Tims Dicom 09-18-09a

TIMS INSTALLATION Training Course
FORESIGHT IMAGING
TIMS
TECHNICAL TRAINING
Goals & Objectives Overview of Course

• Introduction
• Understand how to install a TIMS System • What is TIMS?
• TIMS Kit Contents
• Optimize for site workflow • Computer Connections
• Network Configuration
• Train users for TIMS operation • Video Connections
• Auto-SYNC
• Train administrator for basic TIMS • TIMS Configuration
configuration •
•
Workflow Optimization
Training Users & Administrators
• Post Install
• Support, RMAs, WebEx
• Advanced Configurations
• Troubleshooting
July 22-23, 2008 1

What is TIMS? TIMS Products

• DICOM Conversion box • TIMS 2000 – static & streaming capture
– DICOM receive, print, archive, push
• Extends usefulness of old equipment – Streaming (Cine) capture
– Single image capture
• Convert’s Modalities’ analog video output
• TIMS 1000 – static capture
to DICOM digital – DICOM receive, print, archive , push
• TIMS features include analog capture, – Single image capture only
• TIMS 500 – static capture
DICOM to PACS push, DICOM print,
– DICOM receive, print , push
archive CD/ DVD & worklist query – Single image capture only
• TIMS can replace VCR tape (Slower processor, less memory, no CD/DVD)
TIMS Kit Contents TIMS Install Overview

TIMS 2000, 1000 & 500 Kits include: • TIMS is a conversion unit between the
• TIMS Windows XP SP2 based Computer: video output of the modality and the
• Pre-loaded & licensed with TIMS software DICOM digital network.
• One universal analog capture board installed • A video & (optionally) a trigger feed are
• Keyboard & mouse
routed to TIMS from the modality
• Input cable kit • TIMS is then configured to the PACS
DICOM network, (or standalone CD/DVD
• Trigger connector adaptor
archiving)
July 22-23, 2008 2

TIMS Install Overview Pre-install Site Survey

• Installation is “Simple” but “Detailed” • Preview site requirements
• Site requirements document
• Five Major Steps • Installation request form
– PC Connections • End user information form
• Determine TIMS usage
– Network Connections & Configuration • Determine video connections
– Video Connections & Configuration • Determine PACS information
• Determine DICOM print information
– TIMS Configuration - Channel
• Determine DMWL information
– PACS Configuration • Determine Contact information
• Determine Network information
TIMS DICOM System Computer TIMS DICOM System Computer
July 22-23, 2008 3

Computer Connections Network Configuration

• Standard PC connections • Standard windows XP settings
• Information supplied by site IT
• Auto-switching external power supply • Set TIMS computer name
• AC Power Cord - US, Europe, or UK • Set TIMS static IP address
• Keyboard & mouse • Set DOMAIN name
• Add network user if required
• Network RJ45 10/100/1000 • TIMS user must have local
• Monitor & Cable – Supplied by Reseller system administrator rights
(or, optionally ordered via Foresight) • Connect to jack closest to Audio
TIMS DICOM System TIMS Video Cables

• Common set of cables & adapters for most Mono
& Color video sources are included in kit
• Usually only one cable of the kit is used
• LCD / Monitor & Cables are Reseller supplied
- Optional from Foresight -
• Video & Trigger feeds supplied by Site or Reseller
• Video Splitter – Optional from Foresight
July 22-23, 2008 4

AccuStream ‘A’ series AccuStream 205a

• AccuStream 205a - Analog only to 205 MHz
- (1600x1200x70), Monochrome, RGB, HDTV
analog, S-Video & composite color.
• AccuStream 75a - 75 MHz pixel clock
- VGA 1024x768x60 or HDTV 1080i30
- NTSC & PAL color
• AccuStream 50a - 50 MHz Pixel clock
- VGA 800x600x60, or HDTV 640p
- NTSC & PAL color
TIMS Video Input TIMS Video Connections

