System, DICOM Configuration CSTD US34-NX3.805.01 US34-102.843.01

ACUSON NX3
Configuration
System
DICOM Configuration
This document is valid for:

ACUSON NX3 Ultrasound Systems
ACUSON NX3 Elite Ultrasound Systems
2 Document Version / Disclaimer / Copyright
Document Version
Siemens Healthcare GmbH reserves the right to change its products and services at any
time.
In addition, manuals are subject to change without notice. The hardcopy documents cor‐
respond to the version at the time of system delivery and/or printout. Versions to hard‐
copy documentation are not automatically distributed.
Please contact your local Siemens Healthineers office to order a current version or refer to
our website http://www.siemens-healthineers.com.
Disclaimer
Siemens Healthcare GmbH provides this documentation “as is” without the assumption of
any liability under any theory of law.
The content described herein requires superior understanding of our equipment and may
only be performed by qualified personnel who are specially trained for such installation
and/or service.
Copyright
“© Siemens Healthineers, 2018” refers to the copyright of a Siemens Healthineers entity
such as:
Siemens Healthcare GmbH - Germany
Siemens Shenzhen Magnetic Resonance Ltd. - China
Siemens Shanghai Medical Equipment Ltd. - China
Siemens Healthcare Private Ltd. - India
Siemens Medical Solutions USA Inc. - USA
Siemens Healthcare Diagnostics Inc. - USA and/or
Siemens Healthcare Diagnostics Products GmbH - Germany
ACUSON NX3 US34-102.843.01.03.02 Page 2 of 63 © Siemens Healthineers, 2018

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Table of Contents 3
1 DICOM Configuration 4
1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.1.1 Workflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.1.2 Required Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.3 Required Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.4 Required Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.5 System Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.2 Setup the DICOM Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.1 DICOM Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.2 Local Host Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.2.3 Storage Server Setup Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.2.4 Worklist Server Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
1.2.5 MPPS Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
1.2.6 DICOM BW Printer Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . 25
1.2.7 DICOM Color Printer Setup Window . . . . . . . . . . . . . . . . . . . . . . . 32
1.3 Setup a Wireless Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
1.4 Configure the DICOM Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
1.4.1 Assign the DICOM Print/Store key . . . . . . . . . . . . . . . . . . . . . . . . . 40
1.5 Query/Retrieve Setup Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
1.6 Test DICOM Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
1.6.1 Tested DICOM Workstations and Storage Servers . . . . . . . . . . . . . 48
1.6.2 DICOM Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
1.7 Backup DICOM Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
2 Appendices: A, B, and C 54
2.1 Appendix A: Wireless Configuration Checklist . . . . . . . . . . . . . . . . . . . . . . . 54

2.1.1 1. Questionnaires (Appendix B) filled out from Sales. . . . . . . . . . 54
2.1.2 2. Wireless Configuration Information . . . . . . . . . . . . . . . . . . . . . 54
2.1.3 3. General Network Configuration Checklist (Appendix C) . . . . . . 55
2.2 Appendix B: Sales Questionnaire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
2.3 Appendix C: General Network Configuration Checklist. . . . . . . . . . . . . . . . . 58
3 Changes to Previous Version 61
3.1 Changes to Previous Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4 List of Hazard IDs 62
© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 3 of 63 ACUSON NX3

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4 1 DICOM Configuration
1.1 Overview
These instructions describe how to configure the DICOM options in the ACUSON NX3TM
and ACUSON NX3 EliteTM Ultrasound Systems.
 CAUTION
Authorized Service Personnel Only
The installation and service of the equipment described here are to be performed
by qualified personnel who are employed by Siemens or one of its affiliates or
who are otherwise authorized by Siemens or one of its affiliates to provide such
services.
 Assemblers and other persons who are not employed by or otherwise directly
affiliated with or authorized by Siemens or one of its affiliates are directed to
contact one of the local offices of Siemens or one of its affiliates before at‐
tempting installation or service procedures.
 CAUTION
The system contain components that are sensitive to damage by electrostatic dis‐
charge (ESD).
 Observe all ESD protective procedures and use ESD protective equipment in‐
cluding an ESD wrist strap when the protective covers are removed from the
system.
 CAUTION
The system contain hazardous voltages that can range from 90 VAC to 264 VAC
and cause serious injury or death.
 Only authorized or Siemens-trained service personnel are permitted to re‐
move protective covers and access the energized components of this system.
 If unexplained failures occur, contact the Siemens Customer Care Service Center.
1.1.1 Workflow
1. Configure the DICOM option
2. Prepare the system for DICOM install
3. Setup the DICOM configuration
4. Configure the DICOM printers

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DICOM Configuration 1 5
5. Test the DICOM options

