JUMONG C

Operation Manual
 IMPORTANT!...X-RAY

PROTECTION

X-Ray equipment if not properly used may cause injury. Accordingly the instructions herein contained
should be thoroughly read and understood before you attempt to place this equipment in operation. The SG
Healthcare Company, will be glad to assist and cooperate in placing this equipment in use.

Although this apparatus incorporates a high degree of protection against x-radiation other than the useful

beam, no practical design of equipment can provide complete protection. Nor can any practical design compel
the operator or his assistant to take adequate precautions to prevent the possibility of authorized or
unauthorized persons carelessly, unwisely, or unknowingly exposing themselves or others to direct or
secondary radiation.

It is important that everyone having anything to do with x-radiation be fully acquainted with the

recommendations of the National Council on Radiation Protection and Measurements as published in

NCRP Reports available from NCRP Publications, 7910 Woodmont Ave., Bethesda, MD 20814, and of the

International commission on Radiation Protection, and take adequate steps to insure protection against

Injury.

It is assumed that all persons authorized to use the equipment are cognizant of the danger of excessive
exposure to x-radiation and the equipment is sold with the understanding that the SG Healthcare Company,

its agents, and representatives have no responsibility for injury or damage which may result from exposure
to x-radiation.

Various protective materials and devices are available. It is urged that such materials and devices be used.
 Table of Contents

CHAPTER 1 10

ABOUT THIS GUIDE 10

SAFETY INFORMATION 10
SAFETY NOTICES 11

CHAPTER 2 12

SAFETY AND REGULATORY 12

INDICATIONS FOR USE 13
SAFETY 13
KNOW THE EQUIPMENT 15
ELECTROMAGNETIC COMPATIBILITY 16
RADIATION SAFETY 17
EMERGENCY PROCEDURES 19
SAFE OPERATION PRECAUTIONS 20
SYMBOLS 22
REGULATORY REQUIREMENTS 26

CHAPTER 3 28

RECORD OF REVISION 28
REVISION HISTORY 28

CHAPTER 4 29

QUICK STEP GUIDE 29

CURRENT WORKFLOW 29

CHECK POINT 32
CHAPTER 5 34

HARDWARE OVERVIEW 34
SYSTEM DESCRIPTIONS 35
SYSTEM COMPONENT 36
MOBILE TABLE 40
ACQUISITION WORKSTATION 40
DETECTOR 44
TUBE WARM UP AND CONDITION 45

CHAPTER 6 48

SOFTWARE OVERVIEW 48
BASIC COMPONENTS 49
WORK MODE 51
EXPOSURE MODE 53

DATABASE MODE 57

VIEWER MODE 58

PRINT MODE 59

SETTING MODE 60
HOW TO REGISTER PATIENT INFORMATION 62

HOW TO REGISTER PATIENT INFORMATION 63

WORKLIST PANEL 64
NEW STUDY PANEL 70

INPUT THE INFO DIRECTLY AND ADD IT TO LOCAL 73

LOCAL PANEL 74
USE THE IMAGE PROCESSING TOOLS 80

THIS SECTION DESCRIBES HOW TO USE THE IMAGE PROCESSING TOOLS 80

USE THE IMAGE PROCESSING TOOLS 81

IMAGE VIEW 81
IMAGE INFORMATION 82
HISTOGRAM 82
SCALE 82
THUMBNAIL 83
CHECK THE TOOLS 84
IMAGE PROCESSING PARAMETER 89
IMAGE ADJUSTING TOOLS 94

LAYOUT TOOL BUTTONS 95

SELECT IMAGES 98
HOW TO ADJUST THE IMAGE SIZE 100
HOW TO MOVE THE IMAGE 103
HOW TO MAGNIFY THE REGION OF INTEREST 104
HOW TO ADJUST BRIGHTNESS AND CONTRAST OF THE IMAGE 105

HOW TO USE W/L FOR SPECIFIED AREA 105

HOW TO CROP THE IMAGE 107

HOW TO INVERT THE IMAGE 109
HOW TO ROTATE THE IMAGE 110
HOW TO USE THE IMAGE LAYOUT 111
HOW TO ATTACH ANNOTATIONS 112
HOW TO USE LABELS 117
HOW TO STITCH IMAGES 120
HOW TO PROCESS THE IMAGE 121
HOW TO USE THE TOOLS FOR PRINT 121
HOW TO USE THE STUDY MANAGEMENT TOOLS 122

THIS SECTION DESCRIBES THE WAYS TO USE STUDY MANAGEMENT TOOLS 122

HOW TO USE THE STUDY MANAGEMENT TOOLS 123

CHECKING THE TOOLS 123

USING THE STUDY SEARCH TOOLS 125
CHECKING THE RESULT OF SEARCHED STUDY 127
STUDY MANAGEMENT TOOLS 128
ADDING A NEW STUDY 129
MAKING AN ADDITIONAL EXPOSURE 130
EDITING THE PATIENT INFORMATION 131
MOVING STUDY AND IMAGE 132
OPENING THE STUDY 133
DELETING THE STUDY 101
EXPORTING THE IMAGE 102

TARGET DIRECTORY 106

IMPORTING THE IMAGE 107

STITCHING IMAGES 108
SENDING THE IMAGE 109
SENDING THE IMAGE TO THE PRINT MODE 110
USE THE ADVANCED FUNCTIONS 111

THIS SECTION PROVIDES INSTRUCTIONS FOR ADVANCED FUNCTIONS OF VXVUE 111

USE THE ADVANCED FUNCTIONS 112

STITCHING 112
PRINT 119
SEND TO THE PRINT MODE 119

PORTABLE MODE 122

GENERATOR INTERWORKING FUNCTION 123
VETERINARY VERSION 124
HS4 IMAGE PROCESSING GUIDE 132

LOW BOOST 135

EXPOSURE INDEX 149

EX) D.I. = 10 * LOG (1361/1300) = 0.199 150

SETTINGS 153

SETTINGS 154

SYSTEM PANEL 154

IMPORT SETTINGS. 159

WORK PANEL 163

EXPOSURE PANEL 165
VIEWER PANEL 168

ITEMS AVAILABLE TO BE INDICATED 168

LUT PANEL 174

PROCEDURE PANEL 176

LABEL 181

STEP LIST 182

HIGH OFFSET 192

ALLOWABLE INPUT RANGE (%) : -100 ~ 100 192

BACKUP PANEL 199

DICOM PANEL 204

LUT 214

MODALITY 214

SOFTWARE COLLIMATION 214

BURNED IN ANNOTATION 214

BURNED IN INFORMATION 214

TRANSFER SYNTAX 214

LANGUAGE 214

COMPRESSION 214

REJECT PANEL 203

ADDITIONAL FUNCTIONS 206
STATUS BAR 207
ADDING A LANGUAGE 209
MEDICAL EMERGENCY 211
USING THE DEMO VERSION 213
MANAGING THE LIST HEADER AND FIELD 214
LOG VIEWER 217
USING A MOUSE 218
ICONS 219
CURSORS 223
APPENDIX A 224

MAINTENANCE 224

APPENDIX B 227

SYSTEM SPECIFICATION 227

Chapter 1

About This Guide

This chapter the purpose and design of this Learning and Reference Guide. It is an introduction to the

guide, providing information on the purpose, prerequisite skills, guide organization, chapter format, and
graphic conventions that identify the visual symbols used throughout the guide.

Topics covered include:

 Safety Information

 Safety Notice

Safety Information

Please refer to Chapter 2: Safety and Regulatory. In this Learning and Reference Guide. The Safety chapter
describes the safety information you and the physicians must understand thoroughly before you begin to use
the system. Note that you will find additional safety information throughout your Learning and Reference
Guide. Additional training is available, contact qualified SG Healthcare personnel for a training. The equipment

is intended for use by qualified personnel only. This guide should be kept with the equipment and be readily

available at all times. It is important for you to periodically review the procedures and safety precautions. It
is important for you to read and understand the contents of this guide before attempting to use this product.
 Safety Notices

The following safety notices are used to emphasize certain safety instructions. This guide uses the

international symbol along with the danger, warning, or caution message. This section also describes the
purpose of a Note.

DANGER

Danger is used to identify conditions or actions for which a specific

hazard is known to exist which will cause severe personal injury, death,
or substantial property damage if the instructions are ignored.

WARNING

Warning is used to identify conditions or actions for which a specific

hazard is known to exist which may cause severe personal injury, death,
or substantial property damage if the instructions are ignored.

CAUTION

Caution is used to identify conditions or actions for which a potential

hazard may exist which will or can cause minor personal injury or
property damage if the instructions are ignored.

Failure to control, regulate or operate the device in compliance with

instructions and procedures described in this manual could result in

accidental and/or excessive radiation exposure .

A Note provides additional information that is helpful to you. It may

emphasize certain information regarding special tools or techniques,
NOTE
items to check before proceeding, or factors to consider about a
concept or task.
Chapter 2

Safety and Regulatory

This chapter explains the safety considerations, general equipment and patient related precautions, and

the symbols used for the safe operation of your equipment. This chapter also includes information about the
emergency procedures.

This chapter presents the concepts necessary to successfully operate your system safely.

Topics covered include:

 Indications for Use

 Emergency Procedures
 Safety
 Safety Operation Precautions
 Know the Equipment

 Symbols
 Electromagnetic Compatibility
 Regulatory
 Radiation Safety
 X-ray Source Assembly Filtration
 Indications for Use

Medical Diagnostic Digital Radiography System JUMON F is applicable for all the patients who need any

of these general purpose diagnostic procedures. This device is not intended for mammographic and dental
applications.

WARNING

It is forbidden to use this device to take exposure repeat and frequently

for a same patient, especially a child.

WARNING

It is forbidden to use this device to take exposure for pregnant woman.

Safety

The electrical wiring of the relevant rooms complies with all national and local codes, as well as the

Regulations for the electrical equipment of buildings published by the Institution of Electrical Engineers.

All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by SG

Healthcare authorized service representatives. The equipment must be used in accordance with the

instructions for use.

WARNING

This X-Ray unit may be dangerous to patient and operator, unless safe
exposure factors, operating instructions and maintenance schedules
are observed.

To be used by authorized personnel only.

WARNING

Electric Shock Hazard! Do not remove covers or panels. The Acquisition

Console and cabinets contain high voltage circuits for generating and
controlling X-rays. Prevent possible electric shock by leaving covers or
panels on the equipment. There are no operator serviceable parts or
adjustments inside the cabinets. Only trained and qualified personnel
should be permitted access to the internal parts of this equipment.

WARNING

Only SG Healthcare validated equipment can be plugged into the

interface in any part of this system. Leakage current requirements of
non-validated equipment cannot be maintained with high confidence.

WARNING

Never touch patient and any exposed extra low safety circuits or
connectors simultaneously. Electrical shock may occur.

WARNING

Only table, Detector Stand, digital detector, tube assembly, collimator

and system cabinet which are specified to be installed in the
examination room are suitable for use in patient environment. Any
other equipment or component specified to be installed in control
room shall not be brought into and use in patient environment.

WARNING

Radiographic equipment must be operated by qualified personnel and

only after sufficient training.

CAUTION

Always be alert to safety when you operate this equipment. You must
be familiar enough with the equipment to recognize any
 Malfunctions that can be a hazard. If a malfunction occurs or a safety
NOTE problem is known to exist, do not use this equipment until qualified
personnel correct the problem.

CAUTION

It is the User’s responsibility to provide the means for audio and visual

- communication between the operator and the patient.

Know the Equipment

Read and understand all of the instructions in this Learning and Reference Guide before attempting to use

the product.

Equipment Classifications

The following equipment classifications are applicable to the Learning and Reference Guide before

attempting use the product.

 Equipment classification with respect to protection from electric shock: Class I

 Degree of protection from electric shock: Type B

 Equipment not suitable for use in the presence of a flammable anesthetic mixture with air
or with nitrous oxide

 Mode of operation: Continuous operation with intermittent loading

Electromagnetic Compatibility

WARNING

This system is intended for use by healthcare professionals only. This

system may cause radio interference or may disrupt the operation of
nearby equipment. It may be necessary to take mitigation measures,
such as re-orienting or relocating the system or shielding the location.

WARNING

This medial electrical equipment / system needs special precautions

regarding EMC and needs to be installed and put into service
according to the EMC information provided in the accompanying
documents.

WARNING

Portable and mobile RF communications equipment can affect this

medical electrical system. Make sure those communication equipment
are powered off before they are taken near this equipment / system

WARNING

Power line anomalies or electrostatic discharges in all equipment areas

may cause the monitor image to become momentarily disrupted or to
go to blank; the mouse and/or keyboard may become inoperable or
an error may be displayed on the worklist or image viewer screens.
The system may recover by itself or you may need to reboot the
system. The system may shut itself down, and will require a reboot.
 WARNING

A power surge during image transmission to the workstation after

acquisition may cause the image to be lost. the system

Will operate normally after the power surge, but the image must be
NOTE
reacquired.

WARNING

Power line anomalies or electrostatic discharges to the system cause

a CD/DVD write failure error. A new CD/DVD should be used and the
image re-written.

Radiation Safety

Always use the proper technical factors for each procedure to minimize X-ray exposure and to produce

the best diagnostic results. In particular, you must be thoroughly familiar with the safety precautions before
operating this system. Default system techniques are recommended for AEC acquisition. Default techniques
are designed to optimize the image processing parameters.

CAUTION

Please protect the families and any other company of the patients’
around this device from radiation. Please protect the technologists who
is around this device from radiation.
 CAUTION

Always use the proper technical factors for each procedure to minimize
X-ray exposure and to produce the best diagnostic results. In particular,
you must be thoroughly familiar with the safety precautions before
operating this system. Default system techniques are recommended
for AEC acquisition. Default techniques are designed to optimize the
image processing parameters.

CAUTION

There should be no persons other than the patient in the exam room
during x-ray exposure. If circumstances require another

Person to enter the room while x-ray exposures are planned or

NOTE possible, that person should be well protected in accordance with
accepted safety practices.

CAUTION

Tube assembly and collimator used in this system are verified to have
a total filtration of 2.5 mmAl at least, whenever you replace one of
them, make sure total filtration for this X-ray equipment is not less
than 2.5 mmAl.

CAUTION

Make sure any other accessories or materials are not located in the
primary X-ray beam during exposure that result in a bad image quality.
 CAUTION

Use the largest possible focal spot-to-skin distance appropriate for the
anatomy being imaged, to keep the patient absorbed dose as small as
possible.

CAUTION

Always use protective devices and protective clothing for the patient,
operator or even other persons as appropriate to the workload and
examination involved.

CAUTION

Hospital is responsible to provide means for audio and visual

communication between the operator and the patient.

Emergency Procedures

It is not always possible to determine when some components, such as the X-ray tubes, are nearing the

end of their operating lives. These components could stop operating during a patient examination.

WARNING

Do not use device should a safety problem occur and contact

authorized service immediately.

WARNING

If the radiation is still continuing, switch off the power to stop the
radiation.
Safe Operation Precautions

General Use Warnings

WARNING

Do not load non-system software onto the system computer. This may cause
system to crash.

WARNING

Use of operation methods other than those specified herein may result in
hazardous radiation exposure.

WARNING

For continued safe use of this equipment, follow the instructions contained in
this Learning and Reference Guide. Study this guide carefully before using the
equipment and keep it at hand for quick reference. It may be desirable for the
facility to print this manual from a standard PC to have a hard copy available
within the Radiology

WARNING

It is the responsibility of the operator to ensure the safety of the patient at all
times. When the table is in use the patient should be monitored by visual
observation, use of proper patient positioning, and use of the protective devices
provided.

WARNING

Thoroughly check that there is no interference or possibility of collision

between the patient and other equipment.
WARNING

Perform periodic maintenance to ensure continued safe use of the equipment.

Follow recommended preventative maintenance schedule as outlined in the SG
Field Service Manual.

WARNING

Check the Collimator status before using this equipment, to prevent it falling
down.

WARNING

Never exceed the rated load of patient handling devices.

WARNING

If safety problem occurs, please contact Authorized service immediately.

CAUTION

Always assist the patient during loading and unloading from table. Keep the
patient in full view at all times and never leaves the patient unattended while
on the table.

CAUTION

Please carefully monitor all equipment motions to prevent collisions. Attention

shall be drawn during operation to prevent possible injuries that could result
from collision of the power-driven equipment parts with other moving or
stationary items likely to be in the environment.

CAUTION

Please check for obstructions before moving the equipment.

Patient Positioning Warnings

WARNING

During patient procedures, ensure the patient’s head, hands and feet are
completely within the tabletop area. If any portion of the patient’s body
extends over the edge of the tabletop, serious injury may result.

WARNING

The maximum supported weight, with the tabletop fully extended toward the
head or foot end of the table, is 300kg.Exceeding this limit may cause
equipment damage or injury to the patient.

WARNING

Always, watch all parts of the patient table to verify there is no interference or
possibility of collision with the patient or with other equipment. When moving
the table, cautiously put hand on table top. Intravenous catheter or other lines
connected with the patient must be monitored to avoid interference during
patient positioning.

WARNING

When operate the Stand & Table, the operator shall always watch the patient
for the moving parts to avoid injury by collision.

Symbols

This section explains the symbols used on this system and in its accompanying documents.

X-ray Tube

Table describes the operational symbols for the system such as X-ray emissions and collimator locations.

Symbol Description
 Fluoroscopy X-ray ON indicators

Radiography X-ray ON indicators

Power ON and OFF

A gray POWER ON button is used to turn on the power to the system.

The button is located on the console.

A gray POWER OFF button is used to turn off the system. The button is located
on the console.
Electrical Type

Table describes the electrical protection rating based on system type.

Symbol Description

Type B Equipment indicates the equipment provides a particular degree of

protection against electrical shock regarding leakage current and protective
earthling per IEC60601-1.

Electrical Current

Table describes the symbols for the different types of electrical current that may be used on your system.

Symbol Description

Alternating Current indicates the equipment is suitable for alternating current

only.

Direct Current indicates the equipment is suitable for direct current only.

Both direct and alternating currents indicate the equipment is suitable for both
direct and alternating current.
Ground

Table describes the different types of grounding used in your system.

Symbol Description

Functional Earth (ground) Terminal indicates a terminal directly connected to

a point of a measuring supply or control circuit or to a screening part, which
is intended to be earthed for functional purposes.

Protective earth (ground) identifies any terminal which is intended for

connection of an external protective conductor to protect against electrical
shock in case of a fault.

Frame or chassis identify the frame or chassis terminal.

Collimator

Table describes the collimator controls and the radiation field.

Symbol Description

Control for indicating radiation field by using light.

Indicates the collimator blades are closed. The controlled blades are shown in
thicker lines.

Indicates the collimator blades are open. The controlled blades are shown in
thicker lines.
Regulatory Requirements

This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical and non-
medical devices and radio communications. To provide reasonable protection
NOTE
against such interference, this product complies with emission limits for
Group 1 Class A Medical Devices as stated in EN 60601-1-2. However, there
is no guarantee that interference will not occur in a particular installation.

NOTE If this equipment is found to cause interference (which may be

determined by switching the equipment on and off), you (or qualified service
personnel) should attempt to correct the problem using one or more of the
following measures:

–Reorient or relocate the affected devices.

–Increase the space separating the equipment and the affected device.

–Power the equipment from a source different from that of the affected
device.

–Consult the point of purchase or the service representative for further

suggestions.

The manufacturer is not responsible for any interference caused either by the
use of interconnect cables other than those recommended or by
NOTE unauthorized changes or modifications to this equipment. Unauthorized
changes or modifications could void the user’s authority to operate the
equipment.
 To comply with the regulations applicable to an electromagnetic interface for
al Group 1 Class A Medical Device, all interconnect cables to peripheral
devices must be shielded and properly grounded. The use of improperly

NOTE shielded and grounded cables may result in the equipment causing radio
frequency interference in violation of the
European Union Medical Device directive and Federal Communications
Commission regulations.

Do not use devices which intentionally transmit radio frequency (RF) signals
(cellular phones, transceivers, or radio controlled products) in the vicinity of
NOTE
this equipment, as it may cause performance outside the published
specifications.

Keep the power to these type devices turned off when near the equipment.

The medical staff in charge of this equipment is required to instruct technologists, patients, and other

people who may be around this equipment, to fully comply with the above requirement.

Disposal of Waste

This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Please contact an authorized representative of
the manufacturer for information concerning the decommissioning of your equipment. Figure: Disposal of

waste symbol

Manufacturer’s Responsibility

Allow only authorized, properly trained personnel to operate the equipment.