• Determine “Type” & “Location” of Modality • Connect to auxiliary video output of modality if
output video (Most common is monochrome) available or split off control room monitor
• Determine Type of Connector & Cable • Video output jack will vary between modalities
– Monochrome (DVI cable input) • If no auxiliary output, an optional Video Splitter is
– RGB - 3 Wire - (DVI cable input) RGsB required
– RGB - 4 Wire - (DVI cable input) RGBs - Do NOT use a T-connector for splitting video!
– RGB - 5 Wire - (cable input) RGBHV (Acceptable to use ‘T’ to split trigger signal)
– S-Video NTSC or PAL 4 Pin DIN - (SDTV input)
– NTSC or PAL - BNC - (SDTV input)
July 22-23, 2008 5

TIMS Video Connections Optional Video Splitter

• Output of equipment determines connection
• For color, if multiple outputs are available:
– RGB results in best quality – DVI input
– S-Video is second best – SDTV 4-DIN input
– Composite video is lowest quality – SDTV
BNC input
Optional Video Splitter Video Splitter Block Diagram

• One in, two out for up to five channels
• Supports RGBHV, RGBs, RGsB, Mono, S-video,
composite video, one in, two out
• Adapters available for different connectors
• BNC connectors: # 012007-200
(Splitter & power only)
• VGA adapter for splitter: #013000-112
• SUN adapter for splitter: #013000-104
• MAC adapter for splitter: #013000-111
• Splitter power supply is universal 110-220 volts
July 22-23, 2008 6

Video Connections - Monochrome Video Connections - RGB

TIMS 2000, 1000 & 500 • Sync connections are the same as Mono
• DVI to 5 BNC Cable 030093, Male
• If composite video, • Connect Red, Green & Blue of modality to
Connect composite video output of modality to the Red, Green & Blue input of DVI input cable
‘GREEN’ input lead of the TIMS DVI input cable
• If separate composite sync & video, • Maximum video input voltage +2.0 volts
Video out to green lead of DVI cable peak to peak (PTP)
Composite sync to Gray Comp/H-Sync DVI cable
• Trigger Connector adapter p/n 030123
• If Separate H & V sync lines
Horizontal Sync to Gray H-Sync line of DVI cable • Maximum trigger input voltage +5 volts
Vertical Sync to Black V-Sync line of DVI cable
TIMS Video Input Cables TIMS Cables

• SDTV Standard TV input (NTSC & PAL) • Miscellaneous Cables
– Cable #030102 - S-Video – 030107 Network Cable
– Cable #030103 - BNC for Composite Video
– Cable #030110 - RCA Phono Cable for VCR
– Cable #030052 - RCA to BNC Adapter
July 22-23, 2008 7

Auto-SYNC Auto-SYNC
• Auto-SYNC Session • Foresight strength
• Allows us to configure to ANY modality
• Creates video configurations files for use in
TIMS
• Automatically measures and defines video
parameters
• Auto-SYNC Procedure different between
SDTV & Analog RGB / Monochrome
Define CHP file Auto-SYNC

• Common Hardware Profile • Automated configuration to any modality
• Text File that describes video parameters
• Analog input, use Auto-SYNC to create and adjust • Automated, often perfect
CHP files • May require adjustments in some cases
• Auto-SYNC a standalone application on TIMS
System
• CHP files located at:
c:\program files\foresight\idea\chp
• SDTV – Use predefined CHP files
- Use Auto-SYNC to tune & adjust parameters
July 22-23, 2008 8

Video Parameters Auto-SYNC - Input Pattern

‘A’ = Video Amplitude
‘B’ = Sync Amplitude
• Some non-black at edges
‘C’ = Blanking • Sharp transitions – text or patterns
‘D’ = Front Porch
‘E’ = Back Porch • Some pure white portions
• Some pure black portions
• Static images, no motion
Auto-SYNC - Tips Auto-SYNC - Tips

• Ensure viewing device is in calibration • Select FILE, NEW, pull down AccuStream (serial number
of board and slot are displayed), EXPRESS
– Aspect ratio • Select mode: SDTV for standard NTSC & PAL inputs, use
– Brightness & contrast DVI-Analog for Monochrome or RGB.
• Select cable: normally DVI to VGA (5 BNC)
• When in doubt, use the Auto-SYNC wizard • Select Color type: RGB or Monochrome
and follow the tips • Upon completion, enter unique file name
• When possible invoke calibration image on • Log file shows progress and information
• Use CHP name in TIMS channel configuration
modality • Auto-SYNC & TIMS cannot be open at the same time
July 22-23, 2008 9

