Siemens FLUOROSPOT Operator Manual
Digital Imaging System for AXIOM Iconos R200
Operator Manual
FLUOROSPOT Compact
FLUOROSPOT Compact
Operator Manual
Digital Imaging System for AXIOM Iconos R200
www.siemens.com/me dical
Siemens AG
Wittelsbacherplatz 2
D-80333 Muenchen
Germany
© Siemens AG
All rights reserved
Order No.: AX41-060.621.23.01.02
12.2007
Original Language: English
Contact Information
Siemens AG, Medical Solutions
Angiography, Fluoroscopic and Radiographic Systems
Siemensstrasse 1
D-91301 Forchheim
Germany
Telephone: +49 9191 18-0
www.siemens.com/medical
FLUOROSPOT Compact Imaging System
FLUOROSPOT Compact
Operator Manual
Imaging System for AXIOM Iconos R200
Software VE22 or higher
www.siemens.com/medical
Usability
BEFORE USING THIS SYSTEM
This system should be used only by employees adequately trained in the use of this equipment.
Before using this system, the operator should be thoroughly acquainted with the instructions for use and safety
recommendations provided in this manual.
Failure to follow the instructions for use and safety recommendations provided in this manual can cause serious
injury to the patient, to the operator or to other persons.
Please observe the system’s Safety Operator Manual.
Important information is given there.
Siemens AG
Wittelsbacherplatz 2
D-80333 Muenchen
Germany
© Siemens AG
All rights reserved
Order No.: AX41-060.621.23.01.02
12.2007
Original Language: English
Contact Information
Siemens AG, Medical Solutions
Angiography, Fluoroscopic and Radiographic Systems
Siemensstrasse 1
D-91301 Forchheim
Germany
Telephone: +49 9191 18-0
www.siemens.com /medical
FLUOROSPOT Compact Imaging System
Table of Contents
Part: FLUOROSPOT Compact Imaging System ..................... 9
Chapter: Safety ................................................................................................................9
Additional notes on safety .................................................................................................................9
Chapter: Overview / Operating Elements and Displays ....................................................13
Introduction ....................................................................................................................................13
Overview .........................................................................................................................................14
Basic system ...............................................................................................................................14
Imaging system configuration .....................................................................................................14
Operating elements and displays .....................................................................................................15
Places of operation .....................................................................................................................15
The console ................................................................................................................................16
Keyboard ....................................................................................................................................16
Mouse ........................................................................................................................................17
Infrared remote control ..............................................................................................................18
The application program ..................................................................................................................20
Languages ..................................................................................................................................20
Imaging system user interface ....................................................................................................20
Basic modes / task cards ..............................................................................................................22
System and resource information ................................................................................................22
Text information in images .........................................................................................................23
Image numbering and image types .............................................................................................24
Function overview and key assignment ............................................................................................26
General functions .......................................................................................................................26
Patient mode (study lists) ...........................................................................................................26
General functions ..................................................................................................................26
Patient subtask card ..............................................................................................................28
Settings subtask card ............................................................................................................28
Examination mode ....................................................................................................................29
General functions ..................................................................................................................29
Settings subtask card ............................................................................................................30
Review controls .....................................................................................................................30
Control subtask card .............................................................................................................31
Postprocessing mode ................................................................................................................32
General functions ..................................................................................................................32
Process. subtask card ............................................................................................................32
Graphics subtask card ...........................................................................................................33
DSA subtask card ...................................................................................................................34
IQ subtask card ......................................................................................................................34
Cursor keys ............................................................................................................................35
Documentation mode ...............................................................................................................35
General functions ..................................................................................................................35
Series/image selection ...........................................................................................................36
Film subtask card ..................................................................................................................37
Send subtask card .................................................................................................................37
Select subtask card ................................................................................................................38
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Status of the buttons in the function area ................................................................................... 38
Tool tips ..................................................................................................................................... 39
Text lists .................................................................................................................................... 39
Selection fields ........................................................................................................................... 40
Scroll bars .................................................................................................................................. 40
Mouse pointers .......................................................................................................................... 40
Chapter: Operation ........................................................................................................ 43
Switching on/off ............................................................................................................................. 43
Switching on and starting the system ......................................................................................... 43
Logging in .................................................................................................................................. 43
Screen saver ............................................................................................................................... 45
