Kodak Cr Topics Soft. Ver. 5.2

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Software and Key Operator Online HelpTopics V 5.2 1.29.09

8G0242

29 January 2009

Version 2.0


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Table Of ContentsGeneral Information ...................................................................................................................................... 1New Features ................................................................................................................................................ 1Use of CR System and DR System Terminology.......................................................................................... 2

About Online Help......................................................................................................................................... 3Software Version .......................................................................................................................................3How Do I Access and Navigate Help?....................................................................................................... 3Document Conventions ............................................................................................................................. 3

KODAK DIRECTVIEW Software................................................................................................................... 4Trademark and Copyright Information.......................................................................................................4FCC Compliance .......................................................................................................................................4

How to Contact Carestream Health, Inc. ......................................................................................................5AEC Calibration............................................................................................................................................. 6CR System Overviews .................................................................................................................................. 7Main Menu Functions....................................................................................................................................7Quick Reference Button Guide ..................................................................................................................... 9Radiographer's Screen Guide.....................................................................................................................12CR System Software Overview................................................................................................................... 13CR Modality Overview................................................................................................................................. 14Brightness, Latitude, and Detail Contrast Definitions..................................................................................15Scheduled Workflow ................................................................................................................................... 17Workflow Configurations .............................................................................................................................17Modality Performed Procedure Step (MPPS) ............................................................................................. 18Scheduled Workflow Configurations........................................................................................................... 19Scanning Equipment and Procedures ........................................................................................................ 21Scanning CR Cassettes Menu.................................................................................................................... 21Using the Touch-Screen.............................................................................................................................. 22High-Resolution Scanning........................................................................................................................... 23

What Are Scan Modes?...........................................................................................................................23Slow System Response .............................................................................................................................. 24CR System Freeze-up................................................................................................................................. 25Scanning on a Classic/Elite CR System.....................................................................................................26

Loading a Cassette.................................................................................................................................. 26

Scanning on a CR 825/850 System............................................................................................................ 27Loading a Cassette.................................................................................................................................. 27

Scanning on a CR 950/975 System............................................................................................................ 28Loading Cassettes ................................................................................................................................... 28


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Software and Key Operator Online Help Topics V 5.2 1.29.09

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Purchasing Erase Lamps............................................................................................................................ 30Logging and Shutdown Procedures............................................................................................................ 31Logging On and Logging Out of the Modality ............................................................................................. 31Shutting Down the CR System ................................................................................................................... 32Restarting Versus Rebooting ......................................................................................................................34

Using the Shutdown Button......................................................................................................................... 35Scan Status Screen..................................................................................................................................... 37Patient Information Bar ...............................................................................................................................37Using the Erase Cassette Tab..................................................................................................................... 38Using the Erase Lamp Status Tab............................................................................................................... 39Using the Scan Status Screen .................................................................................................................... 40

CR 825/850/950/975 Systems................................................................................................................. 40Classic/Elite CR Systems ........................................................................................................................40

Using the Scan Status Tab .......................................................................................................................... 42Using the System Recovery Tab................................................................................................................. 43Cassettes, Troubleshooting, and Error Messages...................................................................................... 45Cassette Jams ............................................................................................................................................ 45

CR 825/850/950/975 Systems................................................................................................................. 45Classic/Elite CR Systems ........................................................................................................................45

Scanner Error .............................................................................................................................................. 46Scanning CR Cassettes Menu.................................................................................................................... 47Resolving Cassette ID Errors...................................................................................................................... 48Bar-Code Scanner ...................................................................................................................................... 49Entering Information with the Bar-Code Scanner ....................................................................................... 49Information Does Not Appear...................................................................................................................... 50Where Can I Use the Bar-Code Scanner?..................................................................................................51

CR System Exams................................................................................................................................... 53Beginning a Patient Exam...........................................................................................................................53Completing an Exam Set-up .......................................................................................................................55Setting Up Views for My Procedure ............................................................................................................ 57

Accepting the Image ................................................................................................................................... 59Correcting Image Artifacts........................................................................................................................... 60Modifying a Delivered Image.......................................................................................................................61Flagging an Image for Review .................................................................................................................... 62Low Contrast Images due to IPL Parameters Failure.................................................................................63Rejecting an Image ..................................................................................................................................... 64Reviewing Images.......................................................................................................................................65

Adjusting Image Quality...........................................................................................................................66


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Adjusting Image Parameters Menu............................................................................................................. 66Adjusting Image Quality Controls................................................................................................................ 67How to Use Window/Level .......................................................................................................................... 68Increasing Latitude......................................................................................................................................69Image Processing Failure ........................................................................................................................... 70

Reprocessing the Image ............................................................................................................................. 71Using the Histogram.................................................................................................................................... 72Using the Image Adjustment Tab ................................................................................................................ 73Using the Image Viewer Screen.................................................................................................................. 74

Image Viewer Palette Tabs...................................................................................................................... 74Adjusting for More Detail............................................................................................................................. 76