6. Backup the DICOM log
7. Test DICOM devices
1.1.2 Required Materials

None
1.1.3 Required Tools

None
1.1.4 Required Time

Approximately 30 minutes (depending on the customer environment) are required to per‐
form this procedure. The time to configure wireless is not included. For NX3 the time to
configure DICOM connectivity license is also not included.
1.1.5 System Preparation

1. Contact the network and printer administrators at the customer site and obtain the
connection parameters required for the ultrasound system to connect to the customer
network.
2. Record the connection parameters. Refer to ( Appendix A: Wireless Configuration
Checklist / Page 54).
3. Refer to ( Test DICOM Devices / Page 48) for the latest qualified DICOM storage
servers and printers.
 DICOM devices have been tested for connectivity only.
1.1.5.1 DICOM Operation Information

The DICOM option implements computer networking standards for transmitting medical
images over the customer network. In the systems, DICOM protocols allow ultrasound
systems attached to the network to transmit images to a DICOM server and to DICOM
printers.
A DICOM Host, DICOM Storage Server, DICOM Modality Worklist Server, or a DICOM Print‐
er configured properly perform DICOM storage, worklist, and printing operations activa‐
ted from the DICOM windows in the system software.

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1.1.5.2 Configuring the DICOM Option
DICOM Conformance Specifications

The systems DICOM conformance is specified in the DICOM Conformance Statement that
is available to the public at ( Siemens Medical, http://www.medical.siemens.com).
Select the above link, then do the following:
1. Select the country of interest or “Global Website”.

2. Select Services from the Product Groups Tab.
Fig. 1: Siemens Healthcare Site -Service
3. Select IT Standards from the left-side menu.

Fig. 2: Healthcare > Services Site - IT Standards

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4. Select DICOM.
Fig. 3: Healthcare > Services > IT Standards - DICOM
5. Select Ultrasound from the right-side menu.

Fig. 4: Healthcare > Service > IT Standards > DICOM - Ultrasound
DICOM Connectivity License

DICOM Connectivity (Storage Server, Worklist Server, Printer Server, Query and Retrieve
with syngo workstation) is optional feature controlled by license, which is purchased by
Sales option only for ACUSON NX3. Without this license, DICOM configuration is disabled
with no tab.

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 A DICOM Connectivity license is a standard feature of ACUSON NX3 Elite. DICOM Con‐
nectivity for the ACUSON NX3 is a sales option.
1.1.5.3 Preparing the System for DICOM Install
1. Press Presets to display the Preset Main Menu.

Fig. 5: Presets Main Menu Shown

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2. Select DICOM from the menu. The system displays the DICOM Active Setup window.
Fig. 6: Presets Main Menu - DICOM

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1.2 Setup the DICOM Configuration

The instructions to set up the DICOM configuration windows follows.
1.2.1 DICOM Setup Window

1. From the below listed DICOM tabs, select a device for editing from the tab menu: Lo‐
cal Host, Storage Server, Worklist Server, MPPS, BW Printer, Color Printer, and Query/
Retrieve.
Fig. 7: Presets - DICOM Tab Selections Shown
 To configure a new device, click the “New” button located under the list. A blank setup
window is displayed for data entry.
2. For each device to be modified, click Edit to display the device configuration data: Lo‐
cal Host, Storage Server, Worklist Server, MPPS, BW Printer, Color Printer, and Query/
Retrieve.
When the Host field on the Active Setup window is modified, a dialog box announces
 the restart of the DIMAQ software. The restart takes approximately three (3) minutes to
complete.

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1.2.2 Local Host Setup Window

To set up a new host, perform the following steps.
 If the desired host exists, skip to step 3.
1. Click New located under the Local Host tab to configure a new host.
Fig. 8: DICOM Configuration - Local Host Tab

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2. Enter the data as described in step 4 through step 10. Use the values recorded in
( Appendix C: General Network Configuration Checklist / Page 58). After entering
the data click Apply or Cancel.
Fig. 9: DICOM Configuration - Local Host - Save or Cancel
- Clicking Save - Saves new and/or edited data.

- Clicking Cancel - Cancels the editing of the data, restores the original data.
3. If the desired host exists, do the following:
a) Select the host from the Host list.
b) Select Apply to display the host and configuration data for editing.
4. Enter the Host alias in the Alias field; maximum length is 32 characters.
5. Enter the DICOM Application Entity title (AE title) in the AC Title field (to assign the
DICOM device to the alias). Maximum length is 16 characters.
6. Enter the computer host name in the Host Name field (to identify the DIMAQ host).
Maximum length is 15 characters.
7. Select the DHCP check box, if the dynamic host configuration protocol (DHCP) is used.
Uncheck the DHCP check box, if DHCP is not used.
It is recommended that the DHCP not be used, because it generally is not accepted in

most medical fields.
DHCP automatically assigns and IP Address; therefore, when DHCP is selected, the IP Ad‐
dress cannot be set manually.

