NX 1 Key User Manual

NX 1.
0
Key User manual
NX SERVICE AND CONFIGURATION TOOL
For more information on Agfa products and Agfa HealthCare products, please visit www.agfa.com.
© Agfa-Gevaert N.V. 2006.

No parts of this document may be reproduced, copied, adapted or transmitted in any form or by any means
without the written permission of Agfa-Gevaert N.V.
Agfa-Gevaert N.V. makes no warranties or representation, expressed or implied, with respect to the accuracy,
completeness or usefulness of the information contained in this document and specifically disclaims warran-
ties of suitability for any particular purpose. Agfa-Gevaert N.V. shall under no circumstances be liable for any
damage arising from the use or inability to use any information, apparatus, method or process disclosed in this
document.
Agfa-Gevaert N.V. reserves the right to make changes to this document without prior notice.
Agfa-Gevaert N.V., Septestraat 27, B-2640 Mortsel, Belgium.
Windows® and Windows® XP are trademarks of Microsoft Corporation.

NX is a trademark of Agfa-Gevaert N.V., Belgium.
Agfa and Agfa-Rhombus are trademarks of Agfa-Gevaert AG, Germany.
2 4421 A EN 20060104
Table of contents
Chapter 1: Introduction ............................................................................. 7
Introduction to this manual ......................................................................... 8

Warnings, Cautions and Notes ......................................................................... 8
Product Complaints ......................................................................................... 9
Disclaimer ..................................................................................................... 10
Introduction to NX Service and Configuration Tool ................................... 11
Intended Use ................................................................................................. 12
Intended User................................................................................................ 13
Training ........................................................................................................ 14
Compatibility ................................................................................................ 14
Compliance ................................................................................................... 15
Connectivity .................................................................................................. 16
Installation .................................................................................................... 16
Messages ....................................................................................................... 17
Safety Directions ........................................................................................ 18
Starting up NX Service and Configuration Tool ......................................... 20
The Workspace........................................................................................... 22
Exit NX Service and Configuration Tool ..................................................... 24
Load configuration settings into the Workspace........................................ 25
Activate settings ......................................................................................... 26
Restore settings.......................................................................................... 27
Exercise...................................................................................................... 28
Chapter 2: Using the Main Menu...........................................................29
About the Main Menu................................................................................. 30

Working in the Main Menu......................................................................... 32
Monitoring and management .................................................................... 34
Queue management ...................................................................................... 34
Delete images ................................................................................................ 41
Lock sessions ................................................................................................. 43
Quality Assurance ...................................................................................... 45
Read and Initialize cassette............................................................................ 45
View all image attributes ............................................................................... 49
Modifying dose monitoring statistics ............................................................. 51
Import/Export ........................................................................................... 54
Export Repeat / Reject statistics..................................................................... 54
Export Dose Monitoring Statistics.................................................................. 55
Import images (from a CD)............................................................................ 56
4421 A EN 20060104
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Export images................................................................................................ 57
Tools .......................................................................................................... 58
NX Service and Configuration Tool ................................................................58
About NX .......................................................................................................59
Chapter 3: General configuration .......................................................... 61
Introduction .............................................................................................. 62
General Configuration > Site settings ....................................................... 64
General Configuration > Workstation settings.......................................... 65
General settings.............................................................................................65
Fast preview settings......................................................................................66
Fast ID ...........................................................................................................66
Storage commit .............................................................................................66
General Configuration > Predefined lists...................................................67
Patient comments .......................................................................................... 67
Image comments ........................................................................................... 67
Predefined texts............................................................................................. 67
Custom markers......................................................................................... 69
Workflow management > ID and Examination ......................................... 71
Workflow management > Image Presentation .......................................... 73
Workflow management > Emergency Procedure .......................................74
Chapter 4: Configuring the devices connected to NX ........................ 77
Introduction .............................................................................................. 78
Configuring the list of archives ......................................................................79
Modifying archive properties .........................................................................80
Device Settings .......................................................................................... 81
Configure Digitizers................................................................................... 83
Configuring the list of Digitizers ....................................................................83
Modify an existing Digitizer ...........................................................................84
Device settings ........................................................................................... 85
Emergency procedure................................................................................ 86
Configuring Export Destinations ............................................................... 87
Filter type................................................................................................... 88
DICOM for presentation ............................................................................ 89
DICOM for processing................................................................................ 90
Configuring ID Tablets............................................................................... 91
Configuring the list of ID Tablets.................................................................... 91
Modify existing ID Tablet settings ..................................................................92
Configuring monitors ................................................................................ 93
Configuring printers .................................................................................. 94
4 4421 A EN 20060104
Configuring printing ..................................................................................... 94

Print Sheet and Layout ............................................................................... 96
Cassette & Film Size ...................................................................................... 97
Film & Profile Size ......................................................................................... 98
Sheet Text Box............................................................................................ 99
Image Text Box......................................................................................... 101
Modifying the properties of existing printers (changing printer profiles) ..... 102
Device Settings......................................................................................... 103
Image Sheet Settings................................................................................ 104
Sheet settings .............................................................................................. 105
View box settings......................................................................................... 106
Medium Type settings .............................................................................. 107
Configuring the RIS ................................................................................. 108
Configuring the list of available RIS............................................................. 108
Edit the RIS settings .................................................................................... 109
Connection type settings.............................................................................. 110
RIS mapping................................................................................................ 111
MPPS Destination type settings.................................................................... 113
Chapter 5: Configuring security issues ................................................115
Introduction..............................................................................................116
General .....................................................................................................117
Security Licensing Configuration > SSL Settings ..........................................117
Security Licensing Configuration > Audit Log Settings ................................ 118
Security Licensing Configuration > Auto Log OFF Settings .......................... 119
Manage users ........................................................................................... 120
Managing Licenses ................................................................................... 122
Chapter 6: Configuring the examination tree ................................... 123
Introduction............................................................................................. 124
Concepts of the examination tree ............................................................ 125
Configuring Exposure types..................................................................... 128
Configuring the lists of Exposure types ........................................................ 130
Modifying properties of individual Exposure types ...................................... 133
Examination tree Configuration > Manage Exposure type........................... 133
Exposure Settings ........................................................................................ 135
Image Processing......................................................................................... 137
Printer Settings............................................................................................ 137
Exercise....................................................................................................... 139
Configuring Examination groups............................................................. 140
Configuring the lists of Examination groups .................................................141
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Modifying the properties of individual Examination groups ......................... 142

Examination group ...................................................................................143
Configuring Exposure groups...................................................................144
Configuring the lists of Exposure groups ...................................................... 145
Modifying properties of individual Exposure groups .................................... 146
Find and replace Exposure settings ..........................................................147
Exercise ....................................................................................................149
Managing protocol codes......................................................................... 150
Assigning protocol codes.............................................................................. 151
Importing protocol codes ............................................................................. 153
Adding new protocol codes .......................................................................... 155
Changing protocol codes.............................................................................. 157
Removing protocol codes ............................................................................. 159
Chapter 7: Service and monitoring...................................................... 161
Introduction .............................................................................................162
Appendix A: List of Figures ...................................................................163
List of Figures ...........................................................................................164
Appendix B: Warning overview ............................................................169
Warning overview.....................................................................................170
Appendix C: Index ..................................................................................173
Index......................................................................................................... 174
6 4421 A EN 20060104
Chapter 1
Introduction
This chapter covers the following topics:
T Introduction to this manual 8
T Introduction to NX Service and Configuration Tool 11

T Safety Directions 18
T Starting up NX Service and Configuration Tool 20
T The Workspace 22
T Exit NX Service and Configuration Tool 24
T Load configuration settings into the Workspace 25
T Activate settings 26
T Restore settings 27
T Exercise 28
Introduction to this manual

This section covers the following topics:
Q Warnings, Cautions and Notes
Q Product Complaints
Q Disclaimer
Warnings, Cautions and Notes
The following samples show how warnings, cautions, instructions and notes
appear in this document. The text explains their intended use.
WARNING: Warnings are directions which, if they are not followed,

can cause serious or fatal injuries.
Caution: Cautions are directions which, if they are not followed, can cause
damage to the equipment described in this manual or any other equipment
or goods and can cause environmental pollution.
Instruction : Follow the instruction literally to avoid the topic of warnings.
Note: Notes provide advice and highlight unusual points. A note is not
intended as an instruction.
8 Introduction 4421 A EN 20060104

Product Complaints
Any health care professional (for example a customer or a user) who has any
complaints or has experienced any dissatisfaction in the quality, durability,
reliability, safety, effectiveness, or performance of this product must notify
Agfa. If the device malfunctions and may have caused or contributed to a
serious injury of a patient, Agfa must be notified immediately by telephone,
fax or written correspondence on the following address:
Agfa Headquarters - Septestraat 27 2640 Mortsel, Belgium.
Tel. +32 3 444 2111.
Fax +32 3 444 7094.
Note: Further service support addresses all over the world are very easy
accessible on the web site, www.agfa.com.
4421 A EN 20060104 Introduction

9
Disclaimer
Agfa assumes no liability for use of this document if any unauthorized

changes to the content or format have been made.
Every care has been taken to ensure the accuracy of the information in this
document. However, Agfa assumes no responsibility or liability for errors,
inaccuracies or omissions that may appear in this document. To improve
reliability, function or design Agfa reserves the right to change the product
without further notice. This manual is provided without warranty of any kind,
implied or expressed, including, but not limited to, the implied warranties of
merchantability and fitness for a particular purpose.
Caution: In the United States, Federal law restricts medical devices to sale,
distribution, and use by or on order of a licensed physician.

Introduction to NX Service and

Configuration Tool
This section covers the following topics:
Q Intended Use
Q Intended User
Q Training
Q Compatibility
Q Compliance
Q Connectivity
Q Installation
Q Messages

11
Intended Use
The NX Service and Configuration Tool is a dedicated tool for managing the
configurable settings of the NX system.
It will be used by Agfa service to configure the NX system for use in the
hospital.
After installation the NX Service and Configuration Tool can only be accessed
by Agfa service and the Key user.
The NX Service and Configuration Tool provides means to:
Q Configure the devices attached to the NX station.
Q Configuring examination trees and the sequence in which the examinations

and Exposure types can be selected in the NX GUI.
Q Configure the functional behavior of the NX system.
Q Configure the security settings of the NX system.
Q Restore previous configuration settings of the NX system.

Intended User
This manual is written for trained users of Agfa products and trained
diagnostic X–Ray clinical personnel who have received proper training.
Users are considered as the persons who actually handle the equipment as
well as the persons having authority over the equipment.
Before attempting to work with this equipment, the user must read,
understand, note and strictly observe all warnings, cautions and safety
markings on the equipment.
Before attempting to work with this equipment, the user must thoroughly
read and fully understand this manual and any release notes delivered with
the software media pack, paying particular attention to all warnings, cautions
and notes.
The target audience for this manual is the Key user. The Key user:
• Is the application specialist of the hospital.
• Has a good knowledge of computer networking and of the configuration
aspects of exams and examination trees.
• Is allowed to perform changes in a configuration set up by Agfa service.
In a real-life situation the Key user will use the NX Service and Configuration
Tool to modify the basic configuration performed by Agfa service. If help is
needed, the user should contact the IT Department of the site or Agfa service.

13
Training
The user must have received adequate training on the safe and effective use of
the software before attempting to work with it. Training requirements may
vary from country to country. User must make sure that training is received in
accordance with local laws or regulations that have the force of law. Your
local Agfa representative can provide further information on training.
The user must note the following information in the preliminary section of
this manual:
Q Intended Use.
Q Intended User.
Q Safety Directions.
Compatibility
NX Service and Configuration Tool must only be used in combination with

other equipment or components if these are expressly recognized by Agfa as
compatible. A list of such equipment and components is available from Agfa
service on request.
Changes or additions to the equipment must only be carried out by persons
authorized to do so by Agfa. Such changes must comply with best engineering
practice and all applicable laws and regulations that have the force of law
within the jurisdiction of the hospital.

