Operation Manual (Pdr-01a) 2B305 - 782en

REVISION RECORD
REV. DATE REASON PAGE SER. DOC.

(MM/YY) /AUTHOR CHANGED No. PRODUCT.
INI. 04/'07 Mr. Soutsuka ------- TM-WI2
No. 2B305-782EN
No. 2B305-782EN
OPERATION MANUAL
FOR
IMAGE PROCESSOR
PDR-01A
FOR
REMOTE CONTROL R/F SYSTEM
WINSCOPE Plessart™ EX8 DREX-W20PE8
(2B305-782EN)
IMPORTANT!
Read and understand this manual before operating
the equipment. After reading, keep this manual in an
easily accessible place.
© TOSHIBA MEDICAL SYSTEMS CORPORATION 2007

ALL RIGHTS RESERVED
Introduction
This manual describes the operating procedures for the "PDR-01A" digital image processor for
the "Remote control R/F system WINSCOPE Plessart™ EX8 DREX-W20PE8."
Ensure that you read and fully understand the contents of both this manual, and of the remote
control R/F system operation manual prior to use.
IMPORTANT!
1. No part of this manual may be copied or reprinted, in whole or in part,

without prior written permission.
2. The contents of this manual are subject to change without prior notice
and without legal obligation.
3. The contents of this manual are correct to the best of our knowledge.
Please inform us of any ambiguous or erroneous descriptions, missing
information, etc.
No. 2B305-782EN
Table of Contents
1. Configuration .................................................................................... 1-1

1.1 System Components ............................................................................. 1-1
1.2 Optional Components .......................................................................... 1-1
2. Overview of Operations ...................................................... 2-1

2.1 Basic Operation ........................................................................................ 2-1
2.1.1 Keyboard ........................................................................................................... 2-1
2.1.2 Mouse ................................................................................................................. 2-2
2.1.3 Tabs ..................................................................................................................... 2-3
2.1.4 Buttons ............................................................................................................... 2-3
2.1.5 Menus ................................................................................................................. 2-3
2.2 Operations Mode and Monitor Screen ..................................... 2-4

2.2.1 Operations mode ........................................................................................... 2-4
2.2.2 System monitor screen ............................................................................... 2-5
2.2.3 Live monitor screen ...................................................................................... 2-6
2.3 Start-Up and Shutdown ....................................................................... 2-7

2.3.1 Pre-operation check ..................................................................................... 2-7
2.3.2 Post-operation check ................................................................................... 2-8
2.3.3 Turning the power ON ................................................................................. 2-8
2.3.4 Turning the power OFF ............................................................................. 2-10
2.3.5 Operational procedures in the event of malfunctions ................. 2-11
2.3.6 Backup fluoroscopy and backup radiography................................ 2-12
2.4 Operational Sequence........................................................................ 2-13
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2.4.1 Patient registration...................................................................................... 2-15
2.4.2 Preparation for image acquisition ........................................................ 2-16
2.4.3 Acquisition of fluoroscopy and LIH images (Saving LIH) .......... 2-17
2.4.4 Single image radiography ........................................................................ 2-17
2.4.5 Sequential image radiography ............................................................... 2-18
2.4.6 Fluoroscopic image acquisition (F-REC)........................................... 2-19
2.4.7 Confirming acquired images .................................................................. 2-20
2.4.8 Gray-scale processing for acquired images .................................... 2-21
2.4.9 Acquired image zoom display ................................................................ 2-22
2.4.10 Specifying deletion of unnecessary images .................................... 2-22
2.4.11 Film output of acquired images............................................................. 2-23
2.4.12 Ending studies and image backup to REV ....................................... 2-24
2.4.13 Viewing previous images ......................................................................... 2-25
3. Patient Registration.................................................................. 3-1

3.1 Overview......................................................................................................... 3-1
3.2 Registering the Next Patient to Be Studied ......................... 3-2
3.3 Correcting Input Information .......................................................... 3-3
3.4 Canceling Input of Information...................................................... 3-3
3.5 Collectively Registering Information for Patients

to Be Studied (Schedule Procedure Step) ............................ 3-4
3.6 Selecting a Patient from the Current List

and Registering for the Next Appointment........................... 3-5
3.7 Importing Patient Information (Optional) ............................... 3-6

3.7.1 Importing patient information from media .......................................... 3-6
3.8 Deleting Patients from the Current List .................................. 3-7
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3.9 Selecting a Patient from the Patient Database
(Using Registered Patient Information) .................................. 3-8
3.10 Selecting a Patient from the Patient WorkList

(Optional) ..................................................................................................... 3-10
3.11 Registering Emergency Patient Information ..................... 3-11
4. Study Mode .......................................................................................... 4-1

4.1 Overview......................................................................................................... 4-1
4.2 System Monitor Screen in Study Mode ................................... 4-2

4.2.1 Patient information field ............................................................................. 4-3
4.2.2 Menu area .......................................................................................................... 4-4
4.2.3 Operation buttons ......................................................................................... 4-7
4.2.4 Image display area and thumbnails ..................................................... 4-17
4.2.5 Image information display field ............................................................. 4-28
4.2.6 Preview ............................................................................................................. 4-29
4.2.7 Task bar ........................................................................................................... 4-30
4.3 Live Monitor ............................................................................................... 4-32

4.3.1 Image display area ...................................................................................... 4-33
4.3.2 Time/Date display field .............................................................................. 4-33
4.3.3 Patient information field ........................................................................... 4-33
4.3.4 Examination information field ................................................................ 4-34
4.3.5 Acquisition information field .................................................................. 4-34
4.3.6 Table information field............................................................................... 4-35
4.3.7 Message display field ................................................................................ 4-36
4.3.8 Image box........................................................................................................ 4-36
4.4 Keypad ........................................................................................................... 4-37

4.4.1 Names and functions of keypad keys ................................................. 4-37
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5. Archives Mode ................................................................................. 5-1
5.1 Overview......................................................................................................... 5-1
5.1.1 Searching for previous images................................................................ 5-2
5.1.2 Deleting previous images from the hard disk ................................... 5-4
5.1.3 Displaying previous images ...................................................................... 5-5
5.1.4 Modifying patient information and study information

[Cannot be used by the emergency user.] .......................................... 5-6
5.1.5 Outputting previous images ................................................................... 5-10
5.1.6 Copying Studies ........................................................................................... 5-18
5.1.7 Merging Studies ........................................................................................... 5-20
5.1.8 Importing images of studies from media (CD, DVD, or USB) ... 5-22
6. Utility Mode .......................................................................................... 6-1

6.1 Overview......................................................................................................... 6-1
6.2 How to Make User Settings .............................................................. 6-2
6.3 Protocol Type ............................................................................................. 6-4

6.3.1 Editing DR technique protocol types .................................................... 6-4
6.4 Radiography Sequence ..................................................................... 6-22

6.4.1 Editing the radiography sequence ....................................................... 6-22
6.5 DICOM-Related Settings ................................................................... 6-28

6.5.1 WorkList (option) ......................................................................................... 6-28
6.5.2 Storage/Commitment ................................................................................. 6-29
6.5.3 Film Printer SCP ........................................................................................... 6-30
6.5.4 Printer Format ............................................................................................... 6-31
6.6 Account Management ........................................................................ 6-43

6.6.1 User Management ........................................................................................ 6-43
6.6.2 Group Management .................................................................................... 6-48
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6.6.3 Password Management ............................................................................. 6-49
6.6.4 Log Management ......................................................................................... 6-50
6.7 Environment Settings ......................................................................... 6-51

6.7.1 Patient Register Option ............................................................................. 6-51
6.7.2 Viewer Setting ............................................................................................... 6-53
6.7.3 Calibration ...................................................................................................... 6-54
6.7.4 Institution, Physician, Equipment......................................................... 6-56
6.7.5 Settings for HDD caution and operations

for backing up to REV during shutdown
(Can only be used by the service engineer.) ................................... 6-58
6.7.6 Version Information display .................................................................... 6-58
7. Film Mode ............................................................................................... 7-1

7.1 Overview......................................................................................................... 7-1
7.2 System Monitor Screen in Film Mode ...................................... 7-2

7.2.2 Film Buffer ........................................................................................................ 7-3
7.2.3 Print method area .......................................................................................... 7-4
7.2.5 Image display area ...................................................................................... 7-14
7.2.7 Task bar ........................................................................................................... 7-18
8. Reference Mode ............................................................................. 8-1

8.1 Overview......................................................................................................... 8-1
8.2 System Monitor Screen in Reference Mode ........................ 8-2

8.2.1 Cine Playback tab .......................................................................................... 8-3
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8.2.3 Image display area and thumbnails ....................................................... 8-9
8.2.5 Task bar ........................................................................................................... 8-16
8.3 Reference Monitor (Optional) ....................................................... 8-17
9. Recycle Mode.................................................................................... 9-1

9.1 Overview......................................................................................................... 9-1
9.2 Recycle Bin Mode Window ............................................................... 9-1

9.2.2 Search conditions field ............................................................................... 9-3
9.2.3 Study List .......................................................................................................... 9-4
9.2.4 Thumbnails ....................................................................................................... 9-4
9.2.5 Restore Images button ................................................................................ 9-4
9.2.6 Task bar ............................................................................................................. 9-5
10. Saving Images to REV

and Reuse of REVs ................................................................. 10-1
Appendix DICOM Sending .................................................................A-1

A.1 Overview.........................................................................................................A-1
A.2 Settings ...........................................................................................................A-1

A.2.1 Utility mode ......................................................................................................A-1
A.2.2 Protocol name .................................................................................................A-3
A.3 Operational Procedure ......................................................................A-19

A.3.1 Study mode ....................................................................................................A-19
A.3.2 Archives mode ..............................................................................................A-22
A.3.3 Queue mode ...................................................................................................A-31
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A.4 Tag Description .......................................................................................A-35
A.4.1 Study mode ....................................................................................................A-35
A.4.2 Utility mode ....................................................................................................A-36
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1. Configuration
1.1 System Components
(1) CCD camera
The digital TV camera utilizes a CCD camera (solid-state image sensor) as the
light receiving section for capture of 1 megapixel, 14 bit output.
It consists of a CCD unit, TV iris, ND filter, and lens.
(2) System Control Unit (SCU)
This unit mainly performs real-time processing and incorporates circuitry that
carries out camera control, fluoroscopy image processing, and monitor output, and
also acts as an interface for the X-ray high-voltage generator. The SCU is normally
set up below the sub-desk.
(3) Processing unit (PC)
This unit runs Windows XP, and is used for image processing. The PC
incorporates the CPU, image acquisition circuitry, multiple drives, and various
interfaces.
It can save and output up to a maximum of 15 fps, 1024×1024 pixel, 12 bit images.
(4) Keyboard
For the input of patient information and study information, etc.
(5) Mouse
For selecting and performing various processes displayed in the GUI (Graphical
User Interface).
1.2 Optional Components

(1) Keypad
This consists of 16 operation buttons, and is incorporated into remote or local

control consoles. This allows operation of some digital image processor functions,
such as starting and ending studies, playback of images for cine display, and
switching between single/sequential acquisition.
(2) Reference monitor
This displays still images or serially acquired images.
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2. Overview of Operations
2.1 Basic Operation
This machine has an operating environment based upon Windows XP, and is operated
using a keyboard and mouse. Use combinations of the following operations in order to
perform desired image acquisition and image processing.
<1> Selection of Operations mode
<2> Selection of menus and buttons
<3> Input into data fields using the keyboard
<4> Image selection and operation using the mouse
<5> Selection of dialog boxes (alerts and messages)
2.1.1 Keyboard
(1) Character input
Input characters using the keyboard.
(2) Restricted operations
Key operations that directly interface with Windows, such as the Windows key,
[Ctrl] + [Alt] + [Del], [Alt] + [Tab], and [Ctrl] + [Esc] are restricted.
In the event of the OS failing to start or other problems, confirm that the access
lamps for hard disk or multiple drives are not lit, and then turn OFF the PC power
switch.
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2.1.2 Mouse
Operate the mouse to select an item to be performed.
In addition, use the mouse when specifying locations on the screen. Moving the mouse
moves the mouse cursor (mouse pointer) a corresponding distance in the
corresponding direction.
(1) Using the mouse
(a) Click (press the mouse button once)
Use when moving through menus, selecting images, and performing actions
on icons.
(b) Double click (press the mouse button twice in quick succession)
Use to perform default operations. For example, by using the left mouse
button to double click a reduced image, you can display that image in full
screen mode.
(c) Drag (move the mouse while holding a mouse button down)
Use when panning, scrolling, and continuous operations such as gray-scale

processing.
For example, by moving the mouse while holding down the left mouse button,
you can change the zoom ratio, or pan. Additionally, by moving the mouse
while holding down the right mouse button, you can alter the image gradation
(W1, W2).
(d) Wheel
Rotating the wheel allows operations similar to moving the scroll bar.
After selecting an image, you can rotate the wheel to turn through pages, or
feed frames.
(2) Operations performed using the mouse
Except when stated otherwise, operations using the left button are described.
Wheel
Rotate to turn through images

and pages.
Left button
Right button
Click to select menus,
images, icons, and buttons. Drag to perform image gradation
processing.
Drag to draw lines, and
Vertical: window lower limit W1
specify ranges.
Horizontal: window upper limit W2
Double-click to change the Double-click to return to original
size of image display. values.
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2.1.3 Tabs
When selecting operations screens that have a series of functions, click the tabs at the
top of the screen.
Tab
Button
Menu
2.1.4 Buttons
Perform functions by clicking buttons.
There are two types of buttons; those that stay lit when clicked, and those that stay lit
only momentarily when clicked. Buttons that stay lit when clicked are available as long
as they remain lit. Buttons that stay lit only momentarily when clicked perform their
function at the same time that they are clicked.
In this manual, the terms "press" and "select" are both used to mean "click."
Button that stays lit when clicked
Button that stays lit only momentarily when clicked
2.1.5 Menus
Menus are used for the selection of multiple alternatives.
Clicking a menu will display a list, from which options can be selected by clicking the
mouse.
If items on the menu are dark, then these items cannot be selected.
Close the menu by clicking a point somewhere else.
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2.2 Operations Mode and Monitor Screen
2.2.1 Operations mode
Select an operations mode that corresponds to the details of work.
Select the operations mode by clicking the tab at the top edge of the system monitor.
Each operations mode functions independently. For example, even if carrying out
operations in Archives mode, it is possible to perform fluoroscopy/radiography, which
are Study mode functions.
(a) Study mode : Performs out a series of operations from the start to the
end of a study (patient registration, image acquisition,
image processing, printing instructions, and ending study)
→ Refer to section 4.
(Refer to section 3 regarding patient registration)
(b) Archives mode : Retrieves and views past studies from the database.
Operations such as copy/correction of studies, image
deletion setting, and export are performed here.
(c) Film mode : By sending images displayed in preview to this mode, you
can confirm printed images.
(d) Reference mode : Specifying a reference image in either Study Mode or

Archives Mode will register the image in this mode, and
you can display this on the reference monitor.
This function is an option.
(e) Queue mode : Displays the processing status of sending to the DICOM
server, saving to external media, and print output.
(f) Recycle mode : The image that has been specified for deletion may also
be restored for display.
(g) Utility mode : Mode for input of items to be set in advance, such as
protocol names, sequential acquisition parameters, image
processing parameters, and printer formats. Changing
these settings requires system administrator authorization.
(h) Shutdown mode : Mode for turning OFF the power to the PC after all studies
have been completed.
→ Refer to subsection 2.3.4.
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2.2.2 System monitor screen
The system monitor is used for operation of the digital image processor. This displays
names and functions on the main screen.
Image information
Operations mode tab Image display area display field
Patient
information field
Menu area
Operation
buttons
Task bar Thumbnails Preview
Select from Study/Archives/Film/Reference/Queue/Recycle

Operations mode tab
/Utility/Shutdown modes.
Displays patient information for the patient being studied, or
Patient information field
patient information for the displayed image.
Displays operation buttons and information for functions
Menu area
required in each mode.
Displays operation buttons for image operation and
processing.
Operation buttons
Buttons are categorized into Manip./Notes/Process tabs
depending on their functions.
Displays images. Additionally, this becomes the Patient
Image display area
Registration screen and Search screen.
Thumbnails Displays reduced copies of images from that study.
Image information display field Displays study information about the selected image.
Displays the image for printing.
Preview
Used when selecting images for printing or export.
Area for display of DICOM save settings/print settings, hard
Task bar
disk usage, and media status, etc.
No. 2B305-782EN
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2.2.3 Live monitor screen
Live monitors are the monitors incorporated into the remote control console, and those
situated on top of the local control console. These display patient information, as well
as fluoroscopic images and radiographic images.
Displayed items may differ in parts depending on system configuration and Study mode.
Current date, elapsed time
Patient information
Study protocol
Duration of fluoroscopy in
current study
I.I. Image field size

SID
1 Number of images that can be

acquired in the study
Remaining A/B
A = number of radiographic
images + fluoroscopic
image acquisition count
B = number of image files
• Radiography direction display (L/R, R/L, no display) Image Box

• During fluoroscopy mark ( ) Displays thumbnails of acquired images.
• LIH display mark (LIH blinking)
• During out sequential radiography
Sequence name display
Elapsed time/number of images/stage number
• During single radiography
Image number (e.g. 142-3-53)
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2.3 Start-Up and Shutdown
For overall system start-up and shutdown procedures, refer to the system operation
manual.
Follow the procedure below for start-up and shutdown of the digital image processor
(turning ON, and turning OFF the power).
"2.3.1 Pre-operation Check" "2.3.2 Post-operation Check"
Post- Post-
Pre-operation "2.3.3 Turning Pre-operation "2.3.4 Turning
operation operation
Check Power ON" Check Power OFF"
Check Check
2.3.1 Pre-operation check

(1) Check before turning power ON
Before turning ON the power at the distribution panel and this system power, check
the following items.
<1> Ambient temperature, relative humidity, and atmospheric pressure meet

operating conditions. Additionally, there is no condensation within the
equipment comprising the system.
<2> There is no damage to cables, and connectors are firmly affixed.
<3> No clips or staples have fallen into the keyboard.
<4> If the monitor is dirty, gently wipe it with a soft dry cloth.
(2) Check after turning power ON

Turn ON the distribution panel main switch, the remote console power, and the PC
in this order.
<1> Confirm that there are no abnormal sounds, abnormal smells, or overheating.
In the event of any of these, immediately turn OFF the power, and cease use.
<2> Check remaining hard disk and REV space.

If there is insufficient space, organize images, or replace the REV.
<3> If, after the power has been turned ON, the system is to be restarted because
of an abnormality, then turn the system OFF, and wait at least five seconds
before turning the system ON again.
<4> Confirm automatic transfer settings to DICOM servers, DICOM printers, or

external media.
No. 2B305-782EN
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2.3.2 Post-operation check
Ensure that the power is turned OFF, and the system is shut down once a day.
(1) Check before turning power OFF

Before turning OFF the power to the system, check the following items.
<1> There are no abnormal sounds, abnormal smells, or overheating.
(2) Check after turning power OFF

After turning OFF the power to the system, check the following items.
<1> Ambient temperature, relative humidity, and atmospheric pressure meet

storage conditions. Additionally, there is no condensation within the
equipment comprising the system.
<2> There is no damage to cables, and connectors are firmly affixed.
2.3.3 Turning the power ON

This explains the procedures for starting up the digital image processor.
<1> Turn ON the main switch at the distribution panel.
<2> Turn ON the power switch of the transformer.

After the output voltage has stabilized, turn ON connected devices.
<3> Turn ON the power for peripheral devices such as laser imagers and DICOM
servers.
<4> Turn ON the power switch for the remote control console.
<5> Use the power switch on the front of the PC to turn it ON.
* Either the remote control console or digital image processor can be turned ON
first.
<6> The login screen is displayed on the system monitor.
No. 2B305-782EN
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<7> Input the user ID and password into the login screen.
Click [Login] to display the Study mode screen.
* In the event that a person without a user ID urgently needs to use the system,
then select [Emergency Login] on the login screen. Input the user's name into
[User Name] and then login in order to allow urgent use of the system by the
user.
These can be omitted, however

please input where possible for
history control.
CAUTION: If restarting the system after the power has been turned OFF, wait at
least five seconds before turning the system ON again.
Turning ON the power again before five seconds have elapsed may
result in either the loss of patient and image data, or malfunctions or
failures in the equipment.
No. 2B305-782EN
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2.3.4 Turning the power OFF
This explains the procedures for shutting down (turning the power OFF) the PC.
<1> In the Operations mode tab, select Shutdown mode.

A dialog box to confirm shutdown is displayed.
Click [OK] to shut down (turn the power OFF).