Auto-SYNC Screen View Auto-SYNC Screen View
Auto-SYNC Screen View Auto-SYNC Screen View
July 22-23, 2008 10

Auto-SYNC Screen View
Auto-SYNC Tips
• To alter aspect ratio: run Auto-SYNC filter:
Auto-SYNC - Tips – Htotal Horizontal Parameters

• Circles concentric
• Squares “square”
• Text even and consistent across line
• Adjust aspect ratio via Htotal
• Increase HTOTAL widens image
• Decrease HTOTAL narrows image
• Use histogram with a text screen
July 22-23, 2008 11

Auto-SYNC Tips – Aspect Ratio Auto-SYNC Tips – Aspect Ratio
Auto-SYNC Tips - Lines Auto-SYNC Tips - Lines
July 22-23, 2008 12

HTotal – Too Large HTotal – Too Small
Auto-SYNC Tips - HTotal Auto-SYNC - Tips

• Eliminate fuzzy line to line deviation
• Adjust phase delay
• Fine tune adjustment
• Centers pixel clock sampling
July 22-23, 2008 13

Auto-SYNC Tips - HTotal Phase Adjustments
Auto-SYNC Tips - Phase Auto-SYNC - Tips - Framing

• Adjust left edge with HBS
• Increase HBS moves image to left
• Decrease HBS moves image to right
• Use to clip left side of image
• Use to define horizontal AOI position
July 22-23, 2008 14

Auto-SYNC - Tips - Framing Auto-SYNC - Tips - Framing

• Adjust right edge with width
• Increase width increases right edge
• Decrease width decreases left edge
• Use to clip right side of image
• Use to define horizontal size of AOI
Auto-SYNC - Tips - Framing Auto-SYNC - Tips - Framing

• Adjust top edge with VBP
• Increase VBP moves image up
• Decrease VBP moves image to down
• Use to clip top of image
• Use to define vertical AOI position
July 22-23, 2008 15

Auto-SYNC Screen View
Contrast / Brightness
• Pixel Reader in “Full Window” mode
• Histogram in “Quad Window”
• Adjust Black Level for “Blackness””
• Adjust Gain to “Whiteness”
• Insure black level / gain not “clipped”
Auto-SYNC - Tips - Misc Auto-SYNC - Tips - Misc

• Advanced Menu View • One frame is one screen of visible data
• A frame of data contains visible & non displayed
• Flagging at top of image information, image blanking & synchronization
– Block Sync source • Interlaced signals are comprised of an ‘ODD’ &
‘EVEN’ field of separate ODD & EVEN lines
– Select Vertical Sync Type = Block
• Two fields comprise a frame.
• Fields “jagged’ in interlaced image • Non-Interlaced, also called “progressive scan” is
– Select Field Polarity = “Odd Field Up” one frame of sequential lines.
• Fields must be paired properly and ‘ordered”
properly
July 22-23, 2008 16

Auto-SYNC -Non-Interlaced Auto-SYNC Tips - Interlaced

• Adjust parameters manually for optimum image
• Check captured image for sharp black & white
transitions, good contrast, proper aspect ratio of
squares & circles
• If no CHP generated, Review Log file session for
information
• If errors, send log file, CHP file & image BMP to
Foresight for analysis
July 22-23, 2008 17


• Run Autosync as normal in EXPRESS mode, then zip up & email all the Include a BMP capture of the artifact, the LOG & the resultant CHP file:
newly created the “ASB” mode files to Support@fi-llc.com.
Auto-SYNC for SDTV Auto-SYNC - Tips

• Uses pre-defined parameters SDTV default CHP files:
• Use Wizard for step by step configuration • A205_NTSC_SV1_default.CHP for standard color s-video
(also know as Y/C)
• Select NTSC, PAL, S-video or Composite • A205_NTSC_C1_default.CHP for standard composite color
input • A205_PAL_SV1_default.CHP for standard European s-video
• A205_PAL_C1_default.CHP for standard European color
composite
July 22-23, 2008 18

