any of the restored measurements followed by a re-compute or undo the edit. This
will recalculate the heart rate and display the value.
6.6.1 VitreaExtend Brain Perfusion Summary Map measurement values do not display on 2D perfusion
Brain Perfusion Brain Perfusion Summary Map volumes cannot be computed when the series contains only a single
VIT-11456 slice.

6.6.1 VitreaExtend VitreaExtend closes unexpectedly when you load Coronary Subtraction datasets that include
VIT-11485 secondary images
This issue occurs when you select a study that includes a secondary image (e.g., batch or report) in the
Study Directory and click the Load Volume button. As a result, VitreaExtend closes unexpectedly.
As a workaround, load the CTA volume and sub-volume. Do not select and attempt to load the
evidence with the CTA volume and sub-volume.
6.6.1 VitreaExtend User cannot mark TAVR measurements as done
VIT-11256 Double-clicking in an axial image creates an ROI. However, the name selected in the measurement list
does not become active so the user cannot mark the measurement as done.
As a workaround, right-click the measurement and assign the name.
6.6.1 VitreaExtend For remote sessions, movie previews in Report Findings tray are being cut short
VIT-11243 The Windows Media Player will close earlier than expected when being run on Remote Session.
As a workaround, the complete movie file can be previewed from the console or you can set the
Windows Media Player to loop.
6.6 VitreaExtend Compression fails for CD/DVD burning
VIT-3632 If you try to burn a CD/DVD from the Report page, the compression fails. Vital has disabled DICOM
compression for CD/DVD burning from the Report page.
6.6 VitreaExtend ROI tool is disabled for single volume in Calcium Scoring
VIT-10735 This issue occurs when you load a single volume into the Calcium Scoring CT: 2D Vscore protocol. The
ROI and Ellipse tools are disabled. If this happens, load the study into a generic protocol and perform
an ROI.

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 As of
Products Description
Version
6.6 VitreaExtend Head and Neck Bone Subtraction – Memory space use continues increasing when using the
VIT-10746 refine tool
This issue occurs when the refine tool is used repeatedly which causes the memory use to keep
increasing, and the system slows down. If this happens, close and restart VitreaExtend when memory
usage rises to unacceptable levels.
6.6 VitreaExtend Dual Volume snapshots do not make it to Report page after initial snapshot restore and
VIT-10943 additional measurements
This issue occurs when you complete the following workflow:
1. Load two coincident series from the same patient from different dates into a protocol that loads into
Dual Volume.
2. Probe a vessel in the first volume.
3. Take a diameter measurement in the axial inset.
4. Alter it by dragging the end and take a snapshot.
5. Go to the Report page and restore the snapshot.
6. Go to volume two, probe a vessel, and alter the measurement through dragging the marker in
longitudinal and the ends in the axial.
7. Take a snapshot, then go to the Report page and restore.
8. Repeat the previous steps for additional measurements in each volume and take snapshots, then
go to the Report page.
As a result, the snapshots are not saved to the Report page and thus are not restorable.
6.6 VitreaExtend Lung Nodule Analysis – Nodule comment is cut off in snapshot when it is too long
VIT-10627 If you write a long comment in the nodule comment box when a snapshot is taken, the comment may
be cut off when it is displayed in the viewer tab. The full comment will be shown in the table in the
report template.
Known Issues, continued

As of
Products Description
Version
6.6 VitreaWorkstation ALI Compression fails for CD/DVD burning
VIT-3632 If you try to burn a CD/DVD from the VitreaWorkstation Report page, the ALI compression fails. For the
6.6 release, Vital has disabled DICOM compression for CD/DVD burning from the VitreaWorkstation
Report page.
6.6 VitreaAdvanced VitreaCore did not open when you logged into McKesson 11.6 as an advanced user and tried to
VitreaWorkstation launch VitreaAdvanced Server when none was available
VIC-965 This issue occurred when you completed the following workflow:
1. Log into McKesson as an advanced user when all VitreaAdvanced servers are already in use.
2. In the McKesson client, right-click a study that is already on the VIMS, and select Open Study.
Images display.
3. Right-click an image and select VES.
4. Select Load Series in Vitrea WEB. The Data Manager displays.
5. Select the Series tab. On a series thumbnail, click the VitreaAdvanced button.
As a result, a message displays stating none of the VitreaAdvanced Servers are available. However,
VitreaCore did not open. As a workaround, right-click the series thumbnail and select Load.