If background processes are running at this time (printing, exporting, etc.) then
active processes (jobs) is displayed.
<2> Wait until all jobs have completed, then click the [OK] button in the dialog box.
Clicking the [OK] button in the dialog box before jobs have completed will terminate
these jobs, and end these programs (applications).
Number of unfinished jobs
* Click [Logout] to display the login screen.
<3> Turn OFF the power switch for the remote control console.
<4> When the PC has shut down, turn OFF the power for the transformer.
<5> Turn OFF the power at the room distribution panel.
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2.3.5 Operational procedures in the event of malfunctions
Follow the procedure below if normal operation is not possible (a hang-up). Examples
of this are being unable to perform fluoroscopy or radiography, or the system not
functioning.
Fluoroscopy/radiography is not possible. The mouse

does not move. An application error dialog box is displayed.
The cursor is an hourglass.
NO The mouse stops A button is displayed

moving during use. in the dialog box.
NO
YES
YES
NO Is the HDD/drive
Wait 5 minutes.
access LED lit?
YES
Wait 10 minutes. Select the button.
NO
Still hung up? Operation is possible.
YES
NO Can Shutdown Mode

be selected?
Power-OFF the PC using the

YES
switch on its front, and turn
ON the power again.
Shutdown, and click Logoff.
Operation is possible.
Problems may recur, therefore
back up images to external
media or a server.
Log in again from the Log In screen.
The application NO Confirm that the images are

cannot be started. backed up.
YES Images are not NO

correctly backed up.
YES
Contact the Service Center.
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2.3.6 Backup fluoroscopy and backup radiography
You can perform fluoroscopy and radiography when the PC is turned OFF, or when not
logged in.
These operations are called "backup fluoroscopy" and "backup radiography."
This function is in order that studies in progress can be safely completed even when
applications have hung up, or when the PC has malfunctioned.
[Conditions for backup fluoroscopy and backup radiography]

Images that are normally saved in the PC are temporarily saved in the System Control
Unit (SCU) memory.
(A) The remote control console is turned ON, and the PC is either turned OFF, or not
logged in.
(B) The remote control console is turned ON, and an application on the PC has
abnormally terminated.
[Saving images acquired with backup radiography]
Turn ON the PC, and log in.

Click the [New Patient] button, and the [Store Backup Images] button is displayed at the
bottom of the patient registration screen. Input patient information, and by clicking the
[Store Backup Images] button, the backup radiographic images that are stored in the
SCU memory are saved to the hard disk.
[Backup fluoroscopy restrictions]
• You cannot perform fluoroscopic image acquisition or LIH save.
[Backup radiography restrictions]
• Up to 16 radiographic images can be taken.

• You cannot perform sequential radiography.
• You cannot perform image processing.
• Because display processing is performed using the study processing conditions that
are applied in Utility, display of the image on the monitor may be dark, or otherwise
have inadequate brightness. In these cases as well, images will be displayed suitably
when saved on the digital image processor.
CAUTION: Because backup radiographic images are saved in SCU

memory, these will be deleted if the power to the remote control
console is turned OFF. Additionally, if the PC is restarted, then
the images may not be properly recovered, and thus deleted.
Therefore, only use this method if other X-ray systems cannot
be used, or where otherwise absolutely necessary, and where
possible, reduce the number of radiographic images that are
taken.
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2.4 Operational Sequence
This subsection explains the procedures for operating the digital image processor.
Operation not listed here will be explained in the following section.
Turning the Power ON and Login 2.3.3
Patient Registration 2.4.1
Preparation for Image Acquisition 2.4.2
Acquisition of Fluoroscopy and LIH Images 2.4.3
Single Image Radiography 2.4.4
Sequential Image Radiography 2.4.5
Fluoroscopic Image Acquisition (F-REC) 2.4.6
Confirming Acquired Images 2.4.7
Image Gradation Processing 2.4.8
Image Zoom Display 2.4.9
Specifying Deletion of Unnecessary Images 2.4.10
Image Film Output 2.4.11
Ending Studies
2.4.12
Image Backup to REV
Viewing Archives 2.4.13
Turning the Power OFF (Shutdown) 2.3.4
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NOTE: 1. LIH (Last Image Hold) images are the last fluoroscopy or radiography
images displayed on the live monitor.
2. Acquisition is saving LIH images and radioscopic images to the digital

image processor hard disk.
3. REV™ is a registered trademark of removable hard disk drives

manufactured by Iomega Corporation.
4. In order to avoid the loss of acquired images resulting from failure of a hard
disk or other causes, it is recommended that DICOM save settings are
configured for automatic save (IMMEDIATE or END STUDY), or that
DICOM print settings are set for automatic printing (AUTO or S.AUTO) for
each protocol name.
5. Timing of the release of the single image radiography/sequential image

radiography switch may result in acquisition of either a non-irradiated white
image (negative display), or an image with insufficient density. This is not
a failure.
6. Changing either the I.I. size or aperture size of the X-ray beam limiting
device immediately after radiography may result in the positioning of the
electronic shutter differing from that of the actual X-ray beam limiting
device. This is not a defect.
No. 2B305-782EN
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2.4.1 Patient registration
Registers information for patients undergoing an X-ray study.
<1> Select Study mode. (This mode is selected at start-up.)
<2> Click the [New Patient] button, and the patient registration screen is displayed.
<3> Input patient information and study information into the corresponding fields.
Required fields are displayed in green (for monochrome monitors, in bright white).
Starting a study without the input of required fields will register the patient as an
emergency patient.
Accession No.
Automatically acquired from servers.
If not automatically acquired, then input manually.
Patient information input field

Patient ID (in single-byte alphanumeric characters)
Patient Name
Birth Date (YYYY/MM/DD)
Age (After inputting the birth date, the age is
calculated automatically.)
Sex (Male, Female, Other)
Patient Comment
Details (MWM additional patient information):

See next page.
Study information input field

Protocol Name (select from menu)
Body Part (select from menu)
Referring Physician (select from menu)
Study Description
[Add to List] button

Add the input details to the Current List
(scheduled procedure step list).
[Clear] button
Clears the Patient information field and the
Study information field.
[Close] button
Close the patient registration screen, and return
to the Study Mode image viewing screen. Start the study.
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<4> Click the [Details] button to display additional patient information from the MWM
server. (Option)
<5> Confirm that the input information is correct, and click the [Start Study] button.
The system monitor switches from the patient information input screen to the image
display screen, and registered patient information is displayed on the live monitor.
2.4.2 Preparation for image acquisition

Perform preparations as below in order to acquire (save on a hard disk)
fluoroscopic/radiographic images.
<1> If the system monitor display task bar indicates automatic transfer such as
IMMEDIATE or END STUDY, confirm that the status of the automatic transfer
destination server is receivable.
<2> In order to display the fluoroscopy last image (LIH image) on the study monitor,
press and illuminate the LIH switch on the control console of the X-ray diagnostic
table.
<3> Check hard disk usage on the system monitor display task bar. This value flashes
if there is only a small amount of disk space left. If it is expected that disk space
will be insufficient during a study, delete images that are not required in Archives
mode.
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2.4.3 Acquisition of fluoroscopy and LIH images (Saving LIH)
Click the [LIH Store ] button on the system monitor to save to the hard disk as
still images fluoroscopy last images that are displayed on the live monitor, or desired
fluoroscopy images that are being taken.
<1> Switch ON the fluoroscopy switch on the remote or local control consoles, and
commence fluoroscopy.
<2> Click the [LIH Store ] button during fluoroscopy to acquire the fluoroscopy
image at the moment the button is pressed. You can perform the same operation
by pressing the [Store ] button on the keypad (optional).
<3> Click the [LIH Store ] button when the remote control console LIH switch is
illuminated, and the last fluoroscopy image is displayed on the live monitor to
acquire that image. You can perform the same operation by pressing the
[Store ] button on the keypad (optional).
2.4.4 Single image radiography

Follow the procedure below to acquire a single radiographic image.
<1> In Study mode, select single image radiography either with the [Sequence] button
at the left of the system monitor, or the button on the keypad (optional).
Confirm that the [Sequence] button goes off, and the Acquisition Sequence
Settings table is not displayed.
Single image radiography is selected Sequential image radiography is

selected
<2> Press the radiography switch on the remote or local control console.
The radiographic image is acquired and displayed on the live monitor and system
monitor.
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2.4.5 Sequential image radiography
Follow the procedure below to acquire sequential radiographic images. Up to a total of
200 images can be acquired in each stage.
<1> In Study mode, select sequential image radiography either with the [Sequence]
button at the left of the system monitor, or the button on the keypad (optional).
The [Sequence] button lights up, and the acquisition sequence settings table is
displayed below.
<2> Click on the acquisition sequence selection menu to the right of the [Sequence]
button. Select and click the acquisition sequence name to use from the list.
Acquisition sequence selection menu
<3> Confirm that the desired acquisition sequence name is displayed on the live
monitor.
<4> Hold down the radiography switch to perform continuous radiography. Release the
switch during this time to abort X-ray irradiation and image acquisition. In these
cases, the image that was taken last may not have suitable density.
Additionally, X-ray conditions may mean that acquisition up to the total number of
frames configured on the acquisition sequence settings table may not be possible.
In these cases, change X-ray conditions and the radiography backup period (ms),
and increase the number of possible X-ray irradiation images.
Release the radiography switch to acquire the image, and display it on the system
monitor.
<5> To return to single image radiography, either click the [Sequence] button again, or
press the button on the keypad.
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2.4.6 Fluoroscopic image acquisition (F-REC)
Follow the procedure below to acquire fluoroscopic images as sequential images.
Up to a total of 200 images can be acquired.
<1> In Study mode, click the [F-Rec] tab at the left of the system monitor.
Recording method selection menu

First: Acquisition commences approximately two
seconds after turning the fluoroscopy switch
ON. If fluoroscopic image acquisition starts
during fluoroscopy, acquisition starts from
that time.
Last: Retains images acquired up to a specified

number of seconds before the fluoroscopy
switch is released.
<2> Select the recording method First/Last, and select the acquisition rate and duration
from the menu.
<3> Click the [Start] button. Alternatively, press the button on the keypad
(optional).
<4> Press the fluoroscopy switch, and the F-REC text and the acquisition time are
displayed on the live monitor.
To abort acquisition, turn the Fluoroscopy Switch OFF. You cannot press the [End]
button during fluoroscopy.
<5> For First recording method, this acquires images from approximately two seconds
from turning the fluoroscopy switch ON, to a specified number of seconds later.
For Last recording method, this acquires images up to a specified number of
seconds before the fluoroscopy switch is released.
<6> When fluoroscopic image acquisition is completed, the [End] button lights up.
<7> The first acquired image is displayed on the system monitor as a representative.
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2.4.7 Confirming acquired images
Confirm the study images for the patient who is currently undergoing a study.
<1> Select Study mode.
<2> Select an image with the mouse. Double click this to display a large copy of the
image, and double click again to return the image to its original display format.
<3> To send the image page, either drag the scroll bar to the right of the image, or
select the image then rotate the mouse wheel.
You can also select images by clicking on the thumbnails at the bottom of the
screen.
<4> You can view sequential radiographic images and fluoroscopic images as dynamic
images by clicking the Cine Screen button.
Cine Screen button Thumbnails Scroll bar
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2.4.8 Gray-scale processing for acquired images
Follow the procedure below to perform gray-scale processing for acquired images.
<1> Move the mouse up and down, or side to side while holding down the right mouse
button.
Increase W1
(Neg.) Make whites lighter
(Pos.) Make blacks darker
Decrease W2 Increase W2
(Neg.) Make blacks darker (Neg.) Make blacks lighter
(Pos.) Make whites lighter (Pos.) Make whites darker
Decrease W1
(Neg.) Make whites darker
(Pos.) Make blacks lighter
<2> To cancel gray-scale processing, click the [Reset] button from the [Process]
tab. Alternatively, processing can also be cancelled by double-clicking the right
mouse button.
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2.4.9 Acquired image zoom display
Follow the procedure below to zoom the display of acquired images displayed on the
system monitor.
<1> Click the ×2 Zoom button for a ×2 zoom.
<2> Click the Zoom button, and the cursor is displayed as a magnifying glass.
Drag the cursor up and down to change the zoom ratio.
<3> Click the Magnify Glass button to change the cursor. This gives a ×2 partial
enlargement of the image centered upon the location that the cursor is clicked.
Release the mouse button to return this to its original size.
<4> Click the Panning button, and the cursor is displayed as the palm of a hand.
By moving the mouse while holding down the left mouse button, you can view
required parts of the image.
To stop panning, click the Single Select button.
<5> To return a zoomed image to its original size, click the Zoom/Panning Reset
button.
2.4.10 Specifying deletion of unnecessary images

Specify deletion of acquired images to display a diagonal line through those images,
and these are not sent to the printer or server.
Images that have been specified for deletion are sent to Recycle mode when the study
is completed, or the study list is closed. In Recycle mode, you can restore images that
have been sent to this mode.
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2.4.11 Film output of acquired images
Confirm print settings for the current study on the task bar.
DICOM Storage settings status display DICOM Print settings status display
IMMEDIATE : Immediately transfer image after AUTO : Automatically print when
image acquisition. a study is completed.
END STUDY : Bulk transfer of images at S. AUTO : Create a print image at
completion of the study completion of the study.
MANUAL : No automatic transfer MANUAL : No automatic printing
<1> Auto-print mode (AUTO):
Automatically outputs in the printer format registered for each protocol name when
a study is completed.
<2> Semi-auto print mode (S. AUTO):
Click the [End Study] button, and the print image is created in the printer format
registered in Film mode. After confirming the print image in Film mode, click the
[Print] button to output.
<3> Manual-print mode (MANUAL):
Select the images to print, and click the [Add] button in the preview at the bottom
right of the screen. Click the [Film] button below the preview to create a printer
image, and to send this to Film mode.
Click the [Print] button to output to the printer.
<4> To output as film images from previous studies:
In Archives mode, select studies to print from the database and display. After this,
proceed as in Manual-print mode.
CAUTION: Ensure that the film sizes that are specified on the system monitor and on
the laser imager are the same. If different film sizes are specified, then
printing does not occur correctly.
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2.4.12 Ending studies and image backup to REV
<1> Confirm that a REV cartridge is inserted. If the REV usage display on the task bar
indicates "FULL," then replace with a new REV cartridge. If there is only a small
amount of disk space remaining on the REV cartridge, or a REV cartridge is not
inserted, then jobs will remain unsaved, and these are written when a new REV
cartridge is inserted.
No REV cartridge:
With REV cartridge (The number in parentheses indicates the space used in the
REV.):
<2> Click the [End Study] button at the bottom left of either Study mode or Archives
mode.
<3> Register new patient information by clicking the [New Patient] button or the [End
Study] button to end the study.
<4> Images are backed up to the REV cartridge at the same time the study is ended.
<5> When completing all studies and turning OFF the power, open Shutdown mode,
confirm that jobs such as printing and saving to DICOM are completed, then click
the [OK] button.
Click the [Cancel] button to return to the previous operating mode.
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2.4.13 Viewing previous images
Images from studies that have previously taken place can be referred to.
<1> From operations mode tab, click the Archives tab.
<2> Click the [Open Database] button at the lower left of the system monitor to display
the Database screen. Specify search conditions, and click the [Search] button to
display the list.
<3> Click the study to refer to on the study list. Then, click the [Open Study] button at
the bottom right of the screen, or double click the study on the list to display images
from that study.
<4> Proceed with image processing as in Study mode.
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<5> When ending image display, click the study list displayed at the left of the screen,
and then click the [Close] button.
[Patient Information Modification] button

Opens the patient registration screen, and correct
patient information from the selected study.
The password for operation must be entered.
Patient Information Field

Displays information for the patient
displayed on the screen.
Patient ID, accession no.,
patient name, sex (M, F), age
Study List
List of studies selected in the database and
called up images.
Displayed as "Patient name patient ID."
Click the study to view to display images.
(The list is reversed.)
[Close] button
Closes image display for studies selected
on the study list.
[Server Settings] tab

Configures the DICOM save destination server.
You can specify three transfer destinations.
[Export] tab
Copies images that were added to preview to
external media. Ensure that formatted DVD-RW
and CD-RW media are used.
• Device (CD/DVD, USB)
• Format (LOSSLESS JPG, DICOM, BMP, IMG)
* When selecting DICOM, set "Anonym" "ON/OFF"
• Division (EACH, MERGED)
EACH : Divided radioscopic images are output
individually.
MERGED: Divided radioscopic images are output
as one image.
[Print Settings] tab

Configures print formats.
• Format (Print format, set in Utility Management)
• Orientation (LANDSCAPE, PORTRAIT)
• Size (film size)
• Layout-H*V (number of frames on 1 sheet of film)
• Copy (print numbers)
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3. Patient Registration
3.1 Overview
This subsection explains how to register a patient to be studied.
To register a patient, click the [New Patient] button in Study mode and open the patient
registration screen.
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3.2 Registering the Next Patient to Be Studied
The procedure for registering the information of the next patient to be studied is outlined
below.
<1> Click the [Clear] button. The information previously inputted is deleted.
<2> Input the appropriate information for each item.

To move the cursor to the next item, press the Tab key on the keyboard. To input
information in [Birth Date] and subsequent fields, use the mouse cursor to select
the entry field.
Select a registered protocol name from the menu.
<3> Make sure that the inputted information is correct, and then click the [Start Study]
button.
<2> Input the patient information.
Accession No.: Input up to 20 characters.
Patient ID: Input up to 20 characters.

Patient Name: Input up to 32 characters.
Birth Date: Input in the format YYYY/MM/DD or YYYYMMDD.

Age: Input the date of birth.
The age is calculated automatically.
Sex: Select [MALE], [FEMALE], or [OTHER].
Patient Comment: Input up to 128 characters.
Details: Displays information from the MWM.

This is an optional function.
Protocol Name: Select a preset protocol name from the menu.
Study Description: Input up to 64 characters.
<1> Deletes the <3> Registers the patient and starts the study.
previously inputted When backup radiography has been performed, this button changes to
information. the [Store Backup Images] button. Input the information for the patient
for which backup radiography was performed and click this button to
import the backup image as the image for the registered patient. When
importing of the backup image is completed, this button is displayed
again as the [Start Study].
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<4> A message appears if the inputted information does not match the format specified
for an item or if you used incorrect characters. Correct the inputted information
according to the message.
<5> If you click the [Start Study] button without inputting the required information, the
following dialog box appears.
"*** is not inputted, so the information is registered as an emergency patient. Click
the [Cancel] button to return to the information registration screen."
Click the [OK] button to register the information as an emergency patient and start
the study.
For a normal study, click the [Cancel] button, input the required information, and
click the [Start Study] button again.
<6> When the study starts, the patient information is displayed in large type in the
center of the live monitor screen. Make sure that this patient information matches
the actual patient to be studied.
As a general rule, the characters input into the fields must meet the conditions in
the table below. There may be additional restrictions depending on the connecting
server, so contact the service personnel.
Alphanumeric Alphanumeric Other usable alphanumeric

characters symbols characters
Accession No. c - "-" "_" "=" "+" "(" ")"
Patient ID c - "-" "_" "=" "+" "(" ")"
Patient Name c c
Patient Comment c c
Study Description c c
3.3 Correcting Input Information

The procedure for correcting patient information that is currently being input is outlined
below.
[Not usable for an emergency user]
<1> Move the mouse pointer to the field you want to change, and double-click the left
mouse button.
<2> Select the area you want to change (the text is highlighted), and input the new
information.
<3> Make sure that the newly input information is correct, and then click the [Start
Study] button.
3.4 Canceling Input of Information

The procedure for canceling the input of patient information is outlined below.
<1> To end registration without changing the patient information, click the [Close]
button.
You return to Study mode.
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3.5 Collectively Registering Information for Patients to Be
Studied (Schedule Procedure Step)
You can collectively register information for patients to be studied to the Current List
(Scheduled procedure step list).
<1> Click the [Clear] button. The patient information previously input is deleted.
<2> Input the appropriate information for each item.
<3> Click the [Add to List] button.

The patient is added to the Current List on the right.
If you do not input all of the required items for a patient, that patient is added to the
list as an emergency patient.
<4> To add another patient, repeat steps <1> to <3> above.
<5> If you do not want to start a study, click the [Close] button to close the patient
registration screen.
<2> Input the patient information.
<3> Add the patient to the Current List.
<5> Close the patient registration screen.
<1> Delete the previously input information.
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3.6 Selecting a Patient from the Current List and Registering
for the Next Appointment
Once you have registered patient information to the Current List (scheduled procedure
step list), you can select the patient information from the list and register that patient for
the next appointment. When you start the study, the patient is deleted from the Current
List. It is also possible to select the patient in the Current List using the keypad and
then to start a study. For details, refer to subsection 4.4 "Keypad".
<1> Select the Current List tab.
<2> Move the mouse pointer to a patient on the Current List and double-click the
patient. The information of the selected patient appears in the left pane.
<3> Make sure that the input information is correct.
<4> Click the [Start Study] button.
<3> Check the patient information. <1> Select the Current List tab.
<2> Double-click the patient

for which to start a study.
<4> Start the study.
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3.7 Importing Patient Information (Optional)
3.7.1 Importing patient information from media
You can import patient information from a USB flash memory to the Current List.
(This function imports CSV files in the root folder.) This function is optional (PDRK-
PAT).
CAUTION: To protect this equipment from computer viruses, use the USB flash
memory only with this equipment, and do not use it for other applications.
<2> Connect the media containing the patient information.
<3> Click the [Import] button.

The CSV files in the media are displayed. After a CSV file is selected, patient
information is added to the Current List.
<3> Click the [Import] button.
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3.8 Deleting Patients from the Current List
The procedure for deleting patient information from the Current List due to a scheduled
procedure cancellation is outlined below.
<1> Click a patient name on the Current List.
<2> Check the selected patient information, and then click the [Delete Lines] button to
delete the patient.
<1> Click the patient to

be deleted.
<2> Delete the patient information.
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3.9 Selecting a Patient from the Patient Database (Using
Registered Patient Information)
The database automatically stores information for patients for which images are
acquired in Study mode. This simplifies the patient information input process when you
search for and register information of patients studied twice or more.
<1> Click the [Local Database] tab.
<2> Input the search parameters in the parameter fields for the patient you want to
display.
An asterisk (*) is a wild card indicating a desired character string.
* : Allows you to search for all character strings and dates.