Glossary Glossary
• Htotal (in Pixels) • Horizontal Back Sync- HBS (in Pixels)
– Total # of pixels per line – Counts from leading edge of H-Sync to Active
– Determines sample clock rate video
– Determines Aspect ratio – Includes H-Sync & H-Back Porch
• Phase Delay - (in nanoseconds) • Width (in Pixels)
– Shift of pixel clock position (phase) – Counts from end of HBS value
– Determines # of pixels captured
Glossary TIMS Configuration

• Vertical Back Porch - VBP (in Lines)
– Counts from trailing edge of vertical sync to
Active video
• TIMS Configuration Session
• Height (in Lines)
– Counts from end of VBP value
– Determines # of lines captured
July 22-23, 2008 19

TIMS Configuration TIMS Configuration (Cont.)

• Channel configuration • Toolbar configuration
– Define capture board & CHP file • Preferences
– Set DICOM class configuration • Security settings
– Define compression type
• DICOM receive setup (advanced)
• DICOM send destination setup / SCP
• Scanner input (advanced)
• DMWL setup
• TIMS Licensing (advanced)
• DICOM printer setup
TIMS Channel Configuration TIMS Channel Configuration

• Channel Configuration is critical
• Associates analog modality input (via CHP
file to DICOM digital out)
• Channels are virtual
– Same modality with different parameters
possible
– Names are arbitrary (no spaces or symbols)
– Space bar = underscore
July 22-23, 2008 20

TIMS Channel Configuration TIMS Channel Configuration

• Accessed from “Configure” menu • AccuStream 205a Analog input RGB & Monochrome
• Channels – Installer created CHP file via Auto-SYNC
– Default password = “admin” – C:\program files\foresight\idea\chp is CHP file directory
– “Add” to add channels – For monochrome, Select “GRAY_8”
– Channel name is arbitrary
– Choose DICOM modality • AccuStream 205a SDTV input:
– In “Images”, select “Video Capture” – Channel = SV1 or C1,
– Select Board, Channel, CHP file – Default SVideo CHP file = A205_NTSC_SV1 or
– In DICOM menu, set to minimum required tags A205_PAL_SV1.CHP
– Select ‘File Save Options’, select Compression – Default Composite CHP file = A205_NTSC_C1 or
– Set default channel A205_PAL_C1.CHP
– Save Channel – Or Installer tuned CHP file.
DICOM Channel Configuration TIMS Compression Settings

• Select DICOM tab • Lossy
– Compresses file sizes from 10:1 to 100:1
• Select modality – ’16’ – ’18’ good quality / size compromise
– Tip: start with required tags only • Lossless
– Add tags as required – 3:1 compression
• Select Meta File Headers (typically use defaults) – Excellent Quality, but large file size
• File Load Options (typically use defaults) • None
– Excellent Quality
• File Save Options – Very large file size
– Select Image photometric, bits per pixel – May limit real-time frame rates
– Use “Monochrome2” for monochrome channel / source • Run Length Encoding – Not normally used
– Select Compression • Compression type is per channel,
– Meta header, VR, and transfer syntax, use defaults • Rate Settings are global for all channels
July 22-23, 2008 21

TIMS Compression Settings DICOM Send Configuration

• No Compression • Set send AE title
– Record With Offset Tables – Default
– Record Without Offset Tables • Set send IP Address
Use if images are ‘slanted’ viewing in PACS system • Set send Port
– Record Lossless then Convert
Has best frame capture rate but slower operation • Set Query IP Address – normally same
• Frame Decimation • Set Query Port - normally same
– Reduces data size
– Reduces real-time data
– Reduces data transfer time
DICOM Work List Configuration Test Configuration

• Requests patient information from Worklist • Query Worklist server (New Study)
server • Capture streams & stills
• Patient information sent from server to • Send to PACS
TIMS • Optionally, Print & Archive to CD/DVD
• Set AE title
• Set IP Address
• Set Port
July 22-23, 2008 22

