VIEW

PACS

USER GUIDE
2008. COPYRIGHTS ⓒ CL IT CO., LTD.
ALL RIGHTS RESERVED.
FOR MORE INFORMATION
CONTACT TO [email protected]
INTRODUCTORY REMARKS

Preface

PACS (Picture Archiving and Communication System) already installed at more than
300 hospitals in Korea since 1999, approved by related local law and steadily keep
spreading out. The reason why many hospitals have been introducing PACS is that
they can give customer much better medical services and benefits, and every PACS
DICOM (Digital Image and Communication in Medicine) data in each hospitals should
comply with DICOM version 3.0 standard.
Following the Standard, it could easily be interchanged information and an image of
the patient, and making it easier to inquire and store them. In case the patient
wishes to change the hospital, it is provided with the patient information and
images with the film or the CD, which also should follow the standard

Please refer to this instruction manual when you have any question during your
using T-View™, and appreciate using CLiT PACS program.

2 /75 Page
 CONTENTS

Contents
Installing T-View 4

T-View Log-in 7

T-View Menu 8

T-View Setup 9

Search & View 14

Viewing Local Image 20

Explanation of display screen 23

Thumbnail 25

Shortcut Bar 26

Series mode conversion 26

Display mode conversion 26

Layout conversion 28

Image W/L batch conversion 29

Other shortcut function 31

Display menu 33

Display Setup 46

Popup menu 49

Printing image 51

Local Radiology 54

Image Deletion & Reordering 56

Making CD 58

CD Viewer 60

Data Management 65
Patient information Modification 66
Exam manual match 67
Exam separation 68
Exam Merging 70
Exam deletion 72
Reorder 74

Remote Consult 75

3 /75 Page
Installing Insert the installation CD in CD drive and installation will be executed automatically.
T-View

If CD does not start automatically , use windows explorer to find CD driver and double
click “CLIT-Trial.exe” file.
.

4 /75 Page
 It describes the installation page and click the “Next” button.

It describes the license agreement page and click the “Yes” button.

It describes the setup information and click the “Next” button.

5 /75 Page
 Copying the corresponding files to system.

Now installation is finished. It’s time to run the program.

To execute program, click [TView] icon in [Start]-[All Programs]-[CLIT]-[TView] icon

group or Or double click the icon( ) on desktop.

6 /75 Page
T-View Login

This is trial version but we limit login count to 100. If you click [Exit] button, it does not
change login count. Just click [Login] and that’s all.

If executed normally, it appears as bellows.

There are “Menu”, “Search” and “Manager” in bold.

7 /75 Page
TView Menu
The pull-down menu of each menu performs the functions as bellows.

[Configuration] Setup the configuration of program.

[Update] Automatic program update (not available currently)
[Exit] Terminating program.

[Local File] The DICOM image inquiry of local computer drive and
FTP server, server transmission and display functions are included.
[DicomDir] It inquires the CD image of DicomDir types like.
(not available currently)
[Study List] Inquiry the item which is designated in research
[Scanner] Capturing the film from scanner and transmit to server.

[CD Writer] Used to save the patient image in the CD.

[Statistic] It shows the statistics which relates with local
Radiology and remote requests.I
[Exam Manager] It performs functions like Modifying patient
information, Inspection manual match, Inspection separation,
Inspection integration, Inspection deletion, Q/R transmission.

8 /75 Page
 We hope that you do not use this procedure. All configuration is done well beforehand.

TView But configuration is needed sometimes. Read carefully below section and follow the

Setup step correctly.

Click the “Configuration” within “Menu” to set up the user environment.
You can change program position, built-in Dicom server, etc..
[Connection Setting]

- Please do not change anything in this tab. This tab is related to communication
with server computer. This trial version does not use other server. The PC running
this program is the server.