Assigning and Unassigning Images ........................................................................................................77Assigning an Image.....................................................................................................................................77Assigning an Image to a Different Patient...................................................................................................78

How an Image Becomes Unassigned.........................................................................................................79Unassigning an Image ................................................................................................................................80

Cropping Images ..................................................................................................................................... 81Using the Crop Box Adjustment Tab ........................................................................................................... 81Using Manual Cropping............................................................................................................................... 83

Delivering Images .................................................................................................................................... 85Automatic Delivery or Manual Delivery....................................................................................................... 85Viewing a Thumbnail Image........................................................................................................................86

Auto Display in QA Mode ............................................................................................................................ 87Pass-through Mode..................................................................................................................................... 88

Auto Display in QA Mode ............................................................................................................................ 89Acceptance by Image..............................................................................................................................89Acceptance by Study...............................................................................................................................89

Storage Commitment Function ................................................................................................................... 90Distributing Images..................................................................................................................................91

Sending Images to a Different Location...................................................................................................... 91Distributing the Image .................................................................................................................................92

Entering and Deleting Data...................................................................................................................... 93


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Auto-Associating Information...................................................................................................................... 93Creating an Additional Study....................................................................................................................... 94Displaying the Procedures List ................................................................................................................... 95Displaying Other Studies for a Patient ........................................................................................................ 96Displaying Image Icons...............................................................................................................................97

Modifying Information..................................................................................................................................98How to End a Study..................................................................................................................................... 99Entering Temporary Trauma Patient Data for Performing a Trauma Exam ..............................................100Entering Additional Exam Information.......................................................................................................101

Exam Information................................................................................................................................... 101More Information.................................................................................................................................... 101More Image Data...................................................................................................................................102

Resolving Cassette ID Errors.................................................................................................................... 103Using the Patient Input Screen ................................................................................................................. 104More Image Data ...................................................................................................................................... 105More Information....................................................................................................................................... 107

Image Orientation and Appearance....................................................................................................... 108Using the View/Look Adjustment Tab........................................................................................................ 108Reducing Noise.........................................................................................................................................109Using Grid Suppression Software............................................................................................................. 110Magnification Tab .......................................................................................................................................111Rotating and Flipping the Image ............................................................................................................... 112Reversing the Image................................................................................................................................. 113Using the Comment Tab............................................................................................................................ 114Review Needed Status.............................................................................................................................. 115

Markers..................................................................................................................................................116Markers Menu ........................................................................................................................................... 116

Adding Markers......................................................................................................................................... 117Adding the Text Marker ............................................................................................................................. 119Moving a Marker ....................................................................................................................................... 120Removing a Marker...................................................................................................................................121Using the Favorites Markers .....................................................................................................................122Using the Measures Markers ....................................................................................................................123Using the Others Marker Group................................................................................................................ 124Using the Time Markers ............................................................................................................................ 126

Masking.................................................................................................................................................. 127


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Using the Surround Mask Tab................................................................................................................... 127Masking Failure......................................................................................................................................... 129

Applying Automatic Surround Mask (optional).......................................................................................... 130Mask Points Are Off the Screen................................................................................................................ 131

Applying Manual Surround Mask (optional) ..............................................................................................132

Reprocessing After Using Edit Mask.........................................................................................................133Measurement Tools...............................................................................................................................134

Using Measurement Tools......................................................................................................................... 134Measurement Tool Sample .......................................................................................................................136

Optimizing the Exam.............................................................................................................................. 136Optimizing the Exam.............................................................................................................................. 137

Performing the Exam ................................................................................................................................137Improving Acquisition Techniques.............................................................................................................139

How can I improve my image quality?...................................................................................................139Guidelines for Good Exposures.............................................................................................................139

Determining the Exposure Index............................................................................................................... 140Patient CD.............................................................................................................................................. 142

Patient CD (optional).................................................................................................................................142Printing................................................................................................................................................... 144

Using the Print Tab.................................................................................................................................... 144Using the Multi-format Configuration Screen............................................................................................146Selecting a Destination .............................................................................................................................148Selecting a Text Box.................................................................................................................................. 149Positioning an Internal Text Box................................................................................................................ 150Positioning an External Text Box............................................................................................................... 151Creating a True-size Print ......................................................................................................................... 152What Is Multi-format Printing?................................................................................................................... 153Best Fit to Print.......................................................................................................................................... 154Creating Multi-format Prints ......................................................................................................................155Selecting Multi-formats.............................................................................................................................. 157

Adding a Multi-format Print........................................................................................................................158Searching Techniques........................................................................................................................... 159


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Finding an Image ...................................................................................................................................... 159Identifying Work List Colors ......................................................................................................................160Improving Search Results.........................................................................................................................161Searching for an Existing Patient.............................................................................................................. 164Using the Patient Query Screen ...............................................................................................................166

Using the Patient Work List Screen .......................................................................................................... 167Using the Image List Screen.....................................................................................................................168

Views .....................................................................................................................................................170Defining a View .........................................................................................................................................170