Post Installation Post Installation - continued

• Delete all unused TIMS channels • Set security preferences
• Configure One-Click Send if applicable
– Automatically, Save, Send & Close
• Calibrate touch screen monitor (if applicable)
– Suppress “save” warnings in “Warnings” preferences • Run ConfigDump.exe in TIMS directory
– Select: “Save before Send” in “Send / Receive” preferences • Zip TIMS directory
– Select: “Close after Send” in “Send / Receive” preferences
– Select the predefined “AutoSave” destination in “Auto Send” menu
C:\program files\foresight\TIMS\*.*
– Select: “Show live Preview with new Study” in “General” preferences • Zip CHP directory
• Hide unused TIMS icons on toolbar c:\program files\foresight\idea\chp\*.*
– Double-Click on Toolbar to Configure Send setup files to Foresight for replacement re-
– Select Reset to restore Icons. configuration
• Re-order, and/or edit ‘Body Parts’ selection • Train Users & Administrators
• Lock capture mode if applicable
TIMS User Workflow TIMS User Site Training

• Acquisition can be in real time or post processed • Review workflow requirements
• Create study (New study) • Demonstrate:
• Enter patient data (manually or DMWL) – Entering patient data
• Preview video window – Acquiring images
• Snap (single frame) or stream (multi frame) – Sending images
images – Printing images
• Save images to study, close study, open file menu – Archiving images
• Select study, then, send, burn CD/DVD, or print • Support
(or all three operations)
July 22-23, 2008 23

TIMS Administrator Training TIMS Security Settings

• Set Security & TIMS access rights • Major TIMS settings and functions can be
• Configure Compression Settings protected with administrator level and user
• Set Frame rate decimation level passwords
• Deleting studies • Configuration & Security settings menu
• Deleting log files • For global TIMS security access, Windows
• Standard Windows backup procedures screen saver can be password protected
• Standard PC check disk, disk cleanup & de-
fragmentation procedures
TIMS Security Settings TIMS Support

• Most TIMS functions • Reseller can be first line support, Foresight second
can be password line support
protected • Or, End-User customers can contact Foresight
directly – Defined by Reseller
• Can be: Administrator • Users can contact Foresight via email, phone
only • Factory repair / replacement warranty
• Administrator & User • Maintenance agreement covers downloadable
• No Protection software upgrades
• Always backup studies and send study to PACS
prior to upgrades
July 22-23, 2008 24

Foresight Support Contact TIMS Information

• Study is comprised of a series of images or a number of series of
• Support & RMA images
• Series are comprised of a frame or multiple frames of images.
– TIMS Support HOT Line 978 458-4624 x204,
tims_support@tims.com, • Individual views within a series are an Instance
• A view is a window on the TIMS desktop
support@tims.com, • Each view can be a single frame or a number of frames
support@fi-llc.com, • Each new view can be a new series, or, a continuation of the previous
(all equivalent) series
• TIMS Warranty - 1 year parts • Single frame snaps and streaming captures can be mixed in the same
view, series & study
– Depot repair or replace • Views can be permanently deleted prior to saving
• Foresight phone support • Views in saved studies can not be permanently edited or deleted
– Monday thru Friday - Business Days • Studies are not automatically deleted from TIMS when sent to PACS
• Log files are not automatically deleted from TIMS
– 8AM to 8PM, EST • Other than anti-virus / spam protection, TIMS must be the only
application invoked
Advanced Topics Triggering

• SDTV & Analog input use same trigger
• Triggering input connectors
• DICOM Printing • TIMS Trigger is programmable for low-
• CD/DVD archiving true or high true signals
• Simple Editing • TIMS acquisition by space bar, mouse, foot
pedal/Trigger or F12 key (single snap only)
• DICOM Send Service
- Batch / Schedule DICOM Send • USB Foot Pedal option to emulate key
strokes.
July 22-23, 2008 25

Triggering Trigger Connection < +5volts

• Contact switch connection
• Settings for low / high transition
• Settings for trigger while low, or trigger while
high
• Trigger Start Frame Delay to eliminate capturing
“pre-roll”
• Trigger Block Delay to eliminate de-bounce
• Covered further in TIMS software configuration
• Maximum trigger input voltage + 5.0 volts
• Use relay for signals above +5 volts
Trigger Connection > +5volts DICOM Printing

• To print selected images
– CTL-L to select image / add to layout
– CTL-P to view & print layout
– Maximum layout 6x6
• To print entire view (Page Mode):
– FILE,
– Setup page layout
– Print current image – F9
– Print all current view images
– Print all current study images
– Maximum layout 6x6
July 22-23, 2008 26