9 /75 Page
 [Viewer Setting]

- [Search Interval] determines the search interval which worklist will use initially.
- [Maximum Tab number] sets maximum Exam number of showing in the monitor. If
the number of exam that the user selects will exceed this value, it will be eliminated
from the exam opened first. (First In, First Out)
- [Position]
T-View consists of TView.exe to show Exam information and TViewDisp.exe to print
out image to screen. In this dialogue, it sets the screen position of these two program.
If multi monitor being used, one monitor should be a base monitor to set the location,
you can figure out which one is a base monitor through click the right button of mouse
on desktop, choosing the “pRoperty”. (the coordinate value of base monitor is 0.0) In
case only one monitor being used, generally set up the same value to “TView Position”
and “TView Disp Position”.
(example) If the property on desktop is shown as bellows;
The computer recognizes that monitor#1 is at its left side and monitor#2 is at its right
side. So, if you move the mouse to monitor#1’s right end, it will appear at the left side
of monitor#2. What happens if you move monitor#2 to left side of monitor#1? The
result will be same, because the computer still recognize monitor#2 is located on
monitor#1’s right side. But, in this case, you’ll see the movement of mouse is not
natural between two monitors. If you want to see “TView” at monitor#1 and
“TViewDisp” at monitor#2, you should set the each values of two programs like this;

10 /75 Page
 “TView Position”: [Left X Position: 0], [Width: 1024], [Height: 1280]
“TViewDisp Position”: [Left X Position:1024], [Width: 1024], [Height: 1280]

Position 0,0

And if you want to see “TView” at monitor#1 and “TViewDisp” at both monitor#1and#2,
need to set the values as bellows;
“TView Position”: [Left X Position: 0], [Width: 1024], [Height: 1280]
“TViewDisp Position”: [Left X Position:0], [Width: 2048], [Height: 1280]

11 /75 Page
 [Miscelleneous Setting]

[Other Setting]
- [Use Multi-frame DCM file]
If you treat multi-frame image(One big image file comprises several small
image), check this option.
- [Use small buffer(1024 Bytes) at file downloading]
We use big memory to download file. If your system has small memory, check
this option. Then PACS program will download file with small 1024 bytes memory.

[Self Dicom Server]

T-View PACS program has built-in Dicom Server. This part activate or
deactivate the built-in Dicom Server. When activating it, this program can receive the
DICOM file which other equipments or porgrams sends.

Step 1. Check [Run mini DicomServer included in TViewDisp.exe].

Step 6. Click [Search] button and find “c:/wms/asp/samba”
Step 7. You should fill [AE Title] and [Port].
AE Title is a kind of nickname representing the program which receives and stores
DICOM image. We propose you to use “TVIEW”.
You should input port number which program uses. We propose you to use 104. If port
104 is used by another program, you can assign another port number which is not
used by other program.
[Compress Option] indicates how to store DICOM image to hard disk.

12 /75 Page
 Compression Loss Image Quality File Size
No Compress No No high High
Lossless Yes No high Midium
Quality Yes Yes Adjustable Adjustable

Quality means Lossy compression so do not use it.

If you are not using multi-frame image(one image comprises many small images), use
“Lossless”. If you are using multi-frame image, use “No Compress”.

(Resulting screen)

When you finished all configuration, you should pass the information(IP Address, AE
Title and Port number) to the operator who controls gateway program. When operator
configures gateway program properly, no problem will arises in communication
between gateway program and T-View PACS program.

13 /75 Page
 (1) Search Bar
Search & If you use [Search bar] properly, it will shorten the search time.
View

1. Search bar

2. Search list

3. History 4. Patient Information

For example, if you try to search the Exam of the patient #2 which was pictured
at 2008 November 13th,

Click
After inputting the values, selecting the condition, click the “Search” button,

Search result will appear much faster.

Also, you may modify the database related with certain Exam using [4. Patient

14 /75 Page
 Information].
Click the Exam on the Search List, and the related database information will be shown.
After modifying the information, click the “Patient Info Update”, and you’ll see the data
updated both in database and on the Search List.

Click

If you check [Change DICOM file], the header of DICOM file will change as well as
Database Information.

15 /75 Page
 (2) Search List
Choose the Exam on the Worklist and click the right button of mouse, the popup menu
will be shown as bellows;

[Verify] It sets the Exam verified. (displayed Icon: )

[Cancle Verify] it cancels the Exam verified.
[Emergency!!] It sets the priority of Exam Emergency.(displayed icon: )
[Cancel Emergency!!] it cancels the Emergency priority of Exam..
[Register as Study]
It registers the Exam as Study at local server. Every registered Study items can
beshown on “Studylist”.
[Report]-[Show Local Report(with image)]
It shows the result of Local/Remote Radiology in texts with image.
[Preview]
Preview the image of Exam in simple.