Compliance
NX Service and Configuration Tool has been designed in accordance with

with the MEDDEV Guidelines relating to the application of Medical Devices
and has been tested as part of the conformity assessment procedures required
by 93/42/EEC (MDD) (The European COUNCIL DIRECTIVE 93/42/EEC ON
MEDICAL DEVICES).
This Agfa product has been designed in accordance with the IEC 60601-1, Ed.
3: Medical electrical equipment - Part 1: General requirements for basic safety
and essential performance

15
Connectivity
The NX Service and Configuration Tool workstation requires a 100 Mbit

ethernet network to exchange information with a number of other devices.
NX Service and Configuration Tool is provided with a mechanism to prevent
data loss on network failure.
NX Service and Configuration Tool communicates with other devices in the
hospital network using one of the following protocols:
Q DICOM.
Q IHE.
Installation
NX Service and Configuration Tool installation and configuration is

performed by Agfa. A limited number of configuration tasks can also be
performed by the customer after an Agfa training course has been provided.
Contact your local support organization for more information.
Installation and configuration is described in the NX Service and
Configuration Tool Service Documentation, which is available to the support
personnel of Agfa.

Messages
Under certain conditions NX Service and Configuration Tool will show a

dialog box in the middle of the screen containing a message. This message
will tell that either a problem has occurred or that a requested action cannot
be performed.
The user must read these messages carefully. It will provide information on
what to do from then on. This will be either performing an action to resolve
the problem or to contact the Agfa service organization.
Details on the contents of messages can be found in the service
documentation which is available to Agfa service personnel.

17
Safety Directions
WARNING: The user must strictly observe all warnings, cautions,
notes and safety markings within this document and on the machine.
WARNING: Safety is only guaranteed when trained Agfa personnel

have installed NX Service and Configuration Tool.
WARNING: All Agfa medical products must be used by trained and

qualified professionals.
WARNING: The user is responsible for judging image quality and

controlling environmental conditions for diagnostic softcopy or
print viewing.
WARNING: The user must be aware that:

Q A software algorithm error leading to an image processing fail-
ure can cause loss of diagnostic information.
Q A configuration error leading to an image processing failure can
cause loss of diagnostic information.
WARNING: The user must follow the hospital quality assurance

procedures for covering the risks resulting from errors in the image
processing.
WARNING: Insufficient image quality can be caused by:

Q Incorrect initialization of the cassette and plate (resulting in a
bad plate type).
Q Incorrect change of default image processing parameters, age
group or modality settings.
Q Sending images to a not supported printer.
WARNING: The user must be aware that images may be deleted

before they are manually routed or printed.
Caution: To avoid images being lost due to a power failure, the

workstation and the Digitizer have to be connected to uninterruptable
power supply (UPS) or an institutional standby generator. In case of a
power failure, the UPS will allow to finalize exposed images that are
being scanned.
Caution: Do not position the NX Service and Configuration Tool

workstation so that it is difficult to disconnect the mains power
connection.

Caution: The following actions may lead to serious risk of injury and
damage to the equipment as well as making the warranty void:
Q Changes, additions or maintenance to the equipment carried out by
persons without appropriate qualifications and training.
Q Using unapproved spare parts.
WARNING: Incorrect IPCtrl values on the tag ExpDose can cause

ghost images on the cassette.
Note: Every reasonable precaution has been taken during the manufacturing
of NX Service and Configuration Tool to safeguard the health and safety of
persons who will operate this system. Cautions, warnings and notes must be
observed at all times.

19
Starting up NX Service and

Configuration Tool
1 On the Main Menu tab, click Tools > NX Service and Configuration Tool.
A “quick choice” dialog box will appear from which one of the main configuration
methods can be selected: load from an external file (service only), load active
configuration, restore NX configuration and monitor or Service NX:
Figure 1 : NX Service and Configuration Tool Quick Choice dialog box.

Loading the configuration from an external file is reserved for Agfa Service
only. For more information on the other options, refer to:
Q “Load configuration settings into the Workspace” on page 25.
Q “Restore settings” on page 27.

The File menu provides the tools for selecting one of those tasks:
Figure 2 : NX Service and Configuration Tool File menu.
Q Via Load active configuration, the user can load a snapshot of the current set
of configuration settings in the NX database into the Workspace. Note: using
this option will result in the current contents of Workspace to be completely
replaced by the snapshot of the NX database.
Q Via Load from file, the user can load configuration settings from a file into the
Workspace (service only).
Q Via Save As, the user can export the modified configuration settings to a file
(service only).
Q Via Verify Configuration, the NX Service and Configuration Tool can be used
to check if there are any configuration faults.
Q Via Activate Configuration (only enabled in the file menu after a modification
has been made), activate the modifications you have made.
Q Via Restore Configuration, you can restore a configuration of a back-up.
Note: Selecting this option will result in the current contents of the Workspace to be
completely replaced by the set of configuration settings in the NX database.
Note: Activate settings will only be available when the NX Service and
Configuration Tool running in the on-line mode.
The user of the NX Service and Configuration Tool can only view/modify the
configuration settings loaded into the Workspace of the NX Service and
Configuration Tool.

21
The Workspace
All main activities in the NX Service and Configuration Tool are performed in
the Workspace.
The Workspace is mainly introduced for the purpose of safety and to monitor
the consistency of the configuration settings of the NX database. The
Workspace creates a safe environment for the user in which he can make any
modifications to the configuration settings, test and verify them without
affecting the actual configuration settings of the NX system.
When starting up the NX Service and Configuration Tool, the user can choose
to load a temporary copy (snapshot) of the NX database in the Workspace via
File > Load active configuration:
Figure 3 : NX Service and Configuration Tool File menu with Load Active Configuration
selected.
He may then work on this temporary copy. Once all modifications have been
completed, he can store all the modifications in one transaction to the NX
database on the system (via Activate Configuration):
Figure 4 : NX Service and Configuration Tool File menu with Activate Configuration
selected.

This will prevent intermediate and/or unverified modifications of

configuration settings ending up in the NX database.
Caution: Adapting the configuration in the workspace is risky as there is no

auto save of made modifications. The user should finish adaptations in the
configuration in one session and then reload modifications to the database.

23
Exit NX Service and Configuration

Tool
To exit NX Service and Configuration Tool.
1 Click File > Close.

The system will ask you to confirm you wish to exit NX Service and Configuration
Tool. The system will also warn you that unsaved modifications will be lost if you click
Close.
Figure 5 : Close NX Service and Configuration Tool dialog box.
2 Click Close to exit NX Service and Configuration Tool or click Cancel.

Load configuration settings into the

Workspace
To load the configuration settings from the NX database into the Workspace:
1 Select File > Load Active Configuration...

25
Activate settings
To store the configuration settings in the Workspace to the NX database:
1 Click File > Activate Configuration.
Figure 6 : NX Service and Configuration Tool Activate Configuration dialog box.
Note: Changes made to the configuration must be documented in the history

list. The key user is forced to comment changes for liability reasons.

Restore settings
To restore a previous configuration of the NX system
1 Select Restore Configuration.

The system lists all the available backups and asks the user to select the required
backup:
Figure 7 : NX Service and Configuration Tool Restore Configuration dialog box.
2 Select the backup to restore.
3 Consult the description of the backup file.
4 Click OK.
The system creates a backup of the current set of configuration settings in the NX
database.

27
Exercise
1 Start the NX Service and Configuration Tool on the system (see ‘Starting up NX
Service and Configuration Tool’ on page 20).
2 Load the configuration settings (see ‘Load configuration settings into the
Workspace’ on page 25).
3 Configure the devices, the site specific UI and security settings (see the
following chapters for more info).
4 Activate the configuration settings in the NX database (see ‘Activate settings’ on

page 26).
5 Exit the NX Service and Configuration Tool (see ‘Exit NX Service and
Configuration Tool’ on page 24).

Chapter 2
Using the Main Menu
This section of the documentation covers the following

topics:
T About the Main Menu 32
T Working in the Main Menu 34

T Monitoring and management 36
T Quality Assurance 47
T Import/Export 56
T Tools 60
About the Main Menu
Figure 8 : Main Menu window with Functionality Overview pane (1), workspace (2), Image
Overview pane (3) and Action buttons (4).
In the Main Menu window, you can manage certain aspects of the NX
Workflow which do not belong to the daily workflow.
The Main Menu window has three main areas:
• In the top segment of the Main Menu window is the Functionality
Overview pane.
• In the middle of the screen is a workspace where, depending on a selection
in the Functionality Overview pane, different actions can be done.
• On the right is the Image Overview pane. This is a thumbnail overview of
the images included in the examination on which you want to perform
certain actions.
30 Using the Main Menu 4421 A EN 20060104

At the bottom of the window, there are several Action buttons which perform
specific actions:
Action button Explanation
Stops all NX services.
Figure 9 : Exit NX action button.
Logs you out of NX without stopping NX (refer to

Stopping NX in the NX User manual.
Figure 10 : Log Off action button.
Opens the NX online help
Figure 11 : Help action button.
Returns you to the Windows desktop.

Figure 12 : Desktop action
button.
Note: The appearance of the Main Menu depends on the role of the person
who has logged in. When you are logged in as “user” some of the items in the
Main Menu will not be visible.
4421 A EN 20060104 Using the Main Menu

31
Working in the Main Menu
Note: The appearance of the Main Menu depends on the role of the person who
has logged in. When you are logged in as “user” some of the items in the Main
Menu will not be visible.
In the Functionality Overview pane of the Main Menu you have links to
different configuration actions for NX:
Figure 13 : The Functionality Overview pane.

Section Link name
Q Queue management.
Monitoring and
Management actions Q Delete images.
such as:
Q Lock sessions.
Q Read and Initialize cassette.
Quality assurance
tasks involving:
Q View all image attributes.
Q Modifying dose monitoring statistics.

Q Export Repeat / Reject statistics.
Import and Export

Q Export Dose Monitoring Statistics.
actions:
Q Import images (from a CD).
Q Export images.

Section Link name
Links to different
Q NX Service and Configuration Tool.
tools:
Q About NX.

33
Monitoring and management
Figure 14 : Monitoring and Management section of the Functionality Overview pane.
Queue management
To monitor the work queues using the Queue management tool:
1 Click Queue management in the Functionality Overview pane of the Main

Menu window.
The Queue Management pane is opened in the middle section of the Main Menu
window:
Figure 15 : Main Menu window with Queue Management pane.

2 In the tree view, select a destination type (archiving, printing or MPPS

Reporting).
Figure 16 : Main Menu window with Queue Management pane and Destination Type
selected.

35
3 Select the name of a destination.

The red box shows the selected area:
Figure 17 : Main Menu window with Queue Management pane opened and Destination
Name selected.
In the main window, the destination parameters appear, together with the list of jobs
for that particular destination. The main window also has a number of buttons for
controlling the queue on the right side of the screen.
Button Action
Use this button to stop the queue temporarily.
Figure 18 : Halt Button.
use this button to restart the destination.

Figure 19 : Restart Button.
Use this button to change destinations. Refer to “Reroute to

another destination” on page 38.
Figure 20 : Reroute Button.

Button Action
Use this button to define and schedule routing destinations.

Refer to “Schedule the selected queue” on page 39.
Figure 21 : Scheduling Button.

37
Reroute to another destination
1 Click the Reroute button.

The following window appears.
Figure 22 : Reroute Queue window.
2 Check the reroute check box and select a destination.
3 Click OK.

Schedule the selected queue
1 Click the Scheduling button.

The following window appears.
Figure 23 : Schedule Queue window.
2 Define which and how many time slots must be used for the selected
destination.
3 Click OK.

39
Sorting
In the main window, queues can also be sorted using a number of filters.
1 From the View drop down list, select the jobs you wish to see:
Figure 24 : Main Menu window with Queue Management pane and View drop down menu
selected.

Delete images
The Key user can select closed exams and remove images from them.
To delete images from the history list exams:
1 Click Delete images in the Functionality Overview pane of the Main Menu
window.
The Delete Images pane is opened in the middle section of the Main Menu window:
Figure 25 : Main Menu window with Delete Images pane.

41
2 Select an exam from the list.

The images of the selected exam are displayed in the Image overview pane.
3 Select an image (or multiple images) in the Image overview pane:
Figure 26 : Main Menu window with Delete Images pane and Image selected.
4 Click Delete.

Lock sessions
To prevent exams from being deleted from the workstation, the user is able to
lock them. A locked exam can be unlocked using a toggle mechanism.
To lock exams, proceed as follows:
1 Click Lock sessions in the Functionality Overview pane of the Main Menu
window.
The Lock Sessions pane is opened in the middle section of the Main Menu window:
Figure 27 : Main Menu window with Lock Sessions pane.