(Click the [Clear] button to set this condition.)
A* : Allows you to search for character strings starting with "A" or "a".
*A : Allows you to search for character strings ending with "A" or "a".
*A* : Allows you to search for character strings containing "A" or "a" (including
character strings starting or ending with "A" or "a").
Search Range allows you to search for a study date.
Click [Today], [Week], or [Month] to select a date with a specific period.
You can directly input the date in the date format YYYYMMDD. (For example,
January 12 2005 becomes [20050112].)
You can also click the (Calendar) button to select the date using a calendar.
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Click the [Search] button to display all patients meeting the search parameters in
the Study List.
<1> Select the Local Database tab. <2> Input the search parameters.
<3> Start the search.
<3> Search the Study List for the desired patient name, and double-click the patient
name.
The information of the selected patient appears in the left pane.
<4> Modify the protocol and other items as necessary.
<6> Make sure that the selected patient information is displayed in the center of the
monitor screen.
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3.10 Selecting a Patient from the Patient WorkList (Optional)
When the system is connected to the MWM server, the WorkList tab is displayed.
(This function is optional (PDRK-PAT).)
Click the [New Patient] button to import the patient information from the MWM server
and update the Study List.
<1> Click the WorkList tab.
<2> Select the station name, study appointment date, and modality, and click the
[Search] button to import the patient information from the MWM server and update
the Study List.
Depending on the connection status, "Failed", "Finding...", or "Completed" is
displayed.
<3> From the Study List, double-click the patient you want to study. The patient
information appears on the patient information screen.
<4> Click the [Start Study] button to start the study.
<1> Select the WorkList tab.
<2> Update the Study List.
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3.11 Registering Emergency Patient Information
You can start a study with a patient registered as an "emergency patient" when there is
no time to register the patient information or the patient name and age are unknown and
you want to input this information at a later time.
For images acquired for an emergency patient, register the correct patient information
at a later time.
<1> Select Study mode.
<2> Click the [New Patient] button.

The patient registration screen
opens.
[New Patient] button
<3> Leave the required fields blank.

If even one required item is left
blank, the patient is registered
as an emergency patient.
[Start Study] button
<5> A confirmation dialog box

appears.
To register the patient as an
emergency patient, click the
[OK] button. To input the
patient information, click the
[Cancel] button.
<6> When the patient name is left

blank, the patient name
becomes [Emergency]. When
the patient ID is left blank, the
patient ID becomes [EM (study
date) (time study begins)].
Example when the study
begins at 23:25:54 on August
7, 2006:
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4. Study Mode
4.1 Overview
In this mode, you can perform a complete series of operations from the start to the end
of the study (patient registration, image acquisition, image processing, image saving,
print instructions, image transfer, and end study).
The system starts in Study mode.

To select Study mode when another operations mode is selected, click the Study tab in
the operations mode tabs.
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4.2 System Monitor Screen in Study Mode
When you select Study mode, the following screen appears on the system monitor.
Image information
Patient
information field
Menu area
Operation
buttons

Operations mode tab
Displays patient information for the patient being studied, or
patient information for the displayed image.
Displays operation buttons and information for functions
Menu area
required.
Displays operation buttons for image operation and process.
Operation buttons Buttons are categorized into Manip./Notes/Process tabs
depending on their functions.
Displays images. Additionally, this becomes the Patient
Image display area
Registration screen and Search screen.
Thumbnails Displays reduced copies of images from that study.
Displays the image for printing.
Preview
Used when selecting images for printing or export.
Area for display of DICOM save settings/print settings, hard
Task bar
disk usage, and media status, etc.
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4.2.1 Patient information field
In the patient information field, information for the patient currently being studied is
displayed as shown in the following image.
(1) ID: 12345678-90
Displays the patient ID.
(2) Acc.: 20060807-005
Displays the accession number.
(3) Toshiba Medical Syxxx
Displays the patient’s name.
(4) F 52Y
Displays the patient’s gender and age.
(5) Patient information modification [Cannot be used by the emergency user.]
Opens the patient information modification screen to allow

you to modify the information of the patient currently being
studied. The password for editing must be entered. To
obtain this password, contact the service engineer.
(6) New Patient
Allows you to register new patient information. See Section 3

for information on patient registration.
(7) Protocol name selection
Displays the protocol name.

To rename the study after starting the study, select the
protocol name from the menu.
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4.2.2 Menu area
The menu area displays the operation buttons and information of the required functions
in Study mode.
The buttons are divided into tabs by function: Radio and F-Rec.
For Cine playback, the tab changes to the Cine playback tab.
(1) Radio tab
Displays the operation buttons and information mainly for radiography.

The display changes for single-shot radiography and sequence radiography.
(a) Single-shot radiography (Sequence Off)
When the [Sequence] button is not selected, the mode is

set to single-shot radiography (Sequence OFF). The
[Single] button on the keypad (optional) has the same
function.
(b) LIH Store
Stores the fluoroscopic LIH image or one frame during

fluoroscopy to the hard disk. The [Store] button on the
keypad (optional) has the same function.
(c) Virtual Collimator
Displays the current position of the beam limiting device in

the fluoroscopic LIH image. The [Vir Colli] button on the
keypad (optional) has the same function.
(d) Sequence radiography (Sequence ON)
When the [Sequence] button is selected, the mode is set

to sequence radiography (Sequence ON). The [Seq]
button on the keypad (optional) has the same function.
(e) Radiography sequence selection
Displays the radiography sequence.

Allows you to select the radiography sequence from the
pull-down menu.
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(f) Sequence settings table
Displays the setting values for the current radiography

sequence.
Clicking the sequence settings table opens the Sequence
Program Editor screen and allows you to temporarily edit
the settings. You can edit the maximum number of
frames, but it cannot exceed 200 frames. These settings
do not change the registration details of the radiography
sequence and are valid until the sequence name is
changed or the study is ended.
(2) F-Rec tab

Displays the operation buttons and information for fluoroscopic image acquisition.
(a) Fluoroscopic image acquisition buttons
These buttons start and end fluoroscopic image

acquisition. The [F-Rec] button on the keypad (optional)
has the same function. Clicking the [Start] button during
fluoroscopy immediately enables fluoroscopic image
acquisition.
Clicking the [Start] button when fluoroscopy is stopped
enables fluoroscopic image acquisition the next time you
start fluoroscopy.
(b) Recording method selection
Select the recording method (First or Last) for fluoroscopic

image acquisition from the pull-down menu.
First : Image acquisition starts approximately two
seconds after the fluoroscopy switch is turned ON.
Clicking the start button during fluoroscopy
immediately starts image acquisition.
Last : Recording starts from a specified number of
seconds before the fluoroscopy switch is released.
(c) Image acquisition rate
Select the image acquisition rate from the pull-down

menu.
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(d) Acquisition time
Select the acquisition time from the pull-down menu.
(e) Number of frames acquired
Displays the number of frames acquired as calculated

from the image acquisition rate and acquisition time.
Restriction on the number of frames acquired for F-Rec
The maximum number of image files (number of images +
number of frames in F-Rec) that can be stored for one
study is 1,000. The live monitor displays the remaining
number of frames that can be acquired. Up to 200 frames
can be acquired in single fluoroscopy image acquisition.
(3) Cine Playback tab
Clicking the [Cine Playback] button displays the operation buttons and information
for cine playback.
(a) Play/Stop/Frame backward and forward
Allow you to start or stop Cine playback.
Moves backward one frame at a time from the stopped position.
Starts playback.
Stops playback. Next playback starts from the stopped position.
Moves forward one frame at a time from the stopped position.
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(b) Live speed playback
Click the [Live Speed] button to play back images at

approximately the same speed as when they were
acquired. The right text box displays the speed at the time
the images were acquired.
(c) Playback speed setting
Click the [PlayBack Speed] button to play back images at

an arbitrary speed from 0.5 to 15 fps. Use the left mouse
button to drag the slider to the desired playback speed.
4.2.3 Operation buttons

Displays the operation buttons for screen operations and image processing.
The buttons are divided by function into Display Format, tabs for Manip., Notes, and
Processing, Print, Send, and End Study.
(1) Display Format
Displays operation buttons for the display format.
(a) Cine playback
Starts Cine playback of sequence radiography images and

fluoroscopic acquisition images.
For Cine playback, the tab in the menu area changes
automatically to the Cine playback tab.
(b) 1×1 image display
Displays one image in the image display area.
(c) 2×2 image display
Displays four images in the image display area at reduced size.

Double-click a displayed image to display that image at full size.
At this time, you cannot select the display format. Double-click
the image again to return to four image display.
(d) n×m image display
Displays n×m images in the image display area at reduced size.

Double-click a displayed image to display that image at full size.
At this time, you cannot select the display format. Double-click
the image again to return to n×m image display. Set the
number of displayed images in the Utility mode.
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(2) Manip. tab
Displays operation buttons for image manipulation.

For sequence images, if even one is selected, operations will apply to all images in
the sequence.
For fluoroscopic acquisition images, operations to a representative image apply to
all frames.
However, when you stop playback in Cine Playback mode and apply a shutter
operation, that operation applies to all frames.
(a) Single Select
Allows you to select a single image. It also cancels operations

modes like continuous zoom, shutter, and panning, and returns
to the normal mouse cursor.
(b) Multi-Select
Allows you to use Multi-Select mode.

Either of the operations below enables you to select multiple
images.
• Click the [Multi-Select] button, and then click on the images
to select.
• To select images, click the images while holding down the
[Ctrl] button. The [Multi-Select] button will light up
automatically at the second image selected.
To deselect images, click the images again while holding
down the [Ctrl] button.
Clicking the [Multi-Select] button again causes the button to
go out and releases all selected images.
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(c) All Select
All images are selected, and the [Multi-Select] button lights up

automatically. To deselect images, click the images while
holding down the [Ctrl] button.
(d) ×2 Zoom
The selected image will be displayed at ×2 zoom. To cancel

the zoom, click the [Fit] button.
(e) Zoom
Allows you to use Continuous Zoom mode. Drag the mouse up

or down above the image to continuously enlarge or reduce the
image.
(f) Fit
Allows you to cancel the zoom or panning for the selected

image.
(g) Panning
Allows you to use Panning mode for the image in the frame.
Drag the mouse in the desired direction over the image to be
panned.
Pans the selected image.
To cancel panning, click the [Fit] button.
To cancel Panning mode, click the [Single Select] button.
(h) Shutters
Allows you to use Shutter mode. Drag the mouse over the
image for which to set the shutter. The operation of the shutter
changes depending on the position of the cursor.
• Over a side of the shutter : Moves to one side.
• Over a corner of the shutter : The two sides of that corner
move.
• Center of the shutter : The whole shutter moves in
parallel at the current
aperture setting.
Sets the shutter for the selected image.
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(i) Magnify Glass
Allows you to use Magnify Glass mode. The area of the ROI
centered on the point where the mouse was clicked is
magnified by a factor of 2. Drag the mouse to move the ROI.
To exit Magnify Glass mode, click the [Single-Select] button.
(j) Send Monitor (optional)
Allows you to transfer a selected image to the reference

monitor. The reference monitor displays the last selected
image among the images transferred at the same time.
However, transferred images cannot be displayed again here.
To display a transferred image again, use the reference monitor
to select the image to display.
(k) Send Ref. (optional)
Allows you to transfer a selected image to the reference

monitor.
(l) Delete
Allows you to delete a selected image. The deleted image is

processed as follows.
• A deletion mark is added to the image. Images with a
deletion mark cannot be printed or transferred.
• Selecting an image with a deletion mark and clicking the
[Delete] button removes the deletion mark.
• When an image has a deletion mark and you end the study,
this finalizes the deletion and you can no longer display the
image in Archives mode.
• An image with finalized deletion is transferred to Recycle
mode.
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(3) Notes tab
Displays operation buttons for graphic manipulations.

The three buttons in the top row are the same as those in the Manip. tab.
The following operation rules are common to all graphics.
• Procedure for Drawing Graphics
(1) Click the graphic operation button.
(2) Use the mouse to draw the graphic over the target image.
(3) Click outside the graphic to finalize it.
• When you click a finalized graphic, it is selected and can be moved or edited.
• You can select multiple finalized graphics on the same image by clicking those
images while holding down the Shift key.
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(a) Text input
Allows you to add text to images.
<1> Drag the mouse to the place where you want the text displayed, and
then set the text display area.
<2> Input the text from the keyboard.
<3> Double-click outside the text display area to finalize the text.
When you click a finalized text display area, it is selected and can be
moved.
When you double-click a finalized text display area, you can edit the
text or add text.
(b) Arrow input
Allows you to add an arrow to images. Drag the mouse to the

location where an arrow is to be added. With the arrow
selected, drag the left mouse button to change the length,
angle, and position of the arrow.
(c) Polygon input
Allows you to add polygons to images. You can set the vertices
of the polygon by left-clicking with the mouse. Right-click the
mouse to automatically connect the starting point and ending
point.
(d) Right Mark input
Allows you to add an R mark to the lower-right part of the

images. You can move the position of the mark in the same
way as the text by dragging it with the mouse.
(e) Left Mark input
Allows you to add an L mark to the lower-right part of the

images. You can move the position of the mark in the same
way as the text by dragging it with the mouse.
(f) Ellipse input
Allows you to add ellipses to images. Drag the mouse to the

location where an ellipse is to be added. With the ellipse
selected, drag the left mouse button to change the shape and
position of the ellipse.
(g) Distance measurement
Allows you to measure and display the distance between two

points. You can measure the distance between two points by
dragging the mouse along a straight line between the two
points. The value display position can be changed using the
Tab key.
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(h) Angle measurement
Allows you to measure and display the angle between two

straight lines.
<1> Click on the start point of the first line, and then click on the end point
to set the first line.
<2> Click again on the end point of the second line to set the second line
between that point and the start point of the first line.
<3> The angle is automatically displayed and finalized. The value display
position can be changed using the Tab key.
(i) Clear Graphic
Allows you to clear all graphics (text and figures).

When this button is lit up, it indicates that graphics are cleared.
(j) Distance Calibration
Allows you to set the unit of measurement of the estimated

distance from the tabletop of the object being measured to
centimeters.
• You can set different values for each image.
• You can set values ahead of and behind the distance
measurement.
• When you change the distance calibration value after
measurement, the measurement distance at the new value is
redisplayed.
(k) Delete Notes
Allows you to delete the selected graphic (text, figures). If you

make multiple selections, you can delete all of them at once.
(l) Palette
Allows you to set the font size of the text in the image.
However, the size of text that has already been entered cannot
be changed.
Setting range: 10 to 50
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(4) Process tab
Displays operation buttons for image processing.

(a) Reset image processing
Allows you to restore the selected image to its original state

when it was acquired.
(b) Flip Vertical
Allows you to flip the selected image vertically. For fluoroscopic

acquisition images and fluoroscopic images saved with LIH,
you can only perform this operation during Cine playback.
(c) Flip Horizontal
Allows you to flip the selected image horizontally. For

fluoroscopic acquisition images and fluoroscopic images saved
with LIH, you can only perform this operation during Cine
playback.
(d) Negative/Positive reversal
Allows you to reverse negative and positive for the selected

image. For fluoroscopic acquisition images and fluoroscopic
images saved with LIH, you can only perform this operation
during Cine playback.
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(e) Rotate Clockwise
Allows you to rotate the selected image 90 degrees clockwise.

For fluoroscopic acquisition images and fluoroscopic images
saved with LIH, you can only perform this operation during Cine
playback.
(f) Rotate Counterclockwise
Allows you to rotate the selected image 90 degrees

counterclockwise. For fluoroscopic acquisition images and
fluoroscopic images saved with LIH, you can only perform this
operation during Cine playback.
(g) Registration [Can only be used by the system administrator.]
Allows you to overwrite the current image processing

parameters of the selected image to the protocol name of the
selected image.
You can also overwrite to other protocol names.
(h) Auto Window
Allows you to open an auto window screen and apply the auto
window to the selected image. When multiple images are
selected, the following images are displayed in the auto window
screen as the representative image. This button can only be
used with radiographic images.
• Images displayed at 1×1
• In the case of multiple image displays, the first image
(i) Gamma/Edge Enhancement/DCF
Allows you to open the postprocessing screen to change the

gamma curve, edge enhancement, and DCF of the selected
image. When multiple images are selected, the following
images are displayed in the postprocessing screen as the
representative image. Radiographic images and fluoroscopic
acquisition images cannot be edited at the same time as
fluoroscopic images saved with LIH.
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(5) Print
Allows you to print the preview image.

This button is displayed when the print method is Semi-Auto
(S.AUTO) or Manual (MANUAL).
(6) Suspend Print
Allows you to stop auto printing. When this button is lit up

during acquisition of the last frame of the image box page of
the live monitor, the relevant pages are not printed.
This button is displayed when the print method is Auto
(AUTO).
(7) Send
Allows you to transfer the preview image to the DICOM

server.
This button is displayed when the DICOM Storage method is
Manual (MANUAL).
(8) Suspend Send
Allows you to suspend transfer to the DICOM server. When

this button is lit up, all subsequent transfers are suspended.
This button is displayed when the DICOM Storage method is
sequential transfer (IMMEDIATE) or batch transfer (END
STUDY). The [Not Send] button on the keypad (optional) has
the same function.
(9) End Study
Allows you to end the study. If the print method is Semi-Auto

(S.AUTO), clicking End Study transfers the images to Film
mode. If the DICOM Storage method is End Study (END
STUDY), clicking End Study transfers the images to the
DICOM server.
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4.2.4 Image display area and thumbnails
Displays still images, Cine playback, thumbnails, related information and image
processing parameters. Switches between four displays depending on the purpose:
• Normal display for still images

• Video image display during Cine playback
• Auto window screen opened with the [Auto Window] button
• Postprocessing screen opened with the [Gamma/Edge/DCF] button
You can set the window settings for gray-scale processing to suit observation and
printing for the displayed image in any of the displays above. However, you cannot set
the window settings only for the postprocessing screens of radiographic images.
You can use the mouse to adjust the windows individually for W1 and W2.
(1) Window settings 4095

As shown in the figure to the right,
the selected gamma curve
processes the gradation of pixel
values W1 and W2 of the raw Pixel value
image. after processing
0 W1 W2 4095
Pixel vale of raw image
You can use the mouse to adjust the windows individually for W1 and W2.
<1> Align the cursor with the

image for adjusting the
window.
<2> To adjust W1, move the
mouse up and down while
holding down the right mouse
button.
Move the mouse up to make
W1 larger, and move the
mouse down to make W1
smaller.
Make adjustments while W1 W2
viewing the area of the
contrast medium.
<3> To adjust W2, move the
mouse left and right while
holding down the right mouse
button.
Move the mouse right to
make W2 larger, and move
the mouse left to make W2
smaller. Make adjustments
while viewing the area of air.
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(2) Normal display
Displays still images in the image display area. Displays thumbnails below the
image display area. The following image is an example of 1×1 image display.
Select an image from the image display area or thumbnail display area. A frame
appears around the selected image both in the image display area and the
thumbnail display area.
Window adjustments and other changes to the image in the image display area,
with the exception of zooming, panning, and graphics, are reflected in the
thumbnail.
(a) Scroll bar and slider
To scroll the image in the image display area, use the mouse to drag the slider
on the scroll bar on the right side. You can also click an image in the image
display area, and then use the mouse wheel to scroll the image. This does
not scroll the thumbnail either case.
(b) Left/right scroll arrows
Allows you to scroll the thumbnails left or right. You can also
click an image in the thumbnail display area, and then use the
mouse wheel to scroll the thumbnails. This does not scroll the
image in the image display area in either case. Clicking a
thumbnail image jumps to the same image in the image display
area.
Scrolling with the mouse wheel, as described above, only scrolls
the area (image display area or thumbnail display area) last
clicked.
(c) Scale display
Displays a scale according to the distance calibration data on the right of the
image display area during 1×1 image display. The scale becomes larger or
smaller according to the image zoom setting.
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(d) Series number - Image number
Displays the series number and image number at the top left of each image.
(e) Sequential image/fluoroscopic acquisition image
Displays [C] for sequential images and [F] for fluoroscopic acquisition images
at the top right of each image.
(3) Cine playback
Selecting the [Cine Playback] button displays a Cine playback image in the image
display area and thumbnails below the image display area. The image display
area is fixed at 1×1 image display.
To scroll the image in the image display area, use the mouse to drag the slider
on the scroll bar on the right side. You can also click an image in the image
display area, and then use the mouse wheel to scroll the image. However,
you cannot scroll single radiography images or fluoroscopic images saved
with LIH. Scrolling an image in the image display area does not scroll the
thumbnail.
(b) Left/right scroll arrows
click an image in the thumbnail display area, and then use the
mouse wheel to scroll the thumbnails. This does not scroll the
image in the image display area in either case. Clicking a
thumbnail image jumps to the same image in the image display
area. However, you cannot jump to a specific frame in one
sequence radiography group.
Scrolling with the mouse wheel, as described above, only scrolls
the area (image display area or thumbnail display area) last
clicked.
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(c) Scale display
image display area. The scale becomes larger or smaller according to the
image zoom setting.
(e) Sequential image/fluoroscopic acquisition image
Displays [C] for sequential images and [F] for fluoroscopic acquisition images
at the top right of each image.
(f) While an image is being imported from the hard disk to memory, the loading
image is displayed. After importing is completed, the total number of images
is displayed.
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(4) Auto window screen
Selecting the [Auto Window] button displays a representative image and the auto
window ROI on the left, and also displays the histogram, additional information,
control items, and operation buttons on the right.
(a) Representative image
Displays the representative image when the auto window screen is opened.
You can right click the mouse and drag the window to adjust it.
(b) Auto window ROI
Displays the ROI, which indicates the auto window calculation target, in the
representative image. You can use the mouse to drag and adjust the ROI.
(c) Histogram
Displays a pixel-value histogram of the

representative image and windows W1
and W2.
(d) More information
Displays the acquisition conditions of

the representative image. These
conditions are set when registering the
protocol name in Utility mode.
You cannot change the conditions
here.
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(e) Control items
These are the adjustable auto window

parameters.
Low/GL and High/WW change
according to changes in other items,
but you cannot directly set the values.
Low/GL : Allows you to specify the effect of the auto window.
High/WW : Allows you to specify the effect of the auto window.
A.W. Method : Allows you to select the method for the auto window.
(AVG/MAX/GP)
Min GL : Allows you to select the range for extraction of the

smallest pixel values.
(Whole surface (GLOBAL)/Within ROI (INTERNAL))
ROI Figure : Allows you to select the figure of the auto window
ROI.
(Rectangle (RECT)/Ellipse (ELLIPSE))
These parameters work roughly as follows. Density changes when negative.