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 As of
Products Description
Version
6.6 VitreaWorkstation Dual Volume snapshots do not make it to Report page after initial snapshot restore and
VIT-10943 additional measurements
This issue occurs when you complete the following workflow:
1. Load two coincident series from the same patient from different dates into a protocol that loads into
Dual Volume.
2. Probe a vessel in the first volume.
3. Take a diameter measurement in the axial inset.
4. Alter it by dragging the end and take a snapshot.
5. Go to the Report page and restore the snapshot.
6. Go to volume two, probe a vessel, and alter the measurement through dragging the marker in
longitudinal and the ends in the axial.
7. Take a snapshot, then go to the Report page and restore.
8. Repeat the previous steps for additional measurements in each volume and take snapshots, then
go to the Report page.
As a result, the snapshots are not saved to the Report page and thus are not restorable.
6.6 VitreaAdvanced Crash: Cardiac TAVR protocol reordering of volumes after initial ordering for multiple series
VIT-10918 This issue occurs when you complete the following workflow:
1. Select multiple series and load into Vitrea.
2. Select the TAVR protocol and preset.
3. Turn on show vessels.
4. Scroll in the longitudinal inset if it lets you.
You should see that the reformats display and you are able to scroll through them, but the software
may crash. As a workaround, select reset after loading.
6.6 VitreaAdvanced Coronary Subtraction – When a snapshot is restored the lesion tool is grayed out
VIT-10823 This issue occurs when you complete the following workflow:
1. Launch a coronary subtraction study.
2. Load into 3D analysis preset
3. Probe a vessel and make the subtraction series active, then take a snapshot of subtraction series
4. Go to report and restore the snapshot
As a result, the lesion tool is grayed out and not available for use. As a workaround, make the CTA
series active and the lesion tool becomes available again.
6.6 VitreaAdvanced Liver Analysis – 3D fusion available only
VitreaWorkstation Fusion is available in 3D only and does not apply to 2D images for this release
VIT-10667

Known Issues, continued

As of
Products Description
Version
6.6 VitreaAdvanced Single Brain Perfusion image doesn’t display in 4-up layout
VIT-3879 This issue occurs when you load a single slice perfusion dataset into the generic protocol using a 4-up
layout. The axial image is not visible until you increase the slice thickness, then it displays as expected.
6.6 VitreaAdvanced Cardiac CTA – After restoring a snapshot, the heart rate is not displayed
VIT-10819 This issue occurs when you complete the following workflow:
1. Load one or two volumes of a cardiac CTA study that has heart rate in the DICOM tags.
2. Select the Cardiac Myocardial CT protocol and either the Myocardial Perfusion or Myocardial
Analysis preset.
3. Wait for segmentation and computing to be complete. Make sure the heart rate is displayed.
4. Take a snapshot.
5. Restore the snapshot from the Study Directory or Report page, and wait for segmentation and
computing to be complete.
As a result, the heart rate is not displayed. As a workaround, if you do an edit and then click compute
again, the heart rate will reappear.

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 As of
Products Description
Version
6.6 VitreaAdvanced TAVR Protocol – renaming measurements causes duplicated names
VIT-10790 This issue occurs when you complete the following workflow:
1. Launch study into TAVR protocol
2. Turn on show vessel.
3. Highlight Left Aortic-Iliac in findings list.
4. Select ruler and create measurement in inset by left clicking.
5. Right-click and select a pre-defined name. Use one of the RT ILIAC measurements.
6. Mark measurement as done.
7. Check the Report page.
As a result, the measurement displays twice, once grayed out in one vessel and once bold in the other.
As a workaround, reset, or delete the measurement and do in the correct vessel and rename
manually.
6.6 VitreaAdvanced Head and Neck Bone Subtraction – Memory space use continues increasing when using the
VitreaWorkstation refine tool
VIT-10746 This issue occurs when the refine tool is used repeatedly which causes the memory use to keep
increasing, and the system slows down. If this happens, close and restart VitreaAdvanced when
memory usage rises to unacceptable levels.
6.6 VitreaAdvanced ROI tool is disabled for single volume in Calcium Scoring
VitreaWorkstation This issue occurs when you load a single volume into the Calcium Scoring CT: 2D Vscore protocol. The
VIT-10735 ROI and Ellipse tools are disabled. If this happens, load the study into a generic protocol and perform
an ROI.
6.6 VitreaAdvanced 4D Perfusion (Brain and Body) Slice numbers shown in axial views are incorrect
VIT-10730 This issue occurs when you follow these workflow steps:
1. Load a 4D Brain or Body Perfusion case.
2. Cine to the first slice in the first time phase.
3. Observe that the slice number shown in the axial overlay is #1.
4. Cine to the next time point without changing the z axis cine.
As a result, the axial shows #2.
6.6 VitreaAdvanced Lung Nodule Analysis – Nodule comment is cut off in snapshot when it is too long
VitreaWorkstation If you write a long comment in the nodule comment box when a snapshot is taken, the comment may
VIT-10627 be cut off when it is displayed in the Viewer tab. The full comment will be shown in the table in the
report template.
6.6 VitreaAdvanced 2D Brain Perfusion – Vitrea software crash
VIT-10404 This software issue occurs when you attempt to restore either a Philips thick-slice Jog Shuttle study or
a thin-slice Toshiba Wide Volume/Jog Shuttle study snapshot to a prior software version in the 2D
Brain Perfusion application. As a workaround, you must reload the study and create a new snapshot
with the new software version.