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8. Enter the appropriate information in the following fields:

a) IP Address
b) Subnet Mask
c) Default Gateway
9. Set the Media Type as required.
10. Set the Duplex Mode as required.
11. Click Save to save the new or edited data.
1.2.3 Storage Server Setup Window

To set up a new storage server, perform the following steps.
 If the desired storage server already exists on the system, skip to step 3.
1. Click New located under the Storage Server list to configure a new storage server.
Fig. 10: DICOM - Storage Server Tab and New Shown

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2. Enter the data as described in step 4 through step 7 below.

Fig. 11: DICOM - Storage Server Window
3. If the desired storage server exists, do the following:

a) Select the storage server from the Storage Server list.
b) Click Apply to display the storage server and configuration data for editing and de‐
scribed in the following steps. Refer to the values recorded in ( 3. General Net‐
work Configuration Checklist (Appendix C) / Page 55). After entering the data
click Apply or Cancel.

The value for the Write Time-out in Seconds and Connect Time-out in
Seconds should remain set to 30, unless the customer specifies another values.
4. For Image Format, select Automatic.
This allows DICOM negotiation to select the appropriate image format, unless a specific
 format is required by the site. If a specific image format is required, select Old Ultra‐
sound or Secondary Capture.

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5. Click Ping to perform an internet protocol Ping of the selected storage server device.
A successful ping indicates that the selected device is connected to the network, ener‐
 gized, and correctly configured to communicate using TCP/IP. The Ping and Echo func‐
tions become operational only after the DIMAQ host has been registered from the Host
Setup window.
Fig. 12: DICOM - Storage Server Ping
Fig. 13: TCP/IP Successfully Contacted System Message

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6. Click Echo to perform a DICOM network echo test similar to the ping test.
 After the destination device is configured, the Echo function attempts to verify that the
selected storage server is capable of DICOM communications.
Fig. 14: DICOM - Storage Server Echo
Fig. 15: DICOM - Successfully Contacted System Message
7. Select Autostore to DICOM if required.

- Store During Exam : to send each images as it is stored.
- Store At end of Exam : to send all images at the end of the study.
8. Select Send fourSight Tee clips to the DICOM server if required.
9. Select the desired image formats:
- No monochrome conversion

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- Store grayscale images as monochrome

- Store grayscale images and clips as monochrome
- Store all images as monochrome
- Store all clips and images as monochrome
10. Click Save to save the changes to the image format and the time-out data.
1.2.4 Worklist Server Setup Window

To set up a new modality worklist server, perform the following steps:
 If the desired worklist server already exists in the system , skip to step 3.
1. Click New located below the Worklist Server list to configure a new worklist server.
Fig. 16: DICOM - Worklist Server Tab and New

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2. Enter the data as described in step 4 through step 7 below. Use the values recorded in
( 3. General Network Configuration Checklist (Appendix C) / Page 55) After entering
Fig. 17: DICOM - Worklist Server Setup Window
3. If the desired worklist server exists, do the following:

a) Select the Modality Worklist Server from the list of Worklist Servers.

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4. Click Ping to perform an internet protocol Ping of the selected storage server device.
A successful Ping indicates that the selected device is connected to the network, ener‐
Setup window.
Fig. 18: DICOM - Worklist Server Ping

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5. Click Echo to perform a DICOM network Echo test similar to the Ping test.
selected storage server is capable of DICOM communications.
Fig. 20: DICOM - Worklist Server Echo
Fig. 21: DICOM - Successfully Contacted System Message
6. Click Save to save the settings.

7. Select Streamlined Search if the customer wants to search starting with Ultrasound
for Today/Tomorrow.

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1.2.5 MPPS Setup Window

To setup a new MPPS or edit an existing MPPS:
1. Select Presets > DICOM.

Fig. 22: Presets - DICOM Window Shown

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2. Click the NEW button under MPPS Server or go to step 3 to edit an existing server.
Fig. 23: DICOM - MPPS Tab Shown
3. Select a saved MMPS server, and click Edit.

4. Select the Store Image Format from the drop down list.
- New Ultrasound
- Old Ultrasound
- Secondary Capture

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Fig. 24: DICOM - MPPS Setup Window
5. Enter or edit the Alias name.

6. Enter or edit the AE Title.
7. Enter or edit the IP address.
8. The port number should remain 104, unless the customer specifies another value.
9. Enter or edit the number of times to retry after a ping or echo failure.
10. Enter or edit the seconds between each retry after a ping or echo failure.
11. The value for the Write Time-out should remain set to 20 seconds, unless the custom‐
er specifies another value.
12. The value for the Connect Time-out should remain set to 20 seconds, unless the cus‐
tomer specifies another value.

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13. Click Ping. The system performs an internet protocol ping of the selected MPPS server.
A successful ping indicates that the selected device is connected to the network, ener‐
Setup window.
Fig. 25: DICOM - MPPS Ping
14. Click Apply to save the new entry.