This equipment is sold with the understanding that the manufacturer, its agents, and representatives do
not accept any responsibility for overexposure of patients or personnel to X-Ray radiation. No responsibility
is assumed for any unit that has not been serviced by qualified authorized service personnel.
Chapter 3

Record of Revision

Revision History

Rev Date Reason for Change

1.0 DEC-2015 Original

Chapter 4

Quick Step Guide

Current Workflow

This section outlines the common operation workflow.

1 Press the Power On button on the console .Login on the system after about 1 minutes.

2 If necessary, please insert grid. Refer to Chapter 4, >:Hardware Overview

3 Logon system. Input the Logon Name and Password

4 Enter worklist screen.

5 Click [New Study] on worklist

 Search the patient for exam in the worklist screen, then click [Start to Study]

on the lower right corner. Go to step 8 for next operation.

6 Type in patient information

7 Click[Start Study]

8 Select a detector : Check the detector connection state and select a detector for exposure.
9 Select a patient size icon after checking the patient.

10 Change a category

 Click the category text.

- The category selection window is displayed.

 Select a category to use

- It is recommended using Human option for

human exposure which is set in advance.

11 Select procedure step

 Select the shortcut icon to the selected body part.

 Select the projection option.

 Check the image view screen is ready to take an X-ray

12 Press the motion control keys on the operation panel(tube stand) and position the patient. Refer

to the Chapter

1 U Arm Up movement buttton

2 U Arm Down movement buttton

 3 U Arm rotate buttton

4 U Arm rotate buttton

5 Tube arm movement buttton

6 Tube arm movement buttton

7 SID 100 movement button

8 SID 180 movement button

9 Table mode button

10 Emergency button

13 Take exposures in AEC mode or FIXED mode. Check the techniques, and press exposure button.

14 When all preparations for the exposure are completed, you can progress an exposure.

Check point

 A standby icon is displayed while receiving images from the detector.

 The receiving time can be different from each detector.

 The acpuired image will be displayed ont the screen when the image reception is completed

- It is a raw image from the detector without any image processing.

 After receiving the image, it is processed with the conditions set from steps previosly.

- A standby icon is displayed while processing the image.

- The processinf speed can be different from each algorithm.

 The final processed image is displayed onthe sceen.

Receiving image Processing image Completed

15 Process and adjust an image additionally

 Check the acquired image when yot finish making an exposure.

 You can process the images additionally using image processing tools.

 You can adjust the images additionally using image adjusting tools.

 It is also available to process and adjust the stared image after exposure.

Note
Refer to <Use the image processing tools> for more information.

16 End of the eaposure

  Click button in the study tab to close the study.

 Click either Close Study or Close All Studies icon in the image adjusting tools to close the

study.

Chapter 5

Hardware Overview

This chapter explains the different hardware components of your system, such as the acquisition

workstation, stretcher table, Floor Rail System, Bucky Stand and 6-Way Table, collimator, and digital detector.
 Topics covered include:

 System Descriptions  Detector

 System position  Tube Warm Up and Conditioning

 Acquisition Workstation

System Descriptions
System component

 U-Arm Stand

 Mobile Table
 Tube(RAD14)
 Collimator(R225A)

 Detector(FXRD1717 vieworks)
 Generator(CMP200DR)

 X-Ray Control Console

 Workstation(Including monitor and keyboard, mouse)
System position

Motion Component
Item Description

U Arm Stnad column

1
Supports and allows vertical/horizontal movement of Tube Stnad, tube and collimator.

Tube Arm
2
It holds collimator, tube and also supports the arm to rotate

Detector assembly
3
Contain the detector, motion control key.
 Motion remote control keys

Provides controls to position the U Arm

1 Table mode buttton

2 SID 180 movement buttton

3 SID 100 movement button

Operation 4 U Arm rotate button

Panel
5 U Arm rotate button

6 U Arm up movement button

7 U Arm down movement button

8 Tube movement button

9 Tube movement button

Tube Stand Vertical Motion

By pressing "Tube Arm Up/Down movement button", tube arm can make vertical movement. This allows
change of height of tube collimator assembly.
 to the halt motion, release press button when desired point is reached.

Tube Stand Rotating Motion

By pressing "Tube Stand Rotate movement button", tube stand can spin clock-wise and anti-clock-wise.

Tube Collimator Assembly Rotation

The tube collimator assembly can rotate maximum clockwise 120° or counterclockwise 120° around the
axis of the tube support.
 Detector Stand Vertical Motion

By pressing "Up/Down Push S/W”, detector assembly can make vertical movement. This allows change of
height of detector assembly.
 to the halt motion, release press button when desired point is reached.

Collimator

The collimator limits patient radiation exposure to a desired area at a given distance from the x-ray tube

focal spot.

Item Description

Turns the collimator light on and off. Cutout can also be performed automatically via
1. Collimator Light Switch
an internal time switch. The light-up time is 30 seconds.

2. Vertical Adjusts the vertical field size. Turning the dial to the left closes the collimator,
Collimator Field Size turning to the right opens the collimator.

3. Lateral Collimator Adjusts the lateral field size. Turning the dial to the left closes the collimator,
Field Size turning to the right opens the collimator.

Alignment Field Light

 Press the field light button located on the collimator face to activate the high-intensity field lamp.

The field light is timed and automatically turns off 30 seconds after your release the switch. To activate
the field light for another 30 seconds, press the button again when the light goes out.

Do not frequently and continuously turn on the collimator light to avoid overheating
Note
inside the collimator. It is recommended to use the collimator light 3 minute’s interval.

Positioning

Position the collimator and tube using the field light and cross hair shadow as guides. The cross hair shows
the field center.
Collimate by adjusting the size of the field with the two control knobs located on the front of the collimator.

Field sizes from 0x0 up to 17” x 17” at a 100 cm SID can be obtained. The knob selectors indicate the field
size for a selected SID. The maximum field size is 17” x 17”.

Collimator Rotation

1. Grasp the collimator

2. Turn the collimator to the desired position.

Note Check the Collimator status before using this equipment, to prevent it falling down.

Mobile Table
It is possible to can be easily operated to four directions on Free mode.

Acquisition Workstation
The Acquisition Workstation has its own dedicated computer and image data base. The Workstation

applications are based on a graphical, multiple-screen, mouse-driven interface. Images, lists, menus, and
control panels are displayed within graphical screens on the workstation’s monitor. You make your selections
using buttons and menus.

The Acquisition workstation has the following components:

 A computer unit with internal hard disk unit for system software and image storage, and a
DVD-R/CD-RW combination drive
 Single monitor

 An alphanumeric keyboard and mouse

 Mini Console(with Hand Switch)

The Acquisition workstation supports many functions:

 Image acquisition the digital detector.

 Image display and manipulation.

 Image transfer to other workstations using the DICOM standard or print.

 Image transfer to a recordable CD/DVD.

WARNING

To avoid image loss, please periodically backup the images from the
Acquisition Workstation to the given image storage system
 Control Console

Control Console controls the power and exposure functions for the system. The Control console has the

power on/off button, exposure button, and indicator lights.

Item Description

1. Power On Button Turns on the power for the entire system.

2. Power Off Button Turns off the power for the entire system.

When fluoro is on, the fluoro "eye" symbol on the mini-console control unit will light.
3. Fluoro On Indicator
This is accompanied by an audible tone from the unit

The X-ray exposure indicator on the mini-console control unit will light when an X-ray
4. Exposure Indicator
exposure is being taken.

5. Prep Button Press and hold the prep button on the mini-console control unit to spin rotor.

While pressing the prep button, press and hold the exposure button to make an X-ray
6. Exposure Button
exposure.
 Hand Switch

Record exposures are made with the console Hand-switch. The Prep/Expose button on this switch has

three positions: OFF, PREPARE, and EXPOSE

Position Description

Off
The OFF position is when no pressure is applied to the Prep/Expose button on top of the Hand-
switch.

Prepare
PREPARE is the next position on the Hand-switch. When it is partially pressed, it brings the rotor
up to speed and heats the filament. PREPARE also checks the system interlocks and verifies the
system is ready to make an exposure. If you release the button, it returns to OFF.

Exposure
The EXPOSE position is when the button on the Hand-switch is fully depressed. This produces X-
rays that are recorded. Release the Prep/Expose button after the exposure is completed.

Follow the procedure below to operate the console Hand-switch to prepare and record exposures
1. Make sure your patient and the console are set up for the procedure.
2. Press the prep/exposure button to the Prepare position.
3. Press the Prep/Exposure button to the Exposure position.

Note A procedure must be selected prior to attempting an exposure or an error will occur

4. Release the Prep/Exposure button after the exposure is complete.

 Detector
The detector is an x-ray imaging device. It consists of an array of 3268 by 3268 pixels. Each pixel is attached
to a data acquisition circuit that converts incoming x-ray signal to 14 or 16bit digital data.

Nameplates and marking

A rating plate label is attached to the detector within the access cover. The label contains the detector
serial number, date/place of manufacture.

Information on the Nameplate is to be used when communicating with SG personnel in reference to a

detector.

Environmental Constraints

CAUTION

Operation or storage outside of these constraints may cause damage

to the detector.

Non Operation Environment

Item Operation Environment Constraints
Constraints

External ambient temperature range: +10 to

Ambient
+35°C
Temperature,
Not applicable.
humidity, Ambient humidity range: 30% to 75%,
Pressure
Noncondensing. Pressure: 700-1060h PA

Mechanical The detector assembly shall not be exposed to

Stress & operating vibration spectrum exceeding the
Not applicable.
Vibration following parameters: Type: Random
Forces Magnitude: 0.1 Grms
 Electromagnetic Compatibility

Suggest keeping IV pumps, Infusion pumps, patient monitoring, and Air conditioners 1meter or more away
from any detector surface. More information for Electromagnetic Compatibility please refer to Electromagnetic
Compatibility

Tube Warm Up and Condition

Tube Warm Up
It is essential that the x-ray tube be warmed up before allowing it to operate on full power to avoid

reducing its life cycle. Therefore, before starting the days examinations, condition the x-ray tube by running
a series of exposures at medium power.

When warming up the tube, always take the precautionary measures to protect personnel from X-ray

radiation.

The warming up must be done by the qualified service personnel when the below circumstances occurs:
 Before starting the examinations;

 After the trouble shooting and when the X-ray tube voltage seems unstable during cross function

running;

REQUIREMENTS

1. Use the larger focal spot of the tube.

2. The operating tube voltage and current should be monitored all exposures during this seasoning
operation.

3. The anode rotation should be utilized at normal speed (3000 or 3600 min-1). 4. Do not exceed
either the generator or the tube ratings

WARNING

ALL RADIATION SAFETY RULES MUST BE OBSERVED. IN ORDER

TO PROTECT HUMANBODY FROM HARMFUL X-RAY, CLOSE
THE COLLIMATOR OR BLOCK THE TUBE ASSEMBLY RADIATION PORT
WITH AT LEAST A SIX (6) MM THICK PIECE OF LEAD. NO
PATIENT OR PERSONNEL IS ALLOWED IN THE ROOM.
 TUBE WARM-UP PROCEDURE

CAUTION

Effecting exposure at near peak potential and current without prior tube
warm up will damage the tube.

To maximize tube life, perform the following tube warm-up procedure.

1. 50kV, 100mA, 100ms - one exposure, then wait for 30s
2. 80kV, 100mA, 100ms - one exposure, then wait for 30s
3. 120kV, 100mA, 100ms - one exposure.

If discharge happened, re-warm up again under the previous condition. If the tube occurs intense
Note static charge repeatedly what will damage the sensitive part of electronic component, please
discontinue the operation and inform the service personnel.

After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.

Tube conditioning

The X-ray tube assembly needs to be conditioned if it is idle for 7 days. Precautions before conditioning

check the following:

1. Any oil leak

2. Air bubble in the oil through the window

3. Correct operation of rotation

4. Correct grounding connection

5. Good condition of HV receptacles—change grease if required.

This procedure establishes the proper relation to its new environment with the equipment in used. The

action establishes a favorable distribution of the electrical charges and Electrostatic stresses in the insulation

system of the tube and the associated equipment.

REQUIREMENTS

1. Use the large focal spot (LF) or the small focal spot (SF) as specified.
2. The operating tube voltage and current should be monitored all exposures during this seasoning

operation.
3. The anode rotation should be utilized at normal speed (3000 or 3600 min-1).
4. Do not exceed either the generator or the tube ratings.
 CAUTION

ALL RADIATION SAFETY RULES MUST BE OBSERVED. IN ORDER

TO PROTECT HUMANBODY FROM HARMFUL X-RAY, CLOSE
THE COLLIMATOR OR BLOCK THE TUBE ASSEMBLY RADIATION
PORT WITH AT LEAST A SIX (6) MM THICK PIECE OF LEAD. NO
PATIENT OR PERSONNEL IS ALLOWED IN THE ROOM.

The conditioning procedure

To maximize tube life, perform the following tube conditioning procedure.

1. Make sure that the X-ray tube assembly is at room temperature before starting the X-ray tube

assembly conditioning

2. Tube is not recommended to use in Anode up position

3. To avoid the risk of electrical shock, the equipment must only be connected to supply with
protective earth.

4. The Environment Conditions must be maintained for about 10 mins before use.

When the system is built first time or halt more than 1 week, please follow table shown below to do the

X-ray tube assembly conditioning protocols with sequence

If the X-ray tube assembly is unstable at high voltages reduce the kV until no high voltage instability
Note
observed and then increase the kV at a slower rate than as shown in table.

After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.
Chapter 6

Software Overview

This section provides information for the basic organization and each mode of VXvue

Topics covered include:

 Basic Components

 Work Mode

 Exposure Mode

 Database Mode

 View Mode

 Print Mode

 Setting Mode
Basic Components

 VXvue is organized with 3 basic areas as follows;

Task area

 All tasks are processed in the task area.

 This area has different compositions by each mode.

 The area will be switched when you select the desired mode tab.
 Mode tab area

 You can select the desired one among seven modes.

 When you select a mode, the task area will be switched to the selected mode.

 Each mode has following functions;

- Work mode – Register and manage the prescribing information to be X-rayed.

- Exposure mode – Take an X-ray of patients and process images which are being X-rayed.

- Viewer mode – View the stored images and adjust them.

- Database mode – Check and manage the stored images and their information lists.

- Print mode – Check and adjust images to be printed as a film.

- Setting mode – Change the setting value needed for program use.

- Exit mode – Shut down the program.

State bar area

 Indicates the main states information.

 You can keep checking the states if the mode is changed.

Note Refer to <Status bar> for more information.

.
Work Mode

 In the Work mode, you can register and manage the prescribing information of patients.

 You should register this information from the Work mode to take an X-ray and acquire images.

Panel area

 Work mode provides three ways of registering the prescribing information.

- Worklist panel – Use prescribing information in the work list.

- New Study panel – Enter new patient information manually.

- Local panel – Use the stored patient information.

 Register the patient information by selecting the desired panel.

Search Tool area

 You can use the search tools for searching the prescribing information.

- Each panel provides different search tools.

- New Study panel provides no search tools.

Tool Buttons area

 When you complete to search the patient information, you can process the next step with the tools

button.

- Each panel provides different search tools button.

- New Study panel provides no tools button.

Searched List area

 You can check the searched result on the list after searching the prescribing information.

- This area is not existed in New Study panel

Exposure Mode

 You can take an X-ray in the Exposure mode.

 The Exposure mode supports a general exposure and macro exposure modes.

- General exposure mode – Sets preparation steps and make an exposure.

- Macro exposure mode – Makes an exposure and adjusts the image by magnifying the image

view area.

General Exposure mode

Study tab area

 You can make an exposure by select a study tab.

- Multi-exposure is available by registering more than two tabs.

- You can close the study tab by clicking button.

Detector and patient size selection area

 Prepares to make an exposure by selecting a detector and a patient size.

- Select a detector icon to be used for the exposure.

- Select a patient size icon.

Study selection area

 Prepares to make an exposure by selecting body categories and steps.

- You can select a category.

- You can select shortcut icons of steps registered to the body image.

- You can select projection buttons for exposure on the left/right of the human body image after

selecting a step.

 You can take an X-ray and acquire an image after selecting categories and steps.

- The image is displayed on the image view area.

Image processing tools area

 Adjusts the acquired images by registering buttons for image processing.

 You can register the buttons from the Viewer mode.

Move to the macro exposure mode

Click the macro exposure mode button to change the screen.

Image view area

 You can check the acquired images from the image view area.

Thumbnail area

 You can check the thumbnail image from the thumbnail area.

 When you click the thumbnail image, it will be displayed on the image view area.
Macro Exposure mode

Study tab area

 Click the desired study tab to move to the selected study.

- Multi exposure is available by registering more than two tabs.

- Click the button for closing the study being x-rayed.

Move to the general exposure mode

Click this button to move the screen to the general exposure mode.

Image view area

 Check the acquired image from the image view area.

Thumbnail area

 Check the thumbnail image list from the thumbnail area.

 When you select the thumbnail image, it is displayed on the image view area.

Image adjusting tools area

 You can use the various image adjusting tools.

 The tools are divided into Process, Tool and Label panels.

- Process panel – for image processing tools

- Tool panel – for image adjusting tools

- Label panel – for image labeling tools

Database Mode

You can check and manage studies/images from the Database mode.

Search tools area

 Check study lists by using the search tools.

Managing tools area

 Manage studies and image information using various buttons in the managing tools area.

Study list area

 Check the searched study list.

Thumbnail area

 Check the thumbnail image of the selected study from the list.
Viewer Mode

 You can check and adjust the selecting image from the Viewer mode.

- The organization of Viewer mode is very similar to the macro exposure section in the Exposure

mode.

Study tab area

 Click the desired study tab to move to the selected study.

- Click the button to close the study tab.

Image view area

 Check the selected image.

Thumbnail area

 Check thumbnail images of the selected study.

Image adjusting tools area

 You can use the various image adjusting tools.

Print Mode

You can adjust an image to be printed and set printing options from the Print mode.

Print View area

 Check and adjust the image to be printed.

Print setting area

 Set the print options and film information of the selected image.

Print image adjusting tools area

 Use the pint image processing tools for selected images.

Note Refer to <Print> for more information about the Print mode
 Setting Mode

You can check and configure various setting values from the Setting mode.

Each configured area is displayed differently according to the selected panel.

Panel area

 Setting mode has nine setting panels.

- System – Configures the system information.

- Work – Configures the information related to the Work mode.

- Exposure – Configures the information related to the Exposure mode.

- Viewer – Configures the information related to the Viewer mode.

- LUT – Configures the LUT information.

- Procedure – Configures the exposure procedure information.

- Backup – Configures the backup information.

- DICOM – Configures the DICOM information.

- Reject – Checks and restores the deleted information.

Setting area

 When you select a panel from nine ones, the screen will be switched to the relevant setting area.

- Some panels have sub tabs.

Note Refer to the <Settings> for more information about each setting area.
How to register patient information

This section provides information about registering the patient prescribing information.

Topics covered include:

 Worklist Panel

 New Study Panel

 Local Panel
How to register patient information

 You should prepare and register patient prescribing information for making an exposure.

- The prescribing information is organized with patient information, prescribing information and

study information.

 You can register the prescribing information from the Work mode. It provides three tabs as follows;

- Worklist tab – Brings the prescribing information from DICOM Worklist server.

- New Study tab – Inserts the prescribing information manually.

- Local tab – Uses the prescribing information registered previously.

 Worklist Panel

 Search work lists on the Worklist panel and choose prescribing information from the list

- Insert or choose search conditions and click the Search button.

- Check the searched work list and choose the desired item.

- Progress the next step by selecting one of the tool buttons in the Worklist panel.

 DICOM Worklist server should be configured to use the Worklist panel.

Note Refer to<MWL tab> for setting the Worklist server

Tools for using work list

Work list search tools

You can get the patient prescribing lists by using tools for searching the work list.

Tool buttons for searching work list

Icon Name Description

Add to Local Add the work list item to local database.

Start Study Start exposure with the patient list and prescribing

information
Add to Add the work list item to the wireless detector
wireless
Emergency
detector in the
Start an items
urgentofexposure
work list.irrespective of the work list.
Search work list

Check the work list search condition

 You can search the work list using the search tools.

 Six search conditions are provided for searching studies.

 AND arithmetic operation is applied to the inserted search condition.

Search item Description Input Section Allowed

Patient ID Patient ID Entry
method Possible
Search (characters
, ) , * , + , =, - , _
Patient Patient Entry Possible ( , ) , * , + , =, - , _
Accession
Name Prescriptio
Name Entry Possible ( , ) , * , + , =, - , _
Station
Number Exposure
n no. Check Possible ( , ) , * , + , =, - , _
Modality
Name Device
site Check and
and input Impossibl None
Scheduled Appointme
code Select
select Impossibl
e None

Patient
Date ID / Patient
nt Name / Date
Accession Number
e condition

 Insert the patient ID, patient name and accession number.

