Syngo - Plaza: Software Version VA20B and Higher Operator and Administrator Manual - Addendum

syngo.
plaza
Software Version VA20B and higher
Operator and Administrator Manual - Addendum
www.siemens.com/healthcare
All product denominations and company names are trademarks or registered
trademarks of the corresponding companies.
Siemens reserves the right to modify the design and specifications contained herein
without prior notice.
Some of the specifications described herein may not be currently available in all
countries.
Please contact your local Siemens Sales representative for the most current information.
Caution: U.S. federal law restricts the herein described devices to sale by or on the order
of a physician.
The software described herein is CE-compliant in accordance with Directive MDD

93/42/EEC Appendix II of June 14th, 1993.
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Siemens AG
Medical Solutions
0123 Image and Knowledge Management
Henkestr. 127
DE-91052 Erlangen
Germany
Telephone: +49 9131 84-0
www.siemens.com/syngo-suite
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Germany
Telephone: +49 9131 84-0
Copyright © 02.2011, Siemens AG. All rights reserved.
Order No.: P05-007.623.02.01.02
syngo.plaza
Table of Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Further Documentation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Signs and Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Intended Use of syngo.plaza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
The Program Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Edition Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2 Safety Advisory Addendum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Additional Rules of Safety for Clinical Users . . . . . . . . . . . . . . . . . . . . . . . . . 16
Additional Rules of Safety for Administrators . . . . . . . . . . . . . . . . . . . . . . . . 18
3 Additional Functions in the Patient List. . . . . . . . . . . . . . . . . . . . . . . 23

Loading with Priors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Additional Functions and Icons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4 Additional Functions in the Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . 27

General Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Working with Layouts for Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Layout Parameters for Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Workflow Example for Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Calculating the Cardiothoracic Ratio (CTR) . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Additional Functions and Icons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
5 syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Getting Started with syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . 42
6 DICOM LTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
7 MCM Data Migration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Magic Compatibility Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Data Transition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
8 Administration and Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Overview of Configuration Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Modifications in the Viewer Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Configuring Annotation Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Configuring Spine Labeling Worksteps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Configuring the Context Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Configuring Related Priors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Configuring the DICOM LTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Configuring the MCM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Modifications in the Patient List Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Configuring Archive Rules and MTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Modifications in the General Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Addendum 3
Table of Contents
Configuring syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Modifications in the RIS Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
A Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
B Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
4 syngo.plaza
1 1
Welcome
Introduction 1
This chapter introduces you to the contents of the syngo®.plaza Operator and
Administrator Manual - Addendum and explains how it is organized.
You also find a short overview of further documentation available, and you get
familiarized with the intended use of syngo.plaza.
Addendum 5
1 Introduction
This Manual
This syngo.plaza VA20B Addendum supplements both the Operator Manual
and the Administrator Manual of the version VA10A, which are still valid.
Please carefully read this syngo.plaza VA20B Addendum. In this document,
only functions that have been added or improved for the versions VA20A and
VA20B of syngo.plaza are described.
This Addendum thus substitutes the syngo.plaza VA20A Addendum.
Safety Notices It is assumed that syngo.plaza is operated by qualified personnel only.

However, Notes, Cautions, and Warnings indicate where special attention is
required. See also “Safety Advisory Addendum” on page 15.
Further Documentation
In the following list, you will find an overview of further documentation
related to syngo.plaza VA20B.
Release Note The syngo.plaza Release Note describes new and improved features, known
issues, and a lot of other useful information on the software version VA20B.
Please carefully read the Release Note, which is part of the syngo.plaza user
documentation. The Release Note supplements the Operator Manual.
Operator Manual The syngo.plaza VA10A Operator Manual helps you to quickly start working
with your syngo.plaza workplace. It familiarizes you with the most important
concepts and the basic operating elements of the syngo.plaza workplace.
We recommend reading the chapter “Safety Advisory” before you start
working with syngo.plaza VA20B.
The Operator Manual and the Administrator Manual of VA10A remain valid
and are supplemented by the Operator and Administrator Manual Addendum
of VA20B.
The additionally available application syngo MammoReport with its
functionalities and configuration options is described in the syngo
MammoReport Operator Manual.
Administrator Manual The syngo.plaza VA10A Administrator Manual provides you with step-by-step
instructions for setting up the user administration, the configuration, and the
administration of the system.
6 syngo.plaza
Introduction 1
The Operator Manual and the Administrator Manual of VA10A remain valid
and are supplemented by the Operator and Administrator Manual Addendum
of VA20B.
Online User The syngo.plaza Online User Documentation serves as an online reference
Documentation containing detailed step-by-step instructions for the user.
Online Help The syngo.plaza Online Help provides quick on-screen access to task-oriented
information about functions of syngo.plaza.
There are some separate online help modules used for parts of Embedded 3D,
for the DICOM SR Viewer, and for the MWL Scheduler.
Installation Manuals The syngo.plaza Installation Manuals lead you or your Siemens Service
personnel step-by-step through the installation procedures of your
syngo.plaza system.
Please contact your Siemens Service to obtain the latest versions.
Addendum 7
1 Introduction
Signs and Symbols
9 Prerequisite for subsequent operating steps

◆ One-step operation
1 Operating sequence
■ List item
➜ Guideline
Note for optimal handling
Problem, description and remedy
Tip to facilitate tasks for the user
Bold Window, and function names are written in bold letters,

letters for example, Open Patient List icon.
Italics Italics indicate status information, for example, Signed off, and also
emphasize particularly important sections of text.
→DICOM Example of terms and abbreviations that are explained in the glossary.
8 syngo.plaza
Introduction 1
Warnings and Cautions

Warnings and cautions are specially marked in the documentation.
The content of a Warning or a Caution is structured into three sections:
Cause, Consequence, and Remedy.
Warning WARNING indicates potential danger that could cause injury or death in
extreme cases.
First, the source of danger is addressed!

Then, possible consequences are described.
WARNING
◆ Finally, measures are given to prevent a dangerous situation.
Caution CAUTION indicates potential (direct) danger that could cause minor injury or
damage to the system.
First, the source of danger is addressed!

Then, possible consequences are described.
CAUTION
◆ Finally, measures are given to prevent a dangerous situation.
To operate syngo.plaza safely, read the “Safety Advisory” chapter in this

document. This chapter supplements the “Safety Advisory” chapters in the
Operator Manual and in the Administrator Manual of syngo.plaza VA10A.
Addendum 9
1 Introduction
Intended Use of syngo.plaza

With the version VA20B, the intended use of syngo.plaza has been extended:
syngo.plaza is a Picture Archiving and Communication System intended to
display, process, read, report, communicate, distribute, store, and archive
digital medical images, including mammographic images.
It supports the physician in diagnosis and treatment planning.
For primary image diagnosis in Mammography only uncompressed or non-
lossy compressed images and only preprocessed DICOM "For Presentation"
images must be used. Also monitors (displays) and printers which received
FDA clearance for Mammography must be used.
syngo.plaza also supports DICOM Structured Reports.
In a comprehensive imaging suite, syngo.plaza integrates Hospital/Radiology
Information Systems (HIS/RIS) to enable customer-specific workflows.
syngo.plaza optionally uses a variety of advanced postprocessing applications.
Web-based image distribution is not intended for reporting.
10 syngo.plaza
Introduction 1
The Program Modules