Adding a View ...........................................................................................................................................171Deleting a View .........................................................................................................................................172Changing the View Name ......................................................................................................................... 173Capture Link System................................................................................................................................. 175

Basic information ................................................................................................................................... 175

Joining Devices.........................................................................................................................................175Capture Link System Workflow................................................................................................................. 176Capture Link System Range of Operation ................................................................................................ 177Identifying Active Devices in the Capture Link System.............................................................................182Identifying Icons ........................................................................................................................................183Using the Capture Link System ................................................................................................................ 185Standalone Mode ......................................................................................................................................187

Basic Capture Link System Operations.................................................................................................188Changing Image Processing in the Capture Link System ........................................................................188Configuring Destination Profiles with the Capture Link System................................................................ 190Communicating with the HIS/RIS.............................................................................................................. 192Entering Data in the Capture Link System................................................................................................193Image Review with the Capture Link System ...........................................................................................194Multi-format Printing with the Capture Link System.................................................................................. 195Scanning Long-Length Images (LLI) on the Capture Link System........................................................... 196

Capture Link System Communications ................................................................................................. 197Image Recovery on the Capture Link System ..........................................................................................197Rejoining the Capture Link System........................................................................................................... 199Redelivering an Image ..............................................................................................................................200Using Image Recovery to Capture Link ....................................................................................................201

Capture Link Configuration....................................................................................................................202


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Making Preference Editor Changes in the Capture Link System..............................................................202Capture Link Configuration Screen...........................................................................................................204Configuring and Connecting a Console or Accessory Device ..................................................................205Capture Link System Requirements ......................................................................................................... 206Restoring Configurations from the Server to a Standalone Machine........................................................207

Removing a Console from the Capture Link System................................................................................208Troubleshooting the Capture Link System................................................................................................ 209

Capture Link Server Help ......................................................................................................................210Capture Link Server Safety and Regulatory .............................................................................................210

EMC....................................................................................................................................................... 210Safety..................................................................................................................................................... 210

Logging On to the Capture Link Server .................................................................................................... 211Using the Capture Link Server Status Screen ..........................................................................................212Using the Capture Link Server.................................................................................................................. 213Key Operator Functions ............................................................................................................................ 215Key Operator Functions Menu .................................................................................................................. 215Backup and Restore Configurations......................................................................................................... 216

Navigational Buttons..............................................................................................................................219Bar-Code Scanner Configuration .......................................................................................................... 220

Programming the Automatic Trigger ......................................................................................................... 220Bar-Code Configuration Menu .................................................................................................................. 221How to Configure a Bar-Code...................................................................................................................221Bar-Code Configuration ............................................................................................................................ 222Bar-Code Programming............................................................................................................................ 224How to Change the Beeper Mode.............................................................................................................225How to Change the Cassette ID format ....................................................................................................226Changing the Country Code...................................................................................................................... 227Changing the Data Field Size ................................................................................................................... 229Changing the Prefix and Suffix..................................................................................................................230Configuring Reread Delay.........................................................................................................................231Stripping a Bar-Code Field........................................................................................................................232Stripping Middle Characters from the Bar-Code....................................................................................... 233Using the Bar-Code Configuration Screen................................................................................................ 234

Bar-Code Programming Samples....................................................................................................... 236


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Bar-Code Programming Samples.............................................................................................................236Bar-Code Programming Samples (Page 2) ..............................................................................................238Bar-Code Programming Samples (Page 3) ..............................................................................................240Bar-Code Programming Samples (Page 4) ..............................................................................................242Bar-Code Programming Samples (Page 5) ..............................................................................................244

Bar-Code Programming Samples (Page 6) ..............................................................................................246Bar-Code Programming Samples (Page 7) ..............................................................................................247Programming the Keyboard Wedge Bar-Code Reader ............................................................................ 248Programming the Keyboard Wedge Bar-Code Reader and Add Suffix .................................................... 250Programming the PS2 Keyboard Bar-Code Reader.................................................................................252Programming the PS2 Keyboard Bar-Code Reader and Add Suffix.........................................................254Programming the PS2 to USB Keyboard Bar-Code Reader .................................................................... 256Programming the PS2 to USB Keyboard Bar-Code Reader and Add Suffix ............................................ 258Programming the Serial Scanner Bar-Code Reader ................................................................................ 259Programming the USB as Serial Bar-Code Reader.................................................................................. 260

HIS/RIS Communications Configuration ............................................................................................... 261How to Configure for a Polling Query ....................................................................................................... 261HIS/RIS Options ........................................................................................................................................ 261

Navigation Buttons................................................................................................................................. 262HIS/RIS Polling Query............................................................................................................................... 263How to Change Field Descriptions............................................................................................................265

Navigation Buttons................................................................................................................................. 265Long-Length Imaging Configuration..........................................................................................................266Required Source to Image (SID) values................................................................................................266

Navigation Buttons................................................................................................................................. 266Setting the Limits for Image Retention...................................................................................................... 267Color Preferences Configuration............................................................................................................... 268