Logging off ................................................................................................................................ 46
Changing the password .............................................................................................................. 46
Switching off the system ............................................................................................................ 47
Patient (Study) Administration ........................................................................................................ 48
DICOM terms ............................................................................................................................. 48
Study lists .................................................................................................................................. 49
Description of the study lists .................................................................................................. 49
Accessing the study lists ........................................................................................................ 50
Printing the study list on a paper printer ................................................................................ 51
Updating the work list ........................................................................................................... 51
Data in the study lists ............................................................................................................ 53
Displaying the work list data ..................................................................................................54
Displaying images .................................................................................................................55
Changing the sorting sequence ............................................................................................. 55
Changing the column width ..................................................................................................56
Applying a database filter ...................................................................................................... 57
Scrolling the study list ........................................................................................................... 58
Selecting a study (patient) ..................................................................................................... 58
Manual registration .................................................................................................................... 59
Emergency registration .........................................................................................................59
Entering patient data ............................................................................................................. 60
Modifying patient data .......................................................................................................... 63
Creating another study for a patient already registered ..........................................................65
Closing a study ........................................................................................................................... 66
Updating the study status ........................................................................................................... 68
Deleting studies ......................................................................................................................... 69
Protecting studies from deletion ................................................................................................. 71
Canceling delete protection ........................................................................................................ 71
Study statistics ........................................................................................................................... 71
Fluoroscopy / Acquisition ................................................................................................................. 74
General notes ............................................................................................................................ 74
Storage and disk space ............................................................................................................... 75
Preparing fluoroscopy/acquisition ............................................................................................... 76
The integrated generator control console ...................................................................................78
Selecting the workstation and the organ program ....................................................................... 80
Fluoroscopy ............................................................................................................................... 82
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Performing fluoroscopy ..........................................................................................................82
Changing the fluoro mode .....................................................................................................82
Marking a LIH or an image from a fluoro loop .........................................................................83
Storing a LIH or fluoro loop image ..........................................................................................83
Fluoro timer ..........................................................................................................................84
Collimating without radiation - CAREPROFILE ..............................................................................84
Positioning without radiation - CAREPOSITION (with CAREPROFILE) .............................................85
Fluoro loop .................................................................................................................................86
ROADMAP ..................................................................................................................................87
Single acquisitions or series ........................................................................................................89
Selecting the organ program ..................................................................................................90
Preselecting R/L label .............................................................................................................90
Changing the acquisition frame rate .......................................................................................91
Performing acquisition ...........................................................................................................91
PERI/Phlebo Stepping ..................................................................................................................92
Fluoroscopy/roadmap and organ programs ......................................................................................93
Setting parameters for fluoroscopy/roadmap ...............................................................................93
Parameters for fluoroscopy ....................................................................................................94
Additional parameters for ROADMAP ......................................................................................95
Setting parameters in organ programs ........................................................................................96
Examples for organ program settings .....................................................................................97
Parameters for organ programs ............................................................................................100
Additional parameters for PERI .............................................................................................103
Context of automatic marking and automatic sending ...............................................................103
Closing the parameter window .................................................................................................104
Image display ................................................................................................................................105
Displaying images / representatives of series .............................................................................105
Paging representatives of series / single images .........................................................................105
Paging images of a series ..........................................................................................................106
Series replay .............................................................................................................................107
Replay of PERI Stepping (sub-)series ..........................................................................................108
Storing and retrieving reference images (without reference image monitor) ..............................108
Displaying the reference image catalog ................................................................................108
Reference image monitor ..........................................................................................................110
