PlenoIPS Ope M516E013

Document No.
: M516-E013
Revision: New edition
Surgical Mobile C-arm Imaging System WHA-200
Image Processing Section

Instruction Manual
Please read this document carefully.

Store this manual carefully together with the Opescope.
Introduction
REVISION HISTORY
Initiated
Revision Date ECN Changes
by
2 M516-E013
Introduction
Introduction
Thank you for selecting the Surgical Mobile C-arm Imaging System WHA-200 OPESCOPE PLENO
Before using the system, read the instruction manual and make sure you understand its contents.
After reading the manual, keep it safely somewhere where it can be accessed easily.
.
Copyright
SHIMADZU Corporation reserves the copyright of this manual and the whole or a part of the contents may not be copied or
reproduced without the company’s permission.
The contents of this manual may be changed for improvement without notice.
Copyright © 2004 Shimadzu Corporation. All rights reserved.
M516-E013 3
Introduction
Using This Manual
This manual was written as a Complete Reference Guide for using the systems, not a training manual.
Each function discussed includes all steps necessary to perform that procedure; therefore, if reading
about more than one procedure, some steps may seem repetitive.
• The manual is organized into sections by related features and functions.
• Also included here are step-by-step procedures for the basic operations.
• An on-line copy of this manual is available in the software. Refer to Section A for instructions.
• For safety precautions, refer to the “Instruction Manual” (document No. M516-E011).
4 M516-E013
Introduction
Manual Table Of Contents
Introduction/Product & Safety Information

Document Revision History, Using this Manual, Conventions, Trademarks
A: System Overview & User Controls

Keyboard Functions, Touch Screen, Using Mouse, Thumbnails, Buttons, Icons, Cursors, Tool-tips, User
Manual access
B: Getting Started
Power Up , Patient Data Entry, Close a Patient , System Shutdown
C: Acquiring Images
APR Settings, Virtual Collimation, Acquiring Images, Programmable Sequences
D: Reviewing Images
Thumbnails, Reference Image Display, ShotSave, Image Process Box, Cursor Control Box Processing
Features
E: Printing Images
Printing an Image, Print ShotSave, Print Study, AutoPrint
F: Patient Data Import & Export

Importing Files, Exporting Files
G: Measurement Tools
Measurement Functions, QCA Processing
M516-E013 5
Introduction
About the symbols appearing in this operation manual
Throughout the text in this manual, warnings and other information essential when using this unit such
as cautionary or prohibited items, appear classified as the following:
States an indirect or potential danger that may cause death or serious injury if it is not
avoided.
Details are given about hazards that can result in light or moderate injuries, and hazards that
can damage devices and impair computer data.
States the information, which helps to use the system correctly.

Gives information to make using the Opescope easier.
Trademarks
Windows 2000™ is a trademark of Microsoft Corporation, USA.
DICOM by Merge.
6 M516-E013
Section A - System Overview & User Controls
Table of Contents
1. Operator Input............................................................................................................ A-2

1.1 Keyboard Functions ...................................................................................................................... A-2
1.2 Touch Screen (Opution) ................................................................................................................ A-2
1.3 Pointing Device ............................................................................................................................. A-2
1.4 Graphical User Interface (GUI)/ Function Control Screen ............................................................ A-3
1.5 Live Monitor................................................................................................................................... A-6
1.6 FKey .............................................................................................................................................. A-8
1.7 Thumbnails.................................................................................................................................. A-10
1.8 Function Keys in Thumbnail Mode.............................................................................................. A-10
1.9 Buttons and Sliders ..................................................................................................................... A-13
1.10 Cursors........................................................................................................................................ A-14
1.11 Tool Tips ...................................................................................................................................... A-16
2. On-Line Manuals...................................................................................................... A-17

2.1 Accessing the Online User Manual ............................................................................................. A-17
M516-E013 A-1
1. Operator Input
Operation of the system involves four main elements:
• A Keyboard
• A Touch Screen (Option)
• A Pointing Device
• The Graphical User Interface, shown on the Monitor, including a series of screens and menus
1.1 Keyboard Functions

The keyboard is used during several modes of operation, including:
• The alphanumeric keys are used to enter text data such as patient or doctor information, and for
study and technique data.
• The ENTER key can be used to accept the highlighted menu choice (similar to a single click or
touch to the screen).
• The TAB key can also be used to move from field to field.
• The up/down arrow keys can be used as an alternative to the touch screen or pointing device to
highlight different menu options and perform various cursor movement functions.
1.2 Touch Screen (Opution)

The reference monitor is equipped with the touch screen that enables certain functions to be activated
by touching the representative buttons on the screen. The pointing device can also be used on this panel.
All buttons on the Function Control Screen GUIs as well as the FKey screen are accessible by using
either the touch screen or the pointing device. It may be necessary to use the pointing device on sub-
menus, Patient List set-up screens, APR settings and other screens used to set up system functions.
1.3 Pointing Device

The pointing device is used to control the Graphic User Interface (GUI) including:
• Cursor movement
• Single-click selection on menus and screens
• Double-click selection on menus and screens
Touch operations on the touch panel have the same effect as clicking with the left mouse
button.
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1.4 Graphical User Interface (GUI)/ Function Control Screen

The SYSTEM uses a Graphical User Interface (GUI) based on a series of menus shown on the reference
monitor. Menus may appear anywhere on the screen including over the image portion. Typically,
menus do not interfere with normal image viewing.
Interaction is achieved through the use of specific icons, text buttons, pull-down menus, and sliders.
The Function Control Screen is displayed on the

reference monitor once the system boots up.
What follows is a typical Function Control Screen
for the Shimadzu DSA.
Function Control
Buttons
Image Display Area
Function Control Screen
M516-E013 A-3
The system works with two screens, one that shows the image and the other which contains the tools to
operate the system. This section will define the buttons illustrated on the Function Control Screen.
Function Control Screen Definitions
Patient List Button – Touch or single click to display Patient List screen from
which an emergency study can be activated, a new patient file can be created or
a patient file can be edited. The Patient List is automatically displayed at
power up. Reference Section B 2 “Patient Data Entry” for more information.
APR Settings –When this button is selected, the APR Modification screen is
displayed. Select the cell to be modified from either the boxes at the top of the
screen or from specific left and right foot switch selection listing. Reference
Section C 1 “APR Setting” for more information.
Create Reference Image – Up to fourteen (14) images may be stored as

reference images in the Thumbnail list. Additional stored images may also be
sent to the Reference Display from the primary display window, but those
images will then overwrite the oldest thumbnail position.
The Reference Image Thumbnails will operate in a queue fashion; the oldest
reference image will be replaced when queue is full. Reference Section C 3.4.2
“Reference Image Display” for more information.
Save Image to Disk – Sends Fluoro LIH (Last Image Hold) to disk. Reference
Section C 3.4.1 “Store Fluoro LIH to Local Database” for more information.
Print Button – Use this button to create ShotSave folders and to configure
print jobs. When this button is selected, the Print Layout sub-menu will be
displayed allowing for a variety of options. Reference Section E 1 “Printing an
Image” for more information.
Print Layout Sub-Menu
Cursor Control – The Graphic Interface almost always uses a cursor – a

small picture representing the position of the touch screen or pointing device
relative to the screen. Selecting a different cursor allows quick modification of
a feature using just the cursor. Reference Section D 6 “Cursor Control Box
Image Processing Features” for more information.
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DICOM Send – DICOM Send is a function of transferring patient data and

images to a DICOM-compliant device. Reference Section F 2 “Exporting
Files” for more information.
Create A ShotSave Image – Use this button to save the current image to a
separate file called a ShotSave™ file. Images can be marked as
ShotSave™ images in order to create a sub-set of images within a patient
file for convenient review, printing or transfer. Reference Section D 3
“Shotsave” for more information.
Fluoro LIH – When a Fluoro LIH image is being displayed, click or touch
this button to bring up the display of the LIH Control Box. This box
allows for the adjustment of the rotation of the camera, rotation of the
parallel collimators, the aperture setting of the parallel collimators, the
aperture setting of the octagonal collimator and the calibration of the digital
laser pointer. Reference Section C 2 “Virtual Collimation” for more
information on this feature.
Image Control – Opens Image Control Tool screen. This screen allows for
adjustment of Noise Reduction, Edge, Gamma, AIO and
Brightness/Contrast. Reference Section D 5 “Image Process Box” for more
information.
Show Image Processing Box – Touch or single click to display the Image
Processing Box contains buttons necessary to apply a variety of image
review features. Reference Section B 2 for more information.
Thumbnail Tree Display – Touch or single click to display thumbnails as

well as a listing of the studies, series and sequences. The FKey Function
bar also changes offering additional options for use with thumbnails. See
Section D 1 “Thumbnails” for more information.
Turn FKeys On or Off – Touch or single click to access to a set of

function buttons displayed at the bottom of the Function Control Screen.
Reference part 1.6 “Fkey” of this section for more information.
Next Page– This button pages through the seven thumbnails that are
available on the reference monitor. There are a total of fourteen thumbnails
(two pages of seven) that can be stored for display on the reference
monitor.
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1.5 Live Monitor

The live monitor is used to display the current fluoroscopy image, acquired images, and the last image
hold (LIH) image. Some example screens are shown below.
2
1
3
4
fluoroscopy image
Information displayed on the screen during fluoroscopy image acquisition:

1. The name of the patient, name of the physician*1, ID, and date of birth*1 are displayed.
2. “Fluoro” is displayed here.
3. The fluoroscopy tube current, tube voltage, and cumulative fluoroscopy time are indicated here.
4. The edge enhancement, brightness and contrast values are displayed here.
*1
indicates information whose registration in the patient information window is not mandatory.
For details, refer to Section B 2 “Patient Data Entry”.
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2
1
3
4
Acquired image
Information displayed on the screen during Acquired image acquisition:

1. The name of the patient, name of the physician*1, ID, and date of birth*1 are displayed.
2. The number of frame, frame rate, sequence, acquired mode are displayed here.
3. The Acquired tube current, tube voltage, and tube current time product (mAs) value are indicated
here.
4. The edge enhancement, brightness and contrast values are displayed here.
*1
indicates information whose registration in the patient information window is not mandatory.
For details, refer to Section B 2 “Patient Data Entry”.
M516-E013 A-7
1.6 FKey
At any point during Review or Acquisition Mode, touch or single click the FKey button, to access a set
of convenient function buttons displayed at the bottom of the Function Control Screen.
Function Buttons
Function Control Screen with FKey Enabled

The Main GUI FKey functions are defined as follows:
[User Manual]
The User Manual is formatted in Adobe Acrobat pdf and can be read on line or printed out for further
study. Select desired chapter of the manual and it will open in Adobe® Acrobat pdf format. When
finished with the Manual, close window. For additional information, reference 2 “On-Line Manuals” in
this Section.
[APR Edit]
APR or Anatomical Program Edit allows the Permanent editing of the APR data with all changes saved
to the hard drive. This menu cannot be opened when a patient file is active. Reference Section C1.1
“APR” for more information about using this tool.
[Programmable Sequence]
Allows you to display the image acquisition program sequence list, and create and edit program
sequences. Reference Section C 4 “Programmable Sequences”.
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[Sequence Title]
Select this button to view a list of predefined sequence titles or to create a new one. Reference Section
D 4 “Sequence Title Edit” for more information on this feature.
[Annotation Presets]
Allows you to display the annotation presets list, and create and edit preset annotation data. For details,
see Section D 6.1.4 “Predefined Annotations”.
[Status Dialog]
Touch or single click to display Status Screen indicating Software and Hardware Versions.
You can also check the status of print jobs and the available capacity. For details see Section F 1.2
“Status Screen”.
[Exit]
The patient file closes and system operation ends as part of the normal shutdown procedure.
The FKeys change depending on the system’s mode. The next section discusses these keys
when the system is in the Thumbnail mode. The keys also change when the system is in the
Annotation mode. For details on how to use the function keys in the Annotation mode, see
Section D 6.1 “Annotation”.
M516-E013 A-9
1.7 Thumbnails
A Thumbnail is a miniature picture of an actual clinical image and is used as a quick means to identify
and select from numerous images. For more detailed information on this feature, refer to Section D of
this manual.
Thumbnails
1.8 Function Keys in Thumbnail Mode

When is selected the FKey Function bar also changes offering additional options for use with
thumbnails.
[User Manual]
This button remains, allowing access to the User Manual from the Thumbnail screen.
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[Delete Sequence]
Deletes selected sequence. All frames in deleted sequence are marked with a “D”. The thumbnails for
the sequence will also be marked with a “D”. The images are deleted when the patient file is closed.
Example of Thumbnail
[Undelete Sequence]
Reverses Delete Sequence action, removing “D” from the thumbnail.
[Print Sequence]
Touch or single click to print sequence. The Configure Print Settings window will be displayed.
Reference Section E “Printing Images” for more details on Print operation.
[Shotsave Sequence]
Touch or single click to ShotSave the entire sequence into ShotSave folder as a single thumbnail.
M516-E013 A-11
[Archive Sequence]
Sends entire sequence to specified destination – either DICOM network or Media. The Archive
Destination window will be displayed.
Refer to Section F “Importing & Exporting” for more detail.
[Rename Sequence]
Touch or single click to change the name of the current sequence. The Change Sequence Name
window will be displayed. Make necessary changes and then touch or single click [OK] to process
change.
[Exit]
Used to close the patient file and end operation as part of the normal shutdown procedure.
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1.9 Buttons and Sliders

There are several different types of controls used in the screens. The buttons are described with their
function in Section D.
Sliders
Image Processing
Buttons
Sample Controls and Buttons
Image Processing Buttons

Toggle buttons turn a feature ON/OFF.
The button usually changes in appearance when it is selected.
Symbols, also called Icons, are meant to illustrate the function of the specific button.
Some other buttons cycle through the available settings each time the button is selected.
Sliders
Sliders allow for rapid change for a feature. A marker indicates the current position of the setting.
Position the cursor over the slider marker.
Click and hold the left button on the Pointing device to select the marker, and then move the marker
along the slider to adjust the setting.
You are recommended to use the mouse to control slider operations.
M516-E013 A-13
1.10 Cursors
Selecting a different cursor activates the function that is represented by that cursor. Use the Cursor Tool
Box to access Annotations, QCA, Shutters, Measurement Functions and Reregistration functions.
To open the Cursor Tool Box, select the cursor button on the Function Control screen.
The Cursor Tool Box will be displayed.
Cursor Tool Box
• When selecting the cursor, do not drag the cursor, just touch or single click. The cursor becomes
the means by which the selected function is activated.
• Once over the image, touch or single click and hold-down the left mouse button – this is called
dragging – in the direction you need.
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• See the list that follows for full descriptions.
Restoring Standard Cursor
Touch or single click to revert to standard cursor.
Access Annotations
Use this function to create customized Annotations including text, arrows and predefined
annotations.
For details see Section D 6.1 “Annotations”.
Manually applying or adjusting shutters

The image on the primary monitor is copied to the reference monitor and then the
cursor/touch can be used to adjust the four edges of the shutter. A box will be drawn on
the image as the cursor is dragged.
For details see Section D 6.2 “Electronic Shutters”.
Measurement Functions on an image

Touch or single click to activate Measurement tool bar.
For details see Section G 1 “Measurement Functions”.
Re-Registration
If a subtracted image is not properly aligned with the mask image, the mask image can be
moved pixel-by-pixel in any direction until aligned.
For details, see Section D 6.3 “Reregistration”.
QCA Processing
The system offers a software feature that allows for the measurement of the size of the
vessel in order to determine the width and length of the stenosis. Using the catheter as a
calibration reference, an accurate measurement can be made of the size of the vessel in
order to determine the size of the balloon or stent to be used.
For details, see Section G 2 “QCA Processing”.
M516-E013 A-15
1.11 Tool Tips

