SecurView DX/RT Workstation Installation and Service Manual Rev 011 Oct 2019

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© 2019 Hologic, Inc. Printed in the USA. This manual was originally written in English. Hologic, SecurView, Unifi, and associated logos are trademarks and/or registered trademarks of Hologic, Inc., and/or its subsidiaries in the United States and/or other countries. All other trademarks, registered trademarks, and product names are the property of their respective owners. This product may be protected by one or more U.S. or foreign patents as identified at www.Hologic.com/patents.

Softcopy reading software © 2002–2019 MeVis Medical Solutions AG. All rights reserved. This product and related documentation are protected by copyright and are distributed under licenses restricting their use, copying, distribution, and decompilation. No part of this product or related documentation may be reproduced in any form by any means without prior written authorization of MeVis Medical Solutions AG and its licensors, if any. FlowBack, FlowNext, MammoNavigator, and ReportFlow are trademarks of MeVis BreastCare GmbH & Co. KG. This product may be protected by one or more of the following patents: 7,283,857, 6,891,920. Libraries Libtiff library © 1988-1997 Sam Leffler, 1991-1997 Silicon Graphics, Inc. OFFIS_DCMTK © 1994–2005, OFFIS MergeCOM-3 Advanced Integrator's Tool Kit – Version 4.8.0.0 PostgreSQL – Version 9.4.1 © 1996-2015, The PostgreSQL Global Development Group, 1994, The Regents of the University of California jpeglib © 1991-1998, Thomas G. Lane xerces © 19992010 The Apache Software Foundation 7-Zip © 1999-2009 Igor Pavlov Qt 4.8.6 © 2014 Digia Plc and/or its subsidiary(-ies), licensed under LGPL v2.1. This Qt library has been adapted by MeVis Medical Solutions AG. You may obtain the complete corresponding source code by sending an order to MeVis Medical Solutions AG, Support Department, Caroline-Herschel-Str. 1, 28359 Bremen, Germany.

SecurView DX/RT 10.4 Installation and Service Manual Table of Contents

Table of Contents List of Tables __________________________________________________________________ xi 1: Introduction __________________________________________________________________1 1.1 1.2 1.3 1.4

About This Guide ... 1 Training ... 2 Document Conventions ... 2 Terms and Definitions ... 3

2: Workstation Description _______________________________________________________5 2.1 2.2 2.3 2.4 2.5

Workstation Overview ... 5 SecurView DX Diagnostic Workstation ... 7 SecurView RT Technologist Workstation ... 8 SecurView Manager ... 9 Multiworkstation Systems ... 10

3: Site Settings _________________________________________________________________11 3.1 3.2 3.3

Site Inspection ... 11 Required Materials ... 11 Site Settings Table ... 11

4: Installing the System _________________________________________________________15 4.1 4.2

Unpacking the SecurView System ... 15 Installing the SecurView Workstation ... 16 4.2.1 Setting up the Workstation Computer ... 16 4.2.2 SecurView DX Display Connections (Barco High-Brightness Display) ... 19 4.2.3 SecurView DX Display Connections (Barco Coronis Uniti 12MP Display)... 19 4.2.4 SecurView DX Display Connections (Barco Nio 5MP Displays) ... 21 4.2.5 SecurView RT Display Connections (Barco Nio 3MP Display) ... 22 4.2.6 SecurView Manager Display Connections ... 22

5: Configuring Windows Settings ________________________________________________25 5.1

5.2 5.3 5.4 5.5 5.6 5.7 5.8

System Startup and Shutdown ... 25 5.1.1 Workstation Startup ... 25 5.1.2 Workstation Shutdown ... 26 5.1.3 Manager Shutdown ... 26 Setting Up the Network Connections ... 26 Setting the Network Card Properties ... 27 Setting the Computer Name ... 27 Verifying the UPS Settings ... 28 Calibrating the High Resolution MG Displays ... 28 Customer and Windows Administrator Rights... 29 Synchronizing System Time ... 29