Possible applications of the reference image monitor ...........................................................110
Storing and retrieving reference images with reference image monitor ................................111
Copying a screen to the reference image monitor .................................................................112
Image display in Documentation mode with reference image monitor ..................................112
Paper printing of images ...........................................................................................................113
Marking or unmarking images ..................................................................................................113
Postprocessing ..............................................................................................................................114
Graphics on fluoro images ........................................................................................................115
Undoing changes (Home and Undo/Redo) .................................................................................115
Storing changes ........................................................................................................................115
Processing images ....................................................................................................................116
Using the magnifying glass function ....................................................................................116
Setting the window values ...................................................................................................117
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Using filters - edge enhancement and harmonization/DDO ................................................... 118
Displaying an electronic shutter ........................................................................................... 119
Zooming an image .............................................................................................................. 119
Panning an image ............................................................................................................... 120
Inverting gray scales ............................................................................................................ 120
Flipping an image ................................................................................................................ 121
Image annotation ..................................................................................................................... 122
Placing text in the image .....................................................................................................122
Adding comment lines ........................................................................................................ 123
Adding R/L labels ...................................................................................................................... 124
Placing graphic elements .......................................................................................................... 125
Adding circles to the image ................................................................................................. 125
Adding arrows to the image ................................................................................................125
Calibration and measuring distances .................................................................................... 125
Measuring angles ................................................................................................................ 128
Measuring stenosis .............................................................................................................. 129
Changing graphic elements subsequently ............................................................................ 131
DSA postprocessing .................................................................................................................. 133
Introduction ........................................................................................................................ 133
Changing the mask ............................................................................................................. 134
Switching between subtracted and unsubtracted display ..................................................... 135
Generating the image with maximum contrast medium filling
(Max/Min Opac.) ................................................................................................................. 136
Making the image and mask coincide exactly (Pixelshift) ......................................................137
Fading in anatomical background (Landmark) ..................................................................... 137
Improving the noise impression (Averaging) ........................................................................ 138
Checking image quality(IQ) ...................................................................................................... 139
Performing IQ on test images .............................................................................................. 139
Performing IQ on patient images ......................................................................................... 140
Measuring pixel values - ROI 20 / ROI 50 .............................................................................. 141
Measuring pixel values - Line profile .................................................................................... 142
Measuring pixel values - Histogram ..................................................................................... 142
Deactivating IQ ................................................................................................................... 144
Image documentation ................................................................................................................... 144
Overview of the series/images of a study/series ......................................................................... 144
Displaying the overview of a study ....................................................................................... 144
Displaying the overview of a series ...................................................................................... 147
Displaying an image/series in full size .................................................................................. 148
Back to overview page ......................................................................................................... 149
Summary of display modes .................................................................................................. 150
Paging in study or series overview ............................................................................................ 150
Paging representatives of series / single images ................................................................... 150
Paging images of a series .................................................................................................... 152
Selecting images for processing ........................................................................................... 152
Documentation functions ......................................................................................................... 153
Marking images or series .......................................................................................................... 153
Putting images together to form a twinview layout ................................................................... 154
Subtracting single images (DSA basic) ...................................................................................... 156
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Applying processing parameters from one image to other images .............................................158
Transferring/Archiving images to DICOM ...................................................................................159
General information on DICOM Send ....................................................................................159
Transfer formats ..................................................................................................................160
Transfer problems ................................................................................................................161
Transferring images (DICOM Send) ......................................................................................162
Transferring images for hardcopy/filming (DICOM Print) ............................................................163
Performing hardcopy ...........................................................................................................164
Film preview (virtual film sheet) ................................................................................................165
Paging film sheets ...............................................................................................................167
Repositioning images on a film sheet ...................................................................................167