When the cursor is positioned over an icon, a description of the function represented by that icon will
pop-up. There is no need to click or select anything—just move the cursor over the icon/button.
The pop-up will disappear when the cursor is moved away from the icon. Icons that are currently
unavailable for selection will not display tool tips.
Show the patient list
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2. On-Line Manuals
The User Manual is available for reference from the main image screen and is formatted in Adobe®
Acrobat .pdf and can either be read on-screen or printed out for further study. The manual will be
closed when radiation is activated.
2.1 Accessing the Online User Manual

You can also use the FKey function bar. To display this bar, touch or single click on the “FKey On/Off”
button in the lower left portion of the reference screen.
The FKey function bar will be displayed at the bottom of the screen.
M516-E013 A-17
1. Click or touch the button and the Manual Selection menu will be displayed.
Introduction
Section A – System Overview
Section B – Getting Started
Section C – Acquiring Images
Section D – Reviewing Images
Section E – Printing Images
Section F – Import-Export
Section G – Measurement Functions
Appendix A – Abbreviations
Appendix B – Symbols
2. Position cursor over desired section of the manual and then left click. The section will open in
Adobe® Acrobat pdf format.
Click to display desired section of interest.
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Click here to open Bookmark section
4. The selected section of manual will be displayed on the right side of screen.
If the “Bookmarks” do not appear in the left section of the screen when the pdf is opened,
place the cursor on the bold line running down the left side of the screen. The cursor, which
had been a hand, will change in appearance.
Double click on the bold line on the left of the screen and the bookmark area will open
up. If there are no listings shown in this area, click on the tab. The listing should
then appear.
When you are finished working with the manual, close the window. The system will return to screen
and any open clinical images remain available and unaffected.
M516-E013 A-19
<NO TEXT>
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Section B - Getting Started
Table of Contents
Getting Started................................................................................................................. B-2
1. Power Up ................................................................................................................... B-2

1.1 Options from Patient List............................................................................................................... B-3
1.2 APR Functions .............................................................................................................................. B-4
2. Patient Data Entry...................................................................................................... B-5

2.1 Emergency Study .......................................................................................................................... B-5
2.2 New Patient Data .......................................................................................................................... B-6
2.3 Sorting the Patient List and Selecting Display Items .................................................................... B-9
2.3.1 Sorting the Patient List...................................................................................................... B-9
2.3.2 Selecting Display Items..................................................................................................... B-9
2.4 Open Existing Patient File........................................................................................................... B-10
2.5 Edit Patient Data ......................................................................................................................... B-11
2.5.1 Delete Patient File........................................................................................................... B-13
2.5.2 Delete Patient Study ....................................................................................................... B-15
2.6 Close a Patient File ..................................................................................................................... B-17
2.7 Exit the System ........................................................................................................................... B-19
M516-E013 B-1
Getting Started
This section will cover basic information necessary to start using the system including powering up the
system, creating emergency studies, creating new patient files, editing and appending patient files.
1. Power Up
• Turn ON the power at the monitor cart.
• There are intermittent times when the acquisition is disabled; this occurs three times for about three
seconds each time.
• While the system is running the power-up self-testing routing, an initializing screen may appear.
This screen will disappear once the Function Control screen is displayed.
• Once the system has completed the Auto Login sequence, the Patient List screen will be displayed.
Patient List Screen
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1.1 Options from Patient List
There are four options that can be accessed from the Patient List screen:
• Create Emergency Study
• Create New Patient file
• Open existing Patient File
• Edit patient data
For details, see 2 “Patient Data Entry” in this section.
M516-E013 B-3
1.2 APR Functions

The system is configured with default settings for image acquisition, Review, etc. This feature allows a
site to define certain parameters to further automate the image acquisition functionality.
On selecting one of the three functions covered in 1.1 “Options from Patient List” in this Section, i.e.:
• Create an emergency patient file
• Create a new patient file
• Open an existing patient file
The APR window is displayed immediately.
Changes do not have to be made to APR settings to use the system. Simply press [OK], and the Current
selections will be used.
If changes are required, press the [Modify] button on the APR screen. Screens will then be displayed
allowing changes to be made to default settings.
Changes made in editing are invalidated by switching off the system power or opening a new
patient file.
To save the changes made in APR editing, carry out editing from the APR editing screen.
For details, see Section C 1.1 “APR”.
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2. Patient Data Entry

This section will explain the various ways to access and change the patient data.
2.1 Emergency Study

To start acquiring images immediately, touch or single click the [Emergency Study] button on the
Patient Information screen. The system will open for acquisition using a generic patient file. The
system date and time are used as part of the name of the emergency patient.
Patient information can be changed at any time once the emergency study has been created.
Once Emergency Study has been selected, the APR screen will be displayed.
To begin acquisition immediately, touch or single click [OK].

If changes are required, press the [Modify] button on the APR screen. Screens will then be displayed
allowing changes to be made to default settings.
M516-E013 B-5
2.2 New Patient Data

1. From the Patient List screen touch or single click on the button to open the Patient
Information screen.
2. Click the left mouse button to position the cursor over each field where data is to be entered. Use
the mouse or the tab key to move between entries.
• Fill in the fields with as much patient information as is available. Some fields are required –
indicated by an asterisk (*).
• Several of the selections have drop-down menus for quickly selecting data and are indicated by a
small downward arrow next to the field.
Enter a title such as Mr. or Mrs.
Enter titles such as Jr.

Select general or vascular procedure.
Enter the name of the physician requesting the procedure.
Enter the name of the referring physician.
• Enter the date of birth of the patient.
To enter the date of birth, click on the small down arrow beside the entry field. A calendar of
the form shown below will be displayed.
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Using and , change the year and month. When you have selected the appropriate day,
the date of birth entry will change.
• Fields whose boxes are displayed in light colors cannot be used. These fields are not valid with
the system you are using.
The patient IDs in the database must all be unique. Note that a patient file cannot be opened
without entering both the ID and name.
3. When patient data entry is complete, select one of the following options:
The Save button saves the patient data to the database. The Patient List screen
reappears so that additional patient files can be added.
The Open button saves the patient data and opens the patient file for acquisition.
Patient information will be displayed on-screen.
The Close button cancels this patient data. The patient data recently entered
will not be saved. The Patient List screen will reappear.
Once patient data has been entered, the APR screen will be displayed.
APR screen
To begin acquisition immediately, touch or single click [OK].
If changes are required, press the [Modify] button on the APR screen. Screens will then be
displayed allowing changes to be made to default settings.
M516-E013 B-7
Once the APR selection has either been modified or the default settings accepted, the Function
Control screen will be displayed and the system is ready for acquisition.
Function Control Screen
Clicking on the Patient List icon will display the Patient List and data can be edited
while the system is in the acquisition mode. A new patient file cannot be opened, however,
until the current file has been closed.
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2.3 Sorting the Patient List and Selecting Display Items
2.3.1 Sorting the Patient List

The Patient List can be sorted by Patient Name, ID , DOB, Physician of Record or Study Date.
• To sort the database by a specific field, click on the column’s title.
• Further clicks on the column’s title will alternate the order of the files between
ascending/descending.
2.3.2 Selecting Display Items

Right-click on a display item to display the list for that item. To add a display, click on the relevant
item. A check mark (√) will be set for that item.
To stop the display of any item, click on that item to remove the check mark (√).
Display items such as patient names
Display items such as information on procedures
M516-E013 B-9
2.4 Open Existing Patient File

1. Position cursor over any part of the preferred patient file shown on the Patient List screen and click
the left mouse button.
2. To add an image to a patient file that includes multiple studies, highlight the study to which the
image is to be added and click on it with the left mouse button. Study information is located in the
lower portion of the Patient List screen.
3. Touch or single click the Open button. The system will open the patient file and selected study.
2
Study Information
Patient List Screen
Shortcuts:
Double-clicking the desired patient file will open whatever Study was already highlighted.
Double-clicking on a specific study for a patient will open that study.
4. To review images refer to Section D of this manual for more information on the review functions.
When an existing patient file has been opened with the Open button, the procedure ID is
ACQUIRE and no reception # is entered.
When using a procedure ID to continue a previous procedure and entering a reception #
(when re-examining an existing patient, for example), use the [Edit] button.
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2.5 Edit Patient Data
1. From the Function Control screen, touch or single click on Patient List button.
2. The Patient List screen will appear.
Patient List Screen

3. Position cursor over any part of the preferred patient file and click the left mouse button.
4. Touch or single click the button. The Patient Information screen will appear.
Patient Information Screen
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5. Make required changes or additions to patient file.

• If a new study has been ordered, enter Study Description, Physician Information, and other
pertinent data.
• When using a procedure ID to continue a previous procedure and acquiring a new study, click
<Add> button on Study/Series tree.
• Position the cursor over each space where data is to be entered using the mouse or use the tab
key to move between entries and complete all necessary fields.
6. When data entry is complete, touch or single click on one of the following buttons at the bottom of
the screen:
The Save button saves the patient data to the database. The Patient List screen
reappears so that additional patient files can be added.
The Open button saves the patient data and opens the patient file for acquisition.
Patient information will be displayed on-screen.
The Close button cancels this patient data. The patient data recently entered
will not be saved. The Patient List screen will reappear.
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2.5.1 Delete Patient File
Delete Patient Icon
Highlighted
Patient File
Patient List Screen
3. Highlight patient file to be deleted. To delete more than one patient, hold down the [Ctrl] key on
the lower left of the keyboard and single left click on each patient file to be deleted.
4. When selection(s) are made, click the delete button in the top right portion of the Patient List
screen.
5. A warning will be displayed asking for confirmation of this action.
If a patient file is no saved, a warning message will be displayed asking for continue to delete.
M516-E013 B-13
This warning message is set as usually displayed.
6. Select [Yes] and the patient file(s) will be deleted – Select [No] and the Patient List will once again
be displayed.
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2.5.2 Delete Patient Study

A patient study can be deleted while leaving the patient data and remaining studies intact.
Highlighted
study
Delete Study Icon
Patient List Screen
3. Highlight patient study to be deleted. To delete more than one study, hold down the [Ctrl] key on
the lower left of the keyboard and single left click on each study to be deleted.
4. Click the Delete Study button in the lower right portion of the Patient List screen.
M516-E013 B-15
A warning will be displayed asking for confirmation of this action.
5. Select [Yes] and the studies(s) will be deleted – Select [No] and the Patient List will once again be
displayed.
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2.6 Close a Patient File

The system allows for only one patient file to be open at a time. In order to open a new patient file, the
current file must be closed.
When a patient file is closed, that file will no longer be in use. Even images being transferred to
another device are considered not in use. Transferring images are considered to be in the background,
and the file is considered closed. While a transfer is in progress, you will not be able to open that
patient file. Once the transfer is complete, you can open that file once again.
To close a patient file:

1. Select the Exit button in the bottom right corner of the Function Control Screen.
The [Exit] button serves both to quit a procedure and to exit the system.
2. In either case, a prompt will be displayed, asking whether you want to close the current patient
session. Click [OK] to close the file.
M516-E013 B-17
3. Another prompt will be displayed, asking if you want to exit the application.
If you are ready to exit the application, select [Yes]. If not, select [No]. If you select [Yes], the C-
arm and Monitor cart will be powered-off.
Thoroughly check the contents of the displayed window before ending a patient session. If
the system is shut down in error, it will have to be restarted by following the procedure
described in 1 “Power Up” in this Section.
B-18 M516-E013
2.7 Exit the System

1. Select the [Exit] button in the bottom right corner of the Function Control Screen.
If a patient file is open, a prompt will be displayed, asking whether you want to close the current
patient session. Click [Yes] to close the file.
2. A dialog asking for confirmation that you really want to exit the system is displayed.
If there is a saved job:
A warning message is displayed. Either wait until the job has completed or delete the job from the
status dialog.
If there is no saved job:

To exit the system, select [Yes]. The system’s software program closes safely and automatically,
and the power supplies to the C-arm cart and monitor cart are turned off.
M516-E013 B-19
<NO TEXT>
B-20 M516-E013
Section C - Acquiring Images
Table of Contents
Introduction ...................................................................................................................... C-3
1. APR Settings ............................................................................................................. C-4

1.1 APR ...............................................................................................................................................C-5
1.2 APR Selection and Correction ......................................................................................................C-6
1.3 Change/Correction Window ..........................................................................................................C-7
1.4 General Settings............................................................................................................................C-8
1.5 Left Foot Switch Settings ............................................................................................................ C-11
1.6 Right Foot Switch Settings ..........................................................................................................C-14
2. Virtual Collimation .................................................................................................... C-22

2.1 Adjustments Using the Digital System ........................................................................................C-22
2.1.1 Camera Rotation Using the Digital System Touch Control .............................................C-25
2.1.2 Parallel Collimator Rotation Using the Digital System Touch Control.............................C-26
2.1.3 Parallel Collimator Aperture Adjustment Using the Digital System Touch Control .........C-28
2.1.4 Octagonal Collimator Aperture Adjustment Using the Digital System Touch Control .....C-29
2.1.5 Adjusting the Laser Pointer with Digital System Touch Control......................................C-30
3. Acquiring Images ..................................................................................................... C-32

3.1 IBS...............................................................................................................................................C-32
3.2 Fluoro Noise Reduction...............................................................................................................C-33
3.3 Fluoro Loop .................................................................................................................................C-35
3.4 Acquisition Last Image Hold (LIH)...............................................................................................C-36
3.4.1 Store Fluoro LIH to Local Database................................................................................C-36
3.4.2 Display to Reference Image thumbnails .........................................................................C-36
M516-E013 C-1
4. Programmable Sequences ...................................................................................... C-37

4.1 Create New Programmable Sequence .......................................................................................C-37
4.2 Edit Existing Programmable Sequence ......................................................................................C-39
4.3 Executing Program Sequences...................................................................................................C-41
4.3.1 Combined Use of a Program Sequence and the Injector ...............................................C-42
C-2 M516-E013
Introduction
Once a patient file has been set up, images can be acquired for that patient. This section is a guide to
the features and functions available when acquiring images. This section assumes that a patient file is
open and a study selected. If necessary, refer to Section B for instructions.
M516-E013 C-3
1. APR Settings
The APR screen facilitates access to a series of screens that allow specific settings to be made for
Acquisition.
This system features an APR function that allows twelve types of APR setting. The individual settings
are called “cells”. (Names can be assigned to them to make subsequent access easier.) Within each
“cell”, eight different settings can be made with each foot switch (these are called APR “items”), so that
overall the APR function offers 192 different configurations. You can assign names to each of these
settings for convenient later reference.
There are several means by which to access this function:
• The APR screen is displayed when Emergency Study is selected as an acquisition option.
• The APR screen is also displayed when a patient file is opened or a new patient file created and
opened.
Changes to APR settings made in either of these two situations will be temporary and only
apply to the current patient session. When the patient file is closed, the settings will revert to
their default state.
• When no patient file is open, use the [Edit APR] button on the FKey bar to change default settings.
Changes made through APR Edit are permanent.
If the function bar is not displayed, press the “FKey ON/OFF” button.
Now click APR Edit in the function bar.
C-4 M516-E013
1.1 APR
[APR Edit]
To change settings permanently and edit an individual “cell”, select the [APR Edit] button. This
function is only available when there is no patient file open.
When this button is selected, the APR Table Edit screen will be displayed.
Click on the Cell to be edited and then select the desired function from the APR Edit Operations menu
to the right of the screen.
[Edit Cell]
Select [Edit Cell] to make changes to previous settings or to create a new cell. The General screen
will be displayed.
For full details on using the screen for editing and creating new cells, see Sections 1.3, 1.4, and 1.5.
[Copy Cell]
Select [Copy Cell] to copy the settings of the selected cell to “paste” to another cell.
[Cut Cell]
Select [Cut Cell] to copy the settings of the selected cell and in the process deleting them from that
cell.
[Paste Cell]
Move cells that were “copied” or “cut” to a new cell.
[Delete Cell]
Use this setting to permanently remove cell.
APR Table Edit Screen
APR cells whose Initial Selection check boxes are checked in Edit Cell cannot be cut, pasted,
or deleted.
M516-E013 C-5
1.2 APR Selection and Correction

[APR]
The APR screen is displayed immediately after either an emergency study, a new patient or existing
patient file is opened. Use the APR button to change these defaults while a patient file is open.
Select the APR Cell you wish to use as the default from the boxes at the top of the screen and then
select the APR Item from the left and right foot switch selection listing.
Select the APR Cell
Select desired APR

item for both left and
right foot switch.
[OK]
If [OK] is pressed, the selected APR Cell and APR Item become the default APR. The settings are
then sent to the C-arm and system is configured accordingly.
[Modify]
If [Modify] is selected, the system will open up the APR Modification screens specific to that APR
Cell. The General screen will be displayed first. Refer to sections 1.3,1.4 and 1.5 for available
selections.
The changes to APR settings made from the APR window are applied to the current patient
session only. When the patient file is closed, the changes are deleted and the default APR
settings are reinstated.
C-6 M516-E013
1.3 Change/Correction Window
Pressing the [Modify] button in the APR window displays the edit/correct window.
To make changes to conditions that are common to fluoroscopy and acquisition, select [General].
To change the fluoroscopy conditions, select [Left Foot Switch].
To change the acquisition conditions, select [Right Foot Switch].
You can check the “Startup Condition” check boxes in the [Left Foot Switch] and [Right Foot Switch]
correction windows.
By selecting “Startup Condition” you make the settings displayed on the screen.
This initial setting selection is valid only in “Correction”, not in “Editing”.
Change/Correction window
Select the [Save] button to save the corrections made.