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5.9 Configuring Remote Access (Manager) ... 30 5.10 Increasing Security on the SCR User Account (Optional) ... 30 5.11 Windows Domain Policy Settings (Optional) ... 32 5.11.1 Default Domain Policies ... 32 5.11.2 Domain Group Policy Settings ... 32 5.12 Configuring Hologic Connect ... 33 5.12.1 Entering DNS Server Information ... 33 5.12.2 Entering Hologic Connect Information ... 33

6: Configuring the SecurView Application ________________________________________35 6.1

Configuring a SecurView Workstation as a Client ... 35 6.1.1 Pre-Installation for Existing Standalone Workstations... 35 6.1.2 Configuring a Workstation as a Client ... 36 6.2 Configuring DICOM Settings (Standalone, Manager) ... 37 6.2.1 DICOM > Setup Tab ... 37 6.2.2 DICOM > Printer Tab ... 40 6.2.3 DICOM > Destination Tab (SecurView DX) ... 48 6.2.4 DICOM > Destination Tab (SecurView RT) ... 50 6.3 Configuring the Settings Tab... 51 6.3.1 Configuring Disk Space Monitoring and Auto-Deletion ... 52 6.3.2 Configuring Auto-Fetching / Auto-Completion (Standalone, Manager) ... 52 6.3.3 Configuring Active Directory ... 53 6.3.4 Configuring Study List Manager ... 54 6.3.5 Configuring Application Event Logging ... 54 6.3.6 Configuring Manufacturer Settings ... 55 6.3.7 Configuring Double Reading for Studies (SecurView DX) ... 57 6.3.8 Setting the Site Name and Address ... 58 6.3.9 Configuring MG Secondary Capture Format (SecurView DX) ... 59 6.4 Configuring Licensing ... 59 6.4.1 Verifying Licenses ... 59 6.4.2 Configuring Licenses... 60 6.5 Configuring Routing ... 61 6.5.1 Configuring Routing (Manager, Client) ... 61 6.5.2 Configuring Routing (Standalone) ... 63 6.6 Configuring the Patient List for an Additional Monitor (Optional) ... 64 6.7 Configuring the Keypad (SecurView DX) ... 65 6.7.1 Troubleshooting the Keypad (SecurView DX) ... 65 6.8 Configuring the Barcode Scanner (Standalone, Client) ... 66 6.8.1 Changing the Barcode Between Patient ID and Accession Number ... 66 6.8.2 Control Studies Provided to Application Synchronization ... 67 6.9 Configuring SecurView/Unifi Workspace Integration ... 68 6.10 Backing Up the System (Standalone, Manager) ... 68 6.11 Completing the Installation Report Form ... 68

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7: Maintenance _________________________________________________________________69 7.1

Backing Up and Restoring the Database ... 70 7.1.1 Accessing the DBM Tool ... 70 7.1.2 Restoring from Backup and Synchronizing the Database ... 71 7.1.3 Restoring from Backup ... 74 7.1.4 Synchronizing Database with File System ... 75 7.1.5 Creating a Startup Database... 77 7.1.6 Creating a Backup of the Patient Database ... 79 7.1.7 Restoring Multimodality Viewer from Restore Point... 80 7.1.8 Performing Database Maintenance ... 80 7.1.9 Removing Auto-Fetching/Auto-Completion Jobs... 81 7.1.10 Exporting Users ... 82 7.1.11 Importing Users ... 83 7.2 Maintaining the Workstation Hardware (Standalone, Manager, Client) ... 84 7.2.1 Preventive Maintenance Checklist ... 87 7.3 Importing Procedure Names Using DICOM Tags (Standalone, Manager) ... 88 7.4 Configuring the User Interface Language ... 90 7.5 Installing the SecurView Online Documentation (Outside US) ... 90 7.6 Adding a SecurView User to the Site Domain ... 91 7.7 Reinstalling the SecurView Application ... 93 7.7.1 Backing Up the SecurView System ... 93 7.7.2 Uninstalling the SecurView Application ... 94 7.7.3 Installing the SecurView Application ... 94 7.7.4 Restoring the Application Settings and Database ... 96 7.7.5 Deleting All Patient Data from SecurView (Standalone, Manager) ... 97 7.7.6 Installing the SecurView Online Documentation... 97 7.8 Recovering a Workstation ... 97 7.8.1 Restoring the System to SecurView Base Image ... 98 7.8.2 Installing the Updates ... 99 7.9 Converting Standalone Workstations to Clients ... 101 7.9.1 Preparing Standalone for Conversion to Client ... 102 7.9.2 Adding a Client to a Manager ... 103 7.10 Substituting a Local Language Keyboard ... 104 7.11 Configuring the Multi-Function Mouse (SecurView DX) ... 104 7.11.1 Recommended Functions ... 104 7.11.2 Recommended Mapping Configurations ... 105 7.12 Programming the Keypad ... 105 7.12.1 Known Issues ... 106 7.12.2 USB Game Controller Keypad ... 106 7.12.3 USB Keypad (Older Style) ... 107 7.12.4 Keypad Commands ... 107 7.12.5 Configuring the Key Functions ... 109 7.12.6 Key and Toolbar Functions ... 110 7.12.7 Toggling between MG and Reconstructed Slices ... 110