Moving an image from one film sheet to another .................................................................168
Postprocessing images on the virtual film sheet ....................................................................169
Managing image transfers / Status display .................................................................................170
Managing print jobs / Status of paper printer .............................................................................172
Displaying the study report .......................................................................................................173
Creating/editing a medical report ..............................................................................................175
Creating/editing a medical report .........................................................................................176
Finishing the medical report ................................................................................................178
Deleting images or series ..........................................................................................................179
Storing on and reading from CD-R .............................................................................................181
Notes on handling CDs .........................................................................................................181
CD drive ..............................................................................................................................181
Inserting and removing CDs .................................................................................................182
Displaying the study list of a CD ...........................................................................................183
Transferring data from a CD to the system ............................................................................185
Storing on CD-R ...................................................................................................................186
Restoring archived image data ..................................................................................................190
Archiving information ..........................................................................................................190
Applying a database filter .....................................................................................................191
Retrieving images from an archive or a CD-R .........................................................................192
Query for patient data ..........................................................................................................193
Changing user settings ..................................................................................................................195
Site information ........................................................................................................................196
DICOM properties .....................................................................................................................197
Examination properties .............................................................................................................200
Image display properties ...........................................................................................................201
Service functions ...........................................................................................................................202
Exporting images for service .....................................................................................................202
Service login .............................................................................................................................203
Chapter: Administration (HIPAA) ..................................................................................205
Introduction to HIPAA ....................................................................................................................205
Logging in as administrator ...........................................................................................................206
Setting up the network connection ................................................................................................207
Users and groups management .....................................................................................................209
FLUOROSPOT Compact groups and users ..................................................................................209
Setting up (local) groups and users ...........................................................................................212
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Setting up FLC groups and users on a domain controller ........................................................... 219
Backing up users and groups .................................................................................................... 220
Restoring users and groups ...................................................................................................... 221
Audit trail ...................................................................................................................................... 222
Viewing the audit trail .............................................................................................................. 223
Backing up the audit trail files ................................................................................................... 224
Chapter: Technical Description ....................................................................................227
Technical data ............................................................................................................................... 227
Imaging system ........................................................................................................................ 227
Computer system ..................................................................................................................... 228
Monitor system ........................................................................................................................ 228
Archiving and documentation .................................................................................................. 228
Dimensions and weights .......................................................................................................... 229
Electrical data .......................................................................................................................... 229
Ambient conditions .................................................................................................................. 229
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Part FLUOROSPOT Compact Imaging System
Chapter Safety
Additional notes on safety
For general notes on safety see the Safety part of the system Operator Manual.
Please observe the safety notes in the following chapters.
Note
Do not use the spacer on the rear side of the computer housing as a handle or use
for carrying.
Image failures If no image appears on the monitor or if image quality has deteriorated noticeably,
this can be due to a defect in the system. To check this:
Shut down the system and turn it on again.
– The system performs a self-test when turned on.
Pay attention to error messages during restart.
If the fault remains:
Shut down the system and call Siemens Service.
Caution
If image display quality deteriorated due to a defect.
Risk of error in diagnosis caused by poor image quality
Shut down the system and call Siemens Service.
Image archiving The FLUOROSPOT Compact offers image archiving via network or CD-R.
Transferring/Archiving images to DICOM on page 159
Caution
The hard disk of the imaging system is not suitable for image archiving.
Risk of data loss due to system failure (e.g. defective hard disk)
Always archive patient and image data on suitable archive media.
Third-party software Only software authorized by Siemens for use with this product may be used.
Caution
Use of non-approved or manipulated software or hardware components
Risk of malfunctions posing a hazard to patients and equipment
Only use software or hardware components approved by Siemens.
Modifications shall be performed only with our expressed written approval.
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FLUOROSPOT Compact Imaging System
Safety
Computer viruses The FLUOROSPOT Compact imaging system must be operated within a ’secured
network’, i.e. the network to which the imaging system is connected must be protected from computer viruses, worms, etc.
Caution
Computer virus infections, computer worms etc.
Risk that the system is not operational anymore
Risk of data loss
Always operate the imaging system within a secured network.
Virus scanner To protect the FLUOROSPOT Compact imaging system from common computer vi-
ruses, a virus scanner is installed.
If a virus is found, a window pops up.
Note
In this case it is mandatory to call the Siemens Service!
Don’t try to act by yourself!
Options This operator manual describes all system features of all system variants.
