O-D4000dr C Ser en V4.1

OPERA D4000DR/C
SERVICE MANUAL
OPERA D4000DR/C - SERVICE MANUAL VERSION 4.1

Radiographic digital system
OPERA D4000DR
Manufacturer: GENERAL MEDICAL MERATE S.p.A.
Via Partigiani, 25
24068 Seriate (BG) – Italy
Ph. +39 035 45 25 311
Fax +39 035 29 77 87 / 29 95 37
www.gmmspa.com - info@gmmspa.com
The information contained in this manual is confidential. This information is provided solely for the
purpose of facilitating the use of the product. No information contained herein may be disclosed to any
unauthorized person for any purpose whatsoever without the prior written consent of GMM.
The information in this document is subject to change without notice.
OPERA D4000DR/C - SERVICE MANUAL VERSION 4.1

OPERA D4000DR Service Manual
Version<4.1>
History
Date Version Description
2009.02.25 1.0 Draft
2010.11.10 2.0 Update Section C
2011.11.28 3.0 Add USB driver installation part
2012.07.24 4.0 Update the requirements of Hardware
and software environments
2013.09.29 4.1 Add the free workstation

CONTENTS
SECTION A ABOUT
SECTION B OPERA D4000DR CONNECTION
SECTION C SOFTWARE INSTALLATION
SECTION D CONFIGURING OPERA D4000DR
APPLICATION
SECTION E ADDITIONAL CONFIGURATION
SECTION F MAINTAINING IMAGE QUALITY
APPENDIX A DICOM COMMUNICATIONS
APPENDIX B GLOSSARY
Introduction
About This Manual
This manual contains service information regarding the OPERA D4000DR. It includes an overall
description of how the system operates as well as providing detailed service support procedures such
as configuring the Digital Radiography Operating Console application, detector calibration.
Intended Use
The OPERA D4000DR is one component in an X-ray system for the controlled production of
diagnostic images with X-rays. It includes the Detector as the image receptor.
Digital images can be viewed, stored, or printed. The system provides a digital image capture
capability for conventional radiographic examinations (excluding fluoroscopy, angiography, and
mammography).
The system transmits image data for hardcopy, soft display, or storage via Ethernet using the DICOM
3.0 protocol.
Audience
This manual is intended for service engineers who have fulfilled the following training prerequisites
or have equivalent experience:
z Windows XP/Windows 7 fundamentals

z System analytical skills
z Network protocol and IP addressing
z Software environments
- DOS
- Windows XP or Windows 7
- Internet browsing
- FTP protocols
Service Manual 2013 V4.1 1

Introduction
Conventions Used in This Manual
This manual uses three types of special messages to emphasize information or point out potential
risks to personnel or equipment.
NOTE: Notes provide additional information, such as expanded explanations, hints, or reminders.
Cautions point out procedures that you must follow precisely to avoid
damage to equipment, loss of data, or corruption of files in software
applications.
Warnings point out procedures that you must follow precisely to avoid
injury to yourself or others.
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Introduction
SAFETY SUMMARY
The operator must read this manual in its entirety and receive training, from the authorized key
operator as designated by Manufacturer, in OPERA D4000DR system operation and application
prior to operating the system.
The OPERA D4000DR system must be operated in such a manner that no

patient contact with any part of the system is possible.
Restrict this device to sale by or on the order of a physician.
This instrument must be grounded! A three-conductor AC power cable is

supplied with this instrument to provide the proper electrical ground. To
minimize the shock hazard, the main power cable of the Isolation
Transformer must be plugged into a UL approved three contact electrical
outlet; and all auxiliary OPERA D4000DR components must be plugged
into the Isolation Transformer unit supplied with the OPERA D4000DR
system. Do not simply plug the OPERA D4000DR system into a wall plug!
Additionally, the Isolation Transformer must not be placed on the floor.
This Isolation Transformer is provided solely for use on the OPERA
D4000DR system. Do not plug any non-system components into this unit.
NOTE: Take care not to exceed maximum load on the Isolation transformer.
In order to avoid the risk of electric shock, this equipment must be
connected only to supply mains with protective earth.
For the electrical characteristics of the main supply line please refer to the
generator service manual § Generator Power Requirement.
There are no operator-serviceable parts within the OPERA D4000DR. Do

not attempt to remove any panels or replace any parts. Refer all servicing
to qualified service personnel only.
All personnel must wear Dosimeters during all phases of installation,

operation and maintenance of the OPERA D4000DR and the equipment
to which it is interfaced.
Service Manual 2013 V4.1 3

Introduction
Do not attempt to alter any system software. Doing so could disrupt the
functioning of the instrument and result in loss of images. Use of any
software not provided by manufacturer is strictly prohibited!
Do not attempt to alter any system hardware components. Doing so could

disrupt the functioning of the instrument and result in loss of images. Use
of any hardware components not provided by manufacturer is strictly
prohibited! This includes peripherals like (mouse, keyboard, monitor,
etc.). Refer to the Spare Parts List in the manufacturer Technical Manual
for applicable part numbers.
Do not position or use this system in a location where it may be subject to

splashed or spilled liquids!
Do not use this instrument in the presence of an explosive atmosphere,

including flammable anesthetics. Failure to comply could result in fire and
explosion.
High voltages capable of causing death are present within this instrument.
Refer all servicing to qualified service personnel only.
The OPERA D4000DR is interfaced to medically approved x-ray

generating equipment! Be certain to follow the x-ray generator
instructions and specification for wearing proper lead shielding when in
the presence of x-ray generating equipment.
Do not attempt any maintenance of this unit, including troubleshooting, in

the presence of any patients or non-authorized staff.
No changing are allowed to this equipment!
The SYSTEM cannot be connected into a power strip or additional

extensions.
4 2013 V4.1 Service Manual

SECTION A
ABOUT
This section provides the general overview information about the OPERA D4000DR and its
components.
CONTENTS
SECTION A ABOUT ................................................................................................................................. 1
OVERVIEW ................................................................................................................................................ 2
DIGITAL RADIOGRAPHY OPERATING CONSOLE ......................................................................................... 4
EXPOSURE SYNCHRONIZATION DEVICE ..................................................................................................... 4
OTHER DEVICES MAYBE CONCERNED ....................................................................................................... 4
A1
ABOUT
Overview
The Direct Radiography system, as part of an X-ray system, consists of the following
components:
z OPERA D4000DR software

z Dongle
z Exposure Synchronizing Device
In practice, the necessary devices which collaborate with OPERA D4000DR to make them an
entire DR system for actual operation MIGHT involve:
z PC with monitor, keyboard, pointing device (mouse or trackball), and modem (optional).
z Uninterruptible power supply (UPS) is extremely recommended to ensure the uninterruptible power
for the OPERA D4000DR
z Detector
z Prep/Exposure switch
z Bar Code Reader, optional; supports a Hospital Information System/Radiology Information System
(HIS/RIS) interface
z X-ray high frequency Generator
z Automatically collimator
z Auto-positioning supporting system
The recommend PC hardware for OPERA D4000DR, anyway, Industry Computer is seriously
recommended to improve the system stability.
z CPU ≥P4 2.6G

z Memory ≥1024MB
z HD ≥80GB
z One monitor supporting 1280*1024 resolution & true color (24 or 32bit)_for standard version.
z Separate Monitor adepter card which supported Direct Draw 7.0
z at least 4 series ports
z OS: Windows XP SP3/ Windows 7
An example for entire DR system,
A2 2013 V4.1 Service Manual

ABOUT
Figure 1: X-ray System Typical Room Layout
The process begins with an X-ray Generator supplying electric power to the X-ray tube. This
X-ray Generator begins with the hospital supplied three-phase power in the range of 108 to 480 V,
depending upon the hospital. The X-ray Generator modifies this electrical current to meet the
needs of the X-ray tube.
The X-ray tube requires electrical energy to boil electrons from the filament, to accelerate the
electrons from the cathode to the anode, and to regulate the length of time for the X-ray exposure.
Attached to the opening of the X-ray tube housing is a Collimator which is a restrictor device to
regulate the size and shape of the X-ray beam.
The Bucky holds the Detector which directly converts the X-rays to digital data.
The Digital Radiography Operating Console is the control center for the system. From the Digital
Radiography Operating Console, the operator chooses the appropriate kVp, mA, and exposure
time for a particular radiographic examination.
The Digital Radiography Operating Console has several major components. The exposure
synchronizer is the coordinator for electrical power between the X-ray Generator, the X-ray tube,
and the Digital Radiography Operating Console. The OPERA D4000DR application translates the
digital data into diagnostic images. Images can then be viewed on the monitor, stored in an
archive device, or printed to film. The system provides a digital image capture capability for
conventional radiographic examinations (excluding fluoroscopy, angiography, and
mammography).
Service Manual 2013 V4.1 A3

ABOUT
Digital Radiography Operating Console
The Digital Radiography Operating Console is used to enter patient information, initiate the
exposure process, preview captured images, and accept or reject captured images. From here, the
operator can view, recall, and manage images stored in its database or distribute images, for
example, to a printer or archive.
Exposure synchronization device
The Exposure synchronization device is a separate hardware component that interconnects the
X-ray System components electrically to synchronize the operation of the entire system.
The Digital Radiography Operating Console synchronizes the ready states of the detector and the
X-ray equipment on a Windows platform. The synchronization device of the Digital Radiography
Operating Console does not send a signal to the X-ray Generator to begin the exposure sequence
until the detector is ready.
The connection of Exposure Synchronizer is demonstrated in section B.
Other devices maybe concerned
Prep/Exposure Switch
A Prep/Exposure switch is used by the operator to begin the X-ray exposure.
Bar Code Reader (Optional)
Bar codes typically include a unique identifier used to query the Hospital Information
System/Radiology Information System (HIS/RIS). With the bar code reader, the operator does not
have to key in the information already obtained by the hospital admissions office. The system bar
code reader may look different from the example shown. Check the supplied equipment manuals
for detailed information.

ABOUT
Uninterruptible Power Supply
An uninterruptible power supply (short for UPS) keeps a stable voltage supply for monitor, PC
and bar code reader etc.
Host Personal Computer
The heart of the OPERA D4000DR software is base on windows 2000 pro/ windows XP
professional operation system. The OPERA D4000DR coordinate other components of DR to
accomplish the image acquisition, calibration and image process job.
A licensed dongle is needed to enable OPERA D4000DR software.
Image Acquisition Card (depend on detectors)
For some detectors, Image Acquisition Card is needs to transfer image from detector to PC.
Please refer to detector datasheet.
Compatible Output Devices
If the image is acceptable, the data could be stored or printed via OPERA D4000DR. The below
figure illustrates sending the images via DICOM format to the printer. The Digital Radiography
Operating Console supports output to DICOM Print Service Class and DICOM Storage Service
Class providers. Contact your representative for an updated compatibility list.
Service Manual 2013 V4.1 A5

ABOUT
Figure 2: Compatible output devices

SECTION B
OPERA D4000DR Connection
This section describes the hardware connection of DR between generator, System PC

and Panel Detector.
CONTENTS
SECTION B OPERA D4000DR CONNECTION .................................................................................. 1
PC CONNECTION ...................................................................................................................................... 2
EXPOSURE SYNCHRONIZATION DEVICE CONNECTION .............................................................................. 4
B1
Below context is just a general description for OPERA D4000DR. For your case, due to
customzation work may have be done for your sepcific system configration, contact your
manufacturer’s engineer without any hesitation if you need any further assistance from
manufacturer.
PC Connection
A sample for Host PC connection：
(5). Ethernet Link

to Detector for
transfer image
data
(3). COM port to

SYN device for
communicating (1). USB port to
with GEN SYN device
(2). COM port to

SYN device
(4). COM port to
SYN device for
communicating with
Detector
Figure 1: The rear view of OPERA D4000DR Computer
NOTE: Please only choose one from (1) and (2) for communicate with SYN Device;
Depends on the detector type, the (5) may is COM, fiber or other interface. Please refer to
related technical manuals provide by the detector supplier.
To connect the monitor
Steps:
1. Connect the monitor control cable with Digital Radiography Operating Console PC.
B2 2013 V4.1 Service Manual

2. Connect the power cable for the monitor to the nearest unswitched duplex wall
outlet.
To Connect the Keyboard and Pointing Device
Connect the Keyboard and mouse with PC.
To Connect the Bar Code Reader (optional)
If available, connect the Bar Code Reader with PC. The Bar Code Reader connects with
PC via a COM port.
Image Data Transfer link
There is an image data transfer link connect between Detector and PC to transfer DICOM
image date. It may be a series communication cable, network line or fiber cable (depends
on the detector type), please refer to technical manuals provided by detector supplier.
Image Acquisition Card
Some detector needs an image acquisition card to get image data. Please refer to
technical manuals provided by detector supplier.
Note: If any of the above items has a Diver program provided by their manufacturers, please
install the drivers accordingly.
Service Manual 2013 V4.1 B3

Exposure Synchronization Device Connection
Figure 2: The rear view of Exposure Synchronization Device

(1) USB: Connect to USB of PC.
(2) Power：Use special cable.
(3) COM1_PC: Connect to the computer serial port.
(4) COM_GEN: Serial interface Connecting Generator.
(5) IO_GEN: Connect to Generator with special cables.
(6) DET_WALL: Connect to panel with special cable (WALL mode).
(7) DET_TABLE: Connect to panel with special cable (TABLE mode).
(8) CAN_GEN：Connect to CAN interface of Generator.
(9) CAN_CLM: Connect to CAN interface of collimator.
(10) COM_PC2: Generally not use.
Notice: E-COM will provided cables for connection RADSYN box with FPD and Generator,
please contact us for detailed information.
B4 2013 V4.1 Service Manual

SECTION C
Software Installation
This section contains the detailed information on how to install the software packages for
the OPERA D4000DR system.
CONTENTS
SECTION C SOFTWARE INSTALLATION.................................................................................. 1
INTRODUCTION ............................................................................................................................ 2
PREREQUISITES INSTALLATION...................................................................................................... 3
OPERA D4000DR INSTALLATION .............................................................................................. 13
OTHER OPTIONAL INSTALLATION ................................................................................................. 17
UNINSTALLATION ........................................................................................................................ 20
C1
Introduction
Some preconditions will be needed for running the OPERA D4000DR program
successfully:
- The driver of the software dongle key, assures the authority of the program;
- The PPACS service. Cooperate with the OPERA D4000DR application for
database management, archive image, print image etc.
- dotNetFramework3.5, provide the basic runtime environment of OPERA D4000DR.
- Message Queuing, provider the communication mechanism between OPERA
D4000DR and PPACS.
NOTE: The failed installation of the dongle driver will disable the OPERA D4000DR program;
The failed installation of PPACS will disable the data storage and transferring;
In case earlier versions of dongle driver or PPACS being installed in your computer,
please clear the earlier versions before the upgrade.
However, the OPERA D4000DR Setup program checks the PPACS service automatically
when it start. It will activate the PPACS installation program if the PAPCS is not installed.
All the programs are based on the Windows XP (SP3)/ Windows 7 OS.
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Prerequisites Installation
Dongle Driver Installation
1. Find the Sentinel Protection Installer program and start it;
Figure 1：InstallShield Wizard window
2. Click “Next” to continue. When the License Agreement shows up as follows, please
select “I accept the terms in the license agreement” and click “Next” to select the
installation type (“Complete” or “Custom”).
Figure 2: License agreement window
Service Manual 2013 V4.1 C3

3. The “Complete” is recommended; click “Next” to continue.
Figure 3: Setup type window
4. The wizard will then prompt you whether you would like to confirm or cancel the
operation, click “Install” to continue.
Figure 4: Install confirm window
5. As shown in the following, it will take a few seconds to finish the installation:

Figure 5: Installing window
6. Click “Finish” to complete the installation.
Figure 6: Finish window
7. After the Dongle driver installation has finished, if a message box pops up indicating a
restart is needed for the installation, please restart your OS.

PPACS Installation
Early versions PPACS are not compatible; they can not be installed
in the same system. So, if the system has installed an old version,
please remove it (Refer to the following topic: Uninstalling the
PPACS) prior to your next installation.
NOTE: Due to the data storage, we recommend you install the PPACS in the disk which have
the largest free disk space.
Steps:
1. Find the PPACS Installer program and start it, click “Next” to continue;
Figure 7: Setup wizard window
2. Set the user profile as “Everyone” or “Just me” (“Everyone” is recommended). Then
click “Next” to continue

Figure 8: Select installation folder window
NOTE: No space should exist in the path.
3. Input the AE Title and TCP Port of the PPACS service, then click “Next” to continue.
Figure 9: Configuration window
NOTE: Don’t type an existing name in the AE Title field or TCP Port field.
Please query the network administrator for the setting of AE Title and TCP port.
4. You can select the installation mode of Enabled Kill Deadwood, click “Next” to
continue;

Figure 10: Installation model selection window
5. When the system has gathered the relevant information for the installation of PPACS,
click “Next” to start the installation;
Figure 11: Confirm installation window
6. During the installation, the wizard will create service directories and save them. This
process will take a little time.

7. When the installation is completed, the prompt “Installation Complete” will show.
Click “Close” to exit.
Figure 13: Installation finish window
NOTE: Don’t type an existing name in the AE Title field or TCP Port field.
Please query the network administrator for the setting of AE Title and TCP port.
PPACS Configuration
Steps:
1. Go to the subdirectory of PPACS, run the PPacsConfig.exe to start the PPACS

Configuration page.

