All rights are reserved.
Reproduction in whole or in
part is prohibited without the
prior written consent of the
copyright holder.
Publication number
M2424-30000-id-02
Edition 4
Published November, 2002
Printed in U.S.A.
Warra nt y
The information contained in
this document is subject to
change without notice.
Philips Ultrasound makes no
warranty of any kind with
regard to this material,
including, but not limited to,
the implied warranties of
merchantability and fitness for
a particular purpose.
Philips Ultrasound shall not be
liable for errors contained
herein or for incidental or consequential damages in connection with the furnishing,
performance, or use of this material.
This product may contain remanufactured parts equivalent
to new in performance or have
had incidental use.
WARNING
Electrical Shock Hazard
Do not remove system covers.
To avoid electrical shock, use
only supplied power cords and
connect only to properly
grounded (3-hole) wall outlets.
Explosion Hazard
Do not operate the system in
the presence of flammable anesthetics.
Safety Information
Before you use the Philips ultrasound system for the first
time, be sure to read the Safety and Standards guide.
Pay special attention to the
“Warnings” and “Cautions”.
The warnings explain the dangers of electrical shock and explosion hazard, the safety of
ultrasound, applications,
guidelines for fetal use, and
guidelines for setting controls
that affect acoustic output and
accuracy of clinical measurements.
The cautions explain potential
dangers to equipment.
Warning Symbol used in the
Text:
WARNING
Caution Symbol used in the
Text:
CAUTION
Symbols used on the System:
!
Instruction manual symbol : the
product will be marked with
this symbol when it is necessary for the user to refer to a
user guide.
Dangerous voltage symbol : the
product is marked with this
symbol to i ndicate potential for
electrical shock.
Monitor Radiation
The monitor used in this system complies with the FDA
regulations that were applicable at the date of manufacture
(21 CFR Subchapter J).
Prescription Device
The United States Food and
Drug Administration requires
the following labeling statement:
Caution - Federal Law restricts
this device to use by or on the
order of a physician.
Important
marking is for
0123
Council Directive
93/42/EEC.
This system complies with the
Medical Device Directive.
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Using Integrated Digital Interface (IDI)
Integrated Digital Interface at a Glance
Studies listed based
on current patient ID
Indicates that images
were saved in a study
format and the date of
the study
The type of study is
listed here
Jones
NameCommentDateDescription
Jones Stress 3 Stage Apr 04, 01 STUDY
Jones CLR Standard Jan 10, 01 STUDY
Select multiple items
Okay
Cancel
Change PatientList Contents
Init
Disk
Rebuild
Database
System
Generate
Disk
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Disk
Space
List
Files
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Using Integrated Digital Interface (IDI)
Introduction
Introduction
The Philips SONOS 7500 or SONOS 5500 equipped with the Integrated Digital
Interface (IDI) enables the sending of digital images directly to a magnetic-optical
disk, network storage server, or DICOM-compliant printer via a standard LAN.
Images (loops, frames, analysis reports, and Acoustic Quantification reports)
acquired on the Philips SONOS 7500 or SONOS 5500 are sent to any of the
following devices:
• EnConcert network storage server (stored in DSR-TIFF format)
• Network storage server (sent using DICOM format)
• Magnetic optical disk (stored in DSR-TIFF format)
• DICOM-compliant printer
About This Guide
This guide is divided into four sections:
•IDI Overview
•IDI Controls
•How-To Instructions
•IDI Troubleshooting
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Using Integrated Digital Interface (IDI)
Introduction
IDI Overview: Provides an overview discussion of the IDI. Included are
discussions of the physical characteristics and an overview look at how the IDI
operates within the Philips SONOS 7500 or SONOS 5500 ultrasound system.
IDI Controls: Lists and describes the controls that appear on an ultrasound system
equipped with IDI.
How-To Instructions: This section describes tasks you are expected to be able to
perform in order to use the IDI. This section gives you information on how to
perform each task quickly and efficiently without having to deal with lots of details.
IDI Tips and Troubleshooting: Provides usage tips and solutions to performance
symptoms.
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Using Integrated Digital Interface (IDI)
IDI Overview
IDI Overview
Product Description
The IDI is an intelligent interface that connects the SONOS system to a magneticoptical disk, network storage server, or DICOM-compliant printer located on a local
area network (LAN). The IDI is an option to the Philips SONOS 7500 or SONOS
5500 system.
The IDI receives digital image studies that have been stored on the SONOS hard
disk. These stored studies can be sent, over a standard 10/100BaseT LAN, to the
following devices:
• EnConcert network storage server
• DICOM network storage server and a DICOM printer (optional)
• SONOS system’s optical disk
Physical Description
The IDI works on a personal computer (PC). It includes a hard disk that is shared
between the PC and the ultrasound system. The IDI is connected to the ultrasound
system via a SCSI cable and to the network via a network connector located on the
back of the system. The hard disk is used as a storage buffer before transferring
studies to the magnetic-optical disk, network storage server, or DICOM-compliant
printer. The hard disk also provides short-term local storage for “portable”
ultrasound studies (studies that are conducted while the ultrasound system is
physically disconnected from the network). All IDI operations are performed using
the function keys and touch panel controls on the ultrasound system.
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IDI Overview
Image Storage and Transfer
The SONOS system creates and stores an image, calibration data, and measurement
and calculation data. The system can send data in DICOM format or DSR-TIFF
format (to an EnConcert network). Image data sent to an EnConcert network
includes calibration data and measurement data. Image data sent in DICOM format
includes only calibration data. The same image data transfers in either case, though
the image file format differs.
Storing digital studies to disk: You can choose between the SONOS system’s
optical disk or hard disk to store studies. However, image storage saves to the hard
disk by default when the IDI option is present, to enable studies to be transferred to
a network storage server. See “Enabling the Optical Disk as the Storage Device” on
page 30.
Retrieving patient information: You can choose a study that has been on either
EnConcert or a DICOM Modality Worklist Server, depending on the system
options. See “Retrieving Patient Information (EnConcert or DICOM Modality
Worklist Server)” on page 31.
Storing calibration data: Calibration data provided by the ultrasound system for an
image is embedded in the image data that is transferred to either the EnConcert or
DICOM network storage server.
Storing numeric measurement data: QuickCalcs and Analysis measurements
performed on an image are stored on the hard disk. QuickCalcs measurements are
stored with the images on the EnConcert network storage server. Analysis
measurement data are stored—with their labels—with the images on the EnConcert
network storage server. You can display these measurements or include them in an
analysis report on an EnConcert network storage server. If your system is connected
to a DICOM network storage server, measurement information is not included.
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Using Integrated Digital Interface (IDI)
IDI Overview
Disk Manager: A Philips service representative sets the Disk Manager function
based on customer preference during system installation.
•If Disk Manager Auto is selected, studies are automatically deleted once they are
transferred to the network storage server.
•If Disk Manager Off is selected, these studies remain on the hard disk until they
are manually deleted.
•If Disk Manager Defer is selected (default), studies are not deleted after transfer
but remain on the hard drive. The system monitors hard drive storage capacity.
When near-full capacity level of the hard drive is reached, the system
automatically deletes the studies previously transferred to the network. You can
retrieve studies that are still on the local hard disk and review them on the
ultrasound system. You cannot retrieve a study once it has been deleted from the
hard disk.
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IDI Overview
Operation
IDI Availability: IDI takes longer to power up than the ultrasound system, so some
IDI functions may not be immediately available. The status message reads: “The
Network Interface is powering up. This normally takes several minutes. Please wait
and try again.”
• You receive the above status message if you attempt to perform any of the
following functions during the power-up cycle:
• Initialize a hard disk or an optical disk
• Format a hard disk or an optical disk
• Copy images from the hard disk to the optical disk using the Copy to Optical
control
• Rescue a study using the Rescue Study control
You can retry these operations until you no longer receive the error message and
you are able to complete the storage operation.
• You receive the following status message if you attempt to end a study using the
End Study control during the power-up cycle:
The network interface is not powered-up yet:
* You may wait a few minutes and select “Retry Send.”
* If you cannot wait, select “Save Locally” to
leave the study on the hard disk. To send this
untransferred study at a later time, use
“Rescue Study.”
Retry Send
Save Locally
You should wait for the IDI to complete its bootup sequence and try again. You
can start a study and acquire images during this time, but you cannot complete
the study using the End Study control.
• You receive the message “The disk is not ready. Please try again later.” if the IDI
PC is not working or if it is running a disk-check (Chkdsk) operation.
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Using Integrated Digital Interface (IDI)
IDI Overview
Digital Storage and Network Transfer
Device Selection: The Enable Optical control is part of the Disk control set.