Note
The complete system is described with all options and components that have been
released. Possible options have not been specially marked.
Particular options or components may not be available for specific systems.
The quotation text of your order is the sole reference for the functional scope of
your system.
If your system does not have a specific feature, please contact your local sales
representative.
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Safety
Value statements All technical data are typical values unless specific tolerances are stated.
Values shown in pictures of the software user interface have no clinical meaning.
Please only set the values preset in the organ programs provided or the values
recommended by experienced application specialists.
Illustrations All illustrations of equipment and of the program user interface shown in this Op-
erator Manual are examples only. The functions actually available depend on the
type of system, the installed options, and the current configuration.
Other differences in detail may occur in your system due to constant development
and improvement of the system.
Reproduction of images can cause loss of detail. Pictures in this Operator Manual
do not therefore provide any indication of image quality.
Names All names of patients shown in figures are purely fictional. Any similarities with ex-
isting persons are entirely coincidental.
Warnings and hints In some cases, the imaging system has to inform you about certain facts. Then, an
information window is displayed.
There are different types:
Question!
The system asks you to decide something.
Information!
The system informs you about a certain fact.
Warning!
The system warns you about possible consequences.
Ignoring the warning may lead to severe consequences.
Operation hint
You tried to perform an action which is not possible in the current state of the
system.
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Safety
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Part FLUOROSPOT Compact Imaging System
Chapter Overview / Operating Elements and Displays
Introduction
The FLUOROSPOT Compact (FLC) you have purchased is a digital imaging system
which opens up new dimensions in digital fluororadiography.
The basic system of the FLUOROSPOT Compact is based on a PC with the
Windows XP® operating system.
With only a basic knowledge of the operation of PCs and Windows® you can quickly learn how to operate the imaging system.
Capabilities The imaging system provides simple use and numerous functions for radiological
diagnostics, such as:
Study administration
Organ program management
Integrated generator control console
Image acquisition and display
1
–DFR
Image postprocessing
– Annotation functions
–Graphic functions
–DSA functions
– Functions for checking the image quality
Documentation (film preview, filming, paper printing, medical report and
DICOM send)
Archiving via network or on CD-R
Acquisition system This version of the FLUOROSPOT Compact is suitable for image acquisition and re-
porting with the following acquisition systems:
AXIOM Iconos R200
Application The FLUOROSPOT Compact imaging system can be used for many types of radio-
logical examinations.
Please also refer to the operator manual of the system.
With the FLUOROSPOT Compact imaging system, digital radiographic images can
be acquired, processed, displayed and managed.
images or series from the image intensifier and the CCD camera
1
DFR = Digital Fluoro Radiography
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Overview / Operating Elements and Displays
Overview
Basic system
The FLUOROSPOT Compact digital imaging system consists of the following components:
Computer and camera electronics
Image monitors (TFT LCDs) in the examination room and in the control room
CD drive
Keyboard and mouse
At the camera system:
CCD camera
Using the appropriate inherent software you control the imaging system and perform image analysis.
Imaging system configuration
The FLUOROSPOT Compact imaging system provides the following features:
Patient registration DICOM Worklist (HIS/RIS) for receiving patient data from a clinical network,
MPPS (included in DICOM Worklist)
Barcode reader for entering patient data
Examination Fluoro loop
DSA and ROADMAP
PERI Stepping
Reference image monitors (TFT LCDs) in the examination room and/or in the
control room
Additional disk capacity for storing a larger number of images
CAREPROFILE
CAREPOSITION
CAREVISION
SUPERVISION
Postprocessing Harmonization (DDO), also online
Stenosis quantification
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Overview / Operating Elements and Displays
Documentation CD-R recording for archiving your images in various formats
Interface for storing fluoroscopy images and acquisitions onto a video recorder
DICOM Send for transferring images into a clinical network
DICOM Print for transferring images to a hardcopy camera via a clinical net-
work
DICOM Query/Retrieve for retrieving images from a clinical network
Paper printer
Transfer operations are carried out in the background.
