SecurView DX/RT Workstation User Guide Rev 001 Nov 2018

SecurView

®

Breast Imaging Workstation

User Guide Part Number MAN-05206-001 Revision 001 November 2018

Technical Support USA:

+1.877.371.4372

Europe:

+32 2 711 4690

Asia:

+852 37487700

Australia:

+1 800 264 073

All Other:

+1 781 999 7750

Email:

[email protected]

© 2018 Hologic, Inc. Printed in the USA. This manual was originally written in English. Hologic, Citra, C-View, EmphaSize, ImageChecker, Intelligent 2D, I-View, Mammography Prior Enhancement, MultiView, PeerView, Quantra, RightOn, SecurView, Selenia, TechMate 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 © 2002–2018 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 © 1999-2010 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 10.3 Workstation User Guide Table of Contents

Table of Contents 1: Introduction __________________________________________________________________1 1.1 1.2

1.3 1.4 1.5

1.6 1.7

Overview ... 1 Intended Use... 2 1.2.1 SecurView DX Intended Use... 2 1.2.2 SecurView RT Intended Use ... 2 Using This Guide ... 2 Resources Available... 3 Warnings and Precautions... 4 1.5.1 System Operation ... 4 1.5.2 Installation and Maintenance... 6 Product Complaints ... 7 Warranty Statement ... 8

2: Workstation Description _______________________________________________________9 2.1 2.2

2.3

2.4 2.5 2.6 2.7 2.8

Workstation Overview ... 9 SecurView DX Diagnostic Workstation ... 10 2.2.1 SecurView DX Standalone Systems ... 11 2.2.2 SecurView DX Multiworkstation Systems ... 12 SecurView RT Technologist Workstation ... 14 2.3.1 SecurView RT Standalone Systems ... 15 2.3.2 SecurView RT Multiworkstation Systems... 16 Functional Division in Multiworkstation Configurations... 18 User Groups and Passwords ... 18 Startup and Shutdown ... 20 Logging Into SecurView ... 21 Accessing Unique Device Identifier Information ... 22

3: Patient Manager _____________________________________________________________23 3.1 3.2

3.3 3.4 3.5

Opening the Patient Manager ... 24 Using the Patient List ... 25 3.2.1 Selecting Patients ... 25 3.2.2 Patient List Buttons ... 26 3.2.3 Patient List Columns ... 27 3.2.4 Reading States ... 29 3.2.5 Auto-Fetching Patient Data ... 30 3.2.6 Using the Shortcut Menu ... 30 3.2.7 Merging Patient Data ... 31 3.2.8 Searching for Patients ... 32 Creating Sessions ... 34 Importing DICOM Images ... 35 Synchronizing Patient List with MultiView ... 35

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4: Reviewing Patients ___________________________________________________________37 4.1

4.2

4.3

4.4

4.5

4.6

4.7

ii

Displaying Patient Studies ... 37 4.1.1 Patient List Worklists ... 37 4.1.2 Automatically Generated Worklists... 38 4.1.3 Session Worklists ... 39 4.1.4 MG Viewer ... 40 Displaying Patient Images ... 41 4.2.1 Navigating Patients ... 42 4.2.2 Using the Keypad ... 43 4.2.3 Using the Pie Menu ... 44 4.2.4 Using a ReportFlow ... 47 4.2.5 Patient Reading and Lock States During Review ... 47 4.2.6 Panning Images ... 48 4.2.7 Image Hangings ... 48 4.2.8 Temporary Single Tiling Mode ... 49 4.2.9 Intelligent Roaming ... 49 4.2.10 Scaling Modes ... 52 4.2.11 Pixel Meter ... 53 4.2.12 Stack and Timepoint Indicators ... 54 4.2.13 MammoNavigator ... 55 4.2.14 Image Information ... 57 4.2.15 Patient Information Overlays ... 58 4.2.16 MG Secondary Captures and MM ScreenCaptures ... 59 Visualizing Image Details ... 60 4.3.1 Magnifier and Inverted Magnifier... 62 4.3.2 AIE and the Magnifier Toolbar ... 64 4.3.3 Continuous Zoom ... 65 4.3.4 Window/Level and Gamma Adjustments... 66 4.3.5 Applying VOI LUTs ... 68 4.3.6 MPE Images ... 69 4.3.7 DICOM 6000 Overlays ... 70 4.3.8 CLAHE Image Enhancement ... 71 Using CAD ... 72 4.4.1 Displaying CAD Information... 72 4.4.2 Hologic ImageChecker CAD ... 72 4.4.3 Hologic Imaging Biomarkers ... 77 4.4.4 Switching Between Multiple Mammography CAD SRs ... 78 Creating and Viewing Annotations ... 78 4.5.1 Marking an Image... 79 4.5.2 Describing a Region of Interest ... 81 4.5.3 Viewing Annotations ... 82 Sending and Viewing Notices ... 84 4.6.1 Sending Notices ... 84 4.6.2 Viewing Notices ... 85 Closing a Study ... 86