 You can insert the conditions partly.

- The name “John Doe” is searched by inserting either “John” or “Doe”.

Station Name condition

 Insert search condition of a station name by selecting a checkbox.

- The default value is showed when selecting the checkbox.

- The default value can be set at <System information tab>.

 If you change the value, it will be searched instead of the default value.

- The default value would be applied again when you search again.

Modality condition

 You can select the modality search condition by checking the box.

- The options are DX, CR and DR.

Scheduled Date condition

 There are two options for inserting the scheduled date.

- Insert a scheduled date by selecting period buttons.

The period for one day/one week/one month is inserted automatically.

(Today, Week, Month)

 Select a scheduled date on the calendar by selecting

(Start Date, End Date)

 You can select either of two options (Start date, End date) and change the

date by moving a mouse wheel on the calendar.

Initialize the search conditions

 Select the Clear button to initialize the search condition.

- The values of scheduled start date and end date become “*” (All).

Search

 Start searching studies by clicking Search button after setting the search condition.

- If you search studies on the initialization state, all the data will be searched.

See the searched result

 Check the searched result on the list after clicking Search button.

- You can check the patient and prescribing information of each work list.

- You can check the scheduled study information of each work list.

Note Refer to <Managing the list header and field> for more information about

headers and fields of the searched list

Use the items in Worklist

Add to Local

 Select an item in the work list which will be saved to Local.

- You can select multiple items by using Ctrl or Shift key.

 Save the selected items to the local database by clicking the Add to Local button.

- Check the items from the Local tab after saving them.

 You can save and use items in the local database when it is impossible to use a work list.

Stat Study

 Select an item in the work list for exposure.

- You can select multiple items by using Ctrl or Shift key.

- When you select multiple items, an item selected earlier will be exposed first.

 Make an exposure by clicking the Start to Study button.

- The exposure will be started with the patient and prescribing information of the selected

work list item.

- The screen is switched to the Exposure mode.

Register the new procedure code at the beginning of exposure

 A procedure code window is displayed when a new code is found at the beginning of exposure.

- The new procedure code is registered automatically with a name ‘Inserted:code’.

 Note Refer to <Procedure tab> for more information about the procedure code.

Send the work list item to wireless detector

 Select an item to be moved to the wireless detector from the work list.

- You can select multiple items by using Ctrl or Shift key.

 Click the Send to Wireless Detector button and send the item to the detector.

- The button is not showed if a wireless detector (FXRD-1417W) is not connected.

- The item can be searched from mobile devices such as a laptop, a tablet and a smart
phone.

Note Refer to <Portable mode> for more information about using a mobile device.

Start an emergency exposure

 When you need to make an urgent exposure irrespective of the work list, click the Emergency

button.

- The screen is switched to the Exposure mode automatically.

 The ID and name of the patient is inserted automatically based on the present date and time.

- The ID form is ‘EM-YYMMDD-HHMMSS’.

- The name is ‘Urgent Patient’.

Note Refer to <Medical emergency> for more information about the emergency
exposure.
New Study Panel

 You can insert the prescribing information at the New Study panel.

- The information can be stored to the local database.

- You can make an exposure after inserting the patient prescribing information.
Input items of patient information

Search item Meaning Note

The user cannot edit the scheduled time, as the
present time is displayed automatically.
Scheduled Date Appointment
The date format is complied with the Windows

operating system.

Accession Number Prescription number Insert the patient prescribing information.

Patient ID ID of a patient Insert the patient ID.
Patient Name Name of a patient Insert the patient name.
Insert birth date of the patient.
Birth Date Birth date
You can select the date by clicking button.

Insert the patient age after selecting units.

D (Day), M (Month), Y (Year)

Age / Sex Age / Sex
Select a gender of the patient.

M (Male), F (Female), O (Others)

Height / Weight Height / Weight The user can set each unit at the Setting mode.
Procedure Study code Select the study code to be exposed.

Referring Physician Name of the Insert the referring physician name.

Patient Comment Comments for the Add the patient information.

referring doctor
patient
Study Description Description of the study Add the exposed study information.

Details

 The green colored items are compulsory ones to be inserted.

- You can set the compulsory items directly.

- Refer to <Work panel> for the way of setting the compulsory items.

 The special characters allowed to be inserted to each item are ( , ) , * , + , =, - , _ .

 If you insert the preexisting patient ID, the relevant information will be displayed automatically.

- This function is applied to ‘Patient ID, Patient Name, Birth Date, Sex, Patient Comments’
items.

 The patient age is calculated automatically if you insert his/her birth date.

 The unit options of Height / Weight are metric (kg / cm) and English (lb / ft).

- Refer to <Work panel> for unit settings.

 If you start making an exposure without selecting the procedure, you can set the step from the

Exposure mode.

- Refer to <Procedure tab> for more information about selecting procedures.

 Insert the prescribing info directly

Input the info directly and add it to local

 Input the patient prescribing information directly.

 Click Add to Local button and save the information to the local database.

- You can check the information from the Local tab.

Insert the info and start study

 Insert the patient prescribing info directly.

 Click Start Study button and make an exposure.

- The screen is switched to the Exposure mode automatically.

Emergency

 Click the Emergency button.

- The urgent exposure is started irrespective of the prescribing info.

- The screen is switched to the Exposure mode automatically.

 The ID and name of the patient is inserted automatically based on the present date and time.

- The ID form is ‘EM-YYMMDD-HHMMSS’.

- The name is ‘Urgent Patient’.

Note Refer to <Medical emergency> for more information about the emergency

exposure.
Local Panel

 Local’ means the database which stores patient prescribing information.

 You can use the registered or exposed patient info in the Local panel.

Tools in Local panel

 Local search tools

- You can bring the patient prescribing info by using the search tools in the Local panel.

Local search tool buttons

Icon Name Description

Start Study Start study with the patient and prescribing info in the Local panel.

Add to the Add an item of the Local panel to the wireless detector.
Wireless

Emergency Start an emergency exposure irrespective of the items in the Local

panel.
detector
Edit Patient Correct the patient prescribing info in the Local item.

Delete Delete the patient prescribing info in the Local item.

 Search Local information

Check the search condition

You can search the prescribing information by using search tools in the Local panel.

Six search conditions are provided for searching studies.

‘AND’ arithmetic operation is applied to the inserted search condition.

Search item Description Input method Section Search Allowed characters

Patient ID Patient ID Entry Possible ( , ) , * , + , =, - , _
Patient Name Patient name Entry Possible ( , ) , * , + , =, - , _
Accession Number Prescription no. Entry Possible ( , ) , * , + , =, - , _

Patient Age Patient age Select a unit Possible ( , ) , * , + , =, - , _

and insert age
Patient Sex Gender Selection Impossible None
Scheduled Date Appointment Date selection Impossible None

Patient ID / Patient Name / Accession Number condition

 Insert the patient ID, patient name and accession number.

 You can insert the conditions partly.

- The name “John Doe” is searched by inserting either “John” or “Doe.

Patient age condition

 Select the age unit options and insert numbers.

 The options are D (Day), M (Month) and Y (Year).

Patient sex condition

 Select the gender of a patient.

 The options are M (Male), F (Female) and O (Other).

Scheduled date condition

 There are two options for inserting the scheduled date.

- Insert a scheduled date by selecting period buttons.

The period for one day/one week/one month is inserted automatically. (Today,

Week, Month)

 Select a scheduled date on calendar by selecting (Start Date, End Date)

- You can select either of two options (Start date, End date) and change the date

by moving a mouse wheel on the calendar.

Initialize the search conditions

 Select Clear button to initialize the search condition.

- The values of scheduled start date and end date become “*” (All).

Search

 Start searching studies by clicking Search button after setting the search condition.

- If you search studies on the initialization state, all the data will be searched.

See the searched result

 Check the searched result on the study list after clicking Search button.

- You can check the patient and prescribing information of each work list.

Note Refer to <Managing the list header and field> for more information about

headers and fields of the searched list.

Use Local information

Select items

 Select items in the Local panel.

- You can select multiple items using Ctrl or Shift key.

Start to Study

 Make an exposure by clicking Start to Study button.

- The exposure will be started with the patient and prescribing information of the selected
item.

- When you select multiple items, an item selected earlier will be exposed first.

- The screen is switched to the Exposure mode

Register the new procedure code at the beginning of exposure

 A procedure code window is displayed when a new code is found at the beginning of exposure.

- The new procedure code is registered automatically with a name ‘Inserted:code’.

Note Refer to <Procedure tab> for more information about the procedure code.
Send Local items to the Wireless Detector

 Select an item in the Local panel to move it to the wireless detector from the list.

- You can select multiple items by using Ctrl or Shift key.

 Click Send to the Wireless Detector button and send the item to the detector.

- The button is not showed if a wireless detector (FXRD-1417W) is not connected.

- The item can be searched from mobile devices such as a laptop, a tablet and a smart phone.

Note Refer to <Portable mode> for more information about using the mobile device.

Emergency

 When you need to make an urgent exposure irrespective of items in the Local panel, click

Emergency button.

- The screen is switched to the Exposure mode automatically.

 The ID and name of the patient is inserted automatically based on the present date and time.

- The ID form is ‘EM-YYMMDD-HHMMSS’.

- The name is ‘Urgent Patient’.

Note Refer to <Medical emergency> for more information about the emergency

exposure.
Correct the patient prescribing info.

 Click Edit Patient button to correct the patient information at the ‘Edit Patient’ window.

- You can only correct the patient information. The existing study and exposure information

are not corrected.

- You cannot correct multi patient information at the same time.

 Click Edit button and update the corrected information.

Delete the patient prescribing info.

 Delete items in the Local panel by clicking Delete button.

- You cannot delete the exiting study and exposure information.

Use the image processing tools

This section describes how to use the image processing tools

Topics covered include:

 Image view  How to crop the image

 Thumbnail  How to invert the image

 Check the tools  How to rotate the image

 Image processing parameter  How to use the image layout

 Image adjusting tools  How to attach annotations

 Select the image  How to use labels

 How to adjust the image size  How to stitch images

 How to move the image  How to process the image

 How to magnify the region of interest  How to use tools for print

 How to adjust brightness and contrast

of the image
Use the image processing tools
 You can adjust the images by using the processing tools.

 You can see the tools at the Exposure Mode, Viewer Mode and Print Mode.

 In case of advanced image processing, you can process and apply the images more in detail from

the separate window.

Image view

① Image Overlay at the left top

② Image Overlay at the right top

③ Histogram

④ Scale
Image information

 You can check the image information by indicating it in the overlaid area.

 Each overlay can be assigned on top left / right and at the bottom left / right of the image as you

want.

Note Refer to <Image Overlay> for more information.

Histogram

 The histogram is indicated labels distributed on the image as mapping them by same value.

Click or and drag the mouse to adjust W/L.

Note Refer to <How to adjust brightness and contrast of the image> for the detailed

information about W/L.

Scale

 Scale is a standard needed for measuring the actual length of the image.

- You can check the actual length and size of the image by using the scale.

 ou should set the actual length information to VXSetup to get the correct length of the

image.

- Refer to ‘ViVIX-S User Manual’ for more information about measuring and setting the

actual length.

Note A common difference can be occurred if the actual length is not configured.
Thumbnail

View the thumbnail image

 You can view the thumbnail image without opening the main study.

 A yellow frame is displayed on the selected thumbnail.

- You can select multiple thumbnails by using the Ctrl or Shift key.

- Some functions are available to use from the selected thumbnail.

Check the thumbnail information

 You can check the step information of the thumbnail.

 You can also check the series and image number of the thumbnail.

 You can check the state icons of the thumbnail.

Use up/down shift button

 The buttons for up/down movement are activated if there are many thumbnail

images.

 View the desired thumbnail with up/down buttons.

- You can move the mouse wheel instead of the buttons.

Note Refer to <Thumbnail image status icons> for more information about state

icons.
Check the tools

Process panel

 Process panel provides image process functions.

① Image processing parameter tools area

 Improves image quality

 Changes image information from Step.

② Image adjusting tools area

 You can configure the adjusting tools as you like.

- The five basic buttons cannot be deleted.

 This area is synchronized with image adjusting tools located in the general

exposure mode of the Exposure mode.

③ Parameter history area

 You can check the image processing history.

 If you double-click on one of the history items, it will return to the previous
processing information.

Note Refer to <Image processing parameter tools> for detailed information

about using parameters.
Tools Panel

 Tools panel provides functions of adjusting and controlling images.

 You can add tools to the image processing tool by clicking the right mouse button on the relevant

icon.

① Image adjusting tools area

 You can adjust the image by using image adjusting tools.

② Layout tools area

 You can change layout of the image view screen by using layout tools.

③ Annotation tools area

 You can add annotations to the image by using annotation tools.

④ Image management tools area

 You can manage unification, sending, handling, setting and deleting images.

Note Refer to <Image adjusting tools> for detailed information about each tool.
Label Panel

 Label panel provides all functions related to the label.

① L/R Label area

 You can add L (Left) / R (Right) label on the image.

② Image Laterality area

 You can configure information at the left / right of the image.

③ Patient Orientation area

 You can configure top / bottom / left / right projection of a patient.

Note Refer to <How to use labels> for more information.

Image adjusting area

 The image adjusting tools are located in the Exposure mode and Viewer mode.

 You can register or delete the image adjusting tools directly.

 With the image adjusting tools, you can easily adjust the image.

Basic tools button

 There are five basic buttons for image processing.

- Select, Zoom, Pan, Magic Glass, Crop

 You cannot register or delete the basic buttons.

Register tools button

 Right click the desired tools button to register from the Tools panel.

 Choose ‘Add to Image Process Tab’ in the pop-up menus.

Delete tools button

 Right click the desired tools button to delete from the image adjusting tools or Tools panel.

 Choose ‘Remove from Image Process Tab’ in the pop-up menus.

Adjusting tools for printing image

 This area provides tools for adjusting the printed images.

① Image adjusting tools area

 You can adjust printing images with the image adjusting tools.

② Adjusting tools for printing only

 You can manage printing images with the tools for printing only.

③ Annotation tools area

 You can add annotations on the printing image with the annotation tools.

Note Refer to <Tool buttons> for more information.

Image processing parameter

 The quality and results of an image have different standards by each user who check the image.

 In this case, you can improve the image quality by using image parameter tools.

 With the parameter tools, you can apply the desired image processing to the image and check it

quickly.

 You can also save and manage the parameter setting value after getting desired image quality.

Image processing parameter tools

 Use the image processing parameter tools for image processing.

- You can see the tools from the Exposure mode and Viewer mode.

 Before using the tools, their setting value should be configured previously.

- The setting value of image processing parameter is configured by Step as a unit.

Classification of image processing parameters

 The image processing parameter provides three algorithms.

- HS1 / HS2 / HS4

- Each algorithm has different image processing factors.

HS1 HS2 HS3

Note Refer to <Step tab> for more information about each image processing
parameter.
How to use image processing parameter tools

Step name
 The parameter step name for the current selected study or the image.

- The name of step is changed when you change the relevant step.

Change
Step  The ‘Step List’ window is displayed when you click the Change Step button.

 Select a desired step to be changed, and click the OK button.

- The step information is changed from the selected image.

- The image will be processed again with the image processing parameter in the

relevant step.
App another image processing parameter ly

 The ‘Step List’ window is displayed when you click the Enhance Image

button.

 Select a desired Step to apply image processing, and click the OK button.

- The image will be processed again with the image processing parameter

in the relevant Step.

Note 'Enhance Image’ only functions as applying image processing. The step

information is not changed

Apply image processing

 Select a parameter to be processed among HS1, HS2 and HS4.

 Adjust values of each factor as you want.

 Click the Process button and check the image processing result.

Restore the image processing

 Click the Reset button.

 The image can be processed again by the parameter of step which is selected

currently.
Image adjusting tools

Tool buttons

Icon Name Description

The default mouse cursor state. You can
Select
select an image or annotations in an image.

Select all images in the same study. Each frame of

Select All
the selected images is displayed as a yellow color.

Zoom Enlarge or reduce an image..

Pan Move the selected image to the desired position.

W/L (Window Adjust the window level – brightness and contrast of an image.
Level)
Pick W/L Change the window level - brightness and contrast of the image

based on the selected region of interest.

Magic Glass Magnify a specific region of interest by twice.

Crop Crop an image as you want.

Inv. (Invert) Invert black and white of an image.

CW (Clockwise) Rotate an image by 90˚ clockwise.

CCW (Count- Rotate an image by 90˚ counterclockwise.

Clockwise)
Flip Flip an image vertically.

Mirror Flip an image horizontally.

Fit an image to the main image window size. If the

Fit image is cropped, the cropped area of the image will be fit to the

window.

1:1 Display an image in its actual size.

Layout tool buttons

Icon Name Description

1X1 Display one image on the main image window.

2X2 Display four images on the main image window.

3X3 Display nine images on the main image window.

ser Allow to customize the image layout within 4x4 layout

(maximum)displayed on the main image window.

Annotation tool buttons

Icon Name Description

Distance Measure distances between two points by drawing a line on the image.

Angle Measure the angle between three points over an image by drawing

angles.
Arrow Draw an arrow on the image to indicate a region of interest.

Rect. Draw a rectangle over an image to indicate a region of interest.

Ellipse Draw an ellipse over an image for indicating a region of interest.

Right Label Put a green R (right) label on the image to mark a projection.

Left Label Put a green L (left) label on the image to mark a projection.

Text Attach a text annotation to indicate information of the image.

Hide Hide all annotations on the image.

Annotation
Show Show all annotations on the image.
Annotation
Delete Delete the selected annotations on the image.

Annotation
Rect. ROI Draw information of rectangular region of interest to measure its

pixel information.
Management tool buttons

Icon Name Description

Send Send the image to DICOM server.

Print Send the image to the Print mode for DICOM printing.

Stitch Connect more than two images together.

Convert Raw Convert the image to a raw image.

Image Process Perform image processing for acquired images to improve image quality.

Reject Image Reject selected images.

Close Study Close the study in checking among the opened studies.

Close All Study Close all opened studies.

Edit Patient Modify the patient information on the image.

Tool buttons for print only

Icon Name Description

Delete Delete the film image.

Delete All Delete all film images.

Swap Change the position of two film images.

Print Print the film images.

Select images

 You can choose a part or all of the image/annotations.

 When you click this button, the function used currently will be deactivated and turned

back to the basic state.

Use the basic select

function  Click the Select button on the Tools panel.

- You can also use Esc key instead of the Select button.

 Choose the desired image from the image displayed

window.

A yellow frame is displayed around the selected

image.

 Choose the desired annotation on the image.

- The selected one is displayed as a selected state.

Select with a combination of special keys

 Click the desired image or annotations one by one while holding down the Ctrl key.

- You can choose more than two images or annotations in order.

 Click two images or annotations while holding down the Shift key.

- You can choose two image and annotations in them altogether.

Select all images

- Click the Select All button on the Tools panel.

- Check if all images in the current study are selected.

Range of simultaneously applying function for multi-selective
images

 You can apply the following functions simultaneously to multi-selective images.

- Invert functions (Invert, Mirror, Flip)

- Rotate functions (Clockwise, Counter clockwise)

- Size control functions (Fit, 1:1)

- Add label functions (Add R label, Add L label)

- Specialized functions (Image Process, Send, Print, Stitch, Convert Raw, Reject Image)

 The other functions are applied to the single image only.

- If you choose the other functions, multi-selective images are cancelled and only one

image will be selected automatically.

How to adjust the image size

Enlarge or reduce the image

 You can enlarge or reduce the image.

- The maximum zoom ratio is 3200% and the minimum is 5% compared to the original image.

 Annotations on the image are also enlarged and reduced when you zoom in/out the image.

How to use

 Click the Zoom button on the Tools Panel.

 Move the mouse cursor to the main image window then the cursor will be changed to magic glass

shape.

 Drag the mouse with clicking left mouse button on the image to control zooming.

- Enlargement – Drag the mouse upward on the image.

- Reduction – Drag the mouse downward on the image.

Close

 Release the mouse button to finish zooming.

Fit the image to the window size

 You can fit an image to the main image window size.

 Annotations on the image are also adjusted.

 The cropped area of the image will be fit to the window.

How to use

 Click the Fit button on the Tools Panel.

 Check if the image is fit to the main image window.

Actual size view

 Display an image by measuring its actual size.

- This function is applied to the currently displayed image on the window.