2. From PPACS Configuration page you can setup your configuration.
NOTE: If the software dongle key is not installed correctly, the Configuration page will show
you an error message in red. PPACS and OPERA D4000DR can not work
successfully under this condition. Refer to the following figure:
Figure 14: e-PACS 2000 PPACS Configuration window
3. Generally, it is not necessary for users to configure the PPACS. Most features will
be included in the OPERA D4000DR configuration (described in following sections).
However, it would be fine for administrators to fill in the base information according
to the actual application, and verify or change the database storage location. For
further information on PPACS configuration, please contact technical supporters.
Check PPACS Service
Normally, the PPACS Service will start automatically when once it installed. Otherwise,
please enable the PPACS service manually.
Steps:
1. From Control Panel / Administrative Tools page, double-click “Services” to open the
Services window, shown as the following:
2. From the Services window, you can find “ePACS Personal” and “ePACS Personal
KillDeadWood” services.

Figure 15: e-PACS Sevices infomation
NOTE: If the two services are not work correctly, restart the computer or click “start Service”
button to start the services. If the problem still exists, contact your support engineer.
Turn on the message queuing feature
For windows XP, you will find the MSMQ at “Control Panel -> Add or Remove Programs ->
Add/Remove Windows Components”, Select the Message Queuing to install.
Figure 16: Message Queuing in Windows XP
For windows7, you will find the MSMQ at “Control Panel -> Programs and Features -> Turn
Windows features on or off”, Select the Microsoft Message Queue (MSMQ) Server to install.

Figure 17: Message Queue Server in Windows 7

OPERA D4000DR Installation
Steps:
1. Find the OPERA D4000DR Installer program and start it, Click “Next” to continue;
Figure 18: Welcome window
2. Choose the desired UI style and language to proceed on;
Figure 19: Choose components window
3. Browse a disk to install in the program;

Figure 20: Choose install location window
NOTE: Not to install the OPERA D4000DR and PPACS in the same disk.
4. Click “Install” to start the installation;
Figure 21: Automatic start setup window
5. It will a few seconds for the setup program loading the files; then the automatic
install VC++ redistributable agreement window display;

Figure 22: VC++ redistributable window
6. After VC++ 2005 installed, OPERA D4000DR is installing for a few seconds;
7. Click “Finish” to exit the setup wizard, then the OPERA D4000DR program is
successfully installed.

Figure 24: OPERA D4000DR setup complete window

Other Optional Installation
If the exposure synchronizing device is connected with PC by USB interface, you need to
install the USB driver of exposure synchronizing device. Otherwise, ignore this section.
Steps:
1. Connect the exposure synchronizing device and PC with USB cable and power on the
exposure synchronizing device.
2. The “Found New Hardware Wizard” pops up, like below:
Figure 25: Found New Hardware Wizard

3. Select “No, not this time”. Then click “Next”.

Figure 26: Found New Hardware Wizard 2

4. Select “Install from a list or specific location (Advanced)”. Then click “Next”.

5. Check the item “Include this location in the search”. Click “Browse”, select the driver
file from the install CD. The file path is \Rad-Box USB Driver2.1\D12 Driver. Then click
“Next”.


6. The driver file is copied to the system folder. When the window like above pops up, click
“Continue Anyway”. The finish window shows up like below:
7. Click “Finish” to exit the setup wizard, the driver is successfully installed.

Uninstallation
Note: You should remove OPERA D4000DR first and then the PPACS service.
To uninstall OPERA D4000DR program
Steps:
1. From the Start -> All programs -> OPERA D4000DR, choose the Uninstall program
and the OPERA D4000DR uninstall wizard display and click “Next” to continue
Figure 30: Uninstall wizard window

2. Click “Uninstall” to clear the program files;
Figure 31: Confirm uninstall OPERA D4000DR location window

3. It will take a few seconds to remove the file:
Figure 32: Uninstalling window

4. Click “Finish” to exit the uninstall wizards;
Figure 33: Uninstall complete window
To uninstall Dongle Driver
If you want to uninstall the Dongle Drivers, run “Add and Remove Program” function of
Windows XP (Start Button Æ Control Panel Æ Add or Remove Programs), and select the
“Sentinel Protection Install *.*.*” from the program list, click “Change/Remove” to
uninstall.

Figure 34: Uninstall the Dongle Driver from windows XP control panel
To uninstall PPACS
If you want to uninstall the PPACS, run the “Add and Remove Program” of Windows XP
(Start Æ Control Panel Æ Add or Remove Programs), and select the “e-PACS 2000
Personal PACS Server” from the program list, click “Change/Remove” to uninstall.

To uninstall dotNetFramework3.5
If you want to uninstall the dotNetFramework3.5, run “Add and Remove Program” function
of Windows XP (Start Button Æ Control Panel Æ Add or Remove Programs), and select
“Microsoft .Net Framework 3.5 SP1” from the program list, click “Change/Remove” to
uninstall.
To turn off the message queuing feature
Same as turn on the message queuing feature, uncheck the message queuing item and
click “Next” button.

SECTION D
Configuring OPERA D4000DR
Application
CONTENTS
SECTION D CONFIGURING OPERA D4000DR APPLICATION ................................................ 1
ENTER OPERA D4000DR CONFIGURE WINDOW.......................................................................... 2

CONFIGURING THE VIEW IN THE PROTOCOL.................................................................................... 2
CONFIGURING THE PROTOCOL’S PROCEDURES .............................................................................. 9
CONFIGURING THE TECHNICAL PARAMETER ................................................................................. 13
CONFIGURING THE IMAGE PROCESS PARAMETER ......................................................................... 16
CONFIGURING THE DETECTOR PARAMETER .................................................................................. 23
CONFIGURING THE GENERATOR PARAMETER................................................................................ 26
CONFIGURING THE SYNCHRONIZATION DEVICE ............................................................................. 28
CONFIGURING THE BARCODE READER ........................................................................................ 30
CONFIGURING COLLIMATOR ........................................................................................................ 31
CONFIGURING DAP ................................................................................................................... 32
CONFIGURING PACS ENTITY PARAMETER.................................................................................... 32
CONFIGURING FILM TAG PARAMETER .......................................................................................... 34
CONFIGURING WORKLIST CONNECTION PARAMETER .................................................................... 36
WORKLIST IDENTITY CONFIGURATION .......................................................................................... 39
CONFIGURING THE WORK FLOW PARAMETER .............................................................................. 40
IMAGE COMMENT ....................................................................................................................... 42
IMAGE REJECT REASON ............................................................................................................. 43
UI ............................................................................................................................................. 44
TO SET THE OPERA D4000DR INTO DEMO MODE ...................................................................... 45
D1
Configuring OPERA D4000DR Application
Enter OPERA D4000DR Configure Window
Start the DROCConfig application which is located at the same directory of system,
enter “DROC system setting” window.
Configuring the view in the protocol
Figure 1: OPERA D4000DR Configuration - View
In this page, you can configure each view in the exam protocol.
On the left of this page is the list of all the views in the exam protocol. When one item is
selected, the right part displays the detailed information about the selected item.
You can add, delete or edit the view information.
D2 2013 V4.1 Service Manual

z To add view
Click “New” button, one view named “XXX-Ex” (xxx is the previous selected view item,
in figure 1, it is “ABDOMEN”) is added in the list box and is selected, the default
detailed information displays in the right part, you can edit them.
z To delete view
Select the view to be deleted in the list box, click “Delete” button, the view will be
deleted from exam protocol. You can only delete views one by one. Deleting multiply
views at one time isn’t supported.
z To edit view
Select one view in the list box, then you can edit its detailed information at the right
fields.
Description of each item:
z View ID: View’s name, which will be saved in DICOM files, English words are
recommended.
z View Description: Description of the view, the information will be displayed on
OPERA D4000DR UI as a hint of operation. Localized language and term familiar to
operator is recommended.
z Anatomic Region: The anatomic region of this view which will be stored in DICOM
file. Choose one from list box or enter the text manually.
z Body Part: The body part of this view. The term determines the exposure technique
parameters and post processing algorithm (Symphony/IT and ESA) parameters
applied to the view. Please ensure you choose the correct one.
z Orientation: The view orientation. Choose one from the list. It is also determines the
exposure technique parameters and post processing algorithm parameters applied to
the view.
z View Position: Radiographic view associated with Patient Position (0018, 5100) of
DICOM file. Choose one from the list:
- AP: Anterior/Posterior
- PA : Posterior/Anterior
- LL : Left Lateral
- RL: Right Lateral
- RLD : Right Lateral Decubitus
- LLD: Left Lateral Decubitus
- RLO: Right Lateral Oblique
- LLO: Left Lateral Oblique
z Male Icon: On OPERA D4000DR UI, one coach icon for current view will display to
make a hint for operation. View icons have been divided into two groups, one is for
Service Manual 2013 V4.1 D3

male and the other is for female. When the patient is male (the sex information is
acquired from worklist or entered by technician when registering locally), the system
will load the icon for male for position demonstration. In OPERA D4000DR UI, if you
right-click this view icon, a larger coach icon will display to enable a more clear view.
Left-click the lager coach icon, it disappears.
Figure 2: View Icon

This image could be replace by our own icon
You can use your own small and large icon images, or choose from the icon pool provided
by OPERA D4000DR system. The icon pool is located at the “viewicon" directory under
the OPERA D4000DR installation directory. If you create these icons by yourself, please
ensure the picture file is gif format. The big icon have the same file name with the small
one besides an extra postfix. The big icon file is named as “***. large.gif”. For example, if
the small icon file name is “m04-073.gif”, then the according large icon file name is
“m04-073.large.gif”. This item specifies the location of small icon file relative to OPERA
D4000DR installation directory. You can edit the file path manually or select the file in file
browse dialog. Click the “…” button, the file browse dialog will pop up with thumbnails
view format. Just choose the correct image and click “OK” button.

Figure 3: File browse dialog
NOTE: In Windows 2000 system, the Thumbnails isn’t default format, you can select it
manually.
Figure 4: Thumbnails Format
z Female Icon: The item specifies the location of icon file for female (the person in the
icon image is female) relative to OPERA D4000DR installation directory.
z Patient Orientation Row : This Patient Orientation specifies patient’s body position
relative to the X axial of image plane. If you are uncertain about them, remain the
default values. The optional items are:
- L: Left

- R: Right
- A: Anterior
- P: Posterior
- H: Head
- F: Foot
z Patient Orientation Column: This Patient Orientation specifies patient’s body position
relative to the Y axial of image plane. If you are uncertain about them, remain the
default values.
Figure 5 provides an explanation of how to use the patient orientation data elements
Figure 5: Patient Orientation
z Label Style: The item specifies whether or what default mark is added on the image
when it is displayed in Preview window. The optional items include: NO Mark (keep

edit box blank), AP, FLAT, L, LAT, OBL, PA, R, and UPRT. You can choose in list box
or enter the label needed manually.
z Label Position: The item specifies the position relative to preview window to display
default mark. The optional items include: LEFT TOP, RIGHT TOP, LEFT BOTTOM
and RIGHT BOTTOM.
z Image Orientation: This item will be written to tag (0020, 0037) of DICOM file.
Options are
- L: left;
- R: right;
- U: Unsymmetry
- B: both sides
z Image Process: The default image post processing algorithms applied on preview
image, the optional items are: ESA (Exam Specific Algorithm), SYMPHONY. To apply
ESA, you can change the lookup table to adjust the image’s contrast; to apply
SYMPHONY, the images will be enhanced and more details can be seen.
NOTE: OPERA D4000DR will automatically process the images of the same view according to
above configurations before previewing image; configure this item following the
operation habit of physician to increase productivity.
z Collimator Size: The default collimator field for this view. The preview image will be
cropped automatically by this size. Specify collimator width in the left list box and
collimator height in the right one. Collimator size shows in below box like “12INX14IN”.
When “AUTOCROP” is selected in the right list box, the OPERA D4000DR system
will calculate the size of collimator automatically and apply the collimator size to the
image in preview process.
Only when “Configuration Clip” for Collimator mode is selected in Synchronization

page, the Collimator Size items are effectual. And when “Hardware Clip” is selected,
the configuration in this field won’t work.

Figure 6: OPERA D4000DR Configuration - Collimator mode
z Stand Position: The misalignment of the tube comparing to the center of the detector.
Options are 43, 40, 35, 30, 24, 18, the unit is centimeter.
z Filter: The optional items are:
- 0 AL: no filter
- 1 AL: the filter is consist of 1mm aluminum
- 1 AL + 0.1Cu: the filter is consist of 1mm aluminum and 0.1mm cuprum
- 1 AL + 0.2Cu: the filter is consist of 1mm aluminum and 0.2mm cuprum
- 0.1Cu: the filter is consist of 0.1mm cuprum
z Image Rotation: The item specifies whether the original image got from detector
should be rotated before displaying. The optional items are:
- -90 = 90 degree anticlockwise

- 0 = not rotate
- 90 = 90 degree clockwise
- 180 = 180 degree clockwise

z Image Horizontal Flip: The item specifies whether the original image got from
detector should be horizontally flipped before displaying. If the view position is PA,
the item usually should be selected.
Configuring the protocol’s procedures
Figure 7: OPERA D4000DR Configuration - Procedure
In this page, you can configure each procedure in the exam protocol.
On the left of this page is the list of all the procedures in the exam protocol. When one
item is selected, the right part displays the detailed information about the selected
procedure.
You can add, delete or edit one procedure.
z To add a new procedure

Click “New” button, one procedure named “New Procedure xx” is added and selected
in the list box, the default detailed information displays in the right field. You can edit
each item.

z To delete a procedure
Select the procedure to be deleted in the list box, click “Delete” button, the procedure
will be deleted from the list box. You can only delete one by one. Deleting multiply
procedures at one time isn’t supported.
z To edit a procedure
Select one procedure in the list box, and then you can edit its detailed information at
the right field.
z Procedure code: The code can identify each procedure uniquely, which should be
consistent with RIS code in the worklist.
The RIS code may be displayed in different field in the worklist. You can configure
RIS code on the “Worklist” page. In this page, normally choose
“ScheduledProcedureStepCodeValue” for RIS Code ID Field item. The procedure
code should match the value of the field of worklist which indicated by RIS code.
Figure 8: OPERA D4000DR Configuration - Worklist
z Procedure Name: The Procedure’s full name, this information will be written in

DICOM file. English words are recommended.

z Procedure Fast Name: The procedure’s simplified name. During registration, you
can enter Procedure Fast Name to select the procedure more quickly than looking up
in the drop down list.(This function is optional depending on your OPERA D4000DR
version)
z Procedure Description: The description for the procedure which will be displayed
on OPERA D4000DR UI to give the operator guidance. Please use terms or localized
language which is familiar to the operator.
z Body Part: The body part for the procedure. Please select the correct one from drop
down list. It defines the catalog the procedure belongs to.
In the New Patient Information window of OPERA D4000DR, when you select
procedure in Exam Procedure item, the left drop down list is body part list, the right
one is the list of the procedures which belong to the selected body part in the left list.
Figure 9: New Patient Information window in OPERA D4000DR
NOTE: Bodypart list was read from “BodyPartDescription.xml” of Conf Directory. You can edit
the file for localization.
z Film Orientation: It describes the default film orientation when printing. Options
include:

- Portrait: vertical;
- Landscape: horizontal.
NOTE: When only one image in a film to be printed (Print Format is STANDARD\1,1), the
orientation of the film is decided automatically. The program will choose the best
orientation to print the image.
z Film Size：It specifies the film size of printing images. You can choose from the drop
down list box. The unit is Inch. When “True Size” checkbox on the Procedure page is
selected, true image physical size will be compared with this value.
z Print Format: It specifies the default print format, all images of this procedure will be
print in this format. The optional items are :
- STANDARD\1,1：Only one image on the sheet

- STANDARD\1,2：Two images placed one over the other.
- STANDARD\2,1：Two images placed side-by-side.
- STANDARD\2,2：Four images placed two over two.
For Example, the procedure contains four images, the format is STANDARD\2,1,
then the print result is two films, each film contains two images; if the procedure
contains three images, the print result is still two films, but the last film will contain
only image, half of whose space remains empty.
z True Size: To indicate whether the images of the procedure are printed in true size or
not. If true size is checked, the image’s size will be compared with film size, if the
width or height of the image is larger, the image will be zoomed out in the dimension
to fit the film; if the width or height of the image is smaller than that of film , the rest
space will be filled with background color in the dimension which is smaller. if not true
size , the image will be zoomed in or out to fit the film size
z Often Used: To indicate whether a procedure is frequently used. Choosing this item
as a filter, you can search the procedures more quickly. (This function is optional
depending on your OPERA D4000DR version). There is also a “Get often used
procedure list” checkbox at the bottom of the procedure list, check it, the procedure
list box displays all the procedures marked as often used; uncheck it, the list box
displays all the procedures.
You can add or delete a view for this procedure.
There are two view list boxes at lower right part of this page: one named “View” and the
other named “All Views”. The “View” lists all the views belong to the procedure and the
“All Views” lists all the views of the exam protocol.

z To Add a view: Select a view in the “All Views” list box and click “<<” button, the
view will be added into the “View” list box for current procedure. You can only add
one by one. Adding multiply views at one time isn’t supported. If the view has already
existed in “View” list box, the view won’t be added.
z To Delete a view: Select the view to be deleted from the “View” list box and click
“>>” button. You can only delete one by one. The views in the “All Views” list box
aren’t allowed to delete.
Configuring the technical parameter
Figure 10: OPERA D4000DR Configuration - Technical Setting
In this page, you can set the technical parameters for each Bodypart. You can have 448
different APR items, which are combinations of Bodypart, Patient orientation and Patient
size. (28 (Bodypart) x 4 (Patient orientation) x 4 (Patient size) = 448). More bodyparts can
also be added manually.
To Save Technical Parameter Set
Type the name of current parameter set in the field of “Technical Parameter Set

Database”, then click “Save Technical Parameter Set” button to save current
parameters of every body part in Bodypart List, as well as for different position and
posture. The file will be saved in the folder “Conf”.
To Set the Technical Parameter via Database
You can use current parameter setting set as input of another “parameter setting set”.
When you choose a parameter setting set in "Technique Parameter Set Database”,
current “parameter setting set” will be replace by the selected “parameter setting set”.
Before choosing a parameter setting set form Database, please back up current
parameter setting first.
To Set the Technical Parameter separately
The left part is a list box of all the body parts, the items in the list are same with options of
“BodyPart” item in View configure page, so a view’s technical parameters depend on its
Examined body part and orientation. The right part is detailed technical parameters for
each body part. Because the body part item in left list box is fixed, the main operation of
the page is edition.
Select one Body Part from the list box, and then select one Patient Orientation (AP|PA、
LAT、OBL、AXIAL) ,you can edit the parameters from “Exposure Style” to “Workstation”.
Finally by selecting one Patient Size (Large, Medium, Small, Paediatric), you can edit
the parameters from “KVP” to “SID max”.
z Exposure Style:
- mAs Mode: The dose is determined directly by MAS.

