X-Ray software manual

X-Ray software manual

Chapter 1 Summary
This manual is used only for X-Ray DRConsole. Before the use of this software, please read
the manual of the devices that connected to this software.

1.1Scale of this manual

This manual is writing for the clinics that using X-Ray DRConsole. It provides workflow of a
patient study. Mostly, it’ll introduce the operation steps, system structure and features. Attention,
there’s no guideline for clinic diagnosis.

1.2System structure

This software is comprised of following modules which provides a work flow of patient
study:
 Patient Management: including patient registration, work list, study management.
 Study operation: including bodypart selection, study items selection, image acquiring.
 Image preview: including display, layout and processing of image. Also tool options for
advanced operation.
 Configuration: including configuration of system, study and user management.
Especially the configuration for worklist and storage.

1.3Work conditions (suggestion)

 CPU：Intel central processing unit，frequency≥2.0GHz

 Memory：≥8G

 Hard disk：≥500G，（Can extend for actual usage）

 Monitor：Resolution at 1280X1024，Ratio：4:3

 OS： Win7, Win10

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Chapter 2 Installation

2.1Software installation

For the official version, user needs to start the installation from the CD-ROM, if it isn’t
automatically start, double click “XX_DR_Setup.exe”; for the demo version, mostly the user
will get an installation package, and then just double click “XX_DRConsole_DEMO.exe”.
Double click to start the installation, the following steps will display:

Figure 2.1 Select language

If it is to upgrade the software, there would pop up the following interface:

Figure 2.2 Uninstall option

Figure 2.3 Uninstall Existing Version

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Figure 2.4 Select folder

Figure 2.5 Confirm installation

Figure 2.6 Installation process

Install the granddog driver. (For official version only)

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Figure 2.7 Start installation

Figure 2.8 Finish installation

Check the files that need to be recovered.

Figure 2.10 Finish installation

After the installation steps above, the program will create shortcut of “DRConsole.exe” and
“DRDongle.exe”. User can double click the “DRConsole.exe” to start the program, or double
click the “DRDongle.exe” to register the software.
[Warning] if the official version is unregistered, the program will show message in Figure
2.8, then the program will automatically shut down.

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Figure 2.11 unauthorized messages

2.2Software Registration

2.2.1 Demo version

After the installation steps above, the program will create shortcut of “DRConsole.exe” and
“DRDongle.exe”. Run DRDongle.exe and you’ll get a dog number:

Figure 2.12 Get dog number

Send dog number to us, and we’ll provide a SN number for demo version. Once received the
SN number, input it into the textbox and click “Register” to finish the registration. Usually, the SN
number is valid for only three months.
[Warning]The SN number will be change with the update of the hardware of user’s PC. In
this situation, user needs to apply for a new SN number.

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2.2.2 Official version

The official version will provide a USB key for the registration. After the installation of the
software, user should plugin the USB key, and run “DRDongle.exe”. If the driver is successfully
installed, and the USB key is recognized by the OS, then user will get a list of soft dog number
and hard dog number.

Figure 2.13 SN number

If there’s no the hard dog number in the list, user need to check whether the driver of the
USB key successfully installed or not. And then whether the USB key is recognized by the OS.

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Chapter 3 Work flow of study

This section will detail the application of the workstation during the inspection process.
Before the operation, please confirm the installation and debugging of X-ray photography
equipment is already completed. To ensure that equipment has been electrified and standby.
The workstation is the main part of DR system and user interaction. All operation except
mechanical motion control of the ball tube and detector and adjustment of the size of the shading
device can be completed by the workstation. The operation of the console can be performed as
follows:

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ttention

 In order to reset system completely, the computer of workstation had better

to shut down once one day. Otherwise the performance of the system will be

decreased day by day.

 The detector should be start work at least 30 minutes after power up in order

to ensure that the detector is in a stable state and ensure image quality. In

order to make the detector in a stable state for a long time, as far as possible

to ensure that the detector has been in a state of power supply.

3.1 Login

The program will validate the user before entering the system. Input the User ID and
Password. (Default User ID / Password: admin/admin). User can also click the keyboard button

to start or close the vitual keyboard.

Figure 3.1 Login

Enter the correct User ID and Password in the Login interface and click “OK” button, then
software would enter the loading interface and if you don’t want to enter the system click the
“Cancel” button. (If you don’t know the password, please consult your system administrator). The
User ID, Password and permissions are assigned by system administrator.
[Note] When you enter the password, the system will does not display the relevant character
information. Password case sensitive. If you need to change your password, please refer to the
system management settings.