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7.13 7.14

7.15

7.16

7.17 7.18 7.19

7.20

7.12.8 Behavior of the USB Keypad ... 111 7.12.9 Behavior of the USB Game Controller Keypad ... 111 Keyboard Functions ... 111 Reinstalling LCD Photometer Sensor ... 117 7.14.1 Reconnecting the Photometer Sensor... 117 7.14.2 Reinstalling the Photometer Sensor Driver ... 118 Configure Colors Used by SecurView displays ... 118 7.15.1 Enable Color Support in SecurView ... 119 7.15.2 Enable the Toolbar Color ... 119 Configure Indicators for Prior and Current Images ... 120 7.16.1 Enable SecurView to Use Color Indicators for Prior and Current Images ... 120 7.16.2 Configure Optional Indicators for Prior and Current Images ... 121 Configuring Indicators for Smart Mapping ... 122 Configuring Maximum Speed for Cine ... 122 Configuring Hanging Order... 123 7.19.1 Editing the Configuration File ... 124 7.19.2 Hanging Order Parameters ... 124 7.19.3 MammoNavigator Sorting Order ... 126 Improving Manager Performance with NIC Teaming ... 126 7.20.1 Install and Configure NIC Teaming... 127

8: Troubleshooting ____________________________________________________________131 8.1 8.2 8.3 8.4 8.5

8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16

Setting True Size Pixel Pitch on Displays ... 131 Collecting Log Files ... 132 Copying Scheduled Backup Files to an External Drive ... 132 Configuring AutoMerge ... 133 Troubleshooting Multiworkstation Configurations ... 134 8.5.1 System Startup Issues ... 134 8.5.2 Incorrect IP Address Issues ... 134 8.5.3 Client Cannot Reach Manager ... 135 8.5.4 Manual Connection Succeeds ... 135 8.5.5 Manager Loses Client Connection... 136 Printer Configuration Issues... 136 Configuring Printer Timeouts ... 136 Auto-Fetching Issues ... 137 Patient ID and Patient’s Birth Date Issues ... 137 Contrast Enhanced Image Display Issues ... 137 Mammography Image Display Issues ... 138 PACS Issues with Default Manual Query Attributes ... 143 Troubleshooting System Failures (Standalone, Manager) ... 144 Troubleshooting the Updates Installation ... 144 Configuring Enhanced Image Distribution ... 145 Ports Used by SecurView ... 146

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Appendix A Barco Video Cards _________________________________________________149 Appendix B Video Driver Installers _____________________________________________151 Index ________________________________________________________________________153

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List of Tables Table 1: System Tasks ... 6 Table 2: Site Settings ... 13 Table 3: Default Parameters for Commonly Used Printers ... 44 Table 4: Keypad Configuration ... 107 Table 5: Keyboard Functions ... 112 Table 6: Configuration of Timeouts for Printing in Lightbox.ini ... 136 Table 7: Adjustable Settings in ManufacturerConfiguration.ini ... 138 Table 8: Barco Video Cards ... 149 Table 9: Video Driver Installer Locations ... 151

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SecurView DX/RT 10.4 Installation and Service Manual Chapter 1: Introduction

Chapter 1 Introduction 1:

About This Guide on page 1 Training on page 2 Document Conventions on page 2 Terms and Definitions on page 3

1.1

About This Guide This guide provides installation, configuration, maintenance, and troubleshooting procedures for SecurView® workstations:

• •

SecurView DX Diagnostic Workstation SecurView RT Technologist Workstation

This guide is organized as follows:

•

Introduction on page 1 provides background information on the system and the guides.