Positive changes in reverse.
When the method is AVG
Low : Determines the density near the smallest value

extracted in the region specified by MIN GL.
Large ↔ Small makes changes from Thin ↔ Thick.
High : Determines the density near the average value of the

auto window within the ROI.
Large ↔ Small makes changes from Thick ↔ Thin.
When the method is MAX

High : Determines the density near the largest value of the

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When the method is GP
Origin Point (GL) : Determines the density near the average value of the
Window Width (WW) : Determines the window width.

Large ↔ Small makes changes from a wide window
(low contrast) ↔ narrow window (high contrast).
When you change the A.W. Method, Min GL, and ROI Figure of the control
items or the auto window ROI of the representative image, the effect of the
auto window, which is the current window after the settings are changed, is
calculated and displayed in Low/GL and High/WW.
If the window is adjusted in the representative image, the effect of the auto
window, which is W1 and W2, is calculated and displayed in Low/GL and
High/WW.
(f) Cancel
Closes the auto window screen. The image returns to

the status at the time the auto window screen was
opened.
(g) OK
Closes the auto window screen. The representative

image returns to the status at the time the [OK] button
was clicked. When multiple images are selected, the
same auto window applies for all images.
You can use the above operations to use the auto window screen for the
following purposes.
• Similar gray-scale processing can be applied to multiple images at one time.
Procedure
(1) Select multiple target images.
(2) Display the representative image at 1×1 image display.
(3) Click the [Auto Window] button to open the auto window screen.
(4) Use the mouse to adjust the window of the representative image.
(5) Click the [OK] button and close the auto window screen to perform the
same auto window processing for the selected images.
(6) Check the target images.
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(5) Postprocessing screen
Selecting the [Gamma/Edge Enhancement/DCF] button displays a representative

image on the left and the histogram, DCF parameters (DCF), spatial filter (Edge1,
Edge2), gamma, and operation buttons on the right.
The DCF parameters and spatial filters are only displayed when a radiographic
image is selected.
(a) Representative image
Displays the representative image when the postprocessing screen is opened.
(b) Histogram
Displays a pixel-value histogram of the

representative image and windows W1
and W2.
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(c) DCF parameters (DCF)
Allows you to set DCF (digital

compensation filter) processing to
compensate for dark areas or bright
areas to make the image easier to see.
DCF : Allows you to set DCF ON or OFF.
Compress Size : Allows you to set the size of the smallest structure to be
compensated. SMALL compensates down to small
structures, but you may notice a lack of uniformity in the
compensation.
(SMALL/MEDIUM/LARGE)
Low Dose Part : Allows you to set the compensation range and size of the
effect for the low dose part (low-density part).
(OFF/AUTO_LOW/AUTO_MID/AUTO_HIGH/1/2/3/4/5/6/
7/8)
• When set to [OFF], the low dose part (low-density part)

is not compensated.
• AUTO automatically sets the compensation to match the
degree of bright areas in the image.
Select from three levels (_LOW/_MID/_HIGH).
• Of the numbers 1 to 8, 8 is the strongest eight-step
compensation, but it is a uniform compensation that
does not depend on the bright areas in the image.
High Dose Part : Allows you to set the compensation range and size of the
effect for the high dose part (high-density part).
(OFF/AUTO_LOW)/AUTO_MID/AUTO_HIGH/1/2/3/4/5/6/
7/8)
• When set to [OFF], the high dose part (high-density

part) is not compensated.
• AUTO automatically sets the compensation to match the
degree of dark areas in the image.
Select from three levels (_LOW/_MID/_HIGH).
• Of the numbers 1 to 8, 8 is the strongest eight-step
compensation, but it is a uniform compensation that
does not depend on the dark areas in the image.
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(d) Spatial filters (Edge1, Edge2)
Allows you to set spatial filter processing. Up

to two types of filters can be applied together.
Spatial filter : Allows you to set the spatial filter ON or OFF.

Frequency: Allows you to select the frequency to enhance.
(MID/HIGH)
Enhancement : Allows you to select the degree of enhancement. (-5/-4/

-3/-2/-1/0/1/2/3/4/5)
• [0] indicates no enhancement.

• Of the numbers -5 to -1, -5 is the strongest five-step
attenuation.
• Of the numbers 1 to 5, 5 is the strongest five-step
enhancement.
(e) Gamma
Allows you to set the negative/positive

reversal and gamma curve processing.
Nega/Posi : Allows you to select [NEGATIVE] or [POSITIVE].

(NEGATIVE/POSITIVE)
Nega/G. Type : Allows you to select the type of negative gamma curve.
(1/2/3/4/5)
Nega/Contrast : Allows you to select the contrast of the negative gamma

curve.
(LOW/MID/HIGH)
Posi/G. Type : Allows you to select the type of positive gamma curve.
(1/2/3/4/5)
Posi/Contrast : Allows you to select the contrast of the positive gamma

curve.
(LOW/MID/HIGH)
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(f) Process
Performs image processing of the representative image

according to the DCF parameters (DCF), spatial filters
(Edge1, Edge2), and gamma settings.
(g) Cancel
Closes the postprocessing screen. The image returns to

the status at the time the postprocessing screen was
opened.
(h) OK
Performs image processing of the representative image

and selected images according to the current settings,
and then closes the postprocessing screen. When
multiple images are selected, the same processing is
performed for all images.
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4.2.5 Image information display field
The image information display field displays study information for the images selected in
the image display area.
(1) Toshiba Hospital
Displays the institution name.
(2) 144-1-1
Displays the study number - series number - image number.
(3) 2006/08/05 - 16:27:00
Displays the date/time the study was started for the selected image.
(4) Upper GI
(5) SID 109 cm
Displays the SID of the table (the distance between the X-ray tube focus and I.I.).
(6) FOV 12 inch
Displays the image field size.
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(7) Gamma MID1
Displays that the gamma curve is type 1 and the contrast is MID.
(8) SFLT MID3/OFF
Displays that the frequency of the two spatial filters is set to middle (MID), and that
the strength is set to 3 and OFF.
(9) DCF OFF/HM
Displays that the low dose part is set to OFF, and that the high dose part is set to
auto middle (AUTO_MID) HM.
(10) ZOOM 100%
Displays that the zoom magnification factor is set to 100%.
(11) Histogram and window
Displays a pixel-value histogram and window W1, W2.
4.2.6 Preview
Displays a preview of the print image. You can select an image to be transferred to the
DICOM server.
(1) Preview 1/2
Displays the page number for the current preview/total number of pages.
(2) Scroll arrows
Click these arrows to move among preview images when there

are multiple pages. You can also click a preview image, and
then use the mouse wheel to scroll the image.
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(3) Add
Allows you to add selected images to the preview. You can

also add selected images by pressing Shift + Ctrl and dragging
the images to the preview area. Images are added to the end
of the preview.
(4) Delete
Allows you to delete the selected images from the preview.

You can select multiple images by clicking the images while
holding down the Ctrl key. You can deselect images in the
same way by clicking selected images while holding down the
Ctrl key.
(5) Film
Allows you to transfer all preview images to Film mode.
(6) Clear
Allows you to delete all preview images from the preview area.
4.2.7 Task bar

This area displays messages and icons for the amount of hard disk space used, the
print status, the image transfer status, and the status of fluoroscopy/radiography and the
like.
(1) X-ray high-voltage equipment power source
Displays whether the X-ray high-voltage equipment power

source is ON or OFF.
(2) X-ray exposure
Displays X-ray exposure.
(3) DICOM storage method status
Displays the status of image transfers to the DICOM server.

Sequential transfer (IMMEDIATE)/batch transfer (END
STUDY)/manual transfer (MANUAL)
If errors have occurred, an × is displayed. In that case, check
the status in Queue mode.
(4) DICOM print method status
Displays the status of print output instructions to the printer.

Auto print (AUTO)/semi-auto print (S. AUTO)/manual transfer
(MANUAL)
If errors have occurred, an × is displayed. In that case, check
the status in Queue mode.
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(5) Internal hard disk space used
Displays the amount of hard disk space used. This blinks

when the remaining disk space warning that is set in Utility
mode is reached.
(6) REV space used
Displays the removable hard disk (REV) number and the

amount of REV disk space used. When this blinks, no
additional data can be stored. Blinking of the button indicates
that disk is not inserted or the REV No. of the disk is incorrect.
(7) CD/DVD status
Displays whether recordable media, such as a DVD-R or

CD-R, is available, and displays the writing status of that
recordable media.
(8) USB status
Displays whether a USB memory device is connected, and

displays the writing status of that USB memory device.
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4.3 Live Monitor
The live monitor displays the following screen.
Image display area Time/date display field
Study information field
Acquisition information
field
Table information field

Message display field
Image box
Displays the fluoroscopic, radiographic, or fluoroscopic

Image display area
LIH image.
Time/date display field Displays the current date, time, and elapsed study time.
Displays the information for the patient currently being
studied.
Displays information about the fluoroscopy and name of
Study information field
the study currently being examined.
Displays information about the current image acquisition
Acquisition information field
status.
Table information field Displays information about the current table status.
Message display field Displays messages as necessary.
Image box Displays a preview of the print image.
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4.3.1 Image display area
Displays the fluoroscopic, radiographic, or fluoroscopic LIH image.
4.3.2 Time/Date display field

Displays the current date, time, and elapsed study time.
(1) 2006.08.08 10:36
Displays the current date and time.
(2) 00:08:15
Displays the elapsed time from the start of the study.

Displays the information for the patient currently being studied.
(1) Patient Name
Displays the name of the patient currently being studied.
(2) Acc.: 20060808-001
Displays the accession number of the patient currently being studied.
(3) 0123456-78
Displays the ID of the patient currently being studied.
(4) F 29Y
Displays the gender and age of the patient currently being studied.
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4.3.4 Examination information field
Displays information about the fluoroscopy and name of the study currently being
examined.
(1) Upper GI
Displays the name of the study currently being examined.
(2) Frame rate: CF
Displays the current fluoroscopy mode.

Continuous fluoroscopy is denoted as [CF].
(3) F-time: 01.0 min
Displays the total fluoroscopy time in minutes from the start of the study.
4.3.5 Acquisition information field

Displays information about the current image acquisition status.
(1) Fluoroscopy/radiography status
Displays the current fluoroscopy and radiography status.

The upper line is the radiography status. For single-shot
radiography, [Single] is displayed. For sequential radiography,
the sequence name is displayed.
The lower line is the fluoroscopy status. For normal
fluoroscopy, [Fluoroscopy] is displayed. When fluoroscopic
image storage is ON, [F-Rec] is displayed.
The right area of the lower line displays the radiography
direction ([L/R] or [R/L]).
This indicates the radiography direction of the images to be
acquired. You can only set this with the keypad. [R/L]
indicates that the right of the screen is the left side of the
patient (supine position). [L/R] indicates that the right of the
screen is the right side of the patient (prone position).
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(2) 57-6-1
Displays the study number - series number - image number when displaying a
radiographic image.
(3) LIH
Displays that the last image hold switch on the remote control console or local
control console is ON.
(4) 00:00.05 REC
Displays the elapsed time during fluoroscopic image acquisition and that a
fluoroscopic image is being acquired ([REC]).
(5) Fluoroscopy
Displays the fluoroscopy mark during fluoroscopy.
(6) 00:15.9 16 Stage1
Displays the elapsed time, number of images, and the stage

number during sequence radiography.
4.3.6 Table information field

Displays information about the current table status.
(1) FOV [30 cm]
Displays the current image field size.
(2) SID 109 cm
Displays the SID of the table of fluoroscopic system (the distance between the
X-ray tube focus and I.I.).
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4.3.7 Message display field
Displays the number of images to be acquired or messages such as when the patient is
not registered as necessary.
(1) Remain: 196/996
Displays the number of images that can be acquired during the current study.
Displays number of radiographic images + number of times of fluoroscopic image
acquisition/remaining number of image files (number of radiographic images +
number of fluoroscopic image acquisition frames). The maximum number of each
is 200 and 1,000, respectively.
4.3.8 Image box

Displays a preview of the print image with the printer format registered to the protocol
name. The box is automatically added when acquisition is performed.
(1) Image Box 1/1
Displays the page number for the current image box/total number of pages.
* When an image is deleted on the system monitor, the display differs from the
actual print image.
In that case, check using Film mode on the system monitor.
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4.4 Keypad
The following describes the names and functions of the major keys on the optional
keypad for the DR equipment on the remote control console or local control console.
4.4.1 Names and functions of keypad keys
Key Function
Terminate the current study and display the patient list
Select Patient in the Current List on the live monitor.
Use the Up/Down keys to select the patient.
Press this key after selecting a patient to start the study

Start Study
of a registered patient.
Allows you to select single radiography (single-shot

Single Radiography radiography).
Allows you to select sequential radiography (sequence

Sequence Radiography radiography).
Stores the LIH image when displayed on the live

Store Monitor Image monitor. Stores one frame approximately 0.5 seconds
after you press this key during fluoroscopy.
Allows you to turn fluoroscopic image acquisition ON or
Fluoroscopic Image Acquisition OFF. Automatically turns OFF when fluoroscopic
image acquisition is done.
When you turn this ON and move the X-ray limiting
Virtual Collimator lever, the monitor displays the X-ray limiting overview
position with a line on the fluoroscopic LIH image.
Allows you to add an L/R or R/L mark, which indicates
Radiography Direction the left/right position of the patient, to the next acquired
image to indicate the radiography direction.
Temporarily cancels the transfer of acquired images to
Cancel Transfer the server when automatic transfer to the DICOM
server is set.
Allows cine display. Press this key during playback to
pause at that position.
Cine Display (Play/Stop)
When the [Ref mode] key is lit, use this key to start or
stop Cine playback of images on the reference monitor.
These keys have the following three functions.
Up
• Allows you to select a patient when the patient list is
displayed using the [Select Patient] key.
• Allows you to select a series other than the current
Down study.
• Allows you to select a reference image when the [Ref
mode] key is lit.
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Key Function
Displays the previous or next image when Cine
Next playback is stopped.
You can use these keys for Cine images on the
Previous reference monitor when the [Ref mode] button is lit up.
Allows you to select an image on the reference monitor

Reference mode
when using the keypad.
Adds the acquired image displayed on the live monitor

to the mode on the system monitor and
displays it on the reference monitor. Images already
Reference Display
added to the Reference mode cannot be displayed, so
open on the system monitor and select
an image*1.
Allows you to reverse negative and positive for the
Negative/Positive Reversal single-shot radiography image displayed on the live
monitor*1, *2.
Displays the single-shot radiography image displayed
×2 Zoom on the live monitor at ×2 zoom. Press this key again to
return to normal magnification.
Deletes the acquired image displayed on the live
monitor. You cannot transfer deleted images to a
Delete Image server or printer. You can use Recycle mode on the
system monitor screen to cancel image deletion. You
cannot delete images during Cine playback*1.
*1: This function does not work when the [Ref mode ] button is lit up.
*2: When operating the negative/positive reversal function the first time, the screen
changes in two steps, causing the inverted image to display slowly.
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5. Archives Mode
5.1 Overview
To select Archives mode, click the [Archives] tab in the operations mode tabs.
Operations mode tab
You can perform the following operations in Archives mode.
(1) Search for past stidies from the database and import and display those images.
(2) View, process, and output imported images.
(3) Modify patient information and study information, and delete images from the hard
disk.
You can also transfer images to Film mode and Reference mode using the same
operations as that for Study mode. See the section on Study mode for more
details.
However, you can only transfer images from Archives mode to Reference mode for
the patient selected in Study mode.
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5.1.1 Searching for previous images
<1> Click the Archives tab in the operations mode tabs.
<2> Click the [Open Database] button at the bottom left of the system monitor to open
the Database screen. Set the search parameters and click the [Search] button to
display a list of results.
<3> Click a study on the list. The thumbnail display area displays thumbnails of the
images stored in the hard disk.
<4> To open the viewer screen and display images from a study, click a study on the
Study List and click the [Open Study] button at the bottom right of the screen, or
double-click a study on the list.
If the following message appears in the thumbnail display area, follow the
procedure on the next page and read the image from the REV disk.
[The images for this examination have been deleted. Import them from the REV
(the target REV No. is shown here).]
See 5.1.2 for how to delete images.
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[Importing Images from REV Disk]
<1> "Import from REV" appears.
<2> Insert the REV cartridge that contains the images into the drive.
<3> Click the [Import REV] button.
<4> A list of images that can be imported appears.
<5> Click the [Process] button to read the images from the
REV disk to the internal hard disk and enable viewing
of the images.
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5.1.2 Deleting previous images from the hard disk
You can delete images from the hard disk. Even if you delete images from the hard
disk, you can import the deleted images from a backup REV disk. Images that have not
been saved in the REV disk cannot be deleted.
<1> From the Study List,

click the study you want
<2> Click the [Delete Studies] <3> A list of images to to delete. To select
button. be deleted appears. multiple studies, click
them while holding down
the Ctrl key.
<4> Make sure that the images to be deleted are correct, and then
click the [Process] button. The password entry screen appears.
<5> Input the password in the password field,

and then click the [OK] button to delete
the images.
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5.1.3 Displaying previous images
<1> Click the study you want to view on the Study List and click the [Open Study]
button at the bottom right of the screen, or double-click the study on the list. The
database screen closes and the viewer screen opens.
<2> Next, to open another study, click the [Open Database] button, select a study from
the database, and click the [Open Study] button again.
When the viewer screen opens, the Study List on the left of the screen adds the
study information in the format "(patient name) - (patient ID)".
<3> If many images from a study are displayed on the viewer screen, you cannot
display a new study. In that case, select the displayed study from the Study List,
and click the [Close] button.
<4> Select the study you want to view from the Study List on the left of the viewer
screen.
<5> Perform image processing using the same steps for Study mode.
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When you recall an image, the Study List of the recalled image is displayed in the
list on the left.
Click the study you want to view.
Displays patient information for the

currently displayed image.
Displays the studies. You can change

studies by selecting the study you want
to view. For studies you are done
viewing, select the study from the list
and click the [Close] button.
5.1.4 Modifying patient information and study information [Cannot be

used by the emergency user.]
You can use the following procedure to modify patient information for a study selected.
• First, select the study you want to modify and display the images.
<2> Click the pencil icon to

open the patient information
modification screen.
<1> [Bob Toshiba
-123 ]
is selected in
this example.
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• Next, click the pencil icon at the bottom right of the patient information field to open
the patient information modification screen shown below.
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Use this screen to modify any items. Click the item you want to change to enable
editing. You can also double-click an item on the Study List on the [Current List] or
[Local Database] tab to input the patient information or study information for that study.
The following image is an example of changes made to the patient information.
• After making all necessary changes, click the [Modify] button to open the screen for
entering the password for editing. Enter the password and then click the [OK] button
to apply the changes. To cancel the changes, click the [Close] button.
Input the password in the password

field, and then click the [OK] button
to apply the changes.
CAUTION: The password for modifying patient information and deleting study images
is not the same as the login password. The password for editing must be
entered. To obtain this password, contact the service engineer.
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The following image is an example of the patient information with the patient name
changed from "Emergency" to "Toshiba Medical Syxxx".
The EM field on the database screen displays an "M" to indicate that you modified the
information.
When the EM field displays an asterisk (*), this indicates an "emergency patient"
registration.
“M” indicates
modified information.
An asterisk (*)
indicates an
“emergency patient”
registration.
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5.1.5 Outputting previous images
The viewer screen displays the images of the study selected from the database. You
can output the displayed image to a laser imager, server, CD or DVD, or USB memory
device.
(1) Outputting an image to a server
You can output an image on the preview screen or from the Study List on the
database screen to a server. However, to transfer a fluoroscopic acquisition image
from the Study List on the database screen, you can only transfer the displayed
representative image. To transfer fluoroscopic acquisition images other than the
representative image, you must display the image on the preview screen first.
<To select images from the Study List on the database screen>
All images in the selected study are transferred. For studies with fluoroscopic
acquisition images, however, only the first image is transferred.
<1> On the Study List on the database screen, click the study with the images you
want to transfer to the server.
<2> Set the server to which to output the images.