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15. Click Echo. The system performs a DICOM network echo test similar to the ping test.
selected MPPS server is capable of DICOM communications.
Fig. 27: DICOM - MPPS Echo Shown
Fig. 28: DICOM Successfully Contacted System Message
16. Click Save to save the changes to the image format and the time-out data.
1.2.6 DICOM BW Printer Setup Window

To set up a new DICOM BW printer, perform the steps below.

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 If the desired DICOM Printer already exists on the system, skip to step 3.
1. Click New under the Printer list to configure a new DICOM BW printer.
Fig. 29: DICOM - BW Printer Tab Shown

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2. Enter the data as described in step 3 through step 26 below. Use the values recorded
in ( Appendix C: General Network Configuration Checklist / Page 58). After entering
Fig. 30: DICOM - BW Printer Setup Window
3. [For Film Orientation], select either Portrait or Landscape.

4. [For Display Format], select the number of images per film and their display arrange‐
ment.
 The available choices include 1x1, 1x2, 2x2, 2x3, 3x2, 3x3, 3x5, 4x5, 4x6, and 5x6
(choices are listed by row / column).
5. [For Copies], enter a default number for the number of copies to be produced by each
print request.
6. [For Film Size], select the appropriate film size from the following listing, as well as
according to the specific printer the customer is installing.
- 8 x 10 in
- 8.5 x 11 in
- 10 x 12 in
- 10 x 14 in
- 11 x 14 in
- 11 x 17 in
- 14 x 14 in

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- 14 x 17 in
- 24 x 24 cm
- 24 x 30 cm
- A3
- A4
7. Select More for more specified configuration. The system displays the DICOM BW
Printer Setup window.
Fig. 31: DICOM - BW Printer - More Button
Fig. 32: More Specified Configuration Window

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8. [For Medium Type], select paper, clear film, blue film, transparency, or current as
required.

If values are not specified for Min. Density and Max. Density, use the following
default values: Min. Density 20 and Max Density 299
9. [For Min. Density], enter a printer-specific value for the density of white between 1
and 349. If no value is specified, use 20 as the starting default value.
10. [For Max Density], enter a printer-specific value for the density of black between 1
11. [For Border Density], select Black or White to define the color of the border that will
be printed around and between all images.
12. [For Trim], select or uncheck the box to specify whether a trip box should be printed
around each image.
13. [For Print Priority], select the appropriate value for the priority assigned to the print
job: high, medium, or low.
14. [For Film Destination], select magazine, processor, or current (default value = cur‐
rent).
15. [For Magnification], select the type of interpolation that the printer uses to magnify or
decrease the size of an image to fit it in the allocated area on the film; the choices
include replicate, bilinear, cubic and bob (default value = cubic).
16. [For Smoothing Type], enter alphanumeric characters to define the type of interpola‐
tion to be used for cubic magnification.
 This setting is optional. In most cases, no value is required.
17. [For Empty Image], select Black or White to define the color of the border printed
around an image location that does not contain an image.
18. [For Polarity], select Normal to print a black image as black; select Reverse to print a
black image as white and a white image as black (as a photographic negative).
19. [For Configuration] If required, enter a printer-specific string that must be sent to the
printer as entered.
 This setting is optional; in most cases, no value is required here.
20. Click Save to save the new or edited data and to return to the Active Setup window.

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21. Click Ping to perform an internet protocol Ping of the selected printer.
Setup window. Refer to “Ping Test Failure” for more information.
Fig. 33: DICOM - BW Printer Ping

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22. Click Echo to perform a DICOM network Echo test similar to the Ping test
After the destination device is configured, the Echo function attempts to verify that the
 selected storage server is capable of DICOM communications. Refer to “Echo Test Failure”
in the Troubleshooting section for more information.
Fig. 35: DICOM - BW Printer Echo
23. On the Active Setup window, select either Print When Page is Full or Print at End of
Exam for each printer to designate when printing is to be performed by that printer.

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24. Click OK to accept the configuration and exit from the DICOM configuration windows
 The system will reboot at this time. Wait for the system to restart (approximately three
(3) minutes).
25. After the message box “System is rebooting, please wait....” disappears,
power off the system, wait 15 seconds, then power on the system.
1.2.7 DICOM Color Printer Setup Window

1. Click New under the Printer list to configure a new DICOM Color printer.
Fig. 37: DICOM - Color Printer Tab

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2. Enter the data as described in step 3 through step 26 below. Use the values recorded
in ( Appendix A: Wireless Configuration Checklist / Page 54). After entering the data
click Apply or Cancel.
Fig. 38: DICOM -Color Printer Setup Window
3. For Film Orientation, select either Portrait or Landscape.