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Page 13 of 23
Known Issues, continued

As of
Products Description
Version
6.6 VitreaAdvanced Media Manager import fails with extremely large DICOM datasets
VIT-6268 This issue occurs when you attempt to import extremely large .dcm files.

6.6 VitreaAdvanced Liver Analysis – Preset selector options for fusion not working
VIT-2206 This issue occurs when you follow these workflow steps:
1. Load multiple series in resection planning preset.
2. Segment the liver, portal vein (Portal or Venous phase), and hepatic artery (Arterial phase).
3. Go to portal phase and select the rigid fusion option.
4. Toggle between various preset selector options in portal phase.
5. Select fusion phase and toggle between various preset selector options
As a result, you see no difference between the liver solid option and liver vessels, and you can no
longer select the inverted MiP option.
6.6 VitreaAdvanced Olea Sphere Cannot Perform Computations on Compressed DICOM Transfer Syntax
VIM-1961 If data is OleaSphere studies are sent to the VIMS in Compressed format, the software fails to perform
as Olea does not support JPEG lossless compressed data. To avoid this issue, send the data to Vitrea
using non-JPEG compressed transfer syntax and the data sent can be opened within Olea Sphere.
6.6 VitreaAdvanced This issue occurs with the following workflow steps:
VIM-1949 1. Load a series into Vitrea.
2. Select Generic CT and 3D preset.
3. Apply a Denoising preset.
4. Select the Save New Series option.
As a result, the new series is available in the study directory, but the volume is not built.
6.6 VitreaAdvanced Anticipatory Processing: MPR Autobatch does not skip old priors for batching
PLT-5064 This issue occurs with the following workflow steps:
1. Set up to pre-fetch the last three prior exams from archives that are older than 5 years.
2. Push the current dated study to VitreaAdvanced and let it pre-fetch the old prior.
3. Make sure the old studies have dates older than defined data script.
1. As a result, the AP batches every prior study even though the date is outside the desired max age of
studies to be batched. As a workaround, check the study date time in the script.
6.6 VitreaAdvanced VG3 Server “Flutters” due to use of local machine time stamps
PLT-5108 The VG3 servers (vitrea-license, vitrea-home, etc.) register themselves as online automatically. The
PLT-4455 local time stamp is used during registration. The servers are also marked offline automatically if they
have not "checked in" in a reasonable time. However, if the time stamp on different machines is off by
more than a minute, the servers will be accidentally marked offline.
This behavior causes "fluttering" of the services because they are marked offline and online very
frequently. In one instance, the services were being erroneously marked offline 41 times a minute.
This behavior will fill the logs and audit table with erroneous data quickly.
The problem is that the system uses the online status for some of the services. If the license server is
"down", Vitrea View will not tell eViz the URL, and then eViz will raise a "License Error" to the user. To
the user, it appears the system is down.
The solution is it to use the central DB timestamp instead of the local machines.
6.6 VitreaAdvanced Multi-Chamber Cardiac Functional Analysis displays blue box in VR viewer
VIT-6090 The issue occurs when you complete the following workflow steps:
VIT-3850 1. Load a multiple phase cardiac dataset.
2. Select Cardiac Function CT Protocol and 3-chamber preset.
3. Wait for segmentation to complete and then right-click on the LV region and select Show Volume.
As a result, a blue box displays on the image. This extra blue box is a rendering artifact and does not
inhibit the viewing of the anatomy. As a workaround, you could trim the affected part of the image
where the artifact displays.

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Page 14 of 23
Known Issues, continued

As of
Products Description
Version
6.6 VitreaAdvanced MINT becomes unresponsive and requires a restart
SUSENG-3779 MINT becomes unresponsive and started having I/O Socket errors which then caused deadlock, and
time out to other VIMS services.
SUSENG-3767
6.6 VitreaAdvanced License Availability Report displays a gray screen
VIM-1867 Run a License availability report searching for the last day, and the results of the query returns a gray
screen. This is expected behavior if there are no events where there is a lack of license events. The
report should display a graph with values of the query if the systems detects that “lack of license
events” have occurred.
6.6 VitreaAdvanced Snapshots display with Red X on report page
VitreaWorkstation This issue occurs when you complete the following steps:
1. Setup your NAS sharename to be patients.
VIT-9828 2. Install VIMS using the NAS share name you created in step 1. NAS path should look something
SUSENG-3408 like this \\VIMSHOSTNAME_or_NASHOST\patients\.
3. Install VitreaCore. You can also install an advanced server, but not required to reproduce.
However, and advanced server will give you better error reporting on this issue.
4. Log into VitreaCore.
5. Load into VitreaCore viewer or VitreaAdvanced viewer.
6. Take a snapshot or batch.
7. Click on the Report tab.
The snapshots do not display in the Report page, and there is a red X in its place. The snapshot does
display within the snapshot tray in VitreaCore. Select the Report page tab and see the following error,
"System.Net.WebException: The remote server returned an error: (404) Not Found..."
As a workaround, recreate a new NAS share without using patients as the sharename. Remove VES,
start with a new blank database, reinstall VES, and re-push all DICOM data back to VIMS.