•

Workstation Description on page 5 provides an overview of the SecurView workstations, including component descriptions.

•

Site Settings on page 11 includes information on site inspection, required materials, and system settings.

•

Installing the System on page 15 explains how to install the hardware: workstation computer, displays, and accessories.

•

Configuring Windows Settings on page 25 provides procedures that must be performed in Windows before using the system: configuring the IP address, host name, UPS, Hologic Connect, and so on, and calibrating the displays.

•

Configuring the SecurView Application on page 35 explains how to configure SecurView for use at the site: DICOM settings, hard drive space, licensing, routing,

•

Maintenance on page 69 provides supplemental maintenance information and procedures.

• •

Troubleshooting on page 131 provides troubleshooting information and procedures.

•

Video Driver Installers on page 151 provides a list of video card installers automatically copied to the local system during a system upgrade.

Barco Video Cards on page 149 provides a list of Barco video cards used with SecurView DX/RT systems.

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1.2

Training Hologic does not accept responsibility for injury or damage associated with improper or unsafe system operation. Service engineers must ensure that they receive training on SecurView workstations with Hologic training programs before servicing the unit. Refer to the user guides for procedures to use and configure SecurView workstations.

1.3

Document Conventions Type text written in monospaced font exactly as shown. This guide uses the following conventions to provide technical and safety information of special interest.

Warning: An instruction that, if not followed, can result in a hazardous condition. Caution An instruction that, if not followed, can result in damage to the system. Important An instruction provided to ensure correct results and optimal performance, or to clarify limitations of the device. Note Information provided to clarify a particular step or procedure.

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1.4

Terms and Definitions AE

Application Entity. A DICOM term referring to an application that performs DICOM services.

Auto-Fetching

Automated retrieval of prior patient data from a PACS.

AWS

Acquisition Workstation

CC, MLO

Cranio-Caudal, Medio-Lateral Oblique (view positions for screening mammography).

Client

A SecurView DX or SecurView RT workstation connected to a Manager.

DICOM

Digital Imaging and Communications in Medicine – an international standard for the exchange of imaging and related information.

GSPS

Grayscale Softcopy Presentation State. A DICOM object that when created by SecurView contains study state information, markings, and Annotations. GSPS objects can be sent to other SecurView workstations or to a PACS.

Image

A set of modality-specific binary data and identifying attributes that represents the result of an imaging procedure performed on a patient. DICOM uniquely identifies image objects with a globally unique identifier (UID).

License Dongle

An electronic device that plugs into a computer and serves as a security measure to enable the use of certain software.

LUT

Look-Up Table. An image processing function that replaces one image pixel value with a specified image pixel value.

Manager

A SecurView computer that manages communication and contains a central database within a multiworkstation configuration.

MQSA

Mammography Quality Standards Act

Multiworkstation

Two or more SecurView workstations that share a common database on the Manager.

PACS

Picture Archiving Communications System. A device used for long-term storage of DICOM images.

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Pre-Fetch

The retrieval of prior patient data in preparation for an upcoming exam. Many PACS can be configured to pull older images for a patient and forward them to the SecurView based on scheduling information that comes from a PACS Broker/HIS/RIS. Pre-fetching and routing are usually performed during off-hours when traffic is lower.

RIS

Radiology Information System

SCP

Service Class Provider

SCU

Service Class User

Series

A set of images that has been acquired for a single study with the same modality.

Standalone

A single SecurView workstation that ‘stands alone’, (for example, one that does not require a Manager).

Study

A specific instance of a procedure on the acquisition workstation, consisting of a set of images and/or series, that has been performed on a specific patient, and is usually identified in some locally unique way. DICOM identifies studies with a globally unique instance UID.