- Time Mode: The dose is determined by MA and MS together.
- AEC Mode: Automatic Exposure Control mode.
z Field: the first digital stands for the left AEC field, the second digital stands for the
middle AEC field, the third digital stands for the right AEC field. The digital of 0 means
the corresponding field is not selected; the digital of 1 means the corresponding field
is selected. For example: when take chest exams, the AEC Field is set to 101, which
means using the left and right ionization fields and deactivating the middle one.
z Density: A parameter to adjust dose when choosing AEC mode, larger AEC Density
means more dose. The AEC density range depends on generator. In some generator,
AEC density is not set by system, you must adjust the AEC Density by yourself.
z Focal: Options are small focus and large focus.

z Workstation: Options are standing position, lying position and free position. Standing
position means capture image on wall workstation; lying position means capture
image on table workstation; free position means capture image could be on any
position (The detector works outside the Bucky).
z KVP: Tube voltage for exposure.
z mA: Tube current during exposure.
z mS: Exposure lasting time.
z Grid Speed: Ranges from 0-7, stands for different grid moving speed, which is
determined by exposure lasting time (MS).
z Grid Type: Use grid or not, and which grid is used for current View.
z SID min. (cm): The minimum source-to-image (detector) distance, the unit is
centimeter.
z SID max. (cm): The maximum source-to-image (detector) distance, the unit is
centimeter.
To Add a New Bodypart
Select an item in Bodypart List as template for new Bodypart. The default Technical
Parameters of new Bodypart are same as template. Click “New” button under Bodypart
List, the New Bodypart dialog pops up. Input the name of new Bodypart, then click
“Ok” button. You can edit Technical Parameters of new Bodypart now or later. Click
“Apply” button to save the new Bodypart.
To Delete a Bodypart
Select an item in Bodypart List. Click “Delete” button under Bodypart List, the confirm
dialog pops up. Click “Ok” button to confirm the deletion. Then click “Apply” button to
save changes.

Configuring the image process parameter
Figure 11: OPERA D4000DR Configuration - Image Process
In this page, you can configure the image processing parameters for each body part.
To Save Parameter Set
Type the name of current parameter set in the field of “Parameter Set Database”, then
click “Save Parameter Set” button to save current parameters of every body part in
Bodypart List, as well as for different position and posture. The file will be saved in the
folder “Conf”.
To Set the Parameter via Database
You can use current parameter setting set as input of another “parameter setting set”.
When you choose a parameter setting set in "Parameter Set Database”, current
“parameter setting set” will be replace by the selected “parameter setting set”. Before
choosing a parameter setting set form Database, please back up current parameter
setting first.

To Set the Parameter separately
The left part is a list box of all the body parts, the items in the list are same with options of
“BodyPart” item in View Configure page, so a view’s image processing parameters are
determined by its Examined body part and orientation.. The right part is detailed image
processing parameters for each body part. Because the body part items in left list box are
fixed, the main operation of the page is to edit parameter for image process.
If you want to change all the images’ contrast and brightness no matter what body part
they are, change “L Percent” and “H Percent” of “Gray Adjustment”. If you want to
change parameters for one specified body part, select a body part from the list, and then
choose a view position (AP|PA、LAT、OBL、AXIAL),and after that you can edit the three
groups of parameters : ESA Original Parameter, After ESA Parameter and Symphony
Parameter.
z ESA Original parameter and After ESA parameter
- ESA original parameters are used to create default LUT( look up table)for
original image
- After ESA parameters are used to create LUT for image enhanced by
symphony.
- The parameters for ESA Original and ESA After Symphony have same
meanings and can be adjusted in the same way.
z Curve Type: from 1 - 20, which decides the curve’s shape. The smaller the value is,
the more compression will be applied to high gray value in the image, which means
the contrast of will parenchyma be small; the larger the value is, the more
compression will be applied to low gray value in the image, which means the contrast
of the bone will be small. You can see the difference in Figure 12, and Figure 13. The
start and end point of the curve are the same but the shapes of the curve are different,
the results of LUT according to the curve applied to the image are quite different.

Figure 12: Curve Type is 10, contrast of lung is small
Figure 13: Curve Type is 11, contrast of spine is small
z Left Shift: Adjust the minimum point of the LUT, which is the non-zero output value.
If decrease the value, more of lower gray values become visible, the image becomes
darker, and the contrast decreases; if increase the value, more of lower gray values
is “clipped” to zero and invisible, the image becomes lighter, and the contrast
increases.

Figure 14: The images show the effect of decreasing the minimum point of the LUT
Figure 15: The images show the effect of increasing the minimum point of the LUT
z Right Shift: Adjust the maximum point of the LUT, which becomes the maximum
output value. If decrease the value, more of higher gray values is “clipped” to
maximum output value and become invisible, the image becomes darker, and the
contrast increases; if increase the value, more of higher gray values become visible,
the image becomes lighter, and the contrast decreases.

Figure 16: The images show the effect of decreasing the maximum point of the LUT
Figure 17: The images show the effect of increasing the maximum point of the LUT
Symphony parameter
z Contrast: Increase the value to achieve stronger image contrast or decrease the

value to achieve less image contrast.

z Detail: the value controls the extent of edge enhancement. Increasing the value
brings about stronger subtle detail enhancement, decreasing the value causes less
subtle detail enhancement.
z Dynamic Range: the value controls the extent of dynamic range of being
compressed. Decreasing the value will increase the dynamic range of image, the
image will have a larger gradation range, the contrast between bone and
parenchyma will increase, less tissues can be seen at the same time. Increasing the
value will decrease the dynamic range of image, the image will have a less gradation
range, the contrast between bone and parenchyma become less obvious, more
tissues can been seen at the same time
z Noise Mode:
- Free: symphony will not perform noise reduction on image,

- Natural: symphony will perform noise reduction slightly.
- Moderate: symphony will perform noise reduction moderately.
- I_Free: symphony will not perform noise reduction selective in parenchyma.
- I_Natural: symphony will perform noise reduction slightly selective in
parenchyma.
- I_Moderate: symphony will perform noise reduction moderately selective in
parenchyma.
The setting for most situations is I_Free. It is recommended that don’t change this
item in general conditions.
The parameters of Symphony (besides Noise Mode) are from 0 to 20.
Gray Adjustment:
These parameters take effect on both “ESA Original” and “After ESA” for all the body
parts. It is recommended that change it by ±5 one time.
z L Percentage: Increasing the value has the same effect on image as increasing Left
Shift; decreasing the value has the same effect on image as decreasing Left Shift.
Value ranges from 0 to 100.
z H Percentage: Increasing the value has the same effect on image as decreasing
Right Shift, decreasing the value has the same effect on image as increasing Right
Shift. Value ranges from 0 to 100.
Visual Adjust Parameter: When clicking this button, you can adjust the parameter
visually. Please select the 14bit original image and adjust the parameter on the window

display below. Before adjusting, please select the proper Bodypart and Position. After
adjusting, please save the result by click “Save Param” button.
Figure 18: Visual Adjust Parameter window

Configuring the detector parameter
Figure 19: OPERA D4000DR Configuration - Detector
In this page, you can set parameters for detector.
“Image Parameter Information” and “Saturation Value” should be consistent with the
“Detector Type”.
z Detector Type: The type of the detector. Options:
- CARESTREAM DRX-1
- TRIXELL PIXIUM4600
- THALES 41X43R
- VARIAN4343R
- VARIAN4336R
- TOSHIBA FDX4343R
When Detector Type is being changed, “Image Parameter Information” and

“Saturation Value” will be changed automatically. Please do not change these

parameters unless you know the detail about the Detector.
z Port: If the detector type is PIXIUM 4600, the item sets the COM port (series port) of
the PC to communicate with detector. The COM port must accord with the physical
connection.
z Number: The number of the detectors connected in the system. In single detector
DR system, the Number should be set to 1, if the system contains two detectors, the
Number should be set to 2 and the parameters for detector should be configured
respectively on “Detector I Parameter” and “Detector II Parameter” page. If only
one detector, Detector II Parameter page should be skipped.
z Channel: This parameter is especially for PIXIUM4600.One image acquisition card
has two channels to support connection with two detectors. The up channel is labeled
as 1 and below one as 2. The parameter shows with which channel the fiber of the
current detector is connected.
z Saturation Value: If the dose the detector accepts is higher enough, saturation
appears and the pixel value isn’t linear to dose anymore, to eliminate this
phenomenon, the item set a threshold value, when the pixel value higher than the
threshold, it will be set to the threshold value.
NOTE: The default Saturation Value for PIXIUM4600 is 12000 and the default Saturation
Value for DRC detector is 15000.
z Save Raw Data Mode: To save raw data image is to do image maintenance job.
Optional selections:
- Not Save: do not save any raw data.

- Save before Calibration: save uncalibrated raw data.
- Save after Calibration: save calibrated and bad pixel corrected clean raw data.
- Save all: save both uncalibrated and calibrated raw data.
If “Save before Calibration” or “Save after Calibration” is selected, the raw image
data will be saved in a file named as “full14bit_NoGain.raw” or “full14bit_Gain.raw” in
OPERA D4000DR installation directory. The raw images (with no image header and no
file header) are used for bad pixel mapping. Their pixel bit depth is 14 and width and
height are of full image size from detector.
When you set the Save Raw Data Mode to “Save all” and restart OPERA D4000DR,
the system will save correspond image in “OPERA D4000DR” directory. You can
check these raw image data by “ImageQC.exe” or other tools. The raw image pixel bit
depth is 14 and width and height are of full image size from detector without file header.
Raw image file names and contents are list below:

- full14bit_NoGain_NoOffset.raw: raw image without offset and gain calibration.

- full14bit_NoGain_Offset.raw: raw image after offset calibration without gain
calibration.
- full14bit_Gain_Offset.raw: clean raw image after offset and gain calibration.
z Enable MidFilter: If this item is selected, the midfilter image process will be added
for temporary use when the DRC detector has something wrong with it.
NOTE: MidFilter is only for temporary use. This image process can eliminate malfunctioned
pixel but also reduce the image detail quality.
z Connect Detector: Whether connect with the detector hardware when the OPERA
D4000DR system is running. If the OPERA D4000DR is in Demo mode and with no
hardware connection, please uncheck this selection.
z Image Information:
- Full Width: The original image acquired from detector may contain invalid
region (no signal) on each margin, so the final image’s size may be smaller.
The item defines the width of final image (pixel unit) which will be added to
DICOM header.
- Full Height: Final image height (pixel unit) which will be added to DICOM
header.
- Width Offset: The inactive part of original image from detector on horizontal
direction. Which will not be taken into account when calibration.
- Height Offset: The inactive part of original image from detector on vertical
direction. Which will not be taken into account when calibration.
Click “Detector Diagnosis” button to run a diagnosis program which will try to detector the
Detector Type and test the port number for Detector communication.
NOTES:
The default setting for PIXIUM4600:
FullWidth: 3000; FullHeight: 3000; Width Offset: 60; Height Offset: 60;
The default setting for DRC:
FullWidth: 2480; FullHeight: 3072; Width Offset:0; Height Offset: 40.
The default setting for DETECT1417:
The default setting for DETECTF750:
The default setting for VARIAN4343R:

Configuring the generator parameter
Figure 20: OPERA D4000DR Configuration - Generator
In this page, you can set parameters for generators.
If you only use software from manufacturer and the generator isn’t supported by OPERA
D4000DR, the page can be ignored, you still can use OPERA D4000DR to exposure and
acquire image via WAMI, but you can’t use OPERA D4000DR to adjust generator
technical parameter (KV, MA, MS etc).
NOTES: “WS Lying”, and “WS Standing” are used for dual detector, if you are using signal
detector, please set “WS Lying”, and “WS Standing” to the same number. It is also
related to the “Workstation” setting in “Technique setting”.
If you only use software from manufacturer but your generator is one of the types OPERA

D4000DR supports, you must configure all the parameters to implement full functions that
OPERA D4000DR supports including exposure and adjusting generator technical
parameter.
z Generator Type: The types of the generator OPERA D4000DR system supports:
- CPI
z Port: The COM port in OPERA D4000DR host PC to communicate with generator, it
must support RS232 protocol and be consistent with the physical connection.
z WS Lying: This item is set for multi detectors system, multi detectors system
contains several photograph settings, one could be Standing, for example, apply to a
chest radiography, other could be Lying, like a table system. They share one
generator by having a different workstation or Bucky configuration in generator. The
item set the corresponding workstation or Bucky in generator for Lying setting.
z WS Standing: The item set the corresponding workstation or Bucky in generator for
Standing setting.
z WS Free Position: Free position work mode is that the detector is working outside
the Bucky. System must have Table or Wall workstation, and have free position mode
as an extract workstation. The item set the corresponding workstation or Bucky in
generator for Free Position setting.
NOTE: WS Lying and WS Standing setting can be the same, it is depends on the hardware
connection between SYN Box and Generator.
z WS conventional: Workstation used in conventional mode.

z Control Level: The exposure synchronization could be achieved by different mode
according to the available hardware.
- Low: This mode is supported when exposure synchronization card.

- Middle: This mode is supported when both IF card and WAMI are available.
- High: Control exposure by OPERA D4000DR itself and rely on no other
synchronization hardware. It is only supported when generator is of CPI type.
z Connect Generator: Whether the generator is connected to the OPERA D4000DR

system. If generator is connected with OPERA D4000DR actually, but the item isn’t
checked, OPERA D4000DR will consider the generator doesn’t work.
z Click “Generator Diagnosis” button will run a diagnosis program which will try to
detect the Generator Type and test the port number for generator communication.

Configuring the synchronization device
Figure 21: OPERA D4000DR Configuration - Synchronization Device
In this page, you can set parameters for synchronization device.
The synchronization device is to synchronize the detector’s status and the generator’s
exposure timing. When exposure switch is pressed down, OPERA D4000DR is notified by
the synchronization device, and then OPERA D4000DR informs the detector to prepare
for exposure.
When the detector is ready, synchronization device sends “Begin exposure” signal to
generator. The items of “Type” and “Port” have been configured before leaving factory. It
shouldn’t be modified. The other items can be changed based on practical requirement.
z Type: The Synchronization device type used in system. There are four types of
synchronization device supported by OPERA D4000DR.
- WAMI, for Hologic system.

- ECOMSYNBOX1.8, for PIXIUM 4600 detector.

- ECOMSYNBOX2.0, for PIXIUM 4600 detector
The above devices communicate with OPERA D4000DR host PC by COM port (series
port).
- ECOMISA, the synchronization device is exposure synchronization card of

ISA slot.
- ECOMPCI, the synchronization device is exposure synchronization card of
PCI slot.
- ECOMRADSWITCH-V2COM
- ECOMRADSWITCH- V2USB
- ECOMRADSYN
- ECOMRADSYN-V1
- ECOMRADSYN-V2COM
- ECOMRADSYN-V2USB
z Port: If the synchronization device communicates with OPERA D4000DR host PC via
COM port supporting RS232 protocol, the item specifies the COM port in OPERA
D4000DR host PC to communicate with the synchronization device which must
accord with the physical connection.
z Number: The number of synchronization device in the system. It is same with the
number of detector because one synchronization device is used for one detector. For
a two detectors system, parameters of Device I and Device II should be configured
respectively. For one detector system, the page of Device II can be skipped.
z Default Rotation: Because the direction of detector is different in different type of
Bucky, the image should rotate correspondently to obtain the right image. The item
defines the angle the original image from detector should rotate before displayed.
z Rotate Direction: This item defines the rotate direction when the detector is changed
from portrait position to landscape position.
z Collimator Mode: Image will be clipped before display in preview window, this
setting decide what method used for clipping size.
- Hardware Clip: using feedback from Collimator to clip image from detector
(this needs the support from Collimator).
- Configuration Clip: using configuration in View to clip image from detector.
z Connect Synchronization Device: Whether the synchronization device is

connected in the system and in working mode. Check this box if the synchronization
device is connected in and works. Uncheck it if the system is for demonstration only.
Click “Synchronization Device Diagnosis” button will run a diagnosis program which
will try to detector the Synchronization Device Type and test the port number for
Synchronization device communication.