6.6 VitreaAdvanced Calcium Scoring Series building into one volume

SUSENG-3336 This issue occurs when you import a data set with 6.3 volume builder rules. The software creates one
volume instead of two separate volumes.
6.6 VitreaAdvanced Help Links display Adobe Error on VitreaAdvanced
SUSENG-3831 This issue occurs when accessing the Help Documents from the Viewer tab in VitreaAdvanced. As a
workaround, Help documents can be accessed from VitreaCore or directly from the website URL:
http://<insertVIMSHost>/vital/Help/en/index.html

Resolved Issues

Fixed
Products Description
Version
6.6.3 VitreaAdvanced Custom reports are replaced with original report after IIS or system restart
VitreaWorkstation This issue occurred when a custom report template was created. After an IIS restart or reboot of the
VIT-12334 system, the custom report page would no longer be available. This issue has been resolved.

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Page 15 of 23
 Fixed
Products Description
Version
6.6.3 VitreaAdvanced Deleting large amounts of evidence causes system hangs
VitreaWorkstation Previously, when deleting large amounts of evidence, the user would be required to wait until the data
SUSENG-3985 was deleted before continuing on with report page workflows. This issue has been resolved.
VIT-12317
6.6.3 VitreaAdvanced Poor details of Lung studies on some data with denoising
VitreaWorkstation After lung segmentation completes, some lung datasets may appear blurry, as if denoising was applied.
SUSENG-3973 This issue has been resolved.
VIT-11932
6.6.3 VitreaAdvanced Batch speed is slow with semi-transparency with CPU rendering
VitreaWorkstation When the user sets the transparency slider to greater than 50% for any object in the region list while
VIT-11915 using CPU engine, batching may take a very long time to complete. This issue has been resolved.

6.6.3 VitreaAdvanced Failed exports cause the study to be locked indefinitely

VitreaWorkstation This issue occurred when an export was requested which failed. After the export had been retried for
SUSENG-3832 the configured maximum number of retries, the study would not be unlocked, but stay in a locked state.
This issue has been resolved.
VIM-2003
6.6.3 VitreaAdvanced Segmented EVSP datasets with only 2 points for a centerline cause Vitrea to crash
VitreaWorkstation Previously, in rare situations, when datasets are segmented in EVSP, VitreaAdvanced or
VIT-11927 VitreaWorkstation could crash. This issue has been resolved.

6.6.2 VitreaAdvanced Endovascular Stent Planning unusable batch creation

VitreaWorkstation This issue occurred when you completed the following workflow:
VIT-11532 1. Loaded a study and selected Vascular Aorta Stent CT / Stent planning.
SUSENG-3837 2. After segmentation completed, selected Edit Centerline in the curved reference image.
3. Made edits to the centerline for common, right, and/or left Aortic-iliac vessels.
4. Cleared the Show Vessels checkbox.
5. Changed the sagittal image to a curved MPR.
6. Made the axial full screen.
7. Selected the Batch tab and made a batch.
8. Selected the Report tab and previewed the batch.
In some cases, the images jumped to the lower corner of the viewing area and the last image of the
volume was the first image in the batch. This issue is resolved.
6.6.2 VitreaAdvanced Certain graphs/images missing Demographic Heading information in DICOM tags
VIT-11702 When exporting non-DICOM files from the left side of the report page (CACS graphs, Polar Maps, etc.),
certain demographic DICOM tags are omitted when converting the non-DICOM image to a DICOM
image. When exporting these images to a VIMS-based system, if images from the same study are
already on the receiving system, the receiving VIMS will identify the mismatched demographics and
delete the existing images to ensure all images within the study have consistent information.
This issue is resolved and the proper tags are created during the export.
6.6.2 VitreaAdvanced Windows Security Login screen displayed when VitreaAdvanced Report page was selected
SUSENG-3843 Previously, a Windows Security login screen displayed asking for credentials when you selected the
Report page in the VitreaAdvanced session and service accounts were not granted administrative
privileges. This issue is resolved.
6.6 VitreaAdvanced VG3 Service upgrade on database causes problems
SUSENG-3802 When upgrading and starting up a VG3 for the first time, the software starts by doing a database
PLT-5156 upgrade, which is causing the sql log file to grow large in size and take a long time. This caused the
drive to fill up and the upgrade to fail. This issue has been resolved
PLT-5155
6.6 VitreaAdvanced VitreaCore login takes a long time
SUSENG-3633 This issue occured when logging into VitreaCore with LDAP account, the user experienced a delay of
up to 30 seconds before the study list displays. Logging in with local account is much faster. After that,
the delays are minimal and the study list displays. It occured even after a reboot with no other
programs running. This issue has been resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 16 of 23
 Fixed
Products Description
Version
6.6 VitreaAdvanced Certain screen resolutions would not scale properly
VIT-10935 This issue occurred when you launched an Advanced session on a VES system, set the client
resolution to 1280 x 1024, and set the server resolution to 1920 x 1200. The Back, Gallery, Viewer,
Report and Help tabs were cut off. This issue is resolved.
6.6 VitreaAdvanced 3D Image Window/Level performance was degraded in virtual deployments
SUSENG-3679 This issue occurred when you loaded a study, selected any protocol, and window/leveled the 3D
VIT-10898 image. As a result, the 3D image window/levels operation was slow. The degree of slowdown was
affected by the study size and the protocol. This issue is resolved.
6.6 VitreaAdvanced Softread files and registries were not removed after upgrade
VitreaWorkstation This issue occurred after an upgrade to Softread was performed on VES and a PowerStation. Specific
VIT-10868 files were expected to be removed during the upgrade and were not causing an error to occur every
time a user launched into Softread, “invalid VitreaData Top Value”. This issue is resolved. Refer to the
Vital Customer Support Knowledgebase for more information.
6.6 VitreaAdvanced VitreaAdvanced launched with an error due to IE ESC not being turned off for Users
SUSENG-3643 This issue occurred when you had a VitreaAdvanced Server account that was a User and not an
VIT-10392 Administrator to the VitreaAdvanced Server. Refer to the VitreaAdvanced Server Install Guide for more
information.
6.6 VitreaAdvanced Body Perfusion registration failure did not allow user to complete workflow
VitreaWorkstation This issue occurred if the registration for the body perfusion protocol failed. The user interface buttons
SUSENG-3673 would become disabled, which would not allow a user to complete the study or workflow.
VIT-10315 This issue is resolved.