4. For Display Format, select the number of images per film and their display arrange‐
ment.
 The available choices include 1x1, 1x2, 2x2, 2x3, 3x2, 3x3, 3x5, 4x5, 4x6, and 5x6
(choices are listed by row / column).
5. [For copies], enter a default number for the number of copies to be produced by each
print request.
6. [For Film Size], select the appropriate film size from the following listing, as well as
according to the specific printer the customer is installing.
- 8 x 10 in
- 8.5 x 11 in
- 10 x 12 in
- 10 x 14 in
- 11 x 14 in
- 11 x 17 in
- 14 x 14 in

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- 14 x 17 in
- 24 x 24 cm
- 24 x 30 cm
- A3
- A4
7. Select More for more specified configuration. The system displays the DICOM Color
Printer Setup window.
Fig. 39: DICOM - Color Printer More Button

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8. For Medium Type, select paper, clear film, blue film, transparency, or current as re‐
quired.
Fig. 40: DICOM Color Printer Setup Window

If values are not specified for Min. Density and Max. Density, use the following
default values: Min. Density 20 and Max Density 299
9. [For Min. Density], enter a printer-specific value for the density of white between 1
10. [For Max Density], enter a printer-specific value for the density of black between 1
11. [For Border Density], select Black or White to define the color of the border that will
be printed around and between all images.
12. [For Trim], select or uncheck the box to specify whether a trip box should be printed
around each image.
13. [For Print Priority], select the appropriate value for the priority assigned to the print
job: high, medium, or low.
14. [For Film Destination], select magazine, processor, or current (default value = cur‐
rent).
15. [For Magnification], select the type of interpolation that the printer uses to magnify or
decrease the size of an image to fit it in the allocated area on the film; the choices
include replicate, bilinear, cubic and bob (default value = cubic).
16. [For Smoothing Type], enter alphanumeric characters to define the type of interpola‐
tion to be used for cubic magnification.
 This setting is optional. In most cases, no value is required.
17. [For Empty Image], select Black or White to define the color of the border printed
around an image location that does not contain an image.
18. [For Polarity], select Normal to print a black image as black; select Reverse to print a
black image as white and a white image as black (as a photographic negative).

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19. [For Configuration], if required, enter a printer-specific string that must be sent to the
printer as entered.
 This setting is optional; in most cases, no value is required here.
20. Click Close to save the new or edited data and to return to the Active Setup window.
21. Click Ping to perform an internet protocol Ping of the selected printer.
Setup window. Refer to “Ping Test Failure” for more information.
Fig. 41: DICOM - Color Printer Ping

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22. Click Echo to perform a DICOM network Echo test similar to the Ping test.
Fig. 43: DICOM - Color Printer Echo

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After the destination device is configured, the Echo function attempts to verify that the
 selected storage server is capable of DICOM communications. Refer to “Echo Test Failure”
in the Troubleshooting section for more information.
23. On the Active Setup window, select either Print When Page is Full or Print at End of
Exam for each printer to designate when printing is to be performed by that printer.
24. Click OK to accept the configuration and exit from the DICOM configuration windows
 The system will reboot at this time. Please wait for the system to restart (approximately
three (3) minutes).
25. After the message box “System is rebooting, please wait....” disappears,
power off the system, wait 15 seconds, then power on the system.

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1.3 Setup a Wireless Network

The DICOM option can be configured using both wired and wireless setting. Refer to
 Configuring Wireless Network ( Wireless Network Configuration / US34-105.843.01)
details on configuring DICOM wireless.

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1.4 Configure the DICOM Printers
 CAUTION
Verify only Siemens-approved devices are used.
 Siemens is not responsible for damage or injury resulting from the use of non-
Siemens approved devices.
Once DICOM has been configured, Print/Store 1 and Print/Store 2 keys, on the control
panel, are assigned according to customer preferences.
1.4.1 Assign the DICOM Print/Store key

1. Press Presets. The Presets main menu displays.
2. Select Customize Keys. The Customize Keys window displays.
Fig. 45: Presets - Custom Key Window
3. Enter the desired Print/Store key destination. The destination can be:
- DICOM BW Printer
- DICOM Color Printer

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Fig. 46: Presets - Customize Keys - Printer/Store 1 Key
4. Click Save.
5. Perform the previous four (4) steps for the second key.
If the DICOM configuration includes a storage server, refer to the following steps, and
 set Autostore to DICOM according to the customer preference. Otherwise, proceed to
the next section.
6. Press Presets. The Preset main menu displays.

7. Select DICOM.

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8. Select Autostore to DICOM if required.