43
2 Select an exam from the list and click Lock. A lock icon will appear next to the
exam:
Figure 28 : Main Menu window with Lock Sessions pane and Examination selected.
To unlock an exam, select a locked exam and click Unlock.

Quality Assurance
Figure 29 : Quality Assurance section of the Functionality Overview pane.
Read and Initialize cassette

Using the NX Main Menu you can read cassette information as well as
initialize cassettes.

45
To read cassette information:
1 Click Read and Initialize Cassette in the Functionality Overview pane of the
Main Menu window.
The Read and Initialize Cassette pane is opened in the middle section of the Main
Menu window:
Figure 30 : Main Menu window with Read and Initialize Cassette pane.
2 Depending on the hospital identification workflow, perform the following

actions.
Configuration Procedure
Configuration with ID 1 Insert a cassette.

tablet. 2 Click the Read and Initialize Cassette button.
Configuration with Fast 1 Click the Read and Initialize Cassette button.
IDa 2 Insert the cassette in the Digitizer.

To initialize a cassette (write initial information on a cassette):
1 Click Read and Initialize Cassette in the Functionality Overview pane of the
Main Menu window.
The Read and Initialize Cassette pane is opened in the middle section of the Main
Menu window:
Figure 31 : Main Menu window with Read and Initialize Cassette pane.
2 Depending on the hospital identification workflow, perform the following

actions.
Configuration Procedure
Configuration with ID 1 Insert a cassette.

tablet. 2 Click the Read and Initialize Cassette button.
Configuration with Fast 1 Click the Read and Initialize Cassette button.
IDa 2 Insert the cassette in the Digitizer.

47
Note: Cassettes for the DX-S Digitizer cannot be initialized using NX.
3 Click Initialize.
The information is now written to the cassette.
Once initialization has been completed, all fields are cleared so that the same
procedure may be performed for subsequent cassettes.

View all image attributes

The Key user can choose to view all image attributes of a selected image.
These are then displayed (read only) in the task pane.
1 Click View all image attributes in the Functionality Overview pane of the Main
Menu window.
The View All pane is opened in the middle section of the Main Menu window:
Figure 32 : Main Menu window with View All pane.
2 You can filter the image attributes in the Filter drop down menu.
Name Action
Select a filter option from the drop down menu (SPS,

Exposure or Patient).
Figure 33 : Filter drop down
menu.

49
3 Columns may be sorted in ascending order by clicking a column header once.

Clicking twice will sort the data in descending order. A third click will restore
the original order.

Modifying dose monitoring statistics
Figure 34 : Main Menu window with Dose Monitoring pane.

Using Dose monitoring on the Main Menu a list of all received exposure types
per Digitizer technology and per speed class can be viewed.
For each entry in the dose reference value list, the median and standard
deviation is calculated and the reference median an standard deviation is
displayed.
For each exposure type it is possible to set a reference value or to update the
reference value with the median and standard deviation of the 50 latest
exposures or to remove exposure types.
An external dose consistency analysis program calculates several statistics
with regard to doses, answering questions such as what sort of exposures are
likely to be under- or overexposed.

51
Button Action
Update a selected exposure type with a new reference value.
Figure 35 : Fix button.
Update one or more reference values.

Figure 36 : Update button.
Delete a selected exposure from the list.

Figure 37 : Delete button.

Fixing dose reference value
1 Press the Fix button.

It sets the dose reference value state of the selected exposure types to FIXED.
Updating Dose reference values
1 Press the Update button.
2 Select one or more exposure types in the dose reference value
3 Update the dose reference value.
Deleting Dose Reference values
1 Press the Delete button.

53
Import/Export
Figure 38 : Import/Export section of the Functionality Overview pane.
Export Repeat / Reject statistics

The Key user can export the Repeat/Reject logging files. This information,
stored in XML format, can then be easily imported into a 3rd party software
tool (not provided by Agfa) for consultation. To export Repeat / Rejected
statistics:
1 Click Export Repeat/Reject Statistics in the Functionality Overview pane of

the Main Menu window.
A Windows Save As-dialog box appears; a default name and the format (xml) of the
file are already displayed:
Figure 39 : Export Repeat/Reject Statistics Save As dialog box.

2 Select a location and click Save.
Export Dose Monitoring Statistics

Similar to exporting Repeat/Reject statistics, the Key user is able to export
Dose Monitoring statistics. This file can then be easily imported into a tool for
consultation.
To export Dose Monitoring Statistics:
1 Click Export Dose Monitoring Statistics in the Functionality Overview pane of

the Main Menu window.
A Windows Save As-dialog box appears; a default name and the format (xml) of the
file are already displayed:
Figure 40 : Export Dose Monitoring Statistics Save As dialog box.
2 Select a location and click Save.

55
Import images (from a CD)

To import images:
1 Click Import images in the Functionality Overview pane of the Main Menu
window.
A Windows Import-dialog box appears.
Figure 41 : Import Images dialog box.
2 Select the location of the files and click OK.

The images are imported into the NX system.

Export images
The Key user can export images from an open examination. Only images from
examinations in the list of closed examinations are available for export.
To export images:
1 Click Export images in the Functionality Overview pane of the Main Menu
window.
The Export Images pane is opened in the middle section of the Main Menu window:
Figure 42 : Main Menu window with Export Images pane.
2 Select an examination.
3 Select the image you wish to export.
4 Also select the file format (JPEG or DICOM).
5 Click Export.

57
Tools
Figure 43 : Tools section of the Functionality Overview pane.
NX Service and Configuration Tool

1 Click NX Service and Configuration Tool in the Functionality Overview pane
of the Main Menu window.
Figure 44 : Main Menu window.

This is a link to the dedicated tool for setting up and modifying NX
applications. Refer to the next chapters for more information.

About NX
1 Click About NX in the Functionality Overview pane of the Main Menu window.
Figure 45 : Main Menu window.

59
This will open a splash screen showing the current release and version details of NX in
the lower right corner.
Figure 46 : NX 1.0 Splash screen.
Note: Always quote these details when you discuss any issues with Agfa service
personnel.

Chapter 3
General configuration
Click General Configuration to open the window for

configuring a number of general NX settings.
T Introduction 64
T General Configuration > Site settings 66

T General Configuration > Workstation settings 67
T General Configuration > Predefined lists 69
T Custom markers 71
T Workflow management > ID and Examination 73
T Workflow management > Image Presentation 75
T Workflow management > Emergency Procedure 76
Introduction
The following main tasks can be performed in the General Configuration
Window:
Figure 47 : General Configuration window.
Q General Configuration > Site settings.
Q General Configuration > Workstation settings.

• General settings.
• Fast preview settings.
• Fast ID.
• Storage commit.
Q General Configuration > Predefined lists.
• Patient comments.
• Image comments.
• Predefined texts.
Q Custom markers.
62 General configuration 4421 A EN 20060104

Q Workflow management > ID and Examination.
Q Workflow management > Image Presentation.
Q Workflow management > Emergency Procedure.
4421 A EN 20060104 General configuration

63
General Configuration > Site settings
Figure 48 : General Settings window with Site Settings pane.
Hospital name, Hospital address, Department name

Performing physician The name of the performing physician. You can add or
remove a number of performing physicians.
For each performing physician, enter the attributes
and click Add.
To remove a performing physician, select one from the
list and click Remove.

General Configuration > Workstation settings
Figure 49 : General Settings window with Workstation Settings pane.
General settings
ID Station Name The nickname of the NX station.
Performed location Hospital department, e.g. ER1.
Processing Station
Name
Modality Possible values : CR - DX.
CR is the default value.
Performed Station This is the AE-title to be used for all Service Class Users
AE-title (SCU’s) of the NX station and for the storage Service Class
Provider (SCP) of the Digitizer.
IP Address IP address of the performed station.
Port Default value is 104.

This is the port number for receiving the images from the
Digitizer.

65
Character set This is the list of DICOM character sets to be used for querying
the RIS (DICOM RIS only), MMPS and Archiving. The NX
Station will only send out characters which are defined in the
selected character sets.
Fast preview settings
AE-title The AE-title for receiving the fast preview images.
Port number Default value is 3729. This is the NX port number for receiving
the fast preview images.
Fast ID
Enable Fast ID With Fast ID, the identification data are transmitted from the
ID Station to the Digitizer via the network.
Select the Enable Fast ID check box to enable this.
In this case, the ID Tablet specifications are not used.
AE-title The AE-title for receiving the Direct-ID.
Port number Default value is 3216.

This is the port number on which the Fast ID request is
received.
Storage commit
Enable Storage Storage commit is feedback from the archive that the sent
commit image (or data belonging to an image) has been successfully
archived.
Select the Enable Storage Commit check box to enable this
function.
AE-title The AE-title for receiving the storage commit message.
Port number The port number on which the storage commit message will
be received.
Enable secure DICOM

Select Yes or No (No is the default value).
connection

General Configuration > Predefined lists
Figure 50 : General Settings window with Predefined Lists pane.
Patient comments
Patient comments You can create a list with predefined patient comments. Enter a
comment in the upper line and click Add. Defined patient
comments are shown in the list. You can also Remove texts.
Image comments
Image comments You can create a list with predefined image comments. Enter a
comment in the upper line and click Add. Defined image
comments are shown in the list. You can also Remove comments.
Predefined texts
Predefined texts You can create a list with predefined texts.
Enter a text in the above line and click Add. Defined texts are
shown in the list. You can also Remove comments.

67
Font size Select a font size for the defined texts.

Custom markers
Figure 51 : General Settings window with Custom Markers pane.

Using the NX Service and Configuration Tool, you can set up and manage a
list of custom markers.
There are also a number of predefined markers such as Left and Right (also
refer to “Automatically update image laterality when adding a marker” on
page 136) and HPM. This last marker can be used to indicate to a radiologist
that something of interest was seen on this image. Adding the high priority
marker to an image will also increase the study priority ID to medium. This
will assist your PACS system to identify these exams and handle them in an
appropriate way.
To enter a new marker:

Figure 52 : General Settings window with detail of Custom Markers pane.

69
1 Go to the [add a new marker]-row of the Custom marker table.
2 Enter a name, text and size in the appropriate columns.
3 Enter a Functionality value if necessary.
Note: Only fill in the Functionality field if you have a valid DICOM
functionality description that maps to the function of the new marker. This
field is not intended to enter custom functionality descriptions of the marker.
To remove an new marker:
1 Select a marker and click the Remove button.

Workflow management > ID and Examination
Figure 53 : Workflow Management window with Identification pane.

The second section of the general configuration module focuses on settings
related with the supported workflow for the NX workstation.
Here, a distinction is made between three panes, each focusing on a specific
aspect of the workflow:
Q Identification / Examination.
Q Image Presentation.
Q Emergency Procedure.
Under Identification/Examination, configure the following settings:
Link user name to

Yes/No. Default value is Yes.
operator name
Workflow type IDIS (stimident) / IDIS (tablet).
Lock RIS patient

Yes/No.
demographics
Lock RIS patient
demographics when Yes/No.
archiving images
Reject Archive Select a location for the reject archive.

71
RRAP Maxlength Maximum length in number of records of the RRAP

statistics file.
Request a reject reason Activation/deactivation of the request for reject reason
Enter / modify Users may add/remove their own reject reasons. Standard,
predefined reject the NX system will have the following preconfigured reject
reasons:
reasons
• Image artifact(s).
• Grid artifact(s).
• Positioning.
• Motion blur.
• Under exposed.
• Over exposed.
• No image.
• Detector artifact(s).
• Artifact(s) other than grid or detector artifact.
• Mechanical failure.
• Electrical failure.
• Software failure.
• Inappropriate image processing.
• Double exposure.
• Other failure.
• Unknown failure.

Workflow management > Image Presentation
Figure 54 : Workflow Management window with Image Presentation pane.
Enable burn Yes: each new received image is displayed burned. No: not
burned.
Show Square Marker Yes or No. The default value is: Yes (if license enabled).
Shutters transparency Off: shutters are not transparent (black). On: shutters are
transparent. Default value is On.
Font size Set overall font size.
Collimation border Value between 0 (lowest density= transparent) and 100

density (highest density=black).
Show/hide dose Show/hide dose deviation bar in examination

deviation environment.
Musica2 settings Configuring system wide setting of contrast and density

and sharpness (i.e. taste) belonging to the MUSICA2.
Within the image presentation pane, the user sets the
settings for displaying the image. If a MUSICA2 license is
installed on site, the user has the option to change the
system wide taste settings. This settings is applied to all
exposures. Note that, if the MUSICA2 license is not
available, the latter group is not displayed.