The program interface is designed on the card index principle (syngo
standard). Its structure reflects the workflow at an image viewing and
archiving workplace.
The number of functions on your syngo.plaza workplace depends on the

licenses available, and on your personal user privileges.
Task cards
The main applications are set up as task cards, and are easily accessed using
the tabs at the edge of the screen.
Viewer ■ You can view images on the Viewer task card, and if necessary, edit them.
The Viewer offers a wide range of functions for displaying, viewing, and
evaluating images.
CD-R and Archive ■ Depending on your license, the CD-R, or Archive task card is shown. This
task card enables you to create patient media, start manual archiving, and
to manage the archive database.
Scanner ■ On the Scanner task card, you can digitize images, such as X-ray films or
reports. The digitized images can then be forwarded to other physicians,
for example, over the intranet or the Internet.
Filming ■ Finally, you can also output digital images on film with the Filming task
card.
Embedded 3D ■ On the 3D task card, 2D images are merged to form a volume. New views
and slices within a volume can then be generated and evaluations made.
Addendum 11
1 Introduction
Further modules
Patient List ■ The Patient List for selecting and managing the patient data can be
accessed from all of the task cards. The Patient List comes to the
foreground on application start-up.
MWL Scheduler ■ The MWL Scheduler enables you to schedule appointments for
examinations on each configured modality.
Report Viewer ■ You can display reports from the →RIS with the Report Viewer.
With the DICOM SR Viewer, you can display DICOM Structured Reports.
syngo MammoReport ■ You can load Mammography images directly from syngo.plaza to a syngo
(Option) MammoReport workplace. syngo MammoReport is an advanced system
for reading and reporting high-volume mammograms. The application
offers an optimized workflow, which is suitable for both screening and
diagnostics.
For more information, see the syngo MammoReport Operator Manual.
12 syngo.plaza
Introduction 1
Edition Notice
In this document, only functions that have been added or improved for the
versions VA20A and VA20B of syngo.plaza are described.
In this document, syngo.plaza software version VA20B is described.
For better readability, we refer to the user in the masculine form. syngo.plaza-
specific terms are capitalized. User interface terms used in the descriptions are
highlighted in bold.
Copyright © 02.2011, Siemens AG. All rights reserved.
Privileges This document is confidential and proprietary to Siemens. It is protected by the

copyright laws of the United States of America and other countries. It is
licensed for use by customers only in strict accordance with the license
agreement governing its use.
Any reports or other figures that appear in this document are merely
illustrative and do not contain names of or data on real people. Any similarity
in names of people, living or dead, in data is strictly coincidental and is
expressly disclaimed.
Siemens does not warrant that the material contained in its documentation is
error-free. Documentation supplied to Siemens by third parties and included
with this documentation is not warranted for accuracy or completeness.
The information contained in this document is subject to change. Revisions
and updates are issued from time to time to document changes and/or
additions.
Trademarks ■ Siemens® is a registered trademark of Siemens AG.

■ syngo® is a registered trademark of Siemens AG.
■ Microsoft®, Windows®, and SQL Server® are registered trademarks of
Microsoft Corporation in the United States and other countries.
Published by Siemens AG
Medical Solutions
Image and Knowledge Management
Henkestr. 127
91052 Erlangen, Germany
http://www.siemens.com/syngo-suite
Addendum 13
1 Introduction
14 syngo.plaza
2 2
Welcome
Safety Advisory Addendum 2
The rules of safety apply to clinical users as well as to administrators.

This syngo.plaza VA20B Safety Advisory chapter supplements the Safety
Advisory chapters in the Operator Manual and in the Administrator Manual of
syngo.plaza VA10A.
To operate syngo.plaza safely, you should carefully read the Safety Advisory
chapters in this Addendum, in the syngo.plaza VA10A Operator Manual and in
the syngo.plaza VA10A Administrator Manual.
It is assumed that syngo.plaza is operated by qualified personnel only.
Addendum 15
2 Safety Advisory Addendum
Additional Rules of Safety for Clinical

Users
To guarantee the proper functionality of syngo.plaza, the following important
information has to be observed carefully.
Synchronization of Study Data
Study data cannot be synchronized, when the data is locked, for example
during auto archiving, or reading in the Viewer. Changes made within this
CAUTION time frame are not synchronized and therefore cannot be immediately
displayed .
If a synchronization fails, it can be done manually by the administrator. After
a manual synchronization, changed and synchronized study components
will be in status nearline. These data must be dearchived once again.
Risk of incorrect diagnosis due to an incomplete study
◆ Please check the error logs and have your system synchronized manually
by your administrator, if necessary.
◆ Open your study from the Patient Jacket, where data in nearline and
online storage is indicated.
Cardio Thoracic Ratio (CTR)
The precision of measurement results may be limited by several factors, for

example, the use of anterior-posterior images, a measurement inaccuracy,
CAUTION or rounding errors.
Risk of incorrect diagnosis due to incorrect measurement results
◆ Consider this effect when interpreting measurement results.
◆ Take into account that the center line is not based on anatomic
structures but on the image dimensions.
◆ Check the plausibility of measurement results.
16 syngo.plaza
Manual Calibration of Images
After manual calibration, the calibration value specified in the Calibration

dialog box may differ from the value displayed on the calibration line.
CAUTION Risk of incorrect distance values due to image pixels that are not square
◆ Consider this effect when manually calibrating images.
◆ Consider that all subsequent measurements are based on the displayed
value.
When adding new images to a series of calibrated images, the calibration is

not automatically applied to the new images. The resulting consequence
CAUTION may be a combination of calibrated and non-calibrated images.
◆ Check whether calibration is applied to all images.
◆ If necessary, recalibrate the series after having added new images.
Image Quality of Reference Images
Reference images included in the Structured Report cannot be displayed in

diagnostic quality.
CAUTION Risk of incorrect diagnosis due to insufficient image quality
◆ For diagnostic purposes, always send the images as DICOM objects.
◆ Always display the images with an adequate hardware and software.
Addendum 17
Additional Rules of Safety for

Administrators
To guarantee the proper functionality of syngo.plaza, the following important
information has to be observed carefully.
RIS/HIS Integration
The connected RIS/HIS is temporarily unavailable, for example, due to a

system crash.
CAUTION Loss of messages to or from the RIS/HIS
◆ Only set up a RIS/HIS that can buffer and return messages.
◆ Archive all messages from or to the RIS/HIS for subsequent manual
resend, if required.
◆ If the existence of images is not indicated although the respective study
is available, always check HL7 messages for the completeness of images.
Synchronization of Study Data
Study data cannot be synchronized, when the data is locked, for example
during auto archiving, or reading in the Viewer. Changes made within this
CAUTION time frame are not synchronized and therefore cannot be immediately
displayed .
If a synchronization fails, it can be done manually by the administrator. After
a manual synchronization, changed and synchronized study components
will be in status nearline. These data must be dearchived once again.
Risk of incorrect diagnosis due to an incomplete study
◆ Please check the error logs and have your system synchronized manually
by your administrator, if necessary.
◆ Open your study from the Patient Jacket, where data in nearline and
online storage is indicated.
18 syngo.plaza
Data Migration from SIENET Magic
When migrating legacy data, the Magic Compatibility Module (MCM) may
incorrectly map display information objects to image sets.
CAUTION Risk of incorrect diagnosis due to incomplete or faulty mapping of
legacy information
◆ Always check migrated data for consistency most carefully.
◆ In case of doubt, do not use the data for diagnosis.
incorrectly map legacy ACRNEMA/DICOM database fields in SIENET Magic to
CAUTION the DICOM/syngo.plaza database scheme.
Risk of incorrect diagnosis due to incorrect or missing mapping of
legacy database fields
◆ Do not use images for diagnosis that indicate insufficient information
due to data loss.
When migrating legacy data with the Magic Compatibility Module (MCM),
Presentation States (PRs) and Structured Reports (SRs) may be lost.
CAUTION Risk of incorrect diagnosis due to missing PR and SR data
◆ Contact your Siemens Service representative, or your Migration
Engineer to plan an additional DICOM migration of these data.
After database upload, parallel work of SIENET Magic and syngo.plaza data
management may lead to inconsistent information.
CAUTION Risk of incorrect diagnosis due to missing information on syngo.plaza
◆ Make sure that SIENET Magic works in read-only mode after database
upload.
◆ Make sure that new procedures are never routed to syngo.plaza
manually, but only routed by database upload.
◆ Make sure that update information from RIS/HIS for SIENET Magic data
are routed and applied to syngo.plaza, for example, an update of the
header, or the database.
◆ Configure a short update interval (< 1h).
Addendum 19
Objects stored on old WORM/MOD/CD media, on tape, or on a Network

Attached Storage (NAS) are not accessible for syngo.plaza via the Magic
CAUTION Compatibility Module (MCM).
Risk of hindering diagnosis due to a loss of prior studies
◆ Make sure that legacy data is migrated to an MCM compatible archive,
for example, to the MagicStore Long Term Manager.
◆ For more information, see the Administration and Operation Manual for
migrated systems.
Customization of syngo.plaza
Customization of the system to hinder the header update before exporting

patient data.
CAUTION Risk of wrong diagnosis due to the export of incorrect patient
demographics
◆ Only customize your system to hinder the header update if you are sure
that the recipients do not need the corrected information.
When using the True-Size function in the Viewer, an incorrect setting of the
monitor resolution leads to an incorrect display of the image size.
CAUTION In this case, it might not be possible to realize that an image is not displayed
in its real physical size.
Risk of wrong diagnosis due to incorrect monitor resolution
◆ Carefully observe the instructions in the user instructions of the monitor
manufacturer. For setting the correct monitor resolution, enter the
recommended resolution in the syngo.plaza config file.
◆ Carefully verify the monitor settings of each reporting workplace.
◆ If more information is required, please contact your Siemens Service
representative.
20 syngo.plaza
DICOM Archive Provider (DAP)
In the case that syngo.plaza is used as a DICOM Archive Provider (DAP),