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After logging in, the main interface of the workstation software (the register interface), as
follows:

3.2 Logout

Click button, pop up the confirmation box:

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Enter the password, click the “OK” button to exit the console software (the images would be
saved automatically); click the “Cancel” button to cancel exit and return to the software interface.
Click “Shutdown” button, the software would exit the console software and shutdown the
computer after saving the images automatically (The “Shutdown” button is only visible under
administrator rights).

3.3 Devices validating and configuration

After successful login, the system will start to load drivers of devices and validate the device
initialized successes or failed. There are two stage of loading the drivers: loading drivers for the
generator and drivers for the detector.

Figure 3.2 Device initialized successes

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Figure 3.3 Device initialized failed

If failed to initialize the device, then can click “Options” to change the configurations:

Figure 3.4 Device configuration

If the program didn’t connect to generator or detector, please make sure that the related item
set to “TEST” selection. If there’s any trouble with the device, user also needs to reset the items to
“TEST” selection in order to enter the system.
After correct configuration of detector and generator, then click button “OK” to confirm and
back to form A, and click button “Exit” to exit the system. After restart, the system will run follow
your configuration. Other configuration items will be described in following chapters.
If all of the devices have been successfully initialized, the study management interface will
be displayed.

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Chapter 4 Study Management

This section mainly manage the patient information, including work list, registration and
study list.

4.1 Work list

The work list displays the list of patient that need to acquiring image. It can query patient data
from RIS or registration station follow DICOM 3.0. The configuration of worklist will be
introduced in chapter 6.

Figure 4.1 Work list

 Search Items:

1. Patient ID: user need to input the patient’s id in the textbox, and define the correct
date time.
2. Accession: user need to input the patient’s accession in the textbox, and define the
correct date time.
3. Name: user need to input the patient’s name in the textbox, and define the correct
date time.
4. One day: query the patients’ data in today.
5. Two days: query the patients’ data in two days.
6. One week: query the patients’ data in a week.
7. Custom: query the patients’ data in user defined period.
Once the condition set down, the work list will query data frequently, it can also
refresh immediately after the button “Refresh” clicked.

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 Emergency:
Register a patient in emergency with auto generated information.

 Register new Patient:

Input the patient data and register a new patient for study.

 Delete:
Delete current selected patient.

 Begin to study:
Begin to acquiring image of current patient.

4.2 Registration

Figure 4.2 registration

The register is used to record information of a new patient. User can select study protocols
through protocol or Item mode.
Accession*: input the accession number of patient. It will be automatically generated and
usually suggest user don’t change it. It must unique in the system.
PatientID*: input the ID of a patient. It will be automatically generated and usually suggest

user don’t change it. Input PatientID and click , system will automatically fill the patient’s
information in the text box.
Name: input the name of a patient.
Gender: select gender of a patient. (Male, Female, Other (unknown))
Age: input age of a patient at the age unit of year, month or day.
Height(cm): input height of a patient.
Weight(kg): input weight of a patient.
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Birthday: select birthday of a patient.

Description: input more comments of a patient.
[Note]The items with “*” means this item must be filled. If not, there will be a warning
message:

 Select and Unselect:

Select or unselect a protocol.

 Protocol Group:
Add grouped protocols to selected list.

 Protocol Item:
Add individual protocols to selected list.

 Clear:
Clear information of current patient.

 Begin to study:
Begin to acquiring image of current patient.

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4.3 Study list

Figure 4.3 Work list

It is used to query the information of the patients that finished the study. Same with the work
list, the result can be displayed under different condition.

 Burn CD:
Achieve patient’s data to CD. First, user should select one or more study, and then there are
two ways of export. The operation of export refers to section 5.2.1.

 Archiving:
Upload image to network storage. By click this button, use can manually upload the images
to storage on the premise that the storage is properly configured. The configuration of storage can
refer to section 6.1.3.

 Printing: Print patient’s image using connected print devices.

 Delete: Delete current study.

 Check All: Select all the study in the list.

 Adding Protocols: Study again by adding new protocol groups or protocol items.

 Viewing Images: View images of selected study.

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Chapter 5 Image acquisition

There are several paths can enter the acquisition interface, as follows:

 Select a patient record in the work list double click the record or click the “ ”

button;

 Click the emergency button “ ” in the work list or register interface;

 Click the add item button “ ” in the study list.

The acquisition interface includes the body size of patient, the exposure position, the

study item, the study protocol, generator exposure parameter setting and the diagram of

body position. The following are detailed introduction.