16 /75 Page
 The 4 buttons at the bottom-middle are used to move between images and the
“Font” indicates the overlapped font size.

[Save to Local HDD]

It saves the Exam image to hard disc of local PC. The image will be saved in
“c:/consult” folder automatically, and Windows Search Engine will popup, showing
where the image will be saved.

(Example for “verify” & “Emergency”)

2 1
If you choose the certain Exam “verify” or “Emergency”, you’ll see the new icon
displayed on the Worklist as above.

(Example for “Study”)

Choose the Exam, click the “Register as Study” on popup menu. If registered
successfully, shown as bellows;

Also, if you search by “Name” or “ID” or “Date”, you can verify the register successful.

(3) Previous Exam List

It shows the Exam history of the patient on the “Search List”

17 /75 Page
 .(4) Viewing Image
To see the Exam image, it is possible in three different ways.
- Double click the Exam on the Worklist.
- Select multiple Exams using Ctrl or Shift key, click the “View” button
- Select multiple Exams using Ctrl or Shift key, enter
“Double click” to see only one Exam image, and “Enter” to see more than 2 Exams are
recommended.

(Example for multiple Exams)

To select multiple Exams successive, click the first Exam and click the last Exam as it
holds Shift key pressed. To select multiple Exams incontinuous. Click the first Exam
and click other Exams as it holds Ctrl key pressed.
After selecting multiple Exams, press the “Enter” key and shown as bellows;
.

18 /75 Page
 Multiple Exams images are opened at once.

19 /75 Page
 Dicom system includes the various useful information related with file. When the
patient is filmed at the Radiology department, the data of patient is transmitted to

Viewing Dicom server, and then Dicom server extracts information of the patient and it is

local Image inserted in database. The method explained above to view the image is operational
with the database linked. If you want to view the image not located in database like
external CD, you should follow the directions will be explained. In other words, It will
be used to view the image in CD from another hospital.
Select the “Local File” within “Search” menu or “Local File” on tool bar.

3 4

2
1

20 /75 Page
 (1) It specifies the connection type between Dicaom server and data of the patient.
(2) Using FTP, enter IP address, Port number, ID, PWD of FTP server.
(3) It describes the structure of folder, which can be shown differently depending on (1)
(4) It shows the list of Dicom images within selected folder in (3)
(5) It describes the type of file will be shown, automatic subfolder search, server
setting, view/store images.

- Searching the subfolder of selected folder. Leave this unchecked

if you want to search images in every folder.

- Enter the format of file to view, leave empty if you try all kinds of
file formats.

- Specify the server to be transmitted the Dicom images

- Click the “Ping” button to verify connectivity.
- Click the “Setting” button to add, delete, modify server setting.

Viewing the selected images.

Transmitting the Images to the specified Dicom server

21 /75 Page
 (Example)
1. Select Local HDD (default value)
2. Select the drive which includes the Dicom images.
3. Select the folder and Specify the format of file to filter, and double click, then the list
of files belong to the specified format will be shown.
4. Select the file(s).
5. Specify the server if the transmission of Dicom files needed.
6. Do Ping test to verify connectivity.
7. Click the button which you wish to do.

(2) (5) (6) (7)

(4)

(3)

(1)

22 /75 Page
 Click the “View Image” button, shown as bellows;
Explanation
of Display
Screen

(1)
(2)

(3)

(4)

Explanation for each part;

(1) Thumbnail: It shows small images of current Exams including the patient’s name

23 /75 Page

3
 and modality. If you click this small image, the same but larger image is displayed
in (3).
(2) Shortcut Bar: It describes a display mode and menu which is used often.
(3) It is a space to display, adjust images.
(4) It includes menu to control images.

And with click the right button on mouse on (3), popup menu used often is available as
bellows;

24 /75 Page
Thumbnail

If you selected multiple Exams, each Exams are separated by tab which the patient
name and modality are written as above. Click the tab to view a certain Exam.