Select the [Exit] button to close the correction window. If you select the Exit button without having
selected the [Save] button first the corrections are not saved.
M516-E013 C-7
1.4 General Settings

The following section describes the General screen and the functions that can be accessed.
APR General Screen
[APR Cell Name]

This window is used to name a cell when it is created or to change the name of the cell if “edit” cell is
selected. The APR Cell name can only be changed when “editing” a cell, not when “modifying”.
1
[Laser Pointer]*
To select, position cursor over the box to the left of the text and single left click. A check mark will
appear in the box and the Laser Pointer will be enabled.
*1: The laser pointer is an option. Checking this button on the standard specification will not enable
the laser pointer.
On entering a check mark for the laser pointer, clicking the Save button and selecting the OK
button in the APR window, the laser beam will be emitted. Do not look directly into the laser
light: this could cause eye and other injuries.
C-8 M516-E013
[Video Recording]
appear in the box and Video Recording will be enabled.
[LIH To Reference]
The LIH to Reference feature transfers each LIH image to the Reference Display when the next
acquisition begins. To select, position cursor over the box to the left of the text and single left click. A
check mark will appear in the box and this feature will be enabled.
[V-Reverse], [H-Reverse]
You can control the direction of image acquisition by using the horizontal reverse (H-reverse) and
vertical reverse (V-reverse) functions.
appear in the box and the function will be enabled.
[Review Settings]
You can select either Last viewed or As Acquired.
When you select Last Viewed, the display settings used for the last image display are used again.
When you select As Acquired, the display settings on acquisition are used for the image display.
[Pixel Shift Step Size]

Click on down arrow to select the Pixel Shift Step Size from list of available options – ([1], [0.5],
[0.25] or [0.1])
[Beam Hardening Filter]

Click on the down arrow to select the Beam Hardening Filter setting from the list of available
options ([None], [Filter 1], [Filter 2], or [Filter 3]. The filters become thicker in the order 1→2→3.
[Auto Replay]
Choose to either hold the last image acquired (Last Image Hold - LIH) or for the system to
automatically replay the sequence of images (Auto Replay).
appear in the box and Auto Replay will be enabled.
M516-E013 C-9
[Image Rotation Angle]

appear in the box and the slider will be enabled, allowing the Image Rotation Angle to be changed. The
angle will appear in the box to the left of the slider. When checked, the Image Rotation Angle will be
sent to the C-arm when the APR is downloaded. If unchecked, the settings on the C-arm do not change.
[Parallel Collimator Opening]

appear in the box and the slider will be enabled, allowing the Parallel Collimator Opening to be
changed. The new setting will appear in the box to the left of the slider. When checked, the Parallel
Collimator Opening will be sent to the C-ARM when the APR is downloaded. If unchecked, the
settings on the C-arm do not change.
[Parallel Collimator Rotation]

appear in the box and the slider will be enabled, allowing the Parallel Collimator Rotation to be
changed. The new setting will appear in the box to the left of the slider. When checked, the Parallel
Collimator Rotation will be sent to the C-arm when the APR is downloaded. If unchecked, the settings
on the C-arm do not change.
[Octagonal Collimator Opening]

appear in the box and the slider will be enabled, allowing the Octagonal Collimator Opening to be
changed. The new setting will appear in the box to the left of the slider. When checked, the Octagonal
Collimator Opening will be sent to the C-arm when the APR is downloaded. If unchecked, the settings
on the C-arm do not change.
C-10 M516-E013
1.5 Left Foot Switch Settings

The following section describes the Left Foot Switch Settings screen and the functions that can be
accessed.
Left Foot Switch Settings
[APR Item Title]

This window is used to name an item when it is created or to change the name of the item if “edit” cell
is selected. Normally the technician will not alter it. The APR Item Title can only be changed when
“editing” a cell, not when “modifying”.
[Fluoro Type]
Click on down arrow to select the Fluoro Type from list of available options – ([Pulse High Quality],
[Pulse Normal], [Pulse Low Dose], [Continuous High Quality], [Continuous Normal] or, [Continuous
Low Dose]).
[Pulse Fluoro Rate]

Click on down arrow to select the Pulse Fluoro Rate from list of available options – ([15 pps] , [7.5
pps] , [3.75 pps] , [2 pps] , [1 pps] , [0.5 pps]). Only available when selected Fluoro Type is [Pulse
High], [Pulse Normal] or [Pulse Low Dose].
M516-E013 C-11
[Integration]
Apply the desired integration level.
Recursive refers to the system’s ability to apply noise reduction to current frame as well as frame (s)
prior to it.
The Integration setting is not adjustable for images after they are acquired.
Click on down arrow to select the Integration Level from list of available options as shown in table
to the left.
[Max Integration]
This function does not work.
[Edge]
Select the desired level of Edge Enhancement. The higher the level of Edge Enhancement applied, the
sharper the contrast within the image. Higher setting equates to more filtering. Desired setting is site
and viewer dependent.
The active Edge setting (by image type) will remain active for subsequent image acquisition or image
review until changed.
Click on down arrow to select the Level from list of available options – ([None], [1], [2], [3], or [4]).
[Gamma]
Click on down arrow to select Gamma from list of available options – ([Fluoro 1], [Fluoro 2],
[Fluoro 3], [Fluoro 4], or [Fluoro 5]).
[IBS Type]
Click on down arrow to select IBS Type from list of available options – ([Manual], [IBS1], [IBS2],
[IBS3] and [DIBS]). If [1FPS] or [0.5FPS] has been selected as the pulse fluoroscopy rate, the IBS
function is disabled. For details on IBS, see 3.1 “IBS” in this Section.
C-12 M516-E013
[Fluoro Loop]
appear in the box and Fluoro Loop will be enabled.
[Loop Acq Rate]

Click on down arrow to select the Loop Acquisition Rate from list of available options – ([30 fps],
[15 fps], [7.5 fps] or [3.75 fps]). Only available when Fluoro Loop checked.
[AutoSave LIH]
appear in the box and AutoSave LIH will be enabled. AutoSave LIH is not available if Fluoro Loop is
checked. If this is not enabled, the Last Image Held on the screen will not be saved.
[Fluoro StartkV]
Starting value Kv for fluoro when the left foot switch is pressed. Use the slider to change this setting.
[II Field]
Click on down arrow to select the II Field Size from list of available options – ([Large] or [Small]).
[Default]
To select, position cursor over the box to the left of the text and single left click. This APR Item will
become the default APR. This setting can only be changed when “editing” an APR, not when
“modifying”.
M516-E013 C-13
1.6 Right Foot Switch Settings

The following section describes the Right Foot Switch Settings screen and the functions that can be
accessed.
[APR Item Title]

This window is used to name an APR item when it is created or to change the name of the item if “edit”
cell is selected. Normally the technician will not alter it. The APR Item Title can only be changed
when “editing” a cell, not when “modifying”.
[Acq Mode]
Select the mode of acquisition from this drop down menu. Click on down arrow ( ) to select rate from
list of options – ([Spot], [Serial], [DSA], [DSA w/blurred mask], [RSM-DSA], [RSM-Spot] or
[Roadmap]).
When Acquisition Mode is Roadmap, a different screen will be displayed.
For details, see 3 “Acquiring Images” in this Section.
[Acq Rate]
Select a value from the pull-down list to control the rate at which images are acquired. The acquisition
rate is valid only in modes where multiple frames are acquired for each image (i.e. SERIAL, DSA, DSA
with blurred mask, RSM-DSA).
Click on the down arrow to select the acquisition rate from the available options ([0.5FPS], [1FPS],
[2FPS], [3FPS], [4FPS], [5FPS], [6FPS], [7.5FPS]). When a program sequence is defined it is added to
the available options and can be selected.
C-14 M516-E013
If the selected acquisition rate is 7.5 or 6 FPS, or if a program sequence that includes one of
these rates has been selected, the high-speed mode is established and the tube voltage is
raised, so the image quality may change.
[Edge]
Select the desired level of Edge Enhancement. The higher the level of Edge Enhancement applied, the
sharper the contrast within the image. Higher setting equates to more filtering. Desired setting is site
and viewer dependent.
Click on the down arrow to select an edge level from the available options ([None], [1], [2], [3], [4]).
[Invert]
Invert Changes the polarity of an image from a positive image into a negative image or vice versa.
Click on down arrow to select the from list of available options – White Contrast or Black Contrast.
[AIO settings]
The Auto Image Optimization feature optimizes the contrast range and selects appropriate Window and
Level values for an image as it is acquired.
If AIO is Off, the system will use the “Gamma” setting.
Click on down arrow ( ) for drop-down menu to select the desired AIO level.
When SPOT or SERIAL is set as the acquisition mode, you are recommended to set ON for
AIO. When a mode other than SPOT or SERIAL is selected, AIO is automatically switched
OFF.
M516-E013 C-15
[Gamma]
Click on down arrow to select the Gamma from list of available options.
Gamma is only available if AIO is off. Gamma settings are configured in the Service Application.
[Mask #]
Click on the down arrow to select the frame number of the image that is to be used as the mask
image from the pull-down menu.
The Mask # is only available for Acq modes for subtracted images other than RSM-DSA.
[Landmarking]
The specified percentage of the mask image is added to the post-subtraction image. By adding a part of
the mask image, you can make part of the background image visible for purposes including checking
positions.
Click on down arrow ( ) to select % from drop-down menu.
[Injector]
To select, position cursor over the box to the left of the text and single left click.
The delay is specified by a number of whole number seconds from 0 to 30.
The delay is specified by a number of whole seconds from 0 to 30. This delay is the time between
acquisition of the first frame and acquisition of the next frame and is the sum of the injector delay and
the exposure delay.
[Injector Delay]
This indicates the time from acquisition of the first frame to output of the start signal to the injector.
Click on the down arrow to select Injector Delay time from 0-30 seconds.
C-16 M516-E013
[Exposure Delay]
This indicates the time from output of the start signal to the injector to acquisition of the second
frame.
Click on the down arrow to select Injector Delay time from 0-30 seconds.
The times set for the injector delay and exposure delay are valid only when a fixed FPS has been
selected for the acquisition rate. If using a program sequence, refer to 4.3.1 “Combined Use of a
Program Sequence and the Injector”.
The settings for the injector delay and exposure delay are used only if a fixed FPS has been
set for the acquisition rate. If a program sequence is selected for the acquisition rate, any
value set in this field will be treated as zero. If you want to set a delay when a program
sequence is set for the acquisition rate, see 4.3.1 “Combined Use of a Program Sequence
and the Injector” in this Section.
[Map Mode]
This is only displayed when ROADMAP is selected as the acquisition mode.
In the roadmap mode, one image from among the acquired images below is subjected to subtraction.
Only the differences between the mask and newly acquired image are displayed. A roadmap can be set
as an APR by following the right foot switch dialog.
The map mode, which allows you to select LIH, Max. Opacification or Min. Opacification has been
added.
M516-E013 C-17
Select the acquisition mode from this pull-down menu.

Click on the down arrow and select ROADMAP.
There are three methods for selecting the image to be used as the mask image.
• The last image hold (LIH) image on the screen is used.
• Maximum opacification
• Minimum opacification
Last image hold - mask acquisition
The roadmap mask is acquired by using the right foot switch as described below.
1. Inject contrast medium into the target blood vessel with the right foot switch during fluoroscopy.
2. When the target region is completely filled with contrast medium, release the right foot switch and
import the LIH image.
3. This LIH image will be the mask image.
4. Activate fluoroscopy with the left foot switch and acquire a roadmap image.
Subtraction acquisition
Perform fluoroscopy radiation in the plane where the mask image was acquired to display a new
fluoroscopy image in a subtraction display.
Subtraction LIH
If you cancel fluoroscopy during subtraction display, the subtraction LIH image is shown.
Maximum opacification - mask acquisition

This function displays a subtraction fluoroscopy roadmap on the live monitor by using the synthesized
image with the highest opacity as the mask image when the contrast medium is injected.
This function helps to generate a mask image efficiently since the region where the contrast medium
has passed through during fluoroscopy radiation instigated with the right foot switch will remain as an
area with high opacity.
Minimum opacification - mask acquisition

This function displays a subtraction fluoroscopy roadmap on the live monitor by using the synthesized
image with the lowest opacity as the mask image when the contrast medium is injected.
C-18 M516-E013
[Default]
To select, position cursor over the box to the left of the text and single left click. This APR Item will
become the default APR. This setting can only be changed when “editing” an APR, not when
“modifying”.
Different modes allow for different features to be activated. This chart shows the features that are
available in each of the Acquisition Modes.
Acq Mode Feature

SPOT Edge None, 1-4
AIO Yes
Mask# -
Acq Rate Single
Invert Yes
*1
Gamma Yes
Landmarking -
Injector -
MAP Mode -
SERIAL Edge None,1-4
AIO Yes
Mask # -
Acq Rate 0.5, 1-6, 7.5, Sequence
Invert Yes
Gamma *1 Yes
Landmarking -
Injector Yes
MAP Mode -
DSA Edge None, 1-4
AIO -
Mask # 1-9
Invert Yes
*1
Gamma Yes
Landmarking Off, 10, 25, 50, 100
Injector Yes
MAP Mode -
M516-E013 C-19
Acq Mode Feature

DSA w/BM Edge None, 1-4
AIO Setting -
Mask # 1-9
Invert Yes
*1
Gamma Yes
Injector Yes
MAP Mode -
RSM-DSA Edge None, 1-4
AIO -
Mask # -
Invert Yes
Gamma *1 Yes
Landmarking -
Injector Yes
MAP Mode -
RSM SPOT Edge None, 1-4
AIO -
Mask # -
Acq Rate Single
Invert Yes
*1
Gamma Yes
Landmarking -
Injector Yes
MAP Mode -
C-20 M516-E013
Acq Mode Feature

ROADMAP Edge None, 1-4
AIO Setting -
Mask # -
Acq Rate -
Invert Yes
*1
Gamma Yes
Injector Yes
MAP Mode Yes
1
– Gamma is only available if AIO is Off.
M516-E013 C-21
2. Virtual Collimation
2.1 Adjustments Using the Digital System
Whenever the system is in the LIH state, access the rotation/aperture functions by clicking or touching
the LIH button on the Function Control screen.
The following will occur:

• The LIH Control box will be displayed.
• The image on the primary monitor will be displayed on the reference monitor.
• The controls on the C-arm for adjusting the camera and collimators are disabled.
The LIH Control box, allows for the adjustment of the rotation of the camera, rotation of the parallel
collimator, aperture setting of the parallel collimators, aperture setting of the octagonal collimator and
the calibration of the digital laser pointer.
Click on the to enable touch control functionality for the selected mode. Only one mode at a
time can be activated for touch control. The pointing device can be used in conjunction with touch
control. Once the touch control is enabled for the particular function, simply press on the image to
rotate the image or adjust the collimators. See section below for details on dragging verses clicking on
the image.
C-22 M516-E013
LIH Control Box Functions
1 No.
1 Horizontal and Vertical Reverse buttons control the
orientation of the image. To select, touch or left click over
the button. These settings only affect the next acquired
2
images
2 Controls the rotation of the camera. Touch or click on the
button representing the desired direction of rotation until
3
image represents the desired adjustment.
4 3 Controls the rotation of the parallel collimator.
Touch or click on the button representing the desired
5 direction of rotation until image represents the desired
adjustment.
4 Controls the aperture setting of the parallel collimators.
6 Touch or click on the button representing correct aperture
direction (decrease opening or increase opening) until the
virtual collimators represent the desired adjustment.
5 Controls the aperture setting of the octagonal collimator.
Touch or click on the button representing the correct
aperture direction (decrease opening or increase opening)
until the virtual collimators represent the desired
adjustment.
6*1 Controls used to calibrate the laser pointer. Touch or click
on the button representing the correct direction to move the
7 8 virtual laser pointer until the pointer is positioned correctly.
These controls are only enabled when the laser pointer is
turned on.
7
Click to accept all of the changes made and
send serial messages to the C-arm. This will also close the
dialog.
8
Click to cancel changes made and exit the
dialog.
1
– The Laser Pointer is an option.
M516-E013 C-23
The position of the cross mark displayed on the live monitor image is changed by calculations
in accordance with change in the I.I. field size, rotation of the camera, and motion of the C-
arm. However, these calculations are approximations and you must always adjust the display
position of the cross mark after changing the I.I. field size, rotating the camera, or moving the
C-arm. Reference part 2.1.5 “Adjusting the Laser Pointer with Digital System Touch Control”
for more information.
C-24 M516-E013
2.1.1 Camera Rotation Using the Digital System Touch Control

Use either the Drag or Click operation to accomplish image rotation.
To use drag and click operations, you must active the image rotation button in “Tool”.
Drag Operation
To use the drag operation, the image rotation hand must be active.
1. Select a reference point in the image using the pointing device or touch screen.
2. Drag the point of interest around the circle to the desire orientation.
3. Release the mouse button or take your hand off the touch screen. The digital system will compute
the newly rotated image.
A [degree]
DRAG
Rotation
with A [degree]
Click Operation
To use the click operation, the image rotation must be active.
1. Select a reference point to be oriented in the 12 o’clock position.
2. Click on this point and the image will rotate to make that orientation line up with 12 o’clock.
12 o’clock
12 o’clock
Rotation with
A [degree] A [degree]
CLICK
M516-E013 C-25
2.1.2 Parallel Collimator Rotation Using the Digital System Touch Control
To use drag and click operations, you must active the parallel collimator rotation button in “Tool”.
Drag Operation
To use the drag operation, the collimator rotation hand must be active.
1. Select a reference point in the image using the pointing device or touch screen.
2. Drag the point of interest around the circle to the desire orientation. As you drag, the system will
display the new position of the collimators.
3. Release the mouse button or take your hand off the touch screen. The digital system will display
the rotated collimators in their final position.
The dotted line that shows the edge position of the collimator is displayed overlapping the LIH
image. This dotted line is called the virtual collimation line. The parallel collimator is shown
as two parallel lines and the octagonal collimator is shown as a circle.
C-26 M516-E013
Click Operation
To use the click operation, the collimator rotation must be active.
Click on a point and the collimators will rotate to make the selected point the center of the two
collimators.
12 o’clock
A [degree] A [degree]
CLICK
Rotation
with A [degree]
Virtual Collimation Lines
M516-E013 C-27
2.1.3 Parallel Collimator Aperture Adjustment Using the Digital System Touch Control
To use drag and click operations, you must active the parallel collimator aperture adjustment button in
“Tool”.
Drag Operation
To use the drag operation, the collimator aperture adjustment hand must be active.
1. Select a point on the image that is over one of the parallel collimators.
2. Drag the point of interest around until the desire aperture is reached. As you drag, the system will
the collimators in their final position.
DRAG
Click Operation
To use the click operation, the parallel collimator aperture adjustment hand must be active.
Click on a point and the parallel collimators will open or close to make the selected point the edge of
the parallel collimators.
CLICK
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2.1.4 Octagonal Collimator Aperture Adjustment Using the Digital System Touch Control
To use drag and click operations, you must active the octagonal collimator aperture adjustment button
in “Tool”.
Drag Operation
To use the drag operation, the octagonal collimator aperture adjustment hand must be active.
1. Select a point on the image that is over one of the octagonal collimators.
2. Drag the point of interest around until the desire aperture is reached. As you drag, the system will
the collimators in their final position.
DRAG
Click Operation
To use the click operation, the octagonal collimator aperture adjustment hand must be active.
Click on a point and the octagonal collimators will open or close to make the selected point the edge of
the octagonal collimators.
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CLICK
2.1.5 Adjusting the Laser Pointer with Digital System Touch Control
To use drag and click operations, you must activate the laser pointer adjustment buttons in “Tool”.
Drag operation
1. Select the cross mark on the image.
2. Drag that point to the required position. The laser pointer will be displayed at a new position on
the screen in accordance with the drag operation.
3. Release your finger from the mouse button or touch panel. The digital system will display the laser
pointer at the final position.
DRAG
Laser pointer
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Click operation
When you click on a point, the cross mark will move to that point.
CLICK
Laser pointer
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3. Acquiring Images
Whenever fluoro images are being acquired, this icon will be displayed in the lower
right corner of the Main Image Screen.
3.1 IBS
The IBS (image brightness stabilization) function automatically adjusts the fluoroscopy conditions to
obtain the appropriate image brightness.
Select this function from the IBS Type pull-down menu in the APR window with the left foot switch, or
from the Image Control window.
There are the following five possibilities for IBS.
Manual IBS is OFF

IBS1 IBS is ON.
IBS2 The size of the area within which image brightness is detected differs.
IBS3 The size ranking is: IBS1 > IBS2 > IBS3.
DIBS IBS is ON.
This is a special method that lessens the influences of the position of the
subject, the collimator, and direct X-ray. It is suited to the radiography of
comparatively small areas such as a hand or foot.
IBS1 IBS2
IBS3 DIBS
Image brightness detection range
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3.2 Fluoro Noise Reduction

Select time domain fluoroscopy noise reduction as the APR setting. The integration can be set from the
left foot switch APR window or the Image Control window.
Left Foot Switch APR screen
[Integration]
Select the desired level of Integration before applying radiation since the level of filtering reflects the
amount of noise reduction during the real-time display, thus affecting the resolution of the stored image.
Recursive refers to the system’s ability to apply noise reduction to current frame as well as frame (s)
prior to it.
“Motion Correction” means adjusting changes in contrast in successive frames in accordance with
detected motion. The integration level is reduced in line with the size of the change in contrast. If the
change is large, the integration level is similarly large. If it is small, the integration level is small.
The Integration setting is not adjustable for images after they are acquired.
Click on down arrow to select the Integration Level from list of available options as shown in table
to the left.
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Integration can also be changed in the Image Control screen. When Integration is changed in this
dialog, the change overrides the APR settings and is applied to the next acquired images, not the
reviewed image. Integration cannot be changed for a reviewed image.
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3.3 Fluoro Loop

This feature allows acquisition and storage of multi-frame sequences of fluoro images (acquisition rate
=3.75, 7.5, 15, 30 frames per second). The maximum size for a Fluoro Loop sequence is dependent on
the size of the system’s memory.
When the maximum number of images is reached, new images begin replacing the oldest images (i.e.
wrap-around).
To activate the feature, check the box for [Fluoro Loop] on Left Foot Switch APR screen.
Images acquired in a fluoro loop can be played and stopped by operations from the image processing
box. For details see Section D 5.2 “Sequence Replay”.
Unless sequences acquired by using this method are manually archived in the local database, they will
be purely temporary. The next fluoroscopy irradiation will overwrite the previous sequence in the
memory. Only one sequence at a time can be saved in the memory.
Do NOT attempt to acquire a new Fluoro Loop while the current one is being saved. Once
the function is complete, the icon will disappear and a new Fluoro Loop can be acquired
While the system stores the Loop of images to the database, an icon will be displayed.
（Store Loop in Process Icon）
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3.4 Acquisition Last Image Hold (LIH)

Fluoroscopy last image hold (LIH) refers to the image displayed on the live monitor on completion of
fluoroscopy.
3.4.1 Store Fluoro LIH to Local Database

The fluoroscopy LIH image cannot be saved in the system database unless automatic LIH storage is
selected for the APR. This feature provides the capability to selectively store LIH images to the
system’s database.
A thumbnail will be created for each image stored.
There are two types of thumbnails – the Reference Image thumbnails and the Main Image
Display (MID) thumbnails (which are displayed along with the thumbnail tree on the Main
Image Screen).
For details, see Section D “Thumbnails”.
1. Click the Store Image button in the Standard Control box.
2. The LIH image is transferred to the local database.

3. A thumbnail for this image is added to the end of the list for the current study.
The Store Image button will not work for fluoroscopy LIH images and acquisition images
that have already been saved.
3.4.2 Display to Reference Image thumbnails
Use the Save to Reference Image button on the Standard Control box from the Standard/Main
Dialog.
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4. Programmable Sequences
Selecting a Programmable Sequence for image acquisition will automatically control the acquisition
rate and the time (in seconds) at which images are acquired. The system can be configured to radiate
for a specified number of seconds and then pause for a specified number of seconds after the left foot
switch is pressed.
4.1 Create New Programmable Sequence

If the FKey bar is not open, touch or click the [FKey On/Off] button.
From the FKey bar, click [Prog. Sequences] button to activate programmable sequences. The
Programmable Sequences screen will be displayed.
1. Left-click on [New] button.
2. Enter the Sequence Title in the text box.
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3. Click on the Phase to be edited.

4. Double-click on [0 fps] in [Rate] column – in line with the Phase selected.
5. The fps drop-down menu will be displayed (fps = frames/second). Click on the desired acquisition
rate.
6. Click on the 0 in the [Time] column – in line with the Phase selected.
7. Enter the number of seconds to acquire at the specified rate.
8. Click on the [Save] button to save the sequence settings. Optionally, click on the [Cancel] button at
any time to clear the current settings.
9. The Edit Programmable Sequence menu is closed, and the Set-up Programmable Sequences
window is displayed with the new sequence added to the list.
10. Click the [Exit] button to close the Programmable Sequences window.
Programmable Sequence Selection Screen
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4.2 Edit Existing Programmable Sequence

If the FKey bar is not open, touch or click the [FKey On/Off ] button.
From the FKey bar, click [Prog. Sequences] button to activate Programmable sequences. The
Programmable Sequences screen will be displayed.
Programmable Sequences screen
1. Left click on the sequence to be edited.

2. Left click on the [Edit] button. The Edit Programmable Sequence menu is displayed.
Current settings for highlighted sequence.
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The sequence can be deleted by highlighting and clicking on the button.
3. Edit the Sequence Title if necessary.
Edit Programmable Sequence Screen
4. Double left click on the Rate drop-down list to change the acquisition rate for any phase.
5. Enter the number of seconds to acquire in the Time box.
Click on the Reset button at any time to clear all of the settings.
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6. Click on the [Save] button to save the sequence settings.

7. The Edit Programmable Sequence menu is closed, and the Programmable Sequences window
displayed showing any changes.
8. Click on the [Exit] button, and the Programmable Sequence window is closed.
4.3 Executing Program Sequences

Created program sequences can be selected in “Acquisition rate” under “Right Foot Switch” in the APR
window.
On selecting the program sequence and depressing the right foot switch, acquisition will be performed
for the time determined by the set rate.
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4.3.1 Combined Use of a Program Sequence and the Injector

When acquisition is performed after both selecting a program sequence at [Acquisition rate] and turning
the injector on, even if values other than zero are set for the injector delay and exposure delay these
values are ignored and are processed as if they were zero. The start signal is output to the injector at the
same time as the first frame (mask image) is acquired, and acquisition is performed in accordance with
the specified program sequence.
If you want to set a delay after acquisition of the first frame, set a program sequence like the one below.
Example: Setting a 5-second delay after acquisition of the first frame
１１
4
In this case the total time accounted for by the first and second phases (i.e. 5 seconds) acts as the delay
after acquisition of the first frame, and following that the third phase is executed.
No delay can be set after the acquisition of the first frame, when the injector start signal is
output. If you need to set such a delay, use the delay function provided by the injector itself.
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Table of Contents
Introduction ...................................................................................................................... D-3
1. Thumbnails ................................................................................................................ D-3

1.1 Select an Image ............................................................................................................................D-4
1.2 MID Thumbnail Function Keys ......................................................................................................D-5
2. Reference Image Display........................................................................................... D-8

2.1 Save Image to Reference .............................................................................................................D-8
3. ShotSave™.............................................................................................................. D-10
4. Sequence Title Edit .................................................................................................. D-11

4.1 Create a New Predefined Sequence Title...................................................................................D-13
4.2 Selection from Sequence Title Library ........................................................................................D-14
4.3 Sequence Title Edit – Thumbnail Function Toolbar.....................................................................D-14
5. Image Process Box.................................................................................................. D-15

5.1 Changing Sequence....................................................................................................................D-16
5.2 Sequence Replay ........................................................................................................................D-17
5.3 Edge Enhancement.....................................................................................................................D-18
5.4 Invert Image Polarity ...................................................................................................................D-20
5.5 Back to As Acquired ....................................................................................................................D-21
5.6 Horizontal/Vertical Reverse.........................................................................................................D-22
5.7 Zoom ...........................................................................................................................................D-23
5.8 Image Brightness/Contrast/Gamma............................................................................................D-24
5.9 Real-Time Mask Subtraction .......................................................................................................D-26
5.10 Landmarking................................................................................................................................D-28
5.11 Reregistration ..............................................................................................................................D-29
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6. Cursor Control Box Image Processing Features...................................................... D-30

6.1 Annotations .................................................................................................................................D-31
6.1.1 New Text Annotation .......................................................................................................D-32
6.1.2 New Pointer Annotation ..................................................................................................D-33
6.1.3 New Text and Pointer Annotations ..................................................................................D-34
6.1.4 Predefined Annotations...................................................................................................D-35
6.1.5 Change/Delete/Move Text Annotations...........................................................................D-38
6.1.6 Change/Delete/Move Text and Pointer ...........................................................................D-42
6.1.7 Change/Delete/Move Pointers........................................................................................D-43
6.1.8 Moving Text and Pointer .................................................................................................D-44
6.2 Electronic Shutters ......................................................................................................................D-46
6.2.1 Manual Positioning of Electronic Shutters ......................................................................D-46
6.3 Reregistration ..............................................................................................................................D-47
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Introduction
After patient images have been acquired, review the images and apply processing features. Processing
features selected will be applied only to the image currently shown on the Function Control screen.
Applied processing features can be saved with the image and will be shown each time the image is
displayed. When images are exported to a DICOM print device, DICOM network or printer, the
processing features may be applied and saved with the image data.
1. Thumbnails
Thumbnails can be displayed on the Control Room Display monitor whenever a patient file is open for
Review or Acquire. To display Thumbnails, select the T-Nail button on the Function Control
screen.
Thumbnail button
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A thumbnail image for each sequence in a study is displayed in the Main Image Display area of the
Reference Monitor. Additionally, the Study/Series tree will also be displayed on the left side of the
screen, replacing the function buttons.
Thumbnail button
Using the thumbnail procedure/series tree, you can select the procedure, series or sequence to be
reviewed. Since the image processing function cannot be used in this mode, use the thumbnail function
keys.
The thumbnail image display mode incorporates the sequence mode and the frame mode. In the
sequence mode, all the images representative of sequences within the procedure are displayed. In the
frame mode, all of the frames in the selected sequence are displayed. You can switch between these
modes using the button and button. If no image is displayed on screen 1, use the
frame page transition button.
1.1 Select an Image

