C-Arm X-Ray User Mannul
C-Arm X-Ray User Mannul
C-Arm X-Ray User Mannul
Chapter 1 Summary
This manual is used only for C-arm Console. Before the use of this software, please read
the manual of the devices that connected to this software.
This manual is writing for the clinics that using C-arm Console. It provides workflow of a
patient study. Mostly, it’ll introduce the operation steps, system structure and features. Attention,
there’s no guideline for clinic diagnosis.
1.2System structure
This software is comprised of following modules which provides a work flow of patient
study:
Patient Management: including patient registration, work list, study management.
Study operation: including bodypart selection, study items selection, image acquiring.
Image preview: including display, layout and processing of image. Also tool options for
advanced operation.
Configuration: including configuration of system, study and user management.
Especially the configuration for worklist and storage.
Memory:≥8G
1.4Fluoroscopy Suggestions
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Chapter 2 Installation
2.1Software installation
For the official version, user needs to start the installation from the CD-ROM, if it isn’t
automatically start, double click “DFOC_XXXX.exe”; for the demo version, mostly the user
will get an installation package, and then just double click “DFOC_XXXX _DEMO.exe”.
Double click to start the installation, the following steps will display:
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2.2Software Registration
After the installation steps above, the program will create shortcut of “DFOC” and
“DRDongle”. Run DRDongle.exe and you’ll get a dog number:
The official version will provide a USB key for the registration. After the installation of the
software, user should plugin the USB key, and run “DRDongle.exe”. If the driver is successfully
installed, and the USB key is recognized by the OS, then user will get a list of soft dog number
and hard dog number.
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attention
In order to reset system completely, the computer of workstation had better
to shut down once one day. Otherwise the performance of the system will be
The detector should be start work at least 30 minutes after power up in order
to ensure that the detector is in a stable state and ensure image quality. In
order to make the detector in a stable state for a long time, as far as possible
3.1 Login
The program will validate the user before entering the system. Input the User ID and
Password. (Default User ID / Password: admin/admin). User can also click the keyboard button
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Enter the correct User ID and Password in the Login interface and click “OK” button, then
software would enter the loading interface and if you don’t want to enter the system click the
“ ” button. (If you don’t know the password, please consult your system administrator). The
User ID, Password and permissions are assigned by system administrator.
[Note] When you enter the password, the system will does not display the relevant character
information. Password case sensitive. If you need to change your password, please refer to the
system management settings.
After logging in, the main interface of the workstation software (the Register interface), as
follows:
3.2 Logout
Enter the password, click the “OK” button to exit the console software (the images would be
saved automatically); click the “ ” button to cancel exit and return to the software interface.
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After successful login, the system will start to load drivers of devices and validate the device
initialized successes or failed. There are some stage of loading the drivers: loading drivers for the
generator and drivers for the detector or other drivers.
If failed to initialize the device, then click “ ” button in the upper right corner of the
interface and change the configurations.
[Note]For detailed instructions on the use of the configuration tool, please refer to the
Configuration Manual.
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The work list displays the list of patient that need to acquiring image. It can query patient data
from RIS or registration station follow DICOM 3.0. The configuration of worklist will be
introduced in Configuration manual.
1. Patient ID: user need to input the patient’s id in the textbox, and define the correct
date time.
2. Accession: user need to input the patient’s accession in the textbox, and define the
correct date time.
3. Name: user need to input the patient’s name in the textbox, and define the correct
date time.
4. Today: query the patients’ data in today.
5. Two days: query the patients’ data in two days.
6. Three days: query the patients’ data in three days.
7. One week: query the patients’ data in a week.
8. Custom: query the patients’ data in user defined period.
Once the condition set down, the work list will query data frequently, it can also
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Delete:
Delete current selected patient.
Begin to study:
Begin to acquiring image of current patient.
Emergency:
Register a patient in emergency with auto generated information.
4.2 Registration
user don’t change it. Input PatientID and click , system will automatically fill the patient’s
information in the text box.
IDCardNO*: input the CardNO of a patient. Input CardNO or click , system will
automatically fill the patient’s information in the text box, the premise is that the computer is
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Study Bodypart:Select the oval gray button on the body as needed, and click the button, and
the gray turns green to indicate that the site is selected. The list on the right has a corresponding
check position.
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Fluoroscopy.
desired item name in the item bar and the item will appear in
the selected item bar.
name in the selected item bar, and the item name is removed
from the selected column.