DICOM Composite Objects (DCOs) are identified ambiguously.
CAUTION Risk of data loss or wrong assignment of data due to ambiguous data
identification
◆ Ensure the unique identification of patients as well as of DICOM
Composite Objects, such as images or Structured Reports.
◆ Ensure the unique assignment of all data according to the DICOM
hierarchy, image > series > study > patient.
Addendum 21
22 syngo.plaza
3 3
Welcome
Additional Functions in the

Patient List 3
This chapter supplements the syngo.plaza Operator Manual VA10A. Only

functions that have been added or improved for the versions VA20A and
VA20B of syngo.plaza are described here.
Addendum 23
3 Additional Functions in the Patient List
Loading with Priors

syngo.plaza provides the simultaneous loading of current and prior studies
from the Patient List into the Viewer.
When selecting a study from the Patient List, you can determine which of the
prior studies are loaded into the Viewer by selecting one of the following
context menu entries:
■ Load with priors (Exact)
All previous studies with the matching modality, study description, body
part, and RIS body part are loaded as prior studies.
■ Load with priors (Related)
All previous studies with the related modality, study description, body part,
and RIS body part are loaded as prior studies. What is related can be
configured.
For more information, see “Configuring Related Priors” on page 39.
■ Load with priors (All)
Previous studies of the patient are loaded regardless of any additional
matching criteria.
24 syngo.plaza
Additional Functions in the Patient List 3
Additional Functions and Icons

Several new functions are provided in the Patient List and can be called using
the following icons in the tool bar.
All Flagged Images Loads all flagged images of a selected patient/study/series into the Viewer.
Flag 1 Images Only Loads only images of a selected patient/study/series with Flag 1 into the
Viewer.
Flag 2 Images Only Loads only images of a selected patient/study/series with Flag 2 into the
Viewer.
syngo MammoReport Forwards and displays the selected mammography images in syngo
MammoReport.
Addendum 25
3 Additional Functions in the Patient List
26 syngo.plaza
4 4
Welcome
Additional Functions in the

Viewer 4
This chapter supplements the syngo.plaza Operator Manual VA10A. Only

functions that have been added or improved for the versions VA20A and
VA20B of syngo.plaza are described here.
To operate syngo.plaza safely, you should carefully read the chapter “Safety
Advisory Addendum” on page 15 and the Safety Advisory chapters in the
syngo.plaza VA10A Operator Manual and the Administrator Manual.
Addendum 27
4 Additional Functions in the Viewer
General Layout
With the version VA20B of syngo.plaza, the Viewer task card provides a new
section:
Access Bar Patient Tab
Layout Palette
Display Area
Findings Navigator
Configurable
Tool Palettes
Control Area Layout Navigator
Layout Navigator Via arrow keys or mouse click, you can assign a set of predefined layouts to
loaded images. These layouts are displayed in the Layout Navigator.
For more information, see “Working with Layouts for Mammography” on
page 29.
The remaining sections are described on page 71 of the syngo.plaza

Operator Manual VA10A.
28 syngo.plaza
Additional Functions in the Viewer 4
Working with Layouts for Mammography

To support you in reviewing, diagnosing, and reporting of mammography
images, the Layout Navigator within the Viewer of syngo.plaza offers you a
set of specific layouts for mammography images (LCC, RCC, LMLO, RMLO, etc.)
including current and prior comparison.
For report generation, a Basic SR Report and – if the corresponding license is
available – a BI-RADS® (→BI-RADS) SR Report is provided.
Layout Navigator The Layout Navigator supports you in your daily work with the following
functionalities:
■ You can load and display mammography images within the Viewer.
To support the demands of a mammography diagnosis, images can be
displayed rapidly in the required laterality and viewing position.
■ You can use the set of layouts provided by the Layout Navigator. The
layouts can be assigned to the loaded images via arrow keys or mouse
click.
■ You can configure the set of layouts according to your needs.
■ Mammography images, which do not correspond to the layout of any
workflow step within the designated workflow, can be displayed in an
optional Waste Basket (→Waste Basket) workflow step. After activating
the Display Editor mode, you can assign the Waste Basket option to a
layout by selecting Add Waste Basket in the Save Display Protocol dialog
box. This setting ensures that you can view all loaded images.
■ You can configure the generation of Structured Reports for mammography
images at the end of an examination as the last step in a set of layouts.
■ You can manipulate images as usual with Viewer functionalities, such as
markings and annotations, digital magnifications, pan operations, True
Size, Same Size and Fit Breast to Screen.
For more information on configuration issues, see “Using and Modifying the
Layout Navigator” in the Online User Documentation.
For reporting mammography images, only 5MP monitors must be used.

In the U.S.A., monitors (displays) or printers should not be used for
diagnosis, unless the Post Script printer or monitor (display) has specifically
received 510(k) clearance for this purpose.
Addendum 29
When using the True-Size function in the Viewer, an incorrect setting of the
monitor resolution leads to an incorrect display of the image size.
CAUTION In this case, it might not be possible to realize that an image is not displayed
in its real physical size.
Risk of wrong diagnosis due to incorrect monitor resolution
◆ Carefully observe the instructions in the user instructions of the monitor
manufacturer. For setting the correct monitor resolution, enter the
recommended resolution in the syngo.plaza config file.
◆ Carefully verify the monitor settings of each reporting workplace.
◆ If more information is required, please contact your Siemens Service
representative.
Please note that syngo MammoReport is not covered in this

documentation. For the use of the syngo MammoReport application in
conjunction with syngo.plaza, please refer to the syngo MammoReport
Operator Manual.
To get started with syngo MammoReport, see “Getting Started with syngo
MammoReport” on page 42.
30 syngo.plaza
Layout Parameters for Mammography

For reading mammograms, syngo.plaza provides a workflow support: you can
use or modify default layouts, or create your own layouts. Each layout
corresponds to a step within the diagnostic procedure. After creation, you can
save a set of layouts as a user-specific workflow.
Layouts are based on the following parameters:
■ Number of monitors available (1 to 4)
■ Layout of image segments (1 x 1, 1 x 2, 2 x 2, etc.)
■ View positions (for example, LM, ML, MLO, CC)
■ Laterality (L, R)
■ Prior-Study configuration
This configuration enables you to perform a comparison between the
current study and prior studies.
For more information on the workflow support, see “Creating and Modifying
Mammo Layouts” in the Online User Documentation.
Addendum 31
Workflow Example for Mammography

A standard syngo.plaza reading workflow comprises four workflow steps.
Before starting a standard syngo.plaza reading workflow, the following
prerequisites must be fulfilled:
9 Two-monitor mode is available
9 Set of suitable layouts is predefined and saved as a workflow
9 All loaded mammography images correspond to the layout of any
workflow step, or the Waste Basket workflow step is configured to be part
of the designated workflow. If the Waste Basket workflow step is
configured, all additional remaining images are displayable.
9 DICOM Structured Report (SR) generation is configured as the last step in
a set of layouts, and a BI-RADS Reporting licence is available
9 Layout Navigator is displayed
When loading images, they are automatically displayed according to the best
matching predefined workflow available. If no predefined workflow exists,
the default workflow is chosen for image display.
Getting an Overview of ◆ To have an overview displayed, start the first workflow step with loading
Both Projections the required MG images.
In the Layout Navigator, the standard workflow steps are displayed.
The first workflow step is highlighted.
According to the predefined layout for an overview, the images are displayed
as follows:
RCC LCC RMLO LMLO
Left monitor Right monitor
32 syngo.plaza
Comparing Both ◆ To compare the anterior-posterior projections, click the icon Next
Anterior-Posterior Workflow Step in the Layout Navigator:
Projections
Each monitor displays the images in 1 x 1 layout.

The second workflow step is highlighted.
According to the predefined layout for CC, the images are displayed as follows:
RCC LCC
Comparing Both Lateral ◆ To compare the lateral projections, click the icon Next Workflow Step in
Projections the Layout Navigator:
Each monitor displays the images in 1 x 1 layout.