An Exam can include many images in it such as MR or CR. In order to view certain
image, click the Exam on thumbnail, select the image to view using scroll bar, click the
image and larger image will be shown on main display screen. Or you may use your
mouse if you have wheel mouse.

click

25 /75 Page
 Series Mode Conversion
Shortcut Bar

You may view the whole images at once or view by series separately if the Exam
include series. In order to view by series uch as MR or CT, please follow the
instructions as follows;;

Click the “Separate” in pull-down menu, select the series you want to view during them
and only images belong to the series will be displayed in thumbnail and main screen .

You may also view the whole images as one series if you select the “Combine”.

Display Mode Conversion

You can view the images with three different options..

[Exam Mode]
It is a basic mode, used to view the whole images at once.

26 /75 Page
 [Single Mode]
It compares the images of the different Exams or is used when comparing of the
images in different series included in the same Exam.

First, click the image to compare on thumbnail, click the image on display screen and
will be shown in center as above.

[Cine Mode] It is used when viewing the Exam consisting of many images
continuously such as MR or CT.

Click the image on thumbnail, click the image on center, select the displaying speed,
click the play button and the moving pictures will be displayed.

27 /75 Page
Layout Conversion

It is used to change the layout of mages displayed.

For example, layout “L1x3” typically used for long bone image

28 /75 Page
Image W/L Conversion

You may set the value of “Width and Level” of image in

advance.
Select the “Change” to add, modify and delete the setting.

You can set the value of “W/L” by modality in advance as above.

[Modality Tab Setting]

When setting the value of “W/L”, you can also add
the new type of modality.

29 /75 Page
 Click the “Add” button to add new modality type
and set the value of “W/L”.
Also, you can modify the existing “W/L: values.

(Example)

30 /75 Page
Other Shortcut Function
It goes back with the patient inquiry screen, included even in toolbar.

It is used to select the image and to cancel that function when other function
being used.

W/L adjustment: It is used to adjust ‘Bright’ and ‘Contrast’ of images by mouse

dragging on the image.

L+

W- W+

L --

Drag the right button of mouse on image for this function.

It restores the modified image to when initially loaded.

It closes the Exam.

Dialogue as bellows will be shown.

31 /75 Page
 You may choose to close either current Exam or all Exams. (Shortcut key: [F6])

It copies the current selected image to clipboard. It can be pasted in other

application programs like Microsoft Word or Paint using by ‘Ctrl+V’.

It summons an Exam screen, and authorized user only can examine images.
If not authorized, read only available.

It is used to inquire Exam relate with current Exam.(History function)

Select the related Exam to summon during on pull-down menu as above.

It hides or appears the thumbnail bar.

32 /75 Page
 Display menu exists in left side of screen at length. You may hide this menu on the
screen usually, summon by clicking the right button of mouse when needed.
Display Menu

You may drag to enlarge or reduce the selected image. The hotkey for this
button is [Shif t+ Mouse Left Button Drag].

Zoom In

Zoom Out Zoom In

Zoom

It is used to move the location of images in the case where the image is not
visible all inside screen because enlarged. The hotkey for this button is [Alt +
Mouse Left Button Drag].

It is used to fix enlarged or reduced image in size in the screen.

33 /75 Page
 It reverses the black and white of the selected image.

It cancels the current “W/L” values of the selected image and restores to
original value when loaded initially.

It reverses the left and right of image.

It reversed the up and down of image.

It rotates the selected image 90 degree toward the right.

34 /75 Page
 It rotates the selected image 90 degree toward the left.

It moves toward the next Exam of current Exam.

It moves between Exams opened currently.

It moves toward the previous Exam of current Exam.

. It moves between Exams opened currently.

It changes the layout of the screen.

It increases the number of layouts.

It changes the layout of the screen.

It decreases the number of layouts.

It draws an arrow on image.

It measures the length of specific portion of the image.

It is indicated with centimeter bellow the line.

35 /75 Page
 It measures the angle between specified points.

It inputs a text in selected territory.

36 /75 Page
 It specifies the quadrilateral territory inside image.

It specifies the circular territory inside image.

It shows the histogram of the selected territory.

It composes the several images of long bone with one image. Select the
images to compose, click the icon and dialogue will be shown as bellows;

37 /75 Page
 Left part of dialogue shows an image after composition.
You can cut out unnecessary portion of the compositive image using “Cut”, define how
much overlapped using “Overlap”, and after inputting file information, click the
“Merge” button, and composition completed.