73
Workflow management > Emergency

Procedure
Figure 55 : Workflow Management window with Emergency Procedure pane.

Using the NX Service and Configuration Tool you can configure the workflow
for working with emergency exams on NX.
When an examination is identified as an emergency examination, the study
priority will be set to high.
To be able to work with emergency examinations in NX you have to configure
the following parameters.
The values which must be filled out in the Examination window after you
have started an emergency examination.
1 First select the configuration concept in the Examination mode field. You have
the choice between 5 emergency modes:
Emergency mode Explanation

No patient data, patient ID nor predefined exposures will be
Empty added to the emergency exam. The Examination window in NX
will be empty after you have started an emergency exam.
Patient Data Only patient data will be added to the emergency exam.
Patient ID Only the patient ID will be added to the emergency exam.
Exposures Only exposure types will be added to the emergency exam.
All Both patient data, patient ID and exposure data will be used.
2 If you have configured the system so that Patient Data and Patient ID are added
to emergency exams, than you have to configure the default values for these

items. This is done in the Patient Name and Patient ID fields in the Workflow
Management window. NX will add date and time to guarantee uniqueness of
IDs.
3 If you have configured the system so that Exposures must be added when you
start an emergency examination, you must select the exposure group to be
used. This will be translated as a number of empty thumbnail in the
Examination window of NX.
4 Additionally, define an Emergency Exam group. This is the group that has to be
presented by default to the operator when he selects Add exposure in an
Emergency examination.

75

Chapter 4
Configuring the devices
connected to NX
Click Device Configuration to open the window for

configuring the devices in the NX Cluster.
T Introduction
T Configuring the RISConfiguring archives
T Configure Digitizers
T Configuring Export Destinations
T Configuring ID Tablets
T Configuring monitors
T Configuring printers
T Configuring the RIS
Introduction
In the Devices Configuration window you can perform the following main
tasks:
Figure 56 : Device Configuration window.
Q Configuring the RISConfiguring archives
Q Configure Digitizers
Q Configuring ID Tablets
Q Configuring printers
Q Configuring the RISConfiguring archives

This section describes how you can configure the archives (DICOM store
destinations) of the NX System.
Using the NX Service and Configuration Tool you can:
• configure the list of archives (add new archives and set up connections
with archives, remove archive connections)
• modify the connection settings of existing archives. The archiving
automation settings of the NX System are also configurable.
78 Configuring the devices connected to NX 4421 A EN 20060104

WARNING: an automatic deletion of the image before it is

autorouted or printed, in case no autorouting is configured, may
lead to unrecoverable image loss.
Configuring the list of archives
1 In the Device overview pane, click Archive.

The main form for configuring archives will appear.
Figure 57 : Device Configuration window with general Archive settings.
2 Use this form to:
Click New. Enter a name and configure the apparatus as

Add new archives
described in ‘Modifying archive properties’ on page 80.
Check this box and select a destination if all closed exams
Enable archive automation
should automatically be archived.
Configure Repeat-Reject Check this box and select a destination to archive all
Archive Destinations rejected exams.
4421 A EN 20060104 Configuring the devices connected to NX

79
Modifying archive properties
1 Select an archive from the tree view.

You can now modify the properties listed below:
Figure 58 : Device Configuration window with properties of selected Archive.
Name Nickname used in the user interface, must be a unique

name.
Type Type of archive, e.g. IMPAX 5.2, IMPAX 6.0.

Device Settings
IP Address/Hostname Select IP Address or Host Name (network name for the

apparatus). Enter the appropriate IP Address or Host Name.
Time out The Storage Commit time-out setting, default setting is 1

hour.
Is Archive Yes/No (if Yes, images sent to this destination will be

referenced in the MPPS).
AE-Title AE-title of the archive.
Enable SSL Check box to enable a secure DICOM connection.
DICOM Port Default value is 208
GSPS Supported Yes/No (when DX for processing is selected, GSPS cannot

be burned into the pixel files. Choosing No means all GSPS
data will be discarded when archiving.)
SOP Class Possible values are CR for storage - DX for presentation

(default value) - DX for processing
Output Type Possible values for presenting the images on the archive
destination are:
• 8-bit OD
• 8-bit OD Gamma correction
• 8-bit P-Value
• 12-bit OD
• 12-bit OD Gamma correction
• 12-bit P-Value
• 12-bit OD REL
• 12-bit M1 Image + VOI Lut OD REL
• 12-bit M1 Image + VOI Lut Gamma
• 15-bit M1 Image + VOI Lut P-Value
Using p-values will achieve a consistent grayscale perception of the images, in various light
conditions, independent of the viewing media, like diagnostic softcopy monitors, referral
workstation monitors, hardcopy film.

81
Transfer Syntax • Standard encoding (uncompressed, VR little

endian or Big endian is handled transparently by
the DICOM library).
• JPEG LLNH1 Encoded (i.e. lossless)
(UID1.2.840.10008.1.2.4.57).
• JPEG LLNHF Encoded (i.e. lossless)
(UID1.2.840.10008.1.2.4.70).
• JPEG Lossy.
Enable storage commit Select the Enable Storage Commit check box, this is
feedback from the archive confirming that the sent image
(or data belonging to an image) is successfully stored.
No is the default value. If you select Yes, fill out the other
parameters (secure DICOM connection check box and
network settings).
When this option is enabled the Send successfully icon will
not be displayed until the Storage Commitment is received
from the archive. This can cause a delay in displaying this
icon.
Caution: P-values should not be used to adapt the image quality to

individual user taste.

Configure Digitizers
This section describes how you can configure the Digitizers of the NX System.
• configure the list of Digitizers (add new Digitizers and set up connections
with Digitizers, remove Digitizer connections)
• modify the connection settings of existing Digitizers
Configuring the list of Digitizers
1 In the Device overview pane, click Digitizer.

The main form for configuring Digitizers will appear.
Figure 59 : Device Configuration window with general Digitizer settings.
2 Use this form to :
Click New. Enter a name and configure the apparatus as described

Add new Digitizers
in ‘Modify an existing Digitizer’ on page 84.
Select allowed speed

Select the checkboxes of all allowed speed classes.
classes

83
Modify an existing Digitizer
1 Select a Digitizer from the tree view.

Figure 60 : Device Configuration window with properties of selected Digitizer - Device

Settings and Emergency Procedure Settings pane opened.
Name Nickname used in the user interface, must be a unique name.
Type The system should be configured for either DX-S or Compact or

ADC Solo Digitizers. This has an impact on e.g. allowed speed
classes.
Enable Fast ID Select the Enable Fast ID check box (only if the Digitizer type is
“Solo”).
As a result, the identification data are transmitted from the ID
Station to the Digitizer via the network.

Device settings
Host name/IP Address Select IP Address or Host Name (network name for the
AE Title AE-title of the Digitizer
Enable SSL Enable a secure DICOM connection

85
Emergency procedure
Figure 61 : Device Configuration window with properties of selected Digitizer - Device

Settings and Emergency Procedure Settings pane opened.
Emergency button 1 When the Emergency buttons on a Digitizer are used and
the image arrives at the NX workstation, it will be processed
Emergency button 2 as the exposure type specified by the Emergency buttons
on the Digitizer.
This functionality will thus be used when there was no
opportunity to identify the exposure before it was digitized.
An Age group, examination group and Exposure type will
have to be defined for each Emergency button.

Configuring Export Destinations

This section describes how to configure Export Destinations. Using the NX
Service and Configuration Tool you can modify an existing export
destination.
Figure 62 : Device Configuration Window with Filter Type settings of selected Export
Destination.

87
Filter type
JPEG The used compression scheme is Lossy encoded, as is used

in Transfer syntax: “JPEG Baseline, Lossy encoded (UID
1.2.840.10008.1.2.4.50)”.

DICOM for presentation
Target SOP class

Output type
GSPS supported Yes/No
Include DICOM Viewer Yes (default)/No
Include patient
Yes/No
demographics

89
DICOM for processing

This is not configurable, since it is used for RAW images – these stay in the
output type they entered NX in. You can just enable the option to include
patient demographics.

Configuring ID Tablets
This section describes how you can configure the ID Tablet of the NX System.
• configure the list of ID Tablets (create or remove ID Tablets)
• configure the settings of ID Tablets
Configuring the list of ID Tablets
1 In the Device overview pane, click ID Tablet.

The main form for configuring ID Tablets will appear.
Figure 63 : Device Configuration Window with general ID Tablet settings.
2 Use this form to:
Click New. Enter a name and configure the apparatus as described

Add new ID Tablets
in ‘Modify existing ID Tablet settings’ on page 92.

91
Modify existing ID Tablet settings
1 Select an ID Tablet from the tree view.

The properties listed below may now be modified:
Figure 64 : Device Configuration Window with settings of selected ID Tablet.

name.
Type Default value is CR ID Tablet.
Enable automatic If you select this option, a cassette is automatically written

cassette identification at insertion without the need for the operator to give the
Write command (with the ID action button) in the NX
GUI.
No is the default value.

Configuring monitors
This section describes how you can configure monitors. Using the NX Service
and Configuration Tool you can modify an existing monitor.
Figure 65 : Device Configuration Window with monitor settings.

To configure the monitor Agfa service needs to be able to view a test image
and to select the interface to the monitor (P-values or gamma). The following
test images can be displayed:
Q SMPTE image.
Q Black image.
Q White image.
Q Contour.
Q Light.
In the Configure monitor window:
Q You must define the interface of the monitor (P-values or gamma), which con-
figures how images of the NX are displayed on the monitor (in P-value or
Gamma). Other parts of the NX application GUI will always be displayed in
RGB.
Q You can have a test image displayed on the monitor in full screen. The NX Ser-
vice and Configuration Tool presents the possible test images of which you can
select one.
Once selected, the image is shown in full screen.
If the monitor supports P-values, a P-value image will be shown. You cannot
perform any action on this image, only returning to the NX Service and
Configuration Tool is possible.

93
Configuring printers
This section describes how you can configure the printers of the NX System.
• configure the list of printers (create or remove printers)
• configure the settings of printers
Configuring printing
1 In the Device overview pane, click Printers.

The main form for configuring the printing behavior will appear.
Figure 66 : Device Configuration Window with general Printer settings.

2 Use this form to:
Click Add new printer and fill out details in the “New”
Add new printers
dialog.
Configure system wide print settings:

• Print Sheet and Layout
• Sheet Text Box
• Image Text Box

95
Print Sheet and Layout
Figure 67 : Device Configuration Window with general Printer settings - Print Sheet and
Layout pane opened.
This area provides the easiest way to configure printing on the system, you
simply link a cassette size to a film size and a configured printer. Any
exceptions to this general rule can be configured in examination Tree
Configuration > Printer Configuration (refer to “Printer Settings” on
page 137).

Cassette & Film Size

On this form all possible cassette sizes are listed with their currently linked
Film sizes. There is no need to define which cassette sizes are used in the
system.
An example of this type of mapping:
Cassette Size Film Size

18 x 24 cm 8" x 10"
18 x 43 cm 11" x 17"
20 x 40 cm 11" x 17"
21 X 43 cm 11" x 17"
24 x 30 cm 10" x 12"
30 x 15 cm 10" x 12"
35 x 35 cm 14" x 14"
35 x 43 cm 14" x 17"
18 x 24 cm mammo UNKNOWN
24 x 30 cm mammo 10" x 12"
10 x 12 inch 10" x 12"
8 x 10 inch 8" x 10"

21 x 43 cm asym 11" x 17”

97
Film & Profile Size

This is the area for configuring the default printer profiles. It lists all installed
film sizes on the system with their current default printer profile.
A default printer profile can be specified for each film size. Optionally, you
can mark one film size as the default film size. The default film size will be
used when the NX user chooses to add a new print sheet on the system. The
default printer profile linked to the default film size will then automatically
be selected as the default printer profile for the new printer sheet.

Sheet Text Box
Figure 68 : Device Configuration Window with general Printer settings - Sheet Text Box
pane opened.
The following section describes how to configure text boxes on the print
sheet.
Note: The system must have the print license installed; otherwise print
configuration is not possible.
Note: On the NX system, there is only one image text box that will be used on every
print sheet.
You can perform the following actions, as many times as needed in any order:
Q Specify/change a font for the text boxes.
Q Specify/change the background density.
Q Specify/change the font density.