 You must configure a pixel size of the monitor to measure the exact size of the image.

How to use

 Click the 1:1 button on the Tools Panel.

 Check if the image is fit to the window as the actual size.

- You can measure the size with a ruler.

Note Refer to <Miscellaneous tab> for configuring a pixel size of the monitor.
How to move the image

 You can move an image to the desired position with the Pan button.

How to use

 Click the Pan button on the Tools Panel.

 Move to the main image window and check if the cursor shape is changed as a hand.

 Drag the image to the desired position by holding down the left mouse button on the image.

Close

 Release the mouse button to finish.

How to magnify the region of interest

 You can magnify a selected region of interest.

 Annotations on the image are also magnified.

How to use

 Click the Magic Glass button on the Tools Panel.

 Move to the main image window and check if the cursor shape is changed as a magnifying glass.

 Press and hold the left mouse button and drag the region of interest on the image.

- You can check the region of interest enlarged twice than the surrounding area.

Close

 Release the mouse button to finish.

 How to adjust brightness and contrast of the image

 You can adjust the brightness and contrast of the image freely.

- This function is called “Window Width / Level (Window W/L)”.

 With this W/L button, you can adjust brightness and contrast of the image on a basis of

the whole image.

 You can also adjust brightness and contrast of the image on a basis of the specified

area.

How to use W/L button

 Click the W/L button on the Tools Panel.

 Move to the main image window and check if the cursor shape is changed as .

 Press the left mouse button and drag it to adjust W/L on the image

How to use W/L for specified area

 Click the W/L button on the Tools Panel.

 Move to the main image window and check if the cursor shape is changed as .

 Press the left mouse button and drag it to adjust W/L on the specified area of image.

Close

 Release the mouse button to finish.

Basic motion of W/L

Increase W2

 You can use the W/L function by dragging the right mouse
Decrease W2 button without clicking the W/L icon.

Increase W2 Decrease W2  You can increase or decrease the W/L level by moving the

mouse cursor to four ways.

 You can set the increase or decrease direction of W/L as you want.

 You can also set the increase or decrease speed of W/L as you want.

Note Refer to <Window Level Option> for more information of setting W/L speed

and direction.
How to crop the image

 Click the Crop button and check the square shutter area is displayed as a green dotted

line.

- When you click Crop button, the shutter area is displayed on a basis of the original

image.

Image mode Crop mode

Adjust the shutter size

 Adjusts the shutter size as clicking and dragging the green dotted line.

- When you double-click the shutter area, it becomes to be fit to the whole image area.

Select the appointed shutter size on a popup menu

 Displays the popup window by clicking the right mouse button when choose the desired

shutter size.

- The shutter area is fit to the selected size.

Move the shutter

 Drag the shutter area with the mouse button and move it to the desired position.

Check the shutter size

 The shutter size is displayed when you adjust or move the shutter area.

- The unit of a shutter size is ‘inch’.

Close

 Click the ‘Select’ button to finish crop.

- The cropped image will be fit to the main image window automatically.

Note Refer to <Crop Option> for setting a shutter size in the popup menu.
How to invert the image

 You can invert the image as black/white, top/bottom, left/right.

How to use

 Click the Invert button on the Tools panel and check if the black/white of an image is inverted.

 Click the Flip button on the Tools panel and check if the top/bottom of an image is inverted.

 Click the Mirror button on the Tools panel and check if the left/right of an image is inverted.

Raw image Black/White Top/Bottom Left/Right

How to rotate the image

 You can rotate the image as clockwise or counter-clockwise with Rotate button.

How to use

 Click CW button on the Tools panel and check if the image is turned clockwise by 90˚.

 Click CCW button on the Tools panel and check if the image is turned counter-clockwise by 90˚.

Raw image Clockwise Counter-clockwise

How to use the image layout

Use the appointed layout

 Choose the desired layout button on the Tools panel.

 Check if the selected layout is applied to the image.

1X1 2X2 3X3

Set the user-defined layout

 Click the User Layout button in the Tools panel and choose the desired layout.

- When you move the mouse cursor, the defined layout area is showed brightly.

 Check the changed layout.

How to attach annotations

Use the measured annotation

 You can measure the distance, angle and pixel of the image with the measured

annotation.

 When you add the measured annotation, the measured value and unit are

calculated and displayed on the image automatically.

How to measure distance

 Click the Distance button on the Tools panel and check if the cursor shape is changed to a ruler.

 Hold down the left mouse button at the start point and drag to draw a line.

 Release the mouse button and measure the calculated distance.

How to measure angles

 Click the Angle button on the Tools panel and check if the cursor shape is changed to a protractor.

 Hold down the left mouse button at the start point and drag to draw a line. Then release the

mouse button.

 Set the start point as a standard immediately, and click the mouse button at the predicted angle

point again.

 Check the calculated measurement angle.

How to measure ROI (Region of interest)

 Click the Rect ROI button on the Tools panel and check if the cursor shape is changed to a rectangle.

 Hold down the left mouse button at the start point and drag to draw a rectangle.

 Release the mouse button and check the calculated pixel information.

- The unit of the pixel information is ‘Gain Value’.

- The minimum, maximum, average value and standard deviation are indicated within the

configured area.

How to adjust the measurement annotation

 Click the Select button and select the measurement annotation to be adjusted.

 You can move both the measurement annotation and calculation value if you select and drag a line.

 You can change the shape of annotation and measurement value if you select and drag a dot.

 You can select the position of measurement value and drag it to move its position.

How to delete the measured annotation

 Click the Select button and select the measurement annotation to be removed.

 Delete the selected measurement annotation by clicking the Delete key or the Delete

Annotation button.
Use the figure annotations

 You can draw an arrow, a square and an ellipse by using the figure annotations.

Draw an arrow

 Click the Arrow button on the Tools panel and check if the mouse cursor is changed to an arrow.

 Hold down the left mouse button at the start point and drag it to draw an arrow.

Draw a rectangle

 Click the Rect button on the Tools panel and check if the mouse cursor is changed to a rectangle.

 Hold down the left mouse button at the start point and drag it to draw a rectangle diagonally.

Draw an ellipse

 Click the Ellipse button on the Tools panel and check if the mouse cursor is changed to an ellipse.

 Hold down the left mouse button at the start point and drag it to draw an ellipse diagonally.

Adjust the figure annotation

 Click the ‘Select’ button and choose the figure annotation to be adjusted

 You can move the figure annotation if you select and draw a line.

 You can select and drag a dot to change the shape/size of the figure.

Delete the figure annotation

 Click the ‘Select’ button and choose the figure annotation to remove.

 Press the Delete key on the keyboard or click the ‘Delete Annotation’ button to delete the

figure annotation.
Use the text annotations

 You can add texts by using the text annotations.

Add the text annotation

 Click the ‘Text’ button on the Tools panel and check if the mouse cursor is changed to a “T” letter.

 Hold down the left mouse button and drag it to make a text box.

 Click inside of the box and insert texts.

- If you insert a long sentence, it will be moved to the next line automatically.

- Press the Enter key to move to the next line.

 Click the outside area of the text box to finish text input.

Adjust the text annotation

 Click the Select button and choose the text annotation to be adjusted.

 You can move the text annotation if you select and draw a line.

 You can change the text box size if you select and drag a dot.

 You can edit texts by double clicking the text box.

Delete the text annotation

 Click the Select button and choose the text annotation to remove.

 Press the Delete key on the keyboard or click the Delete Annotation button to delete the
text annotation.
Use the other annotations

 You can hide or show all annotations.

 You can delete all or partial annotations.

 You can select and apply all or partial annotations.

Hide or show annotations

 Click the Hide Annotation button on the Tools panel.

- You can hide or show all annotations.

- The color of Hide Annotation button is changed according to the annotation sign states.

 Hold down the left mouse button and drag it to draw an arrow.

Delete annotations

 Click the Select button on the Tools panel and select the annotation. Then click the Delete Ann

button.

- You can delete the selected annotation.

- You can select and delete more than two annotations by dragging them with the mouse button.
How to use labels

Use R / L labels

Add labels on the R / L label area of the Label panel

 Select the position to add labels from Insert Position options.

 Add R or L label by selecting the Right or Left button.

- Check if the selected label is added to the appointed position

successfully.

Add labels with R / L label annotation buttons in the Tools panel

 Click the Add R Label button.

- Check the R label is added on the upper left of the image.

 Click the Add L Label button.

- Check the L label is added on the upper right of the image.

Add R label Add L label

Move labels

 Click the Select button.

 Click and hold the label with the left mouse button and drag it to the desired position.

- If you add a new label again, the previous labels are disappeared.
Delete labels

 Click the Select button.

 Click the label and click the Delete key.

Note Refer to <Viewer panel> for setting the font, color, and size of labels.

Set left/right information on the image (Image Laterality)

 You can set and save the left/right information on the image.

 The information should be saved to the DICOM image.

- The relevant information is saved to the ‘Image Laterality (0020, 0062)’ tag.

- The information is saved as one of the four values - U (Unpaired), L (Left), R (Right) and

B (Both).

Save the left/right information on the image

 Move to the ‘Image Laterality’ menu in the Label panel.

 Check the image and click the desired button to be saved.

 Click the Set button at the bottom of the Label panel.

Check the left/right information on the image

 Register and check the overlay information on the left/right side of

the image.

- Refer to <Image Overlay> for more information.

 You can check the left/right image information from Laterality tag
when changing the image to DICOM format.

- Please use the DICOM viewer for checking the tag information.
Patient orientation

 You can configure the patient orientation on the image.

 The orientation info should be stored to DICOM image when there is no related information.

- The information is saved to ‘Patient Orientation (0020, 0020)’ tag.

- One of the stored values (A (Anterior), P (Posterior), R (Right), L (Left), H (Head), F (Foot)) will

be saved the tag.

 P, R-L, and H-F are a set of orientation info which is symmetrical to each other.

- If you select an orientation from the set, the rest will be selected to the opposite site

automatically.

Set the patient orientation info.

 Move to ‘Patient Orientation’ in the Label panel.

 Set the patient orientation by clicking buttons at the top and at the left

of the screen.

- Click the Clear button to delete the patient orientation.

 Save the information by clicking the Set button at the bottom of the

panel.

Check the patient orientation info.

 Check if the orientation info configured at the top and at the left of the image is displayed.

 Check if the opposite orientation info at the bottom and at the right of the image is displayed.

- The orientation info is displayed as “[ ]” (a square bracket).

How to stitch images

 You can connect more than two images together.

Note Refer to <Stitching> for more information.

 How to process the Image

 You can apply the desired image processing to images as opening the image processing

parameter window.

 You can apply various parameters more than the basic parameters in the Process tab.

How to use

 Choose an image to be processed and click the Image Process button.

- You can choose multiple images.

The ‘Image Process Parameters’ window is displayed.

 Choose a step to be processed on the image from Step List and click the Process button.

- The image will be processed by the processing parameter of the selected Step.

 Check the image processing results.

Note Refer to <Step tab> for more information about each parameter and function
in the ‘Image Processing Parameters’ window.

How to use the tools for print

 You can use the tools for printing at the Print mode only.

Note Refer to <Print> for detailed information about the ways to use tools for

printing only.
How to use the study management tools

This section describes the ways to use study management tools

Topics covered include:

 Checking the tools

 Using the study search tools

 Checking the result of searched study

 Study management tools

 Adding a new study

 Making an additional exposure

 Editing the patient information

 Moving study and image

 Opening the study

 Deleting the study

 Exporting the image

 Importing the image

 Stitching images

 Sending the image

 Sending the image to the Print mode

How to use the study management tools
 You can manage the study and image data by using the study management tools.

 The tools are located in the Exposure mode, Database mode and Viewer mode.

Checking the tools

Study search tools

 You can search the stored study list by using the study search tools.

- It is available to search studies quickly and exactly by inserting various search conditions.

 You can find the tools from the Database mode.

Study management tools

 You can use the study data in various ways by using the study management tools.

- Progress a new study by using patient information in the study data.

- Modify or manage the information and images in the study data.

- Store the study data to the storage medium or print it.

- Send the study data to DICOM or print is as a DICOM format.

 You can find the study management tools from the Database mode.
Image management
tools  The image management tools area on the Tools panel of the
Viewer mode includes some of the image management tools.

 You can use the images in various ways by using these tools.

- Send the study data to DICOM or print is as a DICOM format.

- Modify patient information in the study data.

 Using the study search tools

Check the search condition

 You can search the study data using the study search tools in the Database mode.

 Eight search conditions are provided for searching studies.

 ‘AND’ arithmetic operation is applied to the inserted search condition.

Search item Description Input method Section Search Allowed characters

Patient ID ID of a patient Entry Possible ( , ) , * , + , =, - , _

Patient Name Name of a patient Entry Possible ( , ) , * , + , =, - , _
Accession Number Prescription no. Entry Possible ( , ) , * , + , =, - , _
Bodypart Body part to check Entry Possible ( , ) , * , + , =, - , _
Patient Sex Gender of a patient Select among M, F, O Impossible None

Patient Age Age of a patient Select among D, M, Y Impossible None

and insert numbers
Study Date Study date Select a date Impossible None

Enter the search condition

Patient ID / Patient Name / Accession Number / Bodypart

condition

 Insert the patient ID, patient name and accession number and body parts.

 You can insert the conditions partly.

- The name “John Doe” is searched by inserting either “John” or “Doe.

Enter patient sex condition

 Select a gender of the patient.

 You can select among M (Male), F (Female), O (Other) options.

Enter patient age condition

 Select a unit of the patient age and insert numbers matched to the
 selected unit.

 You can select among D (Day), M (Month), Y (Year) options.

Enter study sate condition

 There are two options for inserting the study date.

- Period button selection (Today, Week, Month)

- Calendar date selection (Start Date, End Date)

 Insert the study date by selecting one of the period buttons.

- A recent day/week/month will be inserted automatically on the basis of

current date.

 Select a study date on the calendar by selecting .

- You can select either of two options (Start date, End date).

- You can also change the date by moving a mouse wheel on the calendar.

Initialize the search condition

 Click the Clear button to initialize search conditions.

- The values of ‘Study Start Date’ and ‘End Date’ are initialized to “*” (All).

Search

 Search studies by clicking the Search button after setting the search condition.

- In the initialized search condition, all study data will be searched.

Checking the result of searched study

Check the searched result

 Click the Search button and check the result from the study list.

- You can check various information of each study.

- You can check the processed information of each study.

Select the study

 Select the desired study.

- You can select multiple studies by using the Ctrl or Shift key.

 Check the thumbnail image displayed at the right side of the study list.

Open the study

 Double-click the study to open.

- The screen is converted to the Viewer mode and the relevant image is displayed on the window.

Note Refer to <Managing the list header and field> for more information.
Study management tools

Icon Name Description

New Study Add a new study and make an exposure by using the existing study

Insert Image Open the existing study and make an additional exposure.
information.

Edit Patient Modify the patient information.

Move Image Move study or image to another study.

Open Study Open the study and check its image.

Reject Study Reject the selected study.

Export Export images to the storage medium.

Import Study Import study and image from the storage medium.

Stitch Image Combine more than two images.

Send Send images to the DICOM server.

Print Add images to the Print mode for making DICOM print.
Adding a new study

 You can make a new study by using the patient information in the selected study.

 You don’t have to register patient information.

How to use

 Choose the study to be used as patient information.

 Click the New Study button and check if the screen is converted to the Exposure Mode.

- You can make an exposure if the new study is registered successfully.

- If you select more than two studies, they will be registered as new studies.
Making an additional exposure

 You can open the selected study again and take an additional exposure.

How to use

 Choose the study to make an additional export.

 Click the Insert button and check if the screen is converted to the Exposure mode.

- The existing study is registered again, and you can make an additional exposure.

- If you select more than two studies, they will be registered again.

Caution

 The additional exposure is disabled if the relevant study is used at the other mode

 The backed-up study cannot be exported again.

Editing the patient information

 You can modify the patient information of the selected study.

How to use

 Select the study to edit its patient information.

 Click the Edit Patient button.

- The ‘Edit Patient’ window is displayed.

 Modify the patient information.

- You cannot modify the ‘Scheduled Date Time’ menu.

- You should insert modified value to the required input items.

Close

 Click the Edit button to close the ‘Edit Patient’ window.

- You can cancel to edit the patient information by clicking the Cancel button.

Note Refer to <Work panel> for more information about editing items on the

‘Edit Patient’ window.

Moving study and image

 You can move all or partial images of the selected study to another study.

- This function can be used for combining or dividing several studies.

Select study and image

 Select the study to move all images and click the Move Image button.

- If you plan to move partial images, select the study and choose multiple images from the

relevant thumbnail.

- You cannot move more than two studies.

 Select All Image or Selected button from the popup window.

- The image shifting is cancelled if you click the Cancel button.

Move study and image

 A target study list for moving the study or image is displayed.

- The study which is included images to move will not be showed on the list.

 Select the target study and click the OK button.

 Check the all study list that the image is moved correctly.

- You can also check the image shifting from thumbnail.

Caution

 There can be no image but the study information left only after moving all images.

 The image shifting is disabled if the relevant study is used at the other mode.

 The backed-up study cannot be moved to another study.

Opening the study

 You can open the study from the study list and review its image.

- When you open the selected study, the screen is converted to the Viewer Mode.

How to use

 Choose the study from the study list.

 Click the Open Study button and check if the screen is converted to the Viewer mode and the

image is displayed.

- You can select and open more than two studies together.
Deleting the study

 You can delete the study selected from the study list.

 You cannot delete the opened study.

How to use

 Choose the study from the study list and click the Reject Study button.

- You can select and delete more than two studies together.

Enter password

 Enter password, and then enter or select the reason for rejecting the image.

- You can make the ‘Reason’ menu disabled.

- The reason you write is registered to the list automatically. You can reuse the reason next time.

Close

 Click the OK button and check the result of study rejection.

Note Refer to <Reject panel> for setting the reason for restoring the rejected study.
Exporting the image

 You can export the study items selected from the study list to local or to external storage

medium.

- VXvue supports various storage medium like HDD, USB, CD, DVD, etc.

- We also support various conversions of image format.

How to use

 Select the study item to be exported from the study list.

- You can choose multiple studies by using the Ctrl or Shift

key.

 Click the Export button.

- The ‘Image Convert/Export’ window is displayed.

 Set various options such as image format, storage location, etc.

 Progress exporting by clicking the Copy/Burn button.

Close

 Click the Close button to finish exporting.

 Check the exported files from the storage media.

 Export setting options

Patient ID / Name

 Indicates the patient ID and name of the relevant study.

- All IDs and names are indicated if you select multiple studies.

 The items cannot be edited.

Target Image

 All Image – Export all images in the study.

 Selected Image – Export the selected image in the study.

- If you select multiple studies, this option will be deactivated.

Processing

Processed – Exports the image with applying image processing.

Raw – Exports raw image.

Anonymous

 Yes – Exports the image processed to be anonymous (patient/hospital information).

 No – Exports the image with patient and hospital information.

 The following patient information is processed to be anonymous

- Patient ID, Patient name

- Other patient ID, Other patient name

- Patient address, Patient telephone number

 The following hospital information is processed to be anonymous

- Institution name, Institution address

- Referring physician name, Performing physician Name, Operator name

 Image Format Selection

 You can export the Image by converting various formats.

- You can select multiple image formats.

Format Description
BMP Bitmap image format developed by Microsoft.

JPEG Standard format for loss image compression developed by JPEG (Joint Photographic

Image storage format co-developed by Aldus Inc. and Microsoft.

TIFF
Experts Group).
You cannot select both TIFF-8 and TIFF-16.
IMG Medical image format used in VXvue program.
RAW The exported IMG file can be imported from the other VXvue program.
DICOM Standard medical image format developed by DICOM.
Standard format of medical image directory developed DICOM.

DICOMDIR
DICOM is an initial of “Digital Imaging and Communication in Medicine”. Refer to the

DICOM standard document for more information.

Include Portable Viewer

 You can export the portable viewer with DICOM images by checking this option.

‘Portable Viewer’ is our simple DICOM viewer.

- This function is activated when you check ‘DICOM’ or ‘DICOMDIR’ option.

 Checked – Exports the portable viewer with DICOM images.

 Unchecked – Not export the portable viewer.

Compression

 You can use JPEG2000 compression algorithm when exporting DICOM or DICOMDIR.

- This function is activated when you check ‘DICOM’ or ‘DICOMDIR’ option.

- Refer to the JPEG standard document for more information about JPEG2000.
  No Compression – Not compress the DICOM image as JPEG2000.

 JPEG2000 Lossless – Compress the DICOM image as JPEG2000 without a loss.