The third workflow step is highlighted.
Addendum 33
According to the predefined layout for MLO, the images are displayed as
follows:
RMLO LMLO
Generating a DICIOM ◆ To generate a DICOM Structured Report as last step of the workflow, click
Structured Report this icon in the Layout Navigator:
The Mammo Report dialog box is displayed.

For more information on generating a Structured Report, see “Entering Details
for a SR” in the Online User Documentation.
34 syngo.plaza
Calculating the Cardiothoracic Ratio

(CTR)
You can measure the cardiothoracic ratio (CTR) to determine, for example, the
cardiac enlargement in pediatric patients.
CTR is the ratio of heart's maximum horizontal diameter to the maximum
width of the thoracic cavity.
9 A suitable image is selected
Prerequisite for CTR calculations is a standard PA (posterior-anterior) view
of Computed Radiography (CR) images and of Digital Radiography (DX)
images.
The precision of measurement results may be limited by several factors, for

example, the use of anterior-posterior images, a measurement inaccuracy,
CAUTION or rounding errors.
◆ Take into account that the center line is not based on anatomic
structures but on the image dimensions.
◆ Check the plausibility of measurement results.
In the CTR mode, you can measure the CTR by drawing four lines on the image,
in parallel to a center line, in order to delimit the heart and the thorax.
Starting CTR Calculation 1 Click the Cardio Thoracic Ratio icon on the tool palette:
The CTR mode is activated and a center line is displayed in the middle of
the image.
Addendum 35
Drawing Measurement 2 To determine the transverse diameter of the heart, click the heart’s right
Lines and left edge.
Two vertical lines delimiting the heart are displayed in the image, in
parallel to the center line.
3 To determine the transverse diameter of the thorax, click the thorax’s right
and left edge.
Two vertical lines delimiting the thorax are displayed in the image, in
parallel to the center line.
Once the four lines have been drawn, the CTR value is calculated and displayed
as a text annotation centered at the bottom of the image.
The result is added to the Findings Navigator.
Adjusting the Center 4 To adjust the center line to the orientation of the image, click the center
Line line and rotate it until the required position is reached.
The four measurement lines are rotated as well. During rotation, the angle
of the centre line always determines the angle of the measurement lines.
Adjusting Measurement 5 To adjust a drawn measurement line to the anatomic structure, click the
Lines line and drag it to the required position.
The CTR value is recalculated and displayed centered at the bottom of the
image.
When saving the changes, all markings are saved as a Presentation State
(PR).
36 syngo.plaza
Additional Functions and Icons

After the respective configuration, you can call most functions via tool
palettes, context menu, corner menu, or Smart Select.
Add Layout Opens the Workflow Step Dialog. You can insert a layout description and
add the layout to the Layout Navigator.
Anchor Study Anchors studies to the selected layout segment in the Viewer to avoid the
unintended swapping of images. All segments, which are belonging to the
anchored study, are anchored as well.
Cardio Thoracic Ratio Activates the CTR Mode.

You can measure the Cardio Thoracic Ratio (CTR) by drawing four lines on
the image, in parallel to a center line in order to delimit the heart and the
thorax.
Cross Reference Activates the Cross Reference mode.

Enables simultaneous marking of a specific spatial location in different
series of a study.
Drawing Ellipse Enables the annotation function for marking image areas with an ellipse.
DSA Opens the DSA (Digital Subtraction Angiography) control dialog box.
XA-multiframe images in stack mode are displayed optimized for
visualizing blood vessels in a bony tissue or in a dense soft-tissue
environment.
Addendum 37
Fit Breast to Screen The breast is displayed as large as possible on the screen, maintaining the
image aspect ratio.
Modify Layout Enables you to change the layout and criteria of the selected set of layouts
in the Layout Navigator.
Next Patient / Toggles between the patient tabs in the Access Bar.
Previous Patient
Rectangle Zoom Enables the zoom of an image area by drawing a rectangle.
Remove Layout Removes the selected layout from the Layout Navigator.
Same Size All Mammography images of the same patient are displayed in the same
relative physical size.
Save Image Order After rearranging images within a series in Stripe Mode, you can
permanently save the new image order.
38 syngo.plaza
Show Hide CAD Shows and hides all Mammography CAD markers in the images.
Markers
Spine Labeling Activates the Spine Labeling mode.

When labeling a vertrebra in a reference image, the same vertrebra is
labeled in all associated images.
True Size In this mode, all loaded Mammography images are displayed in their real
physical size.
Addendum 39
40 syngo.plaza
5 5
Welcome
syngo MammoReport 5
syngo.plaza provides the integration of syngo MammoReport®.

syngo MammoReport is a softcopy-review environment for diagnostic and
screening mammograms. The application provides an optimized workplace to
support experienced mammography reviewers in high-volume reading.
For more information, see the syngo MammoReport Operator Manual.
Addendum 41
5 syngo MammoReport
Getting Started with syngo

MammoReport
To display and review images in syngo MammoReport, you can start the
application by forwarding selected examinations from syngo.plaza in two
ways:
■ Automatic forwarding of all images of a patient via the Auto Launch
function depending on the examination type
➜ For more information, see “Configuring syngo MammoReport” in the
Addendum.
■ Manual forwarding of selected images via one click
After loading into syngo.plaza, individual mammography images can be
forwarded to syngo MammoReport by clicking an icon.
Forwarding Images To display selected mammography images in syngo MammoReport:

Manually
◆ Select the images in the Patient List, and click the syngo MammoReport
icon.
The selected images are forwarded, and loaded into syngo MammoReport.
Closing syngo To close syngo MammoReport:

MammoReport
1 Select Options > End Session... from the main menu.
The End Session dialog box is displayed.
2 Click Log Off <User Name> to close the application and save the last
settings.
42 syngo.plaza
6 6
Welcome
DICOM LTA 6
A DICOM Long-Term Archive (LTA) enables the long-term storage (LTS) of

DICOM Composite Objects (DCOs), such as images or Structured Reports.
syngo.plaza supports Vendor Neutral Archiving (→VNA) scenarios that help to
reduce the administrative effort of managing the LTS of different products.
syngo.plaza provides you with two different archiving solutions:
■ DICOM Archive Provider (→DAP)
You can use syngo.plaza as DICOM Archive for other PACS systems.
■ DICOM Archive User (→DAU)
You can use syngo.plaza as DICOM Archive for the long-term storage (LTS)
of DICOM objects.
DICOM Archive Provider During a radiological workflow, all data has to be available on the short-term
storage (STS) for fast access. When the work is done, data will be transferred
from the STS to the LTS. This LTS can be a NAS/DAS system, or a DICOM Archive
Provider (DAP).
The syngo.plaza DAP provides DICOM Archive functionality for other PACS
systems to store, query, and retrieve data, for example, images, or Structured
Reports. Thus, syngo.plaza enables a single storage solution for multiple
vendors. Data can be de-archived without any loss or change of information.
DICOM Archive User In the case of a large hospital, it is possible that an isolated DICOM Archive
Provider is positioned decoupled from potentially multiple PACS front-end
solutions. syngo.plaza DICOM Archive User (DAU) functionality can be
deployed to provide radiological reporting functionality while archiving to the
neutral DICOM Storage or DICOM Archive Provider.
For questions concerning configuration issues, contact your IT

administrator.
Addendum 43
6 DICOM LTA
44 syngo.plaza
7 7
Welcome
MCM Data Migration 7
With the Magic Compatibility Module (MCM), you can make the transition of
data from SIENET Magic to syngo.plaza.
In the PB Settings dialog box, you can configure MCM-related archiving
procedures, if an MCM license is available.
Addendum 45
7 MCM Data Migration
Magic Compatibility Module

The images remain archived in the long-term storage (→LTS) of SIENET
MagicStore. The content of the SIENET Magic database is imported into
syngo.plaza. When accessed from syngo.plaza, the images are converted into
the syngo.plaza image format.
incorrectly map display information objects to image sets.
CAUTION Risk of incorrect diagnosis due to incomplete or faulty mapping of
legacy information
◆ In case of doubt, do not use the data for diagnosis.
After data transition, SIENET Magic data sets are accessible and displayed
within syngo.plaza. So you can apply the functions of syngo.plaza to SIENET
Magic data sets.
incorrectly map legacy ACRNEMA/DICOM database fields in SIENET Magic to
CAUTION the DICOM/syngo.plaza database scheme.
Risk of incorrect diagnosis due to incorrect or missing mapping of
legacy database fields
◆ Do not use images for diagnosis that indicate insufficient information
due to data loss.
For further safety advice on data migration, see “Data Migration from SIENET
Magic” on page 19.
For more information about MCM, contact your Siemens Migration

Engineer.
46 syngo.plaza
Data Transition
For the transition of data from the SIENET Magic database to the syngo.plaza
database with MCM, several options are available.
MCM Transition by Fast Switch-Over

9 The MCM Transition is processed by fast switch-over.
The MCM Transition by fast switch-over includes the following general
procedure steps:
General Procedure Steps ■ Database information is uploaded to syngo.plaza.