Navigational Buttons..............................................................................................................................268Delivery Preferences Configuration.......................................................................................................... 269Display Configuration................................................................................................................................271Harvesting Flagged Images ......................................................................................................................274

Flagged Image List Controls.................................................................................................................. 274Why Didn't My Images Transfer? .......................................................................................................... 275Monitor Calibration................................................................................................................................. 276

Monitor Calibration Introduction................................................................................................................ 276Why Can't I Start the Test?.................................................................................................................... 276


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Display Pro for General Radiography .......................................................................................................277SMPTE Test Target ................................................................................................................................... 278Monitor Calibration.................................................................................................................................... 279

Why Can't I Start the Test?.................................................................................................................... 279Touch-screen Calibration .......................................................................................................................... 280

Why Can't I Get to the Calibration Screen?...........................................................................................280Measuring Luminance for Tracking...........................................................................................................281Measuring Luminance for Gamma............................................................................................................282How to Order a VERILUM CHROMA 5 Photometer .................................................................................283Regional Configuration.............................................................................................................................. 284

System Configuration ............................................................................................................................ 285Layout Configuration................................................................................................................................. 285

Patient Input Screen Layout Samples ...................................................................................................286List Configuration ...................................................................................................................................... 289

Navigation Buttons................................................................................................................................. 289Procedure Mapping Configuration (optional) ............................................................................................291

Navigation Buttons................................................................................................................................. 291Reject Reasons Configuration .................................................................................................................. 293

Navigation Buttons................................................................................................................................. 293Required Fields Configuration................................................................................................................... 295

Navigational Buttons..............................................................................................................................295Image Viewer Editor Configuration........................................................................................................296

Changing Image Processing Preferences ................................................................................................ 296Navigational Buttons..............................................................................................................................297

What Is a Look? ........................................................................................................................................ 299The Family of Looks ..............................................................................................................................299

What Is a DICOM GSDF-calibrated Monitor?...........................................................................................300Region of Interest (ROI) Tool .................................................................................................................... 301

Mean Code Value Usefulness ...............................................................................................................302Image Processing Controls....................................................................................................................... 303Using View Before and After .....................................................................................................................304Changing the Look .................................................................................................................................... 305

Navigational Buttons..............................................................................................................................305Configuring Destination Profiles ............................................................................................................306

What Is a Destination Profile?................................................................................................................... 306Destination Profile Configuration ..............................................................................................................307

Navigational Buttons..............................................................................................................................308View Configuration................................................................................................................................. 309

View Configuration.................................................................................................................................... 309Navigational Buttons..............................................................................................................................311


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Tab Controls ..........................................................................................................................................312Configuring Surround Mask Enlargement................................................................................................. 314

Surround Mask Enlargement Appearance ............................................................................................314Changing View Configuration Attributes ................................................................................................... 316

Navigation Buttons................................................................................................................................. 316Managing View Categories .......................................................................................................................317What Is a SNOMED Code.......................................................................................................................318

Trauma Default Configuration................................................................................................................ 319Trauma Defaults Configuration ................................................................................................................. 319

Navigation Buttons................................................................................................................................. 319Entering or Changing Trauma Exam Data................................................................................................ 321Hiding Trauma Exam Buttons ................................................................................................................... 322

Statistics................................................................................................................................................. 323Viewing Radiographer's Statistics.............................................................................................................323

Navigational Buttons..............................................................................................................................323Viewing Destination Summary Statistics...................................................................................................324

Navigation Buttons................................................................................................................................. 324Viewing the Flagged Image List................................................................................................................325

Navigation Buttons................................................................................................................................. 325Downloading Statistics ..............................................................................................................................326

Navigation Buttons................................................................................................................................. 326Cassette Statistics..................................................................................................................................... 327Erase Cycles ............................................................................................................................................. 328Exporting Data........................................................................................................................................... 329

Text Box Configuration .......................................................................................................................... 331

Configurable Text Box Menu.....................................................................................................................331Configuring Text Boxes .............................................................................................................................332Multi-format Image Internal Text Box ........................................................................................................ 333Selecting an Internal or an External Text Box ...........................................................................................334Using a Single Image Internal Text Box ....................................................................................................335Using a Multi-format Image Internal Text Box...........................................................................................336Using a Multi-format Image External Text Box..........................................................................................337Using a Multi-format Page External Text Box ...........................................................................................338Using a Single Image External Text Box...................................................................................................339Selecting a Default Multi-format Text Box ................................................................................................. 340Editing a Text Box ..................................................................................................................................... 341

What are the Text Box Editing Controls? ..............................................................................................342


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Configurable Text Box Options.................................................................................................................. 344Managing Patient Exam Records .............................................................................................................345

Navigational Controls............................................................................................................................. 345Register and Activate Options................................................................................................................... 346

Navigational Buttons..............................................................................................................................347Scanner Options ....................................................................................................................................... 348CSA Log Viewer ........................................................................................................................................ 349Remote Devices........................................................................................................................................ 351Configuring Remote Devices ....................................................................................................................351