 JPEG2000 Lossy – Compress the DICOM image as JPEG2000 with a loss.

Compression Quality

 If you compress the DICOM image to JPEG2000 with a loss, you can control the compression ratio.

- It can be activated when you select ‘JPEG2000 Lossy’ option in ‘Compression’.

 You can insert the compression ratio or control the slider bar.

- The high compression ratio is reduced the image quality for image loss.

Burned in Annotation

 YES – Exports the image with annotations.

 NO – Exports the image without annotations.

 Burned in Information

 YES – Exports the image with its overlaid information.

 NO – Exports the image without its overlaid information.

Software Collimation

 Exports the cropped image.

 NONE – Exports the original image.

 CUT – Exports the cropped image area only.

 FILL – Exports the image as filling the outside of cropped area with a black color.
Language
 You can apply the DICOM language encoding to the DICOM image.

- 16 languages are provided.

- This function can be applied when you check ‘DICOM’; or ‘DICOMDIR’ option.

 DEFAULT – Not apply language encoding.

- Refer to the DICOM standard document for more information about DICOM

encoding.

Target Directory

 Set the storage area for the exported images.

 User Directory – Exports images to a local directory.

 [ODD Driver Name] – Selects ODD (Optical Device Drive) as CD and DVD.

- Check whether the CD or DVD is operated normally before exporting images.

Status

 You can check the processing and result of exporting images.

Importing the image

 You can import the exported study and image.

- You can only import the IMG format file created from VXvue.

Start

 Click the Import Study button and open the ‘Import Study’ window.

 Click the button to select the location of the study file folder to be imported.

- When you select the location of the folder, all study lists in the folder are showed automatically.

 Select the desired study to be imported.

- You can select multiple studies by using the Ctrl or Shift key.

Import

 Click the Import button.

 Select the All Image or Selected button from the ‘Import Study’ window.

- All Image – All studies are imported.

- Selected – Selected studies are imported.

 Click the ‘Cancel’ button to cancel importing the image.

Close

 Click the ‘OK’ button to finish importing images.

 Check the importing result by searching the study list again.

Stitching images

 You can select and combine more than two images.

Note Refer to <How to stitch images> for more information.

Sending the image

 You can select study or image and send the image to the DICOM storage server.

Pre-check

 Check if the DICOM storage server information is configured.

 Check the connection state of DICOM storage server.

Note Refer to <Set the common item of DICOM server> for more information.

Sending

 Select the study or image to be sent from the study list.

- You can select multiple studies or images with the Ctrl or Shift key.

 Click the Send button.

 Click the All Image or Selected button from the ‘Send’’ window.

- All Image – Sends all images in the study including selected images.

- Selected – Sends selected images only.

 Click the Cancel button to cancel sending the image.

Check the sending status

 Check the image sending status from the status bar.

 Check the image sending status at the ‘Setting mode DICOM panel Queue tab’.

Note Refer to <Queue tab> for more information

Sending the image to the Print mode

 You can select study or image and send the image to the Print mode.

 The DICOM print can be available in the Print mode only.

Note Refer to <Print> for more information about the Print mode.
Use the advanced functions

This section provides instructions for advanced functions of VXvue

Topics covered include:

 Stitching

 Print

 Portable mode

 Generator interworking function

 Veterinary version

 HS4 image processing guide

 Exposure index
Use the advanced functions

Stitching

 ‘Stitch’ is a function that combining more than two images as a unified one.

 This function provides two ways – automatic stitch/manual stitch.

 After stitching images, you need to add steps to complete stitching.

How to use

Start

 Check where the ‘Stitch Images’ icon is located.

- You can find it in the Database mode and Viewer mode.

Database mode Viewer mode

 Select more than two images to be stitched and then click the Stitch Images button.

- You cannot stitch one image.

 Check if the window for stitch is displayed.

- You can stitch the original image at the window.

Check the original image

 Check the original image to be stitched in the window.

- The original image is displayed without cropping or W/L adjusting.

- You can see that the three images are distinguished clearly.

Auto Stitching

 Click the Auto Stitch button and process the auto stitch function.

- Even with the auto stitch, the boundaries of stitched images can be seen.

Manual
Stitching  Adjust the position of the original image with four ways button.

- You cannot adjust the first original image.

- Select and adjust from the second original image.

 Even with the manual stitch, the boundaries of stitched images can
be seen.
Image correction

 Correct the brightness of boundaries by clicking the Blend button.

- The button name will be changed to Cancel Blend.

- If you click the Cancel Blend button again, the image correction is cancelled.

Original

Apply Step

 The window for step applying is displayed when you click the OK button after checking the

stitched image.

 Select a step (Bodypart, Projection) to be applied to the stitching image and then click the

OK button.
Close

 Check the stitched image is added to the thumbnail successfully as a new image.

 Click the OK button to complete stitching.

Change the order of images

 You can change the order of images.

- Change the position of images by using button.

Before changing order After changing order

Adjust the image boundary

 You can adjust boundaries of the selected image.

- This function can be used for cutting unnecessary area of the image.

Procedure of adjusting image boundary

 Click the Border Adjust button.

- The button name Border Adjust will be changed to Border Confirm.

 Check that the button name is changed to Border Confirm, and then select the image to be adjusted.

- A green frame will be showed on the selected image.

 Click and drag the frame with a mouse button to adjust the image boundary.

- The adjusted boundary will be indicated as a segment line.

 Click the Border Confirm button and check if the image area outside of the boundary is disappeared.

- The button name Border Confirm will be changed to Border Adjust.

Start Select image Adjust Complete

Move the selected image

 You can move the image slightly.

- Move the image with the four way buttons.

- The first image cannot be adjusted.

 You can adjust the distance as follows;

- Drag the ‘Speed (In pixel)’ bar with a mouse button.

- The pixel value is adjusted as moving the bar.

 If the image is overlapped due to image shifting, you can show or hide the selected image.

- Bring to top – Put the selected image on the overlapped area. (Shows the selected image.)

- Bring to back – Pull the selected image down from the overlapped area. (Hides the selected

image.)

Bring to top Bring to back

 Use other tools

Adjust the image brightness

 You can adjust the brightness of the selected image.

- Click “+” or “-“ button to adjust the image brightness.

 You can adjust the change of brightness as follows;

- Drag the ‘Speed (In gray level)’ bar with a mouse button.

- The gray level value is adjusted as moving the bar.

Check other tools

Tool button Meaning Description

Select an image.
Select Select

Turn the mouse button back to its basic condition.

Zoom View Zoom Magnify or reduce the image.
Pan Pan Move the image to the desired position.
W/L W/L Adjust the brightness and contrast of the image.
Crop Activate crop Specify the range of cropped area.
Crop Confirm Apply crop Apply the cropped area only.
Reset Initialization Back to the initial state.

Note Refer to the <Tool buttons> for more information.

 Print

Send the image to the Print mode

 Click the Print button and send the study or image to the Print Mode.

- The Print button is located in the Exposure mode, Database mode and Viewer mode.

 You can send the DICOM print from the Print Mode only.

Pre-check

 Check if the DICOM print server information is set.

 Check the connection state to the DICOM print server (ECHO).

Note Refer to <Set the common item of DICOM server> for setting the DICOM print

and checking its connection state.

Send to the Print mode

 Select the study or image to be printed from the study/image list.

- You can select multiple ones by using the Ctrl or Shift key.

 Click the Print button.

 Select All Image or Selected button in the ‘Print’ dialog box.

- All Image – All images including the selected image in the study are sent to the Print mode.

- Selected – Send the selected image only to the Print mode.

 Click the Cancel button if you want to cancel the images to be sent.
Check the Print mode

 Check the image from the print view area.

- The image on the print view is displayed on the basis of the film that printed actually.

 Change the print format as changing the print setting.

 Process the image with the image process tools in the Print mode.

Set the print options

 Select the print and film information of the selected image.

- The selected information was configured previously from the Print tab by the user.

 Printer Name – DICOM print server.

 FilmSize – Select the film size.

 Number of Copies – Select number of copies to be printed.

 Image Layout – Select the image layout of the film.

 Orientation – Select the print orientation of the film.

Note Refer to the <Print tab> for more information about print settings.
Use the tools for print only

Delete the printing image

 Delete the image to be printed in the Print mode.

 Select the image from the print view to delete.

- You can select multiple images by using the Ctrl or Shift key.

 Click the Delete button to delete the image.

 Click the Delete All button to delete all selected images.

Change the position of printing images

 Change the position of two print images.

 Select the two images from the print view to change position.

- You can select two images by using the Ctrl or Shift key.

 Click the Swap button and check the position of images.

Print

 Click the Print button.

- You can send the image on the print view to DICOM print for printing.

 Check the process from ‘Setting DICOM Print Queue’.

Note Refer to <Image adjusting tools> for more information.

Portable mode

Note Please make inquiries to the person in charge to use the Portable mode.
Generator interworking function

 TBD
Veterinary version

 You can use the VXvue program not only for human but also for animals.

 The followings are additional functions of VXvue for animals only.

- Patient prescribing information for animal

- Category for animal

- Bodypart / Projection for animal

- Species code

- Breed code

- Breed registration code

Key words

term Meaning
Species A Group of organisms that are genetically similar and have evolved from the same
A groupline.
genetic within a species that shares definable and identifiable characteristics (visual,
Breed performance, geographical, and / or cultural) which allow it to be distinguished

from other groups within the same species.

Set the version for animals

 Select the option ‘VXvue for Vet’ to use the VXvue program for animals.

Note Refer to ViVIX-S User Manual for the information about VXvue installation.
Patient prescribing info for vet

 The items of patient prescribing information of animals are more than those of human because

of various kinds of animals.

Additional patient info items for vet

Searched item Meaning Note

Species Description Explains species Explains species
Species Code Sequence Species code Species code
Breed Description Explains breed Explains breed of animals
Breed Code Sequence Breed code Breed code of animals
Breed Registration Number Breed registration no. Breed registration number of animals
Responsible Person Person in charge Responsible person for animals
Responsible Person Role Role of the person in charge Role or task of the person in charge
Responsible Organization Responsible organization Responsible institution of animals
Sex Neutered Neutralization of animals Neutralized or not

Check the additional patient prescribing information

 If you use the VXvue program as a veterinary version, you can check the additional patient

prescribing information which is to be inserted as follows;

- The screen below is in the New Study panel of the Work mode.
Prepare for exposure of animals

 This chapter explains the difference of exposure process and preparation when the user

operates VXvue as a veterinary version

- Most of other parts are same as the human version, so please refer to <Exposure> for

detailed information.

Patient size
icons  There are no patient size icons in the veterinary version of VXVue.

Change category

 Click the category text on the step selection window of the Exposure mode.

- The ‘Select Category’ window is displayed.

 Select a category to use from the window.

- The built-in items are Dog, Cat, Exotics.

- You can add or changed the category from <Category>.

 Check if the background image is chanted after selecting the category.

Current category Category selection window

 Settings for vet

 This chapter explains the difference of settings when the user operates VXvue as a veterinary

version.

- Most of other parts are same as the human version, so please refer to <Settings> for

detailed information.

Exposure panel Category

tab  The built-in categories are Dog, Cat, Exotics.

Procedure panel Bodypart / Projection tab

 In the veterinary version of VXvue, the body parts and projection codes different from those

of human are provided.

 The related codes are complied SRT same as the codes for human.

- SRT – SNOMED (Systematized Nomenclature of Medicine Clinical Terms) Reference

Terminology
Exposure panel Species Code tab / Breed Code tab / Breed
Registration Code tab

 VXvue for vet has three additional tabs on the Exposure panel as follows;

- Species Code tab – Species code management

- Breed Code tab – Breed code

- Breed Registration Code tab – Breed registration code management

 The codes registered on the three tabs are used for registering prescribing info of studied

patients.

Tab Screen

Species code tab

Breed code tab

Breed registration code

tab
 The codes registered on the three tabs have the same way to use.

- Click Add button to add a code to be registered newly.

- Click Hide button to hide the code which it not used.

 Each code tab is supported the Show / Hide function, not deletion.

 The item that registered once cannot be deleted.

 Check ‘Show All’ to see the hidden items.

Note You can check the registered species code from <New Study Panel>.
 HS4 image processing guide

 This chapter provides information about each factor of HS4 parameter.

 You can process the image on reference to this HS4 image processing guide.

 The image processing result can be different according to the body part, projection, patient

size, X-ray dose, characteristics of the generator and surrounding environment.

 Please use this information as a reference only.

Pre Contrast Freq

Item Description
Name Pre Contrast Frequency
Meaning Determines the frequency band of contrast to be emphasized before Post Processing.
Unit -
Range 1~5
Default value 1
Recommendedr 1 ~ 2

ange
Effect The lower the value, the contrast in the high frequency band is emphasized as much

asthe Pre Contrast value.

The higher the value, the contrast in the low frequency band is emphasized as much as

the Pre Contrast value.

Risk factor -
Information -

Pre Contrast Freq = 1 Pre Contrast Freq = 5

Pre Contrast

Item Description
Name Pre Contrast
Meaning Intensifies the contrast of the frequency band selected from Pre contrast Freq.
Unit -
Range 0 ~ 20
Default value 5
Recommendedr 1 ~ 5

ange
Effect The higher the value, the contrast on the image is intensified.
Risk factor -
Information -

Pre Contrast = 1 Pre Contrast = 20

Low Boost

Item Description
Name Low Boost
Meaning Determines the brightness of low shadow (skin, etc.) area on the image.
Unit -
Range 0 ~ 50
Default value 20
Recommended The region where low and high value are close together. (e.g. skull): 0

range Other body parts: 10 ~ 20

Effect The higher the value, the brighter the low shadow area. The higher value also balances

with the high shadow area.

The area in significant contrast difference can be changed to a proper level

The noise can be reduced in the low shadow area where the brightness is increased.
isk factor -
Information -

Low Boost = 0 Low Boost = 50

B.O.P

Item Description
Name B.O.P
Meaning Determines the decrease of brightness on the positive saturation area according to the

contrast increase.
Unit -
Range 0 ~ 500
Default value 100
Recommendedr 100 ~ 200

ange
Effect The higher the value, the brightness of the positive saturation area is decreased.

The high contrast value can decrease the brightness of the positive saturation area, but
the contrast of the image is decreased relatively.

Risk factor -
Information -

B.O.P = 100 B.O.P = 500

D.O.P

Item Description
Name D.O.P
Meaning Determines the increase of brightness on the negative saturation area according to the

contrast increase.
Unit -
Range 0 ~ 500
Default value 80
Recommendedr 80 ~ 100

ange
Effect The lower the value, the brightness of the negative saturation area is increased.

The high contrast value can increase the brightness of the negative saturation area, but
the contrast of the image is decreased relatively.
Risk factor -
Information -

D.O.P = 80 D.O.P = 500

Edge Weight

Item Description
Name Edge Weight
Meaning Make it available to control the effect of fine / middle / large/ huge edge by each

brightness area.
Unit -
Range 0 ~ 300
Default value 100
Recommended 100 ~ 150

range
Effect The range zero (0) emphasizes the edge regardless of areas on the image.

The higher the value, the less emphasis is put on the edge of dark area.

By using this parameter, you can maximize the edge on the bright area (bone) only.

Risk factor -
Information -

Edge Weight = 0 Edge Weight = 100

 Noise Reduction

Item Description
Name Noise Reduction
Meaning Determines whether applying the noise reduction filter to the image.
Unit -
Range Apply or not apply
Default value Apply
Recommendedr Body : Apply

ange
Extremities: Not apply

Effect Noise becomes decreased when the noise reduction filter is applied.
Risk factor The sharpness of image is weakened relatively.

The processing time is getting longer more than a second.

Information When you check ‘Noise Reduction’, the noise reduction filter is applied to the image

according to the selected type. The filter will be not applied if you don’t check ‘Noise

Reduction’.
 Noise Reduction Type

Item Description
Name Noise Reduction Type
Meaning Determines the noise reduction type.
Unit -
Range 1 ~ 10
Default value 3
Recommendedr 1 ~ 5

ange
Effect Noise becomes decreased when you apply the noise reduction filter to the image.
Risk factor The sharpness of image is weakened relatively.
Information -

Noise Reduction Type = 1 Noise Reduction Type = 6

Main Contrast Freq

Item Description
Name Main Contrast Frequency
Meaning Determines the frequency band of main contrast to be emphasized at the post

processing level.
Unit -
Range 1~5
Default value 4
Recommendedr 3 ~ 4

ange
Effect If the value is near to 1, the contrast of high frequency band is enhanced as much as the

selected contrast value.

If the value is near to 5, the contrast of low frequency band is enhanced as much as the

selected contrast value.

Risk factor -
If the value is near to 1, the fine contrast is enhanced.
Information -

Main Contrast Freq = 1 Main Contrast Freq = 5

Contrast

Item Description
Name Contrast
Meaning Increases the contrast of relevant area, set from Main Contrast Freq.
Unit -
Range 1 ~ 50
Default value 10
Recommended Extremities : 5 ~ 10
range
Body : 10 ~ 20

L-spine LAT : 20 ~ 40
Effect Pre Contrast Frequency is not applied to the value zero (0). The higher the value, the

contrast is increased.

You can maximize the characteristic of the relevant area, set from Main Contrast Freq.

Risk factor -
Information This parameter can be easily adjusted at the image processing panel.

Contrast = 5 Contrast = 20
Denoise

Item Description
Name Denoise
Meaning Remove noise on the image.
Unit -
Range 0 ~ 10
Default value 0
Recommendedr 0 ~ 5

ange
Effect The higher the value, the more noise is decreased.

As noise becomes decreased, the sharpness of image is weakened.

Risk factor -
Information This parameter can be easily adjusted at the image processing panel.

Denoise = 0 Denoise = 10
Gamma

Item Description
Name Gamma
Meaning Apply the gamma curve level after image processing.

Unit -
Range -10 ~ 40
Default value 0
Recommended -5 ~ 10

range
Effect On the basis of zero (0), the whole image becomes dark when high gamma level

is applied, and the image becomes bright when the low value is increased.

After processing, you can adjust the whole brightness of image and the contrast

can also be changed additionally.

Risk factor -
Information This parameter can be easily adjusted at the image processing panel.

Gamma = -5 Gamma = 5
Fine Edge

Item Description
Name Fine Edge
Meaning Enhances the fine size edge of the image.
Unit -
Range 0 ~ 20
Default value 0
Recommendedr 1 ~ 5

ange
Effect The higher the value, the fine edge on the image becomes more clearly.
Risk factor Although it enhances the contrast of fine edge, noise can be increased.
Information This parameter can be easily adjusted at the image processing panel.

Fine Edge = 0 Fine Edge = 20

Middle Edge

Item Description
Name Middle Edge
Meaning Enhances the middle size edge of the image.
Unit -
Range 0 ~ 20
Default value 0
Recommendedr 1 ~ 5

ange
Effect The higher the value, the middle size edge on the image becomes more clearly.
Risk factor Although it enhances the contrast of middle edge, noise can be increased.
Information This parameter can be easily adjusted at the image processing panel.

Middle Edge = 0 Middle Edge = 20

Large Edge

Item Description
Name Large Edge
Meaning Enhances the large size edge of the image.
Unit -
Range 0 ~ 20
Default value 0
Recommendedr 0 ~ 3

ange
Effect The higher the value, the large size edge on the image becomes more clearly.
Risk factor Although it enhances the contrast of large edge, noise can be increased.
Information -

Large Edge = 0 Large Edge = 20

Huge Edge

Item Description
Name Huge Edge
Meaning Enhances the huge size edge of the image.
Unit -
Range 0 ~ 20
Default value 0
Recommendedr 0

ange
Effect The higher the value, the huge size edge on the image becomes more clearly.
Risk factor Although it enhances the contrast of huge edge, noise can be increased.
Information -

Huge Edge = 0 Huge Edge = 20

Exposure Index

 VXvue can measure the intensity of X-ray dose exposed to a subject and indicates it as exposure

index.

 VXvue can also measure the following exposure indexes and indicate them on the overlaid area of

the image view screen.

- E.I. (Exposure Index)

- Target E.I (Target Exposure Index)

- D.I. (Deviation Index)

Exposure Index (E.I.)

 Exposure index is the correlation exponent between the X-ray dose and gray level displayed on

the image.

- The range of exposure index: 0 ~ 10000 (different from the detector types)

Configure the area

 You need to set a field on the image to measure exposure index by each step.

 Configure the field to measure exposure index.

- You can input the field value from the ‘Step’ tab in the Setting mode.

 The field value is set based on the center of image.

- Allowable input range: 10 ~ 50

Target Exposure Index (Target E.I.)