You may transmit the compositive image to server directly after composition.
After transmission completed, the compositive long bone image is visible for you
anytime.

And it is visible very well with long bone layout.

38 /75 Page
 It selects the whole images of current Exam.

It stores all information relate with current Exam into CD.(empty writable CD
should be placed in CD writer before.)

Click the “Burning” button to begin CD writing, if completed, CD will come out
automatically. For CD writing in detail, please refer to ‘Making CD” section.
It hides or appears corresponding information on image.
.

It enables ‘scout’.

39 /75 Page
 If you click this icon when the image includes the location information of slides,
location of all slides will be displayed as you see on the left picture, and indicate the
location of current slide displayed on right. If you scroll mouse, the corresponding
image and slide location will be displayed. [A] button used to toggle the location of
slides, [C] button used to display the image with ‘Anchor’ type.

It shows the Dicom information of selected image.

It is used to cut out rectangle area. The outside of rectangle will disappear.

40 /75 Page
 It stores the selected image on device.
It is possible to store it with DICOM/JPG/BMP/TIFF file types.

It enables “Remote Request” or “Remote Request Reservation” of current

image. This is blocked at Trial version.

It designates ROI(Region Of Interest) territory with free curve.

It enables a magnifier.
You can click or drag to view the certain portion of image in large.

When two monitors used, it displays the same image with both monitors. Zoom
is applied to both monitor equally but W/L applied to current working monitor only. (It
is useful when compare original image with modified to show the patient)

41 /75 Page
 So many Exams on monitor can cause computer’s performance degradation
dramatically. When “one Exam” is active, only one Exam remains on monitor. For
example, if you select the several Exams on “Worklist”, and click the “Enter” key,
every Exams which selected will be opened regardless “One Exam” is active or not.
But if you try to open certain Exam next time, every previous Exams will be closed
automatically if “One Exam” active.

Click

42 /75 Page
 It shares images belong to one Exam in two monitors. For example, if the Exam has
nine images and layout of monitor is set to 2x2, 1-4 images will be displayed in first monitor
whereas 5-8 images displayed in second monitor.

43 /75 Page
 It stores an annotation such as arrow, text on image. The stored annotation will
b displayed together with image when Exam opened. (but, ‘Ruller’ and ‘Angle’ is
not stored)

If it stored successfully, indication window will be shown as bellows;

It stores the changed value of “W/L” you made on image. (Verify)

44 /75 Page
 It is possible only if it is Dicom server itself or when connected to FTP server.
If verified successfully, indication window will be shown as follows;

This “Verify” is applied only to selected images. There are two ways to
select many images simultaneously. one is that after select one image,
Ctrl+click other images. The other is using ‘Shift+Drag’ images.

It decides whether it is applied to all images of monitor or not when user set the
value (magnification, W/L, etc). with one image.
Default value is [Off], set to [On] if you want to apply to every images.
If many images are opened it is applied to selected images only. If you set the different
“W/L” value by the right button of mouse, it is not influenced by this icon

Zoom In

45 /75 Page
 It sets display attributes.
Display If you click this icon on toolbar, dialogue will be shown as follows;
Setup

[Default Layout]
It designates a basic layout to be used when open the image of modality which is
not set from layout of modality.

[Modality Layout]
You may define basic layout by each modality.

It describes that one image is displayed on screen when CR is opened. If Row and
Column set to ‘2’, 4 images will be displayed.

46 /75 Page
 [Font]
“Setting Font Size” designates the size of font used to dialogue box.
“Overlay Font Size” designates the size of font used to patient information text box
overlapped to image.

[Monitor]
It designates the number of monitor and hanging protocol to be used. When two
monitor is used, hanging protocol should be set to ‘1-1’.

[Thumbnail]
It decides whether it shows “thumbnail” or not, whenever the program starts.
Activating “thumbnail” is recommended.

[Magnify Window]
“MagWidth” indicates the width of magnified window, “MagHeight” indicates the
height of magnified window, “Zoom” shows the zoom magnification ratio.