A Sheet text box can contain database elements, a logo or another bitmap, a
dose symbol or a true scale symbol.

99
A bitmap can only be positioned to the left and/or the right of the text box.
These positions are always present. As long as the cell is empty: the width of
the text box is calculated without the logo.
Note: There will always be one pre-configured Sheet text box in the system.
You can:
Q Adjust the width of the text box and scale all cells to this new width. The width
is set to the total width of the text box, including the bitmaps, if they are not
empty (empty bitmap cells are not included).
Q Add the cell to the left or right of the selected cell by splitting the cell in two.
Q Delete a cell. If the cell is a bitmap cell (located at the left or right of the bit-
map), the bitmap is removed.
Each cell of the text box is scaled, the total width of the text box remains the
same.
Q Add/delete rows.
Q Specify the cell type.

• Bitmap: allows you to display a bitmap in the text box.
• Text: allows you to display any of the available attributes, select them and
assign a label in the Text Field Settings box.
• Scale: a scale factor will be displayed in the text box.
• Dose consistency: the dose consistency bar will be displayed in the textbox.

Image Text Box
Figure 69 : Device Configuration Window with general Printer settings - Image Text Box
pane opened.
This section describes how to configure the Image text box. An image text box
always has two cells and a configurable numbers of rows.
The image text box can only contain cells (bitmaps excluded) of the sheet text
box. Also the formatting of the cells is copied from the sheet text box. The
height of the rows will depend on the font size of the cells: each text must be
readable in the font as specified in the sheet text box.
An image text box is always scaled to the image cell. The font size is scaled as
well with the restriction that the text must remain readable (smallest font size
= 3mm). Text that does not fit the cell, will be limited to the part that can be
viewed.
As a user, you can specify which cells of the Sheet text box must be shown in
the Image text box. This will add the cells to the image text box, with same
font size.

101
Modifying the properties of existing printers

(changing printer profiles)
When you add a new printer, a print profile is added by default to the printer.
You can add new print profiles for this printer.
1 Select a printer from the tree view.

Figure 70 : Device Configuration Window with Device Settings of selected Printers.
Name Nickname used in the user interface, must be a unique name.
Profile name The currently active profile.

This profile defines the printer settings like LUT settings,
interpolation mechanism, view box settings etc.
Each profile has a unique name
Description Short description of the profile.
Add Profile Click this button to add a new profile. Enter a name and fill out the
profile parameters described below.

Device Settings
IP Address / Host name Select IP Address or Host Name (network name for the
DICOM-port Default number is 104
SSL enabled Checkbox to enable SSL. Refer to “Security Licensing

Configuration > SSL Settings” on page 117.
Use N-events Yes/No.
Priority LOW - MEDIUM - HIGH
AE-Title AE-title of the printer
Film Size Select allowed film sizes for the specific printer.
Test Connection Click the Test Connection button to see if network settings
are OK.

103
Image Sheet Settings
Figure 71 : Device Configuration Window with Image Sheet Settings of selected Printers.

Sheet settings
Background density: Slider for configuring the grayscale value of the image
background.
Border density: Slider for configuring the grayscale of the Film areas
surrounding and between images on the film.
Ruler: Defines whether a ruler should be printed on the film.

105
View box settings

View box illumination: The luminance expressed in cd/m2 of the view box on
which the images will be read (view box luminance).
Enter a value (expressed in cd/m2).
Ambient luminance: The luminance expressed in cd/m2 of the environment of

the view box on which the images will be read (ambient
luminance),
Enter a value (expressed in cd/m2).
Advanced settings: In the Advanced Settings dialog, enter following

configuration options:
• Magnification type
• Smoothing factor
• Configuration info
• Pixel Format
• Film Session Printing
• Film Destination
• Film Destination bin
Using p-values will achieve a consistent grayscale perception of the images,

independent of the viewing media, like diagnostic softcopy monitors, referral
workstation monitors, hardcopy film, and this in different light conditions.
The use of P-values will only provide optimal results when using a light box
with luminance within a range of 800 to 4000 cd/m2.
The implementation of P-values on the QS workstation is limited to 4000 as
described in DICOM part 14, although in mammography higher output light
boxes are used up to 6000 cd/m2.
For a light box with luminance between 4000-6000 cd/m2, set the
configuration to the maximum (4000 cd/m2).
For NX the default values when installing a new printer are set to: Light box
luminance: 2000 cd/m2, Ambient light; 10 cd/m2.
Note: It is important to note that the effect of consistent perception will only
be achieved if the image is viewed under the same circumstances as entered
during the system configuration, based on the measured values for lightbox
luminance and ambient light.
Note: P-values should not be used to tune the image quality to individual user
taste.

Medium Type settings
Figure 72 : Device Configuration Window with Medium Type Settings of selected Printers.
Medium type Medium type to be used by this printer profile.

Initially set to one of the medium types:
CLEAR FILM
BLUEBASED FILM
Minimum density Minimum density for this printer profile.
Maximum density Maximum density for this printer profile.

107
Configuring the RIS

• configure the list of available RIS
• modify the properties of existing RIS
Configuring the list of available RIS
1 In the Device overview pane, click RIS.

The main form for configuring RIS will appear.
Figure 73 : Device Configuration Window with general RIS settings.
2 Use this form to:

• add new RIS

Edit the RIS settings
1 Select a RIS system from the tree view.

Figure 74 : Device Configuration Window with general settings of selected RIS.

name.
Type RIS connection type:

• BROAD
• Accession number
JJ0117 (Japanese Protocol
Yes/No
Codes) supported

109
Connection type settings
Figure 75 : Device Configuration Window with Connection Type Settings of selected RIS.
IP Address / Host name Select IP Address or Host Name (network name for the
AE Title
MWL Portnumber
Enable SSL
Automatic Query
Query type
Scheduled Station
SPS Start Date
Modality
Enable SPS Filtering

RIS mapping
Typically, the RIS settings are configured in two steps:
1 Configure the connection with a RIS device;
2 Configure the RIS mapping.

With RIS mapping, the incoming SPS attributes of the RIS are mapped to the
internal data structure of the NX. The system will provide a default (1:1)
mapping as standard, however in cases where the RIS sends outs the RIS data
in a non-DICOM way, the operator needs to customize the mapping. This
should result in the NX (inter) operating correctly with the RIS.
For configuring the RIS mapping, the following are required:
Q The list of (unmapped) SPS attributes sent by the RIS.
Q The list with the mappings of the SPS attributes to the attributes of the internal
data structure of the NX.
The RIS mapping can be configured both on-line and off-line:
Q In the on-line situation you can perform a RIS query to obtain the list of SPS
attributes sent out by the RIS.
Q In the off-line situation you can only obtain the list of SPS attributes by import-
ing a RIS data file. You can import/export the RIS mapping so that it can be eas-
ily cloned to another NX system.
If you select the RIS mapping tab, the system should retrieve the list of SPS
attributes sent out by the RIS.

111
Figure 76 : Device Configuration Window RIS mapping pane of selected RIS.
For this purpose you can:
1 Perform a RIS query (only available in on-line mode!).
2 Import RIS data from a file.

Once the SPS attributes have been obtained, you can continue in two ways:
Q Import an existing RIS mapping from file. In this case the imported RIS map-
ping will overwrite the current RIS mapping. You will be prompted to enter the
name and location of the file containing the RIS mapping.
Q You can let the NX Service and Configuration Tool create a default mapping for
the current set of SPS attributes; these will also overwrite the current RIS map-
ping. If needed, you can now manually customize the RIS mapping.

MPPS Destination type settings
Figure 77 : Device Configuration Window MMPS Destination Settings pane opened.
Send out MPPS MPPS information is typically sent as feedback to a RIS

system. Using the checkbox you can enable or disable this.
An MPPS (Modality Performed Procedure Step) is a
Performed Procedure Step that results from the acquisition
of images from a Patient or other Imaging Subject on a
Modality. It contains information describing the
performance of a step of an imaging procedure, including
data about the performance of the procedure itself,
radiation dose values to which the patient has been
exposed if ionizing radiation is in use, and data for billing
and material management.
Multiple scheduled procedure steps can be combined into
one Performed Procedure Step. One scheduled procedure
step can result as well in multiple Performed Procedure
Steps.

113

Chapter 5
Configuring security issues
Click Security and Licensing Configuration to open the window

for configuring security and licensing issues.
T Introduction 118
T General 119
T Manage users 122
T Managing Licenses 124
Introduction
In the Security & Licensing window you can perform the following main
tasks:
Figure 78 : Security License Management window.
Q General.
• Security Licensing Configuration > SSL Settings.
• Security Licensing Configuration > Audit Log Settings.
• Security Licensing Configuration > Auto Log OFF Settings.
Q Manage users.
Q Managing Licenses.
116 Configuring security issues 4421 A EN 20060104

General
Security Licensing Configuration > SSL Settings
Figure 79 : Security License Management window with SSL Settings pane.

NX provides the possibility to set up a secure connection between devices
using certificates.
SSL stands for Secure Sockets Layer, a protocol developed for transmitting
private data. SSL uses a cryptographic system that uses two keys to encrypt
data - a public key known to everyone and a private or secret key known only
to the recipient of the data.
Enter a common name for the certificate that is used by two devices.
Additionally you have the possibility to:
• have all data encrypted when using SSL.
• always authenticate NX when using SSL.
4421 A EN 20060104 Configuring security issues

117
Security Licensing Configuration > Audit Log Settings
Figure 80 : Security License Management window with Audit Log Settings pane.
In this window you can enable/disable audit logging and modify the
(network) properties of the external logging computers.
General settings
Enable audit logging: Check box to enable/disable audit logging.
Hostname:
Enter hostname or IP-address and port number of the
Port number: logging tool computer.
IP Address:
Maximum file size: Maximum file size for log files.
File location: Location to store log files (audit trail repository).
Time zone:
Send log file:
NTP Settings
Enable NTP: Check box to enable/disable NTP.
HostName:
IP Address: Network properties of the logging computer.
Port number:

Security Licensing Configuration > Auto Log OFF Settings
Figure 81 : Security License Management window with Auto Log Off settings.
In this window, you have an overview of the auto log off settings which are
used by the department.
Enable or disable the usage of the auto log off functionality using the
appropriate check box and add:
• Idle time in minutes before starting log off countdown.
• The warning message that should appear.
• The number of seconds for the auto log off countdown.
Note: The non-activity time-out setting should be chosen carefully and can have
certain consequences. When burning a CD for example (for example with
exported images) then you should check the time-out setting so that no logoff
occurs during the burn process.

119
Manage users
With the NX Service and Configuration Tool you can configure users.
Typically, users are imported from the Windows domain of the hospital. The
users are displayed in a list view (at the left hand side of the central viewing
area). Details of the selected user are displayed within the body of the central
viewing area.
Figure 82 : Security License Management window with User Management settings.

If you select a user, the roles of this user will be displayed in the Role pane.
In this window you can:
Q Define new users
Q Delete users
Q Manage roles. When clicking this last button, a separate User Role Configura-
tion page is shown.
The User Role Configuration page is dedicated to the functionality related to
user roles and associated operations.

The user roles are displayed in a list view (at the left hand side of the central
viewing area) and a detailed overview of the users assigned to this role and
the tasks related with this role are displayed within the body of the central
viewing area.
Figure 83 : Security License Management window with User Roles pane.

121
Managing Licenses
Within the licenses management page, you can review license related
attributes and (temporarily) disable installed licenses:
Figure 84 : Security License Management window with Licenses window.

A dedicated license manager allows a more advanced management of the NX
licenses, and is not within the scope of the NX Service and Configuration Tool.
Within the NX Service and Configuration Tool, a link to this application will
be provided.
Selecting licenses in the left hand pane and enabling/disabling the license in
the overview pane.

