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Radlink CR Pro User Manual

Computed radiography (cr) scanner
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Computed Radiography (
) Scanner
CR
USER MANUAL
January 22, 2007
Release 2.0
Reference Only
Radlink, Inc.
2400 Marine Ave.
Redondo Beach, CA 90278
310-643-6900 (phone)
310-643-6906 (fax)

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  • Page 1 CR Pro Computed Radiography ( ) Scanner USER MANUAL January 22, 2007 Release 2.0 Reference Only Radlink, Inc. 2400 Marine Ave. Redondo Beach, CA 90278 310-643-6900 (phone) 310-643-6906 (fax)
  • Page 2 Specifications and product and/or service offerings are subject to change without notice. The information in this book is provided for informational proposes only. It is subject to change without notice. Radlink, Inc. assumes no liability for any errors or inaccuracies that may appear in this book.
  • Page 3 The CR Pro is a Class 1 Laser Device which utilizes a 50 mW solid state laser operating at 20 mW. The covers on the CR Pro and the enclosed inner housing protect the user from direct and indirect exposure when the unit is operating.
  • Page 4 FCC NOTICE “Declaration of Conformity Information” – This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a commercial installation.
  • Page 5 CAUTION – A new battery can explode if incorrectly installed. Replace the battery only with the same type or equivalent type recommended by the manufacturer. Discard the used battery as described under “BATTERY DISPOSAL”. 1. Turn off power to the device. 2.

  • Page 6: Power Requirements

    CR Pro field service engineer. There are no user replaceable parts inside the CR Pro. DO NOT remove the covers as internal parts may be damaged, the warranty will be voided and it may be hazardous to your health.
  • Page 7 CR Pro. Ambient light in the proximity of the CR Pro should be kept to a minimum. SHIPPING AND UNPACKING THE CR PRO –...
  • Page 8 Gather all packing material for future packing of the CR Pro for return. TABLE OF CONTENTS Preface Chapter 1: Hardware Installation and Setup Chapter 2: Software Setup and Configuration Chapter 3: Operating Instructions, Applications, Gain Tables and Calibration Appendix Hardware Specifications...
  • Page 9 Preface THANK YOU – For purchasing the Radlink CR Pro Computed Radiography Scanner. This manual will assist your certified CR Pro field service engineer in learning all the functions of your CR Pro, from installation through operation. Please read each section carefully.
  • Page 10 10in x 12in (203.2mm x 254.0mm) 14in x 17in (355.6mm x 431.8mm) The CR Pro’s unique design makes it low maintenance, as there are no mirrors or galvanometers, which are subject to frequent adjustment. Additionally, the CR Pro mechanism is shock mounted to allow for more reliable operation.
  • Page 11 Chapter 1 Hardware Installation and Setup...
  • Page 12 Before assembling the CR Pro, take inventory of the contents of the shipping carton to verify that all parts are included. If any parts are missing, circle the item on this page and return a copy of the page to Radlink immediately and the parts will be replaced.
  • Page 13 Hardware Assembly WARNING The CR Pro weighs 198 pounds and to avoid injury, it should not be moved by one person. If lifted, such lifting should be performed by professional movers or installers.
  • Page 14 Monitor Cassette Slot isplay LCD D CD-RW Keyboard/ Trackball Figure 1-1 – CR Pro Scanner On/Off Switch AC Input AC Line Filter USB Port Ethernet Port...
  • Page 15 Figure 1-2 – CR Pro Scanner Rear View Chapter 2: Software Setup and Configuration...
  • Page 16 Radlink Application Installation Procedures Radlink Clean Install Procedures Note: The CR Pro is configured with the CR Pro Image Acquire software as part of the manufacturing process and is already installed. 1. Double click the “Double Click to Install Radlink” icon. This installs the Radlink application.
  • Page 17 Confirming The X – Ray Techniques Figure 2-1 – Settings Body Part Major Grouping for display purposes. Size This can be “Small”, “Medium” or “Large” The kVp setting at the X-Ray machine. The milliamp-seconds setting at the X-Ray Machine Distance The distance between the X-Ray tube and the X-Ray cassette.