[Magnify Style]
If “Popup Magnify Window” is chosen, magnified window will be shown whenever
you click or drag the mouse. If not chosen, separate magnified window will be shown.
“Circle Window” designates the shape of magnified window when “Popup Magnify
Window” is chosen. If chosen, it displays with the shape of circle whereas if not
chosen, it displays with the shape of square as you see bellows;

47 /75 Page
 [Toolbar Type]
It designates the way how toolbar is shown on screen. If you select “Docking”, it
will be shown as docked type (the left picture bellows) If you select “Popup”, It will be
shown whenever you click the right button of mouse as popup type..

[Annotation]: R, G, B stands for the color of annotation, “Line Width” indicates the
width of line used to annotation, and “Font Size” shows the font size used to
annotation.

48 /75 Page
 If you click the right button of mouse when “Toolbar Type” is set to “Docking”, the
Popup popup menu bellow will be shown. It includes functions at toolbar used very often.

Most menus in popup operate exactly same as toolbar

[Close Exam]
It closes the current Exam.
[Edit Exam Info]
It is used to modify the database information of current selected Exam and header
information of Dicom image. The text overlapped on image is extracted directly from
Dicom file. The Exam Information Modification which will be explained in latter part of
manual does not have influence upon the text overlapped on image because Exam
information modification affects database only. So in order to view the text on image
as you modified, you should utilize this menu.

If you click this menu, dialogue will be shown as above. “DB Information” includes the
seven fields to be able to modify database information. After fill out this fields, If you
check the “Change Image Header”, the header information of Dicom image will be
changed. If you check “Reload Exam”, the current Exam will be closed, and modified
Exam will be reloaded.

49 /75 Page
50 /75 Page
Printing It prints out the selected image in film or A4. If you want to print the whole
Image images included in Exam, use the shortcut key [F5] to select the whole images.
If you click the icon, dialogue will be shown as bellow;

Dicom Print
It prints out the selected image in film.
Row, Col : It defines the number of images to print in one page.

Patient Information : It prints out the basic patient information together, if checked.
Modality Information : It prints out the modality information together, if checked.
Scout Line : It prints out the scout line on images.
Font Size : It designates the font size of text to be printed.

51 /75 Page
 Preview : It shows a printing image in advance.

[Set Image Pos] It changes the order of images.

For example, if you want to set #1 image
position after #4 image, enter as you see in
the left dialogue, and click the “Set Image
Pos” button. And you can see #1 image
placed after #4 image as bellow;

4
1

[Sort Image] It lines up images in reverse order. If you print after click this button, it
will be printed in reverse order.

52 /75 Page
 If you click the “Print” button, dialogue will be shown as bellows;.

Complete the film setting, click the “Print Films” button, and the selected images will
be printed in film.

Paper Print
It prints out the selected images in paper.

Define the layout , click the “Print” button and images will be printed in A4 size.

53 /75 Page
Local Click the icon in Shortcut bar. (shortcut key is F4, ‘T’ or ‘t’).
Radiology

If there was any radiology before, it will be shown as above. If there is no record for

radiology, [Default Report String] will be shown as it is configured at Setting( ).

[Save]
It stores the radiology information into database. 판독내용이 존재하므로 [Save]버
튼을 [Modify]버튼으로 변경합니다.
[Delete]
It deletes the radiology information in database. 판독내용이 없으므로 [Modify]버튼
을 [Save]버튼으로 변경합니다.
[Print]
It prints out the radiology content in A4 size.
[Exit]
It closes the window.

‘Macro’ is available for convenient inputting of radiology results. In order to utilize

macro, enter the radiology results, click the “Register” button.

54 /75 Page
 Then registeration dialog appears. Enter title and shortcut key and press [Insert]
button. If you press Ctrl+1 or select [No Act] at the combo box of Report dialog, “No
active lesion in lung” will inserted at the edit box.

To delete the macro, select the macro and click the “delete” button.

55 /75 Page
Image Image deletion process is as follows :

Deletion &
Reordering 1. Using Click and Ctrl+Click, select all images to delete.
2. Select [Exam] – [Delete Image(s)] at the popup memu.
3. The selected images are deleted and screen is repainted.

56 /75 Page
 Image reordering process is as follows:
1. Using Click and Ctrl+Click, select all images to delete.
2. Press Ctrl+x. Red outline appears around selected images.