Setup
By default, it is not highlighted when IDI is present—that is, the optical disk is not
enabled. This configuration follows the assumption that users who have an
ultrasound system with IDI will use the network storage server (rather than the
optical disk) to store studies. However, if you touch Enable Optical to highlight it,
you can choose between the system’s internal hard disk and the optical disk for
storage or retrieval. Once you make a selection, all subsequent digital storage is
automatically sent to that device until the study is ended or another study is started.
Disk
Format
Maximize
Transfer
Study
Mode
Enable
Optical
Disk
Delete
Options
Network
Autosend
Comment
Options
When you accept the next acquired loop, if Enable Optical is enabled, the Target
Disk Selection window appears. It gives you the option of saving the loop to your
hard disk or your optical disk.
Target Disk Selection
Hard Disk
Optical Disk
Okay
Note that if Enable Optical is turned off in the middle of a study on the hard disk,
all subsequent disk operations for that study operate on the hard disk. If Enable Optical is turned off during a study on the optical disk, that study is ended and
future disk operations are performed on the hard disk. Enable Optical is a system
wide setting—once you set it remains on until you disable it.
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IDI Overview
Patient ID Information: Before you start your study, you enter patient information
by pressing Patient ID. If your system is connected to a DICOM Modality Worklist
server or an EnConcert network storage server, and the study is ordered, you are
presented with a patient selection list. When you choose the patient from the
selection list, the Patient Information screen appears with the data filled in.
Otherwise a blank Patient Information screen appears and you can enter the patient
data manually.
NOTE
After choosing a patient from the Patient Selection list, the Medical Record Number
(MRN) field and the accession number on the Patient Information are grayed out to
indicate that you cannot modify this information on the SONOS system.
End Study: The End Study Control is part of the Disk and Stress control sets.
When you touch the End Study control, IDI:
•Completes the transfer of the study from the IDI internal hard disk to the network
storage server
•Writes analysis data to the disk (with DSR-TIFF format)
•Clears all Patient ID information including analysis data and annotation text
•Clears all loops from loop memory
You must touch End Study at the end of each study, even portable studies, or the
study does not transfer properly. If you do not press End Study, you are presented
with the following dialog box when attempting to start a new study by pressing the
“New Patient” key. (Neither the End Study nor the Save Locally option causes
analysis data to be lost.).
You have changed to a new patient but have not
ended the previous study:
* To end that study, select “End Study.”
* To leave that study on the hard disk, select
“Save Locally.” To send this untransferred
study at a later time, use “Rescue Study.”
End Study
Save Locally
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Using Integrated Digital Interface (IDI)
IDI Overview
When you touch End Study, all Disk controls are unavailable until the study has
been stored to disk. Once the study has begun its transfer to the network storage
server, an icon appears displaying the transfer status. What icon appears depends on
the network settings and the network activity. The possible icons are shown in the
following table.
IconNetwork Activity
When storing loops to disk, the icon indicates the percent
progress of the transfer. When several loops are queued,
the percentage indicates the storage progress. If a single
99%
frame is being transferred, the percent complete value is
not displayed.
With Network Autosend on, the icon indicates that the
network is available.
With Network Autosend on, the icon indicates that the
network is unavailable.
With Network Autosend off, the icon is blank.
If the network is unavailable, for example, during a portable study, or the network is
disconnected during a study, IDI simply queues studies for transfer to the network
storage server or printer for a later time. In the background, the system periodically
attempts to re-connect to the network storage server or printer. All studies are
properly transferred once the network becomes available. If network activity is
abruptly aborted (for example, by an On/Off/On power cycle), all studies are
properly transferred when the network connection is re-established.
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IDI Overview
When you indicate that a study is over by touching End Study, one of the following
actions occur:
•If Disk Manager Off is selected, studies remain on the hard disk even after they
are transferred to the network storage server. This configuration gives you the
ability to retrieve the studies at any time and edit and review them at the
ultrasound system. (See the System Basics guide for information on reviewing a
study.) However, you must manage the internal hard disk space by routinely
checking disk space and deleting studies.
•If Disk Manager Auto is selected, studies are automatically deleted once they are
transferred to the network storage server. This configuration enables IDI to
automatically manage the hard disk space. However, since the studies are deleted
from the hard disk after they have been successfully transferred they are not
available for retrieval and review at the ultrasound system. (The studies are
available for retrieval until they are deleted.)
•If Disk Manager Defer (default) is selected, studies remain on the hard disk even
after they are transferred to the network storage server. This configuration lets you
retrieve, edit, and review the studies at any time on the ultrasound system. (See the
System Basics guide for information on reviewing a study.) The system
automatically manages the internal hard disk space by routinely checking disk
space and deleting studies when the available disk space is too low.
Although a file has been automatically deleted from the hard disk, under certain
conditions an entry may remain in the database. If you attempt to retrieve a file that
has been deleted, the following message may appear:
“File does not exist. Press Disk. Select Rebuild Database. Choose the Reconcile
Option.”
Reconciling the database gives you an accurate list of studies that are on the hard
disk.
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Using Integrated Digital Interface (IDI)
IDI Overview
When either Disk Manager Auto or Disk Manager Defer is enabled, the internal
hard disk does not fill up unless:
• A large number of “portables” are performed before the LAN cable can be
reattached
• A large number of studies are stored on the hard disk
• Studies with large amounts of data are stored on the hard disk
When Disk Manager Off is selected, you are responsible for ensuring that the hard
disk does not fill up. If the disk does reach capacity, the optical disk can be used for
storage.
Untransferred Studies: There are certain rare conditions under which a study can
become “stranded” on the hard disk. Stranded means that the study has been saved
to the hard disk, but the study has not been queued for transfer to the network
storage server. In this case it must be transferred to the network storage server using
the Rescue Study control.
NOTE
After you touch End Study, the patient information is removed from the screen
while the study transfers to the network DICOM or EnConcert server. This is not an
indication the data transfer is complete. You must wait until End Study functionality
returns to the touch screen before powering off the SONOS system. The study is
then transferred to disk at the next power-up.
When the End Study touch control returns, the study has been sent to the hard disk
drive. This has no correlation with the network transfer status. To monitor network
transfers, open the Stat us box and wait for the Network Done message to indicate
that transfer is complete.
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IDI Overview
If the system was Reset/Power-On without ending a study that was in progress, the
SONOS system displays a warning dialog box. When storing to the hard disk, the
following warning message appears:
A study was in progress before the system was reset:
* To end that study, select “End Study.”
* To leave the study on the hard disk, select
“Save Locally.” To send this untransferred study
at a later time, use “Rescue Study.”
End Study
Save Locally
This message gives you the option to:
• End Study—This ends the study and queues it for transfer from the IDI hard disk
to the network storage server.
• Save Locally—This leaves the study on the hard disk. You can transfer the hard
disk study to the network storage server using the Rescue Study control at a later
time.
NOTE
It is best to choose End Study when possible.
If the Reset/Power-On situation storing to the optical disk, the following warning
dialog box message appears.
A study was in progress before the system was reset:
* To store the analysis data to the optical disk,
select “End Study.”
* To delete the analysis data, select “Discard.”
End Study
Discard
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Using Integrated Digital Interface (IDI)
IDI Overview
This message gives you the option to:
Tip: Many disk
controls can be
preset. Be sure to
save all your
changes to a
preset after you
complete these
steps.
• End Study—This ends the study and queues analysis and images to the optical
disk.
• Discard—This applies only when writing to the optical disk rather than to the IDI
hard disk. You would discard the analysis data if you did not need the analysis data
for use with EnConcert labeled measurements.
Disk Retrieve and Disk Utilities: You can retrieve studies while they are still on the
hard disk, but cannot retrieve them once they have been deleted from it. You can
either select a study from a list of studies that match the current Patient ID, or you
can retrieve another study by selecting Change Patient. If Enable Optical is
highlighted, you can choose to retrieve studies from the optical or hard disk. If
Enable Optical is not highlighted, Disk Retrieve and the other disk utilities operate
on the hard disk.
Format Disk: The hard disk is pre-formatted. If you need to format an optical disk,
you must power cycle the ultrasound system after the operation is complete. This is
necessary before any further digital storage and retrieval operations can be
attempted. If you do not power cycle the ultrasound system, the following message
appears:
“A Format Disk has been done. The system must be powered off and powered back
on before using Disk operations.”
This error message occurs even if the format operation fails. For example, the error
message will appear if you attempt to format a write-protected optical disk.
CAUTION
Initialize Disk: Initializing a disk prepares the pre-formatted disk for storage and
retrieval. The hard disk is already initialized. You must initialize each side of an
optical disk before using it for the first time. If the disk is already formatted,
initialization is preferable to formatting because initialization takes much less time.