To select an image or sequence from the MID Thumbnails, touch or left click on a thumbnail. The
image or sequence will be displayed in the image display area on the Primary Monitor.
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1.2 MID Thumbnail Function Keys

Any time thumbnails are displayed on the Function Control screen, a series of related functions can be
accessed through the Thumbnail Function Keys at the bottom of the screen. The function keys operate
on the frame or sequence currently selected in the thumbnail view.
[User Manual]
Select to display sub-menu for selection of User Manual by section.
[Delete Sequence]
This feature allows an entire sequence to be marked for deletion. In order to delete a sequence, the
pointer cursor must be active and the sequence thumbnails displayed.
From Thumbnail Function Keys, select [Delete Sequence].
A Delete “icon” will appear as a “D” in the lower left corner of the thumbnail as well as in the lower
right corner of the image in the Function Control display area.
On the thumbnail display screen

When the patient file is closed, a warning window will be displayed asking for confirmation of the
delete sequence operation.
Read the descriptions for each button and then make selection.
This is the only confirmation that is displayed for deleting images. Once images have been
deleted by selecting the Yes button in the Warning screen, images can no longer be retrieved.
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[Undelete Sequence]
Reverses Delete Sequence action, removing D from the thumbnail.
[Print Sequence]
Touch or single click to print sequence. The Configure Expose Settings window will be displayed.
For details, see Section E “Printing Images”.
[Shotsave Sequence]
During image review, the current image can be saved to a separate file called a ShotSave™ file. Images
can be marked as ShotSave™ images in order to create a sub-set of images within a patient file for
convenient review, printing or transfer.
ShotSave™ images remain as part of the patient file and are not deleted or moved from their original
storage spot within the file.
1. Touch or single click [ShotSave Sequence] to ShotSave the entire sequence into ShotSave folder as
a single thumbnail.
2. The selected sequence will be saved to the ShotSave folder and the number on the ShotSave Folder
button will increase to reflect the addition of the new sequence.
3. The image representing the sequence will be marked with an S in the lower left corner of the
thumbnail and all frames in the sequence will be marked with an S in the lower left corner of the
image on the screen.
ShotSave can also be accomplished by using the ShotSave button (for details, see 3 “ShotSave” in
this Section).
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[Archive Sequence]
Sends entire sequence to specified destination – either DICOM network or Media. The Archive
Destination window will be displayed.
DICOM _ Server
For details, see Section F 2 “Exporting Files”.
[Rename Sequence]
Touch or single click to change the name of the current sequence. The Change Sequence Name
window will be displayed. Make necessary changes and then touch or single click [OK] to process
change.
[Exit]
Press to close the patient file and end system operation as part of the normal shutdown procedure.
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2. Reference Image Display

Up to fourteen (14) images may be stored as Reference images in the Reference Image Thumbnail list.
Additional stored images may also be sent to the Reference Display from the Primary Display, Display,
but those images will then overwrite the oldest thumbnail position.
The Reference Image Thumbnails will operate in a queue fashion; the oldest Reference image will be
replaced when queue is full.
2.1 Save Image to Reference

There are two ways to save an image displayed on the Primary Display to the Reference Image display.
Manual Save
An image that is being displayed on the Primary Display may be moved to the Reference Image Display,
by electing Save to Reference on the Function Control screen. An image is also added to the
reference list.
LIH to Reference
The LIH to Reference feature transfers each LIH image to the Reference Display when the next
acquisition begins. To select, position cursor over the box to the left of the text and single left click.
This feature will be configured in the APR General screen. A check mark will appear in the box and
this feature will be enabled.
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Reference Image thumbnails are displayed when the Save to Reference button is pressed. The
Reference Image Thumbnails will be displayed on the left side of the screen.
Function control screen where reference image thumbnails are displayed
Up to fourteen (14) images may be stored as Reference images in the Reference Image Thumbnail list.
Additional stored images may also be sent to the Reference Display from the Primary Display, Display,
but those images will then overwrite the oldest thumbnail position.
The Reference Image Thumbnails will operate in a queue fashion; the oldest Reference image will be
replaced when queue is full.
The fluoroscopy images saved in the reference image thumbnail list are not stored on disk.
This means that when the patient file is closed the images saved in the thumbnail list are lost
and cannot be displayed again. If you plan to view a fluoroscopy image after closing the
patient file, save the image on disk by selecting the button.
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3. ShotSave™
During image review, the current image can be saved to a separate file called a ShotSave™ file. Images
can be marked as ShotSave™ images in order to create a sub-set of images within a patient file for
convenient review, printing or transfer.
ShotSave™ images remain as part of the patient file and are not deleted or moved from their original
storage spot within the file.
ShotSave™ images maintain any processing settings applied. Images can be marked for ShotSave™ as
follows.
How to use the “Shotsave” button
1. Click on the “ShotSave” button in the Function Control Screen.
2. The current on-screen image will be saved to the ShotSave folder.
3. The number on the ShotSave Folder button will increase to reflect the addition of the new image.
The particular frame will be marked with an S in the lower left corner of the thumbnail and all
images in the sequence will be marked with an S in the lower left corner of the image on the
Function Control screen.
4. To collectively shotsave all of the frames in a sequence, use the [Shotsave sequence] thumbnail
function key.
The shotsave images are saved in the shotsave folder. You can delete the saved shotsaved
images. However, images processing operations (edge, W/L changes) cannot be performed
on these images.
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4. Sequence Title Edit

To change the title of an existing sequence:
1. Select [Patient] List button and the Patient List screen will be displayed
2. Use cursor to highlight the desired patient file and then left click.
3. Select the Edit button. The Patient Information screen will be displayed.
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4. Select the desired Sequence in the Studies/Series window.
Screen changes to allow sequence title to be changed.
5. Enter new title in Description box and then click [Save] to save changes.
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4.1 Create a New Predefined Sequence Title

To add a sequence title that can be added to a list of predefined sequence titles for easy selection later:
1. From the Sequence Information screen, Select [Configure Sequence Titles].
The Predefined Sequence Titles screen will be displayed.
Predefined Sequence Title Dialog Box
2. Enter the name for the sequence, then click the button.
3. Repeat step #2 to add other Sequence Titles.
4. Click to store the new sequence titles and exit from the screen.
To delete a Predefined title from the list, highlight the title and then click [Delete].
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4.2 Selection from Sequence Title Library

To select a title from the Sequence Title Library:
1. Click down arrow to view available titles next to the Description box.
Sequence Information Screen

2. Highlight the title to be selected.
3. Click [Save] to save selection or [Cancel] to revert to previous title.
4. When complete, click [Close] to change title and exit dialog.
4.3 Sequence Title Edit – Thumbnail Function Toolbar

A sequence can quickly be renamed directly from the Thumbnail Function Toolbar.
1. Select [Rename Sequence] to change the name of the current sequence. The Change Sequence
Name window will be displayed. Make necessary changes and then touch or single click [OK] to
process change.
2. Enter revised sequence title, then click [OK].

3. The sequence name will be changed immediately.
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5. Image Process Box

Image processing features are applied to images displayed on the primary monitor. This includes LIH
images, which are transferred to the Reference Display when the next acquisition begins (see Section C
3 “Acquisition Last Image Hold”). Also included are previously acquired images selected via the
thumbnails. Image processing feature buttons are located on the Image Process Box.
A number of important image processing features are accessed through the Image Process box.
[Image processing function] button

Click to display the image processing box.
Image Process Box
M516-E013 D-15
The image processing box is displayed in the same way in a corner of the screen.
Function Control Screen with Reference Image Thumbnails/Image Processing Box
5.1 Changing Sequence

To move to the next sequence in the patient file, left click the Down-Arrow. This button will allow
single clicks even if held down.
To move to the previous sequence, left-click the Up-Arrow button. This button will only allow single
clicks even if held down.
Button for Button for moving

moving to the to the previous
next sequence sequence
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5.2 Sequence Replay

You can replay a sequence as required by clicking the appropriate arrow button.
• The image processing settings for replayed sequences are selected based on the configuration of the
APR Settings.
• For DSA and Roadmap sequences, the image processing settings include subtraction and mask
frame.
The Image Process Box contains controls for selecting Sequence Replay features including
• Replay Reverse
• Frame Reverse
• Replay Pause
• Frame Forward
• Replay Forward
• Replay Rate
Replay Rate is accessed by using the slider control.
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5.3 Edge Enhancement

Edge Enhancement is a digital image-processing filter that is used to make pictures look sharper than
they really are. An outline is added to foreground objects so that they stand out from the background.
The system offers five levels of Edge Enhancement.
• None
• Level 1
• Level 2
• Level 3
• Level 4
Fluoro and Spot images have separate edge settings.
Select the button from Image Process Box for required level of Edge Enhancement.
Edge Enhancement Button
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To change the setting:

1. Select the button multiple times to cycle through the available settings.
2. The image display will be changed instantly as the edge setting is changed.
3. A number on the Edge Enhancement button will indicate the level of Edge Enhancement applied.
Example applying to level 1 edge enhancement
Edge enhancement changes will only be applied to the sequence currently being viewed.
If the edge enhancement is changed while fluoroscopy is in progress or the fluoroscopy LIH image is
being displayed, that change is carried over to subsequent fluoroscopic imaging. Edge enhancement
changes that relate to acquisition images under review are carried over to the next acquisition and other
acquisition image reviews. The value set in the APR is used as edge enhancement level for the next
review.
When a sequence is displayed for the first time after acquisition, the acquisition setting is set
as the default edge setting. However, if the sequence to be displayed is a shotsave
sequence, this rule does not apply and the edge setting used during shotsave creation is set
as the default.
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5.4 Invert Image Polarity

The Invert Button changes the polarity of an image from a positive image to a negative image or from
negative to positive.
Select this button from the Image Process box to invert image polarity.
Invert Button
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5.5 Back to As Acquired

Select this button to apply the default acquired settings.
After acquisition, all the image processing that was applied is automatically cancelled and the status
when acquired is restored.
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5.6 Horizontal/Vertical Reverse

Use the Horizontal/Vertical Reverse buttons to flip the image in either direction. The changes will not
change the default acquire H or V Reverse.
Horizontal/Vertical Reverse button
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5.7 Zoom
The Zoom feature allows magnification of the currently displayed image to twice its size. The center of
the image is shown on the monitor screen. Selecting the button automatically activates the pan function
on the Function Control screen.
Touch or single click the Zoom icon from the Image Process box to enlarge the image. To disable
Zoom function, touch or single click Zoom icon.
Zoom button
Panning
While Zoom is activated, the image on the Primary Monitor is copied to the Function Control screen.
The image on the Primary Monitor is then zoomed. The panning circle is drawn on the Reference
image indicating the area that is being zoomed on the Primary Monitor.
1. Position the cursor on the image on the Function Control screen.
2. Click and hold the left mouse button.
3. Drag the cursor in the direction you want to move.
The pan circle moves on the Reference Monitor and the zoomed image on the Primary monitor shifts
accordingly.
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5.8 Image Brightness/Contrast/Gamma
To adjust the BRIGHTNESS of the image:
1. Click on to display the Image Control Tool screen
2. Use slider to adjust image brightness.
Brightness Slider
Contrast Slider
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To adjust the contrast of the image:
1. Click to display the image control tool window.
2. Use the slider to adjust the image contrast.
To change the gamma:
1. Click to display the image control tool window.
2. Select the appropriate gamma button.
When the brightness, contrast, or gamma of the fluoroscopy image is changed, that change is
carried over to subsequent fluoroscopy images. Changes that relate to acquisition images
under review are not carried over to the next acquisition and other acquisition image reviews.
The value set in the APR is used for the next review.
When the brightness and contrast of an image acquired with AIO ON are changed, AIO is
automatically switched OFF. Press the ON button to return to the image with AIO ON.
Gamma changes are only possible with images displayed with AIO OFF.
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5.9 Real-Time Mask Subtraction

Also referred to as Masking, this feature allows for the subtraction of the current image from a mask
image in order to enhance viewing dye contrast within the vein. The image that is currently displayed
when subtraction is activated will be used as the mask.
There are three different types of masking available.

To Activate Subtraction:
1. Touch or Single click the appropriate Mask button in the Image Process Box with the pointing
device to activate subtraction using the current image as the mask.
2. The button will appear depressed on the screen.
Normal DSA subtraction
No processing is done to the mask image and all images are subtracted in sequence from the
initial mask.
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Blurred Subtraction
One image in the sequence is used as the mask to which the blurred processing is applied.
That image is subtracted from the remaining images in the sequence.
The first image is always used as the mask image in the sequence subtractions. When the first
image is acquired, the blurring is applied to it and this mask image is then used to subtract
subsequence images from it.
RSM-DSA subtraction
The blurred image is generated and then subtracted from itself to create the displayed image.
Landmarking does not applied to RSM-DSA Subtraction.
Deactivate Subtraction
Select this button to remove the mask. The current image will be displayed unsubtracted,
using that image’s default image processing settings.
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5.10 Landmarking
Once the mask button is selected, the Landmarking (%) button will be activated on the screen.
Landmarking allows the selection of the percentage of the mask image that is to be added back into the
subtracted composite image. This will enable the visualization of some background image data for
orientation or other purposes.
To activate Landmarking:
1. Click on Landmarking button on the Image Process Box.
Landmarking button
Click button to cycle through percentages. The current setting will be shown on the button.
Available settings for this feature are:
0% - 10% - 25% - 50% - 100%
The higher the %, the higher the visibility of the mask image.
Landmarking does not applied to RSM-DSA Subtraction.
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5.11 Reregistration
In order to enable pixel shift, select mask subtraction.
Click on button to select 1 Pixel, ½ Pixel, ¼ Pixel or 1/10 pixel size. Label on the button
changes to reflect selection.
Pixel shift operation:

• If a subtracted image is not properly aligned with the mask image, the mask image can be moved in
any direction until aligned. Arrows reregister Mask Image up, down, left or right.
Home Button
• To return the mask to its default position, click the home button.
Reregistration can also be accomplished using the Cursor Tool Box.
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6. Cursor Control Box Image Processing Features

Selecting a different cursor activates additional image processing features. Use to access Annotations,
QCA, Shutters, Measurement Tools and Re-Registration functions.
This section will discuss Annotations, Shutters and Reregistration. See Section G for information about
QCA and Measurement Tools.
To open the Cursor Tool Box, select the cursor button on the Function Control screen.
Cursor button
The Cursor Tool Box will be displayed.
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6.1 Annotations
1. Select the Annotation cursor from the Cursor Tool bar to enter Annotation mode.
The image displayed on the live monitor is displayed on the reference monitor.
Annotation cursor
2. Move cursor into the Main Image area.
3. Cursor will become an A indicating the Annotations feature has been activated and new buttons
will appear at the bottom of the screen
4. The [New Annotation] and [Edit Annotation] buttons are displayed in the function bar of the
function control screen.
5. Select [New Annotations] to display the Annotations sub-menu.
6. Make selection according to specific needs.
The annotation function cannot be used on images that have been reversed horizontally or
vertically.
When an image is printed with the video printer, annotations are not printed.
M516-E013 D-31
6.1.1 New Text Annotation

1. Click to create a new text Annotation.
The <NEW ANNOTATION> text entry box will be displayed.
2. The default text is highlighted. Type new text.
3. When entry is complete, touch or click outside the text box (or hit the [Enter] key) and the new
Annotation will appear on the Function Control screen.
Function Control Screen with Text Annotation
D-32 M516-E013
6.1.2 New Pointer Annotation

1. To add a pointer (arrow), click [New Pointer].
An arrow will be displayed on the Function Control screen.
Reference screen with pointer annotation added
M516-E013 D-33
6.1.3 New Text and Pointer Annotations

New Text and Pointer feature allows for the combination of these separate features into one interactive
Annotation.
1. Click to add a Text and Pointer Annotation.
Both text and an arrow will appear within the Function Control screen.
2. Click outside the area of the Annotation or (hit [Enter]) to save Annotation.
For details on pointer and text annotation, see the following subsections in this Section: 6.1.5
“Change/Delete/Move Text Annotations”, 6.1.6. “Change/Delete/Move Text and Pointer”, 6.1.7.
“Change/Delete/Move Pointers”, 6.1.8 “Moving Text and Pointers”.
D-34 M516-E013
6.1.4 Predefined Annotations

The system offers the options of entering and re-using a set of commonly used Annotations. This saves
the time of creating individual Annotations for marking Left, Right, technician’s initials, etc. Each time
an Annotation is created, it becomes predefined for that application.
There are two ways to enter Predefined Annotations – Using the Annotation Cursor or the FKey Toolbar
menu.
Using Annotation Sub-Menu
1. Select the Annotation cursor from the Cursor Tool bar to enter Annotation mode.
Move cursor into the Main Image area.

