SECTION A

Introduction

This section provides an overview of the DROC system. A description and illustration of
the system components which might be connected is included, as well as a description of
possible output devices and image acquisition workflow.

CONTENTS

SECTION A INTRODUCTION ............................................................................................................. 1

INTRODUCTION ......................................................................................................................................... 2
COMPATIBLE DEVICES .............................................................................................................................. 3
OPERATIONS PERFORMED ......................................................................................................................... 3
Standard Functions .............................................................................................................................. 3
Optional features and modules ............................................................................................................ 5
IMAGE ACQUISITION WORKFLOW ............................................................................................................ 5
ADDITIONAL WORKFLOW OPERATIONS .................................................................................................... 6

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Introduction

Introduction

The DROC is the user interface application of the Digital Radiography System. New patient
creation/Worklist retrieving, exposure control, image optimization and data transmitting are
accomplished at the DROC. The DROC also provides the control functions responsible for
synchronizing the ready states of the Detector and the X-ray equipment.

The DROC is composed of following components:

 DROC software
 E-COM dongle
 Exposure Synchronizing Device

In practice, the necessary devices which collaborate with DROC to make them an entire
DR system for actual operation MIGHT involve:

 PC with monitor, keyboard, pointing device (mouse or trackball), and modem (optional).
 Uninterruptible power supply (UPS) is extremely recommended to ensure the uninterruptible
power for the DROC
 Detector
 Prep/Exposure switch
 Bar Code Reader(optional); supports a Hospital Information System/Radiology Information
System (HIS/RIS) interface
 X-ray high frequency generator
 Automatically collimator
 Auto-positioning supporting system

The recommend PC hardware for DROC, anyway, Industry Computer is seriously

recommended to improve the system stability.

 CPU ≥P4 2.6G

 Memory ≥1024MB
 HD ≥80GB
 One monitor supporting 1280*1024 resolution & true color (24 or 32bit)- for standard version.
 Separate Monitor adepter card which supported Direct Draw 7.0
 At least 1 serial port
 OS: Windows XP/ Windows7

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Compatible Devices

 Trixell Pixium 4600;

 Trixell Pixium Portable 3543;
 Varian Paxsan 4343R;
 DRTECH FDXD 810/1417 panel;
 DRTECH FLAATZ 750;
 CPI Indico 100 Series Generator;
 Sedecal H.F. Generator;
 Shimadzu Generator;
 Suinsa Generator;
 Provotec Generator;
 EMD Generator.

NOTE: Though DROC has the ability to be compatible with various X-ray devices and Detectors, the
compatible models will be fixed according personalized requirements before leaving factory.

Operations Performed

There are many operations that you can perform at the DROC. Table 1 lists standard
functions, and where to find more information about each.

NOTE: Due to the DROC program is always working with unfixable x-ray devices and Detectors, there
will be some differences on the GUI and operation. All the differences will be described when
following sections going on.

Standard Functions

Table 1: DROC System Standard Functions

From the DROC, you can For more information

Add a new patient to the system, and enter information about Refer to Section B
the patient and physician that will be associated with the
radiographic images.

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Emergency Registration Refer to Section B

Edit existing patient information. Refer to Section B

Pick from a selection of procedures, which defines the series of Refer to Section B
images to be taken.

Associate a unique ID number for the current visit by the patient Refer to Section B
(e.g., a visit or accession number).

Delete an item from Worklist table Refer to Section B

Adjust technique settings before capturing Refer to Section C

Capture the required X-ray image. Refer to Section B

Preview the image, accept or reject it, then attach comments or Refer to Section B
rejection reasons to the image. (Accepted images are sent to
the selected output destinations.)

Save an incomplete procedure, for which the rest of the Refer to Section B
exposures will be made at a later time.

Close a procedure when all images have been captured. Refer to Section B

Power down the system Refer to Section B

Review History images Refer to Section C

Re-exam a completed patient Refer to Section D

Resend and reprint images. Refer to Section D

Protect patient records from being deleted by the system (as part Refer to Section D
of the system's storage space reclamation).

Delete an examined Study with all images being captured Refer to Section D

Edit user accounts Refer to Section E

Edit Emergency Settings Refer to Section E

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Check statistical information Refer to Section E

Image QC Refer to Section E

Image stitching Refer to Section F

Optional features and modules

 DICOM WORKLIST feature

 DICOM MPPS feature
 Film Composer
 SymphonyTM for DROC
 Stitching for DROC
 Grid suppression for DROC
 Dual Energy Imaging for DROC

Image Acquisition Workflow

The Basic image acquisition workflow has following steps:

1. Get patient information

The start of the workflow depends on whether your site is using a bar code reader to
scan a patient ID or an accession number.

If your site is using patient ID or accession number bar codes, each patient’s image
acquisition session starts when you scan a patient ID or accession number bar code.

Then:

 If your site supports a connection to a Hospital Information System, Radiology Information

System, or other remote patient database, the DROC application queries that database for
the ID.
 If your site does not support such a remote database connection, the DROC application
searches its local database for the patient ID or accession number. (Patients and related
patient/visit information are kept temporarily (the time interval to save is defined by
configuration). The storage space availability limited the saving interval of that information as
well. )

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 If it finds the ID, the DROC application “opens” that patient in the application’s main window.

If your site is not using bar codes, each patient’s image acquisition starts by:

 Searching for and selecting an existing patient who has recently been X-rayed, if that patient's
record is still stored in the application's local database.
 If the patient is not in the local database, manually specifying the patient and related
patient/visit information.

2. Select an acquisition procedure. The procedure defines the number and types of patient views
to be captured. In the DROC application, a procedure is also referred to as a study or serials.

3. Capture an image. Before capturing an image, you can change the technique settings for the
exposure.

4. After taking an exposure, preview the image on the DROC monitor and accept or reject it.

5. Select the output device destinations for the images.

When you finished (or pause) a procedure, the image accepted in the procedure are sent
to the output destinations. The image identification information—patient name/ID,
accession number, and study ID—is sent with the image to the specified output devices.
It can then be printed on the film, or displayed at an image viewing workstation that
supports displaying such information, or stored with the image on an archiving system.

Additional Workflow Operations

In addition to the basic workflow described previously, the DROC provides the following
optional workflow operations:

 You can open multiple procedures (studies or serials) for a patient.

 To help you understand the patient/procedure (study or serials)/image hierarchy, see Figure 1.

Because images and patient information are temporarily stored on the system for days
until expired (you can set the span for expiration), you can search by either patient ID or
accession number to:

 Capture extra images for a completed study which still existed in the Worklist form
 Recall a history study to reprocess the image and save as a new one
 Recall a history study to resend images that were previously acquired

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Patient

Procedure Procedure Procedure

(Study or Serials) (Study or Serials) (Study or Serials)

Image Image Image

Figure 1: Hierarchy of Patient/ Procedure (Study or Serials)/ Image

NOTE: A study is equivalent to a procedure. For serials, there are two different conditions: one is that it
is correspondent to one image, and a study contains one or multiple serials; the other is that a
serial is equivalent to a study (procedure), so one serial contains one or multiple images.
These conditions can be both accommodated by changing system configuration.

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