3. If you want to cancel this process, press [ESC].

4. Click target image.
5. When you press [Ctrl+v], all the selected images move at the front of target image.

57 /75 Page
Making CD It is used to make a CD including the Exam information, to send different hospital
when the patient wish to move hospital. Or used to back up the patient information or
Dicom images by CD. Click the [Manage], [CD Write] or [CD Write] in menu bar.

Making
CD
1

3 2

(1) It designates “Search” options.

ID, name, date, etc are available for searching conditions.
(2) It shows the search results corresponding in conditions.
Check the Exams to store into CD, click the “ADD” button.
(3) If you click [Filesize] button, selected exam’s total filesize is calculated. If you click the
“CD Write” button, CD Burner.exe is executed. If there is no writable CD drive or no CD on
place, the alarm window will be shown..

58 /75 Page
 Click

It will take about 1 -2 minutes to finish this job, and if successful, notification as
bellows will be shown.

There are minute differences between [CD Write] and ( ) at toolbar of image printing
program.
[CD Write]
Inclusion of JPG file impossible possible
Multiple Exam selection possible impossible

(4) If you check [Save to Disk] and select folder using [Folder] button then you can save
CD Viewer and image files at the HDD or USB.

59 /75 Page
CD Viewer 1. It is executed automatically when CD inserted in CD drive.

☞ Caution
CD Viewer is optimized in Window environment. If operating system is not Window,
error message will be shown as follows;

2. To see Dicom image, select the Exam and click [View Image] button, double click
the Exam or select Exam at combo box.

60 /75 Page
 Basic Menu

[Worklist] Show patient’s worklist screen.

[Report] Show patient’s report.
[Display] Show image display screen.
[DICOM Send] Send DICOM image by means of DICOM C-STORE command
to destination server.

61 /75 Page
 Insert server’s AE Title, IP Address, Port number and click [Ping] to test whether
server responds.
If you selected only one exam at the worklist, patient’s ID and apply number appears
at the dialog. When patient’s ID and apply number duplicate with existing patient
information, generate another one with [Generate] button.

Shortcut Bar

It goes back with the Exam List screen.

It describes basic working mode and to select the image.

It changes mode to adjust the brightness and contrast.

It cancels the changed value of brightness and contrast on current image.

It copies the current image to clipboard.

It closes the tab belong to current Exam.

62 /75 Page
 : It modifies the layout format.

The three display modes are usable: Exam/Single/Cine.

[Exam Mode]
It is a basic mode, used to view the whole images at once.
[Single Mode]
It compares the images of the different Exams or is used when comparing of the
images in different series included in the same Exam.

First, click the image to compare on thumbnail, click the image on display screen and
will be shown in center as above.

[Cine Mode]
It is used when viewing the Exam consisting of many images continuously such as MR
or CT. Click the image on thumbnail, click the image on center, select the displaying
speed, click the play button and the moving pictures will be displayed.
.

63 /75 Page
64 /75 Page
 Click [Manager], [Exam Manager] on menu or [Exam Manager] button.

Data
Management
Each button does the function as follows;

(1) Modify
It modifies the patient’s basic information. It has influence upon database but not upon
header information of file.

(2) Match
It is possible that the patient item and image item does not match automatically in
spite of CCS link, because “Key” is not shared due to characteristics of modality. In
this case, you can match the patient item and image item manually.

(3) Separate
Even though the filming order was twice from OCS if it is filmed and stored at once,
only one exam exists. You can separate more than two Exams from one Exam in
database.

(4) Merge
You can merge Exams filmed separately with one Exam, match OCS order.

(5) Delete
It eliminates the Exam information filmed wrongly from database and also eliminates
file. But, to prevent the file from being eliminated by mistake, you need to keep the file
in [Delete_Backup] folder before delete. When Exam/Delete is done frequently, if you
make this folder empty occasionally, you will be able to secure hard disk space more.

(6) Reorder
It is used to change the order of image.