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Page 17 of 23
Resolved Issues, continued

Fixed
Products Description
Version
6.6 VitreaAdvanced Carotid vessel contours could not be edited after probing vessels in another study when
VitreaWorkstation SUREPlaque was not licensed
SUSENG-2738 Previously, this issue occurred when you completed the following workflow with a license that did not
include SUREPlaque:
VIT-10362
1. Loaded an abdomen or a peripheral study; probed a vessel, and closed the study.
2. Loaded a carotid study, probed a vessel, and edited the contours. When applying the contour
changes, the contours would do not display or the first/last contours would display only.
This issue is resolved.
6.6 VitreaAdvanced Using “Aortic Neck Angle” measurement listed within the Measurement findings list did not
VitreaWorkstation properly update after centerline edit
VIT-10030 Previously, this issue occurred when you completed the following workflow:
VIT-10090 1. Launched a study using the TAVR or Stent Planning protocol and preset.
2. Created an angle measurement in the longitudinal inset, based on a grayed out angle
VIT-10052 measurement in the list.
VIT-10051 3. Edited the centerline and clicked OK.
4. Viewed the angle measurement listed at the bottom of the inset.
As a result, the aortic measurement result did not update. This issue is resolved.
6.6 VitreaAdvanced VI RollingFile Logging failed to roll over if the log was being actively written to
SUSENG-3743 This issue occurred when you actively logged to any log file using the RollingFileStream and waited
PLT-4879 until the log reached the rollover limit that was specified in MB by maxFileLength. As a result, the File |
Move operation failed and produced a runtime exception from the Log command that was currently
executing. This issue is resolved.
6.6 VitreaAdvanced Zoom buttons perspective projection were not functioning and have been fixed
VitreaWorkstation This issue occurred when you rendered in 3D in perspective mode and clicked the Zoom button in the
VIT-2763 3D image. As a result, the 3D image did not display in the Viewport. This issue is resolved.

6.6 VitreaAdvanced Vessel names did not display in the MPR views
VitreaWorkstation This issue occurred when you used the vessel probe tool. Previously, the vessel name would not
SUSENG-3248 display in the MPR views. This issue is resolved. The vessel name will now display in the MPR views
VIT-9801 for all of the vessels.
6.6 VitreaAdvanced CT Multi-Chamber Cardiac - undo short-axis edit computed Polar Map incorrectly
VitreaWorkstation This issue occurred when the polar map was re-computed when the Undo button was clicked. For the
6.6 release, the Undo button is disabled for the 3-Chamber preset. It remains enabled for all other
VIT-10000 protocols.
VIT-10053 1. Load multi-phase cardiac dataset in the 3-chamber Cardiac Functional Analysis application
2. Select the 5-up viewer with polar maps
3. Rotate the cardiac sectors in the short-axis viewer using the LV Axis edit tool
4. Then select the undo button at the bottom of the screen.
This issue is resolved by disabling Undo in the 3-chamber preset.
NOTE: Due to a correction in the way myocardial contours are sampled for calculations, the numbers
and colors displayed on the polar maps of a restored snapshot may differ from the way they were
displayed when the snapshot was taken. The degree to which the calculated results can differ is
roughly equivalent to a 1-2 mm adjustment of the mitral valve plane in either end-systolic or end-
diastolic phases.
6.6 VitreaAdvanced CT Liver Resection Planning Base region was visible after segmenting the liver with the Pick
VitreaWorkstation tool
VIT-6956 This issue occurred any time the liver region was created using the liver pick tool. After segmentation,
the Show check box remained selected for the base region and the liver could not be seen well. This
VIT-8571 issue is resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 18 of 23
Resolved Issues, continued