When you initialize or format a disk, you are always prompted with a screen to
select the target device, regardless of whether Enable Optical is on.
Do not format or initialize the hard disk unless a Philips service representative has
requested you to do so. Formatting or initializing an optical or hard disk erases all
information on the disk.
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Disk Controls
Disk Controls
Tip: If your system
has the Stress
option and you
select a stress
study to retrieve,
the Stress control is
automatically
activated. This
control replaces the
Loop control on the
left touch panel.
Comment
rotary
Lets you select a disk storage comment. In Disk Setup, the
comment can be set to System Generate, Manual Entry, or an
Exam-type. System Generate is the default.
Copy to
Optical
Copies studies or images from the hard disk to an optical disk.
These studies or images remain on the hard disk until you delete
them manually. If you select Copy to Optical and no optical disk is
in the drive, an error message appears.
Delete FileLets you select and delete images or studies from the hard or optical
disk.
Disk SpaceShows the amount of remaining space on the disk, in kilobytes
(KB) and the approximate number of loops.
End StudyCloses the current study and stores all loops, frames, and analysis
data to disk. Patient ID information is cleared. All loops are deleted
and analysis data is erased. If the system has the IDI option, all files
from the ended study are sent to the network. Also is displayed as
part of the Stres s controls.
Init DiskPrepares a formatted disk for file storage and retrieval. Also erases
all information on the hard disk or optical disk. The hard disk is
pre-initialized.
List FilesShows the names of studies stored on the disk.
Loop Display If the Disk or Loop control is highlighted, Loop Display indicates
that an image from the disk is displayed on the screen. Touch Loop
Display or 2D to return to live imaging. This control displays on
the right touch panel.
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Using Integrated Digital Interface (IDI)
Disk Controls
NOTE
Rebuild
Database
Allows you to choose whether to reconcile or rebuild the database
on the hard disk or optical disk.
The Reconcile option scans the database for the studies that are
supposed to exist on the disk. If a study no longer exists on the disk,
the study is removed from the database. The Reconcile option is
quick, since the entire disk does not need to be scanned.
The Rebuild option scans the entire disk looking for studies and
images, and creates a new database with references to each study
and image found on the disk. The Rebuild option can be time
consuming, since the entire disk must be scanned.
Rescue
Study
Store All
Loops
Sends untransferred studies on the hard disk to the network storage
server.
Displays the Store All Loops screen, which gives you the option of
storing all unstored loops to the current study, storing all loops to a
new study, or storing all bookmarked loops to a new study for the
current patient.
If Store All L oops or Bookmarked Loops is selected, the Patient ID information is
cleared after being stored with the current patient information. If Unstored Loops is
selected, the Patient ID information remains. See the System Basics guide for more
information on storing loops.
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Tip: Your hard
disk comes
preformatted.
Using Integrated Digital Interface (IDI)
Disk Controls
Setup Controls
Touch Disk and press to adjust these controls. Press again to return to
live imaging.
SetupSetup
Tip: You can
customize the
comment list and
save it to a
Preset.
Tip: You can use
the Comment
rotary control to
select a comment
from your list, or
you can use the
keyboard to
manually enter a
comment.
Comment
Options
Comment OptionDescription and Usage
Exam-Type List
System GenerateGenerates a comment automatically for the
Manual EntryAllows you to enter a comment for each
Lets you choose the option of either Exam-Type, System Generate, or Manual Entry comments, which is located in the top
part of this dialog box. These comments display when you store a
file. The table below explains the different commenting options.
When you touch Comment Options, the following dialog box
appears:
Disk Storage Comment Options
Storage Comment Type
Exam-Type List
System Generate
Manual Entry
Automatic Commenting
Comment Auto-Advance
View Exam Comments
OkayCancel
Selects a comment from a customizable
comment list. Can be used in conjunction
with Comment Auto-Advance. Highlight
View Exam Contents to view and edit the
comment list.
acquired image. Comments are unique and
include references to Exam Type, Preset,
system Mode, and a unique counter (e.g.,
Vas Carotid PW01).
acquired image if Auto Commenting is off.
Also allows you to choose Auto Commenting on or off, which is located in
the bottom part of this dialog box.
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Using Integrated Digital Interface (IDI)
Disk Controls
Comment OptionDescription and Usage
Auto Commenting onDisables the Digital Storage and Retrieval
Auto Commenting offEnables the DSR comment box, which
Comment Auto-Advance onUsed only in conjunction with Exam-Type
(DSR) comment box. The image is stored
with the current comment automatically
applied to the file. Select the comment
using the Comment rotary control before
storing the loop.
appears on the screen when storing a loop.
Displays the comment that will be saved
when the image is stored to disk. You can
edit the comment before the file is stored.
commenting. On each subsequent loop/
frame store, the comment is advanced to the
next item on the exam-type list. If the
Auto-Advance feature is off, the comment
remains the same unless it is changed with
the Comment rotary control.
NOTE
Delete
Options
Lets you choose:
• Whether to automatically delete an acquired loop from loop
memory after it is stored to disk
• Whether to delete an acquired loop from the disk after it is
manually deleted from loop memory
Delete All Pages will only delete from loop memory, not from the disk.
If you do not delete the loop from loop memory, you can take
advantage of reviewing and editing your studies at the ultrasound
system. (See the System Basics guide for more information on
reviewing a study.)
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Disk Controls
CAUTION
Enable
Optical
Lets you select the optical disk as the target device when both a
hard disk and optical disk are installed. All system data is stored to
the optical disk. When Enable Optical is off, the hard disk is the
target device for all disk operations except Init or Format Disk.
This control is defaulted off (not highlighted). Enable Optical is a
system-wide control—when you select it, it remains set until you
change it.
Format Disk
Formats the hard or optical disk for storage and retrieval. The hard
disk is pre-formatted, and many manufacturers provide
preformatted optical disks. Each side of an optical disk must be
formatted separately. If you format an optical disk you must restart
the SONOS system before any further storage or retrieval
operations.
Do not format or initialize the hard disk unless a Philips service representative has
requested you to do so. Formatting or initializing an optical or hard disk erases all
information on the disk.
Maximize
Transfer/
Frames
Study Mode
Works in conjunction with the Acquire: Max 120Hz/300Hz control
in 2D imaging setup. Maximize Frames acquire images up to 300
Hz. Maximize Transfer acquires images up to 120 Hz.
Selects a subdirectory storage format (study format) for saving
images to disk. Storing and retrieving images with Study Mode on
facilitates study management. Study Modemust be on to transfer
studies to the network storage server. This control is “on”
(highlighted) by default. Study Mode is a control that is stored as a
preset.
Network
Autosend
Available under the Disk controls when you press . Sending
a complete study to a network can take some time. When you
Setup
enable Network Autosend, as soon as an image is stored to the local
disk, IDI begins sending the image to the network server. When
Network Autosend is not enabled, the IDI system does not start
sending the study to the network server until you press .
End Study
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Using Integrated Digital Interface (IDI)
Loop Controls
Loop Controls
The number of frames acquired in a loop varies, depending on how the loop was
acquired (that is, beats versus time), the frame rate of the system, and how much
memory is in the system.
Acquire
Captures a frame or the next series of frames onto a
page in loop memory. You can also use the Acquire
Loop touch control.
If Auto Display is enabled, press
loop and press
Press
Enter
Acquire
to accept the loop.
again to capture a new loop.
Acquire
to delete the
Acquire Loop Captures the next series of frames onto a page in loop
memory. You can also use the
Acquire
key.
Acquire Frame Captures the next frame into loop memory. You can
also use the
Acquire
key.
Align Synchronizes the start and end time of two or more
acquired loops.
Beats Sets the number of heart beats acquired per loop.
Available only when Loop Type is set to Beats.
Bookmark
Loop
Marks the selected loop for display when Show
Bookmarks is touched. Touch Bookmark Loop again to
remove bookmarking.
Bookmark
Page
Marks the selected page for display when Show
Bookmarks is touched. Touch Bookmark Page again to
remove bookmarking.
Border Suppresses AQ (Acoustic Quantification) borders on
looping AQ images.
Cancel Cancels loop store or retrieve operations.
Color Suppress Removes color from looping color images.
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Loop Controls
Colorize Optimizes contrast resolution by activating the current
colorization map and overlaying the grayscale image.
To change the active map, turn the Colorize control.
Compare Displays a real-time image beside one or more looping
images. Available when Vsplit, Cropped or Reduced
Formats are active.
Delete All PagesDeletes all pages in loop memory.