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4.8 4.9

4.7.1 Closing a Study as a Radiologist ... 86 4.7.2 Closing a Study as a Technologist ... 88 4.7.3 Closing a Study from an External Application... 89 Printing Options... 89 Patient Synchronization with an External Application ... 91 4.9.1 Manual Synchronization ... 91 4.9.2 Automatic Synchronization ... 92 4.9.3 Synchronization When You Receive a Message ... 92

5: Working with Tomosynthesis Images __________________________________________93 5.1 5.2

5.3 5.4

Overview of Tomosynthesis Imaging ... 93 Navigating Tomosynthesis Images ... 95 5.2.1 Tomosynthesis Navigation Buttons ... 95 5.2.2 Viewing Tomosynthesis Slices or Slabs ... 97 5.2.3 Changing Slab Thickness ... 98 5.2.4 Annotating a Tomosynthesis Image ... 99 5.2.5 Using Cine Mode ... 99 5.2.6 Using Local Cine Mode ... 100 5.2.7 Focus... 101 5.2.8 Scrolling Through Linked Tiles ... 102 5.2.9 Exporting a Movie ... 103 Tagging Tomosynthesis Reconstructed Slices or Slabs ... 104 Printing Tomosynthesis Reconstructed Slices and Slabs... 105

6: Setting User Preferences _____________________________________________________107 6.1 6.2 6.3 6.4

Workflow Preferences ... 108 Image Presentation Preferences ... 110 Tools and Overlays Preferences ... 112 User Profile Preferences ... 115

7: Hanging Snapshots and ReportFlows _________________________________________119 7.1 7.2 7.3

7.4 7.5 7.6 7.7

Viewing ReportFlows ... 119 Viewing Hanging Snapshots ... 121 Creating and Modifying Hanging Snapshots ... 122 7.3.1 Creating New Hanging Snapshots ... 122 7.3.2 Copying and Editing a Hanging Snapshot ... 126 7.3.3 Renaming a Hanging Snapshot ... 126 7.3.4 Changing a Hanging Snapshot Icon ... 127 ReportFlows... 128 Linking a ReportFlow to a Procedure ... 130 Creating New ReportFlows ... 131 ReportFlows Preferences ... 134 7.7.1 Workflow Selection ... 134 7.7.2 Overview Hanging Configuration ... 135

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8: Administrator Tasks _________________________________________________________137 8.1 8.2 8.3 8.4