Figure 5.1 acquisition interface

Note: Interface functions and operations vary with hardware and system configurations.

【1】 The diagram of body position

【2】 Generator exposure parameter setting

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【3】 Image preview area

【4】 Toolbar

5.1 Diagram of body position

There are the body position diagrams selected for patient information registration.

You can see the specific study body part and the standard position for intuitive reference.

For emergency patients this region is blank. See Chapter 4.2 for steps to add a body

position.

5.2 Generator exposure parameter setting

Before Image acquisition, the parameters of generator should be property configured,
and the trigger mode of detector must be correct. For more information, please read the
manual of these devices. There is default parameter for every body part. You can adjust

these parameters as needed. Click save button “ ” after you change these parameter.

If don’t click the save button, the adjusted parameters is only used for the current
exposure.
a) Exposure signal lamp and Reset error

Press first gear of the hand brake, then the signal lamp will light

up. Green light means being ready;

Continue to press the hand brake to second gear, the signal lamp

will light up. The yellow light will keep lighting up in the exposure process.
This button will light up when there is a system error, and there will show the
error code following the button. Click this button to reset the error and if it does
not work, please contact customer service engineer

b) Generator exposure parameter setting

KVp:KV voltage; mA: Current value; mS: Duration ;

DEN(Reserve). This region show the default parameters of

the current item. You can adjust these parameter by click

the arrow button.

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c) Patient body size

Fat adults Medium adults

Thin adults baby

e) Exposure position

Wall Table

f) Focus

Little focus Big focus

Filter grid

d) Exposure mode

Reserve Reserve

Exposure mode: (may different to some generators)

mA/ms mode: mA and mS parameters can be adjusted.

mAs Mode: Only mAs can be adjusted.

5.3 Image preview

The image will display in the image preview area after exposure. The study diagram

of body position will also become the thumbnail of the acquisition image, looks as follows:
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Figure 5.2 Image acquisition

If there are more than one body position, the system will automatically switch to the
next body position and the border color will become blue.

5.4 Toolbar
You can save, delete and print the image in the toolbar.
Click this button will pop up the update study information box.

Here you can modify name, gender, height and other information, click

the “OK” button after modify.

When patients study with "the wrong person", is A's registration

information, but the actual images is B’s, while B is still in the work list, then

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you can click the “Replace” button to replace the patients.

Select B’s record from work list, then the current image will go to B's

record, and A will come back to work list waiting for next study.

Click this button to add protocols.

Click this button to add items.

Click this button the image will display full screen.

Save the current image.

Print the acquisition image.

Suspend the current study and the back to the work list interface.

Click this button to save the image and enter to the study list interface.

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Chapter 6 Image browse

Figure 6.1 Image preview

After acquired an image from detector, the processed image will be displayed. There are
many powerful tools for advanced user to take a better view of the image.

6.1 Tools

Tool button Description

Page Pre/Next

1X1 Layout

2X1 Layout

Save current Image

Delete Tool

Move Image

Zoom In/Out:

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Histogram WW/WL

Invert Color

Zoom out

Screen Size

Mark Right

Text Edit

Image advanced process

Rotate 90

Flip Vertical

Measure the angle:

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Image hint

Point gray value of the image:

Reset: reset the image.

Magnifier:

Copy:
The function of image contrast has been optimized. Click the “Copy” button in the
preview interface of patient A, then switch to the preview interface of patient B,
select a blank box and click the “Paste” button to add the copied image.
Be sure to click the “Save” button before exiting if you want to save the image.
CTR: cardio-thoracic ratio
Make the following marks on the chest radiograph:
Line 1: Positive midline;
Line 1: Maximum transverse diameter of thorax;
Line 3+4: maximal transverse diameter of the heart;
CTR =( length( Line 3+ Line 4) )/length( Line 2)。

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Email:

Click the button ， input the mail address, subject, content in the

appropriate edit box of the pop-up box and select current image by clicking “Add”
button if there were exposed images. The DR Software would automatically call
the Outlook to send the mail after you click the “Send” button.

Save as:
Its role is similar to the “copy” / “paste” tool. All three of them are used to
compare an image with itself. The “copy” / “paste” tool can be used
among different patients, while the “Save as” tool can only be work with the
images of one patient (the “Save as” tool has the same function with a
combination of the “copy” and “paste” tool)
Notes: the “copy”, “paste” and “Save as” tool can be only used in the image
Viewing interface of the DRConsole Software.