Delete Page Marks a page for deletion while in Display mode. Once
you touch Delete Page, the control changes to Undelete
Page. If you change your mind, touch Undelete Page.
Touching Display or Loop Display after touching
Delete Page deletes a loop from loop memory.
Disk Autostore Automatically stores a loop or frame to the hard or
optical disk after you acquire and accept it. Images are
stored under the current Patient ID. (When Network Autosend is enabled, Disk Autostore is forced on. The
Disk Autostore button is not available.
Disk Retrieve Retrieves the selected study from the disk and displays
it. If you want to display only selected images from a
study, select List Contents and highlight the images you
want to retrieve.
Disk StoreStores the currently selected loop, frame, or analysis
report to disk and keeps the current Patient ID
information.
DisplayShows acquired loops and frames. Touch Display again
to exit display mode.
Edit End Changes the end point of a selected loop.
Edit Start Changes the beginning point of a selected loop.
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Using Integrated Digital Interface (IDI)
Loop Controls
Format Lets you select the format for acquiring and displaying
loops. Formats are:
•Full—Acquires in full screen format.
•Cropped —Acquires within a region of interest,
the highest quad format resolution.
•Reduced—Acquires a quad format that lets you
display the entire imaging sector.
•Vsplit—Acquires within a region of interest a
side-by-side format. Can be used to compare two
images side-by-side.
Note: If you turn the Format control to Full before you
retrieve a study, the study is displayed in the previously
stored format.
Freeze
While in live imaging:
•Press to enter Quick Review. Use the
Freeze
trackball for frame review.
To display frames in a looping format:
•Touch Replay. When in Replay mode, press
Freeze
and touch Acquire Frame to acquire a
frame. Press
Acquire
or touch Acquire Loopto
acquire a loop.
Frame LockPrevents video frames from being generated with
different acoustic data on the even and odd fields. This
touch control is active in CLR or Stress paused mode.
When active, loops are acquired at or below the video
rate (30 Hz in the U.S.A., 25 Hz elsewhere), regardless
of the acoustic frame rate. Eliminates jitter during slow
motion playback. This control has no effect on acoustic
cine acquisitions, which capture loops at the acoustic
rate with no jitters.
Loop DisplayIndicates that an acquired loop is on the screen. Touch
Loop Display to return to live imaging. Appears on the
right primary touch panel.
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Loop Controls
Loop TypeLets you determine the length of an acquired loop.
Choices are:
• Beats—By number of heart beats
•Time—By seconds
Manual Entry One of the selections available from the Comment
rotary control. Lets you type or change the disk storage
comment. In Disk Setup the comment can be set to
System Generate, Manual Entry or an Exam-type.
Map Changes the color flow map used for selected color
loops. Maps represent conventions and flow
characteristics assigned to the active BART (Blue
Away, Red Toward) or RABT (Red Away, Blue
Toward) map. Displays on the primary right touch
panel when a color image is displayed.
Map Invert Switches between the BART (Blue Away, Red Toward)
and RABT (Red Away, Blue Toward) color map
conventions for selected color loops. (Displays on the
primary right touch panel when a color image is
displayed.)
Memory GaugeTurns the display of the memory gauge on and off. The
memory gauge shows you how much loop memory has
been used and how much is available.
Replay Shows captured frames in a loop. Available after you
Freeze
press
during live imaging.
Same Start Makes two or more stored loops begin at the same time.
Available under the Loop Display controls.
Select Loop Outlines the selected loop on the screen, if there is
more than one loop on the page. Enables bookmarking,
editing, and storing of the selected loop.
Select Off Removes the outlines from the displayed loops.
Select Page Outlines one page of loops on the screen. Enables
bookmarking, editing, and storing of the selected page.
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Using Integrated Digital Interface (IDI)
Loop Controls
Select Region Displays the markers that outline the area of the screen
to be acquired as a loop. Available only when Vsplit
and Cropped formats are active. Touch Select Region
again to remove the markers.
Show BookmarksDisplays only the bookmarked loops and frames. Touch
Show Bookmarks again to see all of the acquired
images.
Time Sets the loop length in seconds. Available only when
Loop Type is set to Time.
T-S etA T-Set is a multiple frame triggered set of frames. The
T-Set control adjusts the number of T-Sets. The T-set
control is located in the Loop panel.
ZoomExpands or contracts a frozen image during Loop
Replay on the right touch panel.
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Using Integrated Digital Interface (IDI)
How-To Instructions
How-To Instructions
How-to instructions are provided for all of the tasks you can perform while using the
IDI. These tasks are reduced, as much as possible, to basic steps that are numbered
and listed in the sequence they should be performed.
The following How-To task instructions are available in this section:
• Configuration
•“Setting Up the Hard Disk” on page 26
•“Enabling the Optical Disk as the Storage Device” on page 30
•Retrieving and Adding Patient Information
•“Retrieving Patient Information (EnConcert or DICOM Modality
Worklist Server)” on page 31
•“Entering a New Patient (EnConcert or DICOM Modality Worklist
Server)” on page 34
•“Editing Existing Patient Information (EnConcert or DICOM Modality
Worklist Server)” on page 36
•“Adding and Editing Patient Information Without EnConcert or
DICOM” on page 39
•Storing Studies
•“Transferring Studies to the Network Server or Printer” on page 40
•“Transferring Studies from the Optical Disk to the Network” on page 44
•Retrieving Studies
•“Retrieving Studies from the Hard Disk” on page 42
•Utilities
•“Rescuing an Untransferred Study” on page 47
•“Reconciling the Hard Disk” on page 49
•“Rebuilding the Database” on page 51
•“Deleting Studies from the Hard Disk” on page 53
•“Copying Studies to the Optical Disk” on page 55
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Using Integrated Digital Interface (IDI)
How-To Instructions
Setting Up the Hard Disk
The system comes with several disk controls defaulted to the correct setting for
optimal network transfer. These controls are:
• Study Mode
• Enable Optical
• Delete options
• Network Autosend
• Comment Options
• Maximize Transfer/Frames
To ensure that these controls are correct or to reset them, perform the following
steps:
1Press and touch Disk on the left touch panel.
Setup
Maximize
Transfer
Study
Mode
Enable
Optical
Format
Disk
Delete
Options
Network
Autosend
Disk
Comment
Options
2Check that Study Mode is on. Study Mode must be on to transfer studies to the
network storage server.
3Check that Enable Optical is off. Enable Optical must be off to automatically
store studies to the hard disk for transfer to the network.
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How-To Instructions
4Touch Delete Options to choose the autodelete settings.
Loop Autodelete Settings
Delete loop from memory after
successful store to disk?
Delete loop from disk when
manually deleting from loop
memory ?
OkayCancel
Yes
Yes
No
No
CAUTION
NOTE
Delete options can be pre-configured depending on the selected preset. Always
check setup to be sure that the Delete options are adjusted appropriately before you
begin loop acquisition.
5Use the trackball to select the Autodelete options and press . The system
Enter
defaults to No for both options. When you choose “Delete loop from memory
after successful store to disk?,” Loops that have been stored on the disk are not
deleted from Loop (CLR) memory. You may review and edit your studies on the
ultrasound system. When you choose “Delete loop from disk when manually
deleted from loop memory?,” the manually selected image is deleted from Loop
memory, and the optical or hard disk simultaneously. (Touching End Study
clears all loops from loop memory.)
Delete all pages will only delete from loop memory, not from the disk.
6Highlight Okay and press .
Enter
7To transfer a loop to the network as soon as you acquire and accept it, touch
Network Autosend. Disk Autostore is forced on.
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Using Integrated Digital Interface (IDI)
How-To Instructions
8To uch Comment Options to choose the auto comment settings.
Disk Storage Comment Options
Storage Comment Type
Exam-Type List
System Generate
Manual Entry
Automatic Commenting
Comment Auto-Advance
View Exam Comments
OkayCancel
a.Use the trackball to select comment options from the comment options box.
•If System Generate and Automatic Commenting are both on, the image
is automatically stored to disk with the system generated comment. No
DSR comment box appears and you can’t edit the comment.
•If Manual Entry and Automatic Commenting are both on, the DSR
comment box does not appear.
•If System Generate is on and Auto Commenting is off, the DSR
comment box containing the system-generated comment appears at the
screen’s lower left corner. You can choose Okay to accept the comment;
Erase
Press and type your own comment; or turn the Comment rotary
control on the left panel to select another comment.
•If Manual Entry is on and Auto Commenting is off, the DSR comment
box is blank. You can type in the comment or use the Comment rotary
control to select a comment.
b.Select View Exam Comments to display the Disk Storage Comments
screen.