HIPAA The HIPAA (Health Insurance Portability and Accountability Act) feature provides
mechanisms to secure the FLUOROSPOT Compact imaging system, patient data
and images from misuse by unauthorized persons.
Operating elements and displays
Places of operation
The imaging system functions can be operated from the control room as well as
from the examination room:
Via keyboard and mouse on the console from the control room
Via infrared remote control from the examination or control room
Infrared remote control on page 18
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Overview / Operating Elements and Displays
The console
FLC console
(1)
(2)
(4)
(3)
(1) Image monitor (LCD)
(2) Keyboard and mouse
(3) Computer with camera electronics
(4) CD-R drive
Keyboard
The imaging system is equipped with a standard PC keyboard.
(1) Function keys
(2) Alphanumeric keys
(3) Cursor control keys
Function overview and key assignment on page 26
(4) Numeric/syngo® keypad
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Overview / Operating Elements and Displays
Note
If a syngo® keyboard is installed, the symbols on the keys do not apply.
The numeric/syngo® keypad is without function except the Enter key.
The Enter key has the Return key function.
Mouse
A mouse with two buttons and one wheel is connected to the PC.
(1) With the left mouse button, you execute most actions.
(2) With the right mouse button, you can mark images, for example.
1
(3) By rotating the wheel, you can scroll in the study lists and in the image direc-
tories.
Terms In this operator manual, various terms are used in connection with the mouse:
Click: Move the mouse in such a way that the mouse pointer on the screen is
pointing to the object in question. Now press the mouse button
1
and release
it again.
Double-click: Like clicking, but you press the mouse button twice in quick suc-
cession.
1
Drag (and drop): Like clicking, but you keep the mouse button pressed while
moving the mouse.
1
1
Where click appears in the text, we always mean the left mouse button
unless the right mouse button is mentioned explicitly.
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Overview / Operating Elements and Displays
Infrared remote control
With the infrared remote control, you can control certain functions of the imaging
system remotely in the examination room:
Note
The function of the keys on the infrared remote control depends on the system.
Some keys may not work on your system. Some keys may have been labelled differently. Depending on configuration the following functions are possible:
IR key Short description
Org - / Org +
Careposition CAREPOSITION on/off
Paging Show previous image (of a series)
*
Switch to previous/next organ program
Selection of remote organ programs 1 to 7
†
Select previous mask in remask function
Paging Show next image (of a series)
†
Select next mask in remask function
Mon. Split Toggle study / series overview, fullscreen display (discards
LIH or not stored fluoro loop; no function with fluoro loop
replay)
Mark Image Mark /unmark an image
‡
Mon 1 2 Copy image to reference image monitor
Store Image Store a LIH or a fluoro image of a fluoro loop
Sub. / Native Alternate between subtracted and native image display
Remask Select function to change mask image
‡
**
**
Roadmap Select/deselect ROADMAP
R Preselect label R on the left side of the image
L Preselect label L on the right side of the image
Store ref. Store the current image as a reference image
Recall ref. Recall the current reference image
Replay Loop Replay series: start/stop loop
††
‡‡
††
Store Fluoro Store the current fluoro loop
F/s Change frame rate before and during series acquisition
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Overview / Operating Elements and Displays
IR key Short description
Fluoro - /
Fluoro +
Switches to next lower/higher fluoro mode
On systems with SUPERVISION:
Switch between standard fluoroscopy and supervision
On systems with CAREVISION (pulsed fluoroscopy):
Change the pulse frequency for fluoroscopy (including
selection of standard fluoroscopy)
*
not with SIRESKOP CX, ICONOS R200
†
no function with LIH or with fluoro loop replay
‡
also during fluoroscopy
**
only with stored DSA series
††
no function with LIH, or non stored image, or with fluoro loop replay
‡‡
no function with single LIHs or images
Note
During acquisition only the key F/s is enabled.
During fluoroscopy only the keys Fluoro -/+, Mark Image and Store Image are enabled.