Configuring the Barcode Reader
In this page, you can set parameters for barcode reader.
The barcode reader is to scan the exam application code and input the code into the
OPERA D4000DR so that OPERA D4000DR can find the patient and exam information and
loaded it automatically. With barcode reader, technician does not need to enter patient
information to search the exam or find the exam information for the data list.
Figure 22: OPERA D4000DR Configuration – Barcode Reader
The settings for barcode reader are divided into two parts, one is for hardware, and the other
one is for the application. In actual application, the code scanned from barcode contain
some superfluous letters or in wrong sequence. So the code needs to be regrouped.
NOTE: If the interface of barcode reader is PS/2, the barcode reader works as a keyboard, all
the setting here is not applicable. In this situation, do not check “Connect Barcode
Reader” option.
z Port: If the barcode reader used in the system is series port interface, the item sets

the COM port (series port) of the PC to communicate with barcode reader. The COM
port must accord with the physical connection.
z Baud : Baud rate at which running.
z Byte Size: Number of bits/byte, 4-8.
z Parity: 0-4=None, Odd, Even, Mark, Space.
z Stop Bits: 0,1,2 = 1, 1.5, 2.
z Stop Sign: LF, ETX or CR.
z Read Filter: No filter, Read number only or Read character only.
z Read Order: From left to right or from right to left.
z Read Shift: How many character omit from the beginning.
z Read Length: How many character used for OPERA D4000DR
z Connect Barcode Reader: Whether the barcode reader is connected in the system
and in working mode. Check this box if the barcode reader is connected in and
works.
Click “Barcode Reader Diagnosis” button will run a diagnosis program which will try to
detector the Barcode Reader and test the input of Barcode Reader.
Configuring Collimator
Figure 23: OPERA D4000DR Configuration –Collimator
In this page, select Collimator Type and set COM Port.

Connect: Whether the Collimator is connected in the system and in working mode. Check
this box if the Collimator is connected in and works.
Click “Test” button will provide user a test interface. Details please contact our Technical
Support personnel.
Configuring DAP
Similar with Collimator configurations, please refer to the above topic.
Configuring PACS entity parameter
Figure 24: OPERA D4000DR Configuration - PACS Entity
OPERA D4000DR is possible to connect with three types of PACS entity:
z Archive: Image archive server or workstation used for storing/viewing images.

z Printer: DICOM printer node used for hard copy output.

z MPPS: MPPS Server used for monitor/collect the examination status.
In this page, you can Add, Delete or Edit one PACS entity.
Adding Steps
Select the default entity in the list box of what type of entity you want to add, click “New”
button and a new node will be added in this list box with default setting.
NOTE: You must select the PACS node type before adding a new PACS node.
Deleting Steps
Select the node which you want to delete and click “Delete” button to delete it.
NOTE: You must left one PACS node, either Archive node or Printer node for output in
configuration.
Editing Step
Select a node which you want to modify.Edit the information you want to change.
Click “Apply” button to save the new information.
z Type: Entity Node type which can be chose from ARCHIVE, PRINTER and MPPS.
z Host Name: The name of the PACS entity.
z Host IP: The IP address of the PACS entity.
z Host Port: The Port of the PACS entity used for the service.
z Called AE Title: The Application Entity Title of the PACS entity.
z Calling AE Title: The Application Entity Title of local host. This field can be empty
and the OPERA D4000DR system will use the default one which is set in PPACS
Configuration.
z Default: Set the current entity as default destination. If the box is checked, the
current node will be set as the default destination that the image/data is sent to.
z Test connection: Click this button to test the entity doing communication with PACS
work or not.

Configuring Film Tag parameter
Figure 27: OPERA D4000DR Configuration - Film Tag
Film tag is some information of the image which will be printed on the film. In this page,
you can set the appearance and content of the film tag.
The group of Tag Description Information parameters determines the appearance of

the film tag.
z Tag Size Mode: Fixed and Zoom. Fixed means that the tags in the film keep the size
no matter the image has been zoomed in the film or not caused by multiple image
printed in a film. Zoom means that the tags’ size will be changed simultaneously with
the image’s zooming when layout the film.
z Size: the size of the tag in the film, which means the height of the tag printed the
image by pixel unit.
z Style: the style of the tag printed in the film. You can choose from HALFBK,
BLACKBK, TRANSBK, INVERSBK

- HALFBK: the image color near the tag text will be darker and the tag text is
printed in white color.
- BLACKBK: the image color near the tag text will be black color and the tag
text is printed in white color.
- TRANSBK: the image color near the tag text will be left untouched and the tag
text is printed in white color.
- INVERSBK: the image color near the tag text will be left untouched and the
tag text is printed in inverse-color.
z Position: the position to place the ruler relative to the film, there are four options:
LEFT, RIGHT, TOP and BOTTOM.
z Contrast: Gamma adjusting for image sent to printer. Normally Contrast adjust is set
to 0 which means no gamma adjusting applied to the image. If the printer has the
function to adjust the gray scale for the film, this setting will be unnecessary.
Otherwise, if the image on the film has no good contrast, you can adjust this value.
The image becomes brighter if you reduce the value and vice versa.
The tags can be printed on film are listed in the list box of “Item List”, you can add a new
tag, delete or edit a tag.
z To add a tag: Click “New” button and a new tag named “New Item xx” will be added
to the list, its default information will be displayed in the right field.
z To delete a tag: Select the tag to be deleted in the list box, and click “Delete” button,
the tag will be deleted in the list box.
z To edit a tag: Select the tag to be edit in the list box, and its information will displayed
in the right field, then you can edit the information in the edit boxes.

z Tag Name: The description for the tag.
z DICOM group: The group ID of the current item, combined with element ID to decide
the position of this item in DICOM file.
z DICOM element: The element ID of the current item, combined with group ID to
decide the position of this item in DICOM file.
z Tag prefix: The text string printed on film before the content of the item.
z Tag postfix: The text string printed on film following the content of the item.
z Tag line: The position of tag printed on film; there are 10 lines you can choose from.
z Tag format: The content of the tag: date, time, date time or character string.
z Tag position: The position of the tag to be printed on film, default terms include:
- LEFT TOP
- RIGHT TOP
- LEFT BOTTOM
- RIGHT BOTTOM

Configuring Worklist Connection parameter
Figure 28: OPERA D4000DR Configuration - Worklist
In this page, you can set the worklist connection parameter.
z Worklist Configuration
- Modality Type: DX or CR. In most cases DX is used For PACS supporting DX

images, otherwise use CR which is supported by almost all PACS system.
NOTE: You can also edit this field for connection with not standard RIS provided. If
you left this field empty, OPERA D4000DR will query the worklist items of
any type.
- Destination: Choosing “Local” means just retrieve the worklist assigned to

the OPERA D4000DR host PC; choosing “All” means retrieve all worklists
whose modality type is accordant with Modality Type field no matter what
destination it is assigned to.
- Enable Worklist: Check this item means connect with Worklist server.
- Continue to communicate with the Worklist Server after the first time
echo failed: Before communicating with other PACS entity, echo should be

tried to test if the later communication feasible. Failure may be due to two
reasons: physical link failure or the PACS entity failure of supporting echo
command but successful physical link. If for the latter reason, next step of
retrieving worklist task from the Worklist Server can be expected to perform
successfully. For this case, the checkbox should be checked. If for the former
one, further steps should be skipped regarding no possibility of success. In
this condition, the checkbox should be unchecked.
- Host Name: The name of the server
- Host IP: The IP address of the server
- Port: The port of the server used for the service
- Called AE Title: The Application Entity Title of the server
- Calling AE Title: The Application Entity Title of local host. This field can be
empty and the OPERA D4000DR system will use the default one which is set
in PPACS Configuration.
- RIS Code ID Field: the field in worklist item stores RIS Code ID which used
as the index/identifier of the procedure.
- RIS Code Meaning Filed: the field in worklist item stores RIS Code meaning
When Click “Advanced” button, the system switches to Advanced setting mode
for Worklist Item Mapping setting.
“Test Connection” will test the state of connecting other DICOM Modalities.

Figure 29: OPERA D4000DR Configuration – Worklist advanced

z Worklist Field List group: The worklist items which can be stored in local database
are listed in the left list box , because of the uncertainty of worklist provider, each item
which represent a certain meaning may come from different fields of worklist, the
location of the field can be configure below:
- Group Name: The description of current item which could not be modified.
- DICOM group: The group ID of the current item.
- DICOM element: The element ID of the current item.
Because of the tree structure tags in worklist, the parent node/element should be
defined to locate the field precisely.
z Parent node group: The group ID of the parent item of the current item. If the item
has no parent item, fill “0x0000” in this field.
z Parent node element: The element ID of the parent item of the current item. If the
item has no parent item, fill “0x0000” in this field.
z Used: Indicate if save the field in local database.
NOTE: Some information in worklist is the basic information that OPERA D4000DR needed
and the Used check box is gray for this information indicate that this information is
needed in any case.

Worklist Identity configuration
Figure 30: OPERA D4000DR Configuration - Worklist Tag

OPERA D4000DR can save new worklist item in local database as cache for fast query
speed when you choose auto refresh worklist, when OPERA D4000DR get a new worklist
item and the item exist in local database, OPERA D4000DR will not save it any more.
These parameters set in this page are used to judge whether a worklist item is already
existed in the local database or not.
Because of the uncertainty of worklist provider, the content of worklist is not consistent.
Generally speaking, Accession number or Study instance UID is ideal ID to identity the
worklist item, but in some cases which worklist provider does not conform to the normal
standard to create worklist, and Accession number or Study instance UID are not
consistent with the same worklist when worklist are refreshed.
In order to not leave fake or rubbish data in the worklist item, you need more than one
item to identity the worklist item. If you set check box before one item, this item will be set
as parameter to identify the worklist. According to your setting, OPERA D4000DR system
judge whether a work is already existed in the local database by checking (more than)
one field in worklist to get rid of the repeat and already existed ones.
NOTES: If the worklist identity tag is not correctly configured, the situation that repeat worklist
item retrieving or some worklist item missing would happen.

Configuring the Work Flow parameter
Figure 31: OPERA D4000DR Configuration - Workflow
In this page, you can set the workflow parameters.
z Barcode reader Field: Indicate the code received from barcode reader corresponds
with which field of worklist. optional items:
- PATIENTID: the input code from bar code reader is set as Patient ID
- OTHERPATIENTID: the input code from bar code reader is set as
OtherpatientID
- ACCESSIONNUM: the input code from the barcode reader is set as
AccessionNum
- ADMISSIONID: the input code from the barcode reader is set to AdmissionID

z Series Display Level: Optional items:
- STUDY: a study only has one series and a series may have several images.
- IMAGE: a study may have several series but a series only has one image.
NOTE: This setting may affect the format or layout in Image Workstation.
z LUT Type: Optional items:
- ModalityLUT: Lookup Table will be saved in LUT sequence as ModalityLUT

sequence in DICOM image and approximately WW/WL having the similar
display result will be saved in DICOM image. ModalityLUT is normally used in
CR modality.
- VOILUT: Lookup Table will be saved to VOILUT sequence in DICOM image
and approximately WW/WL having the similar display result will be saved in
DICOM image. VOILUT is normally used in DX modality. But not all Image
Workstation supports VOILUT.
z NONE: Lookup Table will be applied to the image data and no LUT will stored。In
the same time the WW/WL will be set to 4096/2048. When Image Workstation does
not support ModalityLUT or VOILUT, please set NONE in LUT Type setting.
VARIABLEWWWLWorklist record clear time: Setting the days for clear the
record/worklist which is older than the days from local database.
z Refresh worklist interval: When the checkbox of DROC Automatic Refresh
Worklist is checked, this item sets the interval to refresh worklists from RIS.
z DROC Auto Refresh Worklist: Set the mode for worklist refresh. If this box is
checked, the system will query and retrieve worklist in background automatically;
otherwise you need to invoke the process to retrieve the worklist.
z DROC automatic Disk Space Management: Enable auto disk space management
or not. If the box is checked, the Auto Disk Space Management function is activated,
the system will check if the space of the disk to store image is lower than threshold
set in PPACS periodically, if lower, the system will delete the older images to free
enough space for future image. If the box isn’t checked, you should delete outdated
images stored on local PC manually.
z Enable MPPS: Enable connection with MPPS server or not.
z Continue to connect PACS notes after the echo command failed: Before
communicating with some PACS entity, echo should be tried to test if the later
communication feasible. The failure may be due to two reasons: physical link failure
or the PACS entity’s failure of supporting echo command but in successful physical
link. If for the latter reason, further communication with MPPS Server can be
expected to perform successfully. For this case, the checkbox should be checked. If

for the former one, further steps should be skipped regarding no possibility of
success. In this condition, the checkbox should be unchecked.
z DROC dump detail log: Export detail log.
z Product Description: The information for the OPERA D4000DR station. The
information set here will be added to the information tag of the DICOM information.
z Clear Database: This item is for empty “Image” folder.
z Reset Database: The database will be restored to the Factory Settings
z Register: Register interface will be shown.
Image Comment
Figure 32: OPERA D4000DR Configuration - Image Comment
In image preview window, you can choose one or more comment for the current image
from several default items. In this page, you can add and delete the default image
comment items.
z To add a default image comment: Enter content of a new image comment in the
text field, and then click New button, the item is then added in the Image Comment
List.
z To delete a default image comment item: The Image Comment List contains all

the default image comments. Choose one from the list and click Delete button, and
then the item is deleted.
Image Reject Reason
Figure 33: OPERA D4000DR Configuration - Image Reject Reason
In image preview window, when reject an image, you are required to choose one or more
reason from a list of default items to explain why discards it. In this page, you can add and
delete a default reject reason item.
z To add one new image reject reason item: Enter content of a new image reject
reason in the text field, and then click New button, the item is then added in the
Image Reject Reason List.
z To delete one image reject reason item: The Image Reject Reason List contains
all the default image reject reasons. Choose one from the list and click Delete button,
and then the item is deleted

UI
Figure 34: OPERA D4000DR Configuration - UI
In this page, you can set the properties of letters which are displayed on OPERA
D4000DR running interface.
z Please select font: Set the font of letters.

z Please input font size: Set the font size of letters. The range is 50 ~ 200.
z Please select Mark font: Set the font of Mark.
z Please input LR font size: Set the font size of L/R Marks. The range is 50 ~ 200.
z Please input Mark font size: Set the font size of other Marks. The range is 50 ~ 200.
z Please input Mark color: Set the grey value of Mark color. The range is 0 ~ 255.
z Please input Mark background color: Set the grey value of Mark background color.
The range is 0 ~ 255.
Note: The Marks could be added on Image in Process window.

To Set the OPERA D4000DR into Demo mode
The system can be run in demo mode which does not need the connection of hardware.
How to configure the system working mode, please follow the steps below:
1. Uncheck the connection of hardware:

a) uncheck “Connect Detector” in Detector page
b) uncheck “Connect Generator” in Generator page
c) uncheck “Connect Synchronization Device” in Synchronization page
2. Set <Data key="Reserved1" value="1" /> in GenOprConf.xml of “Conf” directory to
enable display the fake generator technical parameter.
3. Set <Data key="ENABLE_EXP_BTN" value="1" /> in UIConfigure.xml of “Conf”
directory to enable the X-ray button in Exam Window for simulate exposure.
4. Prepare the image in raw data for simulate exposure. Please check the
“Demoimage” directory, you will find the raw data for simulate exposure. This data
are 14 bit raw data without file header. The file name abbey the following rules:
Demoimage_“Bodypart”_“View”.raw for example: demoimage_chest_ap.raw
When making simulated exposure, the system will find correspond image and display it
as the data from detector. If system can not find correspond image of “View”, it will
choose an image of the correspond “Bodypart”, If system can not find correspond
image of “Bodypart”, it will use demoimage.raw.
In demo mode, you can still connect worklist and image archive server, you can query
worklist from RIS provider and make fake exposure and accept the image and send the
image to image archive server or image workstation. That is the whole workflow can be
demonstrated in demo mode. This working mode is specially designed for exhibition.

SECTION E
Additional Configuration
CONTENTS
SECTION E ADDITIONAL CONFIGURATION ......................................................................... 1
SYMPHONY PARAMETER SETTING ................................................................................................. 2

CONFIGURATION OF UI LOCALIZATION ........................................................................................... 8
E1
Symphony Parameter Setting

TM
Symphony Software is an advanced DR Image processing software package focusing
on Digital Radiography which adopted complicated algorithm applying the detail
enhancement, dynamic compress, noise suppress in the same time. It uses different
method and parameter to process image for different tissue and organ to achieve the
optimized result. The Symphony TM Software adopts Multiscale algorithm applying several
image process functions in the same time.
OPERA D4000DR has integrated Symphony TM Core process and providing friendly UI for
TM
parameter sets maintenance. The functions of The Symphony parameter sets
maintenance software are:
1. Display full and partial preview when process the image;
2. Select the parameter set automatically. The software will load the parameter
according to the bodypart and modality type of image as well as the different
procedure view.
3. Adjust parameter manually. If users are not satisfied with the result from the default
parameter, they can adjust the Contrast control, Detail Enhancement, Dynamic
Range Compression and Noise Depression step by step with preview result
displayed till the satisfied result was obtained.
4. The Examine Specific Algorithm (ESA) is applied to the image data after process.
Users can adjust the brightness and contrast by click buttons or just drag mouse
with right mouse button clicked.
5. It also provides The Examine Specific Algorithm (ESA) parameter adjusting

function with result preview to normal image (without Symphony process).
6. Provide process parameter sets maintenance function. All the result of Parameter
adjusting for Symphony and ESA will be stored. Next time in OPERA D4000DR
and the parameter sets maintenance software, the system will load the new
parameter to get the similar result according the bodypart and orientation.
E2 2013 V4.1 Service Manual

Figure 1: Symphony TM parameter sets maintenance
The Image process parameter can be adjusted in normal way or visually. Please refer to
Section D Configuring OPERA D4000DR Application for more detail of normal way to
adjust Image process parameter. The method below is the way to adjust Image process
parameter visually.
Service Manual 2013 V4.1 E3

Figure 2: Edit the Image Process parameter
TM
Symphony parameter sets maintenance UI can be access in two way, one way is
clicking Visual Adjust Parameter button in Image Process Page in OPERA D4000DR
Configuration application. After clicking button, the system will notify you to choose a file
for Symphony TM parameter sets adjusting. You must choose the file which file name ends
with “***.1.dcm” for which image data is the original image data (14bit).
The method below is the way to adjust Image process parameter visually from OPERA
D4000DR.
From the Output window of the OPERA D4000DR application, select one image you want
to adjust, then click Symphony Process button.
Figure 3: Symphony Process button
When the Symphony TM parameter sets maintenance main window displayed, the system
will choose the correct bodypart and orientation according the information stored in
DICOM file.