Fixed
Products Description
Version
6.6 VitreaWorkstation EP Planning - Save 3D button was present but did not save EP files on Powerstation
VIT-8474 Previously, the Save 3D button would display on a Powerstation, however, the Save 3D feature is
specific to VitreaWorkstations. For the 6.6 release, the Save 3D button no longer displays when using a
Powerstation, as this functionality is not supported on a Powerstation.
6.6 VitreaAdvanced Airway Vessel choice in the Region Color Selector menu did not function
VitreaWorkstation Previously this issue occurred when you performed the following workflow:
VIT-7007 1. Loaded a study into Generic CT/3D.
2. In the Anatomy List, clicked on the Options dropdown menu in the Base region and selected
Change Colors.
3. In the Region Color Selector popup menu, scrolled to the bottom and selected the Airway
Vessel option.
As a result, the Airway Vessel option in the Region Color Selector menu did not function.
Specifically, the space the button occupied on the user interface did not function. This issue is resolved.
6.6 VitreaAdvanced Crosshair on MPR images while scrolling with mouse did not release the full crosshairs when
VIT-4129 finished scrolling
This issue occurred when scrolling through MPR images by spinning the wheel on the mouse. When
you scroll using the wheel it is expected that the crosshairs on the image stay filled in unless you stop
scrolling or click somewhere in the image. When you stop scrolling the crosshairs should not be filled
in. This issue is resolved.
6.6 VitreaAdvanced Users may have assumed volumes and EF percentages were calculated based on the contoured
SUSENG-2483 region rather than the tinted region
Previously, it may have been unclear to users that the LV volume was based on the tinted LV region.
This issue has been addressed by turning the region tint back on, to illustrate that the tinted region
does not necessarily match the contour. An informational icon has also been added to remind users to
verify the tinted region because this is the volume used to calculate the Ejection Fraction and Stroke
Volume.
6.6 VitreaAdvanced Vitrea Administration Tool User Audit Report did not show VitreaCore current sessions
VIM-1919 This issue occurred when you loaded a series in VitreaCore, launch the Vitrea Administration Tool, and
selected the User Audit Report page. As a result, the current session was not listed. It displayed once
the study was closed. This issue is resolved.
6.6 VitreaAdvanced Error seen printing Calcium Scoring graphs and table images
VIT-6348 Previously this issue occurred when you performed the following workflow:
1. Scored one of the vessels and took a snapshot.
2. Selected the Report tab. Clicked on an image template that was a 4:1 and replaced the current
calcium scoring template displayed.
3. Dragged the graph, table and snapshot to the image template on the right.
4. Clicked DICOM print.
Instead of printing as expected, an error displays and the page does not print. This issue is resolved.
6.6 VitreaAdvanced Logging into VitreaCore with an LDAP account took 30 seconds
VIC-942 This issue occurred when you logged into VitreaCore using an LDAP account, you were delayed by up
to 30 seconds before the Study List displayed.
Previously, Vital used to get all Groups that a user was associated with and the search was based at
the Root of the Domain Controller. For the 6.5.5 release, Vital only tests for Group memberships we are
interested in for the user and the search is based at the User node. This issue is resolved.
6.6 VitreaAdvanced Times in the VitreaCore User Auditing page were not in local time, but in GMT
VIC-902 This issue occurred when you loaded a study in VitreaCore, noted the local time or computer time, then
went to the VitreaCore Administration page, selected the User Auditing page, and made a query using
the current date. As a result, the loaded study was listed under GMT time. This issue is resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

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Resolved Issues, continued

Fixed
Products Description
Version
6.6 VitreaAdvanced Created a batch with Russian series description and export, the series description showed ???
VitreaWorkstation characters in the Study directory
VIT-6483 Previously this issue occurred when you performed the following workflow:
1. Loaded a dataset and selected the 3D Preset.
2. Selected the Batch tab, clicked on any MPR, scrolled to a different slice, and clicked on the End
button.
3. Entered a series description with Russian characters.
4. Selected the Show cover image with label checkbox.
5. Entered a Label that contained 56 characters with Russian Characters and special characters and
numbers such as &, *, (, ), $, @, !, etc.)
6. Clicked on the Batch button.
7. Selected the Study directory and Exported to another Vitrea/VES destination.
As a result, the series description showed ??????? in place of the Russian characters. This issue is
resolved. With the 6.6 release, Vital does not allow any non-ASCII characters in the series description.
6.6 VitreaAdvanced Report page was cut off with a client resolution of 1280 x 1024
SUSENG-3708 Previously this issue occurred when you launched an Advanced session on a VES 6.6 system, set the
client resolution to 1280 x 1024 (the documented minimum client resolution), and accessed the Report
page. As a result, the bottom portion of the Report page was cut off and buttons were missing and
could not be selected. This issue is resolved.
6.6 VitreaAdvanced Exported Olea color maps were highly pixilated when viewed on PACS
VitreaWorkstation Previously the exported batches were not exported in the same resolution as they were displayed
SUSENG-3339 creating images that looked pixelated. This issue is resolved.