■ The STS (→STS) of syngo.plaza is filled from the LTS (→LTS) of SIENET
Magic.
■ The RIS is interfaced with syngo.plaza.
■ syngo.plaza information is uploaded to the RIS.
■ SIENET Magic is shut down.
During Data Transition ■ Patient data is imported from the SIENET Magic PDIR database to the
syngo.plaza database.
■ After the database upload, the STS of syngo.plaza does not contain
images.
■ Images from the LTS of SIENET Magic are nearline and have to be
prefetched either manually or RIS-triggered.
Via MCM, the images, that had been archived in the LTS by SIENET
MagicStore, can be accessed .
■ In a final step, the RIS is updated, including the database extraction and
the import into the RIS.
Addendum 47
MCM Transition in Parallel Operation

9 The MCM Transition is processed in the background, SIENET Magic and
syngo.plaza are operated simultaneously.
The MCM Transition in parallel operation includes the following general
procedure steps:
General Procedure Steps ■ The RIS is connected with both PACS systems in parallel.
■ Database information is uploaded to syngo.plaza and the RIS.
■ The STS (→STS) of syngo.plaza is filled with relevant images from the LTS
(→LTS) of SIENET Magic.
■ Some modalities point to syngo.plaza, or autoroute is activated.
Working with syngo.plaza can be started while SIENET Magic is still in use.
■ All modalities point to syngo.plaza. SIENET Magic is shut down.
During Data Transition ■ The transition is performed department-wise. Once, all studies from all
modalities of a department are transferred, the system is configured for
MCM use. All studies of this department are read in syngo.plaza while
studies of other departments are still read in SIENET Magic.
■ All studies on the LTS of SIENET Magic can be accessed via MCM, once they
have been uploaded to syngo.plaza.
■ Continuous so-called delta uploads to the database are necessary to
upload the patients and studies that have been modified, or received after
the initial database upload into syngo.plaza.
For more information on how to perform delta uploads, contact your

Siemens Migration Engineer.
Please note that exceptions always have to be fixed in both systems.
48 syngo.plaza
RIS in Parallel Operation

9 The RIS communicates with both PACS systems in parallel.
The simultaneous communication of the RIS with both PACS systems includes
the following general procedure steps:
General Procedure Steps ■ The RIS receives notifications from SIENET Magic and syngo.plaza.
■ The RIS launches studies in SIENET Magic and syngo.plaza.
In the case that the RIS is unable to operate with two PACS systems
simultaneously, only one PACS system can use the RIS work list for image
call-up.
Important Information ■ Patient and study updates should always be performed on the RIS.
on the RIS
■ If a third party RIS is used, the RIS may be unable to support notifications
that are sent by syngo.plaza. Additionally, the RIS may not use internal
syngo identifiers. In this case, the notifications from syngo.plaza to the RIS
may be turned off.
■ If a RIS integration is missing, all patient modifications have to be
performed manually in SIENET Magic.
By configuration of the database upload tool, the patient information from
SIENET Magic overrules the patient information of syngo.plaza.
Data Transition Status

SIENET Magic data sets are indicated by the text label MCM.
If there was a problem with the MCM conversion of a particular study, this is
indicated by an ERROR status in the following places:
■ Journal of the Patient List
■ Journal of the Archive/CDR task card
■ Access Bar of the Viewer
If an entire study cannot be converted, it remains nearline. No ERROR status

is displayed in this case.
Addendum 49
50 syngo.plaza
8 8
Welcome
Administration and
Configuration 8
This chapter supplements the syngo.plaza Administrator Manual VA10A,

which is still valid. Only administration-related features that have been added
or improved for the versions VA20A and VA20B of syngo.plaza are described
here.
To operate syngo.plaza safely, you should carefully read the chapter “Safety
Advisory Addendum” on page 15 and the Safety Advisory chapters in the
syngo.plaza VA10A Operator Manual and the Administrator Manual.
Addendum 51
8 Administration and Configuration
Overview of Configuration Tools

In this index, you can find all syngo.plaza configuration tools listed, in
accordance with the licences available. You can call a configuration tool via
Start menu > Program Files > syngo.plaza > Configuration Tool.
The syngo.plaza configuration tools are restricted for appropriate use only
by qualified and trained personnel.
Viewer Settings Tool

For the configuration of specific settings for the Viewer.
“See “Configuration” in the Administrator Manual.
Patient Settings Tool
For the configuration of specific settings for the Patient
List.
See “Configuration” in the Administrator Manual.
Archive Settings Tool
For the configuration of specific settings for Archiving.
Scanner Settings Tool (Acquisition Manager)
For the configuration of specific settings for the Scanner.
Filming Settings Tool (DICOM print)
For the configuration of specific settings for Filming.
3D Settings Tool
For the configuration of specific settings for 3D.
Telerad Settings Tool
For the configuration of sending, and scheduling the
automatic transfer of images to other institutions outside
the own hospital network.
52 syngo.plaza
Administration and Configuration 8
Report Status Settings

For the configuration of specific settings for the Report
Status.
DICOM Service Tools
A description of this is given in the syngo.plaza
Installation Manual.
Save Reg Tool
Saving the syngo.plaza settings in a text file.
License Tool
Importing and modifying syngo.plaza licenses
Database Update Tool
Adding images to the syngo.plaza database
IP Address Change Tool
Adapting the SQL server settings to the changed →TCP/IP
address of your PC
General Settings Tool
For the configuration of global settings for the Viewer.
Grey Ramp Utility
Displays a test pattern for adjusting the monitor.
Monitor Settings
For setting the number of monitors, and the assignment
of applications to be displayed in a monitor.
RIS Settings Tool
For configuring the communication with the →RIS.
Addendum 53
Log Extraction Tool

For the configuration of manual and automatic
extraction of log files into any directory.
Devices Configuration Tool
For the configuration of external drives and creating the
PcvJbConfig.txt file.
54 syngo.plaza
Modifications in the Viewer Settings

With the version VA20B, syngo.plaza provides a new setting for the Viewer on
the General tab card of the Viewer Settings dialog box.
Opening the Settings ◆ Click the Settings icon in the Viewer.
The Viewer Settings dialog box opens.
General Settings In the General tab card, you can also set:
– Autoload Next Patient
When an examination is closed in the Viewer, the next examination is
loaded automatically from the Patient List.
Addendum 55
Configuring Annotation Properties

In the Viewer Settings dialog box, you can define the font, the font size, and
the font color of the annotation texts. The display of statistics of various ROI
parameters, for example, the standard deviation, the minimum and the
maximum grayscale value, and the total number of pixels can be configured
user-specifically.
Opening the Settings

To open the desired configuration settings dialog box, see “Opening a
Configuration Settings Dialog Box” in the Administrator Manual VA10A.
Calling the Function ◆ Open the Viewer Settings dialog box, and click the Image Text tab card.
56 syngo.plaza
Setting the Font of To set the font:

Annotation Texts
1 Click the Font button in the Annotation Properties field.
The Font Dialog opens.
2 Select the required font, size, and color.
Silver and gray give you better contrast on your monitor.
3 If images are currently displayed in the Viewer, you can check the effects
of any changes on these images by clicking the Preview button.
The image texts are shown in accordance with the recent settings.
4 Click OK to accept the changes.
The selected font settings are applied.
Assigning Statistics to To assign statistics to graphical annotations:

Graphical Annotations
1 In the Statistics field, select the required annotation function from the
selection list.
2 To assign statistics to the selected annotation function, select the
corresponding check box.
3 Click OK.
The configured statistics are displayed when the selected graphical
annotations have been drawn in the images.
Addendum 57
Configuring Spine Labeling Worksteps

In the Viewer Settings dialog box, you can configure user-specific worksteps
for Spine Labeling.