Navigational Buttons..............................................................................................................................351Setting Up Remote Access to the CR or DR System ............................................................................... 353Remote Workstation Options ....................................................................................................................354Easy to Use Remote Access Software .....................................................................................................356ROP Links Configuration...........................................................................................................................357

Administrative Analysis and Reporting Feature ........................................................................................ 358Remote Patient Data Entry System .......................................................................................................... 359Remote Patient Data Entry System (RPDES) ..........................................................................................359Local User Interface.................................................................................................................................. 361Local User Interface Main Menu ...............................................................................................................361Using the Volume Settings Tab ................................................................................................................. 364Long-Length Imaging ................................................................................................................................365Long-Length Imaging Menu ......................................................................................................................365

Acquiring Images................................................................................................................................... 365Composite Images................................................................................................................................. 365

Acquiring Images................................................................................................................................... 366Performing a Long-Length Exam..............................................................................................................366Optimizing a Long-Length Exam...............................................................................................................367Entering Data for an LLI Exam..................................................................................................................368Determining the SID.................................................................................................................................. 369LLI Techniques .......................................................................................................................................... 370Scanning Long-Length Images (LLI) on the Capture Link System........................................................... 371

Assigning and Unassigning Long-Length Images (LLI) ............................................................................ 372KODAK DIRECTVIEW CR Long-Length Grid........................................................................................... 373Tips for Optimizing Long-length Image Quality.........................................................................................374

Composite Images................................................................................................................................. 375


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Printing Long-Length Images.................................................................................................................... 375Viewing Long-Length Images....................................................................................................................376No Composite Image ................................................................................................................................377Images are Stitched Incorrectly................................................................................................................. 378Distorted Composite Image....................................................................................................................... 379

Total Quality Tool ....................................................................................................................................... 381What Is TQT?............................................................................................................................................ 381Performing System Tests .......................................................................................................................... 382Testing Cassettes ...................................................................................................................................... 383Selecting a Test Phantom ......................................................................................................................... 384Positioning a Test Phantom....................................................................................................................... 385

Appending the Session.............................................................................................................................387Exposure................................................................................................................................................ 388

Determining the Exposure......................................................................................................................... 388Collimating for TQT Testing....................................................................................................................... 389

System Testing......................................................................................................................................390Using the Total Quality Tool Main Page ....................................................................................................390

Tests ...................................................................................................................................................... 390Performing Phantom Tests for General Radiography ............................................................................... 392Performing the Erased Image Test............................................................................................................ 393Understanding the System Noise Test......................................................................................................394

Cassette Testing....................................................................................................................................395Cassette Testing Menu.............................................................................................................................. 395Testing Cassettes with TQT ......................................................................................................................396Flat-Field Image Test................................................................................................................................. 397Performing a Flat-Field ImageTest ........................................................................................................... 399Best Results from Cassette Testing .......................................................................................................... 400Viewing Test Result Indicators .................................................................................................................. 401Reported Cassette Test Results................................................................................................................ 402

Results...................................................................................................................................................403Using Results (Page 1) .............................................................................................................................403Using Results (Page 2) .............................................................................................................................404

How to Export Data................................................................................................................................... 405

Additional Tests ..................................................................................................................................... 406


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Cassette Inventory and Inspection............................................................................................................406Cleaning Cassettes................................................................................................................................... 407Film-Printer Calibration Test...................................................................................................................... 408Workstation Display Calibration Test......................................................................................................... 409

Troubleshooting..................................................................................................................................... 410Phantom Image Test Failure .....................................................................................................................410Flat-field Test Failure ................................................................................................................................. 415System Noise Test Failure ........................................................................................................................417Troubleshooting TQT for General Radiography........................................................................................418Utilities....................................................................................................................................................... 419Utilities Menu............................................................................................................................................. 419Changing Your Password.......................................................................................................................... 420Installing Software Updates ......................................................................................................................421Image Recovery on the Capture Link System ..........................................................................................422Using the Capture Link Server Status Screen ..........................................................................................424Viewing the Status of System Communications........................................................................................425Glossary .................................................................................................................................................... 427Index.......................................................................................................................................................... 433


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General Information

New Features

Select the links below for more information about the new features introduced with this software

version.Auto-AssociateAn automatic association of a cassette with a View is introduced on theClassic/Elite and825/850 CRSystems.

Backup and RestoreWonder what's backed up and what's not? A complete map of backupfeatures by equipment typeis included.

Bar-Code ConfigurationConfiguration for all bar-code readers. New bar-code samplesareprovided for all bar-code readers.

Bar-Code RequisitionThe system retrieves an exam from the work list when reading a bar-code record of the Accession Number, orPatient ID at the Main Menuor Image ReviewScreen.

Capture Link SystemThe Range of Operationdescribes which system configurations aretransferred to CR and DR devices when a change in the Capture Link System occurs.

Carestream Health Display Pro TargetProvides a visual density scale to determine whetherthe monitorneeds to be calibrated.

Local User InterfaceA complete feature menu is available on the Classic/Elite CR System,replacing the Scan Status Screenfunction.