65 /75 Page
 Patient Information Modification

1
2

(1) Search Conditions

Enter the patient information to want to modify. After the patient name, ID, date,
etc, click the “[Search” button.
(2) Patient List
It shows the search result by search conditions (1).
(3)Modifying information
It shows the patient information in detail. After modifying, click the “ Patient Info
Update” button to complete modification. But, because Age is calculated by birth date
if you want to change the patient’s age, you should modify birth date. Database has a
part to store the patient’s age, but this age is fixed with age when Dicom file is
transmitted initially. So, this age does not correspond to actual age of patient as time
goes by. To update the whole patients age shown in (2) click the “Automatic Age
Update” button.

66 /75 Page
 Exam Manual Match

3
2

4
6
7

(1) Enter the patient information to match manually, click the “ Search” button.
You can search by the patient name, id, date, etc..
(2) Searched Order List
It shows the unmatched order in inquired order list.
(3) Exam Information of Order
It shows the Exam information matched at (2).
(4) Exam List By Search
It shows the list of Exams which is searched.
(5) Order List by Exam
It shows the order information matched at (4).
(6) Image List included in Exam

67 /75 Page
 It shows image list at (4).
(7) Image Preview
Preview of image selected at (6).

Work Process
1. Search at (1).
2. Select the order at (2), Select the Exam to match at (4).
3. After checking images through (6) and (7), click the “Match” button to match two items.
The order matched Exam becomes an order unmatched.

Exam Separation

1
2

68 /75 Page
 (1) After entering ID, name, date, modality, click the “ Search” button.
(2) It shows the patient list.
(3) It shows the file information of patient selected at (2). Select the image file to
separate.
(4) It shows image information selected at (3). Click the “Create New Exam” button to
enable separate new Exams from selected files.

Realigning Image Order

The image number of image at (3) is shown in “New Image Num” at (4). Enter the new
image number, click the “OK” button and realigned image numbers are displayed at
(3) If you complete realigning image number, click the “Change Image Number” button
at (4) to modify in database. But, information within image header is not modified.

69 /75 Page
 Exam Merging

1
2

5
3

(1) After entering ID, name, date, modality, click the “ Search” button.
(2) Select the patient item to merge on the list, click the “▽” button and the selected
items moves to (3).

70 /75 Page
 (3) It shows the exam list to merge. To delete certain Exam on merging list, click the
exam, click the “△” button and it will be restored at (2). Select one image as a
standard to merge, and this Exam information will be shown at (5). After you select
Exams to merge using Shift+Click or Ctrl+Click , click the “Merge” button to
complete Exams Merging.

(4) It shows image of Exam selected at (3).

(5) It shows the information of the standard Exam selected at (3).

“Merge Option” at (5) designates the way how such Exams is merged the standard. If
you select “Additional Series”, Exams will be merged with standard Exam as new
series of standard Exam. Or you can specify certain series among existing series to be
merged using “Add to” option.

71 /75 Page
 Exam Deletion

(1) Enter the Exam information to delete, click the “ Search” button.
You can search by the patient name, id, date, etc..
“Count” notifies the number of Exams which is searched.

(2) Select the Exam to delete on the list.

(3) It shows image list of Exam selected at (2).

72 /75 Page
 Select the image to delete at (2) click the “Remove Data” button and warning window
will be shown as bellows;

Click the “OK” button to confirm to delete the Exam. This deleted file is saved at
“Delete_Backup” folder of server automatically.

[Deleting Series or Images]

Popup menu of “Delete Series” and “Delete Files” at (3) are usable to delete individual
series or images. If the Exam includes only one series or image, warning message to
delete the Exam will be shown.

73 /75 Page
 Reorder

(1) Search exam to change image order.

(2) Drag and drop image to wanted position.
(3) Finally, press [Save to DB] buttons to change Database information.

74 /75 Page
Remote You may request the Exam Radiology to external Radiologist. In this case, you need a

Consult server additionally, which should have public IP address and used to store consult
information and images. This trial version does not support remote consult.

※ Thanks for reading this documents. We are trying to

make better PACS solution.

CL IT Co., Ltd.
138-860

Sungho Building B1F,

Garak bon-dong 120-1,

Songpa-gu, Seoul, Republic of Korea

phone +82 (0)2 3401 9023

Fax +82 (0)2 404 5605

www.clit.co.kr

[email protected]

Copy date 2008. 01

75 /75 Page