Calling the Function ◆ Open the Viewer Settings dialog box, and click the Spine Labeling tab
card.
Labeling Associated ◆ To also display the assigned spine label in the associated images, select the
Images Show projections in Spine Labeling mode check box.
Labeling Exact Slices ◆ In case of projected labeling, select the Label only exact slices in axial
plane check box, if required.
58 syngo.plaza
Creating Spine Labeling 1 Add a spine label to the workstep by double-clicking the desired label in
Worksteps the Spine Labels field.
The label is added to the Define Worksteps field.
2 Enter a new name for the defined worksteps in the Workflow Name field,
and click Save.
The worksteps can be assigned to images in the Spine Labeling mode.
In the case of a lumbar irregularity, you can use the L6 label.
Addendum 59
Configuring the Context Menu

In the Viewer Settings dialog box, you can assign the most frequently used
functions of the Viewer to the context menu.

Calling the Function ◆ Open the Viewer Settings dialog box, and click the Corner Menu tab card.
Configuring the Context 1 Click the Context Menu option button, and select the requested function
Menu from the selection list.
2 Click to add the function to the context menu.
-OR-
Click to remove the function from the context menu.
3 Click OK to confirm.
The selected functions are provided in the context menu of the Viewer.
60 syngo.plaza
Configuring Related Priors

syngo.plaza provides the simultaneous loading of current and prior studies
from the Patient List into the Viewer.
In the Viewer Settings dialog box, you can define which studies are priors in
relation to the current study.
If Load with priors (Related) is selected from the context menu in the Patient
List, the prior studies are loaded together with the current study into the
Viewer.
If your RIS already supports image call-up with prior settings, then you do
not need to configure this in the PACS.

Calling the Function ◆ Open the Viewer Settings dialog box, and click the Priors Loading tab
card.
Addendum 61
Activating a Priors To enable the loading of studies as priors in relation to the current study, you
Group can activate a configured prior group with certain criteria.
1 Select the required prior group from the Configured Priors Groups
selection list.
The criteria of the selected prior group is displayed in the Prior Group
Details list.
2 Click OK to activate the selected prior group.
Defining a New Priors You can define new prior groups with specific criteria.
Group
1 Click the Create New button, and insert the desired name for a prior group
in the Configured Priors Groups selection list.
2 Select the required criteria in the Modality, DICOM Body Part, DICOM
Study Description, RIS Procedure Description and RIS Body Part fields.
3 Click the Add button.
The defined criteria for a prior group is displayed in the Prior Group Details
list.
4 Click the Save button to assign the prior group criteria to the prior group,
which is displayed in the Configured Priors Groups selection list.
Defining DICOM Body You can define DICOM body parts and RIS body parts as criteria for a prior
Parts and RIS Body Parts group.
1 On the Prior Settings Configuration tab card, click next to the DICOM
Body Part or the RIS Body Part selection list.
The Add DICOM Body Part... or the Add RIS Body Part... dialog box opens.
2 Insert the required body part in the Enter new DICOM Body Part or Enter
new RIS Body Part field, and click .
The new body part is displayed in the list.
3 Click OK.
62 syngo.plaza
Configuring the DICOM LTA

You can use syngo.plaza as a DICOM Archive Provider (DAP) or as a DICOM
Archive User (DAU).
■ If you use syngo.plaza as a DICOM Archive for other PACS systems,
syngo.plaza acts as a DAP.
■ If you use syngo.plaza as a DICOM Archive for long term storage (LTS) of
DICOM objects, syngo.plaza acts as a DAU.
In the PB Settings dialog box, you can configure the required parameters for
both cases.
Important Preconditions If you use syngo.plaza as a DAP or in conjunction with a HIS/RIS, the following
important preconditions must be fulfilled to ensure a correct assignment of
data in the archive:
■ A patient is uniquely identified by the combination of:
– Patient ID
– Patient Name
Two different patients must not have the same combination of these
relevant patient attributes.
■ A study is uniquely identified by its Study Instance UID.
Two different studies must not have the same UID.
■ A study with a certain UID must not be associated with two or more
different patients.
It is possible that one or more studies have the same Accession Number.
■ A study component is uniquely identified by its Study Instance UID +
Modality + PPS ID.
Two different study components must not have the same combination of
these relevant attributes.
■ A series is uniquely identified by its Series Instance UID.
Two different series must not have the same UID.
A series with a certain UID must not be associated with two or more
different studies.
■ A SOP instance is uniquely identified by its SOP Instance UID.
Two different instances must not have the same UID. Two data objects with
the same SOP Instance UID are considered to be identical.
If syngo.plaza is used as a DAP, images must only be stored uncompressed

and in a lossless format.
Addendum 63

Calling the Function ◆ Open the PB Settings dialog box and click the Advanced Settings tab
card.
Configuring the ◆ To define the archiving method used, select the required item:
Archiving Method NAS (Network Attached Storage), provided a NAS Store license is available,
External Writer (DAS), or DICOM LTA (user) if you use syngo.plaza as
DICOM Archive Provider (DAP).
Using syngo.plaza as a DAP

If you use syngo.plaza as DICOM Archive for other PACS systems, syngo.plaza
acts as a DICOM Archive Provider (DAP).
On the Advanced Settings tab card of the PB Settings dialog box, you can set
the required parameters.
◆ Under Method, select External Writer or NAS if you archive locally to
DVD- RAM or NAS.
In the case of archiving locally to DVD-RAM, syngo.plaza sends a storage

commitment success notification after a successful media burning and
verification process.
In the case of archiving locally to NAS, syngo.plaza sends a storage
commitment success notification after it has successfully copied the series
to the configured mount point.
In the case that syngo.plaza is used as a DICOM Archive Provider (DAP),

DICOM Composite Objects (DCOs) are identified ambiguously.
CAUTION Risk of data loss or wrong assignment of data due to ambiguous data
identification
◆ Ensure the unique identification of patients as well as of DICOM
Composite Objects, such as images or Structured Reports.
◆ Ensure the unique assignment of all data according to the DICOM
hierarchy, image > series > study > patient.
64 syngo.plaza
Using syngo.plaza as a DAU

If you use syngo.plaza as a DICOM Archive for long term storage (LTS) of
DICOM objects, syngo.plaza acts as a DAU.
On the Advanced Settings tab card of the PB Settings dialog box, you can set
the required parameters.
1 Under Archive, select Auto Archiving.
2 Under Storage Commitment, select Enable Storage Commitment
Provider.
By default, the DAP is considered a Storage Commitment Provider (SC SCP).

This configuration can be changed by clearing the DAP Store SCP AET
checkbox on the Storage Commitment tab card of the PB Settings dialog
box.
3 Under Method, select DICOM LTA (user).

4 Click the DICOM LTA Config Details... button.
The DICOM LTA configuration dialog box opens.
Addendum 65
5 Under DICOM Archive Provider Details, enter the required parameters:

– Alias: Name of the provider.
Assigning descriptive alias names is recommended.This name appears
in the selection lists in the send and query dialog box, and in
connection with the auto-routing of images.
– Hostname
Name of the DICOM Archive node, which is the remote DICOM system
which manages the LTS.
– IP Address
Network address of the computer.
– DNS/WINS
If selected, the enter box for the IP Address is deactivated. The search
for the data is run on the DNS or WINS server.
– DICOM Store SCP-AET
Name by which the DICOM Archive for storage can be identified on
every other computer in the DICOM environment.
– DICOM Store SCP-Port
Port number of the DICOM Archive for storage of DICOM images (using
C-STORE).
– DICOM SC-SCP-AET
Name of the DICOM Archive for storage commitment.
– DICOM SC-SCP-Port
Port number of the DICOM Archive for storage commitment.
– DICOM Q/R SCP-AET
Name of the DICOM Archive for storage in case of querying for images
or other such objects and subsequent retrieval from the archive.
The name enables the identification on every other computer in the
DICOM environment. Many of the DICOM Archives have the same AET
for Store and Q/R, but there are some systems which use a different AET
and port for different DICOM services, for example SIENET Magic.
– DICOM Q/R SCP-Port
Port number of the DICOM Archive for storage when querying for
images or other such objects and subsequent retrieval from the
archive.
66 syngo.plaza
6 Under Temp Store SCP, which is a cache storage for the data pulled from
the DAP, enter the required parameters:
– AET
Name by which the temporary storage server can be identified on
every other computer in the DICOM environment.
– Port Number
Port number of the temporary storage server.
– Temp Extraction folder Path
Specification of the folder into which retrieved data is to be extracted.
To have the entry field filled automatically, you can use the Browse
button to search for the folder.
Addendum 67
Configuring the MCM

With the Magic Compatibility Module (MCM), you can make the transition of
data from SIENET Magic to syngo.plaza.
In the PB Settings dialog box, you can configure MCM-related archiving
procedures, if an MCM license is available.