Chapter 6
Configuring the
examination tree
Click Examination Tree Configuration to open the window for

configuring the examination tree for NX.
T Introduction 126
T Concepts of the examination tree 127

T Configuring Exposure types 130
T Configuring Examination groups 142
T Examination group 145
T Configuring Exposure groups 146
T Find and replace Exposure settings 149
T Exercise 151
T Managing protocol codes 152
Introduction
In the Examination Tree Configuration window you can perform the
following main tasks:
Figure 85 : Exam Tree Configuration window.
Q Configuring Exposure types
Q Configuring Examination groups
Q Configuring Exposure groups
Q Find and replace Exposure settings
Q Managing protocol codes
124 Configuring the examination tree 4421 A EN 20060104

Concepts of the examination tree

This section provides an overview of the concepts and terminology used in the
examination tree.
Three levels make up the regular examination tree:
Age groups
Used to group all the Examination groups for a particular
age. Following age groups are used: 0-1.5 year, 1.6 - 5
year, 6-12 year, 13-16 year, 17 +. Age groups are
preconfigured and not configurable by the user. Hence,
every NX system will have the same Age groups. Pediatric
Age groups (Baby, Child, and Adolescent) will only be
visible when the system has the pediatric license enabled.
Otherwise, only the (default) Adult Age group will be
visible.
Examination groups
Groups all exposures of the same category. Example: Upper
extremities, Chest, Skull, Lower extremities, Abdomen,
Spine.
Note: each Exposure type can only be part of one
Examination group.
Every Age group must have the same Examination groups
(e.g. each Age group should have a Chest Examination
group, if one Age group has this Examination group).
Exposure type for test images will be stored in a special
test images Examination group. The user will not be
allowed to create, edit or copy this Examination group. Also
the Exposure types within this Examination group cannot
be created, edited, copied or moved.
Exposure types
The Exposure type contains several initial values for the
added exposure, which can later be changed. The Exposure
type is the central element in the Examination Tree.
Figure 86 : Levels of the Examination Tree.
4421 A EN 20060104 Configuring the examination tree

125
Apart from the structure in the GUI, Exposure types can also be grouped into
Exposure groups.
Q An Exposure group contains one or more Exposure types. It can be used to link a
set of Exposure types to protocol codes. For each Age group, the Exposure types
in the Exposure group can be linked to print profiles allowing automatic print-
ing of multiple Exposure types on a sheet in a preconfigured way.
An Exposure group can contain Exposure types of different Age groups. When
the Exposure group is added to an examination, only the Exposure types of
the correct Age group are added to the examination. The order of Exposure
types can be specified per Age group. The order will be used for adding the
exposures types to the thumbnails view.
An exposure group can also be added to the Add Image UI. This way, the
operator can manually add an Exposure Group to his patient.
Note: Exposure types can be added to multiple Exposure groups.
Note: If it doesn’t contain any Exposure Types for the Age group of that patient, the
Exposure Group will not be visible during normal NX operation.
WARNING: The user must be aware that assigning a wrong

examination group in case of an emergency patient may lead to
insufficient image quality.
Other concepts which are frequently used in the configuration of examination

trees are:
Q Processing parameters:
A set of processing parameters for an Exposure Type. Each Exposure Type has
its private set of processing parameters which consists of both Musica1 and
Musica2 settings. Dependent on the Musica2 license, the NX configuration
viewer will only show either the Musica1 or Musica2 processing parameters.
When Musica2 is enabled: the Musica2 package must be defined for each
exposure type: Examples: Pediatric, Thorax latitude, Genrad, …. Only
exposure types with a package assigned can be used in the Nx application.

Note: Note: quality assurance images are always processed with Musica1. The
processing parameters for these exposure types are not editable.
Q X-ray Exposure settings:

A set of parameters, used to send to the APR or another modality device to
generate the exposure or (in the case of multiple exposures on 1 cassette) to
generate a partial exposure. For a partial exposure, up to 4 settings can be
attached to an Exposure type. E.g. for the “Spine cervical LAT + AP”
exposure, two exposures have to be made on 1 cassette.

127
Configuring Exposure types

An Exposure type is a set of parameters (concerning image processing,
exposure options such as view position and cassette orientation, and
collimation) which are used by default for a defined type of exposure.
A number of Exposure types make up an Examination group.
Using the NX Service and Configuration Tool, you can perform the following
actions in order to configure Exposure types:
• create, rename, copy/paste and delete Exposure types,
• Modify Exposure type properties.

To open the Exposure types of an Exposure group:
1 In the Examination Tree, select an Age group > Examination group to show the
available Exposure types for that particular Examination group.
Figure 87 : Exposure Types of an Examination Group.
WARNING: The user must be aware that incorrect image orientation

may occur due to a wrong value for patient orientation attribute, or
selecting the wrong examination type.

129
Configuring the lists of Exposure types
You can configure the lists of Exposure types by creating, copying, renaming,
moving and deleting Exposure types.
To add an Exposure type
1 Click Add new Exposure type.

The following window will appear:
5
4
Figure 88 : Add a New Exposure dialog box.
2 Enter a unique name.
3 Assign the Exposure type to an Age group and an Examination group.
4 You can choose to copy information from an existing Exposure type. To do so

select the appropriate check box and select the Exposure type to copy
information from. This can be used to reuse existing exposure parameters for a
new Exposure type.
5 If the new Exposure type must be a Full Leg Full Spine exposure, select the
appropriate checkbox. Full Leg Full Spine exposures have a number of extra

settings which must be considered, regarding partial and stitched exposures.

Refer to “Modifying properties of individual Exposure types” on page 133.
6 Click OK. The new Exposure type is added to the list in the selected
Examination group.
To rename an Exposure type:
1 Select an Exposure type from the tree view on the left.
Figure 89 : Selection of an Exposure Type in the Examination Tree.
2 Edit the name of the Exposure type in the top field on the form on the right and
press Enter.
Note that the name of the Exposure type has changed:

131
Figure 90 : Renamed Exposure Type.
To delete an Exposure type:
1 Select an Exposure type in the tree view and click Delete in the Exposure type
form.

Modifying properties of individual Exposure

types
Using the NX Service and Configuration Tool, you can enter a number of
default settings for each individual Exposure type:
• Image processing,
• Exposure options,
• Collimation.
To modify Exposure type properties:
1 Open an Exposure group folder in the tree view pane and select an Exposure
type.
The detail pane will display the configuration parameters of the selected Exposure
type. See below for more info.
Figure 91 : Exposure Settings pane.
Examination tree Configuration > Manage Exposure type

Exposure type Name of the Exposure type
Examination group Name of the Examination group to which the Exposure type
belongs
Age group Name of the Age group to which the Exposure type belongs

133
Note: If the exposure concerns a Full Leg Full Spine exposure, both stitched
and partial exposures are created, edited and removed in the same manner
as for any other exposure. However, there are some specifics to be taken into
account:
Q When creating a FLFS Stitched exposure, you automatically create a partial

exposure as well. This partial exposure has the same exposure settings as its
Stitched parent and it carries the same name.
Q The settings of a FLFS Stitched exposure are similar to the settings of a generic
exposure, with some exceptions.
Q The settings of a FLFS Partial exposure are similar to the settings of a generic
exposure. When creating a FLFS Stitched exposure using the copy functionality,
the settings are copied not only to the FLFS Stitched exposure, but also to the
partial exposure.
Q Regard the following differences when modifying a Full Leg Full Spine expo-
sure compared with an other exposure:
Figure 92 : Exposure Settings Full Leg Full Spine.
1 Within header of the FLFS Stitched and Partial exposure, radio buttons are
added to indicate which of the two exposures is to be displayed.
• When the FLFS Stitched radio button is displayed, the FLFS Stitched exposure and
its related settings are displayed.
• When the FLFS Partial radio button is displayed, the FLFS Partial exposures and its
related settings are displayed.

2 When the FLFS Stitched exposure is displayed, you can also assign protocol
codes. This functionality is not applicable when editing a FLFS Partial exposure.
3 Within the Exposure Settings Pane of the FLFS Stitched exposure, the cassette
orientation setting is not displayed.
4 Examination and Age Group are only relevant for displaying purposes in the
header of the Partial FLFS exposure.
5 The display name for the FLFS Stitched exposures in the tree reads as follows:
For a FLFS Stitched Image, the name is used. Within parenthesis the notion
“Stitched” image is displayed. Example: FLFS AP (Stitched).
Exposure Settings
Figure 93 : Exposure Settings pane.
Body part Select a DICOM body part.

135
View position The view position is restricted to the following values: AP,
PA, LL, RL.
The view position field cannot be empty.
Automatic flip of lateral Unchecked: lateral images are not flipped.

images Checked: lateral images are flipped (some hospitals want
laterals to face the opposite direction).
Cassette orientation Landscape or Portrait.
Image laterality Image Laterality: can be set to Left, Right, Unpaired or

Both. Default value is Both.
Example: chest = unpaired; hand = left, right or both.
Speed class 25 - 50 - 75 - 100 - 150 - 200 - 300 - 400 - 600 - 800 - 1200
Anatomic region The Anatomic Region can be configured with the values
from CID 4009 (see DICOM PS 3.16). It is a more precise
way to specify the body part, and is used in DX images.
The NX Service and Configuration Tool will only allow
Anatomic Regions consistent with the already filled in Body
Part examined.
View code The view code should be consistent with the view position.
This means there are restrictions on which view code can be
configured, depending on which view position had been
configured.
This attribute can also be left empty in the examination
tree.
Automatically update When this option is enabled, the image laterality will
image laterality when change from “both” to “left” or “right”, as soon as you place
a left or right marker respectively. If the image laterality is
adding a marker not “both”, it will stay unaffected.
Automatically archive Archive Automation strategy for this Exposure type.

image Possible Values: DEFAULT, AUTOM_DISABLED. When set
to DEFAULT: archive automation is defined at system level.
By selecting “off” this default value is overruled for the
particular Exposure type.
Automatically print Print Automation strategy for this Exposure type. Possible
image Values : DEFAULT, AUTOM_DISABLED. When DEFAULT:
print automation is defined at system level (see system
configuration specification).
Erasure dose allowed values: 100mR - 300mR - 750 mR

Image Processing
Figure 94 : Image Processing pane.

The image processing to be used with this Exposure type (MUSICA1 or
MUSICA2).
Note that the contents of the image processing pane may differ because the
user has either MUSICA1 or MUSICA2 available. Processing parameters of
MUSCIA1 and 2 are different.
Note: With the appropriate access rights you can change MUSICA settings in the
NX application and save them directly as the new default.
Printer Settings
Figure 95 : Printer Settings pane.

137
Film Size Film Size which must be used when printed on the default
print profile. If = DEFAULT then the film size is linked to
the cassette size. 'DEFAULT' is not allowed for FLFS Stitched
image since a FLFS Stitched image does not come from one
cassette.
Printer Profile Printer profile that must be used when printed on the
default print profile
Scale mode Possible values: SCALE TO FIT or TRUE SIZE.

Exercise
• Select Exposure type

• Rename this Exposure type
• Check Examination tree
• Change automatic archive settings

139
Configuring Examination groups

A Examination group is a collection of Exposure types which have a number of
common parameters.
A number of Examination groups make up an Age group.
actions in order to configure Examination groups:
• Copy, rename, delete Examination groups and change the position of
Examination groups,
• Modify properties of individual Examination groups.
To access the Examination group folders of an Age group:
1 In the Examination Tree, select an Age group to show the available Examination
groups for that particular Age group:
Figure 96 : Examination Groups belonging to an Age group.

Configuring the lists of Examination groups
You can configure the lists of Examination groups by adding, copying,

renaming, deleting and changing the position of Examination groups.
To add an Examination group:
1 Click Add new examination.

The New dialog box appears:
Figure 97 : Create a New Examination dialog box.
2 Enter a name and click Add.
3 You can choose to copy the information of an existing Examination group. To do

so, select the “copy from” check box.
4 The new Examination group is added to all Age groups in the tree.
To rename an Examination group:
1 Select an Examination group and edit the name in the Examination group form.
Check the tree to see if the Examination group name has changed.
To delete an Examination group:
1 Select a name and click Delete in the Examination group form.

141
Modifying the properties of individual

Examination groups
To modify Examination group properties:
1 In the tree view pane, select an Examination group.

The detail pane will display the configuration parameters of the selected Examination
group:
Figure 98 : Examination Group configuration parameters.

Examination group
Name You can modify the name of the Examination group.
Protocol codes You can assign a new protocol code to the selected
Examination group.
Show examination in
You can choose to show the examination in the GUI.
GUI

143
Configuring Exposure groups

An Exposure group is a collection of Exposure types. It can be linked to a
protocol code. By default, all Exposure types will print on separate print
sheets. Special print templates can be assigned to automatically print selected
Exposure Types on the same print sheet.
actions in order to configure Examination groups:
• create, copy/paste, rename, delete Exposure groups and change the
position of Exposure groups.
To access the Exposure groups
1 In the Configure Examination Tree home screen, select Edit Exposure groups.
The following form will appear:
Figure 99 : Edit Exposure Groups window.