8.5 8.6 8.7

8.8

Opening the Administration Module ... 138 Managing User Profiles ... 139 Administrator User Profile ... 141 Configuring System-Level Settings ... 142 8.4.1 Scheduling ... 143 8.4.2 Disk Space Monitoring and Auto-Deletion ... 143 8.4.3 Auto-Fetching/Auto-Completion Configuration ... 146 8.4.4 Active Directory Setup ... 147 8.4.5 Study List Manager (SLM) Configuration... 149 8.4.6 Application Event Logging ... 150 8.4.7 Search on PACS... 152 8.4.8 Configure Synchronization Interface ... 152 8.4.9 Worklists ... 154 8.4.10 Date/Time Format and Units ... 154 8.4.11 Multimodality Viewer... 154 8.4.12 Double Reading for Studies ... 154 8.4.13 Sending Annotations, Tagged Tomo, Study State ... 155 8.4.14 Local Institution ... 156 8.4.15 Secondary Capture ... 156 8.4.16 Adoption of Institution Name and Address ... 157 Configuring System-Level Hanging Snapshots and ReportFlows ... 157 8.5.1 Current–Prior Time Range ... 157 Configuring Examination Procedure Names ... 158 Configuring Image Overlays ... 160 8.7.1 MG Viewer Image Overlay ... 160 8.7.2 MammoNavigator Overlay ... 161 8.7.3 Printing Image Overlay ... 161 Maintaining the Database ... 162 8.8.1 Backing Up and Restoring the Database ... 162 8.8.2 Scheduling Database Maintenance ... 163

9: Case Administrator Tasks ____________________________________________________165 9.1 9.2

Opening the Administration Module ... 165 Deleting Patients ... 166

10: Patient and ReportFlow Files ________________________________________________167 10.1 Exporting Currently Displayed Image Files ... 167 10.2 Exporting DICOM Files... 168 10.3 Importing and Exporting ReportFlows... 168 10.3.1 Importing ReportFlows from a USB drive to SecurView ... 169 10.3.2 Exporting ReportFlows from SecurView to a USB Drive ... 169

Appendix A Keyboard Shortcuts ________________________________________________171

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Appendix B Technologist’s Guide ______________________________________________173 Index ________________________________________________________________________175

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SecurView DX-RT 10.3 Workstation User Guide Chapter 1: Introduction

Chapter 1 Introduction 1:

• • • • • • •

Overview on page 1 Intended Use on page 2 Using This Guide on page 2 Resources Available on page 3 Warnings and Precautions on page 4 Product Complaints on page 7 Warranty Statement on page 8

This chapter provides an overview of Hologic SecurView® DX and RT workstations, with information about this guide, product support resources, and safety precautions.

1.1

Overview This guide provides instructions for operating the SecurView workstations:

• •

SecurView DX Diagnostic Workstation SecurView RT Technologist Workstation

In addition, this guide provides instructions for working with the following supplemental Hologic software applications:

• • • •

ImageChecker® Computer Aided Detection Quantra™ Breast Density Assessment Application Synchronization Study List Manager

For information regarding the Advanced Multimodality Option, refer to the SecurView Advanced Multimodality Option User Guide. SecurView workstations provide a dedicated softcopy review environment for diagnostic and screening mammography. The system user interface and workflow are optimized to support experienced mammography reviewers in high-volume reading. Efficiency and reading quality are supported by specialized features including:

•

Predefined Hanging Snapshots

• •

Best matching ReportFlow

• •

Patient Bar Code Scanner

• • •

Automatically generated worklists

Workflow keypad Individual user login and user preference settings Predefined standard views Support for double reading

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SecurView provides access to additional patient data:

•

MammoNavigator to support easy access to non-standardized image material such as additional views, mosaics, and scanned documents

•

Mammography CAD Structured Report (CAD SR) integration

• • •

Automatic synchronization with external applications Application event logging to support compliance with patient privacy policies Study List Manager adds non-local patients to patient list to facilitate automatic synchronization

United States federal law restricts this device to use by, or on the order of, a physician.

1.2

Intended Use

1.2.1

SecurView DX Intended Use The Hologic SecurView DX device is intended for selection, display, manipulation, filming, and media interchange of multimodality images from a variety of different modality systems. It also interfaces to various image storage and printing devices using DICOM or similar interface standards. The device used with FDA-cleared monitors may be used by a trained physician for display, manipulation and interpretation of lossless compressed or non-compressed mammographic images for screening and diagnostic mammography and digital breast tomosynthesis, as well as any other DICOM multimodality image. SecurView DX is typically used by trained professionals, including, but not limited to physicians, radiologists, nurses, medical technicians and assistants.

1.2.2

SecurView RT Intended Use The SecurView RT Technologist Workstation is a softcopy display system intended for viewing only and does not support diagnostic reading of mammography. It is capable of retrieving prior mammography images for display from PACS and other DICOM image storage systems.