Manual Cropping Manual Cropping lets you crop an image when printing it onto a film that issmaller than the cassette in which the image was exposed. A crop box is displayed when theManual Crop feature is activated. The aspect ratio of the crop box is fixed depending upon theprinter selected. From the Main Menu, select Image Review.

Measurement Tools You can measure and display the Distance, Angle, andCobbAngleduring the process of reviewing images on the CR or DR Console.

More Image DataYou can edit patient information at any time before image delivery.

Patient CDYou can make a CD of a patient's study or of all studies for a patient with a push ofa button.

Region of InterestThe Region of Interest(ROI) is a defined region on the image that revealsthe mean pixel value of a selected point. This software version adds optical density to thecalculation, so the displayed value now includes the value for the raw (unprocessed) image,as well as the processed image.

QA by Image ModeThe Key Operator selects this option in the Delivery Preferences

Screen. When an image is associated with a view on the Patient Input Screen, it willimmediately open the Image Viewer Screen.


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Use of CR System and DR System Terminology

KODAK DIRECTVIEW Version 5 Software has a software base that is used commonly betweenCR and DR Systems. CR and DR Systems are referred to as the Modality. Common referenceswill be made as Modality.

If information applies only to a specific CR or DR system, the system name will be clearlyindicated, or the model name will be clearly indicated, such as CR 850 System or DR 7500System.


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About Online Help

29 January 2009

Online Help Version C1.4

Software VersionThe Online Help provides information on the function of CR Systems operating KODAKDIRECTVIEW Version 5.2 software or higher.

How Do I Access and Navigate Help?

Select the question mark in the upper right corner of the CR or DR screen to open context-sensitive help.

Select the Backor Forwardarrows at the top of the Help window to move from screen toscreen.

Select the Closebutton at the top of the Help window to close the Online Help.

Select any blue linkto jump to related topics for additional information: Main Menu

Select the Contentstab for access to all of the topics.

Select a term in the Indextab and select Display.

Select the Glossarytab for definitions of terms.

Document Conventions

The Online Help uses the following messages to emphasize information or potential risks topersonnel or equipment:

Notes provide additional information, such as expanded explanations, hints, or reminders.

Importants highlight critical policy information that affect how you use this information and thisproduct.

Cautions point out procedures that you must follow precisely to avoid injury to yourself,others, damage to the system or any of its components, loss of data, or corruption offiles in software applications.

A tip is a technique or best practice recommendation that may improve your workflow.

Study Data indicates the topic is located in the Study Datasection of the software.

Image Review indicates the topic is located in the Image Reviewsection of the software.

Key Operator indicates the path through the Key Operatorsoftware to the topic screen.


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KODAK DIRECTVIEW Software

Trademark and Copyright Information

DIRECTVIEW and DRYVIEW are trademarks of Carestream Health, Inc.

The Kodak trademark and trade dress are used under license from Kodak.

This document is copyrighted with all rights reserved.

Under the copyright laws, this document may not be copied, in whole or in part, without thewritten consent of Carestream Health, Inc.

Under the law, copying includes translating into another language or format.

All names or identities used in this document are fictitious.

Federal law restricts this device to sale to, by, or on order of a physician.

The information contained herein is based on the experience and knowledge relating to thesubject matter gained by Carestream Health, Inc. prior to publication. No patent license isgranted by this information.

Carestream Health reserves the right to change this information without notice and makes nowarranty, express or implied, with respect to this information.

Carestream Health shall not be liable for any loss or damage, including consequential or specialdamages, resulting from the use of this information, even if loss or damage is caused byCarestream Health's negligence or other fault.

FCC Compliance

This equipment has been tested and found to comply with the limits for a Class A digital device,

pursuant to Part 15 of the FCC Rules.These limits are designed to provide reasonable protection against harmful interference whenthe equipment is operated in a commercial environment. This equipment generates, uses, andcan radiate radio frequency energy and, if not installed and used in accordance with theinstruction manual, may cause harmful interference to radio communications.

Operation of this equipment in a residential area is likely to cause harmful interference in whichcase users will be required to correct the interference at their own expense.

29 January 2009

Online Help Version C1.4

PN 8G0242

Carestream Health, Inc.

150 Verona Street

Rochester, N.Y. 14608


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How to Contact Carestream Health, Inc.

In the U.S. and Canada:

Contact Carestream Health Technical Service Center when directed by your ServiceRepresentative.

1-800-328-2910

General Customer Support for US and Canada

150 Verona Street

Rochester, NY 14608

1-800-431-7278

Cassette Repair Hotline

1-800-322-5711

If the cassette is in warranty, you will be assisted through the process.

If the cassette is out of warranty, you will receive a contact for cassette repair and cost.

Elsewhere in the world, contact Carestream Health, Inc. in your country.


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AEC Calibration

The X-ray energy dependence of Computed Radiography detectors may be different than thatof intensifying screens used to expose film. Adjustment of the AEC configuration may benecessary to account for the transmission of the KODAK DIRECTVIEW CR Cassette.