  • Page 18 DICOM image from the CR Pro to selected destination(s). Unchecking the State does not turn off communications to the programmed satellite destinations. However; Again the state check box only controls output from the CR Pro to each selected destination.
  • Page 19 DICOM association. Protocol – The normal setting “DICOM” is based on the standard DICOM release, and handles various modalities and PACS hosts. The “Radlink” protocol setting supports image compression. The older protocol is based on the RSNA 2000 standard.
  • Page 20 If there are problems, the following message will be displayed: Figure 2-4 – DICOM Ping Error Message The most typical reason for the error message is incorrect IP and/or Port destination settings. The DICOM Ping button is also present in the Radlink Router destination settings. Router Settings The purpose of the Router Scheduler is to postpone DICOM transfers for example, after business hours.
  • Page 21 In the above example, the router will only transfer images to the PACS hosts between 5:45 PM and 11:45 PM. Listener Port – . The Listener Port is a port on the client machine that the Radlink Router listens to for “Send Status” button clicks. The Listener Port typically should not be changed.
  • Page 22 If no settings are present and you have a Firewall, contact your LAN administrator for the above settings. It should be noted that the protocols being utilized by the Radlink system are TCP and SOAP. The SOAP protocol uses an extended HTML packet header for communications.
  • Page 23 Figure 2-11- Information Display Settings The study information is displayed in the upper left side of the image display area when the “Show Selections” radio button is selected. The items in the study information is selectable by clicking the check boxes as shown above. Required Fields The fields on the “Patient Information Screen”...
  • Page 24 Previously only the “Patient Name” and “Patient ID” were required fields. DICOM File Settings Radlink performs image compression both when saving studies as well as sending to remote destinations. The following figure displays the compression settings associated with saving studies: Figure 2-14 –...
  • Page 25 jpeglossy – Process 2 & 4 – This is JPEG 12 bit lossy compression. Like jpeg 8 bit lossy compression, the quality factor can be set between 0 and 100. All of the compression algorithms described above are DICOM compliant and will be compatible with PACS servers supporting the DICOM standard for compression.
  • Page 26 Figure 2-17 - Color Picker Choose the desired color by clicking a color then click OK. The New Color button background color will then display the chosen color. One changes the fonts by clicking the button “Edit button in the Font column. The following screen then appears: Figure 2-18 –...
  • Page 27 After the password has been set, one must enter the password to change Radlink settings by logging into Radlink via the Login menu item. If the password is not entered upon Radlink startup, the “Settings” menu item will be disabled.
  • Page 28 The look and feel of the main display screen can be modified with the View Settings menu item: Show Buttons – This will either display or hide the buttons on the screen. This is normally turned on. Figure 2-23 – Screen Settings Show Patient Info –...
  • Page 29 Chapter 3 Operating Instructions Calibration Application and Gain Tables...
  • Page 30 To determine which release of Radlink software you are working with, click on Help on the top toolbar then click on About Radlink. The release level will be displayed. This is a necessary piece of information if you place an inquiry with Radlink customer service –...
  • Page 31 3. Start Calibration - Select the calibration selection under the TOOLS menu item. 4. Calibration - The CR Pro will scan the exposed plate in order to calibrate the intensity to allow for the best possible images to be acquired from the plate.
  • Page 32 Figure - 3. 2 The Radlink Main Screen To Acquire An Image - The Main Screen is composed of seven action buttons under the title imaging workflow. 1. Create Study 2. Create Series 3. Scan Image 4. QC Image 5. Change Info 6.
  • Page 33 The Create Study button Figure – 3. 3 Patient Information Settings The Scan Image button Figure – 3. 4 Confirm X-ray technique In this section you will select: The body part The view The patient's size The technique – kVp and mAs Grid Type –...
  • Page 34 The Scan button The image is displayed line by line as it is scanned. Figure – 3. 5 Image Scanning The scan button initiates scanning of the phosphor plate.
  • Page 35 The QC Image button The following screen will then appear: Figure – 3. 6 Image QC This window will enable image processing enhancements. Image information: Processing – Indicates the type of processing that has been applied to the image.