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Inverse Compare:
When you click on the button, the Software will show another inverted
image as guidance for doctor observing and diagnosis.
Notes: the “Image color inversing” tool can be only used in the image
viewing interface of the DR Software.

Full Screen

1X2 Layout

2X2 Layout

DICOM Print

Reject Image

Window/Level

ROI Window/Level

Auto WW/WL

Zoom In

Full Size

Mark Left

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Mark Anterior

Clip Tool

Invalid Image

Rotate -90

Flip Horizontal

Distance Measure:

Image stitching

Ellipse clip tool

ROI Magnifier:

Arrow

Paste:
The function of image contrast has been optimized. Click the “Copy” button in the
preview interface of patient A, then switch to the preview interface of patient B,
select a blank box and click the “Paste” button to add the copied image.
Be sure to click the “Save” button before exiting if you want to save the image.
Free Rotate:
Click the “Free Rotation” tool, then pop-up a box for rotation angle. Enter any
angle value you want and click the “OK” button to rotating image. Rotate to the
left by default. Click the “Undo” button the image will turn back.

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Monitor Calibration:
When you click on this button, the Software will show a pop-up box of
Monitor Calibration interface. Measure the length of horizontal line and Vertical
line with a ruler, then write the results in the appropriate edit box, finally click on
the “OK” button. All steps above accomplished, the Software will show images in
the ratio of 1:1.

Cobb angle：

1.The patient stands while a front view x-ray of the spine is taken.

2.The doctor uses the x-ray to locate the apex vertebra, which is at the deepest
part of the scoliosis curve, as well as the most-tilted vertebra above the apex
and most-tilted vertebra below the apex.

3.A perpendicular line extending from the most-tilted vertebra above the apex
is drawn. The same is then done for the most-tilted vertebra below the apex.

4.Where the two lines extending from the most-tilted vertebra above the apex
and most-tilted vertebra below the apex join together gives the Cobb angle

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Compare:
When you click on the button, the Software will show a pop-up box for
image selection. Then you should click on the “Add” button and select two or
more images, finally click on the “Open” button to enter the Image contrast
interface. Note here that if the Software is in the image Acquiring interface, please
click on the “Save” button before image selection.
Notes: the “Image contrast” tool can be only used in the image viewing
interface of the DR Software.

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Clip Options

 End of the study

Drop Study:
Drop all images of current study. If current study has already taken images, then there will be
a acquire message:

If user clicks “OK”, then then system will drop all the images and back to the worklist.

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Finish &Save:
End current study and save all images to local drive as DICOM files. If successfully, then
user can find the study in the studylist.

6.2 Image advanced process

Image advanced process enables the user to conduct more detail process. Click button “Image

Process” .

 : Parameters related to the body part. User can set the body part, body size and

items to select a group of parameters. After click “Process” button, system will display
the processed image.

Figure 6.2

 ：Detail parameters mode. Before enter the following interface, system will get

the default parameter values of each items which is related to the body part. User can
directly use these values or reset one or more of them.
Click “Process” button, system will start the image processing, user will get message at
status area.
Click “OK” button, the processed image will be applied to replace the original image
and back to the acquiring or preview interface.
Click “Cancel” button, system will exit the image advanced process interface.

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Figure 6.3
 Click “Process” button, system will start the image processing, user will get message at
status area. User can use the default value or change the value to get a custom optimized
image.
 Click “Undo” button, the image will back to the original image, and user can conduct
the processing again.
 Click “Save” button, user can add or update the parameters of current optimization view
and it needs admin user’s authority. User should change the name of optimization view
then click this button in order to add a new optimization item, or just update the value of
current optimization view.
 Click “OK” button, the processed image will be applied to replace the original image
and back to the acquiring or preview interface.
 Click “Cancel” button, system will exit the image advanced process interface.
In order to get a high quality image, It is required that the advanced user should clear about the
effects of the parameters.
Parameter description:
1. Contrast:
Use this parameter, user can dynamic adjust the gray scale of the image. Minimize the
value means to display image in a relatively small range gray scale. Increase the value
means to display image in a relatively large range gray scale. Effect images as Figure 6.4:

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Figure 6.4
2. Edge:
Different with the enhance parameter, it works with the level of detail. Means user can set
detail value to each level. The higher the level and detail value, the more strength of detail
will be enhanced. In the same time, user should know that the enhancement of the detail
will bring some additional noise to the image, and it has effects on the smooth of the
image. Effect images as Figure 6.5:

Figure 6.5
3. Noise:
Used for removing noise from an image, after processing, the smooth of the image will be
enhanced. It also cause relatively little blurring of edges and details. Effect images as
Figure 6.6:

Figure 6.6
4. Gamma:
It has effects on the whole scale image. The higher the contrast, the gray value of image
will spread on a relatively large scale; the lower the contrast, the gray value of image will
spread on a relatively small scale. Effect images as Figure 6.7:

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Figure 6.7

6.3 Image stitching

User can enter the stitching interface by clicking “Image Stitching” in the image

preview interface. Before to enter the image stitching, please make sure the current study has at
least two saved images.