1.3

Using This Guide This guide is organized as follows:

Page 2

•

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

•

Workstation Description on page 9 provides an overview of the SecurView workstations, including component descriptions. It also explains how to start up and shut down the system, and how to log in.

•

Patient Manager on page 23 explains the Patient List, which includes all patients, studies, and images currently in the SecurView database. The chapter also explains how to set up reviewing Sessions.

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1.4

•

Reviewing Patients on page 37 describes how to open patients for viewing, how to use the viewing and annotation tools, how to close studies, and printing options.

•

Working with Tomosynthesis Images on page 93 describes how to view and work with tomosynthesis images.

•

Setting User Preferences on page 107 explains how to define preferences for individual users.

•

Hanging Snapshots and ReportFlows on page 119 describes Hanging Snapshots and ReportFlows, how a Radiologist user can select specific ReportFlows for everyday use, and how to create new Hanging Snapshots and ReportFlows.

•

Administrator Tasks on page 137 describes system administrator tasks such as managing users, configuring system-level settings, and backing up/restoring the patient database.

•

Case Administrator Tasks on page 165 describes how the case administrator can delete patient data.

•

Patient and ReportFlow Files on page 167 provides procedures intended to support the technologist in managing patient and ReportFlow files.

Resources Available In addition to this guide, the following resources are available to assist you when working with SecurView workstations.

•

Training: For new systems, the Hologic Applications team provides remote in-depth training for radiologists and technologists. For additional personalized instruction, contact your Hologic representative.

•

Hologic Training Center: This website provides quick access to guides and training materials for Hologic products and is available at no charge to our customers under warranty or Hologic service contract. You can find the Training Center by visiting the Hologic website (www.hologic.com).

•

Additional Documentation: In addition to this guide, Hologic supplies the following documents for the SecurView workstations:

• • • • • •

SecurView DX/RT Workstation Release Notes SecurView DX Workstation Quality Control Manual SecurView DX/RT Workstation Installation & Service Manual SecurView Workstation DICOM Conformance Statements SecurView Advanced Multimodality Option User Guide SecurView Advanced Multimodality Option Installation & Service Manual

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The SecurView User Guide and Advanced Multimodality Option User Guide are available online by clicking the Help icon on the SecurView workstation toolbar. You can obtain additional copies of printed guides and manuals through your Hologic representative. The DICOM Conformance Statements are available at www.hologic.com.

•

1.5

Technical Support and Service: For information, see the title page of this guide.

Warnings and Precautions 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. Before using the SecurView system, read the following warnings and precautions.

1.5.1

System Operation Warning: The system is intended for use only by personnel who have read this guide and received training on how to use the system. Hologic does not accept responsibility for injury or damage associated with improper or unsafe system operation. Warning: If Administrative users access the operating system or file system other than as instructed in this guide or by Hologic trained personnel, system corruption or changes that render the system unusable could result.

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Warning: Use the system only outside the patient environment. The system is rated for use only in an office environment. Warning: The symbol next to the power connector indicates a potential shock hazard. To reduce the likelihood of electrical shock or fire hazard, connect the computer only to a power receptacle that is grounded properly and provides voltage and current within the specifications of the system. Warning: Do not place liquid containers on the device. In the event of a spill, shut down power to all components prior to cleaning to minimize the possibility of electrical shock. If internal components are exposed to liquid, do not operate the device – contact your service representative. Caution Always shut down the computer according to the procedures provided in this guide. Improper system shutdown can cause loss of data or damage to the computer operating system. Important For proper system operation, the technical quality of the images (e.g., contrast) should be acceptable to the mammographer and meet the requirements of the Mammography Quality Standards Act (MQSA) or the appropriate national standards. Important The device design and mode of operation are consistent with current standard mammography clinical practices, as governed by the MQSA. Users are advised to comply with the MQSA for the United States, or the appropriate national standards, when implementing the SecurView application in clinical protocols. Important When reviewing images from a full-field digital mammography (FFDM) device, adhere to the guidelines of the American College of Radiologists (ACR). To ensure optimum display of diagnostic information, review each image with the View Actual Pixels scaling mode. When displaying images using a fractional Image Size zoom factor larger than one, SecurView enlarges the original images by interpolating pixel values between the source pixels. The pixel characteristics in the enlarged images may differ from the original image pixels. For information on the scaling modes, see Scaling Modes on page 52.