  • Page 36 Image QC Figure – 3. 7 Image Orientation The four Rotate and Flip buttons allow for different image positioning of the displayed x-ray. The Add Markers to Image buttons will ID image with the patient's Right and Left. The Custom Marker button will enter script to image – Personal Initials. The Image Dimensions buttons will enable Crop to enhance image.
  • Page 37 Figure – 3. 8 Image Appearance The Auto WinLev button – Automatically determines the appropriate window width and level for the image. The Negative button – Inverts the greyscale to obtain a negative view of the image. The Delete button – Deletes the selected image. Warning: This permanently deletes the image such that it cannot be recovered.
  • Page 38 When all DICOM transfers are completed manually adjusting the greyscale the list to the right side (Sending) will be blank: The W and L sliders are for Window (W) and Level (L) for the selected image settings. These settings are stored in the DICOM file header and are passed on to the PACS system.
  • Page 39 Files can be sent directly from the archive or any other selected directory. To do this simply select the menu item FileàOpen Archive or FileàOpen Study from the Radlink main screen or select the FileàView Archive from the Radlink Router: Figure – 3. 13 View Archive Screen...
  • Page 40 A filter has been added to assist in the rapid search of the desired study. Simply type the first character or two of the patient name and/or the first character of the patient id to narrow the scope of the studies displayed. Figure –...
  • Page 41 All of the destinations previously defined will be presented with check boxes. Check the destinations you wish to send the studies and click “Send”. The studies are then spooled to be sent to those destinations. To open and view DICOM images that have been previously sent to PACS hosts, one should select the menu item FileàOpen Archive.
  • Page 42 Figure 3-17 - Creating and renaming a folder. After creating the folder one should rename it and then navigate to it by clicking on it. Figure 3-18 - Navigating to the newly created save directory After the folder is created and selected for save, as shown above, Click the OK button.
  • Page 43 To import and image into a study, click FileàImport. Navigate to the desired directory as shown in the above examples. Choose the file type you wish to import and select the file. If the file type is unknown, choose “all files” in the file type combo box.
  • Page 44 One should select the file type and the compression technique desired. If the image is JPG, Compression Ratio is enabled for the JPG Lossy Compression technique. The following dialog box will appear: Figure 3-21 – Image Save Dialog Choose any file name desired and click save. Note that the File Type is predetermined and cannot be changed.
  • Page 45 One should click the button “Enable Automatic Refresh”. This will ensure that the report has the current information. Disk Management Screen The Archive Maintenance screen is activated by selecting the menu item FileàDatabase Maintenance. Figure 3-24 – Radlink Archive Maintenance...
  • Page 46 Radlink installation directory (Typically c:\program files\eRadlink\backup”. The “Delete + Restore Database” button is used to restore the database from a previous backup. The action deletes the current Radlink Database then restores it with the last backup. The backup file is called “backup” and is located in the Radlink installation directory.
  • Page 47 Image Printing Figure 3-25 – Radlink Print Menu Items The print menu items are arranged in two groups. The first group is for postscript printing. Using the postscript requires that the printer be correctly configured. One does this by selecting Print Setup which will produce the printer setup dialog:...
  • Page 48 One should then select the printer using the combo box as shown above. To change the printer properties click Properties. The Properties dialog will permit you to change the print layout to “Landscape” or “Portrait” and also change other printer settings such as paper size, printer paper source, etc.
  • Page 49 FAIL NONE The value NONE will make the Radlink software not to send the crop decimate DICOM tag. This choice was added to ensure compatibility with other printer manufacturers. The other values cause a new DICOM tag to be added. The tag is (2020,0040) CS.
  • Page 50 Film Size: The size of the film. Permissible values are: 4INX6IN 8INX10IN 85INX11IN 8.5INX11IN 10INX14IN 11INX14IN 14INX14IN 14INX17IN 24CMX24CM 24CMX30CM Film Destination: This is typically the bin that the film will be deposited into. Permissible values are: BIN_1 BIN_2 BIN_3 BIN_4 BIN_5 BIN_6...
  • Page 51 Empty Density: Permissible values are from 1 to 399. Border: This is the border color. Permissible values are: BLACK WHITE Polarity: This is whether the image is to be printed as a negative or normally. Permissible values are: NORMAL REVERSE The procedure for image acquisition should begin with filling in the study information.