Note
If you press a button on the infrared remote control, which function is not applicable in the current operating state of the imaging system, then the symbol
shown is displayed on the upper right-hand corner of the screen. The function will
not be executed.
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Overview / Operating Elements and Displays
The application program
Languages
The FLUOROSPOT Compact system can be configured by the Siemens Customer
Service in one of the following languages (user interface and keyboard layout):
English
German
French
Spanish
Russian
Swedish keyboard (for use with the English user interface)
Portuguese (with Spanish keyboard)
Italian
Chinese
The user interface for HIPAA administration is available in English only.
Imaging system user interface
On the image monitor all acquired images are displayed. You can perform all functions required for examination, data entry, image acquisition, postprocessing and
documentation.
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Overview / Operating Elements and Displays
(1) Display area for images and lists
(2) Control area
(3) Tabs of the task cards for mode selection
(4) Patient information
(5) System information
(6) Resource information
(7) Display control
(8) Subtask cards for function selection
(9) Indication of radiation parameters
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Overview / Operating Elements and Displays
Basic modes / task cards
To simplify operation, the application program has four modes. Each mode is
available on a task card.
Patient mode: study lists, input of patient data and archiving; basic settings
Examination mode: fluoroscopy and acquisition, settings for organ and fluoro
programs
Postprocessing mode: image postprocessing
Documentation mode: hardcopy and DICOM send
To select a mode:
Click on the corresponding task card tab with the mouse.
System and resource information
On the top right-hand side, the following system information is displayed
(example):
(1) Marked images of current study
(2) Images in current study
(3) Images in current series
(4) Free space in study / on disk
(5) Acquisition mode and frame rates for acquisition and fluoroscopy
(6) Selected organ program, fluoro mode and I.I. symbol with zoom stage
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Bottom right On the bottom right-hand side, the following system information is displayed
(example):
Prior to fluoroscopy/
acquisition
During fluoroscopy After fluoroscopy After acquisition
(1) Fluoroscopy progress bar
– During fluoroscopy: current to maximum fluoroscopy scene length
– After fluoroscopy: current position in fluoroscopy scene
(2) Prefiltration and dose data
1
(3) Fluoroscopy and acquisition data
(4) Reset fluoroscopy time
Note
A flashing value indicates that the actual value is different from the setting in the
organ program.
Text information in images
In the four corners of an image (in Examination or Postprocessing mode) and on
the film sheet the following information is displayed:
1
not in Patient mode
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Left Right
Top Patient name (last, first name)
Patient ID
Patient’s date of birth
Ward
Request ID
Accession No.
†
Mark symbol
: solid white circle or
none
Bottom Image content data:
R/L label or mirror/flip indication
Acquisition data:
kV
mAs
Dose value
I.I. format
Image number Ö page 24
Institution name Ö page 196
Product name: FLUOROSPOT
Referring physician
*
Date of acquisition
Time of acquisition
R/L label
†
Image type
Ö page 24
Image settings:
Tomo height or Peri subseries
F: Filter (edge enhancement)
H: Harmonization
‡
LM: landmark (anatomic back-
ground)
‡
C: Contrast
*
only on film sheet (configurable)
†
not on film sheet
‡
depending on image type (native or subtracted)
Note
You can switch off and on image text by pressing the spacebar.