 Target exposure index is the optimal exposure index expected by the user.

 You can set the target exposure index by each step in advance and find the difference with the

actual exposure index.

- You can set the target exposure index from the ‘Step’ tab in the Setting mode.
 - Allowable input range: 100 ~ 5000

 The target exposure index can be set differently according to the detector model, diagnostic
purpose, and image processing parameter.

- For more information, refer to <Recommended value of Target E.I> for each body part.

Deviation Index (D.I.)

 Deviation index indicates the difference between the target exposure index and the exposure index.

- Therefore, you should set both the target exposure index and the exposure index to measure

deviation index.

Formula

 You can measure the deviation index as follows;

Ex) D.I. = 10 * log (1361/1300) = 0.199

Range and background color of D.I

 Range of D.I

- -9.9 ~ 9.9

 The background color is different from the D.I value.

- If the exposure index value is improper to measure D.I, set the value again.

Background color Range Description

Red -9.9 < D.I. < -4 Severely lack of exposure
Orange -4 <= D.I. < -2 Lack of exposure
Green -2 <= D.I. =< 2 Optimal exposure
Orange 2 < D.I. =< 4 Exceed exposure
Red 4 < D.I. =< 9.9 Severely exceed exposure
 Configure the exposure index

You can set the exposure index from the ‘Step’ tab in the Setting mode.

 Target (Targeted exposure index)

- Allowable input range: 100 ~ 5000

 Area (Extraction area of the exposure index)

- Allowable input range: 10 ~ 50

Check the exposure index

 You can check each index at the right top of the image view screen.

 Exposure index (E.I.) = 1361

 Target exposure index (Target E.I.) = 1300

 Deviation index (D.I.) = 0.20

- D.I. = 10 * log (1361/1300) = 0.199

Recommended value of Target E.I

Bodypart Projection Target Exposure Value

Default Default 1300

Ankle AP / PA 1460
LAT 2210

Calcareous Axial 2310

LAT 2250

C-SPINE AP / PA 1280
LAT 1120

Chest LAT 980

AP / PA 1430

Clavicle AP / PA 1660
LAT 860

Elbow AP 2120
LAT 2040

Femur AP / PA 1940
LAT 2370

Finger AP / PA 2440
LAT 2530

Foot AP / PA 1880
OBL 2140

Forearm AP / PA 2270
LAT 2430

Hand AP / PA 2400
LAT 2670

Hip OBL 2540

AP / PA 1760

Knee LAT 2580

AP / PA 1760

Tibia LAT 1970

AP / PA 1750

L-SPINE AP / PA 1310
LAT 1300
Settings

This section provides instruction for setting functions of VXvue.

Topics covered include:

 System panel

 Work panel

 Exposure panel

 Viewer panel

 LUT panel

 Procedure panel

 Backup panel

 DICOM panel

 Reject panel
Settings

System panel

 System panel is organized with System Information, Account, Miscellaneous and Custom

Setting tabs.

- System Information – Sets the system information.

- Account – Manages the system login account.

- Miscellaneous – Sets the various system environments.

- Custom Setting – Sets the various user environments.

System information tab

 You can input or check the information needed for the system.

- The information is used as DICOM information.

 You should update the information by clicking the Update

button.

- Restart the VXvue program when you change the ‘Language’

option.
 Telephone, Email, Homepage

The relevant information is displayed at the bottom of the login window.

- This information is not used as DICOM information.

Station Name, Station AE Title

 Station Name can be used for searching the work list.

 Station AE Title can be used for searching DICOM work list, DICOM sending and DICOM

print.

Language

 You can add languages except the registered ones.

Note Refer to <Adding a language> for more information

 Account tab

You can manage the login account from the Account tab.

You can only manage the accounts in ‘Service’ and ‘Admin’ groups.

Category Item Description

ID Registered user ID
Name Registered user name
Account List
Group Registered user group
Add Add an account
Delete Delete an account.
User ID Login user ID

Properties User Name User name

Password Login password
Check Password Check password for prevent overlapping
Service System management group
Group
Admin System operating group
User System use group

Add account

 Click the Add button and check the account is added successfully.

- The account is added automatically.

 Modify the user ID, name, password and the affiliated group.

 Click the Update button to store the account.

Delete account

 Select the account from ‘Account List’ and click the Delete button.

 Click the YES button to delete the account.

Group policy

 The authorization to Service, Admin and User groups are provided, and all registered accounts

belong to one group.

 The Service group account (vieworks) and the Admin group account (admin) are created

automatically when you firstly install the VXvue program.

- At least one account of Service group and Admin group should be registered each.

 You cannot create any higher group than the login account group.

 You cannot delete the login account group.

Authorization for each group

 System and Admin groups can manage the whole system and use every function.

 User group can use the following tabs in the Setting mode.

- Account tab in the System panel.

- Procedure tab in the Procedure panel. (unable to use Delete button)

- Queue tab in the DICOM panel.

Note The group policy can be changed according to the equipment functions.
 Miscellaneous tab

 You can configure various system environments from the Miscellaneous tab.

Item Description
Storage Free Space Alarm Notice the storage space of the disk.
Export / Import Import or export the setting value of the Setting mode.
Screen Lock Lock the screen.
Monitor Pixel Pitch Set the monitor pixel information.

Storage Free Space Alarm

 Set the warning or danger standard if the disk space is insufficient.

 Input the standard capacity for setting alarms and click the

Update button.

Alarm message

 The warning alarm message is displayed if the free space of the disk is less than the warning

value.

- You can keep taking an X-ray regardless of the alarm.

 The critical alarm message is displayed if the free space of the disk is less than the critical

value.

- If you keep taking an X-ray, the exposed image is not displayed.

Warning Alarm Critical Alarm

 Export / Import

 You can import or export the setting value in the Setting mode

- XML data file format is used.

- You cannot import or export the Account information

Export settings

 Click the Export button.

 Input the file name and click the Save button.

 Click the Update button to finish.

Import settings.

 Click the Import button.

 Click the button and select the setting file to import.

 Select the setting value to import and click the OK button.

 Click the Update button to finish

Screen Lock

 The screen is locked if the system is idle for a certain time.

- Make a login again to unlock the system to use.

 Input the minute unit and click the Update button.

Monitor Pixel Pitch

 You can set the actual pixel size of the monitor.

- The image can be viewed in its original size with the setting

value.

 You should measure and set the pixel pitch again if the monitor

is changed.

 Setting

- Measure the diagonal line on the screen with a ruler.

- Input the measured value in ‘mm’ unit, and click the Update
button.

Note You should measure and input the setting value correctly, because it is used at
<Actual size view>.
Custom Setting tab

 You can set various user environments from the Custom Setting tab.

- Click Yes or No or select the desired option.

- Click the Update button to complete.

Sending to storage servers when closing studies

 Sends all images in the study to the server automatically after taking an X-ray in the Exposure mode.

Allow multi-studies

 Allows taking an X-ray for multi-studies after registering them to the Exposure mode simultaneously.

Validate study instance UID

 Checks effectiveness of the Study Instance UID brought from the DICOM Worklist server.

- Study Instance UID is created automatically if the Study Instance UID is not existed or against

to the standard.

Use expand-exposure mode according to procedure

 Configures the Exposure mode as a general exposure or a macro exposure mode by procedures.

Show patient size on expand-exposure mode

 Shows or hides the patient size button when you select the macro exposure mode.
Change patient size when new study

 Configures the patient size in advance when you register a new patient.

- If choose ‘Not change’ option, the last used patient size is maintained.
Work panel

 In the Work panel, you can configure various items related to the patient and prescribing information.

New Study

 You can configure the items of patient information that can be inserted directly.

- In the Work mode, you can check the items on the left side of the New Study panel.

How to use

 Select the desired item on the right list and click the left arrow (◀) button.

- The selected item is added to the left list.

 Select the desired item on the left list and click the right arrow (▶) button.

- The selected item is removed from the left list.

- The blue colored ones are critical items that cannot be removed.

 Select the checkbox of the specific items on the left list.

- They become the essential input items.

 Adjust the order of items by clicking Up or Down button.

 Click the Update button to save the configured value.

Unit

 Input the patient and study information directly by setting units of height and weight.

 Select the basic unit to use.

- Metric (kg / cm) – Standard

- English (lb / ft) – British and American standard.

 Click the Update button to complete.

Default Tab

 You can set the tab which is displayed at first when selecting the Work mode for patient registration.

 Select the default tab from the options.

 Click the Update button to complete.

Exposure panel

 In the Exposure panel, you can configure various items related to making an exposure.

Category

 Set the background image showed on the ‘Category’ window in the Exposure mode.

- In case of taking an X-ray for a patient, set the category as ‘Human’.

Register category
 Click the Add button.

- The ‘Insert a Category’ window is displayed.

 Input a name and description of the category and choose

the image file option.

 Click the OK button to register a new category.

Delete category

 Select the desired item and click the Delete button.

Change image
file  Select five basic images for setting the category.

 You can change the image directly.

- Make the BMP image in size 346X463.

- Save the image to ‘D:\Database\BodypartCategory’.

 You can register up to 20 categories.

Shortcut

 You can set shortcuts for a body part or a step.

- Check the shortcut items on the ‘Category’ window of the Exposure mode.

- Select the category first before setting shortcuts.

 You can set body parts from the ‘Bodypart / Projection’ tab in the Procedure panel.

 You can set steps from the ‘Step’ tab in the Procedure panel.

- ‘Step’ means a combination of a body part and projection.

How to use

 Select the item on the ‘Candidate’ list and click the left arrow(◀) button.

- The selected shortcut item is added to the ‘Shortcut’ list.

 Select the item on the ‘Shortcut’ list and click the right arrow (▶) button.

- The selected shortcut item is deleted from the ‘Shortcut’ list.

 Select the ‘Bodypart’ or ‘Step’ checkbox on top of the right list.

- The preset body part or step item is indicated.

Note Refer to <Procedure panel> for more information about Bodypart and Step.
 Viewer panel

 You can set various items related to image view from the Viewer panel.

Image Overlay

 You can set various image information displayed on the image.

Set the site of items

 Select the item to add or delete to the desired site by clicking ◀ or ▶ button.

- You can add the item at the top left, bottom left, top right and bottom right.

- You can add multiple items.

 Click the Update button to complete.

Items available to be indicated

 Patient ID, Patient Name, Birthdate, Sex/Age, Height, Weight

 Bodypart, Projection, Laterality

 Performing Physician, Referring Physician

 Study Date, Study Time, Accession number

 Series Number, Instance Number, Exposure Time

 Dose kVp, Dose mA, Dose ms, Dose mAs, DAP

 Exposure Index, Deviation Index, Target Exposure Index

 Pixel Value, Histogram, Zoom Ratio

 Institutional Name, Institutional Address, Institutional Department Name

 Manufacturer, Manufacturer Model Name, Station Name, Modality

Set image overlay font & color

 Set the color, font, and size of the item.

 Absolute Font Size

- Checked – The font size is indicated same regardless of the image view size.

- Unchecked – The font size is adjusted in proportion to the image view size.

Set annotation overlay font & color

 Set the color, font and size of the annotation.

 Annotation Size

= Set the annotation size.

 Label Size

= Set the label size.

Monitor LUT

 Select LUT applied to the monitor.

Note Refer to <LUT panel> for more information about LUT.

Interpolation Mode

 Select the interpolation mode applied to the monitor.

Interpolation mode items

Item Description
Nearest Neighbor Interpolate the nearest pixel
Bilinear Interpolate bilinear
High Quality Bilinear High quality bilinear
Bicubic Interpolate bicubic
High Quality Bicubic High quality Bicubic
GDI Interpolate GDI library
Window Level Option

 Set the adjusting option of W/L (Window Width / Level).

 You can set W/L operation ways according to the direction of

moving the mouse.

- You can set pace of change at the ‘Speed’ menu. The default value

is 10.

- ‘Left’ and ‘Right’ are configured at the same time as a set.

- ‘Up’ and ‘Down’ are configured at the same time as a set.

Operation ways

Item Description
W1 Increase / Decrease Increase or decrease W1 value.
W2 Increase / Decrease Increase or decrease W2 value.
Contrast Increase / Decrease Increase or decrease contrast of the image.
Brightness Increase / Decrease Increase or decrease brightness of the image..

Relational formula between Width / Level and W1 / W2

 The values of width and level are measured as W1 and W2 values as follows;

- W (Width ) = W2 – W1

- L (Level) = (W1+W2) / 2
Crop Option

 You can set the crop option previously before cropping the image.

 Check the popup menu of shutter size when you crop the image at the Exposure mode and the

Viewer mode.

- Click the right mouse button on the crop mode of the image view to use the popup menu.

Set crop option Use crop option

How to register

 Click the Add button.

- The size is registered automatically as W (Width) = 10, H (Height) = 12.

 Double-click the W or H value to change it as a desired size.

Change orders

 Click the Up or Down button to change order of items.

Delete

 Select the desired item to delete.

 Click the Delete button.

LUT panel

 You can make LUT (Lookup Table) by applying image gamma value at the LUT panel.

 The configured LUT can be selected and used for displaying on the monitor, image processing,

sending to the DIOCM storage server and setting DICOM print.

LUT List

 The eight LUTs are provided on the LUT list basically.

- Preview LUT – Use for preview the image.

- Screen LUT – Use for checking the image on the monitor.

- Storage LUT – Use for sending the image to the DICOM storage server or the DICOM print

server.

- Process LUT – Use for image processing.

- LUT1,2,3,4 – You can set LUT in case of need.

 You can also add a new LUT directly without using LUT1,2,3,4.

- It is recommended to correct and use the basic LUT.

 Add items
 Click the Add’ button to add an item, and adjust a curve on the graph.

- Use the Linear or Inverted Linear button to adjust a curve.

- Press and drag a LUT curve point to adjust a curve.

 Click the Update button when you complete to adjust the graph.

Delete items

Select the desired item to delete and click the Delete button.
Procedure panel

 You can set and manage the information related to the exposure procedure from the Procedure

panel.

 The Procedure panel is organized with Procedure tab, Step tab, Bodypart / Projection tabs.

Setting order of Procedure

 Create a body part and projection from the Bodypart/Projection tab.

 Create a step by combining the body part and projection from the Step tab.

 Create a procedure by selecting the step from the Procedure tab.

Procedure tab

 You can set procedures organized with more than one step from the Procedure tab.

- Procedure is a bunch of steps organized with more than one exposure step.

 You can progress an exposure by registering various steps as a unit ‘Procedure’.

- When you register one procedure, a string of steps are registered in a lump.

 You can adjust the step order in the Procedure tab by clicking the Up and Down buttons.
Add Procedure

 Click the Add button to add ‘New Procedure’ to the ‘Procedure’ window.

- If you want to change the name of procedure, double click ‘New Procedure’

and input the desired name.

 You should insert a procedure code.

- The procedure code is used as the matching code to the work list.

 Click the Add button at the bottom of the ‘Step’ window.

 The ‘Step List’ window is displayed.

 Select the desired body part on the Bodypart list.

 Select the projection item on the Projection list to add.

- You can select multiple items.

 Click the OK button and confirm the added step.

Note You can select the added procedure from <New Study Panel> in the Work.

Import procedure

 Click the Import button and bring the procedure file in CSV format.

 CSV file should comply with the following form.

- Name1, Code1, Description1

- Name2, Code2, Description2

- …

- NameN, CodeN, DescriptionN

Check procedure code

 Procedure code is an examination code used at the institution or hospital.

- The hospital exam code can be received only from DICOM Worklist.

 You should match the exam code and procedure code in case of using the hospital exam

code.

- When the exam code is sent from the Worklist, check if it is matched with the configured

procedure code.

- The steps registered to the relevant procedure are added automatically if the exam code
and the procedure code are matched together.

- If not, the hospital exam code is unable to be used.

Note Refer to <MW L tab> for information about the matching tag of procedure codes.
Step tab

 You can register steps and set the exposure condition.

- ‘Step’ means an exposure condition unit organized with body part, projection and patient size.

 Every step includes three image processing algorithms. (HS1, HS2, HS4)

- You can select the desired algorithm in the step and apply it for image processing.

 A step is divided as a series, according to the medical image standard.

Setting

 Select the desired item on the ‘Step List’.

- The subordinate steps are indicated on the ‘Selected Step List’.

 Select the algorithm to apply.

- You can choose one of the three options - HS1, HS2, HS4.

 Check each parameter value and change it as the desired setting value.
 - The changed item is indicated as a red color.

- You can enlarge or reduce the parameter group by clicking or /

 Click the Update button to update.

- The changed item is stored lastly and the red color is disappeared.
 Image processing parameter setting group
Group Description
Step List Organization of the step list
Selected Step List Subordinate step list of the item selected from the step list.
Copy Import the image processing parameter.
Command Command collection of the image processing parameter.
HS1 Basic Basic parameter of HS1
Boost Reinforced parameter of HS1
Pre Filter Precedent filter of HS1
MLDC Range Apply range of image data for precedent HS1.
Pre LUT Precedent lookup table of HS1
HS2 Basic Basic parameter of HS2
HS4 Basic Basic parameter of HS4
Apply Range Apply range of image data for post HS1, HS2, HS4
Post LUT
LUT Type Post Lookup table for applying HS1, HS2, HS4.
Display ROI Apply range of image data to the monitor.
Auto Label Set automatic label indicated on the exposure
Rotation image. Set the orientation of the exposure image.

Label
Shutter Set the shutter for the exposure image.
Set calibration value of the Auto Crop menu for the exposure
Auto Crop
image.
E.I Set the exposure index.
Console Set the console generator.
Step List

 Check the configurable step list on Step List.

- A step is organized with a body part, projection and patient size.

 Click or to find the desired step.

- You can enalrge the subordinate level by clicking .

- You can reduce the subordinate level by clicking .

 Select the desired body part, projection or step.

- You can apply various setting values to the selected item from the right

window.

 You can use ‘Show All’ function.

- Checked – All body part items are indicated.

- Unchecked – The configured body parts are indicated only.

 Organization of Step List

Level Group Description

0 Root The highest root level for organizing a step. (FXRD)
1 Bodypart The big class level organized with different exposed region.

2 Projection The middle class level organized at the same exposed region with different

projections.
3 Patient Size The small class level organized at the same exposed projection with different

patient sizes.

Selected Step
List  The step list of items selected from ‘Step List’ is displayed.

- If the setting value is changed, all setting values of the relevant step

list are changed.

 Click the Insert button to add a new step.

 Click the Delete button to delete the selected step.

Copy  Click the From DB button.

- You can import step parameters from the database.

 Click the From File button.

- You can import step parameters from the exported XML file.

Note Refer to <Miscellaneous tab> for the information about exporting image
processing parameters.
Command
 Click the Reset button.

- The changed settings are ignored and returned to the last stored value.

 Click the Process button.

- The image is processed with the changed setting value.

 Click the Update button.

- The changed setting value is stored lastly.

- A red color applied to the changed item is disappeared after the value

is stored.

 The changed setting value will be stored automatically if you check

‘Auto Update’.

- The step is changed when you select the other item on ‘Step List’.

- Move to the other panel or mod

Select algorithm
 Select the algorithm to use.

- The image processing method is different from each algorithm.

- The setting item for image processing is different from each

algorithm.

Note Refer to <Image processing parameter> for contents about image processing
with applying each algorithm
HS1 Basic

 You can set the basic parameter used for HS1 algorithm.

 Sharpness

Adjust the sharpness of edges on the image.

The sharpness of edges becomes advanced as the value increases.

 Contrast

Adjust contrast of light and shade on the image.

The contrast becomes extended as the value increases.

 Denoise

Remove noise on the image.

As the value increases, more noises are removed and the image
becomes smoother.

 Freq Layer

HS1 handles the image by dividing it into 10 frequency layers.

You can determine the number of frequency among 10 frequency

layers for image processing.

The image is processed as low frequency level becomes expanded by

increasing the value of Freq Layer.

 LUT

Set the Lookup table used for HS1 algorithm.

Used for B/W (Black and White) reverse and histogram expansion.
Boost

 Adjust sharpness and contrast of HS1 algorithm additionally.

 Improve sharpness and contrast by each frequency from L1, …, L10.

- The high frequency level is near L1, and the low frequency level is near L10.

 The improving strength of sharpness and contrast in all frequencies can be adjusted from ‘Slope’.

 Sharpness

 Default value: 100 (standard value)

 Allowable range: 0 ~ 1000

 Sharpness is improved strongly if it is lower than the default value.

 Sharpness is improved weakly if it is higher than the default value.

 Contrast

 Default value: 100

 Allowable range: 0 ~ 1000

 Contrast is improved strongly if it is lower than the default value.