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Important To assure optimal performance of SecurView high-resolution displays, follow the recommended quality control procedures. Perform all quality control tests at the prescribed frequencies as required under national regulations. Important This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction guide, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference, in which case the user will be required to correct the interference at the user’s expense. Important SecurView workstations are intended for use as image reviewing workstations only. The workstations are not intended to be used for archiving image data or to be used as an image archive. For permanent archiving of patient images and records, use a PACS.

1.5.2

Installation and Maintenance Warning: To connect primary power to the system, always use a three-conductor grounded power cable that meets local regulatory standards. Use of a twoprong adapter disconnects the utility ground and creates a severe shock hazard. Warning: SecurView workstation computers are heavy! If you have concerns about lifting or positioning the computer, request assistance. Warning: Before cleaning the system components, always shut down the system according to the procedures in this guide and disconnect power cords to prevent electrical shock. Never use alcohol, benzene, thinner, or other flammable cleaning agents. Caution This product contains no user-serviceable parts.

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Caution Maintain equipment in a well-ventilated, air-conditioned environment that meets the temperature and humidity specifications provided in the product service manual. Caution Do not attempt to install or repair the SecurView system yourself. Only trained personnel, authorized by Hologic, are qualified to install or repair the system. Caution Disconnect the power cord before moving or servicing. Caution Install the system behind the institution firewall for network security and antivirus protection. Hologic provides no computer virus protection or network security for the system. If antivirus software is required, visit the Hologic website for information on Hologic’s cybersecurity program and antivirus software installation guidance.

1.6

Product Complaints Any healthcare professional who has complaints or is dissatisfied with the quality, durability, reliability, safety, effectiveness, and/or performance of this product should notify Hologic. If there is reason to believe the device caused or contributed to a serious injury of a patient, notify Hologic immediately by telephone, fax, or written correspondence.

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1.7

Warranty Statement Except as otherwise expressly stated in the Agreement: i) Equipment manufactured by Hologic is warranted to the original Customer to perform substantially in accordance with published product specifications for one (1) year starting from the date of shipment, or if Installation is required, from the date of Installation (“Warranty Period”); ii) digital imaging mammography x-ray tubes are warranted for twenty-four (24) months, during which the x-ray tubes are fully warranted for the first twelve (12) months and are warranted on a straight-line prorated basis during months 13-24; iii) replacement parts and remanufactured items are warranted for the remainder of the Warranty Period or ninety (90) days from shipment, whichever is longer; iv) consumable Supplies are warranted to conform to published specifications for a period ending on the expiration date shown on their respective packages; v) licensed Software is warranted to operate in accordance with published specifications; vi) Services are warranted to be supplied in a workman-like manner; vii) non-Hologic Manufactured Equipment is warranted through its manufacturer and such manufacturer’s warranties shall extend to Hologic’s customers, to the extent permitted by the manufacturer of such non-Hologic Manufactured Equipment. Hologic does not warrant that use of Products will be uninterrupted or error-free, or that Products will operate with non-Hologic authorized third-party products. These warranties do not apply to any item that is: (a) repaired, moved, or altered other than by Hologic authorized service personnel; (b) subjected to physical (including thermal or electrical) abuse, stress, or misuse; (c) stored, maintained, or operated in any manner inconsistent with applicable Hologic specifications or instructions, including Customer’s refusal to allow Hologic recommended Software upgrades; or (d) designated as supplied subject to a non-Hologic warranty or on a prerelease or “as-is” basis.