Click the button to enter the Studylist interface, where you can query
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a) List Infomation:
Click button ,The list includes patient information that has been examined: patient
number, name, gender, age, height, weight, date of birth, check number, check site, description,
number of images, archive identification, printed identification, etc. These lists can be configured
b) Information search:
Study management provides the ability to search on a certain basis. Enter the conditions that
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The search conditions include the registration time range of the patient to be examined, the
patient number, examination number, name query. Registration time ranges can be quickly
selected via buttons, including "Today," "Two Days," "Three Days," "One Week and Custom"
ranges. After the retrieval criteria are selected, click the "Confirm" button to check and place
[Note] If the patient number, the study number, the patient name is empty, indicates any
condition.
c) Delete records:
Select a checked patient in the list to be examined, click the button and the software
If you confirm that delete the patient record have selected, click OK, otherwise Cancel.
d) Browse images:
Select a patient in the study list and double-click it to enter the image browsing interface.
e) Re Examine:
Click button enter the image acquisition interface, you can add a study protocol or
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Burning: Select one or more records and click the button to start the disc burning
Archiving: Upload images to the network. Click the button to upload the selected
Print: Print images with connected print devices, Click the button . see chapter8.3
Selection All: All patient information in the list is selected, and all the information in
Lock: Select one or more patient records and click the button to pop up the check box,
This record is locked after click OK,Lock bar marked as “1” , If click Cancel. Record
will be unlocked. Delete operation cannot be performed after patient record is locked.
Storage queues: When the system is not connected to the PACS server, click the button
to add the selected item to the upload queue and wait for the communication to connect to upload.
The Storage Queue check box can be refreshed, retried, removed, and canceled.
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Print Queue: when the system is not connected to the PACS server, click the button to add the
selected items to the network print queue and print after the communication is connected. The
Print Queue check box can be refreshed, retried, removed, and canceled.
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Select a patient record in the work list double click the record or click the button .
The acquisition interface includes the body size of patient, the exposure position, the study
item, the study protocol, generator exposure parameter setting and the diagram of body position.
Note: Interface functions and operations vary with hardware and system configurations.
3. System status.
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4. Image preview.
8. Other Information.
right-click
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There are the body position diagrams selected for patient information registration. You can
see the specific study body part and the standard position for intuitive reference.
For emergency patients this region is blank. See Chapter 4.2 for steps to add a body position.
Before Image acquisition, the parameters of generator should be property configured, and the
trigger mode of detector must be correct. For more information, please read the manual of these
devices.
a) Exposure signal lamp and Reset error
This button will light up when there is a system error, and there will show the
error code following the button. Click this button to reset the error and if it does
not work, please contact customer service engineer
Press first gear of the hand brake, then the signal lamp will light
up. Green light means being ready;
Continue to press the hand brake to second gear, the signal lamp
will light up. The yellow light will keep lighting up in the exposure process.
There is default parameter for every body part. You can adjust these parameters
as needed. Click this button after you change these parameter. If don’t click the
save button, the adjusted parameters is only used for the current exposure.
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KVp:KV voltage
mA: mA
mS: Duration
DEN(Reserve): Switch density in AEC mode
This region show the default parameters of the current item.
You can adjust these parameter by click the arrow button.
e) Exposure position
f) Focus
d) Exposure mode
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AEC mode: on this mode, can adjust density and field. Software support 3 fields
mode
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Cycle again.
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Play.
Play forward.
Play back.
The printing interface pops up. See Chapter 8.3 for details.
Click the button to pause the current check, and the page returns to the work list
interface.
Click the button to save the image and enter the studylist interface.
Click the button to save the image and enter the studylist interface.
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6.1 Tools
Page Pre/Next.
Clicking this button will exit the multi-layout selection box. Default 1x1 layout.
Zoom In/Out:
Histogram WW/WL
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Invert Color
Zoom out
Zoom in
Screen Size
Text Edit
Rotate 90
Flip Vertical
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Image hint
Magnifier:
Copy:
The function of image contrast has been optimized. Click the “Copy” button in
the preview interface of patient A, then switch to the preview interface of patient
B, select a blank box and click the “Paste” button to add the copied image.
Be sure to click the “Save” button before exiting if you want to save the image.
CTR: cardio-thoracic ratio
Make the following marks on the chest radiograph:
Line 1: Positive midline;
Line 1: Maximum transverse diameter of thorax;
Line 3+4: maximal transverse diameter of the heart;
CTR =( length( Line 3+ Line 4) )/length( Line 2)。
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Email:
Click the button , input the mail address, subject, content in the
appropriate edit box of the pop-up box and select current image by clicking “Add”
button if there were exposed images. The DR Software would automatically call
the Outlook to send the mail after you click the “Send” button.
Save as:
Its role is similar to the “copy” / “paste” tool. All three of them are used to
compare an image with itself. The “copy” / “paste” tool can be used
among different patients, while the “Save as” tool can only be work with the
images of one patient (the “Save as” tool has the same function with a
combination of the “copy” and “paste” tool)
Inverse Compare:
When you click on the button, the Software will show another inverted
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Window/Level
ROI Window/Level
Auto WW/WL
Full Size
Mark Left
Mark Anterior
Mark Right
Clip Tool
Rotate -90
Flip Horizontal
Distance Measure:
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ROI Magnifier:
Arrow
Paste:
The function of image contrast has been optimized. Click the “Copy” button in
the preview interface of patient A, then switch to the preview interface of patient
B, select a blank box and click the “Paste” button to add the copied image.