2. Cursor will become an A indicating Annotations has been activated.
3. Select the [New Annotations] button in the FKey area to display the Annotations sub-menu.
4. Select [Predefined] from Annotations sub-menu.

5. Select [Configure] to display the Predefined Annotations screen.
Annotation Name Screen
6. Type in the preferred text. This text will also be used to form the list of predefined Annotations.
M516-E013 D-35
7. Select .
8. When the process is complete, select the [Close] button to save the list.
Using Function Control Bar

Predefined Annotations can also be created from the FKey panel at the bottom of the Function Control
screen.
1. Select the button.
The Predefined Annotations screen will be displayed
2. Type in the desired text. This text will also be used to form the list of Predefined Annotations.
3. Select .
4. When the process is complete, select the [Close] button to save the list.
D-36 M516-E013
Using Predefined Annotations

When an Annotation has been added to the list of those predefined, it can be selected for the current
image as follows.
1. From Annotation sub-menu, select [Predefined].
The list will appear.
2. Highlight Annotation to be added and left click.

The Annotation selected will be added to the Function Control Screen and saved with the image
data.
Delete Predefined Annotation

To delete an item:
1. From the list of Predefined Annotations on the Predefined Annotations screen, highlight the
Annotation to be deleted.
2. Select the Delete button. Select [OK] to instantly delete the Annotation from the list.
M516-E013 D-37
6.1.5 Change/Delete/Move Text Annotations

To change annotations:
1. Select the annotation to be changed. Move the mouse cursor A to the location of the annotation to
be changed. The cursor will change to the shape of a hand. Click the left mouse button at this
point.
2. Click the [Edit Annotation] button in the function key area to display the annotation sub-menu.
If the annotation to be changed will not select, a warning message is displayed.

Click [OK] and select the annotation again.
[Delete]
To delete the selected annotation, select [Delete].
A window will appear asking for confirmation of delete request.
• Select [Yes] and the Annotation will be deleted.

• Select [No] and the text will remain in place.
Make appropriate selection. This window will close automatically and the Function Control screen will
be displayed.
D-38 M516-E013
[Edit]
Edit can be used to enter or change existing text annotations.
1. Select [Edit] to display the text entry dialog box.
The existing text is highlighted.

2. Enter the desired text.
3. Touch or click outside the text box or hit [Enter] key to save changed text.
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[Move]
The Text Annotation can be moved to any location within the screen.
To move the annotation at the touch panel:

1. Select the annotation to be moved with your finger.
2. Select [Move] from the annotation sub-menu.
3. While keeping your finger on the annotation, move it to the required position.
Moving annotations with the pointing device:

1. Select the annotation to be moved with a left mouse click.
2. While holding down the left mouse button, move the cursor (hand shaped) to the position where
you want to place the arrow or line.
3. On reaching the correct position, release your finger from the mouse or screen. The new position
of the annotation will be saved.
To quickly move Text Annotations on-screen, place cursor over the annotation and hold down
left mouse or in-room pointing device button. Drag the annotation to required location within
Function Control Screen and then, release the mouse or in-room pointing device button to
relocate the annotation.
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[Font]
Select the Appearance button to display editing options available. The “grayed out” settings indicate
what is active on the annotation being changed.
Example: In menu shown at the left, annotation is set using small, regular (non-italic) font.
[Large Font]
Select the [Large Font] button to change the font of the specified annotation from small to the larger
font (default is the larger font).
[Small Font]
Select the [Small Font] button to change the font of the specified annotation from large to the smaller
font.
[Bold]
Select the [Bold] button to set Bold font for specified annotation.
[Italic]
Select the [Italic] button to italicize the specified annotation.
[Regular]
Select the [Regular] button to disengage Bold lettering.
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6.1.6 Change/Delete/Move Text and Pointer

Use the pointer annotation sub-menu or text annotation sub-menu.
1. Select the text or pointer.
2. Click the [Edit Annotation] button in the function key area to display the annotation sub-menu.
Pointer Annotations Sub-Menu
Text Annotations Sub-Menu

3. Select the appropriate options as required.
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6.1.7 Change/Delete/Move Pointers

Position cursor over the pointer and right click. The Pointer Annotations sub-menu will be displayed.
[Delete]
Select [Delete] to eliminate specific line or arrow. A window will appear asking for confirmation of
delete request.
• Select [Yes] and the arrow or line will be deleted.

• Select [No] and the arrow or line will remain in place.
After the selection is made, this window will close automatically and the Function Control screen will
be displayed.
[Move]
The arrow or line annotation can be moved to any location within the Function Control screen using
either the pointing device or the touch panel. To move using the touch panel, simply select [Move] and
then put your finger over the arrow, moving it to the desired location.
To move the annotation at the touch panel:
1. Select the annotation to be moved with your finger.
3. While keeping your finger on the annotation, move it to the required position.
To move using the pointing device:

1. Select [Move] to activate.
The cursor becomes a hand icon.
3. Click and hold down the left button then move the hand/cursor to the point the arrow/line is to be
located.
M516-E013 D-43
Quickly move Line/Arrow Annotations on-screen by placing cursor over the annotation and
holding down left mouse or in-room pointing device button. Drag the annotation to required
location then release the mouse or in-room pointing device button to relocate the annotation.
To Length or Shorten Arrow:

Use the touch panel:
To lengthen or shorten the arrow using the touch panel, simply select Move and then put your finger
over the arrow, lengthening or shortening it as preferred.
Use the pointing device:

1. Place cursor over either end of the arrow and left click. A box will appear at both ends of the arrow.
2. Hold down the left mouse or in-room pointing device button and drag line to required length.
3. Release the left click button on the mouse or in-room pointing device to save the new arrow length.
6.1.8 Moving Text and Pointer
[move]
Use the touch panel:

The cursor becomes a hand.
2. Position the cursor/hand at the tip of the arrow.
Use the pointing device:

The cursor becomes a hand icon.
D-44 M516-E013
2. Position the cursor/hand at the tip of the arrow.

3. Click and drag the cursor to change the location of the pointer head/arrow the arrow can be pointed
in any direction while the text remains in the same position.
Quickly move Text/ Pointer Annotations on-screen by placing cursor over the annotation and
holding down left mouse or in-room pointing device button. Drag the annotation to required
location then release the mouse or in-room pointing device button to relocate the annotation.
[Line]
Click to change the arrow to a straight line.
[Arrow 1]
Click to return the annotation to the default arrow.
[Arrow 2]
Click to change the current annotation into another arrow.
[Thin]
Select to use a finer line for the arrow.
[Thick]
Select to use a heavier line for the arrow.
M516-E013 D-45
6.2 Electronic Shutters

Each of the four sides of the black area surrounding the image is considered a shutter, and may be
extended to match the exact image area to better view the image.
Shutter settings are applied to the image displayed in the screen as well as hardcopies of the images.
These shutters may be adjusted manually for each image.
6.2.1 Manual Positioning of Electronic Shutters

During image review, manual shutters can be applied to the image; the system will show the manual
shutter settings instead of the automated shutters.
Each side of the black mask that surrounds the image can be adjusted separately.
1. Select the [Shutters] cursor from the Cursor Selection tool bar.
The image on the Primary Monitor is copied/displayed on the Reference Monitor.
Shutters cursor
2. Move the cursor into the image display area on the reference monitor.
3. Drag the shutters from the top, bottom or sides of the image across the area that should not be
covered by the shutters. A box will be drawn on the image as the cursor is dragged.
D-46 M516-E013
6.3 Reregistration
If a subtracted image is not properly aligned with the mask image, the mask image can be moved in any
direction until aligned.
The mask image can be re-registered by selecting the [re-registration] cursor from the Cursor Tool
Box.
Registration cursor
Pixel shift is accomplished with this cursor by moving it across the image displayed on the live monitor
with the mouse.
Move the [re-registration] cursor to any required position on the image, then use a left drag
operation to achieve a pixel shift in the direction of motion of the mouse.
M516-E013 D-47
<NO TEXT>
D-48 M516-E013
Table of Contents
1. Printing an Image....................................................................................................... E-2

1.1 Configure Expose.......................................................................................................................... E-2
1.2 Expose .......................................................................................................................................... E-5
1.3 Eject Film....................................................................................................................................... E-7
2. Print ShotSave Folder................................................................................................ E-8
3. Accessing Print ShotSave........................................................................................ E-10
4. Print Study ................................................................................................................E-11
5. Print ShotSave ......................................................................................................... E-12
6. Configure AutoPrint Features................................................................................... E-13
7. AutoPrint .................................................................................................................. E-14
M516-E013 E-1
1. Printing an Image
The system printer (print destination) can only be one that has been set by Shimadzu service personnel.
Address any queries about adding a system printer or related matters to our service personnel.
Nobody other than our trained service personnel should attempt to execute the service
application functions. Consult the network controller for your jurisdiction.
1.1 Configure Expose
1. Click on the print button .
The Print sub-menu will be displayed.
2. Click on [Configure Expose].

The Configure Print Settings window will appear over the image portion of the screen.
Use this window to change the processing defaults used for printing images.
E-2 M516-E013
[Destination]
Click on down arrow ( ) to display available printers and highlight to select the printer for the
job to be performed.
[Format]
Select the number of images to be printed on each film. To display options, click on the down
arrow ( ). Ranges from 1-on-1 to 12-on- 1.
1 on 1
2 on 1 Vertical
2 on 1 Horizontal
4 on 1
6 on 1
9 on 1
12 on 1
Use up and down arrows within sub-menu to display all available formats.
The print formats that can be specified differ depending on factors including the manufacturer
and model of the connected device.
[Copes]
Enter number of copies (of each image) to be printed or use the up and down arrow keys to
increment to the desired number (100 copies maximum).
[Processing]
Choose which processing features should be used for the printed image.
• [As Reviewed]
Click this button to print with features applied when image was last reviewed.
• [PACE]
Click [PACE] button (Post-Acquisition Copy and Enhance) to select Edge Enhancement and
Contrast for this printing. The [PACE] feature automatically enhances images as they are sent
to the printer.
Clicking on [PACE] button will activate Edge and Polarity buttons. Only when PACE is
activated can changes be made to Edge or Contrast within the Print function.
M516-E013 E-3
[Edge]
Select level of Edge Enhancement by using the down arrow ( ) to display available settings.
Highlight to select.
[Polarity]
Select Polarity by using down arrow ( ) to display available settings. Highlight to select.
When changes have been made, click to save and close Configure Print Settings
window.
E-4 M516-E013
1.2 Expose
To store the image displayed on the screen:
2. Click [Store].
The image is printed with the applied default settings. To change these settings, call up the print
setting window (see 1.1 “Configure Expose” in this Section).
The figures displayed on the print button indicate the printing format and store status. For example,
if the print button indicates , it means that images have been stored for four frames of the
six frames in a film.
3. When images are stored in all the frames, the data is automatically output to a file.
To batch print all the frames in a series:

1. Press the [Print Sequence] button.
The Configure Expose Settings window will be displayed.
M516-E013 E-5
To print from the patient list:
1. Click the patient list button to display the Patient List window.
2. Highlight the appropriate patient file or a specific study.

3. Click the appropriate print button.
Button Function
Print the entire patient file.
Print a specific study.
E-6 M516-E013
1.3 Eject Film

Use this feature to override the format setting and print a sheet with a different number of prints than
what was originally configured.
For example, if the system was configured to print 6-on-1 but only three images have been acquired, the
printer will not print until six images are acquired - even if the Expose button is hit.
1. To eject film, position the cursor over the Print button and touch or left click.
2. Select the [Eject Film] button.

Using this feature will allow for the images that have been acquired to be printed, despite the
Printer Format.
M516-E013 E-7
2. Print ShotSave Folder

The first time [Configure Expose] is used for a sequence or the active frame, a new study called [Print
ShotSave] is created and the image/frame is saved to that study and printed from that folder. The letter
S will appear in the lower right corner of the main image screen to document this action.
Each time an additional study is opened and Configure Expose used, the image/frame will be added to
the existing Print ShotSave Folder.
The current image can be printed during any mode of operation using the [Print] button.
Print Button
E-8 M516-E013
2. Click on [Expose].
The Print ShotSave folder will be created and the image/frame sent to that folder from which it is
printed.
3. An S will appear in the lower right portion of the screen indicating the creation of this folder.
[Print Sequence]
Another method for creating a Shortsave print folder is to use the thumbnail file function keys (Print
Sequence button).
1. Press the [Print Sequence] button.
The Configure Expose Settings window will be displayed.
M516-E013 E-9
3. Accessing Print ShotSave
From the Patient List Screen

The Print ShotSave Folder will appear as part of the directory in the lower portion of the Patient List
screen.
Print ShotSave
folder
Print Study Button
The entire folder can be printed from the Patient List screen by selecting Print Study .
E-10 M516-E013
4. Print Study
1. To print all the images in a study, position the cursor over the Print button and touch
or left click.
2. Select [Print Study].

The Configure Print Settings window will appear.
3. Make appropriate selections (for details see 1.1 “Print Settings” in this Section) and then click
[OK]. The images for the current study will be sent to the printer.
When you select printing of a procedure, the current patient file automatically closes. You
cannot open that file until printing has ended.
M516-E013 E-11
5. Print ShotSave
All the images in the ShotSave file can be quickly printed.
1. To print the ShotSave file images, position the cursor over the Print button and touch
or left click.
2. Select the [Print ShotSave] button.

3. Make appropriate selections (for details see 1.1 “Configure Expose” in this Section) and then click
[OK].
All images in the ShotSave file will be printed.
The images for the current study will be sent to the printer.
E-12 M516-E013
6. Configure AutoPrint Features

When the AutoPrint feature is ON, the system sends each image (for the current patient file only) to the
printer as it is acquired with PACE parameters applied.
Use these instructions to set the parameters that will be used for the images printed using the AutoPrint
feature. (Turning the AutoPrint feature ON/OFF is in the next part 7).
1. To configure AutoPrint features, position the cursor over the Print button and touch or
left click.
2. Select the [Configure AutoPrint] button.