Disk Storage Comments
MMode AO
MMode MV
MMode LV
PS LAX
PS SAX AO
PS SAX MV
PS SAX MV
OkayCancel
AP 4CH
AP LAX
AP 2CH
AP 5CH
SUB 4CH
SUB SAX
SSN
RPS
DOP MV
DOP AV
DOP TV
DOP PV
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How-To Instructions
Tip: If you want
to keep these
changes, save
them to a
preset.
c.To edit a comment:
1) Move the arrow to the comment to edit and press .
2) Type in the desired comment, highlight Okay and press to accept
Enter
Enter
the new comment list.
3) Press on the keyboard to move to the next comment.
4) Highlight the entire box and press to clear all of the comments.
Erase
9Ensure that Maximize Transfer is enabled. When you touch this control it
toggles between Maximize Transfer and Maximize Frames. Maximize Transf er sets the maximum frame rate to 120 Hz. Maximize Frames sets the
maximum frame rate to 300 Hz.
10 Press to return to imaging.
Setup
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Using Integrated Digital Interface (IDI)
How-To Instructions
Enabling the Optical Disk as the Storage Device
If your system has both a hard disk drive and an optical disk drive, image storage
defaults to the hard disk. However, there may be occasions when you want to store
or copy a study to the optical disk.
NOTE
SONOS does not save DICOM files to storage media.
All studies stored on the optical disk are in DSR-TIFF format and can be read by an
EnConcert network storage server or a SONOS System. If your system is connected
to a DICOM network storage server, see “Transferring Studies from the Optical
Disk to the Network” on page 44 for information on how to read the data on the
optical disk.
1Press , touch Disk, and then touch Enable Optical. Press to return
SetupSetup
to imaging.
Disk
Format
Delete
Options
Disk
Autosend
Network
Comment
Options
Maximize
Transfer
Study
Mode
Enable
Optical
2After entering the patient ID data, store the first frame or loop. (See System
Basics.) The Target Disk Selection screen appears.
Target Disk Selection
Hard Disk
Optical Disk
Okay
3Select Optical Disk and Okay, and then press .
Enter
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How-To Instructions
Retrieving Patient Information (EnConcert or DICOM Modality
Worklist Server)
When Studies are ordered on EnConcert or on a DICOM Modality Worklist server,
the patient database is updated on all systems with IDI that are currently connected
to the network. For EnConcert, this happens as soon as a new study is ordered. For
DICOM Modality Worklist servers, the patient database is updated at a particular
polling interval, set at installation time. The patient name appears in the Patient
Selection list.
If the patient database was downloaded from EnConcert or DICOM, the Patient
Selection list appears. This list displays even if your system is no longer connected to the network.
If no study was ordered, add a new patient ID. To do so, follow the steps in the
section “Setting up the Exam” in the Doing Exams chapter of System Basics.
NOTE
If your ultrasound system is not connected to either EnConcert or to DICOM
Modality Worklist servers, see “Adding and Editing Patient Information Without
EnConcert or DICOM” on page 39.
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Using Integrated Digital Interface (IDI)
How-To Instructions
1Press to access patient information.
Patient ID
The Patient Selection screen appears.
PATIENT SELECTION
OkayCancel
NameMRNDOBDescription
AdamsJohn1000709/23/1922 2D ECHO
CashBeth1001109/23/1956 TEE
EdmondsMark1022709/23/1959 CAROTID
Franklyn Sarah 2445609/23/1978 STRESS
GatesKen1100209/23/1970 2D ECHO
HammilMargo 2199709/23/1942 TEE
ModellJoyce 0060709/23/1950 CAROTID
PostZoe3099009/23/1988 STRESS
SeatonEvan1433109/23/1990 TEE
YowaysEllen 3341809/23/2000 STRESS
Accession:12032190
MRN:10007
Name:Adams, John
Sex:Male
DOB:09/23/1922
Performed By:Jones
Physician:Smith
Indication:UNKNOWN
Location:UNKNOWN
Description:2D ECHO
RefreshManual Entry
NEXT
NEXT
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How-To Instructions
2Use the trackball to move the arrow to the correct patient name and press
to highlight it. Move the arrow to Okay and press .
Enter
Enter
The Patient Information screen appears with data filled in. If all data is entered
correctly, go to Step 3.
If you need to make changes, type the information in the appropriate fields. You
cannot modify the Medical Record Number (MRN) or the Accession number. If
you modify information sent from EnConcert, check your EnConcert server to
see what information is transferred to EnConcert. See the Philips EnConcert User’s Guide for details.
Patient InformationCurrent Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex:MF
NOTE
Indication:
3To return to live imaging, press twice quickly, or press .
EnterPatient ID
Current date shows the system setup date. This date is used to calculate the patient
age for EnConcert and Analysis reports. If the date is incorrect, the patient age will
be incorrect. You set the system date by pressing
Setup
and touching System. See
the System Basics guide for details.
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Using Integrated Digital Interface (IDI)
How-To Instructions
Entering a New Patient (EnConcert or DICOM Modality
Worklist Server)
1To access patient information, press .
Patient ID
If the patient database has been downloaded from EnConcert or the DICOM
Modality Worklist server, the Patient Selection list appears with Manual Entry
highlighted. This list displays even if your system is no longer connected to the
network.
If no study has been ordered, the patient’s name does not appear on the Patient
Selection list.
2To activate Manual Entry, press .
PATIENT SELECTION
OkayCancel
NameMRNDOBDescription
AdamsJohn1000709/23/1922 2D ECHO
CashBeth1001109/23/1956 TEE
EdmondsMark1022709/23/1959 CAROTID
Franklyn Sarah 2445609/23/1978 STRESS
GatesKen1100209/23/1970 2D ECHO
HammilMargo 2199709/23/1942 TEE
ModellJoyce 0060709/23/1950 CAROTID
PostZoe3099009/23/1988 STRESS
SeatonEvan1433109/23/1990 TEE
YowaysEllen 3341809/23/2000 STRESS
Accession:12032190
MRN:10007
Name:Adams, John
Sex:Male
DOB:09/23/1922
Performed By:Jones
Physician:Smith
Indication:UNKNOWN
Location:UNKNOWN
Description:2D ECHO
Enter
RefreshManual Entry
NEXT
NEXT
The Patient Information screen appears with all of the patient data fields grayed
out. New is highlighted.
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How-To Instructions
3To activate New, press . Type in the new patient information. Check your
Enter
EnConcert server to see what information is transferred to EnConcert. See the
Philips EnConcert User’s Guide for details.
Patient InformationCurrent Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
4To return to live imaging, press twice quickly, or press .
Edit Reset
Prior
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
cm
183.0
81.6
72.0
kg
180.0
BSA via Weight only
EnterPatient ID
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex:MF
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Using Integrated Digital Interface (IDI)
How-To Instructions
Editing Existing Patient Information (EnConcert or DICOM
Modality Worklist Server)
1To access patient information, press .
Patient ID
The Patient Selection screen appears with Manual Entry highlighted.
2To activate Manual Entry, press .
PATIENT SELECTION
OkayCancel
NameMRNDOBDescription
AdamsJohn1000709/23/1922 2D ECHO
CashBeth1001109/23/1956 TEE
EdmondsMark1022709/23/1959 CAROTID
Franklyn Sarah 2445609/23/1978 STRESS
GatesKen1100209/23/1970 2D ECHO
HammilMargo 2199709/23/1942 TEE
ModellJoyce 0060709/23/1950 CAROTID
PostZoe3099009/23/1988 STRESS
SeatonEvan1433109/23/1990 TEE
YowaysEllen 3341809/23/2000 STRESS
Accession:12032190
MRN:10007
Name:Adams, John
Sex:Male
DOB:09/23/1922
Performed By:Jones
Physician:Smith
Indication:UNKNOWN
Location:UNKNOWN
Description:2D ECHO
Enter
RefreshManual Entry
NEXT
NEXT
The Patient Information screen appears with all of the patient data fields grayed out
and New is highlighted.
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How-To Instructions
3Use the trackball to move the arrow to Edit and press . Make the
Enter
necessary changes. You cannot modify the MRN or Accession fields if the
patient was selected from the Patient Selection List. If you modify information,
check your EnConcert Study List to see what information is transferred to
EnConcert. See the Philips EnConcert User’s Guide for details.
Patient InformationCurrent Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex:MF
4To cancel your changes and restore the previous information, highlight Reset
and press .
Enter
NOTE
The following step applies to DICOM only.
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Using Integrated Digital Interface (IDI)
How-To Instructions
5To display the previous patient’s data or add the new images to the immediate
prior study, highlight Prior and press .
Enter
The Append Study dialog box appears.
Append Study
Would you like to append this
study to the prior study or create
a new study?