NOTE: The wrong information in DICOM file will cause the wrong parameter sets loading.
Please check the bodypart and orientation are correct with the display of image,
otherwise you may set the wrong parameter to the Symphony parameter sets.
Figure 4: Parameter sets for Symphony
Symphony parameter adjusting
When you choose the Parameter Set “Default”, you can adjust the parameter sets for
Symphony. You can adjust the parameter of Contrast, Bone Level, Detail, Dynamic,
Noise Mode, and Noise Level, their explanations are listed below:
1. Contrast control: The larger the contrast is, the stronger image enhancement result
will be. Proper contrast can lead to optimized process result.
2. Detail Enhancement: Detail enhancement control the degree of detail processing

which can make the fine structure clearer such as the bone trabecula structure.
3. Dynamic Range Compression: The larger the dynamic range is, the more gray
value set the image will take and the stronger the contrast between bone and
tissue will be. For human being have definite gray scale resolution, proper dynamic
range compression will display bone and tissue information in details within small
dynamic range.

4. Noise Depression: Using different noise depression algorithm according to different

detector type and image quality with minimum information loses can reduce the
obstruction to doctor cause by noise.
NOTE: If you want more natural result, please set the slider of Contrast, Detail and Dynamic
to the left side. If you want more enhanced image, please set the slider of Contrast,
Detail and Dynamic to the right side.
You can also adjust the ESA parameter for the image after Symphony process, please
refer the following description of ESA parameter adjusting for detail.
ESA parameter adjusting
When you choose the Parameter Set “OriginalESA”, you can adjust the parameter sets
for ESA.
Figure 5: Parameter sets for ESA
The system will use ESA algorithm to calculate begin and end point (PV) for the curve
(LUT) according to different bodypart and orientation. You can also adjust the begin and
end shift of the curve by click “<”and “>”buttons above and bellow the histogram of the
image or drag the three yellow rectangles on the curve or the buttons for

Brightness/Contrast. You can also change the Brightness/Contrast by dragging

mouse with right mouse button clicked in image area.
Figure 6: Change the Brightness/Contrast
You can also change the Curve Type, please refer to Section D: the topic “Configuring
the image process parameter”for more detail about curve type.

Configuration of UI Localization
All configuration and language localization files are in /conf directory of OPERA D4000DR
application directory.
UI localization
To localization UI color, please modify UIConfigure.Xml file:
<?xml version="1.0" encoding="utf-8" ?>

<AppSetting>

<Data key="BACKGROUND_R" value="206" />
<Data key="BACKGROUND_G" value="206" />
<Data key="BACKGROUND_B" value="206" />
<Data key="BACKGROUND_R1" value="192" />
<Data key="BACKGROUND_G1" value="192" />
<Data key="BACKGROUND_B1" value="192" />

<Data key="TEXT_R1" value="0" />
<Data key="TEXT_G1" value="0" />
<Data key="TEXT_B1" value="0" />

<Data key="BITMAP_R" value="0" />
<Data key="BITMAP_G" value="0" />
<Data key="BITMAP_B" value="255" />
<Data key="INITIAL_LOGO_FILE_NAME" value="ICON\Logo\droclogo.bmp" />

<Data key="PANEL_MARK_FILE_NAME" value="ICON\Logo\logo-trixell.bmp" />

<Data key="LOGO_FILE_NAME" value="ICON\Logo\droclogo_small.bmp" />
<Data key="NORMAL FONT SIZE" value="46" />
<Data key="NORMAL FONT WEIGHT" value="550" />
<Data key="NORMAL1 FONT SIZE" value="37" />
<Data key="NORMAL1 FONT WEIGHT" value="550" />
<Data key="NORMAL2 FONT SIZE" value="32" />
<Data key="NORMAL2 FONT WEIGHT" value="600" />
<Data key="BIG FONT SIZE" value="30" />
<Data key="BIG FONT WEIGHT" value="650" />
<Data key="BIGGER FONT SIZE" value="25" />
<Data key="BIGGER FONT WEIGHT" value="700" />
<Data key="BIGGEST FONT SIZE" value="20" />
<Data key="BIGGEST FONT WEIGHT" value="750" />
<Data key="USE DISPLAY STYLE" value="SYSTEM MEMORY" />
</AppSetting>
All windows displayed in OPERA D4000DR are composed of two background colors, the
values of the nodes: BACKGROUND_R, BACKGROUND_G, BACKGROUND_B and
BACKGROUND_R1, BACKGROUND_G1, BACKGROUND_B1 decide the colors of UI.
You can change these values to get the desirable UI Style.
Notice: any change of these values will cause all windows’ background color to change.
BITMAP_R, BITMAP_G, BITMAP_B decide which color will be set to transparent color in
LOGO image file.
To localization language, please modify Xml files below:
DROCUMResource.xml
DROCConfigResource.xml
DROCServerResource.xml
FixPixelResource.xml
For example: modifying FixPixelResource.Xml file:
<?Xml version= “1.0” Encoding= “GB2312”?>
< AppSetting>
< Data Key= “FixPixel” value= “FixPixel”/>
< Data Key= “FitWindow” value= “FitWindow “/>
< Data Key= “TrueSize” value= “TrueSize”/>

< Data Key= “Inverse” value= “Inverse”/>

< Data Key= “BW” value= “BW”/>
< Data Key= “Line” value= “Line”/>
< Data Key= “Undo” value= “Undo”/>
< Data Key= “Apply” value= “Apply”/>
< Data Key= “Fix” value= “Fix”/>
< Data Key= “OK” value= “OK”/>
< Data Key= “Cancel” value= “Cancel”/>
< Data Key= “X:”value=“X :”/>
< Data Key= “Y:”value=“Y :”/>
< Data Key= “Z:”value=“Z :”/>
< Data Key= “Process Information:”value=“Process Information:”/>
< Data Key= “InputFile” value= “InputFile”/>
< Data Key= “Browse” value= “Browse”/>
< Data Key= “ImageFilePath:”value=“ImageFilePath:”/>
< Data Key= “MapFilePath:”value=“MapFilePath:”/>
< /AppSetting>
Data Kay is the meaning of the text that will be displayed on UI. You can change its
corresponding “value” to the local language or term familiar to operator. Encoding is the
setting for character encoding format. “utf-8” is used for English; GB2312 is used for
Simplified Chinese and BIG5 is used for traditional Chinese. Please use the right
character encoding format.
NOTE: Above tools only provides the auxiliary function, not a real part of OPERA D4000DR
program, please read operating instructions carefully before any operation.

SECTION F
Maintaining Image Quality
It is recommended that you calibrate the Digital Radiography Detector once two weeks.
NOTE: Calibration must be performed at least one hour after system startup or power up from the
sleep mode.
CONTENTS
SECTION F MAINTAINING IMAGE QUALITY ................................................................................. 1
CALIBRATING THE DIGITAL RADIOGRAPHY DETECTOR ............................................................................ 2

AUXILIARY TOOL TO MAP BAD PIXEL ...................................................................................................... 5
BAD PIXEL MAPPING FOR TRIXELL DETECTOR .......................................................................................... 5
SEMI-AUTOMATIC DEFECTIVE PIXEL SEARCHING AND MAPPING TOOL .................................................... 7
PRODUCING EMPTY MAP FILE TOOL OPERATING INSTRUCTIONS .............................................................. 22
AUXILIARY TOOL TO IMAGE QC............................................................................................................. 23
F1
Calibrating the Digital Radiography Detector
To calibrate the digital radiography detector,
Steps:
1. Ensure everyone is out of the X-ray room.
2. In the Digital Radiography Operating Console application’s main window, close any
open study and ensure that no patient is selected.
3. From the System menu, choose Detector Calibrate menu item.
The Calibration Test panel displays. According to the configuration of hardware including
SID, whether have grid on.
Choose the corresponding calibration mode, and then the panel displays instructions for how to set
the technique settings and take exposures for the calibration. Click the “Begin calibration” button,
begin calibration sequence.
F2 2013 V4.1 Service Manual

Figure 1: Begin Calibration
4. Change the technique settings, as defined in your Calibration Test panel.
Figure 2: Calibration information
5. Remove grid if the calibration mode is one without grid.
6. Take an exposure. The Calibration window with the flat field image displays.
Figure 3: Calibration Mode
7. Click the “Accept” or “Reject” button.
Service Manual 2013 V4.1 F3

If you accept the image, calibration runs. the calibration panel Displays the instruction for
next exposure, Go to step 4.
If you reject the image, the Calibration Test panel displays. Correct the problem and
return to step 6.
8. Repeat steps 4 through 8 until you complete the calibration sequence
NOTES:
You would reject an image if it exhibits any edge cut-off due to collimation or misalignment or
if there are any artifacts from debris or obstructions.
According to the different characteristic of detector, It is possible for your system to acquire
calibration images in different doses: high, medium, low, and for each dose, accumulate
several images to average, you should follow the instruction to operate correctly.
If you want to discard the accumulated calibrations, click “Abort Calibration” button
and “Close Calibration” button to exit the calibration mode.

Auxiliary Tool to Map Bad Pixel
OPERA D4000DR provides the function of bad pixel correction and it requires the bad pixel map
file which indicates the location of bad pixel must be of specific format, so you should transfer the
bad pixel image which the detector manufacturer provides before leaving factory into the format
supported by OPERA D4000DR. With increase of time to consume the detector, a few more bad
pixels could emerge, it is necessary to add these pixels into the map file. There are two auxiliary
tools to assist these operations which will be introduced by this section.
The auxiliary tools are:
z Semi-automatic defective pixel searching, mapping tool: Fixpixel.Exe

z Producing the empty map file tool: Emptymap.Exe
Bad pixel mapping for Trixell detector
A bad pixel image is provided by the manufacturer when the trixell detector is just delivered from
factory and it should be transferred into the bad pixel map file that OPERA D4000DR supports. If
the system provided by manufacturer contains the trixell detector, the transformation has been
done by manufacturer; otherwise, you should do transformation yourself.
Steps:
1. Connect the detector with COM1 in PC, start the ACQ4600 application, acquire a bad
pixel map image. The image file Format: header 1024, height 3121, width3121, pixel
depth 14, one pixel use 2 bytes.
NOTE: The default map file for DRC detector is stored in DRAC, you can rename it as “full.map” and
stored it in the directory of OPERA D4000DR application.
2. Create an empty bad pixel map file supported by OPERA D4000DR by using “Producing
Empty Map File” tool: Emptymap.Exe. The file is named “empty. map”. Please refer to
the following topic “Producing empty map file tool operating instructions”.
3. Configure the “Fixpixelconf. xml” file used by “Semi-automatic Defective Pixel Searching
and Mapping Tool” according the instruction of this tool. This file has been configured
according to the specific characteristic of trixell detector before delivery. Generally

speaking, just changing < FileHeader > to 1024 is ok.
4. Use the bad pixel map tool to open the image created by Acq4600 and batch input the bad
pixels or lines to “empty. map” file.
5. Rename to “empty. map” file to “full. map” and copy to the running directory of OPERA
D4000DR application.
6. Restart OPERA D4000DR application and new map file take effect.
If the detector has been used for a period of time, and new bad pixels or lines emerge, you should
capture a raw data image and use this tool to do bad pixel map.
Steps:
1. Enter the “Configure the detector parameter” page described in section C, check the “Save
Raw Data” box, then input the raw data image file’s name relative to OPERA D4000DR
running directory at “Raw Data File Name” Field or use the default setting, the raw data
image will be saved in this file. Finally click the “Apply” button to save the revision of
configuration.
NOTE: this procedure can be used to created map file for DRC detector.
2. Restart OPERA D4000DR, Take exposure under the same condition as the image on
which bad pixels appear is taken, meanwhile collimator field should be large enough to
cover the detector.
3. Configure the “Fixpixelconf. xml” file used by “Semi-automatic Defective Pixel Searching
and Mapping Tool” according the instruction of this tool. This file has been configured
according to the specific characteristic of trixell detector before delivery. The image
height: 3121, width: 3121, header: 0, one pixel takes 2 byte, bit depth: 14.The raw data
image has been take in the previous step accord with such format.
NOTE: The Fixpixelconf. Xml content for DRC panel is: The image height: 2560, width: 3072,
header: 0, one pixel takes 2 byte, bit depth: 14
4. Back up the current “full .map” file under OPERA D4000DR running directory.
5. Start the bad pixel mapping tool, select the raw data image file specified by the “Raw Data
File Name” under the OPERA D4000DR application directory as the image and
“full.map” file under the OPERA D4000DR application directory as the map file.
6. Use this tool to add new bad pixels and lines into the map file.
7. Enter the “Configure the detector parameter” page described in section C; uncheck the
“Save Raw Data” item.

8. Restart OPERA D4000DR application and new map file take effect.
Semi-automatic Defective Pixel Searching and Mapping

tool
Introduction
Semi-automatic bad pixel searching and mapping tool provide friendly UI, integrating the bad
pixel marking Function and map file modification function. It also supports defective pixel
marking by threshold which enable batch automatic defective pixels searching and mapping.
Operations
To Configure the XML file
Steps:
1. All configuration and language localization files in /conf directory of program directory.
2. Image file format: RAW image format, 2 bytes present a pixel, does not take image header
into account, therefore must know the image the size and the pixel element gray scale
depth in advance, if there is a header in image file, please modify the setting of FileHeader
in Fixpixelconf.Xml. Image from different detector and program have different format,
please reconfigure the setting in Fixpixelconf.Xml before use the image.
3. Map file format: the content is the text (character). You can use any text documents tools
such as notepad.exe to open the file. Every line in the file correspond an image line. For
example: 1742, 2: 31, 3057, (Format: The index of lines/rows, the number of defective
pixels: First defective pixel position, second defective pixel position...) – means that inline
of 1743 (1 is the first line) there are two defective pixels which location is 32 and 3058
separately. (1 is the first pixel in each line).
4. Related program Emptymap.Exe. It is used to produce an empty map file. The detailed
application explanation refers to producing empty map file tool operating instructions.
Rename to “empty. map” file to “full. map” and copy to the running directory of

OPERA D4000DR application.
Contents of Fixpixelconf.Xml.
The default setting for trixell detector:
<? xml version="1.0" encoding="utf-8" ?>

<AppSetting>
<Data key="ImageFilePath" value="D:¥droc¥badpixel¥fixpixel¥fixpixel_test¥test.raw" />
<Data key="MapFilePath" value="D:¥droc¥badpixel¥fixpixel¥fixpixel_test¥empty.map" />
<Data key="FileHeader" value="1024" />
<Data key="ImageWidth" value="3121" />
<Data key="ImageHeight" value="3121" />
<Data key="PixelDepth" value="14" />
<Data key="HOffset" value="60" />
<Data key="VOffset" value="60" />
<Data key="Zoom" value="5" />
<Data key="ImageFlip" value="0" />
<Data key="ImageRotate" value="0" />
</AppSetting>
The default setting for DRC detector:
<?xml version="1.0" encoding="utf-8" ?>
<AppSetting>
<Data key="ImageFilePath" value="D:¥droc¥badpixel¥fixpixel¥fixpixel_test¥test.raw" />
<Data key="MapFilePath" value="D:¥droc¥badpixel¥fixpixel¥fixpixel_test¥empty.map" />
<Data key="FileHeader" value="0" />
<Data key="ImageWidth" value="3072" />
<Data key="ImageHeight" value="2560" />
<Data key="PixelDepth" value="14" />
<Data key="HOffset" value="0" />
<Data key="VOffset" value="40" />
<Data key="Zoom" value="5" />
<Data key="ImageFlip" value="0" />
<Data key="ImageRotate" value="1" />
</AppSetting>

Node explanation
ImageFilePath: Raw Image file path and file name. You needn’t change this node, because when
start the tool application, the item will be changed according to the “Image File Path” you
select.
z MapFilePath: Map file path and file name. You needn’t change this node, because when
start the tool application, the item will be changed according to the “Map File Path” you
select.
z FileHeader: Image data offset from the begin of image file. The item should be 1024 for a
bad pixel image created by ACQ4600 and 0 for raw data image produced by OPERA
D4000DR to be opened.
z ImageWidth: Image width (pixel unit).
z ImageHeight: Image height (pixel unit).
z PixelDepth: Image element gray scale depth.
z Zoom: The magnifying times for the local image area in MagSize mode.
z HOffset: Invalid region width of Image in horizontal direction each side (pixel unit). It
should be same with the value in “Width Offset ”field on “Detector Configuration ”page
described in section C.
z VOffset: Invalid region width of Image in vertical direction each side (pixel unit). It should
be same with the value in “Height Offset ”field on “Detector Configuration ”page
described in section C.
z ImageFlip: Horizontal flip when row image returns to original image format comes out from
detector, 1 means need to flip,0 means not need to flip.
z ImageRotate: Rotation when row image returns to original image format comes out from
detector, 1 means need to rotate 90 degree in clock direction, -1 means need to rotate 90
degree backward clock direction.
z Notice: when change row image to original image format comes out from detector, first
perform Image Flip Then perform Image Rotate。
To Start the program
Use the mouse to double-click the program icon or in Start->Run inputs the program name
(including path) to run Fixpixel.Exe.
The program starts, with Input File Dialog box prompt up:

Figure 4: InputFile
Inputs image file path and the pixel map file path in this dialog box which may also be entered
through click “Browse” button and enters the file name by selecting file in File Dialog box.
Figure 5: Open files
NOTE: Image file is RAW format and the map file is map forma. Please refer the appendix for the
format detail.
After inputting Image File and Map File Path, click “OK” button to enter the main UI, in which
to perform defective pixel and line input work.