3. Make appropriate selections (for details see 1.1 “Print Settings” in this Section) and then click
[OK]. Turn on AutoPrint (for details, see 7. “AutoPrint” in this Section).
M516-E013 E-13
7. AutoPrint
When the AutoPrint feature is ON, the system sends each image (for the current patient file only) to the
printer with PACE parameters applied (if selected) as the image is acquired.
1. To turn ON the AutoPrint feature, position the cursor over the Print button and touch
or left click.
2. Click on [AutoPrint].
The sub-menu will disappear and AutoPrint will be enabled.
When AutoPrint is enabled, a checkmark (√) will appear.
To check whether or not the AutoPrint function has been enabled, open the print layout sub-
menu and check for the presence or absence of a check mark.
Until this function is disabled, it remains effective in relation to the current patient file. To
disable the function, open the print layout sub-menu and click AutoPrint.
E-14 M516-E013
Section F – Importing & Exporting
Table of Contents
Introduction ...................................................................................................................... F-2
1. Importing Files ........................................................................................................... F-3

1.1 Import From CD............................................................................................................................. F-3
1.2 Status Screen ................................................................................................................................ F-5
2. Exporting Files ........................................................................................................... F-6

2.1 Export to DICOM CD..................................................................................................................... F-6
2.2 Auto DICOM Send......................................................................................................................... F-9
2.3 Manual DICOM Send .................................................................................................................. F-11
2.4 Exporting From Patient List......................................................................................................... F-14
2.5 Exporting from Thumbnail ........................................................................................................... F-16
2.6 Queue Process for Exporting Files ............................................................................................. F-18
2.7 Transfer Status ............................................................................................................................ F-20
M516-013 F-1
Introduction
The imaging system offers several image transfer options providing ample flexibility for patient data
handling.
These features allow both images and patient data to be sent and received between the system and a
DICOM 3.0 compatible network device or a Compact Disk Recorder/Player. The archival of images
prevents loss as well as keeps the system from becoming full. Additionally, networking allows for
images to be retrieved from any station on the network.
You can select for transfer the Shotsave file (if it exists) for the entire patient file, or for a specific
procedure only. When you transfer images, all of the patient data is sent.
The DICOM send functions are options.
F-2 M516-013
1. Importing Files
When images are archived to a separate device (central storage network or CD for example), it is
sometimes necessary to bring back (import) the patient files and images to the imaging system for review
or for comparison with more recent studies.
Images can be imported from a network location using a DICOM network connection or imported
directly from a DICOM CD using the system’s CD drive.
1.1 Import From CD
The system does not provide the capability to review images directly from a DICOM CD. It
does allow you to import the patient file and images to be imported into the local database for
review.
1. At the Function Control screen, click on the Patient List button to display the Patient List screen.
2. Insert the target CD in the drive.
3. At the Patient List screen, click on the tab. A new menu will open (see Figure
below).
2
Import
Buttons
Media Import Screen
M516-013 F-3
4. Select the CD Media device name.

A list of available files/studies/series will be displayed in the corresponding pane of the Media
Import screen.
5. Highlight the Patient, Study, or Series to be imported.
6. Select one of three available import buttons (see chart for descriptions).
Button Action
Transfers entire patient files from source media device
Transfers specific studies from source media device
Transfers specific series from source media device
The Imaging system will import the patient information and images from the CD.
Smith Jones 6679
Media Import Results - Patient File Import
When entering the patient name, do not use a comma between first and last names.
7. Select the [Patient List] tab.

The Patient List will now show the recently imported patient.
F-4 M516-013
1.2 Status Screen

A status screen is available to verify that the operation has been completed successfully or that the import
is still in progress.
1. At the top of the Function Control screen, click on the Status button.
The Status screen will be displayed.

2. At the Status screen, click on the Messages tab.
The Messages screen will be displayed.
This screen will show the status of the import and is updated with each change.
3. When finished, select the [Exit] button to close this window.
If import process fails, try again or contact the site network administrator for assistance.
M516-013 F-5
2. Exporting Files
The system can send patient data and images to a remote device using the DICOM standard. Typically,
data is sent to a DICOM compliant network device such as a remote PC, a storage server, or media device
(CD-RW).
The system can be configured to communicate with multiple devices. Each device must be entered using
the Service Applications mode before files can be exported. Contact your Service Representative if the
device to which you want to export is not listed.
Once a patient file is created and images acquired for that patient, there are several opportunities to export
patient files/studies/images to a remote device. Each is described in the following sections:
• Export to a DICOM CD
• Auto DICOM Send
• Manual DICOM Send
• Send from Patient List
• Export from Thumbnail Image
2.1 Export to DICOM CD
1. At the Function Control screen, click on the Patient List button to open the Patient List.
2. At the Patient List screen, click on the tab to open the Media Export screen.
Media Export Screen
F-6 M516-013
6 7
3. Select the patient file to be exported.

4. Select the study to be exported.
5. From [Select Device] drop-down menu, select device to which you want to export.
6. To include processing features (previously applied to the images, such as Edge, Brightness, Contrast
adjustments, etc.) with the exported images, select the [Process Images] button.
7. To include text annotations or pointers with the exported images, select the [Embed Annotations]
button.
8. Select either the button to export the entire patient file, or select the button to export
the selected study.

A transfer job is created and added to the queue.
M516-013 F-7
The available capacity for the CD will be updated on the screen. In the Figure shown here, the
CD being used is full.
If there is no free space in the destination CD, a warning window is displayed.
You can check the progress of the send job in the transfer window.
9. To lock CD writing, click the button .
When the message indicating that sending has ended appears in the progress status area, the medium is
automatically expelled.
If the writing was done with this button selected, writing to the medium will be prohibited
from the next time.
If there is a possibility that you will want to return images from the destination CD to the system
at a later date, you are recommended to perform the send operation without the [Process
Image] and [Embed Annotations] buttons selected in the Archive Destination window.
F-8 M516-013
2.2 Auto DICOM Send

DICOM Send is a function of transferring patient data and images to a DICOM-compliant device.
Turn this feature ON/OFF for the current patient file by using the following procedure.
1. At the Function Control screen, click on the DICOM Send button.
A short DICOM sub-menu will be displayed.
2. Select [AutoSend]. The archive destination window will be displayed.
DICOM echo to DICOM_Server successful
[Process Image] button: Generates the displayed image

[Embed Annotations] button: Embeds the annotation into the image
M516-013 F-9
3. Select the appropriate destination from the send destination list.

When selecting the send destination, you can check the status of the connection to that destination by
double clicking on it.
4. To send an image together with the processing functions that have previously been applied to it (edge
enhancement, brightness, contrast adjustment, etc.) select the [Process Image] button.
5. To send an image together with the annotation information that has been annexed to it, select the
[Embed Annotations] button.
6. Click the OK button to enable AutoSend. A check mark (√) will appear.
For details on queue processing for file transfer, see 2.6 “Queue Process for Exporting Files“ in
this Section.
For details on the procedure for checking the status of file transfer, see 2.7 “Transfer Status” in
this Section.
Images sent using DICOM are viewed at the send destination with a viewer. For this reason
you are recommended to send images with the [Process Image] button in the Archive
Destination window selected.
F-10 M516-013
2.3 Manual DICOM Send

DICOM Send is a function of transferring patient data and the corresponding images to a
DICOM-compliant device.
Manual DICOM Send refers to the process of selecting a patient file and images to be sent, as opposed to
Auto DICOM Send (for details, see 2.2 “Auto DICOM Send” in the Section).
In order to use this function, a patient file with images must be open and displayed on the Function
Control screen.
1. At the Function Control screen, click on the [DICOM] button.
A short DICOM sub-menu will be displayed.
M516-013 F-11
2. Select either [Send Study] or [Send Shotsave].

Send Study is used to send the entire file for a patient.
Send Shotsave is used to send a Shotsave folder.
The Archive Destination screen will be displayed.
3. Click on the desired Destination from list of those available.

4. To include any processing features previously applied to the images, (such as Edge, Brightness,
Contrast adjustments, etc.) with the exported images, select the [Process Image] button.
5. To include any text annotations or pointers with the exported images, select the Embed Annotations
button.
6. Click on the OK button to send the images.
See part 2.6 of this section for an explanation of how exported files are queued for exporting.
See part 2.7 for instructions on how to check the status of the file transfer.
Once the Manual DICOM Send process is complete, the patient file will be closed.
you are recommended to send images with the [Process Image] button in the Archive
Destination window selected.
F-12 M516-013
M516-013 F-13
2.4 Exporting From Patient List

While at the Patient List, select a specific patient file, study or series to be exported to a specified DICOM
destination.
1. Click on the Patient List button to display the Patient List screen.
2. Highlight the desired patient file - or - highlight a specific study.

3. Click on the desired DICOM Send button.
Button Action
Sends entire Patient file to selected DICOM destination.
Sends specific study to selected DICOM destination.
F-14 M516-013
The Archive Destination screen will be displayed.
DICOM_Server
Archive Destination Screen
4. Click on the preferred Destination from list at this screen.

5. To include processing features previously applied to the images, (such as Edge, Brightness, Contrast
adjustments, etc.) with the exported images, select the [Process Image] button.
button.
7. Click on the OK button to export the images.
See part 2.6 of this section for an explanation of how exported files are queued for exporting.
See part 2.7 following here for instructions on how to check the status of the file transfer.
M516-013 F-15
2.5 Exporting from Thumbnail

You can send an image sequence directly from the image thumbnail to the DICOM send destination.
In order to perform this function, a patient file with images must be open.
1. Left-click on the Thumbnail representing the sequence you want to export.
A box will appear around the Thumbnail indicating it is selected.
2. Select the Archive Sequence Function key .
DICOM_Server
Archive Destination window

3. Click on the desired Destination from list at this screen.
4. To include processing features previously applied to the images, (such as Edge, Brightness, Contrast
adjustments, etc.) with the exported images, select the [Process Image] button.
F-16 M516-013
button.
6. Click on the OK button to export the images.
See part 2.6 for an explanation of how exported files are queued for sending.
See part 2.7 for instructions on how to check the status of the file export.
you are recommended to send images with the [Process Image] button in the archive
destination window selected.
If there is a possibility that you will want to return images from the destination CD to the system
at a later date, you are recommended to perform the send operation without the [Process
Image] and [Embed Annotations] buttons selected in the archive destination window.
M516-013 F-17
2.6 Queue Process for Exporting Files

Each export request is handled separately. The system takes each export request in the order the request
was made and puts them in a queue (an ordered list).
When an export request comes to the head of the queue a temporary folder is created on the hard drive that
contains all the necessary DICOM information including: the image data, the patient data, and the
DICOM “XA” or “RF” modality type. This helps protect the original file/image data.
As images are written to the temporary folder, status messages indicating the progress are shown on the
Status screen. When all of the data for that patient file has been written to the temporary folder the
contents of that folder is then exported to the selected remote DICOM device.
Again, status messages indicating the progress are shown on the Status screen.
Typical messages
When a patient file is being transferred to a server:
DICOM DICOM_Server Kyoto Hanako 4097 Transfer in progress
F-18 M516-013
When a job has been stopped:
DICOM DICOM_Server Kyoto Hanako 4097 Suspended
Suspends the job

Abort
Deletes the jobs in the queue

Delete
Stops the jobs in the queue

Inactivate
Executes jobs that were stopped

Resubmit
Moves a job to the head of the queue

Move to head
Closes the Status window

Exit
M516-013 F-19
2.7 Transfer Status

A Status Messages screen is available from the Function Control screen.
1. At the Function Control screen, click on the Status button.
The Status screen will be displayed.

2. At the Status screen, click on the Messages tab.
The Messages screen will be displayed (see Figure that follows).
Transfer operation status
Message Screen
This screen will show the exact status of the current transfer operation and is updated with each
change.
3. When transfer is complete, select the [Exit] button to close this window.
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Table of Contents
1. Measurement Functions ............................................................................................G-2
1.1 Calibration .........................................................................................................................G-4
1.1.1 Set up Calibration .............................................................................................................G-4

1.1.2 Delete Calibration .............................................................................................................G-5
1.1.3 Delete All Measurements ..................................................................................................G-6
1.2 Length Measure ................................................................................................................G-6
1.2.1 Set-up Length Measure ....................................................................................................G-6

1.2.2 Delete Measurement.........................................................................................................G-7
1.3 Distance Measure .............................................................................................................G-8
1.3.1 Set-up Distance Measure .................................................................................................G-8

1.3.2 Edit Measurement.............................................................................................................G-9
1.4 Angular Measure ............................................................................................................G-10
1.4.1 Set up Angular Measure .................................................................................................G-10

1.4.2 Moving Angle Measurement ...........................................................................................G-11
1.4.3 Delete Angular Measurement .........................................................................................G-11
1.5 Save Image With Measurements as Photo-File .............................................................G-12
1.6 Exit Measurement Tools ..................................................................................................G-12
2. QCA Processing ............................................................................................. G-13
M516-013 G-1
1. Measurement Functions
The system, offers a selection of measurement tools that can be applied to an image and used for reference.
Please note that these measurements are approximate and should be used for reference estimate only.
Also, in order to get the most accurate measurements, calibration must be done prior to the application
of a measurement. When using annotation, see Section D 6.1 “Annotations”.
Do not drag the measurement tool bar into the main image area when setting up any
measurement function.
In order to access this feature, a patient file must be open for review.
1. Left click to display Cursor Tool Bar.
G-2 M516-013
2. Click on the measurements cursor.
Measurements cursor
The Measurement tool bar will be displayed.
3. Each button will activate a specific measurement tool.

Refer to individual sections for details on using each tool.
Length, Distance, Angular and Calibration functions can be done simultaneously.
The [edit] (or [delete]) button can be used at any time the Measurement Tool Bar is active and
there are measurements on the screen but it will cause all measurements indicated on the
screen to be deleted.
Key to Measurement Tool Buttons
Calibrate
Length Measurement
Distance Measurement
Angular Measurement
M516-013 G-3
Photo-file icon
Eraser
Exit Measurement Function
1.1 Calibration
Prior to using Length and/or distance measure, use this button to calibrate against a standard catheter
length or other known marker.
Calibration must be performed for each sequence on which a measurement is to be

performed. The calibration persists only as long as the sequence is active.
For details on the procedure for calibration, see 1.1.1 “Set up Calibration” in this Section.
1.1.1 Set up Calibration
1. Click on the Calibration button.
The cursor will change to calipers when over the image area.
2. Left-click and release the mouse at the point at which the measurement is to be started, then move
the cursor.
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3. Left-click when the cursor is positioned at the point at which the measurement is to end.
A line will be drawn and the Calibrate dialog box will be displayed.
Calibration Dialog Box

4. Choose the catheter size by selecting from the drop-down menu, and then click the OK button.
The length of the line will be displayed with the correct calibration units.
Line Created Using Calibration Button
1.1.2 Delete Calibration

To delete only the calibration setting:
1. Right-click on either of the end points (dots) of the line.
The [Delete] button will be displayed.
2. Click the [Delete] button to delete calibration entirely.
M516-013 G-5
1.1.3 Delete All Measurements
1. To delete the line completely, use the eraser ( ).
A confirmation dialog box will be displayed.
2. Select [Yes] to delete all measurements displayed on screen.

Select [No] to cancel delete function.
1.2 Length Measure
Use Length Measure to perform a quick length measurement on an image. The length measurement is
temporary. Other than using photofile, there are no means other than manual annotation to record the
measurement for later review.
For details on the distance measurement function, see 1.3 “Distance Measure ”.
The tool must be calibrated for each sequence on which a measurement is to be performed,
and the calibration persists only as long as the sequence is active. If calibration has not been
done, the following message will be displayed when a measurement is attempted.
1.2.1 Set-up Length Measure

1. Calibrate the image (follow instructions in part 1.1 “Calibration”) and then click on the Length
Measure button .
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Length Measure button

The cursor will change to a small ruler when over the image area.
2. Left-click and release the mouse at the point at which the measurement is to be started. Then move
the cursor. A line will be “stretched” across the screen to indicate distance covered.
If you want to change the position of the start point, you can do so by right-clicking the mouse.
3. Left-click the mouse when the cursor is over the point where the measurement is to end.
A line will be drawn and text will indicate the length of the line in the correct units and that the
correct calibration setting is used.
Line Created Using Length Measure Button
1.2.2 Delete Measurement

To delete an individual measurement setting (not all measurements):
1. Right-click on either of the end points (dots) on the line.
2. Left click the [Delete] button.