NOTE
Append
New
• To restore the patient information of the prior study, choose New.
• To copy the prior study to the current images, choose Append.
6To return to live imaging, press twice quickly, or press .
EnterPatient ID
Current date shows the system setup date. This date is used to calculate the patient
age for EnConcert and Analysis reports. If the date is incorrect, the patient age will
be incorrect. You set the system date by pressing
Setup
and touching System. See
the System Basics guide for details.
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How-To Instructions
Adding and Editing Patient Information Without EnConcert or
DICOM
If your ultrasound system is not connected to EnConcert or a DICOM Modality
Worklist Server, there is no Patient Selection screen. When you press the
Patient Information screen appears, and you can add and edit patient information.
Patient ID
1Press to display the Patient Information screen.
2To enter new patient data, highlight New and press . Type in the new
Patient ID
Enter
patient information.
inches
lbs
Enter
DOB:
Sex:
Patient List
mm/dd/yyyy
MF
3To edit patient data, highlight Edit and press . Type your changes.
Patient InformationCurrent Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
4To cancel your changes and restore the previous information, highlight Reset
and press .
Enter
5To display the previous patient’s data, highlight Prior and press .
6To return to live imaging, press twice quickly, or press .
EnterPatient ID
Enter
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Using Integrated Digital Interface (IDI)
How-To Instructions
Transferring Studies to the Network Server or Printer
NOTE
NOTE
The system must be physically connected (via LAN cable) to the network and the
network storage server or printer must be running in order to store or print studies.
Portable studies are automatically transferred once the system is physically
connected to the network.
• Before the exam: Make sure Study Mode is on and Enable Optical is off under
Disk Setup. Enable Network Autosend. When Network Autosend is enabled,
Disk Autostore is forced on. The Disk Autostore button is not available.
• After the exam: Touch Disk then touch End Study to initiate file transfer to the
network. This must be done even during portable exams (when the SONOS
system is not connected to the network). End Study writes the analysis data to the
disk (if storing to DSR-TIFF format), clears loop, analysis memory, and Patient
information, so you are ready to start your next study. End Study is also part of
the Stress control set.
After you touch End Study, the patient information is removed from the screen
while the study transfers to the network DICOM or EnConcert server. This is not an
indication the data transfer is complete. You must wait until End Study functionality
returns to the touch screen before powering off the SONOS system. The study is
then transferred to disk at the next power-up.
When the End Study touch control returns, the study has been sent to the hard disk
drive. This has no correlation with the network transfer status. To monitor network
transfers, open the Stat us box and wait for the Network Done message to indicate
that transfer is complete.
After you touch End Study, a network icon appears and the studies are transferred
to the network. You can continue imaging during the study transfer process. The
following indications are displayed:
• A count down of files (images within the study) until the study transfer is
complete.
• NETWORK: DONE displays when the study has been successfully transferred.
• The NETWORK: UNAVAIL icon may display at any time, such as when
connection to the network becomes unavailable. All studies will be transferred
when the network becomes available.
Wait until End Study is no longer highlighted before you power off the system.
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How-To Instructions
The following controls enable you to set up your SONOS ultrasound system to store
studies in a variety of ways. See the System Basics guide for more information.
• Disk Autostore—Available under the Loop controls. Automatically stores a loop
or frame to the hard or optical disk after you acquire and accept it. Images are
stored under the current Patient ID.
• Disk Store—Available under the Loop controls after you acquire a loop. Stores
the currently selected loop or frame to the hard or optical disk. Images are stored
under the current Patient ID.
• Store All Loops—Available under the Disk controls. Displays the Store All
Loops screen, which gives you the option of storing all unstored loops to the
current study, storing all loops to a new study, or storing all bookmarked loops to a
new study for the current patient.
NOTE
If Store All Loops or Bookmarked Loops is selected, the Patient ID information
is cleared after being stored with the current patient information. If Unstored Loops is selected, the Patient ID information remains. See the System Basics
guide for more information on storing loops.
• Network Autosend—Available under the Disk controls when you press .
Setup
Sending a complete study to a network can take some time. When you enable
Network Autosend, as soon as an image is stored to the local disk, IDI begins
sending the image to the network server. When Network Autosend is not enabled,
the IDI system does not start sending the study to the network server until you
touch End Study.
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How-To Instructions
Retrieving Studies from the Hard Disk
If Disk Manager Off is selected, you can retrieve all of the studies that are on the
hard disk, whether or not they have been transferred to the network storage server. If
Disk Manager Auto is selected, you can only retrieve the studies that have not been
transferred to the network storage server. If Disk Manager Defer (default) is
selected, you can retrieve all recent studies from the hard disk even after the studies
are transferred to the network. The system monitors the hard drive storage capacity,
and automatically deletes the studies previously transferred after reaching hard disk
capacity requirements.
Once a file is either automatically or manually deleted from the hard disk, it cannot
be retrieved.
To retrieve studies from the hard disk, proceed as follows:
1To see a list of studies matching the current patient’s ID, touch Disk Retrieve in
Loop control. The system displays a list of studies that match the current Patient
ID information.
2To see a list of Patient IDs on the hard disk, select Change Patient. Then, select
Display All from the Change Patient screen.
Highlight study or file to retrieve.
Press List Contents to view study contents.
NameCommentDateDescription
Jones
JonesCLR StandardSTUDYJan 15,99
JonesStress 2 StageSTUDYJan 18,99
Select Multiple Items
Stress 3 StageSTUDYJan 14,98
Okay
Cancel
Change PatientList Contents
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How-To Instructions
3Use the trackball to position the arrow over the study you want to retrieve and
EnterEnter
press . Highlight Okay and press . You can also choose the study to
retrieve by pressing twice quickly. All of the images in the selected study
Enter
are loaded into loop memory for review. You can start reviewing the images
using the Page control before all of the images have been loaded into loop
memory.
If the patient name is found but the study was already deleted, a message
appears telling you that the file does not exist, and to select the Disk and
Rebuild Database options to reconcile the hard disk. See “Reconciling the
Hard Disk” on page 49.
Tip: If you select a
Stress study, the
system automatically
activates the Stress
option, and the
Stress control
replaces the Loop
control.
NOTE
4To see a list of all of the images in the study, highlight List Contents and press
Enter
. You can then select the specific image you want to see.
Highlight study or file to retrieve.
NameCommentDateDescription
Car Adlt 2dFULL BWJan 14,99
Car Adlt PWFRAME BWJan 14,99
Car Adlt AQFRAME AQJan 14,99
Select Multiple Items
Okay
List Studies
Cancel
Select Multiple Items works only when you choose List Contents, or when the
images on the disk were stored with Study Mode off. You cannot select multiple
studies to retrieve.
5To return to live imaging, touch Loop Display or 2D on the right touch panel.
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How-To Instructions
Transferring Studies from the Optical Disk to the Network
The following procedure can be used to transfer studies to the network storage
server from the optical disk using the ultrasound system’s hard disk. If your network
storage server has a MOD import drive and can read DSR-TIFF images (such as an
EnConcert server), you may be able to input the images directly from the optical
disk to the network storage server.
Maximize
Transfer
Study
Mode
Setup
Enable
Optical
.
Setup
Disk
Format
Disk
Delete
Options
Network
Autosend
Comment
Options
1To uch Disk and press
2Make sure that Enable Optical is on and press.
3Insert an optical disk.
4To uch Loop and Disk Retrieve and select the optical disk from the Target Disk
selection screen.
Target Disk Selection
Hard Disk
Optical Disk
Okay
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5Highlight the study you want to retrieve, move the arrow to Okay and press
Enter
. If the study is not listed, select Change Patient.
The selected study is loaded into loop memory for review.
Files for name = Jones
Highlight study or file to retrieve.
Press List Contents to view study contents.
NameCommentDateDescription
Jones
JonesCLR StandardSTUDYJan 15,99
JonesStress 2 StageSTUDYJan 18,99
Select Multiple Items
Stress 3 StageSTUDYJan 14,98
Okay
Cancel
Change PatientList Contents
NOTE
Select Multiple Items works only when you choose List Contents, or when the
images on the disk were stored with Study Mode off. You cannot select multiple
studies to retrieve.
6To uch Disk and Store All Loops. The following message box appears.
Store All Loops
To current study:To new study:
OkayUnstored LoopsAll Loops
Bookmarked Loops
Cancel
7Highlight All Loops and press
Enter
.
The Target Disk Selection screen appears.
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How-To Instructions
8Select Hard Disk from the Target Disk selection screen. A new study is created
for the current patient on the hard disk drive.
Target Disk Selection
Hard Disk
Optical Disk
Okay
9To uch End Study to transfer the study to the network, clear loop memory, and
return to live imaging.