TIMS CD/DVD Burning Simple Editing

• No configuration required • Can only edit views on TIMS desktop
• Must enter volume name • Can only edit view prior to saving study
• Cannot edit after saving study
• Option to add simple TIMS viewer on CD
(Edit studies on PACS)
• Alternate viewers can be configured • To delete entire view, highlight view, select ‘File’,
• Multiple files will span CD ‘Delete Selected View’
• Single large file will require greater • To delete a section of a view, highlight view, right
capacity media (DVD) click & select “Edit using Frame Ranges”
DICOM Send Service - DSS Advanced Workflows

• Enables Batch (Multiple) sending of TIMS • Export images from a DICOM file for
DICOM files presentations, white papers, research projects
• Schedules sending of TIMS DICOM files to • DICOM Receive channel for DICOM receive
PACS – Receive DICOM digital files for adding Patient
– Can be to different PACS Destinations information, printing or CD/DVD burning
– Can be multiple files • Import non-DICOM images (from digital camera)
– Can be at different times
• Runs as separate background service
July 22-23, 2008 27

Advanced Workflows Importing & Exporting Files

• Input from TWAIN scanner for film or • Export
patient documents to study send , CD/DVD – Open an existing DICOM file
– Save Image As – Saves current highlighted image
– Must have device TWAIN driver installed
– Save View As – Saves all images in current highlighted
previously
view
• View existing studies for comparison using – Save All Views As – Saves entire study
Query / Retrieve • Import
• Biplane Capture – Requires two TIMS – Create new study, FILE, Open Image Files
systems
DICOM Receive - Update Info DICOM Query / Retrieve

• TIMS can add worklist capability to a • A DICOM device (TIMS) requests information
from a database (PACS) and retrieves the data and
DICOM modality images through those requests.
• Setup DICOM Receive channel in TIMS • Provides Review Capability
• Point DICOM device to send to TIMS • Allows comparison of a previous study to the
(instead of PACS) current procedure.
• The destination of the data (TIMS) initiates the
• TIMS receives study, request & transfer.
• Open, highlight study, select ‘Update Info’ • (In DICOM Receive, the source (PACS) initiates
the transfer.)
• Query worklist, check info, send study
July 22-23, 2008 28

DICOM Query / Retrieve TIMS Licensing

• Must configure a TIMS DICOM Receive channel • TIMS Licensed from Foresight factory
• DICOM Query – Originates at TIMS as request to PACS
• PACS Returns Study selections • Key code entered as data or license file
• TIMS initiates Retrieve From PACS • License is date coded, license must be
• PACS Sends study to TIMS
installed on the date specified
• TIMS supports Query Retrieve as the “Query /
Destination” device
• TIMS does not support Query Retrieve as the “provider of
data” device, only as “query/ receiver of data”
TIMS Connections - Advanced TIMS Channel Conf - Advanced

• Advanced configurations: • Frame rate decimation
– Reduces file size, improves transfer time
• Up to three monochrome inputs on • Pixel type (color space)
AccuStream • Motion elimination
– Frame mode in Auto-SYNC,
• Limitations: – Motion Elimination setting in Channel configuration
– TIMS can only capture from one source at a • Buffers – # of frames stored in memory use default
time. • Triggering –
– For data entry and operation, TIMS needs to be – Polarity and mode programmable
close to all the modalities
July 22-23, 2008 29

Frame Decimation Frame Decimation
Miscellaneous Troubleshooting
• Set AOI in Preview Window • Network / Connection issues
– Verify IP & network connections are valid
• Set Disk Usage Level 50% to 90 % • Video connections
– Connections
• Monochrome Mode set in 3 places – Splitter
– Auto-SYNC - (in pixel type drop-down), – Termination
– To test, connect TIMS direct to source
Monochrome
• Trigger
– TIMS ~ Channels, Image Menu, Gray_8 – Disconnect from source & short TIMS input to jacket
– TIMS ~ Channels, DICOM, File Save Options, – This forces trigger
• Image Quality
Monochrome2 – Adjust with Auto-SYNC
July 22-23, 2008 30