Fig. 47: DICOM - Customize Keys - Autostore to DICOM Shown

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1.5 Query/Retrieve Setup Window
 If the desired query/retrieve exists, skip to step 3.
 This function of Query/Retrieve has been tested only with syngo Workstation.
To setup a new Query/Retrieve, perform the following steps:

1. Click on the Query/Retrieve Tab in the DICOM window.
Fig. 48: DICOM - Query/Retrieve Tab Shown

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2. Click New located under the Query/Retrieve list to configure a new Query/Retrieve.
Fig. 49: DICOM - Query/Retrieve Window
3. Enter the data as obtained in step 4 through step 6 below. Use the values recorded in
( Appendix C: General Network Configuration Checklist / Page 58). After entering
4. If the desired query/retrieve exists, perform the following:
a) Select the Query/Retrieve from the list.

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b) Select Apply to display the Query/Retrieve and its configuration data for editing.
Fig. 50: DICOM - Query/Retrieve Setup Window

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5. Click Ping to perform an Internet protocol Ping of the selected Query/Retrieve.
Setup window.
Fig. 51: DICOM - Query/Retrieve - Ping

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6. Click Echo to perform a DICOM network Echo test similar to the Ping text.
Fig. 53: DICOM - Query/Retrieve Echo
selected server is capable of DICOM communications.
7. Click Save to save the settings.

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1.6 Test DICOM Devices

The ultrasound DICOM conformance is specified in the DICOM Conformance Statement
available to the public at ( Healthcare Site, https://www.healthcare.siemens.com).
Go the above web site, select the applicable country, and then navigate to the following
location: Services > DICOM > Ultrasound > ACUSON NX3 or ACUSON NX3 Elite.
1.6.1 Tested DICOM Workstations and Storage Servers

Although the ultrasound system should be able to communicate effectively with any well
designed DICOM device, occasionally there are differences in implementations that cause
conflicts and/or unexpected behavior. Therefore, Siemens conducts on-going inter-opera‐
bility testing with a variety of third party DICOM devices.
 CAUTION
Verify only Siemens-approved devices are used.
 Siemens is not responsible for damage or injury resulting from the use of non-
Siemens approved devices.
The DICOM devices listed below were tested prior to the version 1.0 and version 2.0 soft‐
ware release. DICOM devices have been tested for connectivity only.
The following is a list of tested DICOM PACS Workstations and Storage Servers.
Siemens n ACUSON KinetDx CWS 3000, version 3.0

n ACUSON KinetDx CWS 3000, version 2.8
n Sienet Magic View 300
n Sienet Magic View 1000
n Sienet Magic Store
AGFA n IMPAX 4.1 SP2 CS5000 Display Station
ALI Refer to McKesson

MCKesson n Horizon (formally known as ALI Ultra PACS)
1.6.2 DICOM Printers

The following is a list of DICOM printers:

08.18
AGFA n Drystar 2000

n Drystar 3000
n Drystar 3000 with LINX Multiflex
n Drystar 4500
n Drystar 5000
n LP 400 with LINX 3.1 Image Gateway
n Scopix LR 5200 P with LR Fast Controller
n Solid Ink Jet 100
n Solid Ink Jet 400
Codonics n Horizon
n NP 1660
Kodak n 8300 with 9410 Server

n 8700 with 9410 Server
n 8300 with MIM 200 Server
n 8700 with MIM 200 Server

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1.7 Backup DICOM Log

Save the DICOM log to the CD or USB drive when DICOM communication errors occurs.
1. Press Patient Browser to display the study window.

Fig. 55: Patient Browser Window
2. Press Delete Word (F11) and type “DICOMLOG” on the keyboard.

08.18
3. Press Delete Word (F11) again. There will be a prompt window as shown below.
Fig. 56: DICOM Log Window Shown
4. Check the DICOM Logging On check box, and click OK. The system displays the fol‐
lowing window for restarting the system.
Fig. 57: Reboot Message Shown
Fig. 58: Reboot Message Shown
5. Press the Power On/Off button to reboot the system.

6. After the reboot, perform a DICOM service one or two times (querying and retrieving a
worklist, sending a study to the storage server, DICOM printing an image, or querying
and retrieving MPPS) to capture actual communication traffic for the analysis of the
problem.
7. Press Patient Browser from the control panel to display the study window.
8. Press Delete Word (F11) and type “DICOMLOG” from the keyboard.
9. Press Delete Word (F11) again.

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10. Uncheck “DICOM Loggin On” when Logging window appears, and then reboot
the systems.
Fig. 59: DICOM Logging On Select Box Shown
11. Repeat steps 6, 7,8 and 9 above to access the Logging window and then click on
“Copy Logs to CD” or “Copy Logs to USB”.
Fig. 60: Copy Buttons Shown
12. The following message is displayed:

- Insert CD and press OK to export the DICOM Log file to the CD. Click OK.
- Insert USB and press OK to export the DICOM Log file to the USB. Click OK.
Fig. 61: Insert CD Message Shown

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13. Remove the CD from the CD drive.