If AEC adjustment is required, it is appropriate to adjust AEC photo timers over the full range ofX-ray energies (kVp) that are used. The recommended exposure level is a generalrecommendation based on balancing the requirements for high image quality and minimumpatient dose. All adjustments that affect patient dose should be done under the guidance of acertified medical physicist to ensure that exposures are in compliance with all applicableguidelines and local regulations.

A Medical Physicist or, if permitted by applicable regulations, qualified personnel under directionof a Medical Physicist should:

Perform the necessary acceptance testing

Ensure the X-Ray Units Automatic Exposure Control (AEC) is properly calibrated for use withKODAK DIRECTVIEW CR Cassettes and meets applicable regulations.

Establish and/or approve the use of an exposure technique control chart.

If required, Carestream Health, Inc. can provide guidance for the AEC calibration procedure.Contact your Carestream Health Inc. representative for more information.

All AEC adjustments and calibrations must be performed by qualified X-ray equipmentmanufacturers or trained service providers.

See Also

Contact Carestream Health, Inc.


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CR System Overviews

Main Menu Functions

The headings throughout the Help are color-coded for easy reference.

Function Name Description

Study Data Locate Patient and Exam Data

Enter New Patient Data

Create New Studies

Access Work Lists

Image Review Search for and View all Stored Images

Change Image Presentation

Add Markers, Change Orientation, Reverse Viewing; turn on/offGrid Suppression and Noise Suppression

Change Image Quality Controls, Masking

Reprocess

Print Images as Single or Multi-Format

Scan Status Display the Last Scanned Image

Erase the Cassette

Display the Erase Lamp Status

Release Cassette and Phosphor Screen Jams

Key OperatorFunctions

Set up and Manage System Configurations

Service Functions Service the Machine (Qualified Service personnel only)

Utilities Change Password System Status

Software Updates

Image Recovery

Image Recovery Capture Link

Capture Link Server Status

SecurityAdministratorFunctions

Generate User Names

Manage User Accounts

Role Settings

User Configuration

Security Log Configuration

Archive Security Log Entries

New Patient Button Immediately opens the Patient Input Screen to create a new patient

record.patient record.'

Quick Menu Button Provides quick access to logon, logout, and shutdown menus.

Images Not Displays the number of images on the system that are not


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Assigned Button assigned. Pressing the button takes you to the Image ReviewScreen where the images are available.

The Key Operator Functions, Service Functions, and Security Administrator Functions are onlyaccessible by authorized personnel.

See also:

Quick Reference Button Guide

Radiographer's Screen Guide

Key Operator Functions

Utilities Menu


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Quick Reference Button Guide

Select each button name for a description of its function.

In the Modality, a gray button indicates that the function is not active or available at that time.

Back Cancel Main Menu

Add View Delete View Save Changes

AcceptImage

Reject Image Re-Deliver Image

Find StudyLocally

Find StudyRemotely

Clear Fields

Reprocess AssignImage

Unassign Image


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Logon Logout Quick Menu

Shutdown Flag forReview

Marker

ImagesFailed toDeliver

Images NotAssigned

Select Destination

DestinationStatus

ChangeDestinationProfile

Print

Add Multi-format Print

Delete Multi-format Print

Change Multi-formatConfiguration

Multi-format TraumaDiscontinue/Cancel


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Next Page PreviousPage

New Patient

New Study Begin Study End Study

Accept AllContinue WithoutSaving


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Radiographer's Screen Guide

Select a link below for information about the Radiographer's screens and tabs.

Main MenuPatient Query

Patient Work List Screen

Patient Input Screen

More Image Data Tab

More Information Tab

Image Review Screen

Multi-format Configuration Screen

Image Viewer Screen

Image Adjustment Tab

Markers Tab

Surround Mask Tab

View Modification Tab

Crop Box Adjustment Tab

Print Tab

Magnification Tab

Comment Tab


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CR System Software Overview

KODAK DIRECTVIEW EVP Plus Software (option)is a multi-frequency rendering algorithm. Itprovides an image processing method that lets the system parameters provide independentcontrol of fundamental image quality attributes such as:

brightness

latitude

detail contrast

sharpness

noise suppression

KODAK DIRECTVIEW Image Processing Software is available for systems that do notpurchase the EVP option. This default software option provides you with less control of theimage processing features and allows only one View to choose from in the Image ProcessingPreference Editor. Contact your sales representative for more information.

See also:

Brightness, Latitude, and Detail Contrast

Reducing Noise in an Image


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CR Modality Overview

The DIRECTVIEW CR (Computed Radiography) product family consists of a series of medicalscanners utilizing phosphor screen technology to produce diagnostic quality images. Thedifferent product members offer a variety of performances and functional capabilities to meet the

demands of a range of large centralized sites to small clinics.Each scanner allows the radiographer to input the required data manually or interface with thesite's HIS/RIS to retrieve patient information. Using the device's User Interface, the radiographercan verify proper image placement and check for motion prior to routing images to printers orstore devices. The products can communicate with other medical devices, specifically storedevices and printers, that support the DICOM 3 standard.