Configuring the lists of Exposure groups
You can configure the lists of Exposure groups by adding, copying, renaming
and deleting Exposure groups from the tree view.
To add an Exposure group
1 Click New.
The following dialog will appear:
Figure 100 : Add a new Exposure Group dialog box.
2 Enter a unique name.
3 You can choose to copy information from an existing Exposure group. To do so

select the appropriate check box and select the Exposure group to copy
information from. This comes in handy when you want to use the parameters of
an existing Exposure group for a new Exposure group.
4 Click OK. The Exposure group will be added to the list of Exposure groups.
To rename an Exposure group:
1 Select an Exposure group and enter a new name in the upper field.
To delete an Exposure group:
1 Select an Exposure group and click Delete.

145
Modifying properties of individual Exposure

groups
Using the NX Service and Configuration Tool, you can enter a number of
default settings for each individual Exposure group:
• Add - remove Exposure types from the Exposure group.
To modify Exposure group properties:
1 To add Exposure types from the Exposure group, select an Age group and an
Examination group and select individual Exposure types.
2 Move the Exposure type to the right column.
3 Click Delete to delete Exposure types from the right column.
4 You can add-remove print sheets in order to print several exposures of one
Exposure group on one film. If no print sheets are added, all exposure types
print on separate print sheets. Note that only exposure types of the same Age
group can be combined on a print sheet.

Find and replace Exposure settings

To accommodate a replacement of exposure settings in a batch, the
Examination tree configuration module contains a specific find & replace tool
allowing you to perform a query on one or more exposure settings, and
replace corresponding settings.
1 2
Figure 101 : Advanced Find - Replace Configuration Settings window.

The find & replace page contains three panes, dedicated to the functionalities
offered:

147
1 A Find Pane, providing an overview of the commands that may be performed

from within the search pane.
2 A Replace Pane, providing an overview of the actions that may be performed

within the replace pane.
3 A Result Pane.
To find and replace Exposure settings:
1 Define which parameters that you want to replace. For example, select the
existing Speed Class of 200 for exposure types belonging to the Upper
Extremities examination group to 100.
2 Click Search.
In the Result Form a list with the exposure types within the group Upper Extremities
and a speed class of 200 are displayed. All items within the result list are by default
selected.
3 Verify whether these results are indeed what you expected. A search summary
provides an overview of the criteria used when searching.
4 In the Replace Form, select the replacement value.
5 Click Replace, and the action starts. The Result Form is gradually updated with
the items that have been modified.
Items successfully modified are marked; errors are marked differently, standing out
from the successful modifications. Also, a brief summary is displayed, with an
overview of the action performed.

Exercise
• Open an existing Exposure group
• Rename this group
• Assign new Exposure types and print profiles.

149
Managing protocol codes

The user can perform the following actions with protocol codes :
Q Assigning protocol codes
Q Importing protocol codes
Q Adding new protocol codes
Q Changing protocol codes
Q Removing protocol codes

Assigning protocol codes
In NX, protocol codes can be assigned to individual Exposure types, to

Exposure groups or to Examination groups.
To assign protocol codes:
1 Click Edit protocol codes in the Exam Tree Configuration window.

The red box shows the position of the Edit Protocol Codes link:

151
The Edit Protocol Codes main window for managing protocol codes will
appear.
Figure 103 : Edit Protocol Codes main window.
2 Select a protocol code that has not been assigned in the Protocol Code list on
the left hand of the screen.
3 Select whether the protocol code should belong to an Examination group,

Exposure group or to an Exposure. Do this by selecting the appropriate radio
button and selecting a name (or adding a new name) in the main form of the
window.
4 Click New.
The modification is made.
WARNING: The user must be aware that a wrong specification of

protocol codes for the exposure group may lead to insufficient image
quality.

Importing protocol codes
The user can import a list with protocol codes in the NX Service and
Configuration Tool. The protocol codes of that list can then be assigned to
Exposure types, to Exposure groups or to Examination groups.
For adding single protocol codes, refer to “Adding new protocol codes” on
page 155.
To import a list with protocol codes:
1 Click Edit protocol codes in the main form.

The red box shows the position of the Edit Protocol Codes link:

153
The Edit Protocol Codes main window for managing protocol codes will
appear.
Figure 105 : Edit Protocol Codes main window.
2 Click the Import button in the top right side of the main window.
A Windows dialog box appears.
3 Select the files and click Import.

Adding new protocol codes
Apart from importing a file with protocol codes (refer to “Importing protocol
codes” on page 153), the user can also add individual protocol codes to the
Protocol Code list.
To add a new protocol code:
1 Press the New button in the Edit Protocol Codes main window :
The red box shows the position of the New button :
Figure 106 : Edit Protocol Codes main window with New button highlighted.

155
The Add Protocol Code dialog box is displayed :
Figure 107 : Add Protocol Code dialog box.
2 Enter the protocol code value and/or description.
3 Press OK to confirm your choice, otherwise click Cancel.

If you have pressed OK the system adds the protocol code to the list.

Changing protocol codes
The user can change the values of individual protocol codes.
To change protocol codes:
1 Select a protocol code from the Protocol Code list pane.

The red box shows the position of the selected protocol code:
Figure 108 : Edit Protocol Codes main window with protocol code selected.

157
2 Press the Edit button in the Edit Protocol Codes main window.
The Edit Protocol Code dialog box is displayed :
Figure 109 : Edit Protocol Code dialog box.
3 Modify the protocol code value and/or description.

If you have pressed OK the system replaces the selected protocol code with the
modified protocol code.

Removing protocol codes
The user can remove individual protocol codes from the Protocol Code list.
To remove protocol codes:
1 Select a protocol code from the Protocol Code list pane.

The red box shows the position of the selected protocol code:
Figure 110 : Edit Protocol Codes main window with protocol code selected.
2 Press the Remove button in the Edit Protocol Codes main window.
The system will display a warning message:
Figure 111 : Remove Protocol Codes warning message.

159

If you have pressed OK the system will remove the protocol code from the list.

Chapter 7
Service and monitoring
Click Service and Monitoring to open the window for

configuring service and monitoring issues.
T Introduction 164
Introduction
This window provides access to a number of external tools such as a calculator
and this is also the page used by Agfa service to log in.
Figure 112 : Service Monitoring window.
162 Service and monitoring 4421 A EN 20060104

Appendix A
List of Figures
List of Figures
Figure 1 : NX Service and Configuration Tool Quick Choice dialog box. ........20
Figure 2 : NX Service and Configuration Tool File menu. ..............................21
Figure 3 : NX Service and Configuration Tool File menu with Load Active
Configuration selected.22
Figure 4 : NX Service and Configuration Tool File menu with Activate
Configuration selected.22
Figure 5 : Close NX Service and Configuration Tool dialog box. ....................24
Figure 6 : NX Service and Configuration Tool Activate Configuration dialog
box. 26
Figure 7 : NX Service and Configuration Tool Restore Configuration dialog
box. 27
Figure 8 : Main Menu window with Functionality Overview pane (1),
workspace (2), Image Overview pane (3) and Action buttons (4).30
Figure 9 : Exit NX action button. .................................................................. 31
Figure 10 : Log Off action button.................................................................. 31
Figure 11 : Help action button. ..................................................................... 31
Figure 12 : Desktop action button. ............................................................... 31
Figure 13 : The Functionality Overview pane................................................32
Figure 14 : Monitoring and Management section of the Functionality Overview
pane 34
Figure 15 : Main Menu window with Queue Management pane....................34
Figure 16 : Main Menu window with Queue Management pane and
Destination Type selected.35
Figure 17 : Main Menu window with Queue Management pane opened and
Destination Name selected.36
Figure 18 : Halt Button.................................................................................36
Figure 19 : Restart Button............................................................................36
Figure 20 : Reroute Button ..........................................................................36
Figure 21 : Scheduling Button .....................................................................37
Figure 22 : Reroute Queue window...............................................................38
Figure 23 : Schedule Queue window.............................................................39
Figure 24 : Main Menu window with Queue Management pane and View drop
down menu selected.40
Figure 25 : Main Menu window with Delete Images pane. ............................ 41
Figure 26 : Main Menu window with Delete Images pane and Image selected. ..
42
Figure 27 : Main Menu window with Lock Sessions pane. .............................43
164 List of Figures 4421 A EN 20060104

Figure 28 : Main Menu window with Lock Sessions pane and Examination
selected.44
Figure 29 : Quality Assurance section of the Functionality Overview pane ....45
Figure 30 : Main Menu window with Read and Initialize Cassette pane. .......46
Figure 31 : Main Menu window with Read and Initialize Cassette pane. ....... 47
Figure 32 : Main Menu window with View All pane. .....................................49
Figure 33 : Filter drop down menu ...............................................................49
Figure 34 : Main Menu window with Dose Monitoring pane. ........................ 51
Figure 35 : Fix button...................................................................................52
Figure 36 : Update button ............................................................................52
Figure 37 : Delete button .............................................................................52
Figure 38 : Import/Export section of the Functionality Overview pane .........54
Figure 39 : Export Repeat/Reject Statistics Save As dialog box......................54
Figure 40 : Export Dose Monitoring Statistics Save As dialog box..................55
Figure 41 : Import Images dialog box............................................................56
Figure 42 : Main Menu window with Export Images pane............................. 57
Figure 43 : Tools section of the Functionality Overview pane ........................58
Figure 44 : Main Menu window....................................................................58
Figure 45 : Main Menu window ....................................................................59
Figure 46 : NX 1.0 Splash screen...................................................................60
Figure 47 : General Configuration window. ..................................................62
Figure 48 : General Settings window with Site Settings pane. .......................64
Figure 49 : General Settings window with Workstation Settings pane...........65
Figure 50 : General Settings window with Predefined Lists pane. ................. 67
Figure 51 : General Settings window with Custom Markers pane. .................69
Figure 52 : General Settings window with detail of Custom Markers pane. ...69
Figure 53 : Workflow Management window with Identification pane. .......... 71
Figure 54 : Workflow Management window with Image Presentation pane. .73
Figure 55 : Workflow Management window with Emergency Procedure pane. .
74
Figure 56 : Device Configuration window..................................................... 78
Figure 57 : Device Configuration window with general Archive settings. ......79
Figure 58 : Device Configuration window with properties of selected Archive. .
80
Figure 59 : Device Configuration window with general Digitizer settings......83
Figure 60 : Device Configuration window with properties of selected Digitizer -
Device Settings and Emergency Procedure Settings pane opened.84
Figure 61 : Device Configuration window with properties of selected Digitizer -
Device Settings and Emergency Procedure Settings pane opened.86
Figure 62 : Device Configuration Window with Filter Type settings of selected
Export Destination.87
Figure 63 : Device Configuration Window with general ID Tablet settings. ... 91
4421 A EN 20060104 List of Figures

165
Figure 64 : Device Configuration Window with settings of selected ID Tablet....

92
Figure 65 : Device Configuration Window with monitor settings. .................93
Figure 66 : Device Configuration Window with general Printer settings........94
Figure 67 : Device Configuration Window with general Printer settings - Print
Sheet and Layout pane opened.96
Figure 68 : Device Configuration Window with general Printer settings - Sheet
Text Box pane opened.99
Figure 69 : Device Configuration Window with general Printer settings - Image
Text Box pane opened.101
Figure 70 : Device Configuration Window with Device Settings of selected
Printers.102
Figure 71 : Device Configuration Window with Image Sheet Settings of
selected Printers.104
Figure 72 : Device Configuration Window with Medium Type Settings of
selected Printers.107
Figure 73 : Device Configuration Window with general RIS settings. .......... 108
Figure 74 : Device Configuration Window with general settings of selected RIS.
109
Figure 75 : Device Configuration Window with Connection Type Settings of
selected RIS.110
Figure 76 : Device Configuration Window RIS mapping pane of selected RIS....
112
Figure 77 : Device Configuration Window MMPS Destination Settings pane
opened. 113
Figure 78 : Security License Management window...................................... 116
Figure 79 : Security License Management window with SSL Settings pane. 117
Figure 80 : Security License Management window with Audit Log Settings
pane. 118
Figure 81 : Security License Management window with Auto Log Off settings...
119
Figure 82 : Security License Management window with User Management
settings.120
Figure 83 : Security License Management window with User Roles pane. ... 121
Figure 84 : Security License Management window with Licenses window...122
Figure 85 : Exam Tree Configuration window. ............................................124
Figure 86 : Levels of the Examination Tree..................................................125
Figure 87 : Exposure Types of an Examination Group. ................................129
Figure 88 : Add a New Exposure dialog box. ...............................................130
Figure 89 : Selection of an Exposure Type in the Examination Tree. ............ 131
Figure 90 : Renamed Exposure Type. ..........................................................132
Figure 91 : Exposure Settings pane. ............................................................133