Function
The main UI have been divided into five regions according to their Functions:
z Image display area, used for displaying image;

z The image adjusting area, providing the image zoom function, invert gray color function and
mono color image function, to help user search the defective pixels.
z The processing function region, providing functions of inputting line, canceling a step, as
well as updating the map file.
z The system function region, providing the quitting program and correcting image function.
z The information demonstration region, displaying image pixel information as well as
information of each operation.
Figure 6: Image display

To adjust Image
The image adjusting function includes four buttons, which respectively is:
Figure 7: Image adjusting buttons
z FitWindow Button: Switch image display mode. Clicking on this button when the text on the
button is FitWindow, system can enter FitWindow mode displaying image.
FitWindow Mode: The image zooms to the size to fit the display area. In this mode defective
pixel searching and inputting functions are forbidden, the scroll bar and the “MagSize”
button won’t work.
z TrueSize Button: Switch image display mode. The system will display image in TrueSize
mode when clicking this button.
TrueSize Mode: The image display by pixel to pixel, that is, one pixel on screen stands for
one pixel in the image. In this mode defective pixel searching and inputting functions are
enabled, and the scroll bar does work. When mouse moving above the image, the
coordination information and pixel gray value will be displayed in the information
demonstration region. The “MagSize” button is enabled in this mode.
z MagSize Button: Switch image display mode. The system will display image in MagSize
mode when clicking this button, the button will be disable after clicking until FitWindow or
TrueSize be clicked.
MagSize Mode: The selected image area will be displayed in zoom out mode by configured
amplify times, that is, maybe 9 pixels (or more) on screen together stands for one pixel in the
image. In this mode defective pixel searching and inputting functions are enabled, and the
scroll bar does work which depending on the size of the selected image area. When mouse
moving above the image, the coordination information and pixel gray value will be displayed
in the information demonstration region.
z Inverse Button: Clicks on this button, image will be displayed in an inverse gray color. In
other words, the brightest place in the original image turns the darkest place; the darkest
place in the original image turns the brightest place.
The Inverse color function facilitates the searching for the defective pixels which is not easy
to be found. Inverse color function combined with black-and-white function (B&W) realizes
batch automatic defective pixels searching and mapping.

z BW Button: Black-and-white image display mode. Clicks on this button, the image can be
display in two colors --the black and white. This button used together with vertical scroll bar
below.
Under the ordinary display mode, vertical scroll bar is not enabled; the slider on the scroll bar
can’t be moved. Clicking BW button enters the black-and-white mode, according to the
slider’s position the system decided threshold values and change the image to two color
image, at this time, vertical scroll bar does work and the slider can be dragged. Drags the
slider, changes threshold value, the image also changes with new threshold value.
The black-and-white image demonstrated the function facilitates the search of the bad spot
not to be easy to see to, at the same time combining with the image counter- color
demonstration (Inverse) realizes bad spot batch automatic input function.
To Process Image
The processing function area has three buttons, which respectively is:
Figure 8: Image Processing buttons
z Line button: Defective line Inputs. In normal situation, the system is in mode of defective
pixel input, the system will enter defective line input mode by clicking this button. In this
mode, defective line input is completed by input the line start point and end point under the
instruction displayed in the information demonstration region. After completing the defective
line input, the system automatically enters the defective pixel input modes.
NOTE: Only the horizontal direction and the vertical direction straight line can be input.
z Undo button: Canceling last input. When completes input of a defective pixel or a line, the
system will store input temporarily, at the same time Undo button is activated, if error is
found for last inputs Undo button may be used to cancel last input, After clicking Undo
button, last input will be cancelled and the button turns to inactive.
NOTE: Only last input can be cancelled, if several mistakes have been made and Apply Button has not
been clicked, click on Cancel button in system function region so that all inputs can canceled
and the program will exit. You can restart the program and input again.

z Apply button: Apply the result of defective pixel and line inputs to map file. This function
will modify the map file according to the input of defective pixel and line. This button can
also provide batch automatic defective pixels searching and mapping function combined with
BW button and Inverse button. Change the image into black and white image first and adjust
the threshold till all defective pixel and line displayed in white then click Apply button then
white pixels and lines will be marked as defective pixel and line and the map file will be
modified.
To Control System
The system controlling function includes three buttons, which respectively is:
Figure 9: System Controlling buttons
z Fix button: to apply the result of defective pixel and line inputs to the image, this function
can be combined with Apply button to verify the input of defective pixel and line. If the input
is correct, the defective pixel and lines are invisible.
z OK button: to confirm and exit. This function acts as a combination of Apply button and
Cancel button.
z Cancel button: to exit program. Clicking on this button will cancel the input of defective
pixel and line which has not been applied to map file and exit the program.
The information demonstration region
The information demonstration region mainly divides into two parts:
Figure 10: information demonstration region
The left side part uses for to demonstrate the pixel information which the current mouse indicates
in the image, this part of information divides into three parts: pixel x-coordinate, pixel

y-coordinate as well as pixel grayscale value (z-coordinates). When the system displays the image
in TrueSize mode and the mouse point moves across the image display region, the information
will change as the mouse points moves.
The right side part uses to demonstrate the current input and the process information. When clicks
on the button in processing function region or in system function region, the corresponding
operation instruction or the processing result will show, the user can confirm the operations
according to the information displayed.
Mouse Point Explanation
In the main UI, the mouse shape can diverse in different function region:
z Normal mouse shape. When the mouse moves in the non- image display region, it
appears in normal shape, at this time may you can click on the corresponding button to do the
operation.
z Pixel inputting mouse shape, when the mouse moves in the image display region, it
appears in input shape and cross central point indicate current mouse center position. At this
time you may click the mouse left key to perform the defective pixel and the line input. The
mouse cross point color is the reverse- color demonstration, in other words when underneath
the mouse image pixel is black, the cross point color is white; When underneath the mouse
image pixel is white, the cross point color is black. Thus, the cross is easy to tell when
underneath the mouse image pixel near cross is black, or non-uniformity color, in the
opposite, the mouse cross is not easy to tell when the image pixel near the cross is in middle
gray and the color is even.
To Input the defective pixel
The defective pixel input is performed in the main UI.
1. Confirm the image displayed in TrueSize mode, if it is in FitWindow mode, click

TrueSize button to switch to TrueSize mode;
2. Adjust image display gray, make the defective pixel and line clearer. Inverse and BW
functions make the defective pixel and line easier to confirm.
3. Moves the mouse to the defective pixel of image in image display region, requesting cross

center and pixel spot just right superposition.
4. Confirm the defective pixel by the information -- coordinates and gray scale value --
demonstrated in the information demonstration region and then click left key of the mouse
to complete this pixel input. Meanwhile input operation is displayed in the information
demonstration region. It shows “Input Point (*, *)!” which means input successfully. After
one input step, undo button may be used.
5. If last defective pixel input is to be cancelled, click Undo button before any other input.
Once an input is cancelled, Undo button cannot be used, at the same time the information
demonstration region displays information: “Input Canceled!”
6. If continues to perform next pixel input, returns Step 2.
7. If have completed the input, need to modify the map file, please cancels two values (black
and white) display mode first (if is being in two values (black and white) display mode),
and then click “Apply” button, the map file will be revised.
Optional (Input defective pixel in MagSize mode)
To input defective pixel in Magsize mode,
Steps:
1. Click MagSize button in TrueSize Mode:
2. Select the image area by clicking down the left button on mouse at the left top point of the
area need to zoom and drag to the right bottom and release the button, the selected area
will be displayed in zoom mode.
4. Moves the mouse to the defective pixel of image in image display region, requesting cross
center and pixel spot just right superposition.
5. Confirm the defective pixel by the information -- coordinates and gray scale value --
demonstrated in the information demonstration region and then click left key of the mouse
to complete this pixel input. After input, the pixel change its color to green, meanwhile
input operation is displayed in the information demonstration region. It is showing “Input
Point (*, *)!” which means inputs successfully. After one input step, undo button may be
used.
6. If last defective pixel input is to be cancelled, click Undo button before the any other input.

7. If continues to carry on the next pixel input, returns Step 3. After new pixel input, the last
input pixel will change its color from green to yellow, which mean last input has been
confirmed and can not be undo.
8. If all the defective pixel/line input has been completed, click TrueSize button to return to
TrueSize mode. If other areas need to be zoomed, returns to step 1.
9. If has completed the input, needs to modify the map file, please cancels two values (black
and then click Apply button, the map file will be revised.
Figure 11: Inputting defective pixel in Magsize mode
To Input the defective line
The defective pixel input is performed in the main UI.
Steps:

“TrueSize” button to switch to TrueSize mode;

functions make the defective pixel and line easier to find.
3. Click Line button, begin the input of defective line. The information demonstration region
displays “Input the Begin of Line!”
4. Enter the beginning of line: Moves the mouse to one end of defective line in image display
region, requesting cross center and the end just right superposition. Confirm the defective
pixel by the information -- coordinates and gray scale value -- demonstrated in the
information demonstration region and then click left key of the mouse to complete this
pixel input. Meanwhile information about input operation is displayed in the information
demonstration region. It is showing “Input the end of Line!” which indicate the next step.
5. Enter the end of line: Moves the mouse to one end of defective line in image display
pixel input. Meanwhile input operation is displayed in the information demonstration
region. It is showing “Input Line: ****!” which indicate line input successful and the
Undo button may be used. If it is showing “Input line error”, it means the line input failure
(it may be caused by two points are not the ends of a vertical or horizontal line) and the
Undo button can not be used.
6. If last defective line input is to be cancelled, click Undo button before the any other input.
7. If continues to perform the next line input, returns Step 2.
Optional (Inputs defective line in MagSize mode)
Steps:
1. Click “MagSize” button in “TrueSize” Mode;
3. Adjust image display gray; make the defective pixel and line clearer. Inverse and BW

4. Click “Line” button, begin the input of defective line. The information demonstration
region displays “Input the Begin of Line!”
5. Enter the beginning of line: Moves the mouse to one end of defective line in image display
pixel input. Meanwhile input operation is displayed in the information demonstration
region. It is showing “Input the end of Line!” which indicate the next step.
6. Enter the end of line: Moves the mouse to one end of defective line in image display
pixel input. After input, the pixel change its color to green, meanwhile input operation is
displayed in the information demonstration region. It is showing “Input Line: ****!”
which indicate line input success and the Undo button may be used. If it is showing” Input
line error”, it means the line input failure (it may be caused by two points are not the ends
of a vertical or horizontal line) and the Undo button can not be used.
7. If last defective line input is to be cancelled, click Undo button before the any other input.
8. If continues to carry on the next line input, returns Step 3. After new pixel input, the last
input pixel will change its color from green to yellow, which mean last input has been
confirmed and can not be undo.
9. If all the defective pixel/line input have been completed, click “TrueSize” button to return
to TrueSize mode. If other area needs to zoon, returns to step 1.
NOTE: After clicking Apply button, all inputs will be applied to the map file. This operation can not be
undone again. Please backup the map which is to be revised.

Batch automatic defective pixel searching and mapping
Steps:

TrueSize button to switch to TrueSize mode;
2. Confirmed the image is in two values (black and white) display mode. If is not in two
values (black and white) display mode, click “BW” button switch to two values (black
and white) display mode;
3. Adjust threshold value and Inverse color display mode, lets the color for defective pixel
and line is a white, others (image edge area can be in any color and won’t take into
account) is black;
4. Click Apply button and white pixel will be marked as defective pixel and map file will be
modified.
5. If continues to perform the next batch defective pixels input, returns Step3.
Optional (Batch automatic defective pixel searching and mapping in MagSize mode)
Steps:
1. Click MagSize button in TrueSize Mode;
3. Confirmed the image is in two values (black and white) display mode. If is not in two
values (black and white) display mode, click “BW” button switch to two values (black
and white) display mode;
4. Adjust threshold value and Inverse color display mode, lets the color for defective pixel
and line is a white, others (image edge area can be in any color and won’t take into
account) is black;
5. Click “Apply” button and white pixel will be marked as defective pixel and map file will
be modified.
6. If all the defective pixel/line input has been completed, click TrueSize button to return to
TrueSize mode. If continues to carry on the next batch defective pixels input, returns
Step1.

Exit Program
NOTE: No matter what operation, the image file (*.Raw) for defective pixel and line searching won’t
be modified, you need not to backup the image file.
Steps:
1. Click “Fix” button, the inputs before last Apply will be corrected in current image.
2. Click “OK” or “Cancel” button, exit program.

Producing empty map file tool operating instructions
Introduction
Produce an empty map file without any defective pixel recorded in by this tool. This tool is mainly
used for first installation of the DR system. When the map file is damaged and cannot be used,
this tool is used to produce the new empty map file, combined with the use of semi-automatic bad
pixel searching and mapping tool.
Function
This program is console program, does not have UI.
Operations
Use the mouse to double-click the program icon or in Start->Run inputs the program name
(including path) to run emptymap.exe.
The console window will appear and disappear in a short time, and then please check if Empty.
Map is already created in the directory which contains emptymap.exe。
Explanation
This procedure will share the configuration file --Fixpixelconf.Xml—which used by fixpixel.Exe.
This tool will produce the empty map file which matches the configuration of image format.

Auxiliary Tool to Image QC
SMPTE pattern description
The SMPTE pattern image here has 7 different areas to test the performance of monitor which are:
Figure 12: The SMPTE pattern image

1. Line pairs 1
Figure 13: Line pairs 1
There are 6 squares filled with varying widths of alternating black/white horizontal and
vertical lines. You should be able to differentiate all the lines, from fat to narrow (6 pixels,
4pixels, and 2 pixels) in 1:1 zoom mode.
2. Line pairs 2

Figure 14: Line pairs 2
There are 6 squares filled with varying widths of alternating black/white slope lines (in 45
and -45 degrees). You should be able to differentiate the lines in the two lower level squares,
from fat to narrow (6 pixels, 4pixels, but 2 pixels may be undifferentiated) in 1:1 zoom
mode.
3. Areas for testing display linearity 1

Figure 15: Areas for testing display linearity 1
There are squares shown as “10% contrast steps,” i.e., a series of squares around the line
pairs in the center of the image that range from black (0%) to white (100%) in 10%
increments. The percentage in the square tells the brightness of the square. There are also
small squares in the bigger squares in the lower part show the “5% contrast difference”. You
should be able to differentiate all the squares including the small squares in the bigger ones in
a normal monitor.
There are squares shown as “5% contrast steps,” i.e., a series of squares that range from black

(0%) to white (100%) in 5% increments. You should be able to differentiate all the squares in
a normal monitor.
There are squares shown as “2% contrast steps,” i.e., three series of squares that range in dark
(0%-12%), middle (44%-56%), and bright (88%-100%) gray color. You should be able to
differentiate all the squares in a normal monitor. You may not be able to differentiate all the
squares for the performance of monitor.
There are small squares shown as “1% contrast steps” of bright gray color in black (0%)
background, i.e., a series of squares that range in bright (91%-100%) gray color. You may not
be able to differentiate all the small squares for the performance of monitor.

There are small squares shown as “1% contrast steps” of dark gray color in white (100%)
background, i.e., a series of squares that range in dark (0%-9%) gray color. You may not be
able to differentiate all the small squares for the performance of monitor.
The usage of ImageQC software
Figure 20: ImageQC
The main UI of the ImageQC have been divided into 6 areas:
1. Image display area:

Image display area was used to view image. When the size of image is bigger than the size of
image display area, the scroll bar will be visible in the right and bottom part. You can move
the scroll bar or move the mouse with the left mouse button clicked in image display area to
view the interesting area.
2. Image setting area:
There are three buttons in this area:
a) Pattern
Display SMPTE pattern image which is 12 bit depth gray color. The Window Level and
Window Width will be reset.
b) Image
Display image which is 14 bit depth gray color and can be changed to 12 bit depth color
by LOG algorithm. The Window Level and Window Width will be reset according to the
color depth.
c) Setting
Display the Set up dialog.
Figure 21: Set up dialog
The path of image and pattern image, the format of the image such as the width, height, and
the default flip/rotate operation can be set in this UI.
The format of pattern image has been fixed and can not be changed.
3. WL/WW adjusting area
There are to slider to adjust Window Level and Window Width. The change of Window
Level and Window Width are related.

4. Image zoom area
You can zoom in/out the image in this area. The real coordinate for statistic won’t be affected
when the size of viewing image changed.
a) 1: 1
The image will be displayed pixel by pixel in original size.
b) 4: 1
The image will be displayed in 1/4 size with width and height half size of original ones.
c) 16: 1
The image will be displayed in 1/16 size with width and height 1/4 size of original ones.
d) 1: 4
The image will be displayed 4 times size with width and height twice size of original
ones.
e) FitWindow
The image will be zoom to proper size to fit the image display area.
5. Image statistic area
There are two buttons in this area:
a) Arrow
You can get the information of pixels and drag mouse to move image to display image
region of interesting.
b) Rectangle
You can get statistic information of selected area by “press down left mouse button”,
“drag mouse” and “release left mouse button” to select a rectangle area.
The rectangle boundary and size will be displayed while “dragging mouse” in selecting
rectangle operation.
The minimum pixel value, maximum pixel vale, the average pixel and RMS of selected
rectangle will be displayed when “releasing left mouse button” in selecting rectangle
operation.
6. Exit System
Click “OK” button to quit the Image QC system.