 Contrast is improved weakly if it is higher than the default value.

 Sharpness Slope

 Default value: 100

 Allowable range: 0 ~ 1000

 High frequency layer is improved strongly if it is lower than the default value.

 Low frequency layer is improved strongly if it is higher than the default value.

 Contrast Slope

 Default value: 0

 Allowable range: 0 ~ 1000

 Low frequency layer is improved strongly if it is higher than the default value.
Pre Filter

 Set filter process of the frequency band.

- Pre Filter is pre-processed before processing MLDC.

 None

No filter is applied.

 High Pass (High frequency band pass filter)

Default value: 0 (without applying filter)

Allowable range: 0 ~ 1000

The higher the value, the image is processed more vividly.

 Low Pass (High frequency band pass filter)

Default value: 0 (without applying filter)

Allowable range: 0 ~ 1000

1~9:

10 ~ 1000: The higher the value, the image is processed smoothly.

MLDC Range

 Set input/output range of the image which is to be applied MLDC.

- MLDC is an initial of ‘Multi-Layer Dynamic Range Compression’.

- You can optimize contrast of the image by controlling the range of MLDC
  In

Set the input range of image data.

Allowable input range: 0 ~ 16383

 Out

Set the output range of image data.

Allowable output range: 0 ~ 16383.

Pre LUT

 Set Pre LUT.

Pre LUT is pre-processed before processing MLDC.

 HS2 Basic

 You can set basic parameters used for HS2 algorithm.

Item Default Range Description

Contrast 0 0 ~ 50 Sets total contrast of the image
Contrast
Slope 0 0 ~ 100 Sets the applied point of contrast slope.
Mean Point
Point 1 1 ~ 100 Sets the medium value of the image.
Skin Correct 0 0 ~ 100 Corrects the tissue (skin) area on the image.
OPPoint TBD
Compensatio 100 0 ~ 100 Compensates the background area processed by Compression.

n Controls dynamic range of the image.

Compression 5 0 ~ 20
The boundary between bones and skin becomes clear as the

value increases.
Deletes noise on the image.
Denoise 5 0 ~ 14
More noises are deleted and the image seems to be smoother as

the value increases.

Sets the gamma curve level.

Gamma 2 0~9

The image is getting darker as the value increases.

Fine Edge 3 0 ~ 20 Enhances contrast of fine edges on the image.

Middle Edge 3 0 ~ 20 Enhances contrast of middle edges on the image.
Large Edge 0 0 ~ 20 Enhances contrast of large edges on the image.
Huge Edge 0 0 ~ 20 Enhances contrast of huge edges on the image.

Note Refer to <HS2 image processing guide> for more information about HS2
image processing.
 HS4 Basic

 You can set basic parameters used for HS4 algorithm.

Item Default Range Description

Pre Contrast 1 1~5 Set the contrast frequency band applied before post processing
Freq
Pre Contrast 5 0 ~ 20 Intensifies the contrast of the band configured from ‘Pre
of the image.
Contrast Freq’.
Low Boost 20 0 ~ 50 Sets the brightness of low shadow band (e.g. skin) on the image.

B.O.P 100 0 ~ 500 Sets decline of brightness on the positive saturation area when the

contrast increases.
D.O.P 80 0 ~ 500 Sets increase of brightness on the negative saturation area when the

contrast increases.
Edge Weight 100 0 ~ 300 Sets to make Fine / Middle / Large / Huge Edge available to be

controlled in each band.

Noise Reduction 3 1 ~ 10 Applies noise reduction algorithm and sets its type.
Main Contrast 4 1~5 Sets the contrast frequency band emphasized while post processing the
Freq image.
Contrast 10 1 ~ 50 Intensifies the contrast band configured from ‘Main Contrast Freq’.

Deletes noise on the image.

Denoise 5 0 ~ 10
More noises are deleted and the image seems to be smoother as the

value increases.
Sets the gamma curve level.
Gamma 0 -10 ~ 40

The image is getting darker as the value increases.

Fine Edge 0 0 ~ 20 Enhances contrast of fine edges on the image.
Middle Edge 0 0 ~ 20 Enhances contrast of middle edges on the image.
Large 0 0 ~ 20 Enhances contrast of large edges on the image.

Edge
Huge 0 0 ~ 20 Enhances contrast of huge edges on the image.
Edge
Note Refer to <HS4 image processing guide> for more information.
 Post LUT

 You can set the post lookup table applied for image processing.

- Post LUT is processed after processing MLDC value.

 Apply Range

- Sets the data range that applying the post lookup table.

 LUT Type

- You can select the lookup table applied to Post LUT.

 Manual

Sets the data range directly.

Allowable input range: 0 ~ 16383

 Min / Max

Sets the data range automatically by using a basic algorithm.

Reflects the low offset / high offset values.

 Auto

Sets the data range automatically by using the automatic algorithm.

Reflects the low offset / high offset values.

 Low Offset

Adjusts low offset (%) additionally from the lowest value measured

automatically.

 Allowable input range (%) : -100 ~ 100

High Offset

Adjusts high offset (%) additionally from the highest value measured automatically.

Allowable input range (%) : -100 ~ 100

 Note Refer to <LUT panel> for registering lookup table (LUT).

Display ROI

 Sets the data range of image displayed on the monitor.

 Manual

Set the data range directly.

Allowable input range: 0 ~ 16383

 Min / Max

Sets the data range automatically by using a basic algorithm.

Reflects the low offset / high offset values.

 Auto

Sets the data range automatically by using the automatic algorithm.

Reflects the low offset / high offset values.

 Low Offset

Adjusts low offset (%) additionally from the lowest value measured

automatically.

Allowable input range (%) : -100 ~ 100

 High Offset

Adjusts high offset (%) additionally from the highest value measured

automatically.

Allowable input range (%) : -100 ~ 100

Auto Label

 Sets to display labels on the exposure image automatically

 L/R Label

I nput texts of L / R label indicated automatically.

 Position

Select the site of L / R label.

Top Left, Top Right, Bottom Left, Bottom Right

Rotation

 Sets to display the exposure image as rotated automatically.

 Flip – Selects whether flip the image or not.

 Mirror – Selects whether applying mirror effect to the image or not.

 Rotation – Selects rotation value of the image.

 None, CCW90, CCW180, CCW270, CW90, CW180, CW270

Shutter
 Sets the width and height of the shutter apply to the exposure

image automatically.

 Check to ‘Shutter’ if you use the function.

You cannot use the Auto Crop function with Shutter at the same time.

 Input the value of length x width.

Allowable input range: 8 ~ 17 (unit: inch)

Auto
Crop  Sets auto crop applied to the exposure image.

 Check to ‘AutoCrop’ if you use the function.

You cannot use the Shutter function with Auto Crop at the same time.

 Input offset value.

Allowable input range: 0 ~ 500 (unit: pixel)

Crop as much as the offset input value, more inwardly than the crop area

measured automatically.

Note You cannot set Shutter and Auto Crop functions at the same time.

E.I. (Exposure Index)

 Set the E.I value to use exposure index.

- Sets the targeted exposure index per each selected step.

- Allowable input range: 100 ~ 5000

 Area

- Sets the area for extracting the exposure index.

- Allowable input range: 10 ~ 50

Note Refer to <Exposure Index> for more information.

Body Part / Projection tab

 You can set a body part and projection from the Bodypart / Projection tabs.

- Bodypart means the exposed body part of a patient.

- Projection means the exposed direction.

SRT item

 The default value of Bodypart and Projection are complied with SRT.

- SRT – SNOMED (Systematized Nomenclature Of Medicine Clinical Terms) Reference Terminology

- The designator of an item complied with the SRT system is indicated as “SRT”.

 You cannot delete the SRT indicated item.

- If you want to show or hide the SRT indicate item, use Show or Hide button.

- All hidden items can be showed by checking to ‘Show All’ box.

 You cannot modify the SRT indicated item.

- Alias can be modified and used first than the item name (Meaning).

User registered item

 Click the Add button to add items to ‘Bodypart’ and ‘Proejction’.

- The designator of the added item is ‘99VW’.

 - The codes of the added item are constituted to ‘U’ and four-digit numbers. (Ex. U-0001, U-0002,
…, U-000N)

 The item registered previously cannot be deleted.

- If you want to show or hide the registered item, use Show or Hide button.

- All hidden items can be showed by checking to ‘Show All’ box.

 The user registration item can be modified.

- You can double click and modify Meaning, Alias and Designator items.

- Alias is used first than the item name.

Backup panel

 You can backup the study from the Backup panel.

 The Backup panel is organized with Backup, Clean and Restore tabs.

Note The record management about study and image information is very important. Make
sure to backup the information to the storage and manage it safely.

Backup tab

Backup

 Prepare the writable optical storage media or external storage media.

- It is recommended to use CD or DVD as the external storage media.

- It is recommended to use USB memory or USB hard disk as the external storage media.

 Select a drive to use for backup in Location.

- Check if the storage media is connected to the drive successfully.

 Click the Refresh button and search the study to backup.

- The searched result is displayed from the oldest study list, as much as the capacity available to

backup.
 Click the Archive button and execute backup.

- The progress window is displayed and the backup is started.

Complete backup
 Check the display that the backup is completed.

You should check the backup label.

Take out the backed-up storage media and write label

information on it.

Caution

 The backup storage media is distinguished by a label name and serial number of a device

only.

- Therefore, the system that executes backup can sense the relevant backup media only.

 You cannot back up the backed-up study again.

- However, the restored study which was removed completely can be backed up again.

 In case of using the optical storage media, it is unable to back up the study additionally

though there is a free space left after backup.

- You need to prepare a new optical storage media.

 In case of using the external storage media, you should consume the whole storage capacity

which is being backed up.

- If there is free space left in the external storage media, you cannot change the storage

media to another.
Clean tab

 You can delete the backed-up study from the system completely.

- You cannot completely delete the study which is not backed-up.

Remove study completely

 Press the Clean tab.

- The study list that completed to backup is displayed automatically.

 Select the desired item to be removed completely.

- You can select multiple items by using the Ctrl or Shift key.

 Click the Clean button and delete the selected studies.

- You can remove all studies by clicking the Clean All button.
Restore tab

 You can restore the study which was removed completely.

- A backed-up storage media should be prepared for restoring the study.

How to restore study

 Connect the backed-up storage media to the system.

- Check the recognition of system drive and storage media before restoring the study.

 Press the Restore tab.

- The completely removed (cleaned) study list is displayed automatically.

 Select the item to be restored.

- You can select multiple items by using the Ctrl or Shift key.

 Click the Restore button to restore the selected study items.

- You can restore all studies by clicking the Restore All button.

Note

 The restored study is returned to the pre-backup condition as it is copied to the system again.

 You can back up the restored study again.

DICOM panel

 You can set and manage DICOM related information from the DICOM panel.

 The DICOM panel is organized with Queue, MWL, Storage, Storage Commitment, Print, and

MPPS tabs.

Queue tab

 When you start to send or print a DIOCM image, it is registered to the queue automatically.

 You can check the sending/printing status of DICOM image from the following queues.

- Storage Queue – Indicates the sending status of DICOM image to the DICOM storage server.

- Print Queue – Indicates the printing status of DICOM image to the DICOM print server.

Connection state

 Pending – On standby.

 Failed – Fail to send.

 Sending – Sending the image.

 Stopped – Sending stopped.

 Done – Complete to send. (Succeed)

How to use

 Select the item that failed to send and click the Retry button to send it again.
 - You can select multiple items by using the Ctrl or Shift key.

 Select the item and click the Delete button to remove.

- You cannot delete the item being sending or stopped sending.

- You can select multiple items by using the Ctrl or Shift key.

Set the common item of DICOM server

 You can set the server information for five types of DICOM services as followings;

- DICOM MWL (Modality Worklist)

- DICOM MPPS (Modality Performed Procedure Step)

- DICOM Storage

- DICOM Storage Commitment

- DICOM Print

 You need to set DICOM server information from the relevant tab to configure each server.

 The following items can be set by a same way.

- SCP List (Service Class Provider List) – DICOM server list

- Basic Information – Basic information of DICOM server connection.

- Verification – Checks the DICOM connection state.

- Language – Sets DICOM language encoding.

SCP List
 Click the Add button to add the DICOM server.

Configure the server information at the ‘Basic Information’ menu

after adding DICOM server.

 Click the Delete button to delete the DICOM server.

 Select ‘Use’ to choose a server to use.

You cannot select multiple servers.

Basic Information  You can set information after selecting items from the SCP List.

Name – SCP server name

AE Title – AE title of a sever

IP Address – IP address of a server

Port – Port number of a server

Max PDU – Maximum packet data unit

Timeout – Waiting time after connection (unit: sec.)

LUT – Lookup table to be applied

Check basic information

 You should set the AE title.

- In case of a specific server, it is unable to use if the configured AE title is not correct.

 It is recommended to check Max PDU (Packet Data Unit) value.

- If you do not use Max PDU, the system conforms to the other Max PDU value configured

from the server.

- The transmission speed can be lowered or disconnected according to the Max PDU

setting.

- Check the connection state while changing Max PDU value after checking the server
information.

 After asking connection to the server or sending the image, do not disconnect
communication and wait until timeout.

- If there is no response from SCP server during the waiting time, the system regards it as

a communication failure and cut off its connection.

- Check the connection state while adjusting timeout depending on the communication

environment.

 You can send or print images with applying LUT.

- LUT item can be configured from the LUT panel.

Verification
 You can check the connection state with the selected SCP server.

Select the SCP item and click the Echo button.

Check the connection state.

Verification step

 Verification is progressed as the following steps;

- Connection – Attempt to connect network and check its connection state.

- C-ECHO Request – Ask DICOM Verification service to check the DICOM connection state.

- C-ECHO Response – Receive response from DICOM Verification.

- Release Request – Ask to release DICOM connection.

- Release Response – Receive response of releasing DICOM connection.

- Close Connection – Disconnect network.

Languag
e  You can apply DICOM language encoding when sending images.

There are 16 language options.

Default – Not support the language encoding.

Note Refer to the DICOM standard document for detailed information about DICOM
Encoding.
MWL tab

 You can use DICOM work list from the MWL tab by setting information of the DICOM Worklist

sever.

- To receive the patient and study information, you need to require them to the DICOM

Worklist server.

Note Refer to the DICOM standard document for detailed information about DICOM
Worklist.

Setting steps

 Click the Add button on the SCP List to add DICOM Worklist server.

 Input the relevant server information in the Basic Information menu correctly.

- Contact the hospital or server person in charge for the server information.

 Select the tag information for searching and receiving from ‘Tag Selection’.

- It is recommended to check all tags.

 Select a tag from ‘Procedure Tag Selection’ to match with the procedure of the relevant

system.

- The received tag can be different from each server.

- Make a request to the server person in charge for more information.

 Click the Echo button in ‘Verification’ and check the connection state between the system

and DICOM.

- Check the network and server condition if the connection is unstable.

 Click the Update button to complete.

SCP List

 Refer to <Set the common item of DICOM server> for setting SCP List.
 Basic Information

 Refer to <Set the common item of DICOM server> for setting Basic Information.

Verification

 Refer to <Set the common item of DICOM server> for setting Verification.

Tag Selection
 Select a tag to receive information from the SCP server.

Check the information of SCP server before connecting it to the

system.

The operating failure can be solved by selecting and cancelling a

tag.

Note Request ‘DICOM Conformance Statement’ to the corresponding server

developer for checking operation and connection of the SCP server.

Procedure Tag
Selection  Select a tag that matched with the procedure code of the system.

You can select one of the five tags.

Note Refer to <Procedure panel> for setting the procedure code

MPPS tab

 You can set the information of DICOM MPPS (Modality Performed Procedure Step) server from

the MPPS tab.

- DICOM MPPS is the service that sending the exposure processing state to DICOM MPPS server.

- It also sends the information of study processing state when you register (start) or close the

study.

Note Refer to the DICOM standard document for detailed information about DICOM
MPPS.

Setting steps

 Click the Add button on the SCP List to add DICOM MPPS server.

 Input the relevant server information in the ‘Basic Information’ menu correctly.

- Contact the hospital or server person in charge for the server information.

 Select a language to use from ‘Options’.

- The information is sent as encoding to the selected language.

 Click the Echo button in ‘Verification’ and check the connection state between the system and DICOM.

- Check the network and server condition if the connection is unstable.

 Click the Update button to complete.

SCP List

 Refer to <Set common items of the DICOM server> for setting SCP List.

Basic Information

 Refer to <Set the common item of DICOM server> for setting Basic Information.

Verification

 Refer to <Set the common item of DICOM server> for setting Verification.
Language

 Refer to <Set the common item of DICOM server> for setting a language.
Storage tab

 You can set the server information of DICOM storage from the Storage tab.

- You can send the DICOM image to the DICOM storage server.

Note Refer to the DICOM standard document for the information of DICOM storage.

Setting steps

 Click the Add button on the SCP list and add the DICOM storage server.

 Input the relevant server information in the ‘Basic Information’ menu.

- Contact the hospital or server person in charge for the server information.

 Set each option from ‘Options’.

 Click the ‘Echo’ button in ‘Verification’ and check the connection state between the system and

DICOM.

- Check the network and server condition if the connection is unstable.

 Click the Update button to complete.

SCP List

 Refer to <Set the common item of DICOM server> for setting SCP List.

Basic Information

 Refer to <Set the common item of DICOM server> for setting Basic Information.

Verification

 Refer to <Set the common item of DICOM server> for setting Verification.
Options
 You can set the following items in ‘Options’.

LUT

Modality

Software Collimation

Burned in annotation

Burned in information

Transfer Syntax

Language

Compression
LUT

 Send the image with applying LUT.

- You can set LUT options from the LUT panel.

Modality

 Send the image with applying a modality.

- Current modality – Uses the modality information received from Worklist.

- You can use one of the three modalities - DX, CR, DR.

Software Collimation

 Send the cropped image.

 NONE – Sends the original image.

 CUT – Sends the cropped image area only.

 FILL – Sends the image as filling the outside of cropped area with a black color.

Burned in Annotation

 Send the image with its annotations.

- YES – Send the image including the annotations.

- NO – Send the image without the annotations.

Burned in Information

 Send the image including its overlaid information.

- YES – Send the image including its overlaid information.

- NO – Send the image without its overlaid information.

Transfer Syntax

 Select the image transmission system.

 - This system supports ‘Implicit VR Little Endian’ and ‘Explicit VR Little Endian’.

 Before selecting the option, check which system the server supports.

Note Refer to the DICOM standard document for transfer syntax.

Language

 Refer to <Set the common item of DICOM server> for more information about setting a language.

Compression

 You can send the image with applying JPEG2000 compression algorithm.

- No Compression – Not compress the DICOM image.

- JPEG2000 Lossless – Compresses the DICOM image without a loss.

- JPEG2000 Lossy – Compresses the DICOM image with a loss.

 This option is unable to use if the server does not support JPEG2000 format.

Note Refer to the JPEG standard document for more information.

Storage Commitment tab

 You can set the server information of DICOM Storage Commitment from the Storage Commitment

tab.

- The information of DICOM Storage Commitment can be sent to the server after sending

DICOM image.

Note Refer to the DICOM standard document for information about DICOM Storage.

Setting steps

 Click the Add button from SCP list and add the DICOM Storage Commitment server.

 Be sure to input the server information exactly to ‘Basic Information’.

- Contact to the hospital or the server person in charge about server information.

 Set each option from ‘Options’.

 Click the Echo button in ‘Verification’ and check the DICOM connection status.

- If it is not connected normally, check the condition of network and server.

 Click the Update button to complete update.

SCP List

 Refer to <Set the common item of DICOM server> for setting the SCP List.

Basic Information

 Refer to <Set the common item of DICOM server> for setting Basic Information.

Verification

 Refer to <Set the common item of DICOM server> for setting Verification.
 Print tab

You can set the information of print and DICOM Print server from the Print tab.

 The DICOM image can be sent to the DICOM Print server for printing.

 You can also set the information printed on the printout.

Note Refer to the DICOM standard document for information about DICOM Print.

Setting steps

 Click the Add button from ‘SCP List’ and add the DICOM Print server.

- Be sure to input the server information exactly in ‘Basic Information’.

- Contact to the hospital or the server person in charge about server information.

 Sets the print and film format from ‘Print Format’.

- Errors can be occurred depending on the print model.

- Check the information of print server in advance.

 Sets the printing information from ‘Layout Items’.

- You can set the information of study, patient and annotation to be printed.

- You can set printing position of each information.

- You can set the shape, size and color of letters.

 Click the Echo button in the ‘Verification’ menu and check the DICOM connection status.