Troubleshooting Troubleshooting
• Common workflow issues
• PACS connectivity – Auto send / save not configured
– DMWL not configured
– Verify AE, IP & port are correct – Common / repetitive tag entries not pre-set
• Common error messages
– Ping PACS IP address – File time / length too long
– Three ways to reduce file size:
– Import TIMS file to PACS • Increase compression
• Increase decimation rate
• Reduce image by defining & capturing AOI only
– Use TIMS DICOM analyzer to compare files – No local Windows admin rights
– Country / Region settings not compatible with TIMS
– Verify TIMS AE title valid & authorized on • Date or number settings issues
• Date format may need to match PACS format
PACS • Windows crashes
– Disk drive full
– Delete studies, set disk level
– Verify TIMS only application invoked
Troubleshooting Troubleshooting
• Printer access Files required by Foresight Support
• CHP File & Auto-SYNC log file
– Ping printer IP address – In c:\program files\foresight\idea\chp directory
– Verify TIMS AE title valid • TIMS configuration dump
– Verify TIMS is authorized & validated on – Configdump utility in ..\foresight\tims directory,
creates file TIMS_Config.txt in ..\tims\CFG directory.
Printer
• Include the DICOM study from the
– Use TIMS filter files ..\foresight\tims\studies directory
– If monochrome printer, set monochrome option • TIMS log files from the ..\foresight\tims\Logs
directory
July 22-23, 2008 31

PACS System Mapping - Hints PACS System Mapping

– Must be able to ‘ping’ PACS IP address
DICOM PING utility: http://www.unipacs.com/en/dping.html
• Import TIMS DCM file into local PACS system
– Review DICOM Send Logs (DSS) • Test with minimum TAG Selection
– Use DICOM Analyzer to compare existing site files with TIMS
Generated DICOM Files • Match TAGS with DICOM analyzer
– Modify TAGS to match
– Common “Abstract Syntax Errors” are:
• Match Compression Type
• Compression Type – Some sites no compression
or lossless only
• Match VR type
• Send as Single frames
PACS doesn’t accept Multi frame files.
• Use DICOM analyzer to view existing PACS tags
• Explicit vs. Implicit VR • Path: c:\program files\foresight\tims\studies
• Compression Type set on a Channel basis in Configuration Menu
– Some PACS require TIMS user validation • If PACS loads series into memory first, may need
– Refer to DICOM conformance statement for feature support to set ‘Send as single frame’
Troubleshooting - Printers Miscellaneous

• To print properly, some DICOM • Progressive send
Printers such as Fuji and Kodak, may - Sends immediately after view is finished.
require the Density Min and Max
values to be changed from the TIMS - Not all PACS except it
default of ‘0’, ‘0’. - Remote viewing while study is underway
• To modify this, access the DICOM - For Streaming Mode Only
printer properties menu, change both • Bi-Plane – two simultaneous cameras
the Density Min and Max settings to
“Variable”. - One TIMS box can record ‘A’ plane live,
• Then change the values. For Fuji - Then record ‘B’ plane playback
DICOM Printers, often, a value of ‘30’ - or, Two TIMS boxes linked, ‘A’ & ‘B’ plane captured
for ‘Min’ and ‘360’ for ‘Max’ will simultaneously
provide good results. For Kodak - Consult Foresight
DICOM Printers, try values of ‘130’ for
‘Min’, ‘260’ for ‘Max’. • Siemens PolyStar systems with 2Kx2K option
• There are not any hard set numbers. - 266 MHz pixel clock frequency
The final settings must be determined - Uses special CHP files & configuration
by the person who is reading the films.
- Consult Foresight for further information
July 22-23, 2008 32

TIMS Accessory Options Filter File Information

• Video Splitter – Recommended – 012700-200 • Can customize TAG access
• Cable Adapters – • TAGS can be selective between functions:
VGA - 013000-112, - Worklist
MAC - 013000-111,
SUN – 013000 -104 - DICOM Send
• Video Isolator – Opto Isolation - 030132 - Printing
• Video Isolator – Common mode noise - 030153 • C:\program files\foresight\tims\configfilters.exe
• Trigger foot pedal kit – 012004-300 • File: ‘filter.ini’ file located in c:\program
• USB foot pedal – single - 012005 files\foresight\tims\cfg
• USB foot pedal – double - 012006
Reseller Access Reseller Access