The products support a number of add-on options that allow extended functionality, such asadvanced image processing, ability to perform long-length imaging, image reject analysis, andvarious workflow enhancements. The products also support the use of the optional Total QualityTool (TQT) as a means to verify the integrity of the image acquisition and erase sub-systemsand the individual cassettes.

In addition, the CR System provides a Remote Operations Panel (ROP) that can be used tointeract with the product. This remote workstation allows control of certain CR System functionsfrom a remote location.

See also:

What is TQT?

Remote Workstation Options

Scanning on a Classic/Elite CR System

Scanning on a CR 825/850 System

Scanning on a CR 950/975 System


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Brightness, Latitude, and Detail Contrast Definitions

The radiographer may adjust three powerful parameters to fine-tune image quality.

Brightnessmakes an image lighter or darker.

Latitudecontrols the number of shades of gray visible in the image. Increasing the latitudeincreases the number of gray levels, making blacks and whites less apparent. You may want toincrease the latitude if important anatomical information is in the black or white region of theimage and it cannot be visualized.

Detail Contrastcontrols the local contrast of medium-sized structures such as joint spaces,vertebral body spacings, and ribs in the image. Increasing detail contrast makes anatomicalfeatures more pronounced.

See also:

Using the Image Viewer Screen

Using the Image Adjustment Tab

Adjusting Image Parameters

Viewing More Detail

Adjusting Image Quality Controls

Low Contrast Images

Increasing Latitude

Using the Histogram

Reprocessing an Image

How to Use Window and Level


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Scheduled Workflow

Key Operator Functions > System Configuration > DisplayConfiguration

Workflow Configurations

A Key Operator configures the System workflow to organize the way images are foldered at theworkstation. To set-up this configuration, go to Key Operator Functions > SystemConfiguration > Display Configuration. Select the Patient Input Tab. You can select theradio button to configure your system with one of two ways to identify images:

Image Identifier Result

Select Create new procedure stepsfrom Patient Input to keep the sameStudy Instance Unique Identifier

(SIUID)This places the images into thesame study.

Create new procedure steps from thePatient Input Screen.

Select Create new Studies fromPatient Input to generate a new StudyInstance Unique Identifier (SIUID) and anew Procedure Step.

Create new studies from the PatientInput Screen.

Scheduled Workflowis an option that may be used with either of the workflow configurationslisted above.

Your system may be configured for either mode for Integrated Healthcare Enterprise (IHE)

compliance.

See also:

MPPS Mode


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Modality Performed Procedure Step (MPPS)

MPPSis an element of the optional Scheduled Workflowsoftware feature. The MPPS featurecommunicates with the Modality Performed Procedure Step Manager every time a procedurestarts, ends, or is discontinued using the appropriate button on the Patient Input Screen. The

Modality Performed Procedure Step Manager is responsible for updating the PACS system withthe information sent by the CR System.

The Key Operator selects the "Send scheduled workflow MPPS command" option on theHIS/RIS Polling & Remote Query Screen.

See also:

Using the Patient Input Screen

HIS/RIS Configuration

HIS/RIS Polling Query


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Key Operator Functions > System Configuration > ScheduledWorkflow Configuration

Scheduled Workflow Configurations

Scheduled Workflowprovides automatic notification of exam status to the HIS, reducing thesteps necessary to complete the exam. It provides consistency for ordering patient images, anddefines schedules and imaging acquisition procedures.

Select the following check boxes to configure your system with one or more of the followingconditions:

Setting the Procedure Steps to Complete

Select the check box to configure Scheduled Workflow so that a study is automatically set toComplete when all images are accepted.

Display End Procedure Step Confirmation Dialog BoxSelect the check box to configure an End Study prompt when all images are accepted.


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Scanning Equipment and Procedures

Scanning CR Cassettes Menu

Scanning on the Classic/Elite CR System

Scanning on the CR 825/850 System

Scanning on the CR 950/975 System

High-Resolution Scanning

Scanner Error

Slow System Response

CR System Freeze-up


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Using the Touch-Screen

When you are logged on, the Main Menuappears on the touch-screen.

To select a menu choice, select the center of the button. Selecting the edge of the button maygive you unexpected results.

Use only your finger or mouse to select buttons on the screen. Other objects can damage thesurface of the touch-screen.

The touch-screen automatically shuts off or goes to "sleep" if it is not used for a certain length oftime. Select the screen to reactivate it.

The basic Classic CR system is shipped with a flat panel, non-touch screen monitor. A touchscreen monitor is available as an upgrade on a Classic CR system.


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High-Resolution Scanning

High-Resolution scanning produces diagnostic quality images with 97 micron spacing betweenpixels. The bar-code on the cassette tells the CR System that a GP Plus Cassette is inserted,and the scan rate changes to 97 microns.

GP Plus Scan Mode, available worldwide, produces high-resolution images with KODAK GPPlus cassett

Kodak Cr Topics Soft. Ver. 5.2

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