6.6 VitreaAdvanced Error occurred when loading Cardiac CFA data in multi-chamber
SUSENG-3627 This issue occurred when you loaded a multiphase Cardiac dataset, selected desired the phases,
selected the Cardiac Functional CT protocol, and picked 3-Chamber Functional Analysis. As a result, a
“MYOCARDIUM SEGMENTATION FAIL” error displayed prior to the segmentation being completed.
This issue is resolved.
6.6 VitreaAdvanced Auto Export could not send images as a single series
McKesson This issue occurred when you launch through McKesson Integration into a patient, created snapshots
SUSENG-3505 and batches, and clicked the Back to PACS button. As a result, each snapshot image were sent as its
own series and no longer stacked on the PACS. This issue is resolved.
6.6 VitreaAdvanced Remove Fragments caused Vitrea to close unexpectedly
VitreaWorkstation Previously this issue occurred when you performed the following workflow:
SUSENG-3734 1. Loaded a carotid study and selected the Vascular: Carotid CT protocol and 3D Analysis.
2. Selected the Use modified presets check box and cleared the Automatic bone removal check
box.
3. Trimmed the front and sides of study so that carotids were readily visible.
4. Adjusted window/level to about 125/275.
5. Clicked on Remove Fragments.
6. Clicked AddTo: Recycle Bin.
As a result, Vitrea closed unexpectedly. This issue is resolved.
6.6 VitreaAdvanced Different Mirada Saved sessions were listed on the VitreaAdvanced Servers
Oncology Fusion This issue would appear random to the end user. If the first file encountered in the file directory was a
SUSENG-3563 non-DICOM file, the DICOM related file used to restore the saved session was not processed correctly
and Mirada would not display or restore the saved session. If the first files encountered were Mirada
saved sessions, the issue would not occur and the series was processed correctly. This issue is
resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

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Resolved Issues, continued

Fixed
Products Description
Version
6.6 VitreaAdvanced Silent VIMS install on Windows Server 2008 with SQLEXPRESS database instance failed to
SUSENG-3415 complete
This issue occurred when you attempted to install VIMS silently using Windows Deployment Server
running Microsoft Deployment Toolkit when the SQL instance was VIMSSQLEXPRESS. As a result,
the installation failed. This issue is resolved. For more information, refer to the VIMS Install Guide.
6.6 VitreaAdvanced Snapshots and batches not sent in order selected when exported from Report page
VitreaWorkstation Previously this issue occurred when you performed the following workflow:
SUSENG-3713 1. Loaded any study in any protocol.
2. Took a series of snapshots and batches.
3. Selected the Report page.
4. Clicked and then CTRL+clicked the snapshots and batches in the order you wanted them sent to
PACS.
5. Clicked on the Export button. The images displayed in the export window in the order selected.
6. Selected Export as single series.
7. Exported to PACS
As a result, images were not sent in order selected on the Report page. This issue is resolved.
6.6 VitreaAdvanced Dynamic MR license was limited to one specific VitreaAdvanced Server
SUSENG-3592 Previously this issue occurred when you performed the following workflow:
1. Licensed Dynamic MR for one license and added two VitreaAdvanced Runtime licenses on a
system with two available VitreaAdvanced Servers with Dynamic MR installed.
2. Logged into VitreaCore.
3. Clicked on a Dynamic MR study.
4. Selected the Applications tab.
5. Double- clicked on the Visia Dynamic Review icon to load into an advanced session.
6. Exited this session.
7. Opened another Visia Dynamic Review session.
As a result, the Dynamic MR license was not checked out on the VIMS Server. This issue is resolved.
6.6 VitreaWorkstation Query time constraint dropdown did not work on 6.5.1
SUSENG-3409 This issue occurred when you attempted to query a PACS for a valid patient ID with both old and new
studies, selected last week from the Time Constraint dropdown, and clicked Query. As a result, the
results would only display if you selected any time from the Time Constraint dropdown. This issue is
resolved.
6.6 VitreaAdvanced Vital Start menu Links started an install in a load balanced environment
SUSENG-3050 This issue occurred when you upgraded a 6.3 load balanced system to 6.4.1, used the VIP as the
VIMS hostname, and used the Start menu links to access the Application Editor and the VIMS Monitor.
As a result, a repair was started. This issue is resolved.
6.6 VitreaWorsktation Study level query results showed the wrong number of images in VitreaWorkstation
SUSENG-3344 Previously when you queried a system that did not support “number of images in the study” in response
to a cFind query, the image count displayed on the workstation was incorrect. However, if you queried
a different system that supported number of images in the study, the correct image count was
displayed. This issue is resolved.
6.6 VitreaAdvanced Medis Contours saving to all sequences even when contours were edited
SUSENG-2908 This issue occurred when you loaded any Cardiac MR study for Medis QMass/QFlow, double-clicked
PIN-1420 the QMass icon, created contours, and either clicked the Save button or selected File | Save to Vitrea.
As a result, it saved the contours to all sequences and not just the sequence in which the contours
were created. This issue is resolved.
6.6 VitreaAdvanced Medis Quantitative Flow Velocity values display gray and are not easily seen on graph
SUSENG-3589 This issue occurred when you calculated the quantitative flow velocity using Medis software, and
generated the peak velocity graph. The line on the graph is gray and poorly visible on the flow curve
graph. This issue is resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