Select the Server tab at the middle left of the screen.
Select the destination server. You can select up to three servers from among
the servers preset in Utility mode. If you do not want to select any servers,
select [NONE]. This destination server setting only applies in Archives mode.
<3> Click the [Send] button at the bottom left of the screen.
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<To transfer images added to the preview screen>
Click the [Open Study] button on the database screen to close the database screen
and open the viewer screen.
<1> Click an image displayed in the image display area. To select multiple
images, click the images while holding down the Ctrl key, or click the
[Multi-Select ] button from the operation buttons. Click the button
again to dim the button and deselect images.

Click the [Add] button on the preview screen to add the selected images to the
preview screen. To delete an image from the preview screen, select the
image on the preview screen and click the [Delete] button.
<2> Set the server to which to output the images.
<3> Click the [Send] button at the bottom left of the screen to output the images to
the server. You can use Queue mode to check the output status. You can
also use Queue mode to cancel a transfer job.
* Use the following method to select fluoroscopic acquisition images other

than the representative image displayed on the system monitor.
a) Select the target fluoroscopic acquisition image in the image display

area, and click the [Cine Playback ] button to enter Cine
Playback mode. In Cine Playback mode, Cine playback starts

automatically.
b) Click the [Stop ] button on the Cine Playback tab to stop

playback. With playback stopped, use the scroll bar to the right of the
image, the [Previous ] and [Next ] buttons, or the
mouse wheel to display the target image.
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c) Click the [Add] button on the preview screen to add the displayed
image to the preview screen.
You can use the same procedure to output fluoroscopic acquisition images to
external media or film.
(2) Outputting images to external media
You can output selected images from a study to external media. There are two
methods for selecting the images to output. You can output an image on the
preview screen or from the Study List on the database screen to external media.
However, to transfer a fluoroscopic acquisition image from the Study List on the
database screen, you can only transfer the displayed representative image. To
transfer fluoroscopic acquisition images other than the representative image, you
must display the image on the preview screen first. The operation method is the
same as the procedure explained in the section for outputting images to a server.
<To set the external media to which to output images>
<1> Select the [Export] tab at the middle left of the screen.
<2> Select the external media from the pull-down menu of Media.
<3> Select the format from the pull-down menu.
This system supports four formats: [LOSSLESS JPG], [DICOM], [BMP], and
[IMG].
LOSSLESS JPG : 8-bit uncompressed JPG format
DICOM : 12-bit DICOM format

(Viewer and DICOMDIR are not attached.)
BMP : 8-bit BITMAP format
IMG : Toshiba proprietary format that enables importing with

other similar devices
(14-bit raw data + 12-bit processed data + image
information header)
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When you select [DICOM] from the Format menu, you can select [ON] or
[OFF] for the [Anonym] item. Select [ON] to not output the patient name. The
patient ID, gender, and age are output.
<4> Select the output format for the film format. Select [EACH] or [MERGED].
EACH : Separates a multiformat image into multiple images and stores

them as individual files.
MERGED : Stores a multiformat image as a single file of multiple images.

(This item is not displayed when the format is set to [IMG].)
All images in the selected study are output. For studies with fluoroscopic
acquisition images, however, only the representative image (the first image) is
output.
<1> Click the [Open Database] button, and from the Study List, click the study with
images you want to output to display the image thumbnails.
<2> Click the [Save] button to copy the images to the specified media.
NOTE: When saving an image to the media in JPG format, a message may
appear indicating that there is insufficient memory regardless of whether
the media has sufficient memory.
This is because the system calculates the number of storable images at
the uncompressed size due to image compression ratio varying
depending on the image. For rewritable media, you can make effective
use of the media capacity by reducing the number of images saved at
one time.
<To select an image from the image display area>
button at the bottom right of the screen, or double-click a study on the list.
The database screen closes and the viewer screen opens.
[Multi-Select ] button from the operation buttons.
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<3> Click the [Add] button on the preview screen to add the selected images to the
image on the preview screen and click the [Delete] button.
<4> Click the [Save] button to save the image to the external media. You cannot
save images that exceed the memory size of the media.
<Writing status>
• You can view the writing status in the task bar display area at the bottom of the
screen. When writing images to a CD or DVD, a progress bar appears in the
middle of the system monitor, indicating the writing status. The [Cancel] button
appears during data processing. You can click this button to cancel writing at
anytime.
CAUTION: Once writing to the media begins, you cannot cancel the operation.
In addition, radiography acquisition and fluoroscopic acquisition are
not available during writing.
When the above screen appears, you can click the [Cancel] button to cancel
writing.
When the above screen appears, you cannot cancel writing.
<To output images to a CD or DVD>
Insert the CD or DVD media into the drive of the computer. Follow the procedure
above to select [CD/DVD] from the device menu and output the images to the CD
or DVD media. You can view the writing status in the taskbar display area at the
bottom of the screen.
Indicates that no CD or DVD media is inserted.
Indicates that the CD or DVD media is ready.
Indicates that the system is writing images to

the CD or DVD media.
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Supported media:
• CD-R
• CD-RW (Use a formatted disc.)
• DVD-R
• DVD-RW (Use a formatted disc.)
• DVD-RAM
The system may not be able to correctly write the images to the media due to
differences in the same type of media from different manufacturers, the status of
DVD media, the compatibility with the DVD drive, and dirt on the lens of the DVD
drive. To keep the lens free of dirt, periodically clean the lens with a special lens
cleaner.
<To output images to a USB memory device>
Connect the USB memory device to the USB terminal on the front of the computer.
Follow the same procedure for writing images to a CD or DVD and select [USB]
from the device menu. Select the output format and film format from the pull-down
menus in the same manner as for a CD or DVD. Select the images you want to
save in the same manner as for a CD or DVD. After selecting the images, click the
[Save] button. You can view the output status in the Queue mode and taskbar
display area at the bottom of the screen. You can also use Queue mode to cancel
saving images to the USB memory device.
Indicates that no USB memory device is

connected. You cannot save images to a USB
memory device.
Indicates that a USB memory device is

connected. Make sure this status is displayed
before removing the USB memory device from
the computer.
Indicates that the system is writing images to

the USB memory device. When writing is
done, the status returns to [USB READY]. Do
not remove the USB memory device from the
computer when [USB WRITING] is displayed.
Otherwise the USB memory device may be
damaged.
CAUTION: To protect this equipment from computer viruses, use the USB
memory device only with this equipment.
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(3) Outputting images to an imager
You can output images directly to an imager without transferring them to Film mode.
You can output an image on the preview screen or from the Study List on the
database screen to an imager. However, to output a fluoroscopic acquisition
image from the Study List on the database screen, you can only output the
displayed representative image. To output fluoroscopic acquisition images other
than the representative image, you must display the image on the preview screen
first.
All images in the selected study are output. For studies with fluoroscopic
acquisition images, however, only the representative image (the first image) is
output.
<1> On the Study List on the database screen, click the study with the images you
want to output to the imager.
<2> Set the film format settings.
Select the [Film] tab at the middle left of the screen. Use this tab to set the
film output settings. These settings only apply in Archives mode. (You can
make settings separate from the Utility settings.)
<3> Click the [Print] button at the bottom left of the screen.
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<To output images added to the preview screen to an imager>
button at the bottom right of the screen, or double-click a study on the list.
The database screen closes and the viewer screen opens.
[Multi-Select ] button from the operation buttons.
<3> Click the [Add] button on the preview screen to add the selected images to the
image on the preview screen and click the [Delete] button. You can click the
[Film] button at this time to transfer the images on the preview screen to Film
mode.
<4> Set the film format settings.
<5> When the settings are complete, click the [Print] button at the bottom left of the
screen to output the images.
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5.1.6 Copying Studies
(This can only be performed by the system administrator.)
This operation copies the study data stored in the database to the hard disk.
<1> From the Study List, click the study you want to
copy. To select multiple studies, click them while
holding down the Ctrl key.
<2> Click the [Copy Study] button.
<3> A list of images to be copied appears.
<4> Make sure that the images to be copied are correct, and then click the
[Process] button. The study data is copied. To display the copied
studies, click the [Search] button again on the database screen.
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<5> The copied data is added to the database with a study date of today and with the
string [Copy-] added to the patient name. This does not change the acquisition
date for each image.
Because a different UID is added to the DICOM tag, each image is treated as a
different study by most DICOM servers.
<5>
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5.1.7 Merging Studies
This operation merges data from multiple studies into a single study.
<1> From the Study List, select the studies

you want to merge. To select multiple
studies, click them while holding down
the Ctrl key.
<2> Click the [Merge Study] button.
<3> A list of studies to be merged appears. Select the patient name

to use for the data after the merging of studies. If you do not
select anything, the patient name at the top of the list is used.
<4> Make sure that the studies to be merged are correct, and then click the [Process]
button. The studies are merged. To display the merged studies, click the
[Search] button again on the database screen.
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<5> The merged data is added to the database with a study date of today and with the
string [Merge-] added to the patient name. The images are sorted in chronological
order by the acquisition date and time without any changes made to the acquisition
date and time.
Because a new UID is added to the DICOM tag, each image is treated as a
different study by most DICOM servers.
<5>
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5.1.8 Importing images of studies from media (CD, DVD, or USB)
You can import images saved in IMG format from CD, DVD, or USB media.
<1> Open the database screen.
<3> Select the media (CD, DVD,

or USB) from which to <2> Click the [Fetch Study] button.
import the data.
<4> Click the [Update] button. The Study List on the target media appears.
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Display the Study List on the target media.
<5> Select the study you want to import.

To select multiple studies, click the
studies while holding down the Ctrl key.
<6> Click the [Process] button.
<7> The imported data is added to the database with a study date of today and with the
string [Fetch-] added to the patient name. This does not change the acquisition
date and time for each image.
<7>
Imported images are backed up to the REV disk the next time the system is started,
and you cannot delete the images until then.
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6. Utility Mode
6.1 Overview
Click the Utility tab in the operations mode tabs.
Utility mode is a mode that presets the study condition settings and input item settings
to match the operating environment.
Settings can be made for the following items. However, depending on the system, there
are some items that may not take effect even if set. Also, users other than
Administrators cannot make settings or changes other than changing their passwords.
(→ (6.6.3) Account Management - Password Management)
(6.3) Protocol Type - DR

Protocol type, fluoroscopy acquisition condition,
radiography acquisition condition, DICOM transfer,
image processing parameters
(6.4) Protocol Type - Sequence List (option)

Sequence name, sequence settings table
(6.5.1) DICOM - WorkList

Station name registration, modality registration,
WorkList server information
(6.5.2) DICOM - Storage/commitment

Server name, image transfer destination server
information
(6.5.3) DICOM - Printer Format

Printer name, film size, connected printer
information
(6.5.4) DICOM - Printer Format

Printer format name, print format, print items
(6.6.1) Account Management - User Management

User information, user management
(6.6.2) Account Management - Group Management

Group information, function management
(6.6.3) Account Management - Password Management

Change password of current user.
* Users other than Administrators can only set or
change their passwords. Other items can only
be displayed.
(6.6.4) Account Management - Log Management

Log management
(6.7.1) Environment - Patient Register Option

Required item setting, patient registration
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(6.7.2) Environment - Viewer Setting
n×m image display, cine loop count, monitor
gamma
(6.7.3) Environment - Calibration

factors for measuring distance, preset zoom ratio
(6.7.4) Environment - Institution, Physician, Equipment

Institution name, name of referring physician,
equipment information
(6.7.5) Environment - HDD caution, Database backup

Settings for the taskbar display of amount of HDD
space used
(6.7.6) Environment - Version

Software, hardware version information display
6.2 How to Make User Settings

The method for presetting each parameter is as follows.
(1) Select the item to be set. For example, if you want to change the storage method
for DICOM Transfer in the Upper GI study, click Protocol Type and select DR.
(2) Select Upper GI from the preset names list.

To create a new protocol type, click the [New] button.
(3) Confirm the name of the preset displayed. To change the name, input a new one.
(4) Select the settings to change from the list of Storage Method menus in the DICOM
Transfer area.
(5) Click the [Update] button.
(6) Click the [Set Backup Acq.] button
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(4) Parameter selection menu
Allows you to make selections from the
list or input values.
(3) Preset name display/input field

(1) Select the item you want to set. Allows you to input preset names.
(5) [Update] Button

Allows you to modify and register
the contents of preset names.
(6) Set Backup Acq.

Click when you want to apply the
conditions displayed in backup
fluoroscopy/radiography.
[Delete] Button
Allows you to delete preset names.
(2) Preset Name List
The preset names that have
already been created. [New] Button
Allows you to create new preset names.
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6.3 Protocol Type
You can set, change, and save the X-ray conditions/image processing parameters when
acquiring images as a protocol type.
6.3.1 Editing DR technique protocol types

(1) Editing Registered Parameters
<1> Select DR from Protocol Type in the upper-left part of the screen.
<2> The protocol types already registered for DR techniques appear in the
Protocol List DR.
This list requires one or more protocol types.
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<3> Click the protocol type to be edited.
The selected protocol type is highlighted, and the parameters are displayed in
the area on the right side of the screen.
<Protocol Information>
• Name
The selected protocol type is displayed. You can change the protocol type by
inputting a new one with the keyboard.
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<Fluoroscopy Acquisition Condition>
• AGC
Sets the AGC (Auto Gain Control) to ON or OFF.
• Applied ROI
Sets the ABC/AGC ROI from among the following.

SYSTEM1 to SYSTEM5 are ROIs that are registered beforehand, so they cannot
be changed.
USER1 to USER3 can be set using the mouse to make ROI settings in the
following ROI setting item.
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• ROI setting
If you click on ROI setting, the ROI for ABC/AGC is displayed. ROI settings can
be made for User1 to User3. To make changes, select the ROI Figure from
either the rectangle (RECT) or ellipse (ELLIPSE), and then use the mouse to set
the position and size of the ROI. When the settings are complete, click the [OK]
button.
• Weight Factor
Adjusts the degree of influence on ABC/AGC for dark areas like contrast medium,
and bright areas like direct radiation and lung fields. 0 is no adjustment, and the
larger the number the stronger the adjustment for numbers 1 through 5.
<Radiography Acquisition Condition>
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• Image Bright
Select from -90% to +90% in the menu. Registers how much to increase or
decrease the standard image bright for DR radiography. Normally 0% is
recommended.
• Sequence List
Sets the default name for the sequence (sequential radiography). Select
registered names from the menu. For details on registration, see the sequence
list settings mentioned later.
<DICOM Transfer>
• Server 1 to 3
Specifies the output destination for DICOM storage from the menu.
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• Division
Sets whether subdivided radiographic images should be merged and transferred

(MERGED) or each image should be transferred individually (EACH).
• Storage Method
Sets the storage output method for image data.

Selects the storage method for the study (IMMEDIATE/END STUDY/MANUAL).
IMMEDIATE : Sequential transfer mode. Images are transferred immediately

after they are acquired.
END STUDY : Batch transfer mode. Images are transferred when the [End
Study] button is pressed.
MANUAL : Manual transfer mode. Images are transferred manually.
• Printer Format
Sets the default printer format from the menu.
• Print Method
Selects the print setting (AUTO/S.AUTO/MANUAL) for the study from the menu.
AUTO : Auto print. Clicking the [End Study] button creates the print
image. The created print image is automatically output to the
imager.
S.AUTO : Semi-auto print. Creates a print image when the [End Study]
button is pressed. The print image created is displayed in Film
Mode.
MANUAL : Manual print. Film output is done manually.
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<Fluoroscopy Acquisition Parameters>
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• DCF (optional)
When set to ON, a digital compensation filter (DCF) is applied to fluoroscopic

images.
Sets the compressing size and the low dose/high dose parts described below.
• Compressing Size (optional)
Sets the size of the smallest structure to be compensated. Small (SMALL)

compensates down to small structures, but there are cases where you can sense
a lack of uniformity in the compensation.
• Low/High Part (optional)
Sets the DCF compensation range and size of the effect for the low dose part
and high dose part, respectively. Does not compensate when set to OFF, and
the larger the number, the stronger the compensation.
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• RFLT (Recursive Filter)
Sets the recursive filter.
OFF : Turns the recursive filter OFF.

0.1 to 0.9 : Sets the coefficient for the simple recursive filter. Setting the
coefficient to a large number reduces image noise, but motion
blurring becomes greater.
MD1 to MD3 : Sets the strength of the motion detection recursive filter.
Larger numbers produce a stronger effect.
• SFLT/Freq/Ratio
Sets the spatial filter. SFLT1 applies to the first step, SFLT2 applies to the
second.
Set to ON for processing, OFF when unnecessary.
Freq : Sets the center frequency.
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Ratio : Sets the degree of emphasis. Negative figures attenuate
emphasis, there is no emphasis at 0, and positive figures
increase emphasis. -5 is the strongest attenuation, and 5 is the
strongest emphasis.
• W1/W2
Input these values in the text boxes.
However, the following conditions must be met.
W1 : -4096 ≤ W1 ≤ 4095
W2 : 0 ≤ W2 ≤ 8191
W1 < W2
Normally, set it so that W1 = 0, W2 = 4095.
• Negative Gamma/Positive Gamma
Sets the negative and positive gamma curves for fluoroscopic images with two
parameters, type and contrast. The positive gamma is used in the live monitor
and is displayed positive. The negative gamma is used when acquired
fluoroscopic images are inverted on the system monitor.
Type Contrast
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<Radiography Processing Parameters>
• DCF
When set to ON, a digital compensation filter (DCF) is applied to fluoroscopic

images.
Sets the compressing size and the low dose/high dose parts described below.
• Compressing Size
Sets the size of the smallest structure to be compensated. Small (SMALL)

compensates down to small structures, but there are cases where you can sense
a lack of uniformity in the compensation.
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• Low Dose Part/High Dose Part
Sets the DCF compensation range and size of the effect for the low dose part
and high dose part, respectively. Not compensated when set to OFF. AUTO
automatically sets the compensation to match the degree of blown whites and
crushed blacks in the image. Select from three levels (Low (_LOW)/Middle
(_MID)/High (_HIGH)). Of the numbers 1 to 8, 8 is the strongest eight-step
compensation, but it is a uniform compensation that does not depend on the
image.
• SFLT/Freq/Ratio
Sets the spatial filter. SFLT1 applies to the first step, SFLT2 applies to the
second.
Set to ON for processing, OFF when unnecessary.
Freq : Sets the center frequency.
Ratio : Sets the degree of emphasis. Negative figures attenuate

emphasis, there is no emphasis at 0, and positive figures
increase emphasis. -5 is the strongest attenuation, and 5 is the
strongest emphasis.
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• Auto Window
Sets the auto window to ON/OFF. Normally this is set to ON.
• A.W. Method
Selects the method for the auto window. (AVG/MAX/GP)
• ROI setting
If you click the ROI setting button, a settings screen like the one below opens,
and you can make ROI settings.
All Items : Selects ROI settings for either all image field sizes together
(TOTAL) or each image field size individually (EACH).
Min. GL : Selects the range for extraction of the smallest pixel values.
(Whole surface (GLOBAL)/Within ROI (INTERNAL))
ROI Figure : Selects the figure of the ROI. (Rectangle (RECT)/Ellipse

(ELLIPSE))
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• Low/High
Specifies the effect of the auto window. When the method is GP, the lower limit
is used as the origin point (GL) and the upper limit is used as the width of the
window (WW).
The auto window parameters work roughly as follows. Density changes are for
negative. Density changes are reversed for positive.
When the method is AVG

Settings can be made in the range of
-1000 ≤ Low ≤ 2000.
High : Determines the density near the average value of the

-1000 ≤ High ≤ 2000.
When the method is MAX

-1000 ≤ Low ≤ 2000.
High : Determines the density near the maximum value of the

-1000 ≤ High ≤ 2000.
When the method is GP
Origin Point (GL) : Determines the density near the average value of the
-2000 ≤ origin point (GL) ≤ 2000.
Window Width (WW) : Determines the window width, which is the spacing of
W1 and W2.
Large ↔ Small makes changes from a wide window
(low contrast) ↔ narrow window (high contrast).
-5000 ≤ window width (WW) ≤ 5000.
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• W1/W2
Input these values in the text boxes.
However, the following conditions must be met.
W1 : -4096 ≤ W1 ≤ 4095
W2 : 0 ≤ W2 ≤ 8191
W1 < W2
Normally, set it so that W1 = 0, W2 = 4095.
• Negative/Positive
Sets whether the display is negative or positive.
• Negative Gamma/Positive Gamma
Sets the negative and positive gamma curves for DR images with two
parameters, type and contrast.
Type Contrast
<4> Click the [Update] button to complete.
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(2) Registering a new protocol type
<1> Select DR from protocol type in the upper-left part of the screen.
<2> Click the [New] button in the Protocol List DR.
<3> Input the protocol type to be created in the Name field.
Select the Default Parameters. To reuse and edit the parameters that are
already registered, select the protocol type to be reused. To register all new
parameters, select NONE.
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<4> Click the [OK] button.
The New Protocol-DR window closes, and the parameters are displayed in the
area on the right side of the screen.
<5> Create or edit the parameters.
(3) Deleting a protocol type
<2> Click the protocol type to delete in the Protocol List DR.
Click the [Delete] button.
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(4) Changing the display order of protocol types
<2> Click the protocol type whose display order is to be changed in the Protocol
List DR.
To move the selected protocol type up, click . To move it down, click .
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6.4 Radiography Sequence
You can prepare a radiography sequence list (for things like registration and editing).
6.4.1 Editing the radiography sequence

(1) Editing a registered radiography sequence
<1> Select Sequence List from Protocol Type in the upper-left part of the screen.
<2> The radiography sequence names already registered are displayed in the
Sequence List.
This list requires one or more radiography sequences.
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<3> Click the radiography sequence name to be edited.
The selected radiography sequence name is highlighted, and the parameters

are displayed in the area on the right side of the screen.
<Sequence Table>
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• Sequence Name
Displays the name of the radiography sequence. To change the name, input a
new one with the keyboard.
• Stage
Allows you to set the radiography sequence to a maximum of four stages.