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How-To Instructions
Rescuing an Untransferred Study
Use the steps in this section to send studies left on the hard disk to the network
storage server or printer. You can use this procedure to transfer studies that were
saved locally to a network storage server or printer.
NOTE
If your system is set to either Disk Manager Off, or Disk Manager Defer, you
must check the EnConcert Search For Study screen to see which studies have not
been transferred. See the Philips Enconcert User’s Guide for details.
1To uch Disk and Rescue Study.
Disk
End
Study
Init
Disk
Rebuild
Database
System
Generate
Rescue
Study
Delete
File
2Highlight the studies to rescue and press .
Highlight the untransferred studies that you want
to rescue. (List contains all studies on the disk,
both transferred and untransferred.)
NameCommentDateDescription
Prev
Jones
BlackCLR StandardSTUDYJan 15,99
NewtonStress 2 StageSTUDYJan 18,99
Stress 3 StageSTUDYJan 14,98
Store
All Loops
Enter
Copy to
Acquire
Frame
Optical
Disk
Space
List
Files
Prev
Cancel
3Select Okay and press .
Enter
Okay
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How-To Instructions
4Select Okay from the confirmation screen to send the selected untransferred
studies to the network. Select Cancel if you do not want to send the studies at
this time.
A status box appears indicating the studies are transferring. A network status
icon appears in the screen’s lower left corner indicating how many files are
transferring. When the network status icon displays “Done,” the studies are
successfully transferred to the network.
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Reconciling the Hard Disk
Reconciling your hard disk lets you get an accurate list of studies that are on the
hard disk. You can delete any studies that are stored on the network from the hard
disk to prevent the SONOS system database file from filling up.
If you set Disk Manager Auto, the list of files on your hard drive includes any
untransferred studies, plus any studies saved locally.
If you set Disk Manager Defer, the list includes any untransferred studies, other
recently transferred studies, and studies saved locally.
If your system is configured to Disk Manager Off, all of the studies remain on the
hard disk until you manually delete them.
CAUTION
Do not reconcile the hard disk while the Network icon indicates that files are being
transferred to the network storage server.
To reconcile the hard disk database:
1To uch Disk on the left touch panel.
2To uch Rebuild Database.
Disk
Disk
Space
List
Files
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
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3From the screen displayed, select Reconcile.
Press Reconcile to bring a database up to date,
or, Press Rebuild to repair a damaged database.
This operation may take a long time to complete.
Reconcile
Rebuild
Cancel
A disk icon appears at the top of the screen while the reconcile process is in
progress. The reconcile process is done when the disk icon disappears.
4When reconcile is complete, touch Disk and List Files. Depending on how your
hard disk was configured, you will do one of the following:
• Disk Manager Auto—A screen appears. If there are no studies remaining on
the hard disk, a message displays telling you there are no files found. This
indicates that all of the studies have been transferred to the network. If you find
that there are studies that were not transferred, you can move them to the
network using the Rescue Study control. See “Rescuing an Untransferred
Study” on page 47.
• Disk Manager Off—Since studies remain on the hard disk until you manually
delete them, a screen displays listing all of the studies that are on the hard disk.
You must check the network storage server to see which studies have been
successfully transferred and can be deleted from the hard disk.
• Disk Manager Defer (default)—Since studies remain on the hard disk until
disk capacity is reached and they are automatically deleted, a screen displays
listing all the studies that are on the hard disk. Even though the studies may
have already been successfully transferred over the network to the server, they
are also listed. You must check the network storage server to see which studies
have been successfully transferred and can be deleted from the hard disk. (See
“Rescuing an Untransferred Study” on page 47.)
NOTE
The Disk Manager settings are available for the CE to configure when your IDI is
installed.
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Rebuilding the Database
You might have to rebuild the database if you have problems reading a file or if
power is lost while images are being stored to the disk.
To rebuild the hard disk database:
1To uch Disk on the left touch panel.
2To uch Rebuild Database.
Disk
Disk
Space
List
Files
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
3If the Target Disk Selection screen appears, select Hard Disk and select Okay.
Target Disk Selection
Hard Disk
Optical Disk
Okay
4From the screen displayed, select Rebuild.
Press Reconcile to bring a database up to date,
or, Press Rebuild to repair a damaged database.
This operation may take a long time to complete.
Reconcile
Rebuild
Cancel
A disk icon appears at the top of the screen while the rebuild process is in
progress. The rebuild process is done when the disk icon disappears.
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How-To Instructions
NOTE
Reconcile the Database or Rebuild the Database?
The Reconcile option scans the database for the studies that are supposed to exist on
the disk. If a study no longer exists on the disk, the study is removed from the
database. The Reconcile option is quick, since the entire disk does not need to be
scanned.
The Rebuild option scans the entire disk looking for studies and images, and creates
a new database with references to each study and image found on the disk. The
Rebuild option can be time consuming, since the entire disk must be scanned.
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How-To Instructions
Deleting Studies from the Hard Disk
If Disk Manager Off is selected, you must maintain your hard disk by routinely
deleting studies from the hard disk. If you want to delete all of the studies on your
hard disk, use the Init Disk control. Initializing a disk erases all information on the
disk, so make sure the studies have been transferred to the network storage server.
You are prompted with the Target Selection screen and a warning message before
the initialization process begins.
To delete studies from the hard disk or to delete images from within a study:
1To uch Disk.
2To uch Delete File.
Disk
Copy to
Optical
Acquire
Frame
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
3Move the arrow to each study you want to delete. Press to highlight each
Disk
Space
List
Files
Enter
study.
Highlight study or files to delete.
Press List Contents to view study contents.
NameCommentDateDescription
Jones
BlackCLR StandardSTUDYJan 15,96
NewtonStress 2 StageSTUDYJan 15,96
Stress 3 StageSTUDYJan 14,96
Okay
Cancel
Change PatientList Contents
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How-To Instructions
4If you want to delete images from within a study, highlight the study and select
List Contents. Highlight the images you want to delete.
5Highlight Okay and press .
Enter
A screen appears asking you to confirm the deletion.
6Highlight Okay and press .
Enter
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How-To Instructions
Copying Studies to the Optical Disk
To copy studies to the optical disk from the hard disk:
1Insert an initialized optical disk into the optical disk drive.
2To uch Disk.
3To uch Copy to Optical.
Disk
Disk
Space
List
Files
Enter
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
4Move the arrow to the studies you want to copy. Press to highlight each
selection. Choose Select All if you want to copy all of the studies.
Highlight study or file to copy.
Press List Contents to view study contents.
NameCommentDateDescription
Jones
BlackCLR StandardSTUDYJan 15,96
NewtonStress 2 StageSTUDYJan 15,96
Stress 3 StageSTUDYJan 14,96
Okay
Select All
Cancel
Change PatientList Contents
5To copy images from within a study, highlight the study and select List
Contents. Highlight the images you want to copy.
6Highlight Okay and press .
Enter
A screen appears asking you to confirm the copy.
7Highlight Okay and press .
Enter
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How-To Instructions
NOTE
The quickest way to store a study to the optical disk before starting another study is
to choose the optical disk as the storage target. Storing to optical disk is faster than
storing to the hard disk followed by a Copy to Optical operation. Images on the
optical disk are stored in DSR-TIFF format.
If you need to transfer this study to the network server, see “Transferring Studies
from the Optical Disk to the Network” on page 44.
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Integrated Digital Interface Tips and Troubleshooting
Integrated Digital Interface Tips and Troubleshooting
Tips for Digital Storage
• Edit loops before storing, as clinically appropriate. Shorter loops:
• Reduce the time required to save the image to IDI, thereby optimizing
efficiency and reducing study time
• Reduce the network transfer time so the study is available for review sooner
• Save disk space in the permanent image archives, and on the IDI hard disk
• V-split and Cropped (CQuad) loop formats create smaller files.
• Black and white images use less memory.
See the System Basics guide for information on acquiring and editing loops.
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Integrated Digital Interface Tips and Troubleshooting
IDI Troubleshooting
SymptomsSuggestions
Studies take a long
time to transfer to the
network.
The message
“The disk is not ready.
Please try again later."
is displayed.
The message
"Network Interface is
powering up. This
normally takes several
minutes. Please wait
and try again" is
displayed.
UNAVAIL appears on
the network icon.
The network may be busy with other transfers. The transfer
will occur as soon as the network becomes available.
You may be attempting to transfer many studies to the
network. The more studies you attempt to transfer at one time,
the longer the process will take.
The network connection may be breaking repeatedly. See the
network administrator.
The IDI PC is not working or is running a Chkdsk operation.
Try to access the disk later.