Fig. 62: Copy to CD Successful Message
14. [USB example] Insert the USB memory drive to the system. The Copy Logs to USB
button is activated and the name of USB memory drive is displayed and selectable
from the drop-down menu.
Fig. 63: Logging Message - to Copy Logs to USB

08.18
54 2 Appendices: A, B, and C
2.1 Appendix A: Wireless Configuration Checklist

Following items must be gathered and filled out before planning a site visit.
2.1.1 1. Questionnaires (Appendix B) filled out from Sales.
2.1.2 2. Wireless Configuration Information

Contact the local hospital network person or a customer to obtain the following informa‐
tion before starting a network configuration in order to maximize work efficiency (Con‐
tact information is available in questionnaires).
Tab. 1 IP Settings
a) IP Settings
Static or DHCP
TCP/IP Address1
Subnet Mask1
Gateway1
MAC Address2
1. If using DHCP, this information will be automatically filled in by the system.

2. MAC address information should be obtained from the system.
Tab. 2 WLAN DNS Server
b) WLAN DNS Server: If DNS for WLAN applicable, IP address of DNS servers.
First DNS Server
Second DNS Server
Remarks
Tab. 3 WLAN Security Details
c) WLAN Security Details: Security information listed in this section might be only
available to a Siemens Representative at the day of activation for reason of pro‐
tecting security at the customer's site.
Network Key
User Name

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Appendices: A, B, and C 2 55
c) WLAN Security Details: Security information listed in this section might be only
available to a Siemens Representative at the day of activation for reason of pro‐
tecting security at the customer's site.
Password
Remarks
2.1.3 3. General Network Configuration Checklist (Appendix C)

This general network configuration checklist is required for a general network and DICOM
configuration

08.18
2.2 Appendix B: Sales Questionnaire

The ACUSON NX3 and ACUSON NX3 EliteUltrasound Systems offers a wireless connectivi‐
ty option. This option is being offered to qualifying sites that meet certain network speci‐
fications. The pre-sales qualification of customer networks is essential to ensure that or‐
ders are placed only for supported networks. It is required to obtain the following infor‐
mation from the customer Network Administrator or IT personnel.
1. Customer Site Information

Tab. 4 Customer Site Information
Site Name
Address
City
State, Zip
IT Contact Name
Title
Office Phone
Email
___ New System Sale ___Upgrade Sale System S/N__________

2. ACUSON NX3 and NX3 Elite systems wireless connectivity feature will support only
the following WLAN types and speeds (mark the option applicable at your site).
WLAN Type: __Broadcasting __Non-broadcasting

WLAN Speed __802.11b/g __802.11g
__802.11n __802.11a
__802.11b
3. A CUSON NX3 and NX3 Elite systems wireless connectivity feature will support only
the following Authentication Protocols (mark the option applicable to your site).
__Open Shared __WPA __WPA-PSK

__WPA2 __WPA2-PSK
the following data encryption types (mark the option applicable to your site).
__None __WEP __TKIP

__AES

08.18
the following Extendable Authentication Protocol (EAP), if used at your site.
EAP-PEAP-MSCHAPV2 (PEAPv0)
To ensure the functionality upon installation, I/we certify that the wireless network at the
site listed above meet the above specifications.
Name: ______________________________ Date: _____________________
Signature: __________________________________________________________

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2.3 Appendix C: General Network Configuration Checklist

1. Wire (LAN) Configuration
a) IP Settings
Static or DHCP
TCP/IP Address
Subnet Mask
Gateway
MAC Address1
1. MAC address information should be obtained from the system
b) LAN DNS Server: If DNS for LAN applicable, IP address of DNS servers.
First DNS Server

Second DNS Server
Remarks
2. DICOM Configuration
a) Local DICOM Configuration
Storage SCU _______________________________________________
Storage Commitment SCU _____________________________________
MWL SCU _________________________________________________
MPPS SCU ________________________________________________
Retrive SCU_______________________________________________
Storage SCP _______________________________________________
Storage Commitment Port Number: ______________________________
Remark:

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b) Network (DICOM) Data for Storage Server

Configured DICOM Node: _____________________________________
Alias (local name): ___________________________________________
IP Address: ________________________________________________
AET: _____________________________________________________
Port Number: _______________________________________________
___* Storage SCU
___* Storage SCP
* Provide Storage Commitment
Transfer Syntaxes SOP:
Ultrasound Image:
___* RLE
___* JPEG Lossless
___* JPEG 2000
___* Explicit VR Little Endian
Secondary Capture Image:
___* JPEG Lossless
___* Implicit VR Little Endian
___* Auto
Remark:
c) Network (DICOM) Data for Query/Retrieve

IP Address: ________________________________________________
AET: _____________________________________________________
Port Number: _______________________________________________
Transfer Syntaxes:
___* Explicit VR Big Endian
___ * Implicit VR Little Endian
___* Automatic
Remark:

08.18
d) Network (DICOM) for archive system (PACS)

Manufacture: _______________________________________________
Product: __________________________________________________
Product Version: ____________________________________________
Alias (local name): ___________________________________________
IP Address: ________________________________________________
AET: _____________________________________________________
Port Number: _______________________________________________
Remark:

08.18
Changes to Previous Version 3 61
3.1 Changes to Previous Version

Change(s) Description
Revision 03 Included in AIAT listing.
Revision 02 Corrected F11 hot key name from “Home Set” to
“Delete Word”.
Revision 01 Initial release.