Be sure to click the “Save” button before exiting if you want to save the image.
Free Rotate:
Click the “Free Rotation” tool, then pop-up a box for rotation angle. Enter any
angle value you want and click the “OK” button to rotating image. Rotate to the
left by default. Click the “Undo” button the image will turn back.
Cobb angle:
1. The patient stands while a front view x-ray of the spine is taken.
2. The doctor uses the x-ray to locate the apex vertebra, which is at the
deepest part of the scoliosis curve, as well as the most-tilted vertebra above
the apex and most-tilted vertebra below the apex.
3. A perpendicular line extending from the most-tilted vertebra above the apex
is drawn. The same is then done for the most-tilted vertebra below the apex.
4. Where the two lines extending from the most-tilted vertebra above the apex
and most-tilted vertebra below the apex join together gives the Cobb angle
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Compare:
When you click on the button, the Software will show a pop-up box for
image selection. Then you should click on the “Add” button and select two or
more images, finally click on the “Open” button to enter the Image contrast
interface. Note here that if the Software is in the image Acquiring interface, please
click on the “Save” button before image selection.
Notes: the “Image contrast” tool can be only used in the image viewing
interface of the DR Software.
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Clip Options
Polygon measurement
Rectangular measurement
[Note] Hold the ctrl key and pull it into a square
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Elliptical measurement
[Note] Hold the ctrl key to pull it into a perfect circle
Finish &Save:
End current study and save all images to local drive as DICOM files. If successfully, then
user can find the study in the studylist.
User can enter the stitching interface by clicking “Image Stitching” in the image
preview interface. Before to enter the image stitching, please make sure the current study has at
least two saved images.
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Figure 6.8
Click the button to access the Stitching Screen, this screen consists of three
Figure 6.9
Before the image stitching operation, the user should ensure that all selected image
must be acquired from stitching exposure.
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Move back: click this button to move the cureent image up one step.
Move forward: click this button to move the current image down one step.
After selecting the image, click to enter Image Stitching screen. In this screen,
Figure 6.10
Opacity: Move the sider to adjust the opacity of the overlapping area.
Untis: Move the sider to adjust the dixel(s) of the overlapping area.
Fuse area: Move the sider to adjust the display degree of the overlapping area.
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Click the button to save the setting parameters and enter the View Image screen.
Figure 6.11
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Report editing module includes image selection, patient information editing, reporting
content and inspection results editing, print template selection, etc. are presented below.
Figure 7.2
You can edit the diagnostic content and conclusion in the edit box, click the content
and description template on the right side if you need to add.
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Figure 7.4
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Delete: select a class you want to delete from the drop down
Figure 7.5
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knowledge base
Completely delete
Select the items or class you want to delete completely and
the deleted items or
click this button. Then the selected items or class will delete
class in the recycle
completely and it can be recovered forever.
bin
Figure 7.3
You can add and update the doctor information in the interface.
Button Function Describe
When there are more than one monitor, the doctor can write
Multi-screen display
a report while viewing the image.
Click this to save the report. And the report will enter
Save
read only mode and looks as follows.
Click to quit the report interface and back to the study list
Exit
interface.
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Figure 7.6
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In archive process, the images will be sent to PACS server follow the DICOM 3.0 standard.
Before the use of image archive, the parameters of DICOM storage must be properly configured
archive process. But it is unnecessary if configured to archive automatically after end of astudy.
If there is a failed message, then user should check the communication with the PACS.
The system provides two ways of export, and support customized export. User can export all
or selected patient’s data from the study list.
8.2.1 Burning CD
1. Select the patients that need to be imported or burned. Hold down Ctrl to select multiple
patients
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Click on the , The schedule displays the progress of the execution, and a checkbox
prompts if it succeeds
Besides burning CD, user can also export patient’s data to a selected folder. First user
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should select a folder for item “ExportStudy”. And then there are two items:
DCMIMGA: Export only DICOM images.
The export will create a fold named with patient name and accession. For example:
Emergency41-000041. All DICOM image of current patient will save to the folder.
DCMDIR: Export patient’s information, DICOM images with a viewer program.
Double click the select patient or click preview button , user can preview the image of
current patient.
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When accept the print operations, system will send images to printers that support DICOM
print services protocols, and user can defined the parameters of these printers.
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Click the button , user can configure the property of select printer. All the property is
referenced to DICOM 3.0 standard.
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Button Describe
Start printing
Refresh image
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