The measurement will be deleted.
To delete all measurement settings, see 1.1.3 “Delete All Measurements” in this Section.
M516-013 G-7
1.3 Distance Measure
Use Distance Measure to quickly perform a quick multi-segment distance measurement on an image.
The tool must be calibrated for each sequence on which a measurement is performed, and the
calibration persists only as the sequence is active.
The length measurement is temporary. Other than using photofile, there are no means other than
manual annotation to record the measurement for later review.
1.3.1 Set-up Distance Measure

1. Calibrate the image (follow instructions in part 1.1 “Calibration”) and then click on the Length
Measure button .
Length Measure button
2. The cursor will change to a small ruler when over the image area.
3. Left-click and release the mouse at the point at which the measurement is to be started and then
move the cursor.
A line will be stretched across the screen to indicate distance covered.
4. Left click the mouse when at a break point in the measurement.
5. Repeat Step 3 and 4, moving the mouse to the next break point and left click.
6. If necessary you can add one or more break points. You can cancel the immediately preceding
break point by right-clicking.
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7. Double-click to end the distance measure and final measurement.

Reference Figure below for a sample distance measurement.
Line Created Using Distance Measure Button
1.3.2 Edit Measurement

To edit a line on the distance measurement:
1. Right-click on any of the end points (dots) on the line.
The [Edit/Delete] button will be displayed.
2. Click on the [Edit] button.

The line will become “live” and can be reset as required.
To delete measurement settings, see 1.2.2 “Delete Measurement” in this Section.
M516-013 G-9
1.4 Angular Measure
Use Angular Measure to perform a quick angular measurement on an image.
The angular measurement is temporary. There is no means other than manual annotation to record the
measurement for later review.
1.4.1 Set up Angular Measure
1. Click on the Angular Measure button .
The cursor will change to a small protractor symbol .
Angular Measure Button
2. Left-click on the X-axis of the angle to be measured.

A dot is placed at the point where the mouse was clicked.
3. Left-click on the Y-axis of the angle to be measured.
A dot is placed at the point where the mouse was clicked and a line is drawn connecting the two
dots.
4. Move the mouse to the vertex of the angle and left click.
The angle will be drawn and the size of the angle displayed.
G-10 M516-013
Line Created Using Angular Measure Button
1.4.2 Moving Angle Measurement

To move the text indicating the angle measurement:
1. Position the cursor over any portion of the text.
2. While holding down the left mouse button, move the text to the desired location on the screen.
While the text is being moved, the angle will be highlighted.
3. When the text is properly positioned, release the left mouse button.
The angle will no longer be highlighted.
1.4.3 Delete Angular Measurement

To delete an individual angular measurement setting (not all measurements):
1. Right-click on either of the end points (dots) on the line.
2. Left click the [Delete] button.

The measurement will be deleted.
To delete all measurement settings, see 1.1.3 “Delete All Measurements” in this Section.
M516-013 G-11
1.5 Save Image With Measurements as Photo-File
This feature allows for annotated images to be captured and added to patient for future review, printing
or export.
This is the only way to save the Measurements and Lines drawn on an image.
1. After entering all measurements, but before exiting measurement mode, click on the [Photo-File]
button .
Photo-File Button
A snapshot is made of the image that includes all measurements and markings.
The image is saved to the Thumbnail display as a new sequence for future review, printing or export.
If the shutter is used for images to which measuring tools have been applied, measuring
results drawn beyond the shutter range cannot be printed or displayed on the transfer image.
1.6 Exit Measurement Tools
Click this button to exit from the Measurement tool function.
All measurements will be deleted and the Measurement tool bar will disappear.
G-12 M516-013
2. QCA Processing
The system, offers an optional software feature that allows for the measurement of the size of the vessel
in order to determine the width and length of the stenosis. Using the catheter as a calibration reference,
an accurate measurement can be made of the size of the vessel in order to determine the size of the
balloon or stent to be used.
1. To access, click on the QCA cursor in the Cursor Control Box.
QCA Cursor
The Stenosis Analysis Control box will appear.
Stenosis Analysis Control Box
M516-013 G-13
[Calibrate]
Calibrating the system involves the definition of the outer boundaries of a known diameter. It is
important that the calibration be performed accurately, since this procedure allows the system to assign
a millimeter value to the “width” of each pixel of the image. This allows for accurate measurements.
1. Select the [Calibrate] button.
2. Use the pointing device to position the cursor near either side edge of the item to be used to
calibrate the system.
3. Click and hold the left button on the pointing device.
4. Drag the cursor across the width of the item. As the cursor is moved, a line is shown on the screen.
5. Release the pointing device button when the line shown on the screen spans the width of the item
(it can also go beyond the edge of the item).
The screen will change as follows:
• The Edge Detection Profile - Calibrate menu will appear over the image
• The portion of the line drawn in step 4, which covers the item (as detected by the system) will
become shaded.
• The default calibration value will appear on the image. This value will be updated once the
actual value for the item’s size is set.
If necessary, the Edge Detection Profile window can be selected and moved so that it does not cover the
portion of the image of interest.
Edge Detection Profile - Calibrate
• The darker shaded area of this screen represents the width of the item as detected by the system.
• The Size field defaults to French mode, size 6.00 (= 2.00 mm).
• The two vertical lines represent the edge points of the item as detected by the system.
• The graphical line represents the pixel brightness values for each point along the line as drawn in
step 4 above.
G-14 M516-013
6. To adjust the edge points for the calibration item, select & drag either of the small square boxes
found on the vertical lines in the graph until they represent the preferred edges of the calibration
item.
7. Select the desired calibration mode: either French or Millimeters.
8. Change the numerical value for the item’s size by highlighting the Size field and typing in the
correct number. The defaults are French mode, size 6.
9. Select the OK button to accept the entries as they appear in the menu.
The calibration value will remain valid until either the patient file is closed, or the system is recalibrated.
The calibration will remain valid through different images and different runs of the same patient file.
Upon exiting the Stenosis feature, the system will return to the default calibration value of French size.
[Length]
1. Click on Length button.
The cursor becomes a cross hair.
2. Position the cursor at the starting point along the centerline of the vessel.
4. Drag the cursor along the path of the centerline area of the vessel.
5. When the cursor is at the last desired point, release and double click the left mouse button.
The system will automatically calculate a vessel boundary starting at approximately the first
control point and ending approximately at the last control point.
6. Double-click the left mouse button to check that all the desired points are entered.
The value will then be displayed on the screen next to the line.
M516-013 G-15
[Size]
This function allows the measurement of the width of any place along the vessel, or a length of balloon
needed for a particular lesion.
1. Select the Size button from the menu portion of the screen.
2. Use the pointing device to position the cursor at the edge of the vessel area to be measured.
4. Drag the cursor to the other side of the vessel (the line beyond the vessel edge can be extended).
As the cursor is moved, a line is shown on the screen.
5. Release the pointing device button when the line shown on the screen spans the width of the vessel.
The Edge Detection Profile - Size menu will appear over the image.
The size of the vessel, based on the calibration performed earlier, is given on the image and in the
menu window. If necessary, the boundaries of the vessel can be changed by selecting either of the
small squares on the vertical lines shown in the graph. These lines represent the end points for the
vessel area based on the line drawn in step 4.
6. Select the OK button to close this window.
The measurement value and line will remain on the screen.
G-16 M516-013
[Reference]
This option allows the size of a normal part of the vessel to be quickly established. This value will be
used as a reference for a normal vessel size when calculating percent stenosis values.
1. Select the Reference button.
2. Position the cursor at the edge of the vessel section to be used as a reference measurement.
4. Drag the cursor to the other edge of the vessel.
5. Release the pointing device button when the line shown on the screen accurately spans the width of
the vessel. The Edge Detection Profile - Reference menu will appear over the image.
The size of the vessel, based on the calibration performed earlier, is given both on the image and in
the Reference window. If necessary, the boundaries of the item can be changed by selecting either
of the small squares on the vertical lines shown in the graph. These lines represent the end points
for the vessel as drawn in step 4.
M516-013 G-17
[Occlusion]
This option allows the size of an occluded vessel to be quickly established. This will be used as the
value for the stenotic region of the vessel when calculating the percent stenosis values.
1. Select the Occlusion button.
2. Use the pointing device to position the cursor at the edge of the occlusion to be measured.
4. Drag the cursor to the other edge of the occluded vessel.
5. The size of the occlusion, based on the calibration performed earlier, is given both on the image
and in the Occlusion window. If necessary, the boundaries of the item can be changed by selecting
either of the small squares on the vertical lines shown in the graph. These lines represent the end
points for the occluded vessel as drawn in step 4.
G-18 M516-013
[Auto]
• If there is already a vessel boundary present, it will be cleared from the display.
• The cursor will be changed to a crosshair indicating the system is ready.
• There are two different ways of entering centerline points:
Draw Line:
Position the cursor at the starting point along the centerline of the vessel, and click-and-hold the
left button on the mouse (or other pointing device). Then move the cursor along the path of the
centerline area of the vessel. When the cursor is at the last desired point, release then double-click
the left mouse button. The system will then automatically calculate a vessel boundary starting at
approximately the first control point and ending at the approximately the last control point.
Position Points:
Position the cursor in the starting point, and click the left button on the mouse. This will set the
starting point for the centerline measurement. Then, move the cursor to the next desired point
along the centerline of vessel, and click the mouse button again. A line will appear connecting each
point, as it is set. Any number of points can be entered (minimum = two). When the last point has
been set, double-click the left mouse button. The system will automatically identify the edges of
the vessel and calculate the occlusion information.
After setting the final point and double-clicking the left mouse button, a warning window may be
displayed. If this happens, click the [OK] button and set the point again.
Clicking the right mouse button will erase the last entered point.
For either type of entry, once done the vessel profile (detected edges) will be drawn on the screen. The
system will then automatically display the Stenosis Measurement Results window.
To manually adjust the vessel limits and the Stenosis position in the same manner as with the old
version of the feature (select [Edit Boundary] button, then point and drag a point to the desired location).
[Manual]
This option allows the edges of the entire vessel lesion area of interest to be traced. The system then
uses these boundaries to calculate the percent and actual measurements (if calibrated) of the region of
interest.
M516-013 G-19
1. Click the Calibrate button and perform calibration.

2. Select the [Manual Boundary] button. If it is not shown on the screen, select the Stenosis option
from the cursor pull-down list (bottom right corner of image display).
3. To begin the trace of the first edge of the vessel, move the cursor to the desired starting position.
This sets the starting point for the trace.
5. Drag the center of the cursor along the vessel outline. The pointing device button can be clicked to
set fixed points along the vessel’s edge, but this is not necessary.
As the cursor is moved, a line will extend from the last point set to the position of the cursor.
6. Double click the pointing device button when the tracing of the first vessel edge is complete. The
vessel trace and the cursor remain on the screen.
7. Repeat steps 1- 4 to trace the opposite edge of the vessel.
The Stenosis Measurement Results window will appear when the pointing device button is double-
clicked to set the last point (see Figure below).
The graph represents the distance between the vessel edges. The vertical lines represent the width of
the vessel at both ends and the minimum width found within the vessel trace. The end points define the
area of the vessel used for the calculations shown in this window.
If necessary, the position of any of the lines shown on the graph can be changed by selecting the small
square on the vertical line and repositioning it. The measurement values will be automatically updated
as any one of the lines is moved.
G-20 M516-013
[Edit]
Use this button to make adjustments to trace points along the vessel, manually adjust the stenosis
position or vessel limits.
To adjust the trace points along the vessel:
1. Select the OK button in the results window and then select the Edit button.
The two traces will be highlighted by numerous connection points.
2. Use the cursor to select and reposition any of these points in either of the edge traces.
2. When the edge traces are set, select the [Edit] button again to accept the changes.
The connection points will disappear.
4. To view the stenosis measurements using the changed edges, select the [Show Data] button.
[Show Data]
Select this feature button to display the results for any stenosis measurements functions recently
performed. This window can be moved on the image screen by selecting the title bar and dragging it to
a different area on the screen.
The vessel diameter graph represents the distance between the vessel edges. This is only available if
the manual boundary process was performed.
Two of the three vertical lines represent the edges of the vessel, and the third indicates the minimum
width within the traced area of the vessel. All three lines are adjustable. As the minimum distance line
is moved, the stenosis indicator shown on the image is moved accordingly, and the data within this
screen is recalculated.
M516-013 G-21
Vessel Results: These measurements are based on the vessel edge traces entered during the
manual boundary procedure.
Diameter Stenosis: Percentage difference between the minimum diameter and the maximum
diameter of the vessel.
% Area Reduction: Percentage difference in cylindrical areas using diameter values from the
Reference and Occlusion measurements.
[Reset]
Removes all measurements from the screen.
[Save]
Saves measurements made.
The saved data can be viewed from the thumbnail tree. The sequence name is QCA analysis.
For details on thumbnails, see Section D1 “Thumbnails”.

[Done]
Closes QCA screen and returns the Standard Control box.
On selecting the Done button, the warning window below is displayed.
To end stenosis analysis, select [Yes]. To cancel quitting, select [No].
G-22 M516-013

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Document No.

Surgical Mobile C-arm Imaging System WHA-200

Image Processing Section

Please read this document carefully.

Using This Manual

• The manual is organized into sections by related features and functions.

Manual Table Of Contents

Introduction/Product & Safety Information

A: System Overview & User Controls

F: Patient Data Import & Export

About the symbols appearing in this operation manual

States the information, which helps to use the system correctly.

1. Operator Input............................................................................................................ A-2

1.2 Touch Screen (Opution) ................................................................................................................ A-2

1.3 Pointing Device ............................................................................................................................. A-2

1.5 Live Monitor................................................................................................................................... A-6

1.6 FKey .............................................................................................................................................. A-8

1.7 Thumbnails.................................................................................................................................. A-10

1.8 Function Keys in Thumbnail Mode.............................................................................................. A-10

1.9 Buttons and Sliders ..................................................................................................................... A-13

1.10 Cursors........................................................................................................................................ A-14

1.11 Tool Tips ...................................................................................................................................... A-16

2. On-Line Manuals...................................................................................................... A-17

1.1 Keyboard Functions

1.2 Touch Screen (Opution)

1.3 Pointing Device

1.4 Graphical User Interface (GUI)/ Function Control Screen

The Function Control Screen is displayed on the

Image Display Area

Function Control Screen

Create Reference Image – Up to fourteen (14) images may be stored as

Print Layout Sub-Menu

Cursor Control – The Graphic Interface almost always uses a cursor – a

DICOM Send – DICOM Send is a function of transferring patient data and

Thumbnail Tree Display – Touch or single click to display thumbnails as

Turn FKeys On or Off – Touch or single click to access to a set of

1.5 Live Monitor

Information displayed on the screen during fluoroscopy image acquisition:

Information displayed on the screen during Acquired image acquisition:

Function Control Screen with FKey Enabled

1.8 Function Keys in Thumbnail Mode

Reverses Delete Sequence action, removing “D” from the thumbnail.

Reference Section E “Printing Images” for more details on Print operation.

Refer to Section F “Importing & Exporting” for more detail.

1.9 Buttons and Sliders

Sample Controls and Buttons

Image Processing Buttons

You are recommended to use the mouse to control slider operations.

The Cursor Tool Box will be displayed.

Cursor Tool Box

• See the list that follows for full descriptions.

Restoring Standard Cursor

Touch or single click to revert to standard cursor.

Manually applying or adjusting shutters

Measurement Functions on an image

1.11 Tool Tips

Show the patient list

2.1 Accessing the Online User Manual

Click to display desired section of interest.

Click here to open Bookmark section

Getting Started................................................................................................................. B-2

1. Power Up ................................................................................................................... B-2

1.2 APR Functions .............................................................................................................................. B-4