UID

Unique Identifier. A string of characters that uniquely identifies a wide variety of items guaranteeing uniqueness across multiple countries, sites, vendors, and equipment. The string is composed of decimal digits (0–9) and decimal point and must not exceed 64 characters.

UPS

Uninterruptible Power Supply

View

A descriptor that indicates patient positioning during image acquisition.

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SecurView DX/RT 10.4 Installation and Service Manual Chapter 2: Workstation Description

Chapter 2 Workstation Description 2:

Workstation Overview on page 5 SecurView DX Diagnostic Workstation on page 7 SecurView RT Technologist Workstation on page 8 SecurView Manager on page 9 Multiworkstation Systems on page 10

2.1

Workstation Overview The four SecurView workstation configurations covered in this guide are:

•

SecurView DX Diagnostic Workstation – Used primarily by radiologists to review medical images for screening and diagnostic mammography and digital breast tomosynthesis.

•

SecurView RT Technologist Workstation – Used primarily by technologists to review images for reference purposes.

•

SecurView DX Manager – Provides central database access and performs the image preparation for all connected SecurView DX Diagnostic Workstations.

•

SecurView RT Manager – Provides central database access and performs the image preparation for all connected SecurView RT Technologist Workstations.

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The following table lists principal tasks of the SecurView Manager, Client, and Standalone workstations. Table 1: System Tasks SecurView DX or RT Manager Workstation System administration and settings No image display and review Performs all DICOM transactions for cluster Central database with DICOM data, system settings, and user preferences Prepared pixel data Central preparation and authentication DX Manager requires the DWS-MANAGER license RT Manager requires the TWS-MANAGER license SecurView DX or RT Client Workstation Patient browser Workstation administration and user settings Diagnostic review (DX) Image display (RT) Query/Retrieve Receive prepared images from Manager for reviewing Accept and display Mammography CAD SRs DX Client requires the DWS-WORKSTATION license RT Client requires the TWS- WORKSTATION license SecurView DX or RT Standalone Workstation Patient browser Workstation administration and system settings Diagnostic review (DX) Image display (RT) Query/Retrieve Perform DICOM transactions Database with DICOM data, configurable system settings, and user preferences Prepared pixel data Store copies of all Mammography CAD SRs DX Standalone requires the DWS-WORKSTATION license RT Standalone requires the TWS-WORKSTATION license

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2.2

SecurView DX Diagnostic Workstation Physicians use SecurView DX diagnostic workstations to review medical images. A DX Standalone or Client workstation consists of:

• •

One high-resolution landscape display or two high-resolution portrait displays

• • • • •

Computer with Microsoft Windows 10

One or two optional low-resolution displays for multimodality images, Patient Manager, and/or external applications. Limit of two optional displays (for example, two multimodality monitors, two additional monitors, or one multimodality/one additional monitor). Keyboard Multi-function mouse Workflow keypad with trackball (optional) Uninterruptible Power Supply (UPS) not shown (optional)

Note Options to display multimodality images enhance the softcopy reading environment of the SecurView DX workstation. Details can be found in the Advanced Multimodality Option User Guide, Advanced Multimodality Option Installation & Service Manual, MultiView Multimodality User Guide, and MultiView Multimodality Installation Guide. The additional monitor option can be used to display the Patient List or and/or an approved external application (with Application Synchronization installed). Note If a workstation is licensed for the Advanced Multimodality Option or MultiView Multimodality, one of the available color displays must be set as the primary display.

SecurView DX Diagnostic Workstation

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2.3

SecurView RT Technologist Workstation Technologists use SecurView RT workstations to prepare patient studies for review. The workstation consists of:

•

Landscape display

• •

Computer with Microsoft Windows 10

•

UPS (not shown)

Keyboard and mouse

SecurView RT Technologist Workstation

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2.4

SecurView Manager The SecurView DX Manager and SecurView RT Manager both provide central database access and perform the image preparation for all connected SecurView DX and SecurView RT Client workstations respectively. The Manager consists of:

•

Landscape display

• • •

Computer with Microsoft Windows Server 2016 Keyboard and mouse UPS (not shown)

SecurView DX / SecurView RT Manager The Manager connects to all SecurView Clients through a network (100 Mbps or 1 Gbps Ethernet recommended). The computer has two built-in network cards; however only one (NIC1) is currently used.