Figure 6.8

: Save current image. If user modified the image, and want to apply to the stitching,
please conduct this operation.

: Save all images. If user modified the images, and want to apply to the stitching,
please conduct this operation.

: Delete image for stitching. Used to select the image for stitching, use can delete other
images that not used for stitching.

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: Change the layout of the image.

: Exit the stitching interface.

Description about tool buttons:
Tool button Description Tool button Description
Full Size Histogram WW/WL

Delete Tool Screen Size

Move back Move Forwaed

V_Stitching

Click the button to access the Stitching Screen, this screen consists of three

function screen: Select Image, Image Stitching, View Image, as shown:

Figure 6.9

Before the image stitching operation, the user should ensure that all selected image
must be acquired from stitching exposure (the section 4.7 in Part I).

Delete：delete the current image.

Move back: click this button to move the cureent image up one step.

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Move forward: click this button to move the current image down one step.

V-stitching: The system stitches the selected images in vertical automatically.

After selecting the image, click to enter Image Stitching screen. In this screen,

the user can stitch images manually.

Figure 6.10

Opacity: Move the sider to adjust the opacity of the overlapping area.

Untis: Move the sider to adjust the dixel(s) of the overlapping area.

Select one image, the number of this image changes to red.

Click the buttons or click the orientation key on the

black board to adjust the position of the selected image.

Click the button to trim the selected image.

Fuse area: Move the sider to adjust the display degree of the overlapping area.

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Click the button to save the setting parameters and enter the View Image screen.

Figure 6.11

Click【 】to sve the stitched image

Click【 】back to Stitching Image Screen.

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Chapter 7 Image and Text Report

Click the【 】button to enter the report interface:

Figure 7.1

7.1 Report Edit

Report editing module includes image selection, patient information editing, reporting
content and inspection results editing, print template selection, etc. are presented below.

Figure 7.2

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【1】 Patient information display and editing

Click【 】button to enter the Dictionary Setting interface：

Figure 7.3
You can add and update the doctor information in the interface.

【2】 Select image

Move the mouse to the image need to be printed, then

there will display a white check box at the lower right corner
of the image. Check the box then the box to add a black “√”
and the there will appear a yellow number at the lower left
corner. Click again to cancel the selected image.

【3】 Diagnostic content and conclusion edit box

You can edit the diagnostic content and conclusion in the edit box, click the content
and description template on the right side if you need to add.

【4】 Report content template selection

Button Function Describe

Select diagnostic template of the body part on the
Add diagnostic describe right hand of the drop-down list, click the
“+Desc.” button to add diagnostic describe.

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Select diagnostic template of the body part on the

Add diagnostic conclusion right hand of the drop-down list, click the “+Diag.”
button to add diagnostic describe.
Add diagnostic and Click this button to add diagnostic describe and
describe conclusion conclusion.
Click this button there will pop up the box of
Edit diagnostic template Knowledge bose editor. You can edit, add and
delete the diagnostic template

Figure 7.4

Button Function Describe

Add: Enter a new name in the edit box of Class Name, click
the “ ” button to add the new class.
Delete: select a class you want to delete from the drop down
Add/Delete class

list on the left. Click the “ ” button to delete it. (The

deleted class will be moved to recycle bin).
Edit the template
Click the button to Edit the template corresponding to current
corresponding to
report.
current report
a) Enter a new name in the edit box of the “Item name”.
b) Enter the describe information in the edit box of “Desc.”
Add new item c) Enter the conclusion information in the edit box of
“Diag.”.
d) Click this button to add the new item.
Update template Select the template you want to edit. Click the update button to
information save the change after editing.
Select the item you want to delete. Click this button to delete
Delete Item the the template. (The deleted item will be moved to recycle
bin).
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Click this button to enter the recycle bin interface to find

Recycle bin
deleted templates.