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SecurView DX-RT 10.3 Workstation User Guide Chapter 2: Workstation Description

Chapter 2 Workstation Description 2:

• • • • • • • •

Workstation Overview on page 9 SecurView DX Diagnostic Workstation on page 10 SecurView RT Technologist Workstation on page 14 Functional Division in Multiworkstation Configurations on page 18 User Groups and Passwords on page 18 Startup and Shutdown on page 20 Logging Into SecurView on page 21 Accessing Unique Device Identifier Information on page 22

This chapter describes the workstation models, how they interact with each other, and how they interact with other devices in the clinical environment. It also explains how to start up and shut down the system, and how to log in.

2.1

Workstation Overview Hologic offers the following SecurView workstations: SecurView DX Diagnostic Workstation – Used by radiologists to review medical images for screening and diagnostic mammography and digital breast tomosynthesis. SecurView DX workstations can be installed as Standalone workstations or several of them can be configured as Client workstations that share a central database on a SecurView DX Manager. SecurView DX Manager – Provides central database access and performs the image preparation for all connected SecurView DX Client workstations. SecurView RT Technologist Workstation – Used by technologists to review images for reference purposes. SecurView RT workstations can be installed as Standalone workstations or several of them can be configured as Client workstations that share a central database on a SecurView RT Manager. SecurView RT workstations are used primarily in sites with Hologic Selenia FFDM systems. Note SecurView RT TechMate is no longer supported for version 9.0 or later. SecurView RT Manager – Provides central database access and performs the image preparation for all connected SecurView RT Client workstations.

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2.2

SecurView DX Diagnostic Workstation Physicians use SecurView DX diagnostic workstations to review medical images for screening and diagnostic mammography and digital breast tomosynthesis. SecurView DX Standalone Systems on page 11 SecurView DX Multiworkstation Systems on page 12 SecurView DX provides a patient browser with query/retrieve functionality for access to patient data, review and annotation of patient images, display of Mammography CAD SR results, and workstation administration and user settings. A SecurView DX Standalone or Client workstation consists of:

• •

A wide-screen diagnostic grayscale or color display (or two portrait displays)

• • • •

Computer with Microsoft Windows, keyboard, and mouse

One or two optional lower-resolution displays for the Advanced Multimodality Option, MultiView™ MM software option, Patient Manager, and/or external applications SecurView workflow keypad with trackball (optional) Bar Code Scanner (optional, not shown) Uninterruptible Power Supply (UPS) (optional, not shown)

Note The Advanced Multimodality and MultiView MM Options enhance the softcopy reading environment of the SecurView DX workstation. You can use one or two additional displays to display the Advanced Multimodality Option, the MultiView MM option, the Patient List, and/or an approved external application (with Application Synchronization installed).

SecurView DX Diagnostic Workstation

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2.2.1

SecurView DX Standalone Systems When installed as a Standalone system, each SecurView DX workstation provides a full complement of workstation functions:

• •

Temporary storage of current patients

• •

Reviewing and annotating patient images

• • • •

DICOM connectivity

Patient Manager for browsing patients Query and retrieval of patient studies from PACS Database with configurable system settings and user preferences Images prepared for display Storage and display of Mammography CAD SRs

The following diagram shows how images originating from the acquisition workstation flow to the Standalone SecurView DX workstation. After reviewing images at the SecurView DX workstation, any Annotations (physician markings with descriptions) are automatically stored in the SecurView database and sent to all configured destinations.

Information Flow with a Standalone SecurView DX Workstation

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2.2.2

SecurView DX Multiworkstation Systems One SecurView DX Manager supports two or more SecurView DX Client workstations as needed, depending on patient volume and workflow requirements. The Manager consists of:

•

Landscape display

• •

Computer with Microsoft Windows, keyboard, and mouse UPS (not shown)

The SecurView DX Manager provides the central SecurView database for its cluster and performs image preparation for all connected SecurView DX Client workstations. The Manager acts as the DICOM entity for a multiworkstation cluster and is responsible for receiving DICOM images. A multiworkstation cluster acts as a single DICOM entity.

SecurView DX Manager The following diagram shows how images originating from the acquisition workstation flow to the SecurView DX Manager. After reviewing images at the SecurView DX workstation, any Annotations (physician markings with descriptions) are automatically stored in the Manager database and sent to all configured destinations.

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