• Reseller TIMS web site access:
http://tims.com/company-reseller-login.htm
• Login: TIMSReseller
• Pswd: blizZard
July 22-23, 2008 33

Bi-Plane Configuration Bi-Plane Configuration

• Same trigger sent to both TIMS planes
• New Study created on ‘A’ Plane
• Patient data entered on ‘A’ Plane
• ‘B’ Plane receives patient information from ‘A’
• ‘A’ & ‘B’ planes must each have unique
• Left side dialog box defines plane of this system
AE titles & IP addresses
• Right side of box defines IP & Port of companion plane of other • In ‘preferences’, lock capture mode to ‘Streaming’
system
(In this example, the A-Plane system IP is 192.169.1.83, • Connect Touch screen LCD serial cable & drivers
B-Plane system is 192.169.1.84)
to ‘A’ plane
Certification Testing
• Install TIMS system

• Auto-SYNC to TIMS video source
• Configure TIMS for PACS
• Perform typical workflow session
July 22-23, 2008 34

Tims Dicom 09-18-09a

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TIMS INSTALLATION Training Course

Goals & Objectives Overview of Course

July 22-23, 2008 1

What is TIMS? TIMS Products

TIMS Kit Contents TIMS Install Overview

July 22-23, 2008 2

TIMS Install Overview Pre-install Site Survey

TIMS DICOM System Computer TIMS DICOM System Computer

July 22-23, 2008 3

Computer Connections Network Configuration

TIMS DICOM System TIMS Video Cables

July 22-23, 2008 4

AccuStream ‘A’ series AccuStream 205a

TIMS Video Input TIMS Video Connections

July 22-23, 2008 5

TIMS Video Connections Optional Video Splitter

Optional Video Splitter Video Splitter Block Diagram

July 22-23, 2008 6

Video Connections - Monochrome Video Connections - RGB

TIMS Video Input Cables TIMS Cables

July 22-23, 2008 7

Define CHP file Auto-SYNC

July 22-23, 2008 8

Video Parameters Auto-SYNC - Input Pattern

Auto-SYNC - Tips Auto-SYNC - Tips

July 22-23, 2008 9

Auto-SYNC Screen View Auto-SYNC Screen View

Auto-SYNC Screen View Auto-SYNC Screen View

July 22-23, 2008 10

Auto-SYNC Screen View

Auto-SYNC - Tips – Htotal Horizontal Parameters

July 22-23, 2008 11

Auto-SYNC Tips – Aspect Ratio Auto-SYNC Tips – Aspect Ratio

Auto-SYNC Tips - Lines Auto-SYNC Tips - Lines

July 22-23, 2008 12

HTotal – Too Large HTotal – Too Small

Auto-SYNC Tips - HTotal Auto-SYNC - Tips

July 22-23, 2008 13

Auto-SYNC Tips - HTotal Phase Adjustments

Auto-SYNC Tips - Phase Auto-SYNC - Tips - Framing

July 22-23, 2008 14

Auto-SYNC - Tips - Framing Auto-SYNC - Tips - Framing

Auto-SYNC - Tips - Framing Auto-SYNC - Tips - Framing

July 22-23, 2008 15

Auto-SYNC Screen View

Auto-SYNC - Tips - Misc Auto-SYNC - Tips - Misc

July 22-23, 2008 16

Auto-SYNC -Non-Interlaced Auto-SYNC Tips - Interlaced

Auto-SYNC - Tips Auto-SYNC - Tips

July 22-23, 2008 17

Auto-SYNC - Tips Auto-SYNC - Tips

Auto-SYNC for SDTV Auto-SYNC - Tips

July 22-23, 2008 18

Glossary TIMS Configuration

July 22-23, 2008 19

TIMS Configuration TIMS Configuration (Cont.)

TIMS Channel Configuration TIMS Channel Configuration

July 22-23, 2008 20

TIMS Channel Configuration TIMS Channel Configuration

DICOM Channel Configuration TIMS Compression Settings

July 22-23, 2008 21

TIMS Compression Settings DICOM Send Configuration

DICOM Work List Configuration Test Configuration