- If it is not connected normally, check the condition of network and server.

 Click the Update button to complete update.

SCP List

 Refer to <Set the common item of DICOM server> for setting the SCP List.
Basic Information

 Refer to <Set the common item of DICOM server> for setting Basic Information.

Verification

 Refer to <Set the common item of DICOM server> for setting Verification.
Printer Format

 You can set the items of print and film format.

- Before setting the items, check the print and film.

Item Meaning Description

Size Film print size Sets print size of the film.
Orientation Film print orientation Sets orientation of the film.

Portrait

Landscape
Format Print layout Sets layout of image printed on the film.
Medium Type Type of film medium Selects a type of film medium.

Clear Film

Blue Film

Film Destination Printing object Sets a target to be printed.

Magazine

Processor

BIN_i
Priority Priority order of printing Sets priority order of printing. (HIGH / MED / LOW)

Trim Apply trimming or not Sets applicability or not of trimming. (YES / NO)
Min Density minimum density of printing Sets minimum density of printing.
Max Density maximum density of printing Sets maximum density of printing
Magnification Type Interpolation of the printing Sets a magnification type applied to the printing
image. image.

Replicate

Bilinear

Cubic
Request Requested resolution Sets the requested resolution (STANDARD / HIGH)

Resolution
Num of copy Number of prints Sets the number of prints.

Set layout items

 Specifies position of items printed on the film.

 Select an item and add to the desired position or delete it by clicking ◀ or ▶ button.

- Only the item with “(*)” marking can be added to the film header area.

- You can add items to the image area. (Top Left, Bottom Left, Top Right, Bottom Right)

- You can add duplicated items.

 Click the Update button to complete updating.

Set the font and color of the printed item

 Set font, size, color of information and annotations printed on the header/image.

 Header Font & Color

- Set font, size, color of header information printed on the film.

- You can assign position of the film header.

- You can specify layout of the film.

 Image Overlay Font & Color

- Set font, size, color of information printed on the image.

- Absolute Font Size – The font is printed as an absolute size regardless of the image layout.

 Annotation Font & Color

- Set font, size, color of annotations and labels printed on the image.
Reject panel

Rejected List tab

 Search the rejected study or image from the rejected list.

 You can restore or permanently delete the rejected study or image.

Check the search condition

 Search the deleted study or image with the search tool.

 The search tool provides five kinds of search conditions.

 The inserted condition is applied arithmetic operation ‘AND’.

Searched item Description Input mode Partial search Allowable characters

Patient ID Patient ID Input Possible ( , ) , * , + , =, - , _
Patient Name Patient Name Input Possible ( , ) , * , + , =, - , _
Reason Reason for deletion Input Possible ( , ) , * , + , =, - , _
Data Type Data type Select between Impossible None

‘Study’ and ‘Instance’

Rejected Date Rejected Date Select a date Impossible None

Check the search item

 You should input partial words for searching patient ID, patient name and reason.

- In case of searching the name “John Doe”, input either “John” or “Doe” only.

 There are two options for inserting a rejected date.

Select period buttons. (Today, Week, Month)

Select date buttons. (Start Date, End Date)

 Insert a rejected date by selecting the period button.

The latest period of a day/a week/a month from the present date is inserted

automatically.

 Select a rejected date by selecting

You can select either of two options (Start date, End date).

You can change the date by moving a mouse wheel on the calendar.

Initialize search condition

 Click the Clear button to initialize search conditions.

- The values of ‘Study Start Date’ and ‘End Date’ are initialized as “*” (All).

Search

 Click the Search button to start search after setting search conditions.

- All deleted studies and image data are searched if you search them in the initialized state.

Restore

 Select an item to be restored on the searched list.

 Click the Restore button and check if the selected item is restored.

Delete permanently

 Select a desired item to be deleted permanently on the searched list.

 - You can select multiple items.

 Click the Delete button and check if the selected item is deleted permanently.

Reason tab

 You can set reasons for deleting the study or image.

- The configured reason can be selected when you delete the study or image.

Register a reason

 Click the Add button and add contents of the rejected reason.

 Double click the relevant item and change its name as the desired reason.

 Press the Enter key and click the Update button to complete updating.

Delete the reason

 Select an item and click the Delete button.

 Click the Update button to complete updating.

Check options

 Use rejection reason

- Check this option to insert a reason when you delete study or image.

 Always display image

- Check this option to indicate the searched study or image though it is deleted.
Additional Functions

This chapter provides instruction about the additional functions and information of VXvue

Topics covered include:

 Status bar

 Adding a language

 Medical emergency

 Using the demo version

 Managing the list header and field

 Log viewer

 Using a mouse

 Icons

 Cursors
Status bar

 The status bar is located at the bottom of VXvue, and indicated the following information.

- VXvue logo

- Current login account

- Free space in the hard drive

- Transmission state of DICOM server

- Status of DICOM print

- Present date and time

Check the status information

(1/2/3)

① Indicate free space of the hard drive.

- The status icon is blinking if the capacity is insufficient.

- You can set the warning indicator for the free space at <Status bar icons>.

② Indicate the sending status of image to DIOCOM storage server after login. (Success / All / Fail)

- When you click this icon, the tab is converted to ‘Setting DICOM Queue’.

- You can check the sending status of image from the Queue tab.

③ Indicate the sending status of print to DICOM print server after login. (Success / All / Fail)

- When you click this icon, the tab is converted to ‘Setting DICOM Queue’.

- You can check the sending status of prints from the Queue tab.

Note Refer to <Status bar icons> for more information about the icon status
information.
Set the date and time

Check the present date and time

 The indicated date and time are complied with the Windows operating system.

Set the present date and time

 Set the date and time in Control Panel of Windows OS.

- Open ‘Control Panel’ ‘Date and Time’ to set the exact date and time.

- Open ‘Control Panel’ ‘Region and Language’ to set the region and language.

Date and Time Region and Language

Adding a language

Check the registered language

 You can check the registered language using in the

system from ‘Setting-> System->panel-> System

Information’.

 The basic options are Korean, English and Chinese.

 If you want to change a language, select the desired

language to use and click the Update button, and then

restart the program.

Add a language

 You can add a new language as the following steps;

① Run Microsoft Office Excel and open ‘Language.txt’ file.

- You can fine the language file from ‘D:\Database\Lanuage’ (basic path).

② Input words and phrases of the new language in the next row of the previous set language.
③ You should save the ‘Language.txt’ file as Unicode text format (*.txt) after completing step 2.

④ Check the added language from ‘System Information’ and set the language to use in the

system.
Medical emergency

 You can use the following functions from VXvue in medical emergency situation.

- Make an emergency exposure by a user who has no login account.

- Make a precedent exposure when there is little time to get information of an emergency patient.

Emergency mode

 The user can make an emergency exposure without the login account.

 Click the ER button on the login window.

You can log in without ID and password.

Use this function in the medical emergency.

Restrictions of ER mode

 In the ER mode, you can only enter into the Work mode and the Exposure mode.

- You cannot access to the other modes.

 The following functions are unable to use from the Work mode and the Exposure mode.

- Correct or delete the scheduled order information in the Local tab of the Work mode.

- Correct the study information in the Exposure mode.

- DICOM send and DICOM print from the Exposure mode.

- Process or delete the image from the Exposure mode.

Emergency Exposure

 You can make an emergency exposure without registering patient information.

 This exposure can be made from the Work mode.

  Click the Emergency button and make an emergency exposure.

The screen is converted to the Exposure mode automatically.

 The ID and name of the emergency patient are input on the basis of a present date and time
automatically.

The patent ID is entered as ‘EM-YYMMDD-HHMMSS’ form automatically.

The patient name is entered as ‘Urgent Patient’ automatically.

 When you complete the exposure, you can get and the patient information and update it.
Using the demo version

 TBD
Managing the list header and field

 VXvue has three lists as follows;

- Searched result list of the work list (Work mode Worklist panel)

- Searched result list of Local (Work mode Local panel)

- Searched result list of a study and image (Database mode)

 Each list has a list header, and each header has dozens of data fields.

 You can range or edit each field as necessary.

Field information

No. Item Worklist Local Database

1 Key X O X
2 Study Key X X O
3 Send Status X X O
4 Print Status X X O
5 Backup Status X X O
6 Img. Count X X O
7 Study Date Time X X O
8 Acc. No. O O O
9 Patient ID O O O
10 Patient Name O O O
11 Sex O O O
12 Age O O O
13 Birth Date O O O
14 Modality O O O
15 Bodypart O O O
16 Scheduled Performing Physician’s Name O O O
17 Referring Physician O O O
18 Patient Comments O O O
19 Study Description O O O
20 Study ID X X O
21 Study Instance UID O O O
22 Scheduled Date Time O O O
23 Scheduled Procedure Step Description O O O
 24 Requested Procedure ID O O O
25 Scheduled Station AE Title O O O

No. Item Worklist Local Database

26 Requested Contrast Agent O O O
27 Scheduled Station Name O O O
28 Scheduled Procedure Step ID O O O
29 Requested Procedure Description O O O
30 Requested Procedure Code Sequence O O O
31 Requested Procedure Priority O O O
32 Patient Transport Arrangement O O O
33 Requested Procedure Location O O O
34 Requesting Service O O O
35 Visit Status ID O O O
36 Patient Institution Residence O O O
37 Current Patient Location O O O
38 Admiitting Diagnosis Description O O O
39 Other Patient IDs O O O
40 Other Patient Names O O O
41 Patient Birth Time O O O
42 Patient Height O O O
43 Patient Weight O O O
44 Ethnic Group O O O
45 Occupation O O O
46 Patient Address O O O
47 Patient Telephone Numbers O O O
48 Confidentiality constraint on Patient Data O O O
49 Additional Patient History O O O
50 Patient State O O O
51 Pregnancy Status O O O
52 Medical Alerts O O O
53 Allergies O O O
54 Special Needs O O O
Total 46 47 53
Aligning the list by the standard of a specific field

 Left click the desired field to be aligned on header of the study list.

 You can align the list as an ascending or descending order by a standard of the selected field.

Editing the field

Open the field edit window

 Right click the list header.

 Click the ‘More…’ menu to open the field edit window.

Use the field edit

window  You can add a new field to the header of study list.

Select the checkbox of desired items.

Click the Show button.

 You can delete a field from the header of study list.

Uncheck the checkbox of desired items.

Click the Hide button.

 You can adjust the field order from the header of study list.

Click Move Up or Move Down button.

 You can set width of each field by a pixel unit.

 Click the OK button and check the changing of the field.

Note If you delete a field, it will not be seen on the header but its data is
not removed.
Log viewer

 VXvue records the actions and results as a log and stores while using the system.

- You can check the records from the log viewer.

Rub the log viewer

 The log viewer is operated automatically when you execute VXvue.

 The log viewer is registered to the tray and collects the record of VXvue actions at the background.

 Click the right mouse button on the tray.

Click the ‘Show’ menu to see the log viewer.

Click the ‘Exit’ menu to close the log viewer.

Note When you close VXvue, the log viewer is not closed automatically.
Using a mouse

 It is necessary to use a mouse for image processing.

Function of a mouse

Movement Description
Click the left button Activate a specific function by selecting image, menu, or a button.
Click the right button Indicate options of the selected menu.
Click Ctrl + left button Select multiple items.
Click Shift + left button Click the first and the last items to select all items between them.
Double click the left button Conduct a special function of each menu.
Scroll Change to select an image by using the mouse wheel.
Click the left button + Drag Adjust or move the parameter.

Change the size of the exposed object.

Click the right button + Drag Control W/L (Window level).

This function is available to use while using another function.

Refer to <Window Level Option> for information about controlling W/L.

Icons

Status bar icons

 The icons are showed in the status bar to indicate the hard disk(HDD) and sending status.

Icon Description
Errors in the local HDD.
Under the configured warning space of local HDD.
Not more than 33% compared to the total capacity of local HDD.
Not more than 66% compared to the total capacity of local HDD.
Not more than 100% compared to the total capacity of local HDD.
In status of DICOM image storage server.
In status of DICOM print server.

Study item status icons

 The icons indicate status of the study items which are displayed on the database search list.

Icon Description
Backed up
Deleted
Sent to the DICOM print storage server.
Printed to the DICOM print server.
Thumbnail image status icons

 The icons are at located the bottom of the thumbnail image, and indicate status of the present

image.

Icon Description

Backed up

Deleted permanently (Clean)

Sent to the DICOM image storage server.

Printed from the DICOM print server.

Rejected

The step is selected and ready to be exposed.

Detector info icons

 The icons are indicated the detector information.

Icon Description

The battery capacity is 100% and under.

The battery capacity is 75% and under.

The battery capacity is 50% and under.

The battery capacity is 25% and under.

Need to charge the battery

Errors in detector connection

Detector connected

Detector disconnected

Temperature error in the detector

Low temperature in the detector

High temperature in the detector

The Wi-Fi signal strength is 100% and under.

The Wi-Fi signal strength is 75% and under.

The Wi-Fi signal strength is 50% and under.

The Wi-Fi signal strength is 25% and under.

Wi-Fi error
Detector connection status icons

 The icons are indicated the connection status of detectors.

Icon Description

Disconnected

Some images are not transferred to the internal memory of detector.

Some information is changed in the detector.

Sleep mode.

Connected FXRD-1717SA/SB detector.

Connected FXRD-1417SA/SB detector.

Connected FXRD-1417WA/WB detector with Wi-Fi.

Connected FXRD-1417WA/WB detector with a tether cable.

Cursors

 When you select image processing or annotation tools, the mouse cursor is changed to the

corresponding shape.

Cursors of image processing tools

Cursor Description

Crop

Zoom

Magic Glass

Window Level

Pan

Move

Cursors of annotation tools

Cursor Description

Angle

Arrow

Distance

Window Level

Ellipse

Rectangle

Text
Appendix A

Maintenance

It is the owner’s responsibility to provide regular periodic maintenance and service. Only this type of
maintenance program can identify potential problems. Topics covered include:
 Periodic Maintenance

 Qualified Service
 Cleaning and Disinfecting
 Recycling

Periodic Maintenance
Periodic maintenance is required for continued SAFE operation. Periodic maintenance should be performed

as specified in the maintenance schedule of the service manual by qualified personnel. Descriptions and
scheduled frequency of the required periodic maintenance are provided in the Service manual supplied with

the equipment. Inspection intervals are based on average daily use of one eight hour shift. These periodic

maintenance procedures will be performed by SG service if contracted to do so. Generally, most of the parts
need maintenances once a year; general cleaning and painting as required; Replace Nonvolatile RAM on the
kV Control Board every 10 years. More frequent inspection is appropriate where equipment use is above

average.
 CAUTION

Failure to perform the periodic inspection and maintenance could

allow deteriorating conditions to develop without being detected. This
deterioration could result in equipment failures, which could cause
serious injury or equipment damage.

Qualified Service
Safe equipment performance requires the use of service personnel specially trained on medical X-ray
apparatus. SG Healthcare Medical Systems and its associates, maintain a world-wide organization of stations
from which to furnish periodic and/or emergency service on a contract basis. A SG representative will be glad
to discuss this plan. SG Healthcare Medical Systems X-ray equipment contains operating safeguards designed

to provide maximum safety. Before calling for service, be certain proper operating procedures are being used.

Cleaning and Disinfecting

This equipment should be cleaned frequently, particularly if corroding chemicals are present. Use a cloth
moistened in warm soapy water (use mild soap) to clean the trim and nameplate of the Operator’s Controls.

Wipe with a cloth moistened in clean water. Do not use cleaners or solvents of any kind as they may dull the

finish or blur the lettering. Polish with a pure liquid or paste wax. Other surfaces of the equipment can be
cleaned using a clean cloth moistened slightly with a good mild cleaner and polish acceptable for use on
enameled metal surfaces. Before each use, equipment surfaces that contact the patient should be cleaned

with an EPA registered, low-level disinfection or sanitizing agent.

CAUTION

In the event of equipment contacting broken skin or being used

with infected or immune compromised patients, the equipment
should be cleaned using EPA cleared and EPA registered high-
level disinfecting agents.
 Be sure to follow the label instructions and pre-cautions for use, storage, and
Note
disposal of all disinfecting agents.

Recycling

Packing Materials

The materials used to pack our equipment are recyclable. They must be collected and processed in

accordance with the regulations in force for the country where the machines or accessories are unpacked.

Machines or Accessories at end-of-life

The elimination of machines and accessories must be in accordance with national regulations for waste
processing. All materials and components that could pose a risk to the environment must be removed from
the machines at end-of-life and accessories (examples: dry and wet cell batteries, transformer oil, etc.).
Please consult your local SGHC representative before discarding these products.
Appendix B

System Specification

Basic Specification

 High frequency high voltage generator output power: 50kW

 Rotating Anode X-Ray Tube: Nominal Focal Spot 0.6 / 1.2

Environment Requirements

Transportation and Storage Conditions

 Environment temperature: -20°C ～ +60°C; (The environment temperature of digital detector and

monitor: 0°C ～ +50°C)

 Relative humidity: 10~90%

 Atmospheric pressure: 700~1060 hPa

Operating Conditions

 Environment temperature: 10~35°C

 Relative humidity: 30~75% -
 Atmospheric pressure: 700~1060 hPa

Power Supply Conditions

 Power voltage: 3-phase 380V ± 10%

 Frequency: 50/60Hz ±1Hz -
 Impedance: ≤ 0.15

Power Output

 Max output : 50kW (630mA@80kV)

 Nominal output : 50 kW (500mA@100kV, 0.1s)

X-ray Tube Voltage

 Adjustment range : 40~150kV, minimum increment : 1kV

 Allowable deviation: ≤ ± (5% + 2 kV)

X-ray Tube Current

 Adjustment range: 10~630 mA

 Allowable deviation: ≤ ±15%

Time of Exposure

 X-ray tube exposure time range: 2.0ms ~ 2 s

 Allowable deviation: ≤ ± (10% + 1 ms)

Current Time Product

 Adjustment range: 0.50 mAs ~ 625 mAs (step adjustment)

 Allowable deviation: ≤ ± (10% + 0.2 mAs)

 Preferences Output

Preferences Output by photography (intermittent) 50KW

Maximum tube current for operation at nominal tube

150kV, 320mA
voltage

Maximum tube voltage for operation at nominal tube

630mA, 80kV
current

Highest electric output power 630mA, 80kV

Nominal output power with 100kV, 0.1s 50kW (500mA, 100kV)

The Min mAs of exposure(combination of multiple mA

0.1mAs
and ms)

Nominal Shortest Irradiation Time in AEC mode 2.0ms

The range of mAs in AEC mode 512mAs

 X-ray Source Assembly
The generator can connect one tube and one collimator.

 X-ray Tube Assembly

Max Anode Heat Inherent

Tube Assembly Focus Type
Content filtration

Rad14 0.6/1.2 300kHU Nominal Focal Spot 2.0mAl

Collimator

150kvp.
Maximum x-ray tube voltage

48 x 48cm at SID 100cm

Maximum x-ray field

Light field indicator > 160 lx

luminosity at 100 cm from the focus:
Inherent filtration 1.2mm Al

Less than 30mr/hr at 100cm from x-ray tube

Radiation protection
focal spot

Projection lamp 24VAC, LED

Lamp timer Push button, 30 second timer

Power consumption 24Vac, 1A

Weight 11kg
Detector
Item Specification

Application General radiography

Technology Flat panel detector : a-Si TFT with PIN diode

CsI:Tl
Scintillator
Gadox

Pixel pitch 140um x 140um

Pixels 3072 x 3072 pixels

Image size 17 x 17 inches

A/D conversion 14bit

Grayscale 16384 grayscales

Maximum Dose 4mR

X-ray voltage range 40 ~ 150kVp

Line trigger : DR trigger Mode

X-ray generator Interface
Auto trigger : AED Mode

Interface Gigabit Ethernet (1000BASE-T)

Dimensions 470 x 470 x 35 mm

Weight Approx. 11kg

Operating Environment 15 - 35°C, 30 - 80% RH (non-c ondensing)

Power DC+24V Input

Dimension
 Generator(CMP200DR)

 X-ray Tube(Rad14)

233
 Collimator

234
 Detector (1717FXRD)

235
 U-Arm

236
237
SG Healthcare Co., Ltd.

753 ITECO, 150 Jojeong-Daero, Hanam-Si, Gyeonggi-Do, 465-736Korea

Tel: +82-70-7011-6161

FAX: +82-31-737-4954

Website: http://www.sghealthcare.com

European representative: AeMi World.

Bugenhagenstr.8, 10551 Berlin, Germany

Tel: +49 (030) 8620 3461

Fax: +49 (030) 86203789

238