The IDI has not yet completed its start-up sequence.
Wait until the IDI has completed its start-up sequence, this
takes several minutes.
If the problem is not resolved, contact your system
administrator or Philips service representative.
It is normal to see this icon when you are performing a
portable study and are therefore disconnected from the
network.
Wait for the network to become available.
Check to make sure the LAN cable is plugged in. Plug the
cable in.
Check to make sure the LAN cable is not damaged.
Verify that the network storage server is operational and is
configured correctly for IDI.
If the problem is not resolved, contact your system
administrator or Philips service representative.
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Integrated Digital Interface Tips and Troubleshooting
SymptomsSuggestions
The message
"Network Interface
Error. Reset
recommended" is
displayed.
The message
“Network Interface
Error during study
creation. Study has
been saved on the
hard disk, but will not
transfer over the
network” is displayed.
The message
“Another user on the
network is accessing
the hard disk. Study
has been saved on the
hard disk, but will not
transfer over the
network” is displayed.
The message
“Network Interface
error during copy to
optical. File(s) did not
copy” is displayed.
There is a communication error between the ultrasound system
and the IDI.
Reset the system.
If the problem is not resolved, contact your system
administrator or Philips service representative.
Your study will not be transferred to the network storage
server. The study will remain on the hard disk. Proceed with
“Rescuing an Untransferred Study” on page 47.
If the problem is not resolved, contact your system
administrator or Philips service representative.
The IDI hard drive is being accessed by a network user. Your
study will not be transferred at this time. Proceed with
“Rescuing an Untransferred Study” on page 47.
If the problem is not resolved, contact your system
administrator.
There is a communication error between the IDI and the
optical disk.
Check the drive/disk compatibility.
Make sure the optical disk is not write protected.
Check disk space available on the optical disk.
If the problem is not solved, contact your system administrator
or Philips service representative.
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Index
A
Acquire Frame control20
Acquire Loop control
Align control
Analysis measurements and
Quick Calcs
Append Study selection
Auto Commenting
off
on
20
5
18, 28
18, 28
20
38
B
Beats control20
Beats, number of and loop
length
23
Bookmarks
Loop control
Page control
storing bookmarked
loops
16, 41
20
20
C
Calibration data, storing5
Cancel control
Change Patient
Color controls
Color Suppress
Colorize
Comment controls
Comment Options control
17–18
20
14, 42, 45
20
21
15, 17
Comments
Auto Commenting off
18, 28
Auto Commenting on
18, 28
Auto-Advance on
editing
29
entering or selecting
Compare control
Copying
Copy to Optical control
7, 15, 55
studies to optical disk
55–56
Cropped format
18
28
21
30,
22
D
Date and patient age33, 38
Delete controls
Delete All Pages
Delete File
Delete Options
Delete Page
Deleting studies
Disk Manager settings
from hard disk
DICOM Modality Worklist
Server
editing patient
information
entering new patient
information
retrieving patient
information
updating patient database
31
18, 21
15, 53
18, 27
21
53–54
36–38
34–35
31–33
DICOM network storage
6
server support
DICOM printer support
Discard data
Disk Autostore Loop control
41
Disk controls
Bookmarked Loops
41
Comment Options
17–18
Comment rotary
Copy to Optical
Delete All Pages
Delete File
Delete Options
Disk Autostore (Loop)
21
Disk Retrieve (Loop)
42, 44
Disk Space
Disk Store (Loop)
Enable Optical
End Study
Format Disk
Init Disk
List Files
Loop Display
Maximize Transfer/
Frames
Network Autosend
27, 41
Rebuild Da tabase
51
Rescue Study
Store All Loops
Study Mode
Disk icons
2, 4
4
14
16,
15, 17
15, 55
18
15, 53
18, 27
21,
15
21, 41
19, 26
15
19
15, 53
15
15
19, 29
19,
16, 49,
16, 47
16, 41
19, 26
10
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Index
Disk Manager
Auto
6, 11, 12, 42, 49,
50
Defer
6, 11, 12, 42, 47,
49, 50
Off
6, 11, 42, 47, 49, 50,
53
setting up
Disk Retrieve
Disk Utilities
Disks
copying studies to optical
disks
deleting studies from
hard disk
device selection for
storage
enabling optical as
storage device
formatting
full
hard disk use
initializing
reconciling hard disks
49–52
retrieving studies from
hard disk
setting up hard disks
26–29
storing studies to
Display control
DSR-TIFF file format
6
14
14
55–56
53–54
8
30
14
12
4
14
42–43
21
5
30
E
Editing
comments
Edit End control
Edit Start control
patient information
(EnConcert)
Enable Optical control
26
EnConcert
editing patient
information
entering new patient
information
network storage support
2, 4
retrieving patient
information
updating patient database
31
End Study control
Ending studies
End Study control
10, 40
overview of data storage
9–12
after Reset/Power-on
Error messages
during power-up cycle
troubleshooting
Exam-type control
29
21
21
36
8, 19,
36–38
34–35
31–33
15
7, 9,
13
7
58–59
15, 17
Format Disk14
Format Disk control
Format of loop
file size and
selecting
Frame Lock
Loop control
Frame Lock Loop control
Freeze control
Full format
Hard disks See Disks
Icons10
Image storage and transfer
5–6
Init Disk control
Initialize disk
Integrated Digital Interface
(IDI)
image storage and
transfer using
introduction to interface
1
operation
physical description
powering up
product description
F
19
57
22
22
22
22
22
H
I
15, 53
14
5–6
7
4
7
4
Index-ii
Page 73
L
List Files control15
Loop controls
Acquire
Acquire Frame
Align
Beats
Bookmark Loop
Bookmark Page
Border (AQ suppress)
control
Cancel
Color Suppress
Colorize
Compare
Delete All Pages
Delete Page
Disk Autostore
Disk Retrieve
Disk Store
Display
Edit End
Edit Start
Format
Frame Lock
Freeze
introduction
Loop Display
Loop Type
Manual Entry
Map
Map Invert
Memory Gauge
Replay
Same Start
Select Loop
Select Off
Select Page
20
20
20, 23
2020
21
21
21
21, 42, 44
21, 41
21
21
21
22
22
22
20
15, 22
23
23
23
23
23
23
23
23
23
20
20
20
20
21
21, 41
23
Select Region
Show Bookmarks
Store All Loops
Time
2424
T-set
Unstored Loops
Zoom
24
Loop Display, control
24
24
16, 41
16, 41
22
M
Manual Entry control15, 17,
23, 28
Map control
Map Invert control
Maximize Frames control
29
Maximize Transfer control
19, 29
Measurements, storing
Medical Record Number
(MRN)
Memory Gauge control
23
23
19,
5
9, 33
23
N
Network
Activity icons
Autosend control
27, 41
DICOM support
icons
10
patient database
transferring studies to
9–12, 40–41
transferring studies to,
from optical disk
untransferred studies
10
10, 19,
2, 4
31
44–46
12
O
Optical disks
Enable Optical control
19, 26
support for
transferring studies to
network from
See also Disks
2, 4
44–46
8,
P
Patient ID9, 32, 42
Patient information
adding and editing
without EnConcert or
DICOM
age and system date
38
Change Patient
45
displaying
editing
editing on EnConcert
entering new patient
34–35
rebuilding database
51–52
retrieving
Patient Selection list
(EnConcert)
Philips SONOS System
configuration
Portable studies and network
transfer
Powering off SONOS system
and stranded studies
Powering up IDI
39
33,
14, 42,
9
36–38
37
5, 31–33, 42
31
2
10
12, 40
7
ssn February 11, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\Books for
Index-iii
Page 74
Index
Q
QuickCalcs measurement
storage
5
R
Rebuild Database control16,
49, 51
Rebuild option
Reconcile option
50, 52
Rebuilding patient database
51–52
Reconciling hard disks
49–52
Reduced format
Replay control
Rescue Study control
13, 16, 47
Rescuing untransferred
studies
47–48
Reset/Power-On
Retrieving
patient information
studies from hard disk
42–43
16, 52
11, 16,
22
23
7, 12,
13
5
S
Safety informationii
Same Start control
Save Locally
Saving See Storing
SCSI cable
23
13
4
Selecting
Select Loop
Select Off
Select Page
Select Region
Setting up
Disk Manager
hard disks
Setup Disk controls
Show Bookmarks control
Storage devices, list of
supported
Storing
calibration data
device selection for
file formats supported
images, after portable
studies
images, overview
loops
numeric measurement
data
5
to optical disk
Store All Loops control
16, 41
studies to disk
studies to network server
41
tips for digital storage
Stranded studies
Study Mode control
System Generate control
17, 28