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2.5

Multiworkstation Systems One SecurView Manager workstation can support multiple SecurView Client workstations as needed, depending on patient volume and workflow requirements. There are two multiworkstation configurations:

• •

SecurView DX Manager supports SecurView DX Client workstations SecurView RT Manager supports SecurView RT Client workstations

The Manager receives the mammography images from the acquisition workstation or PACS and provides a central database of current images for all connected Client workstations. Each Manager-Client system acts as a single DICOM entity.

SecurView Multiworkstation System

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SecurView DX/RT 10.4 Installation and Service Manual Chapter 3: Site Settings

Chapter 3 Site Settings 3:

Site Inspection on page 11 Required Materials on page 11 Site Settings Table on page 11

3.1

Site Inspection Before installation, a Field Engineer works with personnel at the customer site to collect information necessary for the installation. The information should include the facility’s shipping address, operating hours, lead personnel, contact information, and network/system configuration information. Be sure to review the configuration guidelines provided in the Site Settings Table on page 11.

3.2

Required Materials In addition to this guide and a standard hand tool set, you will need the Hologic passwords. For passwords, log into the SFTP server (https://drftp.hologic.com) and navigate to the /shared software/Password folder, which contains the password file. Dealers can access the password file by logging into dicom@hologic on the https://drftp.hologic.com SFTP server. For further assistance, contact Hologic Technical Support.

3.3

Site Settings Table Before installation, discuss the following information with personnel at the customer site. Record all network settings using the Site Settings Table on page 11.

•

SecurView allows the user to query/retrieve studies manually from DICOM-compatible PACS. You must obtain an AE title, IP address, and port number for the query/retrieve service on the PACS.

•

SecurView prints to a DICOM-compatible printer. Obtain IP addresses, AE titles, and ports for the site’s DICOM printer(s).

•

SecurView DX can be configured to send Notices to SecurView RT (Standalone(s) and/or Manager) and Hologic Acquisition Workstation/Advanced Workflow Manager. Conversely, the SecurView RT (Standalone(s) and/or Manager) can be configured to send Notices to SecurView DX. Record the AE title, IP address, and port number of each destination.

•

Obtain an IP address and AE title for the Standalone or Manager from the PACS administrator.

•

Obtain an IP address for each Client from the PACS administrator.

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•

Install Hologic Connect to provide remote access to the system. The system must have access to the Internet for Hologic Connect to be activated. Contact the site IT administrator to obtain a DNS Server address.

•

SecurView supports auto-fetching. This feature allows for automatic querying of the PACS upon arrival of new studies to determine if prior images exist that should be retrieved. This capability is important for sites that do not have an automated mechanism for pre-fetching and routing priors. Coordinate with the site to determine whether they want to enable this feature.

•

SecurView is capable of recognizing when incoming studies are screening or diagnostic. The Selenia Dimensions Acquisition Workstation (or other vendor digital mammography acquisition system) procedure names must be entered through the service interface. Prior to installation, collect a list of these procedure names exactly as they have been entered on the Selenia Dimensions Acquisition Workstation or other digital mammography acquisition system.

The following information pertains to the SecurView DX diagnostic workstation only:

•

SecurView DX can store Annotations, Tagged Tomo Slices, and study state information to a PACS as DICOM Grayscale Softcopy Presentation State (GSPS) objects, or Annotations and Tagged Tomo Slices as DICOM Secondary Capture images. Coordinate with the site to determine if they want to store this information on a PACS device.

•

Find out which format the customer prefers if there is a choice. (For example, if the PACS supports the storage of GSPS, do the PACS devices also support displaying GSPS?) Obtain the AE title, IP address, and port number for the PACS store service.

The following information pertains to SecurView systems with MultiView Multimodality (MM):

• •

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MultiView MM is run on SecurView Standalone/Client workstations. MultiView MM has its own DICOM AE Title and Port, but shares its IP Address and Computer Name with the SecurView Standalone/Client.

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