Other description
ImageQC will be integrated to OPERA D4000DR software for the convenience of Image Quality
Control in OPERA D4000DR.
z File: ImageQCResource.xml.
Resource file, this file should be reedited when doing localization work.
z File: ImageQCconf.xml.
Configuration file, the setting in setup dialog will be saved in this document.
z File: UIConfigure.xml.
Configuration for UI, this file can be share with OPERA D4000DR application to keep
same UI style with OPERA D4000DR application.

Appendix A
DICOM Communications
This appendix provides a brief overview of the DICOM concepts and describes how DICOM is
implemented on the Digital Radiography Operating Console.
CONTENTS
APPENDIX A DICOM COMMUNICATIONS.................................................................................... 1

DICOM OVERVIEW .................................................................................................................................. 2
DICOM CONNECTIVITY ........................................................................................................................... 8
SEQUENCE OF DICOM IMAGE TRANSMISSION ......................................................................................... 9
IMPLEMENTING DICOM ON OPERA D4000DR .................................................................................... 10
Appendix A1
DICOM Overview
What Is DICOM
The Digital Radiography Operating Console uses the DICOM v.3.0 protocol to send images and
related information to output devices. DICOM is a standard that defines the characteristics of data
communication between medical imaging equipment. It was developed by the National Electrical
Manufacturer’s Association and the American Council of Radiology. Earlier versions of the
standard were referred to as ACR-NEMA.
Network protocols can be conceptually represented as a hierarchy of layers, with each layer
defining a specific set of operations and characteristics for data transfer. Refer to the diagram
below. The DICOM standard operates using TCP/IP to handle the lower layer tasks such as packet
transmission and data delivery to the host destination. The DICOM model defines the upper layer
protocol tasks such as message passing, connection methods, and service classes.
Hosts use several different DICOM service classes, depending on the functions to be performed.
For example, DICOM Storage Service Class and DICOM Print Service Class are supported by the
Digital Radiography Operating Console.
Figure 1：Conceptual Illustration of Data Transfer and Network Layering
Appendix A2 2013 V4.1 Service Manual

DICOM and the Client/Server Model
The DICOM protocol handles communications between hosts using a client/server model. In the
client/server model, the host requesting a service is referred to as the client. The host providing the
requested service is referred to as the server. A host can operate exclusively as a client or a server,
or can take on both roles.
In DICOM terminology, the client is referred to as the Service Class User, because it is the user of
a DICOM service. The server is referred to as the Service Class Provider, because it is the
provider of a DICOM service. The DICOM terms are used throughout this appendix (for example,
User refers to the client and Provider refers to the server).
Figure 2: Data Transmission Direction
DICOM Service Classes
The DICOM standard encompasses many Service Classes, which are sets of services that can be
performed on a specific information object. The Digital Radiography Operating Console supports
three of these Service Classes: Storage, Print, and Verification.
A given TCP/IP device may support any set of Service Classes, depending on the device
functionality. The Service Classes the device supports determines how the device can operate in a
DICOM network.
For two TCP/IP devices (hosts) to communicate with each other using the DICOM protocol:
z They must support the same Service Class (for example, Storage or Print).
z One device must support the service class as a User (to send data) and the other device must
support the service class as a Provider (to receive data).
Service Manual 2013 V4.1 Appendix A3

Figure 3： Example 1
Device 1 supports DICOM Storage Service Class User.
Device 2 supports both DICOM Storage Service Class User and Provider.
In this example, Device 1 (user) can use DICOM Storage Service Class to send images to Device
2 (provider). However, Device 2 cannot send images to Device 1, because Device 1 is not a
provider of DICOM Storage Service Class.
Figure 4： Example 2
Device 1 supports DICOM Print Service Class User.
Device 2 supports DICOM Storage Service Class Provider.
In this example, the two devices cannot communicate because they support different Service
Classes.

DICOM Service Classes Supported by OPERA D4000DR
DICOM Storage Service Class
DICOM Storage Service Class (SSC) is used to send particular classes of image data from one
device to another for storage. The SSC User sends images individually to the SSC Provider,
which groups the images into studies and stores them along with any demographic data.
The Digital Radiography Operating Console supports DICOM Storage Service Class as a SSC
User. This means the Digital Radiography Operating Console can send images to a SSC
Provider, but cannot receive them.
Archives and workstations are typical DICOM Storage Service Class Providers.
DICOM Print Service Class
DICOM Print Service Class (PSC) is used to send preformatted images to a hardcopy output
device such as a laser printer for printing. Preformatted images (“image boxes” in DICOM
terminology) are sent as part of a preformatted “sheet” (“film box” in DICOM terminology) and
“study” (“film session” in DICOM terminology).
The Digital Radiography Operating Console supports DICOM Print Service Class as a PSC
User. This means it can send images to a PSC provider, but cannot receive them.
DICOM PSC User allows operators to:
z Select DICOM print devices on a TCP/IP network

z Control DICOM print device parameters (for example, format or density)
z Send sheets of preformatted images for printing
z Receive alarms and status messages from the DICOM printer (if the DICOM printer
sends them)
Laser printers are typical DICOM Print Service Class Providers.
DICOM Verification Service Class
The Verification Service-Object Pair (SOP) Class is a feature used for network diagnostic
purposes. This service class has no configurable parameters and is not invoked directly by the
Digital Radiography Operating Console user.

DICOM Associations
Two TCP/IP devices determine whether they can use DICOM to communicate during a Service
Class negotiation phase. If this phase is successful (for example, the devices support the same
service class and one device is a user while the other is a provider), a virtual connection is
established between the two devices. This virtual connection is called a DICOM association.
Up to sixteen simultaneous associations can be established between a Digital Radiography

Operating Console and DICOM devices on a TCP/IP network, with the Digital Radiography
Operating Console serving as the DICOM user.
TCP Port Assignment
A DICOM provider is generally only “listening” for association requests from a DICOM user at
one dedicated TCP port for each application. At a result, when configuring the Digital
Radiography Operating Console to send data to DICOM output devices, the configuration
information for each device must include the TCP Port number to send the data to.
Application Entities (AEs)
The DICOM application at a particular IP device port is called an Application Entity (AE). The
DICOM provider application is assigned a Called AE Title that a DICOM user can “call” for
service. The DICOM user application is assigned a Calling AE Title which tells the provider
“who’s calling.”
Figure 5: Application Entities
The Digital Radiography Operating Console has a Calling AE Title assigned to it during
installation. Output devices can accept data from any Calling AE Title, or can be configured to
accept data only from selected Calling AE Titles.

When DICOM output devices are configured at the Digital Radiography Operating Console, the
configuration information for each device must include the Called AE Title for the device (also
referred to as “device name”). The identical Called AE Title must be configured at the output
device itself.
Alarm Handling
Alarms that originate on DICOM Provider devices appear on the Digital Radiography
Operating Console. However, for the Digital Radiography Operating Console to receive alarms,
the DICOM Provider must support alarm handling. Alarm support for print jobs is optional in
DICOM.
The descriptive alarm information that the DICOM Standard supports has at most 16 characters
of text (as allowed by the standard DICOM response field), and the text contains only generic
descriptive information. The Digital Radiography Operating Console simply displays the alarm
message that it receives from the DICOM Provider.
Alarms can only be received from the Provider as long as the DICOM
Association remains intact. Normally, the DICOM Association breaks as soon as the Provider
successfully receives the data. However, if Print Job SOP Class in the DICOM Print Client is
used, the association continues until a preset time period has elapsed, thereby allowing the
Digital Radiography Operating Console to continue receiving alarms from the Provider while
the job prints.

DICOM Connectivity
Manufacturers of DICOM-capable devices must provide a DICOM
Conformance claim that defines the Service Classes supported by the device along with details
about the specific functions can be performed using these Service Classes. However, before
approving any DICOM connections to devices, E-COM, Inc. requires that the manufacturers’
Conformance claims be obtained, analyzed, and tested. The DICOM Standard mandates the
organization and content of this document.
E-COM, Inc. publishes a DICOM conformance claim for the Digital Radiography Operating
Console. This statement is publicly available to our customers and to other vendors.
Although the Digital Radiography Operating Console complies with the DICOM Standard,
communication with other DICOM-compliant devices must be verified through a connectivity test.
The DICOM Conformance Claim allows users to communicate how they comply with the
standard in their implementations. However, references to specific DICOM functionality in a
Conformance Claim are not sufficient to guarantee inter-operability between components. The
following should be considered when evaluating network inter-operability:
z Use the Digital Radiography Operating Console Conformance Claim to ensure the product
can communicate with another particular component on a protocol level.
z The only way to know for certain whether the Digital Radiography Operating Console can
inter-operate with other DICOM components is to perform a connectivity test. This test must
be completed before a field installation can occur. E-COM, Inc. is equipped to do this testing
in cooperation with the suppliers of other DICOM components.
The Digital Radiography Operating Console DICOM Conformance Claim is the best effort of
E-COM, Inc. at documenting the DICOM functionality of the commercial version of the Digital
Radiography Operating Console, and is not a functional specification of any E-COM, Inc.
component or product. E-COM, Inc. reserves the right to make changes at any time to the
functionality of the DICOM components described therein. E-COM, Inc. is also committed to
following the evolution of the DICOM Standard with either modifications or additions to its
DICOM functionality.

Sequence of DICOM Image Transmission
A user initiates a DICOM transfer automatically using the Digital Radiography Operating Console
application by acquiring and accepting a digital radiography image into an exam with an output
setup that contains a DICOM destination(s). The user can also manually initiate a DICOM transfer
by resending a previously acquired image to an output setup with a DICOM destination. The
following steps occur:
z Depending on the type of selected output device (storage, print, and so on), the Digital
Radiography Operating Console DICOM Client requests an association to the Called AE of
the DICOM Provider corresponding to that output device.
z The desired SOP classes are negotiated and utilized to perform either a print job or storage
job as requested by the Digital Radiography Operating Console DICOM Client. The use of
optional Print Management SOP classes by the Digital Radiography Operating Console’s
DICOM Print Client is configurable.
z The Exam-Specific Algorithm (ESA) that the user has accepted is used to derive an LUT for
viewing the acquired image.
z If the DICOM Print Client is being used, the ESA is incorporated directly into the
preformatted grayscale image.
z If the DICOM Storage Client is being used, the ESA is incorporated into the Modality LUT,
the VOI LUT, or the image depending on a configuration parameter.
z The images are transferred from the DICOM Client to the DICOM Server using the
negotiated SOP Classes.
z If the Print Job SOP Class has been negotiated, the DICOM Print Client obtains status
reports from the DICOM Print Server for a period equal to the configured timeout or until the
Print Job status is DONE or FAILURE. If the Print Job SOP Class has not been negotiated
(the default situation), the DICOM Client disconnects the association once all tasks are
completed, or after a configurable timeout period expires, which usually means as soon as the
Print Server has successfully received the print job.
z If the Storage SOP has been used and there is a zero time-out value configured, the Digital
Radiography Operating Console DICOM Storage SCU disconnects the association
immediately after acknowledgment of the image transfer by the Storage SCP. If a non-zero
timeout is configured, the association is left open for the duration of the timeout and may be
used to transfer subsequent images in the exam, depending on the length of the timeout and
how quickly the user acquires the next image.
In the case of errors during a job with a transmission from a Digital Radiography Operating
Console DICOM Client, the job is re-tried if it contains a temporary error condition, otherwise it
is aborted. When an error occurs, the user is always notified and may be able to abort the job if
desired, depending on the error condition.

Implementing DICOM on OPERA D4000DR
There are three functional blocks on the Digital Radiography Operating Console which make use
of the DICOM protocol. These are the DICOM Storage Client, the DICOM Print Client, and a
service utility that implements the DICOM Verification Class User. The DICOM Storage and
Print Clients are configured during site installation.
User Setups and Device Configuration Files
The DICOM Client (Storage or Print) supports various output devices, each of which is defined by
a unique set of configurable attributes. These attributes appear in a model file for each DICOM
device type. During the Digital Radiography Operating Console installation, a configuration file
for each individual output device is added to the system configuration. Each configuration file is
based on one of the output device model files. At a minimum, the installer customizes the IP
address, Called AE Title (device name), and TCP Port in each output device configuration file. All
other parameters in the files can remain at their default settings.
After the specific output devices are defined, the installer creates user setups that correspond to
one or more output device configuration files.
These user setups are available to the system operator. When a user setup is selected before the
image capture, the images are automatically sent to the predetermined output devices.
DICOM Storage Client
The Digital Radiography Operating Console supports the DICOM Storage Service Class in the
role of Service Class User (SCU).
When a storage job is to be transmitted from the Digital Radiography Operating Console, DICOM
Storage Client initiates an association to the Storage SCP using the CR SOP Class. If the
association is successfully created, the C-Store request is made to effectively transfer the storage
object to the destination.
The DICOM Storage Client then waits for the C-Store response to be returned from the Storage
Provider.
The DICOM Storage Client supports the status and error messages specified by the DICOM
Standard in support of the A-ASSOCIATE and C-STORE services. The Storage Client does not
make use of private DICOM attributes.
The Storage Client sends the ESA that is acquired from Digital Radiography using one of the
following mechanisms, as configured at installation:

z DICOM Modality LUT, contained as a sequence within the storage object.

z DICOM VOI LUT, contained as a sequence within the storage object.
z No LUT sequence, in which case the LUT is pre-applied to the image data.
The DICOM Storage Client supports the configurable parameters found in Table 1.
Table 1: DICOM Storage Client Configuration
Parameter
Description Range
Called Application Digital Radiography Operating Console supports service
Entities (AEs) configurable application entities representing physical devices. Each
application entity represents a physical device, and there may be
more than one AE associated with a single physical device. The
Digital Radiography Operating Console supports up to 64 Called
AEs.
Remote Host/IP A valid IP address and hostname associated with the Storage SCP
Address and its Application Entity. The Digital Radiography Operating
Console supports up to 64 Remote Host/IP Addresses for use with
DICOM.
Remote Port Number A valid port number to be used when establishing TCP/IP
connection to the Storage SCP. Range = 1 to 32767
Calling AE Title Calling Application Entity Title of the Presentation Address for the
Digital Radiography Operating Console instance of the Storage
Client. The Digital Radiography Operating Console supports one
Calling AE Title.
Max PDU size 1024 to 65535. The Digital Radiography Operating Console
supports a default PDU size of 16384.
Association Time-out The Digital Radiography Operating Console supports a service

Period configurable time-out period defined as the number of seconds
following the transmission of an image before the Storage SCU
closes an open association. This time-out has the following options:
- Immediately release association, that is, don't reuse them

- Never release association (unless a new destination is
specified, or an error has occurred)
- Wait 1 to 32000 seconds before automatically releasing the
association
ESA LUT The Digital Radiography Operating Console supports the inclusion
of the Exam Specific Algorithm (ESA) into one of the following:
- Use VOI LUT

- Use Modality LUT
- Incorporate ESA into image

Annotation text is not available with Storage Service Class outputs.
The DICOM Storage Client supports up to 16 simultaneous DICOM Storage Service Class
associations.
DICOM Print Client
The Digital Radiography Operating Console supports the DICOM Print Service Class in the role
of Service Class User (SCU). For a given sheet to be printed, the DICOM Print Client requests the
establishment of an association with the DICOM Print Provider (SCP), the printer, using the Basic
Grayscale Print Management SOP Class. Additionally, if configured to do so, the Digital
Radiography Operating Console DICOM Print Client negotiates for the optional Print Job SOP
Class and the Annotation Box SOP Class.
After an association is established, the Print Client sends print jobs to the DICOM Print Server.
Each print job consists of the following steps:
z The Print Client sends the server an N-GET request to ascertain that the status of the printer
is NORMAL. The Print Client requests the server to N-CREATE a film session SOP instance.
The Print Client then requests the server to N-CREATE a film box SOP instance containing a
single image box SOP instance and, optionally, an annotation box SOP instance. The Print
Client always uses one film box per film session, one image box per film box, and, optionally,
up to 12 annotation boxes (each box with up to 4 lines), per film box.
z For the image to be printed as part of the film box, the Print Client requests the server to
N-SET (update) the image box with the image information. This causes the transfer of the
image and pixel data from the client to the server. For an optional annotation box to be
included on the film, the Print Client requests the server to N-SET the annotation box with
text.
z Once the image has been transferred, the Print Client requests the server to N-ACTION the
film box. This causes the film to be printed.
z If the Print Job SOP class has been negotiated, the Print Client polls the SCP using the
N-GET DIMSE on the Print Job and Printer SOPs until an execution status of either
“FAILURE” or “DONE” is received on the Print Job or until a configurable timeout expires.
If the Print Job SOP class has not been negotiated (the default condition), the Print Client
considers the print to be complete as soon as the confirmation of the N-ACTION (Print) is
received. The Print Client does not accept N-EVENT-REPORTs from the Print SCP and if it
receives them, ignores them.
The Digital Radiography Operating Console supports up to 16 simultaneous DICOM Print Service
Class associations and does not support asynchronous events.
The DICOM Print Client supports the configurable parameters found in Table 2.