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Resolved Issues, continued

Fixed
Products Description
Version
6.6 VitreaAdvanced Wrong MTT CBF maps on specific Vein Input Function location
VIT-11018 Previously, if there was a temporary surge in contrast of the (automatically or manually) selected
VIT-10852 vein, the perfusion calculation may have incorrectly omitted all the data after that surge, which
SUSENG-3773 resulted in incorrect perfusion maps. The temporary surge was visible as a small peak in the vein
curve that preceded the primary peak.
Shown below is an example of the graph in which the phenomena occurred.

This issue is resolved. The perfusion miscalculation no longer occurs. For additional information,
please contact Vital Customer Support.
6.6 VitreaAdvanced Cardiac Pediatric CFA application is not available unless licensed
VitreaWorkstation The pediatric multi-chamber CFA application will not be available in the Application tab unless it is
VIC-956 licensed.

6.6 VitreaAdvanced WW/WL values missing after doing a batch in VitreaCore using Enhanced DICOM
SUSENG-3647 This issue occurs when you create a batch in VitreaCore using enhanced DICOM. The results are that
the WW and WL values are not in the DICOM tags of the batch. This issue is resolved.
6.6 VitreaAdvanced Closing the Batch dialog box is slow
SUSENG-3646 This issue occurred when you create a batch in VitreaCore and the uploading files window takes a long
time to close. This issue is resolved.
6.6 VitreaAdvanced Missing 3D Anatomy with Vessel Probe trim & Vessel Grow tools
VIT-9978 This issue occurred when you probed a vessel, then extended the vessel using the trim or vessel grow
SUSENG-3367 tool. In the 3D image, there are areas that are not filled in where the vessel was extended, even though
the vessel tint showed that area was selected. This issue is resolved.
6.6 VitreaAdvanced Repeated log messages during ingestion of large studies caused system slowness
VitreaWorkstation Unneeded log messages were being inserted into the database during the down load of large studies.
SUSENG-2886 These have been eliminated and this issue is resolved.

6.6 VitreaAdvanced OleaSphere does not display progress indicator

PIN-1428 This issue occurred when an exam using the Breast Workflow is being exported there should be a
progress indicator to alert the user when the exporting has been completed. The indicator does not
show up so a user could exit the application too early and discontinue the exporting unexpectedly.
This issue is resolved
6.6 VitreaAdvanced Certain datasets (usually MR) display a 0% in the series description
SUSENG-3744 In some datasets the phase % in the series description column would display as 0%. This mostly
SUSENG-3808 affected MR datasets. This issue is resolved.

Vitrea 6.6.3 Release Notes VPMC-13457B

Page 22 of 23
Versioning Information – 6.6.3

Product Name Version Number

VIMS Server 6.6.3
VitreaAdvanced Server 6.6.3
VitreaCore Server 6.6.3
VitreaAdvanced fX 6.6.3
Vitrea (Workstation) 6.6.3
Vitrea fX (Workstation) 6.6.3
VitreaExtend 6.6.3
Cedars-Sinai Cardiac Suite Quantitative Blood Pool SPECT (QBS) 2012.0.0.17760
Cedars-Sinai Cardiac Suite Quantitative Gated SPECT (QGS) 2012.0.0.17760
Cedars-Sinai Cardiac Suite Quantitative Perfusion SPECT (QPS) 2012.0.0.17760
iCAD VeraLook CAD 1.0 – 1.1
Medicsight Colon CAD 3.3 – 4.1
Medis QMass MR 7.6
Medis QFlow 5.6
Medis QFlow Advanced 5.5.22
MeVis CT Lung CAD 3.1.2
MeVis Visia Dynamic Review 6.3
Visia CT Lung CAD 3.0.1
Mirada Oncology Fusion Core 3.6.3.5
Mirada Oncology Fusion Standard 3.6.3.5
Mirada Oncology Fusion Advanced 3.6.3.5
Olea Sphere 2.2
TomTec Base Cardiology (TomTec-Arena) 1.1

TomTec Advanced Cardiology (TomTec-Arena) 1.1

TomTec Radiology (TomTec-Arena) 1.1

Vitrea 6.6.3 Release Notes VPMC-13457B

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