Figure 7.5

Button Function Describe

Select the items or class you want to recover and click this
Recover the deleted
button. Then the selected items or class will recover to the
class or item
knowledge base
Completely delete
Select the items or class you want to delete completely and
the deleted items or
click this button. Then the selected items or class will delete
class in the recycle
completely and it can be recovered forever.
bin

【5】 Select the template for printing

1Standard300.rvf : One image with the height of 300

2Standard300.rvf : Two images with the height of 300
4Standard300.rvf : Four images with the height of 300
6Standard300.rvf : Six images with the height of 300

【6】 Tools

Button Function Describe

When there are more than one monitor, the doctor can write
Multi-screen display
a report while viewing the image.

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Click this to save the report. And the report will enter
Save
read only mode and looks as follows.

Print Click to enter the print report interface.

Click to quit the report interface and back to the study list
Quit
interface.

Figure 7.6

7.1 Report Printing

Click the print button to enter the print report interface:

Figure 7.6
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Button Function Describe

Quick Print Print current report with the default printer.
Print Select installed printer to print report.

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Chapter 8 Image archive, export and

printing
This chapter will concentrate on image archive, export and printing which used in the study
list.

Figure 8.1 Study list

8.1 Image archive

In archive process, the images will be sent to PACS server follow the DICOM 3.0 standard.
Before the use of image archive, the parameters of DICOM storage must be properly configured

(reference to chapter 6).

User can click button “image archive” to execute the image archive process. But it is

unnecessary if configured to archive automatically after end of a study.

If there is a failed message, then user should check the communication with the PACS.

8.2 Image export

The system provides two ways of export, and support customized export. User can export all
or selected patient’s data from the study list.

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8.2.1 Burning CD

Click button “CD2GO”, following interface will be displayed:

Figure 8.2 CD2GO

The system will generate a default file set id, and also user can edit it. User can select to
create an ISO file or write the file to CD. If there is no disc driver, the burn disc item will be
disabled. File compression provides 2 items: standard and compression which represent for “not
compressed” and “compressed”. After configuration, click button “Execute”, system will generate
the ISO file or burn the data to CD.

8.2.2 Export to selected folder

Besides burning CD, user can also export patient’s data to a selected folder. First user
should select a folder for item “ExportStudy”. And then there are two items:
 DCMIMGA: Export only DICOM images.
The export will create a fold named with patient name and accession. For example:
Emergency41-000041. All DICOM image of current patient will save to the folder.
 DCMDIR: Export patient’s information, DICOM images with a viewer program.

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Figure 8.3 DCMDIR export

Running the CDViewer:

Figure 8.4 CDViewer

Double click the select patient or click preview button , user can preview the image of
current patient.

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Figure 8.5 Image preview of CDViewer

The CDViewer also support to upload patient images to PACS server after configuration.

Figure 8.6 Image uploading of CDViewer

8.2.3 Image print

When accept the print operations, system will send images to printers that support DICOM
print services protocols, and user can defined the parameters of these printers(reference chapter 6).

In the image preview interface, click button “Print”:

Figure 8.7 Print preview

The preview interface provides several items:

Click the button , user can configure the property of select printer. All the property is
referenced to DICOM 3.0 standard.

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Figure 8.8 configuration of printer

Choose layout of images:

Figure 8.9 layouts of images

Film size: the film size should consistent with the printer.
File orientation: “LANDSCAPE” for horizon, “PORTRAIT” for vertical.
Print Num: the copy of current image.
Print Range: Print all the pages or only current page.
Zoom Type: Print at ratio of 1:1 or auto ratio.

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Chapter 9 System Configuration

System provides five parts of management:
 System management
 Study management
 Quality Assessment
 User management
 Password management
Different user may have different rights to conduct the operation.

Figure 9.1 system configuration

9.1 System management

9.1.1 System configuration

Click button to enter the system management interface.

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Figure 9.2 system management

 System parameters
Detector: Select type of detectors. The detector in the list means that the system supports
these kinds of detector. User should select the right type for the detector.
Generator: select type of generator. If the communication with the generator is necessary,
user should select the right type for the generator.
StoreDir: The storage folder of patients’ images. It is required the folder should in a
relatively large space drive, and make sure the system is able to access.
Detector file: Detector files for FUSSEN detector. (May unnecessary for other detectors)
 Local machine parameters
Hospital: name of current hospital.
Hosp Abbr: Flag of current hospital. (For example: SZ. Then the patient id will like
SZ000041).
AETitle: the AETitle property in DICOM. Used as identification of local machine.
IP Addr: IP address of local machine.
Timeout: Timeout of network connection.
DataSave: the period of keep patients’ image data in local storage.
[Warning] the data expired the date will be cleared. User should make sure that the data
was uploaded to the storage or backup by other media.
FreeSpace: Warning if the space less then configured free space. User can find the flag

in the status bar of system:

[Warning] if the status flag of free disk space turns to red, means the space of the disk
will soon running out, user should backup the data or add additional storage drive.
 Log level
There are four level of the log: Nodebug, GeneralDebug, DetailDebug and fullDebug.
Normally Nodebug or GeneralDebug will be enough. DetailDebug and fullDebug are
used only for tracing problems of the system, and in the same time it’ll generate large
size log files.
 Other Items
Language: select language of system.
Modality: type of current modality.
Parameter: type of image processing.
DF: Default
HC: High Contrast
HD: High Dosage
LD: Low Dosage
SF: Soft
Vkeyboard: change usage of the virtual keyboard.

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9.1.2 Worklist

Figure 9.3 Worklist configuration

System can load patients’ data from RIS or registration station through the worklist. So the

parameters must be property configured. More information about worklist can reference to the

DICOM standard.

AETitle: DICOM AETitle of worklist server.

IPAddr: IP address of worklist server.

Port: Port of worklist server for connection.

Modality:

1. Ignore to validate the modality AETitle:

Accept all the worklist data no matter the modality type.

2. Exclude not DX data

Accept only DX worklist data.

AETitle:

1. Ignore to validate the modality AETitle

Accept all the worklist data no matter the AETitle.

2. Exclude not the modality data

Accept only the data from the AETitle.

Protocol:

（Reference Digital Imaging and Communications in Medicine）

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Transfer Syntax UID (0002,0010)：

Uncompressed：

1. Implicit VR Little Endian:

Default Transfer Syntax for DICOM

1.2.840.10008.1.2

2. Explicit VR Little Endian:

1.2.840.10008.1.2.1

3. Explicit VR Big Endian:

1.2.840.10008.1.2.2

Lossless compressed：

4. JPEG Lossless
Refresh: the frequency of query worklist data.
CharacterSet: Using the defined characterset to the worklist information.
BodyPart map: enable of disable of function of map the bodypart of PACS with local RIS
code.

: Configure the identity of a study through the AccessionNumber or

StudyUID. Mostly, it depends on the PACS, so firstly user should know the way to identify a
study.

9.1.3 Storage

System supports two method of image storage: Net storage and local storage. The
information of DICOM storage can reference to DICOM standard.

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Figure 9.4 Net storage

 Net storage:
Characterset: Characterset to encode fileds in dicom file.
System can support to connect to totally 4 PACS servers.
AETitle: AETitle of PACS server.
IPAddr: IP address of PACS server.
Port: Port of PACS server for connection.
Protocol: (reference to the “Protocol” in section 6.2)
Send: the mode of sending image, including auto send or send by user.
CharacterSet: define the characterset used for generating the DCM file.
StoreMode:
1. Update data: the PACS will overwrite the original image with modified one.
2. New copy: the PACS will never overwrite the original image; it will save a new
copy of the modified one.
 Local storage
Images can also save to local folders.

Figure 9.5 Local storage

Directory: local directory for the storage.
BMP File Included: To generate BMP files or not.
Image Type: export BMP or JPG images.
Folder Structured: Generate sub folder follow default rules.
RAW Included: export RAW files or not.
Used: Select current local storage or not.

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9.1.4 Print configuration

System will send image to printers when user conducts the print operation. Before the print,
it should make sure the printers are correctly configured and connected successfully.

Figure 9.6 Parameters of printers

System can support to send to totally 4 printers.
AETitle: AETitle of printer.
IPAddr: IP address of printer.
Port: Port of printer for connection.
Modality: type of printer.

9.1.5 Notes

The notes determine which information shows in the corner of the image, it has effects on the
image preview and printing. System defines 4 positions to display the information. User can select
one position at one time to add or delete items.

Figure 9.7 Notes

Parallel with the previous item: current item will displayed in the same line previous item
which connected with character “/”.
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9.1.6 Tools

The tools refer to buttons in the image preview interface. System supports to show or hide the
tool buttons, and also change the order of them.

Figure 9.8 Tools

Clip style: Set the style of background for clipping images.

9.2 Study management

User can each of the items in the system as following steps:

1. Select the body size.
2. Set the wall or table
3. Select a body part.
4. Select a study item.

Figure 9.9 Study management

 Basic information
Item ID: ID of the study item. It should be unique in the system.
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Item Name: Name of the study item.