08.18
62 4 List of Hazard IDs
The list shows the Hazard IDs of this document.

n
- Authorized Service Personnel Only (Page 4)

08.18
All documents may only be used for
rendering services on Siemens
Healthcare Products. Any document
in electronic form may be printed
once. Copy and distribution of elec‐
tronic documents and hardcopies is
prohibited. Offenders will be liable
for damages. All other rights are re‐
served.
siemens-healthineers.com
Siemens Healthineers Headquarters

Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Telephone: +49 9131 84-0
siemens-healthineers.com
Print No.: US34-102.843.01.03.02 | Replaces: US34-102.843.01.02.02

Doc. Gen. Date: 08.18 | Language: English
© Siemens Healthineers, 2018

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ACUSON NX3 US34-102.843.01.03.02 Page 2 of 63 © Siemens Healthineers, 2018

2.1 Appendix A: Wireless Configuration Checklist . . . . . . . . . . . . . . . . . . . . . . . 54

3 Changes to Previous Version 61

3.1 Changes to Previous Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

4 List of Hazard IDs 62

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 3 of 63 ACUSON NX3

ACUSON NX3 US34-102.843.01.03.02 Page 4 of 63 © Siemens Healthineers, 2018

5. Test the DICOM options

1.1.2 Required Materials

1.1.3 Required Tools

1.1.4 Required Time

1.1.5 System Preparation

 DICOM devices have been tested for connectivity only.

1.1.5.1 DICOM Operation Information

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 5 of 63 ACUSON NX3

1.1.5.2 Configuring the DICOM Option

DICOM Conformance Specifications

1. Select the country of interest or “Global Website”.

3. Select IT Standards from the left-side menu.

ACUSON NX3 US34-102.843.01.03.02 Page 6 of 63 © Siemens Healthineers, 2018

5. Select Ultrasound from the right-side menu.

DICOM Connectivity License

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 7 of 63 ACUSON NX3

1.1.5.3 Preparing the System for DICOM Install

1. Press Presets to display the Preset Main Menu.

ACUSON NX3 US34-102.843.01.03.02 Page 8 of 63 © Siemens Healthineers, 2018

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 9 of 63 ACUSON NX3

1.2 Setup the DICOM Configuration

1.2.1 DICOM Setup Window

ACUSON NX3 US34-102.843.01.03.02 Page 10 of 63 © Siemens Healthineers, 2018

1.2.2 Local Host Setup Window

 If the desired host exists, skip to step 3.

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 11 of 63 ACUSON NX3

- Clicking Save - Saves new and/or edited data.

ACUSON NX3 US34-102.843.01.03.02 Page 12 of 63 © Siemens Healthineers, 2018

8. Enter the appropriate information in the following fields:

1.2.3 Storage Server Setup Window

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 13 of 63 ACUSON NX3

2. Enter the data as described in step 4 through step 7 below.

3. If the desired storage server exists, do the following:

4. For Image Format, select Automatic.

ACUSON NX3 US34-102.843.01.03.02 Page 14 of 63 © Siemens Healthineers, 2018

Fig. 12: DICOM - Storage Server Ping

Fig. 13: TCP/IP Successfully Contacted System Message

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 15 of 63 ACUSON NX3

Fig. 14: DICOM - Storage Server Echo

Fig. 15: DICOM - Successfully Contacted System Message

7. Select Autostore to DICOM if required.

ACUSON NX3 US34-102.843.01.03.02 Page 16 of 63 © Siemens Healthineers, 2018

- Store grayscale images as monochrome

1.2.4 Worklist Server Setup Window

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 17 of 63 ACUSON NX3

3. If the desired worklist server exists, do the following:

ACUSON NX3 US34-102.843.01.03.02 Page 18 of 63 © Siemens Healthineers, 2018

Fig. 18: DICOM - Worklist Server Ping

Fig. 19: TCP/IP Successfully Contacted System Message

© Siemens Healthineers, 2018 US34-102.843.01.03.02 Page 19 of 63 ACUSON NX3

Fig. 20: DICOM - Worklist Server Echo

Fig. 21: DICOM - Successfully Contacted System Message

6. Click Save to save the settings.

ACUSON NX3 US34-102.843.01.03.02 Page 20 of 63 © Siemens Healthineers, 2018