Table 2: DICOM Print Client Configuration Parameter
Parameter
Description Range
Application Entities Representing physical devices can be
Called Application configured at installation. More than one application entity can
Entities (AEs) be assigned to a physical device. The Digital Radiography
Operating Console supports up to 64 Called AEs.
A valid IP address and hostname associated with the physical

Remote Host/IP printer and its Application Entity. The Digital Radiography
Address Operating Console supports up to 64 Remote Host/ IP
Addresses for use with DICOM.
A valid port number to be used when establishing TCP/IP
connection to the physical printer
Remote Port Number
Range = 1 to 32767
Calling Application Entity Title of the Presentation Address for
Calling AE Title this instance of the Print Client. The Digital Radiography
Operating Console supports one Calling AE Title.
1024 to 65535. The Digital Radiography Operating Console
Max PDU size
supports a default PDU size of 16384.
The print client can be configured to control associations by:
Association Control - Requesting the use of the optional Annotation Box SOP
class
- Requesting the use of the optional Print Job SOP class
This parameter controls the number of seconds between the
issuing of N-GETs by the Digital Radiography Operating
Print Job Poll Period
Console Print Client after a successful N-ACTION (Print) for
either the Printer SOP or Print Job SOP Class (if negotiated).
Only if the Print Job SOP is negotiated, this parameter controls
the total amount of time after a successful N-ACTION (Print)
that the Print Client polls the Print Job SOP before releasing the
Print Complete association.
Time-out Period
-1 = wait indefinitely
0 = immediate timeout
1 to 32767 (seconds) timeout period
This parameter controls the amount of time that the client keeps
an association active after receiving a print complete.
Association Time-out
-1 = Never automatically release association (unless a new
Period
destination is specified, or an error has occurred)
0 = immediate timeout (default)
1 to 32767 (seconds) timeout period
Association Time-out 0 to 32767. Printer SOP Class only. This value controls how

Parameter
Description Range
long the print SCU keeps the association open to poll for printer
status. A value of 0 means to release the association
immediately. A value greater than zero keeps the association
opens for that number of seconds.
Note: This should only be used when Association Control is not set
for Print Job SOP Class.
1 to 32767. Printer SOP Class only. This parameter controls the
number of seconds between the issuing of N-GETs for printer
Print Poll Period
status by the Digital Radiography Operating Console Print
Client after a successful N-ACTION (Print).
The Print Client populates and exports the DICOM attributes found in the specific Print SOP class
tables below. The supported attributes are configurable at a service level, a user level, or not at all
as shown in the tables. The Digital Radiography Operating Console Print Client does not make
use of private DICOM attributes.
Table 3：Basic Film Session SOP Class: Supported Attributes
Attribute Name Options Configuration Comment

NUMBER OF COPIES 1-99 User
MED No DirectRay
PRINT PRIORITY Console supports
only MED
MEDIUM TYPE BLUE PAPER
FILM
CLEAR FILM Service
FILM DESTINATION Not Used
FILM SESSION LABEL 64 characters max. Service
MEMORY Not Used
ALLOCATION

Table 4: Basic Film Box SOP Class: Supported Attributes

IMAGE DISPLAY STANDARD\1,1 No
FORMAT
ANNOTATION 1-6 No
DISPLAY FORMAT ID
PORTRAIT No
FILM ORIENTATION
LANDSCAPE
FILM SIZE ID 14 x 17 in. No
REPLICATE No Configured at
MAGNIFICATION TYPE BILINEAR CUBIC Image Box
NONE
SMOOTHING TYPE Not Used
BLACK No
WHITE
numeric,
BORDER DENSITY
OD times 100
(ex. 1.5 OD =
150)
EMPTY IMAGE Not Used
DENSITY
numeric, User Range Limits
MIN DENSITY OD times 100 (desirable):
0 to max. density
numeric, User Range Limits
MAX DENSITY OD times 100 (desirable):
min. density to 4
TRIM Not Used
CSxxx Service xxx = Code
CONFIG.
Value, obtained
INFORMATION
from SCPs
REF. FILM SESSION
SEQ.
REF. IMAGE BOX SEQ.
REF. ANNOTATION
BOX SEQ.

Table 5: Basic Image Box SOP Class: Supported Attributes

1 No DirectRay Console:
IMAGE POSITION
one image only
NORMAL No
POLARITY
REVERSE
PREFORMATTED No
GRAYSCALE IMAGE
SEQUENCE
>SAMPLES PER PIXEL 1 No
>PHOTOMETRIC MONOCHROME2 No
INTERPRETATION
2560 or 3270 No *Image Scale
extends number of
>ROWS
rows in landscape
mode
3270 or 2560* No *Image Scale
extends number of
>COLUMNS
columns in portrait
mode
>PIXEL ASPECT RATIO 1\1 No
>BITS ALLOCATED 16 No
>BITS STORED 12 No
>HIGH BIT 11 No
>PIXEL 0000 No
REPRESENTATION
>PIXEL DATA No
REPLICATE User Overrides
BILINEAR corresponding
MAGNIFICATION TYPE
CUBIC Film Box attribute
NONE
SMOOTHING TYPE Not Used
No Indicates required
REQUESTED IMAGE
row size (true size)
SIZE
in mm.
REFERENCED Not Used
OVERLAY SEQUENCE

Per the Image Box SOP attribute list above, the DICOM Print Client supports the REQUESTED
IMAGE SIZE attribute. This attribute allows a DICOM Print Client to set the desired output size
of the image. True size is a user configurable parameter for a printer device, selectable in the
parameter list of the Procedure Editor function, as either OFF or ON.
When true size is turned on, the DICOM Print Client sets the REQUESTED IMAGE SIZE
attribute, per the DICOM Standard to:
z Length in mm that image rows of the image are to be printed. This value overrides the
size that corresponds with optimal filling of the Image Box, and exactly equals the length
of a row of the image as acquired from Digital Radiography.
NOTE: The Digital 400 printer supports true size and the LINX Version 2.7/2.8.x LP300/400 Print
SCP does not.
True size is a parameter of the printer device as it appears in the Digital Radiography Operating
Console user Procedure Editor; however, its correct operation is contingent upon support for this
parameter in the DICOM Print SCP.
The Print Client applies the ESA LUT which it receives from Digital Radiography to the
preformatted grayscale image when it builds the Image Box SOP specified above.
Optionally, the Print Client places a scale into the image data when it builds the Image Box SOP.
This is to give the reading physician a size reference for objects in the film. Refer to the following
topic “Annotation Box SOP Class (Text on Film)” for more information.
Annotation Box SOP Class (Text on Film)
The DICOM Print Client supports DICOM Annotation Box SOP Class in order to display text for
printers capable of printing text-on-film. The exact format of the printed text is completely
dependent on the DICOM Print Server and the connected printer.
The Digital Radiography Operating Console does not support embedding text into the image
object. As a result, text on film is available from DICOM Print Client, but not from DICOM
Storage Client.
Annotation display formats are not standardized by DICOM. The Digital Radiography Operating
Console Print Client is based on the E-COM, Inc. LINX Print Server Annotation Box format.
For clarity, the following describes the annotation display format utilized by the LINX Print SCP.
The LINX Print SCP format describes a text area consisting of 4 lines, each of which is the width
of the film. Three columns of annotation positions are available in each line. The left-most column
is left justified text. The center column is centered text. The right-most column is right-justified
text. The annotation position sequence is in row-major order (from left-to-right and top-to-bottom).
The numbers inside the boxes below indicate the annotation positions that are available:

Figure 6: The annotation position sequence
The Digital Radiography Operating Console Print Service Class User (SCU) service supports a
minimum of a 2 line text annotation. An additional rule enforced by the Digital Radiography
Operating Console Print SCU is that the number of characters for any annotation position are less
than or equal to 64.
NOTE: It is the responsibility of the configuration personnel to understand these limitations and to
refrain from choosing combinations of adjacent text strings which cause truncation.
The DICOM Print Client builds the possible annotation text strings from the following parameter
list. Any of the following parameters can be used for any annotation text position. The connection
between annotation text position and parameter are user configurable:
z Site Name
z Node Name
z Patient Name
z Study ID
z Medical Record Locator
z Study Description
z Series Description
z Accession Number
z Procedure Description
z Acquisition Date/Time
z ESA
z True Size
z Requested Size (OFF/ON)
z Digital Radiography Detector Information
z Technologist ID
z Patient ID
z Image Comments
z kVp
z X-ray Tube Current
z Exposure
z Generator Power
Availability of the following attributes for annotation is desirable, though not required:
z Sheet: Number x of DICOM (0020,1002)

z Copy: Number x of DICOM (2000,0010)

z Print Date: Supplied when the sheet is sent to the printer
z Print Time: Supplied when the sheet is sent to the printer
Image Scale
This function defines a scale for use on Digital Radiography Operating Console systems so that
physical measurements can be made even though the film is printed in relative mode (non-true)
size. This is desired so that the full image from the plate can be presented without cropping to fit
within the hardcopy border.
Constraints on the image scale functionality are as follows:
z Scale is placed only on full size images (2560 x 3270).

z The image size constraint is on the vertical direction.
z Avoid modification of the image content (overlay of scale on image).
Functional requirements of the image scale are:
z Scale is a user-configurable parameter for a printer device, selectable in the parameter list of
the Procedure Editor function, as either OFF or ON.
z Scale is appended to the image when the Image Box is built. The scale is not included in the
DICOM Storage Client implementation.
z Scale is white text and lines on black background.
Printer/Print Job Support
The DICOM Print Client provides a function within the Printer SOP class to poll for printer status
using the N-GET DICOM service. When in this mode, the Digital Radiography Operating
Console Print SCU allows new print requests to proceed immediately upon receipt, unlike the
print job SOP class, which blocks new jobs until it receives an EXECUTION_STATUS of DONE,
or it times out.
NOTE: The service user should only configure this function when the optional Print Job SOP class is
not selected.
This function is activated when a positive value for the association timeout parameter is
configured, causing the DICOM Print Client to poll at a period set by the Printer Poll Period
parameter. If a printer warning or failure status is received during the polling period, an erasable
alarm is posted.
This forces the user to acknowledge the condition, even if the user is not present at the console
when the association is released.

NOTE: If the alarm was non-erasable, the Digital Radiography Operating Console would remove it
immediately upon release of the association.
When a printer status of Normal is again received from that printer, an erasable alarm is posted,
indicating that the alarm condition is no longer present. Note that it could be hours later, since the
Digital Radiography Operating Console may not create an association with the problem printer
again for quite some time.
The Digital Radiography Operating Console Print Client supports the status and error messages
specified by the DICOM Standard in support of the A-ASSOCIATE and normalized services for
the print SOP classes specified above.
Exam-Specific Algorithms
When the Digital Radiography Operating Console acquires an image from Digital Radiography, it
also reads a LUT from Digital Radiography which represents an Exam-Specific Algorithm (ESA)
for optimal viewing of the image. The operator is given the opportunity to either accept or modify
the acquired ESA LUT. After the user accepts the image and ESA and exports the acquired image
object from the Digital Radiography Operating Console, the accepted ESA LUT is incorporated
into the image object using the following rules, depending on the method of export:
z If the DICOM Print Client is being used, the ESA is incorporated directly into the
preformatted grayscale image.
z If the DICOM Storage Client is being used, the ESA is incorporated into either the Modality
LUT, the VOI LUT, or the image, depending on a configuration parameter.
z The method of exporting the LUT is configurable to allow support for various Storage Class
Providers.
Physical Media Support
DICOM is indifferent to the physical medium over which TCP/IP executes (for example, IEEE
802.3, ATM).
The Digital Radiography Operating Console is tested with the following media:
z ATM: OC3 (fiber and copper)

z Ethernet: 10BaseT, 100BaseT, and 10Base2

APPENDIX B
Glossary
Accession Number: In DICOM, a term to uniquely identify a visit to a site by a

patient. The meaning and use of accession numbers is not
consistent in medical information. The Digital Radiography
System uses the DICOM definition of the term.
Antiscatter Grid： Device used to prevent the radiation scattered within the patient
from reaching the Digital Radiography Detector and fogging it.
AEC: Automatic Exposure Control.
AP: Anterior/Posterior view position for X-ray exposure.
Artifact: Changes to an image due to outside influences such as defective

pixels or Digital Radiography Detector scan lines.
Autoclave: The process of disinfecting articles by heating them with

pressurized steam.
Automatic Exposure: Ion chamber within the Bucky. Used to terminate X-ray when
image density is achieved by measuring the amount of dosage
Control(AEC) occurring at the Digital Radiography Detector and providing
feedback to the X-ray Generator to stop the exposure.
Bucky: The component that houses the Digital Radiography Detector,

AEC, moving grid, and related components. In the Digital
Radiography System, the bucky contains the Digital
Radiography Detector instead of the conventional film cassette.
Collimator: The Collimator regulates the size and shape of the X-ray beam
to accurately localize the area of interest on the patient, while
reducing overall patient irradiation exposure.
PC: Central Processing Unit of the Digital Radiography Operating

Console.
Diagnostic X-ray An X-ray system designed for irradiation of any part of the
Appendix B1
Glossary
System： human body for the purpose of diagnosis or visualization.
DICOM: Digital Imaging and Communications in Medicine (DICOM).An

industry standard specification for interconnection of medical
imaging equipment. Digital Radiography Operating Console.
Digital Radiography The Digital Radiography Detector is a flat panel that receives
Detector： the X-ray image and converts it to digital information. The
Digital Radiography Detector replaces conventional X-ray film
and cassettes.
Direct Radiography A term used to distinguish the use of a photoconductor-based

(DR)： method as opposed to the X-ray capture and conversion method
used in a scintillator or phosphor-based detector.
DR： Direct Radiography/Digital Radiography
ESA： Exam Specific Algorithm. Algorithm used to optimize raw

image data for a particular type of exam.
Focal Distance： The distance from the source of the X-rays to the patient.
Generator： Device that supplies power to and controls the X-ray tube.
HIS: Hospital Information System
Hospital Information In a hospital, the computer system that tracks patient

demographic information, visit information, and other patient
System(HIS): records.
Image Artifact Non-desirable qualities on a printed image.
Kvp: Peak kilo-volts. The highest energy of X-rays emitted by an

X-ray tube (equal to the peak applied tube voltage).
Lateral: Possible view position for X-ray exposure.
Look-Up Table(LUT)： A table of values used to convert raw image data to output data
for a specific ESA setting.
LUT： Look-Up Table.
Appendix B2 2013 V4.1 Service Manual

Glossary
mA： Milliamperes.
mAs： Milliampere-seconds. Combined with kVp, it indicates the dose

of X-rays.
Oblique： Possible view position for X-ray exposure.
Operating System(OS): The basic software control system of the PC.
PA: Posterior/Anterior view position for X-ray exposure.
Procedure： A predefined collection of images (views) for X-ray exposure.
RIS: Radiology Information System.
SID： Source to Image Distance.
Source to Image The distance from the source of the X-rays to the detector.
Distance:
Study: A specific instance of a procedure consisting of a set of X-ray

images.
Technique Factor: Any of the parameters describing the properties of an X-ray

beam, including beam energy (kVp), beam intensity (mA),
exposure (mAs), duration (seconds), and, at times, the Source to
Image Distance (SID).
View: Prescription for the technique factors and geometric

arrangement of the X-ray source, patient, and image sensor that
yields and image of organs of interest seen on a specific
orientation.
Visit: A set of studies identified in a locally unique manner and

performed on a particular patient at a particular site for a
particular reason. A visit is normally identified by an accession
number or a Visit ID and is associated with a diagnosis.
Service Manual 2013 V4.1 Appendix B3

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OPERA D4000DR/C

OPERA D4000DR/C - SERVICE MANUAL VERSION 4.1

The information in this document is subject to change without notice.

OPERA D4000DR/C - SERVICE MANUAL VERSION 4.1

2010.11.10 2.0 Update Section C

2011.11.28 3.0 Add USB driver installation part

2012.07.24 4.0 Update the requirements of Hardware

and software environments

2013.09.29 4.1 Add the free workstation

About This Manual

z Windows XP/Windows 7 fundamentals

Service Manual 2013 V4.1 1

Conventions Used in This Manual

2 2013 V4.1 Service Manual

The OPERA D4000DR system must be operated in such a manner that no

Restrict this device to sale by or on the order of a physician.

This instrument must be grounded! A three-conductor AC power cable is

There are no operator-serviceable parts within the OPERA D4000DR. Do

All personnel must wear Dosimeters during all phases of installation,

Service Manual 2013 V4.1 3

Do not attempt to alter any system hardware components. Doing so could

Do not position or use this system in a location where it may be subject to

Do not use this instrument in the presence of an explosive atmosphere,

The OPERA D4000DR is interfaced to medically approved x-ray

Do not attempt any maintenance of this unit, including troubleshooting, in

No changing are allowed to this equipment!

The SYSTEM cannot be connected into a power strip or additional

4 2013 V4.1 Service Manual

SECTION A ABOUT ................................................................................................................................. 1

z OPERA D4000DR software

z CPU ≥P4 2.6G

An example for entire DR system,

A2 2013 V4.1 Service Manual

Figure 1: X-ray System Typical Room Layout

Service Manual 2013 V4.1 A3

Digital Radiography Operating Console

Exposure synchronization device

The connection of Exposure Synchronizer is demonstrated in section B.

Other devices maybe concerned

A Prep/Exposure switch is used by the operator to begin the X-ray exposure.

Bar Code Reader (Optional)

A4 2013 V4.1 Service Manual

Uninterruptible Power Supply

Host Personal Computer

A licensed dongle is needed to enable OPERA D4000DR software.

Image Acquisition Card (depend on detectors)

Compatible Output Devices

Service Manual 2013 V4.1 A5

Figure 2: Compatible output devices

A6 2013 V4.1 Service Manual

This section describes the hardware connection of DR between generator, System PC

SECTION B OPERA D4000DR CONNECTION .................................................................................. 1

A sample for Host PC connection：

(5). Ethernet Link

(3). COM port to

(2). COM port to

Figure 1: The rear view of OPERA D4000DR Computer

To connect the monitor

B2 2013 V4.1 Service Manual

To Connect the Keyboard and Pointing Device

Connect the Keyboard and mouse with PC.

To Connect the Bar Code Reader (optional)

Image Data Transfer link