Figure 92 : Exposure Settings Full Leg Full Spine. ....................................... 134

Figure 93 : Exposure Settings pane............................................................. 135
Figure 94 : Image Processing pane.............................................................. 137
Figure 95 : Printer Settings pane. ............................................................... 137
Figure 96 : Examination Groups belonging to an Age group........................ 140
Figure 97 : Create a New Examination dialog box. ...................................... 141
Figure 98 : Examination Group configuration parameters. ......................... 142
Figure 99 : Edit Exposure Groups window. ................................................. 144
Figure 100 : Add a new Exposure Group dialog box. ................................... 145
Figure 101 : Advanced Find - Replace Configuration Settings window. ....... 147
Figure 102 : Exam Tree Configuration window. .......................................... 151
Figure 103 : Edit Protocol Codes main window. .......................................... 152
Figure 104 : Exam Tree Configuration window. .......................................... 153
Figure 105 : Edit Protocol Codes main window. .......................................... 154
Figure 106 : Edit Protocol Codes main window with New button highlighted. ..
155
Figure 107 : Add Protocol Code dialog box. ................................................ 156
Figure 108 : Edit Protocol Codes main window with protocol code selected. .....
157
Figure 109 : Edit Protocol Code dialog box. ................................................ 158
Figure 110 : Edit Protocol Codes main window with protocol code selected.159
Figure 111 : Remove Protocol Codes warning message. .............................. 159
Figure 112 : Service Monitoring window. ................................................... 162
4421 A EN 20060104 List of Figures

167

Appendix B
Warning overview
Warning overview
WARNING: Warnings are directions which, if they are not followed, can cause serious or
fatal injuries. 8
WARNING: The user must strictly observe all warnings, cautions, notes and safety
markings within this document and on the machine. 18
WARNING: Safety is only guaranteed when trained Agfa personnel have installed NX
Service and Configuration Tool. 18
WARNING: All Agfa medical products must be used by trained and qualified
professionals. 18
WARNING: The user is responsible for judging image quality and controlling
environmental conditions for diagnostic softcopy or print viewing. 18
WARNING: The user must be aware that: 18

Q A software algorithm error leading to an image processing failure can cause loss of
diagnostic information. 18
Q A configuration error leading to an image processing failure can cause loss of diag-
nostic information. 18
WARNING: The user must follow the hospital quality assurance procedures for covering
the risks resulting from errors in the image processing. 18
WARNING: Insufficient image quality can be caused by: 18

Q Incorrect initialization of the cassette and plate (resulting in a bad plate type). 18
Q Incorrect change of default image processing parameters, age group or modality
settings. 18
Q Sending images to a not supported printer. 18
WARNING: The user must be aware that images may be deleted before they are
manually routed or printed. 18
WARNING: Incorrect IPCtrl values on the tag ExpDose can cause ghost images on the
cassette. 19
WARNING: an automatic deletion of the image before it is autorouted or printed, in case

no autorouting is configured, may lead to unrecoverable image loss. 79
WARNING: The user must be aware that assigning a wrong examination group in case
of an emergency patient may lead to insufficient image quality. 126
WARNING: The user must be aware that incorrect image orientation may occur due to a
wrong value for patient orientation attribute, or selecting the wrong examination type.
129
170 Warning overview 4421 A EN 20060104

WARNING: The user must be aware that a wrong specification of protocol codes for the
exposure group may lead to insufficient image quality. 152
4421 A EN 20060104 Warning overview

171
172 Warning overview 4421 A EN 20060104

Appendix C
Index
NX CONFIGURATION TOOL
Index copying
exposure type ..................... 130
D
A delete images ............................. 41
about nx ................................... 59 deleting
activate configuration ............. 21, 26 exposure type ..................... 132
add new archives ......................... 79 study type .......................... 141
add new digitizers ....................... 83 substudy type ..................... 145
add new id tablets ....................... 91 destination name ......................... 36
add profile .............................. 102 destination type .......................... 35
age groups .............................. 125 dicom ...................................... 57
ambient luminance .................... 106 dose consistency analysis program .... 51
anatomic region ........................ 136
assigning protocol codes ...... 124, 150
audit log settings ....................... 118
E
auto log off settings .................... 119 emergency buttons ....................... 86
enable archive automation ............. 79
B enable automatic cassette identification ..
92
black image. .............................. 93 enable fast id ........................ 66, 84
body part ................................ 135 enable secure dicom connection ....... 66
enable storage commit ............ 66, 82
C enter a new marker ...................... 69
exam groups ............................ 125
cassette orientation .................... 136 exit the NX service and configuration tool
character set .............................. 66 24
configuration info ...................... 106 export dose monitoring statistics ...... 55
configure digitizers ...................... 78 export images
configure monitor ........................ 93 ........................................ 57
configure repeat-reject archive export repeat/reject statistics .......... 54
destinations ............................... 79 exposure type
configure the list of printers (create or copying ............................. 130
remove printers) ......................... 94 deleting ............................ 132
configure the settings of printers ...... 94 modifying properties ............. 133
configuring exposure type folders
exposure type ..................... 130 opening ............................ 129
configuring archives ..................... 78 exposure types .......................... 125
configuring exam groups ............. 124 renaming ........................... 131
configuring exposure groups ......... 124
configuring exposure types ........... 124
configuring id tablets .................... 78
F
configuring printers ..................... 78 film destination ......................... 106
configuring the ris ....................... 78 film destination bin .................... 106
connection type settings .............. 110 film session printing ................... 106
contour. ................................... 93 filter the image attributes ............... 49
find and replace ........................ 147
4421 A EN 20060104 Index

174
font size ................................... 68 medium type settings .................. 107

full leg full spine exposure ............ 134 minimum density ....................... 107
mmps destination type settings ...... 113
modality ................................... 65
G modifying properties
gsps supported ..................... 81, 89 exposure type ..................... 133
substudy type ..................... 146
substudy types .................... 142
H monitoring work queues ................ 34
halt queue ................................. 36
host name/ip address ................... 85 N
I non-activity time-out setting ......... 119
id station name ........................... 65
idle time in minutes before starting log off
O
countdown. ............................. 119 output type .......................... 81, 89
image comments ......................... 67
image laterality ......................... 136
image text box .......................... 101
P
import images ............................ 56 partial exposure ........................ 134
importing protocol codes ............. 153 patient comments ........................ 67
include dicom viewer .................... 89 performed location ....................... 65
include patient demographics ......... 89 performed station ae-title ............... 65
initialize a cassette ....................... 47 performing physician .................... 64
ip address ................................. 65 pixel format ............................. 106
port ......................................... 65
predefined texts .......................... 67
J print sheet and layout ................... 96
jpeg ......................................... 57 processing parameters
...................................... 126
L processing station name ................. 65
profile name
load active configuration ............... 21 ...................................... 102
load from file ............................. 21 protocol codes .......................... 143
lock exams ................................ 43 p-values .................................. 106
M Q
magnification type ..................... 106 queue management ...................... 34
main menu quick choice dialog box .................. 20
about ................................. 30
action buttons ....................... 31
panes ................................. 30
R
working in the ...................... 32 read the cassette information .......... 46
manage users ........................... 120 remove an new marker .................. 70
managing licenses ..................... 122
maximum density ...................... 107
4421 A EN 20060104 Index

175
renaming
exposure types ....................131
V
study type ..........................141 verify configuration ..................... 21
substudy types .....................145 view all image attributes ................ 49
reroute to another destination .........38 view box illumination ................. 106
restart the device .........................36 view box settings ....................... 106
restore configuration ....................27 view code ............................... 136
restore configuration, ....................21 view position ........................... 136
ris mapping ..............................111
W
S white image. .............................. 93
save as ......................................21 workspace ................................. 22
schedule the selected queue ............39 workstation settings ..................... 65
select allowed speed classes ............83
service and configuration tools .........58
service and monitoring ........161, 173
X
sheet settings ............................105 x-ray exposure settings
sheet text box .............................99 ...................................... 127
show exam in gui .......................143
site settings ................................64
smoothing factor .......................106
smpte image. ..............................93
sop class ....................................81
ssl settings ...............................117
study type
deleting .............................141
modifying properties .............142
renaming ...........................141
study type folder
opening .............................140
substudy type
deleting .............................145
modifying properties .............146
renaming ...........................145
substudy type folder
opening .............................144
T
target sop class ............................89
test connection ..........................103
to add an exposure type ...............130
transfer syntax ............................82
U
use n-events .............................103
176 Index 4421 A EN 20060104

4421 A EN 20060104
177
Printed in Belgium
Published by Agfa-Gevaert N.V., B-2640 Mortsel-Belgium
4421 A EN 20060104

NX 1 Key User Manual

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NX 1.

© Agfa-Gevaert N.V. 2006.

Windows® and Windows® XP are trademarks of Microsoft Corporation.

Introduction to this manual ......................................................................... 8

Chapter 2: Using the Main Menu...........................................................29

About the Main Menu................................................................................. 30

Chapter 3: General configuration .......................................................... 61

Chapter 4: Configuring the devices connected to NX ........................ 77

Configuring printing ..................................................................................... 94

Chapter 5: Configuring security issues ................................................115

Chapter 6: Configuring the examination tree ................................... 123

Modifying the properties of individual Examination groups ......................... 142

Chapter 7: Service and monitoring...................................................... 161

Appendix A: List of Figures ...................................................................163

List of Figures ...........................................................................................164

Appendix B: Warning overview ............................................................169

Appendix C: Index ..................................................................................173

This chapter covers the following topics:

T Introduction to this manual 8

T Introduction to NX Service and Configuration Tool 11

Introduction to this manual

Q Warnings, Cautions and Notes

Warnings, Cautions and Notes

WARNING: Warnings are directions which, if they are not followed,

Instruction : Follow the instruction literally to avoid the topic of warnings.

8 Introduction 4421 A EN 20060104

4421 A EN 20060104 Introduction

Agfa assumes no liability for use of this document if any unauthorized

10 Introduction 4421 A EN 20060104

Introduction to NX Service and

4421 A EN 20060104 Introduction

Q Configure the devices attached to the NX station.

Q Configuring examination trees and the sequence in which the examinations

Q Configure the functional behavior of the NX system.

Q Configure the security settings of the NX system.

Q Restore previous configuration settings of the NX system.

12 Introduction 4421 A EN 20060104

4421 A EN 20060104 Introduction

NX Service and Configuration Tool must only be used in combination with

14 Introduction 4421 A EN 20060104

NX Service and Configuration Tool has been designed in accordance with

4421 A EN 20060104 Introduction

The NX Service and Configuration Tool workstation requires a 100 Mbit

NX Service and Configuration Tool installation and configuration is

16 Introduction 4421 A EN 20060104

Under certain conditions NX Service and Configuration Tool will show a

4421 A EN 20060104 Introduction

WARNING: Safety is only guaranteed when trained Agfa personnel

WARNING: All Agfa medical products must be used by trained and

WARNING: The user is responsible for judging image quality and

WARNING: The user must be aware that:

WARNING: The user must follow the hospital quality assurance

WARNING: Insufficient image quality can be caused by:

WARNING: The user must be aware that images may be deleted

Caution: To avoid images being lost due to a power failure, the

Caution: Do not position the NX Service and Configuration Tool

18 Introduction 4421 A EN 20060104

WARNING: Incorrect IPCtrl values on the tag ExpDose can cause

4421 A EN 20060104 Introduction

Starting up NX Service and

Figure 1 : NX Service and Configuration Tool Quick Choice dialog box.

Q “Load configuration settings into the Workspace” on page 25.

Q “Restore settings” on page 27.

20 Introduction 4421 A EN 20060104