Set the following parameters for each stage.
• Delay (s)
Allows you to set the delay prior to the start of acquisition (delay time) for the
relevant stage. The maximum delay is 60 seconds. Double-click the preset
values to highlight them and input new ones. Finalize the setting by pressing the
Enter key or by clicking outside of the input frame.
• Rate (fps)
Allows you to set the image-acquisition rate (frames/second).

Double-click the preset values and select new ones from the menu.
Selectable range: 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 7.5, 10, 15
• Time (s)
Allows you to set the acquisition time (seconds) for the relevant stage. Set this
so that the number of frames is 200 or less. If this number exceeds 200 frames,
a message is displayed when the [Update] button is clicked, and the input values
return to what they were before. Again, put in a value that is 200 frames or less.
Double-click the preset values to highlight them and input new ones. Finalize the
setting by pressing the Enter key or by clicking outside of the input frame.
• Frame
Displays the number of frames (number of images) to be acquired.

The number of frames is calculated automatically. The maximum is 200 frames.
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(2) Registering a new radiography sequence name
<2> Click the [New] button in the Sequence List.
<3> Input the radiography sequence name to be created in the Name field.
Select the Default Parameters. To reuse and edit the parameters that are
already registered, select the radiography sequence name to be reused. To
register all new parameters, select NONE.
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The New Sequence Program window closes, and the parameters are
displayed in the area on the right side of the screen.
<6> Click the [Update] button to compete.
(3) Deleting a radiography sequence name
<2> Click the radiography sequence name to delete in the Sequence List.

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(4) Changing the display order of radiography sequence names
<2> Click the radiography sequence name whose display order is to be changed in
the Sequence List.

To move the selected radiography sequence name up, click . To move it
down, click .
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6.5 DICOM-Related Settings
Here you can set the DICOM "WorkList," "Storage/Commitment," "Film Printer SCP,"
and "Printer Format" settings.
6.5.1 WorkList (option)

Here you can set the DICOM "Server Information."
Worklist Server Information:
AE title : Input the AE title name set on the server.

IP address : Input the server's IP address.
Port : Specify the port number used for connections.
Description : You can list a simple description.
Echo Test : Sends packets to check the connection.
Clear : Clears the echo test log.
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6.5.2 Storage/Commitment
Makes settings for connecting to the DICOM server. Because a lot of this content
requires specialized knowledge, please consult a service engineer about the details.
Preset Information:
Station Name : Give a name to each server you will connect to.
Storage Server Information:

Gamma Table : Select the monitor gamma to adjust the display on the server side.
Annotation : Select ON if adding annotations.
Anonym : Select ON if anonymizing patient information.
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6.5.3 Film Printer SCP
Makes settings for connecting to the DICOM printer. Because a lot of this content
requires specialized knowledge, please consult a service engineer about the details.
Preset Information:
Station Name : Give a name to each printer you will connect to.
SCP Information:
AE title : Input the AE title name set on the printer.

IP address : Input the printer's IP address.
Printer Settings : Set to match the operating environment.
Film Size : Select the film size to use.

If the size you want is not there, set the menu for a nearby size to
[YES].
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6.5.4 Printer Format
You can set, change, and save the print output destination/format as a printer format
name.
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(1) Editing registered printer format names
<1> Select Printer Format from DICOM in the upper-left part of the screen.
<2> The printer format names already registered are displayed in Printer Format.
This list requires one or more printer format names.
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<3> Click the printer format name to be edited.
The selected printer format name is highlighted, and the parameters are
<Preset Information>
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• Name
Displays the printer format name. To change the name, input a new one with the
keyboard.
• Film Printer SCP
Sets the name of the output destination printer. Select registered names from
the menu.
• Description
You can list a simple description for this printer format name.
<Parameters>
• Film Size
Select the film size according to the printer set in Printer Settings.
• Orientation
Set the film to vertical (PORTRAIT) or horizontal (LANDSCAPE).
• Copy
Set the number of copies to print. Normally this is set to 1.
• H*V
Set the number of images to arrange on one sheet of film.
• Margin
Set the length of the margins to the top and bottom or left and right of the image.
Whether to set the margins on the top and bottom or left and right is
automatically determined by the film size, orientation, and layout so that the
images are the largest.
• Annotation
Select ON if printing with added text or graphics like arrows, select OFF if not.
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• Information
Select ON if printing all set information, select OFF if not.
• Anonym
Select ON if anonymizing patient names, select OFF if not.
<Upper Left>
Among the image-related text information, these are settings about the information
that does not change during the same study, regardless of the image (shared
items). Items set in the Upper Left tab print in the upper-left part of the image.
• Hospital Name
Setting for printing the hospital name.
Select ON if printing that information, OFF if not.
• Patient ID
Setting for printing the patient ID.
• Patient Name
Setting for printing the patient's name.
• Sex, Age
Setting for printing the patient's age and sex.
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• Label Position (All/Upper Left)
Set the position for printing the information.
ALL : Prints shared items on all images.
LEFT/TOP : Prints information in one location on each sheet of film, on only the
top-left image.
• Scale Bar
Select ON to print a scale on the right edge of the image, select OFF if not.
• Font Size
Allows you to set the size of the characters.
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<Upper Right>
Settings for the information to be printed on the upper right part of the image.
• Study ID - Series ID - Instance No.
Setting for printing the accession number.
Select ON if printing that information, OFF if not. Also, when set to ON, only the
instance number is displayed on the upper right.
• Study Date
Setting for printing the study date.
• Acquisition Time
Setting for printing the acquisition time.
• FOV
Setting for printing the field size.
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<Lower Left>
Settings for the information to be printed on the lower left part of the image.
• Resolution
Setting for printing the number of pixels in an image.
• Protocol Name
Setting for printing the Protocol Name.
• Body Part
Setting for printing the body part.
• Accession No.
Setting for printing the accession No.
• Font Size
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<Lower Right>
Settings for the information to be printed on the lower right part of the image.
• SID
Setting for printing the SID during radiography.
• W1/W2
Setting for printing the window.
• Image Parameters
Setting for printing the image processing parameters (DCF, SFLT, Gamma).
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(2) Registering a new printer format name
<2> Click the [New] button in Printer Format.
<3> Input the printer format name to be created in the Name field.
Set the "Copy data from" field. To reuse and edit the parameters that are
already registered, select the printer format name to be reused. To register all
new parameters, select NONE.
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The New Printer Format window closes, and the parameters are displayed in
(3) Deleting a printer format name
<2> Click the printer format name to delete in Printer Format.
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(4) Changing the display order of printer format names
<2> Click the printer format name whose display order is to be changed in Printer
Formats.
To move the selected printer format name up, click . To move it down,
click .
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6.6 Account Management
Here you can make the settings for "User Management," "Group Mangement," and
"Password Management."
However, users other than Administrators cannot make settings or changes other than
in "Password Management."
6.6.1 User Management

Registers users to use this system.
It is possible to divide users into groups.
(1) Changing (Updating) a registered user
Allows you to change the user name, user group, or user status of registered users.
<1> Click the [Search] button to display the registered user ID.
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<2> Select the user ID to change (update).
<3> Change (Update) the desired item (User Name, User Group, or User Status).
"User Group" can be set to either "ADMINISTRATOR" or "NORMAL." Set user
IDs for users other than administrators to "NORMAL."
"User Status" can be set to either "COMMON" or "LOCKED." Set user IDs for
normal use to "COMMON." If set to "LOCKED," that ID goes into a state
where it cannot be used.
<4> After making changes, click the [Update] button.
<5> A confirmation screen appears, so if there are no problems, click the [OK]
button.
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<6> A confirmation screen appears, so click the [OK] button.
(2) Creating a new user ID
<1> Input up to 16 alphanumeric, single-byte characters (however, a space cannot

be used as the first character) for the new user ID to be created, and then
click the [New] button.
If you click the [OK] button, the new user ID is added.
<2> Set the user information following the instructions in (1) Changing (Updating) a
registered user.
CAUTION: The following character strings are reserved words in this

system. They cannot be used when creating a new user ID.
• service
• rev
• emergency
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(3) Deleting a user ID
<1> Select the user ID to be deleted, and then click the [Delete] button.
<2> Confirm the user ID to be deleted, and then click the [OK] button.
To cancel this action, click the [Cancel] button.

If you click the [OK] button, the following window appears, and the user ID is
deleted.
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(4) User ID when logging in
If this setting is set to "YES," as shown in the following figure, the user ID is
stored when logging in, and you can have the user ID of the user who was last
logged in displayed the next time you log in.
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6.6.2 Group Management
Displays the "Group Information" and "Function Management" for registered groups.
The contents of these items are for reference only and cannot be changed.
<Group Information>
• Group Name
Select the name of the group whose information you want to display. Information
described below on "Group Status," "OS Management," and "Utility Management " of
selected group is displayed. The groups are
EMERGENCY/NORMAL/ADMINISTRATOR/SERVICE.
• Group Status
Displays the group status.
Displays either COMMON or LOCKED.
<Function Mangement>
• OS Management
Displays whether there is OS management.
Displays either YES or NO.
• Utility Management
Displays the level set for utilities.
Displays the level set from among FULL CONTROL, CONTROL ENABLE (EXCEPT
PRINTER), NO CONTROL, and NO VIEWING.
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6.6.3 Password Management
Change the password for a user ID. Only the password for the currently logged in user
ID can be changed here. The password for a newly registered user ID is the same as
the user ID. To change the password for a newly registered user ID, it is necessary to
log off from the Administrator's ID temporarily and to log in again using the user ID
whose password you want to change.
<1> Input the Current Password, New Password, Confirm Password, and then click the
[Change] button. Passwords must be within 16 single-byte, alphanumeric
characters. A space cannot be used at the beginning of a password. Also, by
leaving the new password blank when changing a password, you can omit entering
a password when logging in.
The following window appears and the password change is complete.
* If the re-entered new password does not match, a message indicating that new
password you re-entered does not match appears, so input the same password
as the one entered initially.
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6.6.4 Log Management
Displays the PDR-01A log.
You can search and narrow down the results by date and user ID.
<1> Input the date or user ID you want to display, and then click the [Search] button.
To display all log information, click the [Search] button without entering a date or
user ID.
* Example of log display
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6.7 Environment Settings
Here you can make the settings for "Patient Register Option," "Viewer Setting,"
"Calibration," and "Institution, Physician, Equipment."
6.7.1 Patient Register Option

In the patient register option, you make settings regarding patient registration.
After making settings, click the [Update] button.
* There are no settings for "Card Reader" and "Barcode reader" in this system.
<Required Item Setting>
• Patient ID
Only required item (REQUIRED) can be selected.
• Other items
You can select whether these items are required (REQUIRED) or not (NO) for patient
registrations.
If the [Add List] or [Start Study] button is clicked when items set as REQUIRED for
patient registrations have not been entered, a message appears prompting you to
input that information. If you click the [OK] button without making any changes, the
information is registered as an emergency patient.
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<Patient Registration>
• Accession numbering
Allows you to set whether accession numbers are issued automatically during patient
registration.
AUTO : Issues an accession number automatically upon patient

registration.
MANUAL : Does not issue an accession number automatically upon

patient registration.
CARD READER : The accession number on the card is used during patient
registration.
* There are no settings for "Card Reader" in this system.
• Default protocol name
Allows you to set the protocol type to be selected automatically when patient
registrations are done.
• Name delimiter
Set the delimiter (for parts of a name such as the family name and given name) to be
used when registering a patient.
Select a space (" ") or comma (",").
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6.7.2 Viewer Setting
In the viewer setting, you make settings regarding the image displays for each monitor.
After making settings, click the [Update] button.
<User Setting>
• H*V
Allows you to set the number of images displayed n×m .
• Default Layout
Sets the image display layout initialization value in Study mode.
• Cine Loop Count
Allows you to set the number of times for Cine playback to run in the live monitor and
reference monitor.
• Reference Monitor Gamma
Allows you to set the monitor gamma compensation curve for the reference monitor.
The reference monitor, however, is optional. Depending on the system, this item may
not be supported.
• System Monitor Gamma
Allows you to set the monitor gamma compensation curve for the system monitor.
• LIVE Monitor Gamma
Allows you to set the monitor gamma compensation curve for the live monitor.
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6.7.3 Calibration
In calibration, you can make settings regarding measuring distance and the preset
zoom.
The factors for measuring distance are set by default when the system is installed. If
you change them, please keep a copy of the original values.
<Factors for Measuring Distance >
• Normal/Mag1/Mag2/Mag3
How many millimeters of object on the tabletop one pixel is equivalent to is set for
each I.I. image field size.
When the equipment is installed, the service person photographs and measures the
scale on the tabletop and makes settings.
The units are mm/pixel.
• SID at standard position (cm)
Sets the distance from the X-ray tube focus to I.I. input screen of the fluoroscopic
system.
• I.I. to Table surface (cm)
Sets the distance from the tabletop to I.I. input screen of the fluoroscopic system.
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• Default Object Height (cm)
Allows you to set the default value for the height from the tabletop of the
measurement objects.
If you click the [Distance ] button, measurements are made at the set default
value.
With the [Distance Calibration ] button, the default value is changed and
measurements are made again.
WARNING: If you change the factors for measuring distance, make sure
to recognize and confirm that the distance measurement
display value changes both on this equipment and on the
DICOM transfer destination viewer before using the new
value.
<Preset Zoom Ratio for Print Mode>
Allows you to set the zoom ratio used when you click the Preset Zoom button in Film
mode.
Can be set for each I.I. image field size.
Normal The zoom ratio for a normal image field

Mag1 The zoom ratio for the Mag1 image field
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6.7.4 Institution, Physician, Equipment
Registers the institution information and referring physician.
After registration, click the [Update] button.
Registration list
<Institution Information>
• Name
Registers the institution name. The name registered here is displayed in the image
information display area in the system monitor and the reference monitor.
• Address
Registers the institution's address.
• Telephone
Registers the institution's telephone number.
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<Referring Physician Registration>
• Name
Displays the name of the referring physician selected from the registration list.
Input the name of the referring physician to be edited or newly created.
• Registration list
Displays the names of registered referring physicians.
If you click the name of a referring physician, it is highlighted and is displayed in the
Name field.
• New button
Allows you to add the name of the referring physician entered in the Name field to the
registration list.
• Delete button
Allows you to delete from the registration list the name of a referring physician that
has been selected from the registration list and displayed in the Name field.
• Modify button
Allows you to overwrite the name of a referring physician that has been selected from
the registration list, displayed in the Name field, and changed.
<Equipment Information>
Displays the equipment information.
AE Title AE Title for the purpose of identification over the network.

TM_RF_PDR_V1.0
Station Name The machine name (Station Name). Can be set arbitrarily.
Modality Select from XA or RF.
Language Set Select ISO_IR6 (English).
Date and time When the Change button is clicked, the date and time
setting setting screen is displayed and the contents can be
changed.
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6.7.5 Settings for HDD caution and operations for backing up to REV
during shutdown (Can only be used by the service engineer.)
When the usage of the area for saving images on the internal hard disk reaches 95%,
you cannot start new studies. By setting this parameter, you can cause the disk usage
display on the taskbar to blink, thereby prompting the operator to notice it.
Because the PC's performance could decrease when there is not much disk space left,
if you want to be warned earlier, set the [Used Disk Space (%)] to a small value, and
then click the [Update] button.
Also, this allows you to make settings for what sort of operations should be performed
when backing up the study information database to REV during shutdown. Select the
settings from the pull-down menu: "NO BACKUP," "SILENT BACKUP," or "NORMAL
BACKUP."
* Set "SILENT BACKUP" for normal operation.
6.7.6 Version Information display

Displays information such as the software version, the SCU firmware version, and SCU
FPGA version.
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7. Film Mode
7.1 Overview
To select Film mode when another operations mode is selected, click the Film tab in the
operations mode tabs.
If you send the images displayed in Study mode and Archives mode to this mode, you
can check the print image.
The primary functions of Film mode are as follows.
(a) You can send images that have been processed in Study mode or Archives mode
to a laser imager for printing.
(b) You can select and reposition images and reconstruct multiformats for printing.
(c) You can perform the same image processing as in Study mode or Archives mode,
such as window processing, rotation, reversal, and zoom.
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7.2 System Monitor Screen in Film Mode
When you select Film mode, the following screen appears on the system monitor.
Image information
Patient
information field
Film Buffer
Print
method area
Operation
buttons
Task bar
Select from
Operations mode tab Study/Archives/Film/Reference/Queue/Recycle/Utility
/Shutdown modes.
Displays the patient information for the image
displayed.
Displays the patient name that has been transferred to
Film Buffer
Film mode.
Displays settings for the image displayed, such as the
Print method area print destination and format. It also allows you to
make temporary changes.
Displays operation buttons for image operation and
processing.
Operation buttons
Buttons are categorized into Manip./Notes/Process
tabs depending on their functions.
Displays the images in the film image or a single
Image display area
image.
This area displays messages and icons for the amount
of hard disk space used, the printing status, the image
Task bar
transfer status, and the status of
fluoroscopy/radiography and the like.
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In the patient information field, patient information like that shown in the following image
is displayed.
(1) ID: 12345678-90
(2) Acc: 20060805_001
(3) Toshiba Medical Sy⋅⋅⋅
Displays the patient’s name.
(4) F 52Y
Displays the patient's gender and age.
7.2.2 Film Buffer

Study information that has been transferred to Film mode (Patient Name – Patient ID) is
displayed in the film buffer.
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(1) Film Buffer
Displays the patient name that has been transferred to Film mode.
If you click on the patient name, the images for that patient are displayed and the
patient name is highlighted.
(2) Close
Deletes the selected patient’s images from Film mode.
This only deletes the temporary image files created in Film mode; it
does not delete them from the hard disk. Up to 200 images can be
transferred to Film mode. If the number exceeds 200, please close
unnecessary images.
7.2.3 Print method area

Displays the settings used when the image displayed was acquired, such as the print
destination and format. It also allows you to make temporary changes to these settings.
(1) Format
Selects print formats that have been previously set in Utility mode from a menu.
(2) Orient
Selects the film orientation from a menu.
LANDSCAPE is horizontal, PORTRAIT is vertical.
(3) Size
Selects the film size from a menu.
(4) H*V
Selects the number of images to arrange on one sheet of film from a menu.
(5) Copy
Selects the number of copies to print from a menu.
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Displays the operation buttons for screen operations and image processing.
The buttons are divided by function into Display format, tabs for Manip., Notes, and
Process, Print, and End Study.
(1) Display format
(a) 1-screen display
Displays one image in the image display area at full size.
(b) Print image display
Displays the number of frames of images arranged on one

sheet of film in the image display area.
However, the film’s (horizontal/vertical) layout and the position
of the image information display differ from that of the actual
film.
(2) Manip. tab

For sequence images, if even one is selected, operations will apply to all images in
the sequence.
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(a) Single Select
Allows you to select a single image. It also cancels operating

modes like continuous zoom and shutter and returns to the
normal single-image selection mode.
(b) Multi-Select

images.

to select.
• In Single Select mode, to select images, click the images
while holding down the [Ctrl] button. The [Multi-Select] button
will light up automatically at the second image selected.
From that point on, you can select multiple images by clicking
on them.
To deselect images, click the images while holding down the
[Ctrl] button again.
If you click the [Single Select] button again, the [Multi-Select]
button becomes dim, and you return to Single Select mode.
(c) All Select

automatically. To deselect images, click the images while
holding down the [Ctrl] button.
(d) ×2 Zoom

(e) Zoom
Allows you to use Continuous Zoom mode. Dragging the

mouse up or down above the image to zoom continuously
enlarges or reduces it.
If the [Multi-Select] button is dimmed, only the image over

which you drag the mouse is selected for zooming.
If the [Multi-Select] button is lit up, the image over which you
drag the mouse and the selected images are zoomed.
(f) Fit
Allows you to cancel the zooming or panning for the selected

image.
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(g) Panning
Allows you to use Panning mode to move the image in the

frame. Drag the mouse in the desired direction over the image
to be panned.
which you drag the mouse is selected for panning.
drag the mouse and the selected images are panned.
(h) Electronic Shutters
Allows you to use Shutter mode. Drag the mouse over the
image to set the shutter for. The action of the shutter changes
depending on the position of the cursor.
• Over a side of the shutter : Moves to one side.