Calling the Function ◆ Open the PB Settings dialog box and click the Advanced Settings tab
card.
68 syngo.plaza
Setting MCM Procedures You can define the following settings in the MCM field of the Advanced
Settings tab card:
■ Re-Archive Magic Store data to LTS
■ Copy organ_name from Magic store data
If you have the Magic Compatibility Mode (MCM) license:

■ When the check box Re-Archive Magic Store data to LTS is selected, all
data received from Magic Store is archived to the Long-Term Storage of
syngo.plaza.
■ When the check box Copy organ_name from Magic store data is
selected, the name of the organ from Magic Store data is applied to
syngo.plaza data.
Addendum 69
Modifications in the Patient List Settings

With the version VA20B, syngo.plaza provides new settings for the Patient List
in the PB Settings dialog box.
Opening the Settings ◆ Click the Settings icon in the Patient List.
The PB Settings dialog box opens with several tab cards.
70 syngo.plaza
Other Options In the Other Options group box of the General tab card, you can also set:
– Keep Patient Browser Open
The Patient List remains open when an examination is loaded.
– Show Patient Browser in Configured Monitor
If selected, the Patient List is displayed in the configured monitor.
– Display OEM Messages
If the checkbox is selected, an error message is displayed in case of a
failure, for example, the RIS queries the syngo.plaza database and the
requested data is not available.
– Use Logged in user name for locking series/study
If the checkbox is selected, the user name is displayed for locked
series/study in the Patient List instead of the workplace name.
Report Options In the Report Options group box of the Advanced Settings tab card, you can
also set:
– Auto Get Report on receipt of new exam
When receiving new examinations, the reports are retrieved
automatically from the RIS.
– Auto Get Report on RIS Report Status Change
When the status of reports are changed in the RIS, the reports are
retrieved automatically.
Network Names In the Network Names group box of the Network Partners tab card, you can
also set:
– Migration Mode
If selected, all migration procedures from an archive to syngo.plaza LTS
do not reduce the amount of allowed archive procedures.
Addendum 71
Configuring Archive Rules and MTS

In the Archiving Settings dialog box, you can make additional settings for the
archiving of data.

Calling the Function 1 Open the Archive Settings dialog box.

The Archive tab card is displayed.
72 syngo.plaza
Studies not to be You can exclude studies from being archived by specifying the appropriate
Archived parameters.
◆ Make the required settings:
– excluded by “number of images”
If this checkbox is selected, data, that is specified in the Rules for
exclusion by the number of images dialog box, is excluded from
archiving.
By clicking you can define the rules for exclusion. For each
Modality, an Image Limit can be set. Studies of the selected modality,
which exceed the image limit, are not archived.
– excluded by DICOM tag values
If this checkbox is selected, all data, that is specified with a set of rules
in the Exclusion based on DICOM tag values dialog box, is excluded
from archiving.
By clicking you can define a List of Archive Exception Rules
based on DICOM tag values via Add, Modify, or Remove.
Each exclusion rule can contain several DICOM Tags, Conditions and
Values.
To exclude an AET from archiving, you can select Ignore AET for Archiving
on the Network Partners tab card of the PB Settings dialog box.
For more information, see “Defining Network Partners” in the Administrator
Manual.
MTS Settings ◆ Select the MTS settings checkbox to archive the DICOM data as →MTS
files.
Addendum 73
Modifications in the General Settings

With the version VA20B, syngo.plaza provides new global settings in the
General Settings dialog box.

Calling the Function ◆ Open the General Settings dialog box, and click the General tab card.
74 syngo.plaza
Configuring a Browser You can use a patient browser other than the Patient List.
1 Click the Configure Browser... button on the General tab card.
The Configure Browser dialog box opens.
2 Select the Invoke Configured Browser check box.

3 Enter the required Application Path and the Application Parameter(s)
into the corresponding fields, and click OK.
Configuring the Plaza You can set a folder as the recycle bin, where unlinked files are moved to, for
Recycle Bin example, due to instance overwriting.
◆ Click Browse..., and select the required folder.
To delete the content of the recycle bin:
◆ Click the Clear Recycle Bin button.
Addendum 75
Configuring syngo MammoReport

syngo.plaza provides the automatic forwarding of all images of a patient to
syngo MammoReport.
In the General Settings dialog box, you can set rules for forwarding
examinations to syngo MammoReport on the MammoReport tab card.

Calling the Function ◆ Open the General Settings dialog box, and click the MammoReport tab
card.
Adding a Rule To add a new rule:

1 Select the required imaging system from the Modality selection list, and
the required body part from the Organ selection list.
2 Click to add the new rule to the Configured Rules list.
3 Click OK to confirm the settings.
76 syngo.plaza
Deleting a Rule To delete a rule:

1 Select a rule in the Configured Rules list.
2 Click to delete the rule from the Configured Rules list.
3 Click OK to confirm the settings.
Addendum 77
Modifications in the RIS Settings

With the version VA20B, syngo.plaza provides new communication settings in
the RIS Settings dialog box.

Calling the Function ◆ Open the RIS Settings dialog box, and click the RIS Settings tab card.
78 syngo.plaza
PIX Query Settings If the PIX Query check box is selected in the Events to be received from the
RIS field, you can set further communication details of →PIXinformation in a
RIS over an OPENLink server.
These settings are predefined and do not have to be changed.
If required in an exceptional case, you can use the configured values of the
OPENLink software to change the following entries:
■ Connection Name for PIX messages
■ Source Application for PIX messages
■ Destination Application for PIX messages
Addendum 79
80 syngo.plaza
A1
Welcome
Glossary 1
The glossary contains explanations that relate almost exclusively to terms

used in data processing and specialized terms used in connection with digital
images.
B BI-RADS®. Breast Imaging Reporting and Data System. A method used by

radiologists to interpret and report in a standardized manner the results of
mammography, ultrasound, and MRI used in breast cancer screening and
diagnosis.
D DAP. DICOM Archive Provider. syngo.plaza is used as DICOM Archive for other
PACS systems.
DAU. DICOM Archive User. syngo.plaza is used as DICOM Archive for long-term
storage (LTS) of DICOM Composite Objects (DCOs), such as images and
Structured Reports.
DCO. DICOM Composite Objects are, for example, images, waveforms, or
Structured reports.
DICOM. Digital Imaging and Communications in Medicine: An international
standard for communication over imaging networks in hospitals; it enables
medical data to be exchanged.
The DICOM Standard is under continuous maintenance, the current official
version is available at http://dicom.nema.org.
DSA. Digital Subtraction Angiography is a type of fluoroscopy technique used
in interventional radiology to clearly visualize blood vessels in a bony or dense
soft tissue environment. Images are produced using contrast medium by
subtracting a 'pre-contrast image' or the mask from later images, once the
contrast medium has been introduced into a structure.
L LTA. DICOM Long-Term Archiving enables the long-term storage (LTS) of

DICOM Composite Objects (DCOs), such as images or Structured Reports.
Addendum 81
A Glossary
LTS. Long-Term Storage. LTS is a device for permanent storage or archiving of

image data.
M Modalities. Imaging systems; the following abbreviations are used:

Abbreviation Modality
CR Computed radiography
CT Computed tomography
DF Digital fluoroscopy
DR Digital radiography
DS Digital subtraction (angiography)
DX Digital radiography
EPS Cardiac Electrophysiology
ES Endoscopy
FID Fiducials
GM Microscopy
HC Hardcopy
HD Hemodynamic Waveform
IO Intraoral radiography
KO Key Object Selection
MG Mammography
MR Magnetic resonance tomography
NM Nuclear medicine
OP Ophthalmic Photography
OT “Other” = no modality specified, for example, for digitized images.
PR Presentation State
PT Positron emission tomography
PX Panoramic radiography
REG Registration
RF Radio fluoroscopy
RG Radiographic Imaging
RTDOSE Radiotherapy dose
RTIMAGE Radiotherapy
RTPLAN Radiotherapy plan
RTRECORD Radiotherapy treatment record
RTSTRUCT Radiotherapy structure set
SM Slide Microscopy
SMR Stereometric Relationship
SR Structured Report
US Ultrasound
82 syngo.plaza
Glossary A
Abbreviation Modality
XA X-ray angiography
XC X-ray cardiology
M MTS. Mid-Term Storage. Custom file format that enables the joining together
of data files without compressing them. Thus, a specific DICOM file can be
read instantly, instead of extracting the MTS file to a temporary location
before accessing the data.
P PIX. Patient Identifier Cross Referencing. The Patient Identifier Cross