  • Page 52 The priority combo box sets the study priority that dictates its priority in the router send queue. This priority information is also passed along to PACS which will affect the priority of the study at that host. Use the Search button to perform a “Modality Worklist” patient search, a “Remote PACS”...
  • Page 53 IP – Internet IP address. Usually a World Wide Web address, i.e. www.Radlink.com. IP can also be the physical network node address. The physical network node address of Radlink is 65.117.85.195. Port – Port is the logical port of the PACS server.
  • Page 54 Figure 3-37– Radlink Open Archive Exams can be burned to CD with Radlink Image Acquire. The images scanned and saved by the Radlink Image Acquire application are burnable to CD using this facility. To launch the CD Burner software, one should either select the menu item FileàOpen Archive or FileàOpen Study menu item:...
  • Page 55 This should be the label that is on the CD Case. If the label is to be saved into the Radlink database, click the “Save Into Database” button. The CD Label Database is used to retrieve studies from the CD Archive. If you do not wish to save the Label information into the database, then, click the button “Cancel”.
  • Page 56 Enter a name for the CD and click “Next”. Figure 3-43 – Burning the CD When the burning process is finished, the CD will automatically eject. One can then view the exams by inserting the CD. The Radlink viewer will then be invoked:...
  • Page 57 Figure 3-44– Patient List Figure 3-45 – Opening an Exam With Radlink Image Acquire After navigating to the Exam on the CD, click OK. Then select the Exam to open and click Open Selected Study.
  • Page 58 One can choose their own viewer to be burned to the CD rather than the Radlink provided viewer by changing the settings in Image Acquire. The settings can be opened by clicking the menu item “Settingsà Dicom File Settings”. Figure 3-46 – Viewing the Exam With Radlink Image Acquire Figure 3-47 –...
  • Page 59 To set up the PACS server, a destination will need to be added. This is the destination corresponding to the Client machine that requested the study (the Radlink System). To do this on Centricity one first opens that application. Then select the menu item...
  • Page 60 In the above figure, the defined destinations are displayed. To enter a new destination, click “Add”. Enter the client side information such as IP, Port, and AE_Title information (this should match the clent information entered in the Radlink System). The information for this example is as follows:...
  • Page 61 Figure 3-51 - Centricity Connection Parameters Note that the Host name is the IP address of the Radlink Image Acquire workstation. The port is the port specified in the Radlink settings described. The DICOM AE Title is the “Client Title” entered on the Radlink system.
  • Page 62 The following figure shows a example list of destinations entered for our example: Figure 3-53 – Router Destinations Now proceed to the Modality setup screen by clicking on the “Modalities” tab. Figure 3-54 – Router Modalities Now enter the port information and default destinations for each of the modalities. routed.
  • Page 63 Jim Bob by selecting it as well in the above example. The port setting is the port that the Radlink system will use to receive the DICOM images from that modality. The modality should be configured to send to the IP that is defined on this machine, the machine housing the modality router.
  • Page 64 Router Status window. To display the window, click on the Radlink Icon on the lower right corner of the computer screen. The status bar gives an instant look at which modality is currently sending to the Radlink Router, which PACS host the router is currently sending to, and how many images have been sent to the cancelled directory due to transmission problems.
  • Page 65 Figure 3-57 – DICOM Router showing Resend and Delete Files Buttons on the Cancelled Screen Compression/Decompression is also supported by the Radlink Router. One should set the compression algorithm for each destination to perform the compression: Figure 3-58 – Radlink Router Destination Settings...
  • Page 66 One can simply receive, archive, and not send an image sent to the Radlink Router. Simply set up a Modality that the router is to receive images from and then select the “Archive No Forwarding” option: Figure 3-59 – Radlink Router Modality Settings...
  • Page 67 Radlink installation directory (Typically c:\program files\eRadlink\backup”. The “Delete + Restore Database” button is used to restore the database from a previous backup. The action deletes the current Radlink Database then restores it with the last backup. The backup file is called “backup” and is located in the Radlink installation directory.

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