• Over a corner of the shutter : The two sides of that corner
move.
• Center of the shutter : The whole shutter moves in
parallel at the current
aperture setting.

which you drag the mouse is selected and the shutter is set.
If the [Multi-Select] button is lit up, the shutter is set for the
image over which you drag the mouse and the selected
images.
(i) Magnify Glass
Allows you to use Magnify Glass mode. Drag the mouse over
the image whose region of interest is to be enlarged by a factor
of two.
(j) Clear Multiformat
Allows you to delete the selected image from the multiformat

image and display it as a single image.
(k) Make Multiformat
Allows you to make a single multiformat image from multiple

images. If you click the Make Multiformat button, the Film
Format selection screen appears. Here you can select the
format.
(l) Delete Image
Allows you to delete the selected images from Film mode. This
only deletes the temporary image data created in Film mode; it
does not delete them from the hard disk. To work with deleted
images in Film mode again, re-transfer the images from Study
mode or Archives mode. You can only delete images when the
display format is the print image display.
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(m) Preset Zoom
Enlarges or reduces images by the zoom ratio preset in "Utility."
(3) Notes tab
Displays operation buttons for graphic manipulations.

The following operation rules are common to all graphics.
• Procedure for drawing graphics
<1> Click the graphic operation button.
<2> Draw the graphic over the target image using the mouse.
<3> Click outside the graphic to finalize it.
• If you click a finalized graphic, it is selected and can be moved or corrected.
• You can select multiple finalized graphics on the same image by clicking those
images while holding down the shift key.
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(a) Text input
Allows you to add text to images.
<1> Drag the mouse to the place where you want the text
displayed, and then set the text display area.
<2> Input the text from the keyboard.
<3> Click twice outside the text display area to finalize it.
If you click a finalized text display area, it is selected and can

be moved.
If you double-click a finalized text display area, you can change
the text or add to it.
(b) Arrow input
Allows you to add arrows to images.
(c) Polygon input
Allows you to add polygons to images. You can determine the

vertices of the polygon by left-clicking with the mouse. At the
end, the starting point and ending point are automatically
connected by right-clicking with the mouse.
(d) Right Mark input
Allows you to add an R mark to the lower-right part of images.

You can move the position of the mark in the same way as text
by dragging it with the mouse.
(e) Left Mark input
Allows you to add an L mark to the lower-right part of images.

You can move the position of the mark in the same way as text
by dragging it with the mouse.
(f) Ellipse input
Allows you to add ellipses to images.
(g) Distance measurement
Allows you to measure and display the distance between two

points.
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(h) Angle measurement
Allows you to measure and display the angle between two

straight lines.
<1> Click on the start point of the first line, and then click on the
end point to set the first line.
<2> Click again on the end point of the second line to set the
second line between that point and the start point of the
first line.
<3> The angle is automatically displayed and finalized.
(i) Clear Graphic
Allows you to clear all graphics.
If this button is lit up, it indicates that graphics are cleared.
(j) Distance Calibration
Allows you to set the estimated distance from the tabletop to

the object being measured in centimeters for distance
measurement.
• You can set different values for each image.

• You can set values ahead of and behind the distance
measurement.
• If you change the distance calibration value after
measurement, the measurement distance at the new value is
redisplayed.
(k) Delete Notes
Allows you to delete the selected graphic (text, figures). If you

make multiple selections, you can delete all of them at once.
(l) Palette
Allows you to set the font size of the text in the image.
However, the size of text that has already been entered cannot
be changed.
Setting Range: 10 to 50
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(4) Process tab
Displays operation buttons for image processing.
(a) Reset image processing
Allows you to restore the image processing on the selected

image to the state it was in when it was acquired.
(b) Flip Vertical
Allows you to flip the selected image vertically.
(c) Flip Horizontal
Allows you to flip the selected image horizontally.
(d) Negative/Positive Reversal
Allows you to reverse negative and positive for the selected

image.
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(e) Rotate Clockwise
Allows you to rotate the selected image 90 degrees clockwise.
(f) Rotate Counterclockwise
Allows you to rotate the selected image 90 degrees

counterclockwise.
(g) Insert Blank
Allows you to insert a blank image in front of the selected

image.
(h) Auto Window adjustment
Allows you to open an auto window screen and apply the auto
window to the selected image. When multiple images are
selected, the following images are displayed in the auto window
screen as a representative image. This button can only be
used with radiographic images.

(i) Gamma/Edge Enhancement/DCF
Allows you to open the postprocessing screen to change the

gamma curve, edge enhancement, and DCF of the selected
image. When multiple images are selected, the following
images are displayed in the postprocessing screen as a
representative image. Radiographic images and fluoroscopic
acquisition images/fluoroscopic images saved with LIH cannot
be changed at the same time.

(j) Paste
Allows you to paste the image that was cut (Cut) or copied
(Image Copy) in the previous action in front of the selected
image.
(k) Copy Image
Allows you to copy the selected image. (The copied image is

not displayed at this point.)
The image is copied onto the print image using the Paste
button.
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(l) Cut
Allows you to cut the selected image.

The image is displayed on the print image using the Paste
button.
(5) Print
Allows you to print the images for the patient selected in the
film buffer.
(6) End Study
Allows you to end the study currently being conducted. If the

print method is Semi-Auto (S.AUTO), the images are
transferred to Film mode when End Study is clicked. If the
DICOM Storage method is End Study (END STUDY), the
images are transferred to the DICOM server when End Study
is clicked.
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7.2.5 Image display area
Displays still images, related information, and image processing parameters.
Switches between four displays depending on the purpose:
• Print image display

• 1-screen display
• Auto window screen opened by the [Auto Window] button
• Postprocessing screen opened by the [Gamma/Edge/DCF] button
In all of these displays, the window displaying images can be adjusted using the mouse.
However, the windows for the postprocessing screens of radiographic images cannot be
adjusted by using the mouse.
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(1) Print image display
Displays one sheet’s worth of film at the layout settings made in the print method
area. The following image displays an example with the layout set to 2×3.
However, the film orientation (vertical (PORTRAIT)/horizontal (LANDSCAPE)),
margins around images, and the display of information accompanying multiformat
images differ from what they actually are. Please check the film first when using a
new layout.
If you drag an image with the mouse while holding down Ctrl+Shift, you can have it
trade places with the image at the position you dragged the original image to.
(a) Film number
Displays how many sheets of film will be used to arrange the images for
the patient selected in the film buffer. The selected film number is
displayed brighter than the others. If you click on a film number, the
sheet being displayed changes. You can also click on an image and
then use the mouse wheel to scroll through the sheets of film in number
order.
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(2) 144-1-1
(3) 2006/08/05 - 16:27:00
(4) Upper GI
(5) SID 109 cm
Displays the SID of the table (the distance between the X-ray tube focus and I.I.).
(6) FOV 12 inch
No. 2B305-782EN
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(7) Gamma MID1
Displays that the gamma curve is type 1 and contrast is MID.
(8) SFLT MID3/OFF
Displays that the frequency of the two spatial filters is set to middle (MID), and that
the strength is set to 3 and OFF.
(9) DCF OFF/HM
Displays that the DCF low dose part is set to OFF, and that the high dose part is
set to auto middle (AUTO_MID) HM.
(10) ZOOM 100%
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7.2.7 Task bar
like.

(2) DICOM Transfer mode
Displays the status of DICOM Transfer mode. If errors have

occurred, an × is displayed. In that case, please check the
status in Queue mode.
(3) Print mode
Displays the status of Print mode. If errors have occurred, an ×

is displayed.
In that case, please check the status in Queue mode.
(4) Hard disk (HDD) space used
Displays the amount of space used on the hard disk.
(5) REV space used
Displays the REV number and the amount of space used in the
REV.
(6) CD/DVD status
Displays the CD/DVD status.
(7) USB status
Displays the status of the USB memory.
No. 2B305-782EN
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8. Reference Mode
8.1 Overview
If your system includes the reference image display function PDRK-REF (optional), you
can use Reference mode.
To select Reference mode when another operations mode is selected, click the
[Reference ] tab in the operations mode tabs.
If you select images transferred to this mode from Study mode and Archives mode, they
are displayed in the reference monitor (optional) as still images or Cine playback.
No. 2B305-782EN
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8.2 System Monitor Screen in Reference Mode
When you select Reference mode, the following screen appears on the system monitor.
Image information
Cine Playback tab
Operation buttons
Task bar Thumbnails
Selects from
Operations mode tab Study/Archives/Film/Reference/Queue/Recycle
Displays operation buttons for and information about
Cine Playback tab
Cine playback.
Operation buttons Displays buttons for screen operations.
Displays images transferred to Reference mode and
Image display area allows you to select images to display on the reference
monitor.
Displays reduced copies of the images in Reference
Thumbnails
mode.
This area displays things like the DICOM Storage
Task bar Method, the Print Method, the amount of hard disk
used, and the media status.
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8.2.1 Cine Playback tab
If you click on fluoroscopic acquisition images or sequence radiographic images, the
Cine Playback tab appears in the system monitor and Cine playback starts in the
reference monitor.
Cine is not displayed in the system monitor.
By operating the controls in the Cine Playback tab, you can cine playback, stop, and
select images in the reference monitor.
Cine Playback tab
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(1) Playback/Stop/Frame Advance
Allows you to start and stop cine playback.
Moves back one frame at a time from the stopped

position, and displays still images on the
reference monitor.
Starts playback.
Stops playback. Next playback starts from the

stopped position. The image at the stopped
position is displayed as a still image on the
reference monitor.
Moves forward one frame at a time from the
stopped position, and displays still images on the
reference monitor.
You can also perform these operations from the keypad
(optional). For information about keypad functions, please see
section 4.4.
(2) Live speed playback
Plays back at the speed used during acquisition. The speed at

the time of acquisition appears in the text box on the right.
(3) Playback speed setting
Plays back at the speed of your choice. The playback speed

set using the slide bar is displayed in the text box.
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Displays buttons for screen operations.
(1) Display Format
(a) 1×1 image display
Displays one image in the image display area.
(b) 2×2 image display
Displays four images in the image display area at reduced size.

Double-click any of the four images in the image display area to
display that image at full size. At this time, you cannot select
the display format. Double-click the image again to return to
four-image display.
(c) n×m image display
Displays n×m images in the image display area at reduced size.

Double-click any of the n×m images to display that image at full
size. At this time, you cannot select the display format.
Double-click the image again to return to n×m images. Set the
number of displayed images in Utility mode.
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(2) Manip. tab
(a) Single Select
Allows you to select a single image. It also cancels operations

modes like continuous zoom and returns to the normal single-
image selection mode.
(b) Multi-Select

images.

to select.
• In Single Select mode, select images by holding down the
Ctrl button while clicking them. The [Multi-Select] button will
light up automatically at the second image selected. From
that point on, you can select multiple images by clicking on
them.
If you click selected images while holding down the [Ctrl]

button again, the selection is canceled.
If you click the [Multi-Select] button again, the button

becomes dim and the image selection is canceled. You go
back to Single Select mode.
No. 2B305-782EN
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(c) All Select

automatically. If you click selected images while holding down
the [Ctrl] button again, the selection is canceled.
(d) ×2 Zoom

(e) Zoom
Allows you to use Continuous Zoom mode. Dragging the

mouse up or down above the image to zoom continuously
enlarges or reduces it.

which you drag the mouse is selected for zooming.
drag the mouse and the selected images are zoomed.
(f) Fit
Allows you to cancel the zooming or panning for the selected

image.
(g) Clear Graphic
Allows you to clear all graphics.
If this button is lit up, it indicates that graphics are cleared.
(h) Panning

automatically. If you click selected images while holding down
the [Ctrl] button again, the selection is canceled.

which you drag the mouse is selected for panning.
drag the mouse and the selected images are panned.
If you want to cancel panning, click the [Fit] button.

To cancel Panning mode, click the [Single Select] button.
No. 2B305-782EN
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(i) Magnify Glass
Allows you to use Magnify Glass mode. Drag the mouse over
the image whose region of interest is to be enlarged by a factor
of two.
(j) Delete Reference
Allows you to delete the selected image from Reference mode.

This only deletes the temporary image data created in
Reference mode; it does not delete them from the hard disk.
To work with deleted images in Reference mode again, re-
transfer the images from Study mode or Archives mode.
(k) Delete All References
Allows you to delete all images from Reference mode. This

only deletes the temporary image data created in Reference
mode; it does not delete them from the hard disk. To work with
deleted images in Reference mode again, re-transfer the
images from Study mode or Archives mode.
All images are also deleted from Reference mode if you use
End Study.
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8.2.3 Image display area and thumbnails
Displays still images, thumbnails, and related information.
The images selected here appear in the reference monitor. The reference monitor
display changes based on the classification of the images selected.
• Single radiographic image → Still image display

• Sequential radiographic images
and fluoroscopic acquisition images → Cine playback display upon image selection
Display still images by Cine Playback tab operation for any image, you can adjust the
window by using the mouse. Window adjustments are also reflected in the reference
monitor display.
(1) Single radiographic images
Displays still images in the image display area. Displays thumbnails below the
image display area. The following image is an example of 2×2 image display.
Select an image from the image display area and or thumbnail display area. A
frame appears around the selected image in both the image display area and the
thumbnail display area. The selected image appears in the reference monitor as a
still image.
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To scroll the image in the image display area, drag the slider on the scroll bar
on the right side with the mouse. You can also click an image in the image
not scroll the thumbnails.
(b) Left/Right scrolling arrows
click an image in the thumbnail area, and then use the mouse
wheel to scroll the thumbnails. This does not scroll the image
in the image display area. Click a thumbnail image to jump to
the same image in the image display area and display the
image on the reference monitor according to its classification
Scrolling with the mouse wheel as described above only scrolls

the area of the image display area or thumbnail display area
that was last clicked.
(c) Scale display
(2) Sequential radiographic images
For sequential radiographic images, all images in the sequence are displayed. If
you click on one of those images, the Cine Playback tab appears, and the cine
playback is displayed in the reference monitor. During cine playback, the still
image in the image display area in Reference mode remains as is. If you stop cine
playback using the [Stop] button in the Cine Playback tab, you can handle images
in the same way as single radiography images.
Displays thumbnails below the image display area. The following image is an
example of 1×1 image display. Select an image from the image display area and
or thumbnail display area. A frame appears around the selected image in both the
image display area and the thumbnail display area.
No. 2B305-782EN
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the same image in the image display area and display the
image on the reference monitor according to its classification.

No. 2B305-782EN
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(c) Scale display
(e) Sequential images
Displays [C] for sequential images at the top right of each image.
No. 2B305-782EN
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(3) Fluoroscopic acquisition images
For fluoroscopic images, representative images are displayed. If you click on this,
the Cine Playback tab appears, and the cine playback is displayed in the reference
monitor. The still image in the image display area in Reference mode remains as
is. If you stop cine playback using the [Stop] button in the Cine Playback tab, you
can scroll through the frames as still images using the [Frame Advance] button.
Displays thumbnails below the image display area. The following image is an
example of 2×2 image display. Select an image from the image display area and
or thumbnail display area. A frame appears around the selected image in both the
image display area and the thumbnail display area.
No. 2B305-782EN
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the same image in the image display area.
(c) Scale display
(e) Fluoroscopic acquisition images
Displays [F] for fluoroscopic acquisition images at the top right of each image.

No. 2B305-782EN
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(2) 144-1-1
(3) 2006/08/05 - 16:27:00
(4) Upper GI
(5) SID 109 cm
Displays the SID of the table (the distance between the X-ray tube focus and the I.I.
image receptor).
(6) FOV 12 inch
(7) Gamma MID1
Displays that the gamma curve is type 1 and contrast is MID.
(8) SFLT MID3/OFF
Displays that frequency of the two spatial filters is set to MID3 and OFF.
(9) DCF OFF/HM
Displays that the DCF is set to OFF and HM.
(10) ZOOM 100%
No. 2B305-782EN
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8.2.5 Task bar
like.

(2) X-ray exposure
Displays the X-ray exposure.

occurred, an × is displayed. In that case, please check the
status in Queue mode.
(4) Print mode
Displays the status of Print mode. If errors have occurred, an ×

is displayed.
In that case, please check the status in Queue mode.
(6) REV space used
REV.
(7) CD/DVD status
(8) USB status
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8.3 Reference Monitor (Optional)
The following screen is displayed in the reference monitor.
Image display area Image information display field
Displays fluoroscopic, radiographic, and fluoroscopic

Image display area
LIH images.
No. 2B305-782EN
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9. Recycle Mode
9.1 Overview
To select Recycle Bin mode when another operations mode is selected, click the
Recycle tab in the operations mode tabs.
Images that have been deleted in Study mode and Archives mode are temporarily
saved in this mode. You can select saved images, and restore them to their original
locations.
9.2 Recycle Bin Mode Window

When you select Recycle Bin mode, the following screen appears on the system
monitor.
Operations mode tab Search conditions field Study list
Patient
information field
Task bar Thumbnails Restore Images button

Operations mode tab
Patient information field Displays patient information selected from the Study List.
Specifies search conditions for data in Recycle Bin mode, and
Search conditions field
searches.
Study List Displays search results.
Displays thumbnails of patient images selected from the Study
Thumbnails List.
Alternatively, select images to restore.
Restore Images button Restore images that were selected in thumbnails.
Displays messages and icons for the amount of hard disk
Task bar space used, the print status, the image transfer status, and the
status of fluoroscopy/radiography and the like.
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Patient information selected from the Study list is displayed as follows.
(1) ID: 12345678-90
(2) Acc.: 20060805-001
(3) Toshiba Medical Syxxx
Displays the patient's name.
(4) F 52Y
Displays the patient's gender and age.
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9.2.2 Search conditions field
Specifies search conditions for data in Recycle Bin mode, and searches.
(1) Search conditions
Input the necessary search conditions.
* indicates a wildcard, that searches for all character strings and dates.
* : Allows you to search for all character strings and dates.
A* : Allows you to search for all character strings and dates starting with "A"
or "a".
*A : Allows you to search for all character strings and dates ending with "A" or
"a".
*A* : Allows you to search for character strings and dates containing "A" or "a"
(including character strings and dates starting or ending with "A" or "a").
Search Range specifies the search date.
Click [Today], [Week], or [Month] to select a date with a specific period.
You can directly input the date in the date format YYYYMMDD. (For example,
January 12, 2005 becomes [20050112])
You can click the (Calendar) button to select the date using a calendar.
(2) Clear
Clears the search conditions, and sets these to *. Accordingly,

clicking Clear → Search displays all data in Recycle Bin mode.
(3) Search
Searches Recycle Bin mode using the selected search

conditions, and displays corresponding patients on the study
list.
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9.2.3 Study List
Displays search results.
9.2.4 Thumbnails
Displays thumbnails of patient images selected from the Study list.
Alternatively, click to select images to restore.
To select multiple images, use Ctrl + click.
Selected images are displayed with a border.
9.2.5 Restore Images button

Images selected in thumbnails are restored to their original study - series - image
number.
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9.2.6 Task bar
Displays messages and icons for the amount of hard disk space used, print status,
image transfer status, and status of fluoroscopy/radiography and the like.

(2) X-ray exposure
Displays X-ray exposure.

occurred, an × is displayed. In that case, check the status in
Queue mode.
(4) Print mode
Displays the status of print mode. If errors have occurred, an ×

is displayed.
In that case, check the status in Queue mode.
(6) REV space used
REV.
(7) CD/DVD status
(8) USB status
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10. Saving Images to REV and
Reuse of REVs
The REV is used to back up images in the hard disk of the PC. Ensure that a REV
cartridge is inserted when using the system.
When a study is not being performed (from login to image acquisition and from the end
of the study to the start of shutdown), the data saved in the hard disk of the PC is
backed up to a removable hard disk (REV). If a REV cartridge is not inserted, then data
that has not been saved will be collectively written to a REV cartridge when one is next
inserted. If there is insufficient disk space remaining on the REV cartridge, then insert a
new cartridge.
If images are saved to DICOM devices or other systems and backup of images to the
REV is not required, you can delete the images saved on the REV cartridge to reuse the
disk.
CAUTION: If the REV cartridge is cleared, then you will no longer be able to restore
images that were deleted from the internal hard disk.
[Clearing a REV cartridge]
(1) Turn ON the power, and insert the REV cartridge you wish to reuse.
(2) Input "rev" into the User ID field, input the password, and then log in.
Obtain the password from the service engineer.
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(3) The REV management screen appears. This displays information including the
REV number and remaining disk space.
(4) Confirm that REV Clear in the REV information area displays "Enabled.," and then
click the [Clear] button. Data saved on the REV cartridge is deleted, and you can
use this as a new cartridge.
(5) Click the [Logoff] button, and return to the Login screen.
Other information and functions on the REV management screen are as below.
[REV information]
REV status : When the drive has correctly recognized the REV cartridge,
"REV is Normal." is displayed.
Disk Space : Displays Total Space, Used Space, and Free Space.
1KB is displayed as 1024 bytes. Several GB of free space is
reserved for system management and database retention.
REV # : Identification number automatically added to the REV cartridge.
REV Clear : Displays "Enabled." if the REV cartridge can be cleared, and
"Disabled." if the REV cartridge has been cleared, or cannot be
cleared.
REV Recovery : Displays "Enabled." if the REV cartridge can be recovered, and
"Disabled." if the REV cartridge cannot be recovered.
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[REV Finalization]
Normally, you cannot save backups to a new REV cartridge until there is little
remaining REV cartridge space, and the task bar indicates that insertion of a new
REV cartridge is necessary. If a new REV is to be used for some reason, clicking
the [Finalize] button for finalization with the REV cartridge inserted makes it
possible to complete backup storage and to start backup on a new REV cartridge
even if there is remaining space in the REV cartridge. In these cases, the REV #
increases by 1.
Recent REV Status : Displays history of the last clear and finalizing
operations.
Last Finalized REV No. : Displays the last finalized REV number.
[REV Recovery]
If damage occurs to a REV cartridge on which images have been saved, or if it is

accidentally cleared, then you can use the recovery function to re-save images
from the PC hard disk. Click the [Search] button in the REV Recovery area to
display a list of REV numbers that can be recovered. Select the REV number to
save, insert a new REV cartridge, and click the [Recover] button.
CAUTION: You cannot recover images that have been deleted from the hard
disk. The number of images that were recovered from the total
number of acquired images remaining on the hard disk is displayed
on the right of the list.
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Appendix DICOM Sending
A.1 Overview
Sends images from this device to DICOM compliant devices.
This device supports the following DICOM compliant services.
• Image transfer (Storage) Sends images to an image storage device.