Referencing (PIX) Integration Profile supports the cross-referencing of patient
identifiers from multiple Patient Identifier Domains.
R RIS. Radiology Information System. Administration system for the radiology

department, which takes care of patient administration, documentation,
acknowledgment of services, and the writing of reports.
S Same Size. In this mode, all loaded images of the same patient are displayed
in the same relative physical size, for example, two objects of the same real
physical size appear in the same size in the Viewer.
SR. Structured Reports. Structured Reports (SR) are documents with a defined
structure used for reporting results or evidence. They provide the basis for
exchanging reporting data, e.g. DICOM data, from various applications in a
common, standardized format.
STS. Short-Term Storage. STS bases on storage technologies and connections,
which allow for a quick access to the image data. Usually a RAID system
connected with the archiving server is used as an STS.
T TCP/IP. Transmission Control Protocol/Internet Protocol: Transmission

protocols for data exchange between different computers.
True Size. In this mode, all loaded Mammography images are displayed in
their real physical size in the Viewer.
V VNA. Vendor Neutral Archiving helps to reduce the administrative effort of

managing the LTS of different products.
W Waste Basket. By assigning the option Add Waste Basket to a layout, it is

ensured that all mammography images can be viewed. This option enables the
image display even if the image parameters do not correspond to the layout of
any workflow step within the designated workflow.
Addendum 83
A Glossary
84 syngo.plaza
B 2
Welcome
Index 2
A Loading studies with I

Additional functions (Patient priors 61 Icons in the Corner Menu
List) 23 New Prior Group 62 Anchor Study 37
Additional functions (Viewer) 27 DICOM Body Part 62 Icons in the Tool Bar
RIS Body Part 62 All Flagged Images 25
C Recycle Bin 75 Flag 1 Images Only 25
Cardio Thoracic Ratio (safety Related Priors 55 Flag 2 Images Only 25
advice) 16 Select patient browser 75
Spine Labeling 58 Icons in the Tool Box, or on the
Cardiothoracic Ratio (CTR) Tools Palettes
Adjusting Lines 36 Context Menu 60 Cardio Thoracic Ratio 37
Calculating 35 Context menu Cross Reference 37
Measuring 36 Configuring 60 Drawing Ellipse 37
Cautions 9 DSA 37
D Fit Breast to Segment 38
Cautions in the documentation 9 Data Migration from SIENET Same Size 38
Configuring Magic (safety advice) 19 Save Image Order 38
Activating Prior Group 62 DAU 81 Spine Labeling 39
Annotation Properties 56 syngo MammoReport 25
Annotation properties 56 DCO 81
True Size 39
Archive Rules and MTS 74 DICOM 81
Icons on the Layout Palette
Automatically forwarding to DICOM LTA 55, 63 Add Layout 37
syngo MammoReport 76 Overview 43 Modify Layout 38
Context Menu 60
Displaying OEM messages 71 Remove Layout 38
Context Menu (Viewer) 60
DICOM LTA 55, 63 Displaying the Patient List in the Intended Use 10
DICOM LTA (Patient List) 63 configured monitor 71
Displaying OEM messages 71 K
G Keep the Patient List opened
Displaying statistic of ROI
parameters 56 General when Examination is loaded 71
Displaying the Patient List in Settings Modifications 74
Getting Started L
the configured monitor 71
Keep Patient List opened 71 syngo MammoReport 42 Layout Navigator 28
Addendum 85
B Index
Loading studies with priors 24, S

61 Synchronization of Study Data
(safety advice) 16
M
syngo MammoReport 41
Magic Compatibility Module
Closing 42
(MCM)
Getting Started 42
Data Transition Status 49
Opening 42
Overview 46
Transition Phase 47 V
Mammography Viewer
Layouts 29 Additional functions 27
Reading prerequisites 32 Configuring Annotation
Manual calibration of Images properties 56
(safety advice) 17 Configuring Loading
studies with priors 61
Modalities 82
Configuring Spine
Modifications in the General Labeling 58
Settings 74 Configuring the Context
Modifications in the Patient Menu 60
List Settings 70, 78 Displaying statistic of ROI
Modifications in the Viewer parameters 56
Settings 55 Layout Navigator 28, 29
Layouts for
P Mammography 29
Patient List Reading prerequisites for
Additional functions 23 mammography
Additional functions and images 32
icons 25 Settings Modifications 55
Configuring DICOM Waste Basket 29
LTA 55, 63
Loading with priors 24 W
Setting the DAP Warnings 9
parameters 64 Warnings in the
Setting the DAU documentation 9
parameters 65 Waste Basket 29
Settings Modifications 70,
78
Priors 24
R
Recycle Bin
Clearing 75
Configuring 75
RIS/HIS integration (safety
advice) 18
86 syngo.plaza
Global Business Unit
Siemens AG
Medical Solutions
Image and Knowledge Management
Henkestr. 127
DE-91052 Erlangen
Germany
Telephone: +49 9131 84-0
www.siemens.com/syngo-suite
Global Siemens Headquarters Global Siemens Legal Manufacturer

Healthcare Headquarters
Siemens AG Siemens AG Siemens AG
Wittelsbacherplatz 2 Healthcare Sector Wittelsbacherplatz 2
80333 Muenchen Henkestr. 127 DE-80333 Muenchen
Germany 91052 Erlangen Germany
Germany
Telephone: +49 9131 84-0
Order No. P05-007.623.02.01.02 I Printed in Germany I © 02.2011, Siemens AG

Syngo - Plaza: Software Version VA20B and Higher Operator and Administrator Manual - Addendum

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syngo.

The software described herein is CE-compliant in accordance with Directive MDD

Global Business Unit

Global Siemens Headquarters/ Global Siemens

Copyright © 02.2011, Siemens AG. All rights reserved.

Order No.: P05-007.623.02.01.02

2 Safety Advisory Addendum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

3 Additional Functions in the Patient List. . . . . . . . . . . . . . . . . . . . . . . 23

4 Additional Functions in the Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . 27

7 MCM Data Migration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

8 Administration and Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Configuring syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Safety Notices It is assumed that syngo.plaza is operated by qualified personnel only.

Signs and Symbols

9 Prerequisite for subsequent operating steps

Note for optimal handling

Problem, description and remedy

Tip to facilitate tasks for the user

Bold Window, and function names are written in bold letters,

Warnings and Cautions

First, the source of danger is addressed!

First, the source of danger is addressed!

To operate syngo.plaza safely, read the “Safety Advisory” chapter in this

Intended Use of syngo.plaza

Web-based image distribution is not intended for reporting.

The Program Modules

The number of functions on your syngo.plaza workplace depends on the

Copyright © 02.2011, Siemens AG. All rights reserved.

Privileges This document is confidential and proprietary to Siemens. It is protected by the

Trademarks ■ Siemens® is a registered trademark of Siemens AG.

Safety Advisory Addendum 2

The rules of safety apply to clinical users as well as to administrators.

Additional Rules of Safety for Clinical

Synchronization of Study Data

Cardio Thoracic Ratio (CTR)

The precision of measurement results may be limited by several factors, for

Manual Calibration of Images

After manual calibration, the calibration value specified in the Calibration

When adding new images to a series of calibrated images, the calibration is

Image Quality of Reference Images

Reference images included in the Structured Report cannot be displayed in

Additional Rules of Safety for

The connected RIS/HIS is temporarily unavailable, for example, due to a

Synchronization of Study Data

Data Migration from SIENET Magic

Objects stored on old WORM/MOD/CD media, on tape, or on a Network

Customization of the system to hinder the header update before exporting

DICOM Archive Provider (DAP)

In the case that syngo.plaza is used as a DICOM Archive Provider (DAP),

Additional Functions in the

This chapter supplements the syngo.plaza Operator Manual VA10A. Only

Loading with Priors

Additional Functions and Icons

Additional Functions in the

This chapter supplements the syngo.plaza Operator Manual VA10A. Only

Access Bar Patient Tab

Control Area Layout Navigator

The remaining sections are described on page 71 of the syngo.plaza

Working with Layouts for Mammography

For reporting mammography images, only 5MP monitors must be used.

Please note that syngo MammoReport is not covered in this

Layout Parameters for Mammography

Workflow Example for Mammography