Image numbering and image types
In the following table you can see the different image types and how they will be
numbered:
B: Brightness
‡
WW:
window width
(only with automatic contrast)
X:/Y:
‡
pixelshift values
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Image
number
(left)
# none single image 13
# single image of a tomography
# none image of a fluoro loop (not stored)
S# SER series or DSA series S5
S# PERI Peristepping or Phlebostepping series S5
S#_# SER image of a series (not subtracted)
SL#_# SER image of a stored fluoro loop
S#_#-# DSA image of a DSA series (subtracted)
Image
type
(right)
Short description Example
for image number
single image no. 13
series no. 5
S5_12
series number _ image number
series number _ image number
series number _ image number mask number
series no. 5, image no. 12
SL6_13
stored fluoro loop no. 6, image no. 13
S5_12-4
series no. 5, image no. 12
current mask is image no. 4
none OPAC max./min. opacification image
(not stored)
PO_S# none stored max./min. opacification image
PO (for peak opacification)
series number
none SUM averaged image (not stored) -
SU_S# none stored averaged image
SU (for sum) series number
none LIH LIH image or fluoro loop (not stored) -
LIH# none stored LIH image LIH3
SL# none stored fluoro loop SL4
SL#_# none image out of a stored fluoro loop SL4_22
none REF# reference image REF6
-
PO_S5
peak opacification image of
series no. 5
SU_S6
averaged image of series no. 6
3rd stored LIH image
4th stored fluoro loop
4th stored fluoro loop, image no. 22
6th reference image
SM_# none Store Monitor image
or image read from CD
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SM_3
3rd Store Monitor image
FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Image
number
(left)
TW_# none stored twinview image TW_2
SUB_# none stored subtraction image SUB_1
Image
type
(right)
Short description Example
for image number
2nd twinview image
1st subtraction image
Function overview and key assignment
On the following pages, a short overview is given of the basic functions of the
FLUOROSPOT Compact imaging system.
The function keys (F1 to F12 and other keys on the keyboard) are assigned certain
functions. Depending on the mode of the imaging system, different functions are
assigned to the keys.
General functions
Icon Key Short description
*
Enter
Esc Cancel selected function
left mouse click and Shift Select several objects in sequence
left mouse click and Ctrl Select several objects
*
Enter always operates the default action. If none is set Enter has no function.
Depending on the selected function the default action may be set to OK or Cancel.
OK; accept selected function
Patient mode (study lists)
General functions
Icon Key Short description
- F1 Call up the operator manual
- Ctrl + F1 Call up the operator manual of the system
*
*
- F5 No function
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Icon Key Short description
Examination F6 Switch to Examination mode
Postprocessing F7 Switch to Postprocessing mode
Documentation F8 Switch to Documentation mode
- F10 No function
F12 Emergency registration
+
- Read study from CD /
Write study to CD-R
- Left click: Copy screen contents to reference
image monitor
Right click: Clear reference image monitor
- Retrieve study from archive
(only with Archiving Information list)
- Query and retrieve study from archive
(only with Archiving Information list)
mouse wheel / Scroll columns of study list
- Select previous study
- Select next study
- Home Select first entry of study list
- End Select last entry of study list
Ctrl A Select all study list entries
- Ctrl R Reset width and order of all study list columns
- Prt Sc Print study list data of selected study or
study list of all entries on paper
- Pause Show status of paper printer
*
in Patient mode only. The operator manual must have been installed by Siemens Service.
*
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Patient subtask card
Icon Key Short description
F2 Call up the input form to create a new study
with a new patient
F3 Add a study to selected patient
F4 Modify patient data
- Delete selected study/studies
F9 Protect / unprotect study
- Apply filter to study list
- Get worklist / Update HIS/RIS
- F11 Update HIS/RIS
- Update storage commitment status
- Close MPPS study
Settings subtask card
Icon Key Short description
- Change general settings
- Enter/leave service mode
- Enable/disable access for remote diagnosis (on
service login dialog)
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FLUOROSPOT Compact Imaging System
Overview / Operating Elements and Displays
Icon Key Short description
Show status dialog
- Display test images and switch to
Postprocessing mode
-Enable IQ (image quality) subtask card and
switch to Postprocessing mode using a selected study
- Create a study statistics
Ctrl F2 Logout
*
- Call up audit trail dialog*† for saving the audit
trail to a CD-R or saving/restoring users and
groups to/from a CD-R
- User and groups administration
*
HIPAA
†
only available when logged-in as administrator
Examination mode
General functions
Icon Key Short description
- F1 No function
*†
Patient F5 Switch to Patient mode
- F6 No function
Postprocessing F7 Switch to Postprocessing mode
Documentation F8 Switch to Documentation mode
- Fluoroscopy parameters
-Acquisition parameters
- Reset fluoroscopy signal
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