• Printing (Print) Outputs as film images to an imager.
• External output Outputs images to external media in DICOM format.
A.2 Settings
Carries out configuration of DICOM settings.
Specifically, this configures the following details.
• Environment DICOM connection information

• Operation Information that is set in protocol name registration
A.2.1 Utility mode

From the operations mode tab, click [Utility].
Utility mode is a mode that presets the study condition settings and input item settings
to match the usage environment.
The method for presetting each parameter is as follows.
(1) Select the items to be set. For example, if you want to change the storage method
for [DICOM Transfer] in the [Upper GI] study, click [protocol name], and select [DR].
(2) Select [Upper GI] from the preset name list.
(3) Confirm the displayed preset name.
(4) Select the settings to change from the list of Storage Method menus in the [DICOM
Transfer] area.
(5) Click the [Update] button.
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(4) Parameter Selection Menu
Select from a list, or input a value.
(3) Preset name display/input field

(1) Select the item you want to set. Confirm the preset name.
(5) [Update] button

Update and register details
for the preset name.
[Delete] button
Delete the preset name.
(2) Preset Name list
List of preset names that have
already been created. [New] button
Create a new preset name.
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A.2.2 Protocol name
You can set, change, or save settings for image acquisition for each Protocol Name.
A.2.2.1 Editing DR technique protocol name

(1) Editing registered parameters
<1> Select DR from protocol name in the upper-left part of the screen.
<2> The protocol names registered for DR techniques appear in the Protocol List
DR.
This list requires at least one protocol name.
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<3> Click the protocol name to edit.
The selected protocol name is highlighted, and the parameters appear in the
area on the right side of the screen.
<DICOM Transfer>
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• Server 1 to 3
Specifies the output destination for DICOM Storage from the menu. Select
the destination from the menu. Destination settings are described later.
• Division
You can select how to output subdivided radiography images.
MERGED : Merge and send multiple divided images.
EACH : Send divided images as individual images.
• Storage Method
Sets the storage output method for image data.

Selects the storage method for the study (IMMEDIATE/END
STUDY/MANUAL).
IMMEDIATE : Sequential transfer mode. Images are transferred

immediately after they are acquired.
END STUDY: Batch transfer mode. Images are transferred when the
[End Study] button is clicked.
MANUAL : Manual transfer mode. Images are transferred manually.
• Printer Format
Specifies the default print format from the menu.
• Print Method
Selects the filming mode (AUTO/S.AUTO/MANUAL) for the current study

from the menu.
AUTO : Auto print. Individual plates of acquired film are output

automatically.
S.AUTO : Semi-auto print. Creates a print image when the [End

Study] button is clicked. The created print image is
displayed in Film mode.
MANUAL : Manual print. Film is output manually.
<4> Click the [Update] button to finish.
A.2.2.2 DICOM-related settings

Here, you can configure DICOM "Storage/Commitment," "Print Settings," and "Printer
Format" settings.
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A.2.2.2.1 Storage/Commitment
Makes settings for connecting to the DICOM server. A lot of this content requires
specialized knowledge. Therefore, please consult a service engineer for details.
Preset Information:
Station Name : Give a name to each server you will connect to.
Storage Server Information:

Gamma Table : Select the monitor gamma used to adjust the display on the server
side.
Annotation : Select ON if adding annotations.
Anonym : Select ON if anonymizing patient information.
Echo Test : Send packets to check the connection.
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A.2.2.2.2 Film Printer SCP
Makes settings for connecting to the DICOM printer. A lot of this content requires
specialized knowledge. Therefore, please consult a service engineer for details.
Preset Information:
Station Name : Give a name to each printer you will connect to.
SCP Information:
AE title : Input the AE title name set on the printer.

IP address : Input the printer’s IP address.
Echo Test : Send packets to check the connection.
Printer Settings : Set to match the usage environment.
Film Size : Select the film size to use.

If the size you want is not there, set the menu for a close size to
[YES].
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A.2.2.2.3 Printer Format
You can set, change, and save settings for print output/format as a printer format name.
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(1) Editing registered print format names.
<2> The printer format names already registered appear in Printer Format.
The list requires at least one printer format name.
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<3> Click the printer format name to edit.
The selected printer format name is highlighted, and the parameters appear in
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<Preset Information>
• Name
Displays the printer format name. Use a keyboard to input if changes are
necessary.
• Film Printer SCP
Sets the name of the output destination printer. Select registered names
from the menu.
• Description
Register a simple description for this printer format name.
<Parameters>
• Film Size
Select the film size from the menu.
• Orientation
Specify PORTRAIT or LANDSCAPE for the film.
• Copy
Set the number of copies to print. This is normally set to 1.
• H*V
Set the number of images to arrange on one sheet of film.
No. 2B305-782EN
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• Margin
Set the length of the margins at the top and bottom, or left and right of the
image. The location of the margin is automatically determined to produce
the largest image by the film size, orientation, and layout.
• Annotation
Select ON if printing with added text or graphics such as arrows, OFF if not.
• Information
Select ON if printing all set information, OFF if not.
• Anonym
Select ON if anonymizing the patient, OFF if not.
<Upper Left>
Among the image-related text information, these are settings about the
information that does not change during the same study, regardless of the
image (shared items). This is printed at the upper left part of the image.
• Hospital Name
Setting for printing the hospital name.
• Patient ID
Setting for printing the patient ID.
No. 2B305-782EN
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• Patient Name
Setting for printing the patient's name.
• Sex, Age
Setting for printing the patient's age and sex.
• Label Position (All/Upper Left)
Set the position for printing the information.
ALL : Prints shared items on all images.
LEFT/TOP : Prints information in one location on each sheet of film, on

only the top-left image.
• Scale Bar
Select ON to print a scale on the right edge of the image, select OFF if not.
• Font Size
<Upper Right>
Settings for information to be printed on the upper right part of the image.
• Study ID - Series ID - Instance No.
Setting for printing the accession number.
No. 2B305-782EN
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• Study Date
Setting for printing the study date.
• Acquisition time
Setting for printing the acquisition time.
• FOV
Setting for printing the field size.
<Lower Left>
Settings for information to be printed on the lower left part of the image.
• Resolution
Setting for printing the number of pixels in an image.
• Protocol Name
Setting for printing the Protocol Name.
No. 2B305-782EN
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• Body Part
Setting for printing the body part.
• Accession No.
Setting for printing the accession No.
• Font Size
<Lower Right>
Settings for information to be printed on the lower right part of the image.
• SID
Setting for printing the SID during radiography.
• W1/W2
Setting for printing the window.
• Image Parameters
Setting for printing the image processing parameters (DCF, SFLT, Gamma).
<4> Click the [Update] button to finish.
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(2) Registering a new print format name
<1> Select Printer Format from DICOM on the upper-left part of the screen.
<2> Click the [New] button in Printer Format.
<3> Input the new printer format name to create into the Name field.
Select the default parameters. To reuse and edit registered parameters,

select the printer format name to be reused. To register all new parameters,
select NONE.
No. 2B305-782EN
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The New Printer Format window closes, and the parameters appear on the
right side of the screen.
<5> Create or edit parameters.
<6> Click the [Update] button to end.
(3) Deleting a printer format name
<2> Click the printer format name to delete in Printer Format.
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(4) Changing the display order of print format names
<2> Click the printer format name for which the display order is to be changed in
Printer Format.
To move the selected printer format name up, click . To move it down,
click .
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A.3 Operational Procedure
This section explains DICOM operating procedures in each mode.
A.3.1 Study mode

When you select Study mode, the following screen appears on the system monitor.
Image information
Patient
information field
Menu area
Operation
buttons
Operations mode Select from Study/Archives/Film/Reference/Queue/Recycle

tab /Utility/Shutdown modes.
Patient information Displays patient information for the patient being studied, or patient
field information for the displayed image.
Displays operation buttons and information for functions required in each
Menu area
mode.
Displays operation buttons for image operation and processing.
Operation buttons Buttons are categorized into Manip./Memo/Process tabs depending on
their functions.
Displays images. Additionally, this becomes the patient registration
Image display area
screen and the search screen.
Thumbnails Displays reduced copies of images from that search.
Image information
Displays study information about the selected image.
display field
Display the image for printing.
Preview
Used when selecting images for printing or exporting.
Area for display of DICOM save settings/print settings, hard disk usage,
Task bar
and media status, etc.
No. 2B305-782EN
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You can use the following services in Study mode.
• Printing (Print) Outputs as film images to an imager, or sends print

images to Film mode.
A.3.1.1 Image transfer

Operating instructions for storage differ depending on the Send mode specified for each
protocol name.
• If set to sequential transfer (IMMEDIATE)
Because images are in principle transferred to the image storage device upon image
acquisition, new operation is not required.
To temporarily stop image delivery, click the [Suspend Send] button, after which
delivery of subsequent images is stopped. Click this button again to undo.
• If set to batch transfer (END STUDY)
Because images are in principle batch transferred to the image storage device upon
completion of a study, new operation is not required.
To stop image delivery, click the [Suspend Send] button. Click this button again to
undo.
• If set to manual transfer (MANUAL)
Images are in principle not transferred to the image storage device.

To deliver images, add the images to the Preview area. Next, click the [Send] button
to transfer preview images to the image storage device.
Operation of the Preview area is explained in the Archives mode section.
Common settings
Image destination and Division mode are defined in protocol name registration, and
cannot be changed during a study.
CAUTION: In order to prevent the loss of unsent images, we recommend use of

sequential transfer.
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A.3.1.2 Printing
Operating instructions for printer output differ depending on the Printer mode specified
for each protocol name.
• If set to Auto (AUTO)
Because images are in principle output to the imager at the time the images are
created, new operation is not required.
Upon acquisition, images are stored in the image box on the live monitor. Printing is
carried out when the image box is changed.
To temporarily stop printing, click the [Suspend Print] button, after which printing of
subsequent images is stopped. Click this button again to undo.
• If set to Semi-Auto (S.AUTO)
Images are in principle batch transferred to Film mode upon completion of a study.
Next, images are output from Film mode to the imager.
To temporarily stop printing, click the [Suspend Print] button, after which printing of
subsequent images is stopped. Click this button again to undo.
• If set to manual transfer (MANUAL)
Images are in principle not printed on the imager.
To print, add the images to the Preview area. Next, click the [Print] button to output
preview images to the imager.
Operation of the Preview area is explained in the Archives mode section.
Common settings
Image destination and Division mode are defined in protocol name registration, and
cannot be changed during a study.
No. 2B305-782EN
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A.3.2 Archives mode
Image information
Patient
information field
Menu area
Operation
buttons
Operations mode Select from Study/Archives/Film/Reference/Queue/Recycle/

tab Utility/Shutdown modes.
Patient information Displays patient information for the patient being studied, or patient
field information for the displayed image.
Displays operation buttons and information for functions required in each
Menu area
mode.
Displays operation buttons for image operation and processing.
Operation buttons Buttons are categorized into Manip./Notes/Process tabs depending on
their functions.
Displays images. Additionally, this becomes the patient registration
Image display area
screen and the search screen.
Thumbnails Displays reduced copies of images from that search.
Image information
Displays study information about the selected image.
display field
Display the image for printing.
Preview
Used when selecting images for printing or exporting.
Area for display of DICOM save settings/print settings, hard disk usage,
Task bar
and media status, etc.
You can use the following services in Study mode.

• Printing (Print) Outputs as film images to an imager, or sends print
images to Film mode.
• External output Outputs images to external media in DICOM format.
No. 2B305-782EN
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A.3.2.1 Image transfer
Images can either be batch transferred from the Study List, or sent from the Preview
area.
• If selecting and sending from the Study List
Click the [Open Database] button, and the database is displayed. From here, select
the study to send.
Select the transfer destination from the Menu area [Server] tab.
Next, click the [Send] button to transfer selected studies to the image storage device.
With this method, all images in the selected study are transferred.
No. 2B305-782EN
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• If selecting and sending images from the Preview area
to display the study to send.
Click to select the image to send to the image storage device, and then click the [Add]
button in the Preview area to add the selected image to the Preview area.
No. 2B305-782EN
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Select the transfer destination from the Menu area [Server] tab.
A.3.2.2 Printing
Images can either be batch transferred from the Study List, or output from the Preview
area.
• If selecting and outputting from the Study List
the study to send.
No. 2B305-782EN
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Next, select the Printer Format from the Menu area [Film] tab.
• If selecting and sending images from the Preview area
to display the study to send.
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Click to select the image to send to the image storage device, and click the [Add]
button in the Preview area to add the selected image to the Preview area.
Next, click the [Print] button to output preview images to the imager.
Alternatively, in the Preview area, click the [Film] button to output the image to Film
mode.
Common settings
About the Preview area
This explains the procedures for carrying out image transfer/printing/external output
from the Preview area.
Select an image in the Image display area, and then click the [Add] button in the
Preview area. Alternatively, drag an image while holding down the Ctrl and Shift keys
in order to add images to the Preview area.
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Additionally, for fluoroscopic acquisition images, only representative images are
added. If selecting other than representative images, then add these following the
procedure below.
<1> First, from Cine Playback mode, display the image in the image display area.
<2> Stop Cine playback.
<3> From the still image display, select the image.
<4> After selection of the image, click [Add] from the Preview area.
<1> Select the Cine menu.
<2> Stop Cine playback.
<3> Select the image.
<4> Add the image.
After selecting the image in the Preview area, you can click the [Delete] button to
delete the image from the Preview area.
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A.3.2.3 External output
Images can either be batch transferred from the Study List, or sent from the Preview
area.
• If selecting and sending from the Study List
Procedures for selecting a study are the same as in image transfer.

After selecting the study, from the Menu area [Export] tab, select devices and other
information.
Device : Select the media type for external output.
CD/DVD : Export images to media inserted into the drive.
USB : Output images to USB memory connected to the USB

terminal.
Format : Select the output format from the following 4 types.
LOSSLESS JPEG/DICOM/BMP/IMG
Division : You can select from EACH or MERGED for the output format for
subdivided radiography images. You can select other than IMG format.
EACH : Handles divided images as individual files.
MERGED : Handles divided images as a single, merged image.
Anonym : Anonymizes patient information for output. Only DICOM format can be
selected.
Specify Anonym ON/OFF.
Next, click the [Save] button to output selected study to the external media device.
No. 2B305-782EN
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• If selecting and externally outputting from the Preview area
Procedures for selecting a study are the same as in image transfer.
After selection, from the Menu area [Export] tab, select devices and other information.
Next, click the [Save] button to save the selected study to the external media.
No. 2B305-782EN
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A.3.3 Queue mode
You can confirm the status of image transfer/print output/external output in Queue mode.
Click [Queue] in the operations mode tab.
A.3.3.1 Image delivery
From Queue mode, select DICOM - Storage/Commitment.
Displayed for each delivery request (job).
Date/Time : Date/Time of delivery request
Status : Displays the delivery status.
Pending : Waiting status
Sending : Sending status
Fail : Failed. Failed for some reason.
Completed jobs will be deleted.
If there are failed jobs that you wish to try again, select these again from the list, then
click the [Retry to Send] button to retry.
If there are jobs that you wish to delete, select these again from the list, then click the
[Cancel Job] button.
Shutting down the computer will delete all jobs.
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A.3.3.2 Printing
From Queue mode, select DICOM - Print.
Displayed for each print request (job).
Date/Time : Date/Time of delivery request
Status : Displays the delivery status.
Printing : Printing status
Completed jobs will be deleted from the list.
If there are failed jobs that you wish to try again, select them from the list, then click the
[Retry to Print] button to retry.
If there are jobs that you wish to delete, select them from the list, then click the
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A.3.3.3 Backup to REV
From Queue mode, select Source - REV Backup.
Displayed for each output request (job).
Status : Displays the output status.
WRITING : Writing status
Jobs will not be deleted even after shutdown.
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A.3.3.4 External output
From Queue mode, select Source – USB Export.
Displayed for each output request (job).
Status : Displays the output status.
WRITING : Outputting status
If there are failed jobs that you wish to delete, select them from the list, then click the
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A.4 Tag Description
This section explains items displayed at the top of the screen, and DICOM tags.
A.4.1 Study mode
Patient Registration screen
Accession No. : (0008,0050)

Patient ID : (0010,0020)
Patient Name : (0010,0010)
Birth Date : (0010,0030)
Age : (0010,1010)
Sex : (0010,0040)
Patient Comment : (0010,4000)
Protocol Name : (0018,1030)
Body Part : (0018,0015)
Referring Physician : (0008,0090)
Study Description : (0008,1030)
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A.4.2 Utility mode
Register Institution, Physician, Equipment - Environment in Utility mode.
Institution name : (0008,0080)

Institution address : (0008,0081)
Equipment information name
Station name : (0008,1010)

Software Version : (0018,1020)
Serial No : (0018,1000)
No. 2B305-782EN
A-36 E

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REVISION RECORD

REV. DATE REASON PAGE SER. DOC.

INI. 04/'07 Mr. Soutsuka ------- TM-WI2

© TOSHIBA MEDICAL SYSTEMS CORPORATION 2007

1. No part of this manual may be copied or reprinted, in whole or in part,

1. Configuration .................................................................................... 1-1

1.2 Optional Components .......................................................................... 1-1

2. Overview of Operations ...................................................... 2-1

2.1.2 Mouse ................................................................................................................. 2-2

2.1.3 Tabs ..................................................................................................................... 2-3

2.1.4 Buttons ............................................................................................................... 2-3

2.1.5 Menus ................................................................................................................. 2-3

2.2 Operations Mode and Monitor Screen ..................................... 2-4

2.2.2 System monitor screen ............................................................................... 2-5

2.2.3 Live monitor screen ...................................................................................... 2-6

2.3 Start-Up and Shutdown ....................................................................... 2-7

2.3.2 Post-operation check ................................................................................... 2-8

2.3.3 Turning the power ON ................................................................................. 2-8

2.3.4 Turning the power OFF ............................................................................. 2-10

2.3.5 Operational procedures in the event of malfunctions ................. 2-11

2.3.6 Backup fluoroscopy and backup radiography................................ 2-12

2.4 Operational Sequence........................................................................ 2-13

2.4.2 Preparation for image acquisition ........................................................ 2-16

2.4.4 Single image radiography ........................................................................ 2-17

2.4.5 Sequential image radiography ............................................................... 2-18

2.4.6 Fluoroscopic image acquisition (F-REC)........................................... 2-19

2.4.7 Confirming acquired images .................................................................. 2-20

2.4.8 Gray-scale processing for acquired images .................................... 2-21

2.4.9 Acquired image zoom display ................................................................ 2-22

2.4.10 Specifying deletion of unnecessary images .................................... 2-22

2.4.11 Film output of acquired images............................................................. 2-23

2.4.12 Ending studies and image backup to REV ....................................... 2-24

2.4.13 Viewing previous images ......................................................................... 2-25

3. Patient Registration.................................................................. 3-1

3.2 Registering the Next Patient to Be Studied ......................... 3-2

3.3 Correcting Input Information .......................................................... 3-3

3.4 Canceling Input of Information...................................................... 3-3

3.5 Collectively Registering Information for Patients

3.6 Selecting a Patient from the Current List

3.7 Importing Patient Information (Optional) ............................... 3-6

3.8 Deleting Patients from the Current List .................................. 3-7

3.10 Selecting a Patient from the Patient WorkList

3.11 Registering Emergency Patient Information ..................... 3-11

4. Study Mode .......................................................................................... 4-1

4.2 System Monitor Screen in Study Mode ................................... 4-2

4.2.2 Menu area .......................................................................................................... 4-4

4.2.3 Operation buttons ......................................................................................... 4-7

4.2.4 Image display area and thumbnails ..................................................... 4-17

4.2.5 Image information display field ............................................................. 4-28

4.2.6 Preview ............................................................................................................. 4-29

4.2.7 Task bar ........................................................................................................... 4-30

4.3 Live Monitor ............................................................................................... 4-32

4.3.2 Time/Date display field .............................................................................. 4-33

4.3.3 Patient information field ........................................................................... 4-33

4.3.4 Examination information field ................................................................ 4-34

4.3.5 Acquisition information field .................................................................. 4-34

4.3.6 Table information field............................................................................... 4-35

4.3.7 Message display field ................................................................................ 4-36

4.3.8 Image box........................................................................................................ 4-36

4.4 Keypad ........................................................................................................... 4-37

5.1.3 Displaying previous images ...................................................................... 5-5

5.1.4 Modifying patient information and study information

5.1.5 Outputting previous images ................................................................... 5-10