Default WW: default window of the study item. (It will automatically calculate if the
value is 0)
Default WL: default level of the study item. (It will automatically calculate if the value
is 0)
DICOM: Body part name defined in DICOM.
 Pose
Click button “select” to select a new body maker.

Figure 9.10 body maker

 Hardware
Edit parameters of generator, including parameters that in AEC mode.
KV: the KV value of generator.
mA: the ma value of generator.
Time: exposure time of generator.
Film screen: Film screen of generator.
Density: Density of generator.
AEC: select the AEC field.
Synch: if checked the bodysize, above value will be set to item in different body size; if
Auxiliary checked, then above value will be set to item in different aux.
 Process
Cut Mode: clip style. If auto clip is enabled, then the system will generate the clip box at
relatively large, normal or relatively small mode.
Rotate: set the value of rotate angle. The acquired image of current item will rotate the
defined angle.
Flip: set flip style. The acquired image of current item will flip in defined style.
Optimize: Image process mode. Processing the acquired image of current item use
defined optimization method.
 Protocol
User can add update or delete the protocols of study. The protocol can include one or

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more study item in the list.

Figure 9.11 Protocol

Protocol: Name of the protocol.
RIS Code: Code to commutation with RIS.
Emergency: Used as a default protocol of emergency patient or not.
[Note] the emergency item is used only for emergency user. When user creates a new
emergency study, it’ll use the emergency protocol.

9.3 Reject Analysis

9.3.1 Settings

User should enter the reject analysis interface to edit the settings by click button “R.A.”.

Figure 9.12
Then enter the “Manage” page, user will be able to add, edit and delete the items of category
and content of it.

: Click button to add a new item to the list of category and content. First use should input
value in the input box, and the text should not in the list.

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: Click button to update value of item in the list of category and content. First use should
change value in the input box, and the text should not in the list.

: Click button to delete an item in the list of category and content. First use should select an
item.

Figure 9.13

9.3.2 reject records analysis

Enter the “Search” page, user will be able to query the information by defined conditions and
period of time.

Figure 9.14
Usually, user needs to export the records, and there are some options:
 Including Xls: Export the records to a .xls file.
 Including BMP: Export BMP image file if there’s any images related to the record.
 Including DCM: Export DCM image file if there’s any images related to the record.
Click “Export” button, the system will start the export operation.
Click “Select All” button, all records in the list will be selected.

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9.3.3 select reject code in the workflow

User should configure the options to enable or disable the reject analysis.
Checked the “Reject analysis” to enable the reject the function, or unchecked to disable it.

Figure 9.15
Once “Reject analysis” is enabled, it has effect on the Image invalidate, image delete
and study delete operation, after user conduct the operation, and there will be a message:

Figure 9.16
User should select a reject code in the message box as figure 8.4, otherwise the
operation will not continue. If reject code selected and clicked “OK” button, then will be a
record add to the reject list.

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Figure 9.17

9.3 User management

Figure 9.18 User management

 Create a new user. User id, name and initial password is necessary to input. User can
also distribute authority. Click “Add” button, this user will be added to the system. If the
user ID occupied, then there will be an error message, then user need to give up the
“add” operation or update selected user’s information.

Figure 9.19
If the user is successfully added to the system, then the user list will display the user’s
information:

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Figure 9.20
Authority description:
Name Description
Normal Conduct the normal study operation.
Study Conduct the study manage operation.
System Conduct the system configuration.
Delete Delete record of the study.
Generator Conduct the generator configuration. [reserved]
Process Conduct the image adv-processing.
Update Conduct the modification of study information.
 Update users’ information. Change user name, password and authority, then click
“update” button. If there’s no change, then will pop up the hint message:

Figure 9.21
If successfully modified, then will pop up the hint message:

Figure 9.22
 Delete the user. Click “Delete” button to delete selected user.

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Figure 9.23
If select “OK” to confirm the delete operation, then the user will be deleted.
[Note] Only the admin user can modify users’ information and distribute authority to
different user.

9.4 Password modification

User can change the original password by input the original password, new password and
confirm password.

Figure 9.24
If the original password is not correct, then there will be an error message:

Figure 9.25
User should input the original password again. Then click “OK” button to conduct the
modification.
If the new password was set to empty, there will be a hint message:

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Figure 9.26
Click “OK” button, then password will be set to empty.
If the password was successfully modified, then there will be a message:

Figure 9.27

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