User Guide
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Voyager PACS User Guide © Voyager Imaging 2006 Issue 1 Issue 2 Issue 3
March 2005 May 2006 March 2011
This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission from Voyager Imaging. Requests and inquiries concerning reproduction and rights should be addressed to: Voyager Imaging A division of Intellirad Solutions Pty Ltd Level 1, 123 Camberwell Rd East Hawthorn VIC 3123 Australia
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Table of Contents BEFORE YOU BEGIN... I Intended use ... i Indications for use ... i Contraindications for use ... i Limited Warranty ... i Safety and effectiveness ... ii Placement of equipment ... ii Manufacturer’s recommendations ... ii Cleaning ... ii Wiring ... ii Care ... iii Product Support ... iv
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VOYAGER OVERVIEW ... 1-1 1.1
Teleradiology Mode ...1-2
1.2
Diagnostic Workstation Mode ...1-2
1.3
PACS ...1-3
1.4
Online Help ...1-5
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USING VOYAGER ... 2-1
3
2.1
Start Voyager ... 2-1
2.2
Work Centers ... 2-2
2.3
Worklist ... 2-3
2.4
Working with Studies ... 2-10
2.5
Viewing a Study ... 2-16
2.6
Manipulating images ... 2-23
2.7
Image Measurement & Annotation ... 2-39
2.8
System Configuration Options ... 2-47
2.9
Toolbar configuration ... 2-52
2.10
Shutting down the system ... 2-53
TELERADIOLOGY FUNCTIONS ... 3-1 3.1
Patient / Study ... 3-2
3.2
Scanning / Importing Images ... 3-6
3.3
Transmission ... 3-9
3.4
Viewing Pending Transmissions ... 3-13
3.5
Viewing the activity log ... 3-14
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A
B
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PICTURE ARCHIVING AND COMMUNICATIONS SYSTEM (PACS) ... 4-1 4.1
Voyager PACS Options...4-3
4.2
Using Voyager PACS Web Viewer ...4-8
4.3
User Administration using PACS Manager ...4-12
4.4
Voyager Integration ...4-15
APPENDIX A ... A-1 A.1
Using Windows ... A-1
A.2
Voyager Workstation Shortcut Keys ... A-8
APPENDIX B ... B-1 B.1
Glossary ... B-1
INDEX ... 1
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Before You Begin This manual contains procedures and information to help you use the Voyager PACS system. The Voyager PACS system allows you to obtain images in digital format from a variety of sources, manipulate and annotate the images, and transmit them over existing telecommunication networks. Intended use The Voyager system is intended to be used for reviewing and transmitting digital images, typically radiology and other telemedical images. Voyager is compatible with image sources that conform to the TWAIN and DICOM 3.0 standards. Indications for use Patient image data acquired using the Voyager system may be used as an aid in the diagnosis of a wide range of medical disorders. The interpretation of the images should only be performed by a suitably qualified practitioner. The Voyager system does not interpret any patient information. It is a digital image recording and transmission system. It is not directly or indirectly connected to a patient. Contraindications for use There are no known contraindications for the Voyager system. Limited Warranty Voyager Imaging warrants each new device to be free from defects in workmanship and materials under normal use and service for a period of twelve (12) months from the date of shipment. Voyager Imagings’ sole obligation under this warranty will be to repair or replace, at its option, products that prove to be defective during the warranty period. The foregoing shall be the sole warranty remedy. Except as set forth herein, seller makes no warranties, either Voyager PACS User Guide © Voyager Imaging 2010
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BEFORE YOU BEGIN expressed or implied, including the implied warranties of merchantability and fitness for a particular purpose. This warranty is not assignable.
Safety and effectiveness Interpretation of radiology images and subsequent diagnosis should only be performed by a qualified practitioner. The operator must be thoroughly familiar with the information contained in this User Guide before using the equipment. Placement of equipment Place the system components on a sturdy and level surface. Do not place any unit on the carpet. Do not operate the Voyager system near flammable or explosive gases or materials. Manufacturer’s recommendations For all third party equipment used with the Voyager system, follow all of the manufacturer’s recommendations and instructions. Be sure to read, understand and follow the instructions in this User Guide and any other documentation that comes with the system and its components. Cleaning Always disconnect the components from all electrical power sources when cleaning the Voyager system or any of its components. Wiring Keep children and pets away from the Voyager system. Children or pets could accidentally disconnect the equipment or cause other incidents.
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Care Do not drop the components of the Voyager system. If a component is dropped, discontinue using it until it is determined that the component can be safely operated. Contact Voyager Imaging Product Support or your authorised representative for assistance.
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BEFORE YOU BEGIN
Product Support If you have a question regarding the use of the voyager system and/or any of its components, first refer to this User Guide and the on-line documentation provided with the Voyager PACS software. If you are unable to find the answer to your query, contact Voyager Imaging Product Support on: Australia (03) 9811 9901 International (613) 9811 9901 or contact your authorised representative. If you make a call to Customer Support, please be close to the product so you can readily answer questions from Voyager Imaging trained technicians. When you call, please provide the following information:
A description of what happened and what you were doing when the problem occurred. A description of any attempts you made to fix the problem.
Repairs of equipment manufactured by Voyager Imaging under warranty or service contract must be made at authorised repair centres. If the equipment needs repair, contact the Service department at Voyager Imaging for a Fault Report Number. When calling, have the model and serial number of the particular device ready. Service items received without a Fault Report Number may be returned to the sender or remain unrepaired until such time as a report number is raised.
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If you need to ship the equipment, pack it carefully to prevent shipping damage. All accessories should accompany the equipment. Voyager Imaging A division of Intellirad Solutions Pty Ltd Level 1 123 Camberwell Rd East Hawthorn VIC 3123 Australia
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BEFORE YOU BEGIN
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Chapter
1 Voyager Overview
This chapter provides a brief introduction to the Voyager system and its modes of operation. The Voyager system consists of computer hardware and software (referred to in this guide as Voyager), and a combination of specialist image modalities that allows medical specialists to capture, diagnose, transmit and receive images such as X-Ray, CT-Scan, MRI and Ultrasound, using Internet, IP network, PSTN, ISDN or mobile telephone communications. Voyager systems can range in complexity from a single workstation connected to a scanner that operates all modes and performs all functions, to a network of workstations and servers designed to operate with a diverse range of modalities and archive devices over a number of different network configurations. Voyager offers several modes of operation, all using a common software application and user interface. These are:
Teleradiology Diagnostic Workstation Picture Archiving and Communications System (PACS) Scanning Station (part of PACS) Administration Station (part of PACS) CD/DVD Burn Windows Print Integration
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1-2 1.1
VOYAGER OVERVIEW Teleradiology Mode Teleradiology mode enables three main functions to be performed: Image acquisition Image transmission Image review This is to allow the operator to use Voyager to acquire images and documents from scanners, or images directly from DICOM compliant modalities attached to the Teleradiology Workstation. Then, using procedures described in Chapter’s 2 and 3 of this User Guide, the images and documents are collated into a study, which is then made available to the consulting radiologist for review and diagnosis, using procedures described in Chapter 4 (Softcopy Radiology Mode).
1.2
Diagnostic Workstation Mode Diagnostic Workstation Mode is primarily performed in the Study Review work center. It provides advanced image viewing and processing facilities to enable reporting to be performed and to assist in diagnosis. It enables these main functions to be performed:
Study Review Image Manipulation Image Annotation Reporting
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VOYAGER OVERVIEW 1.3
1-3
PACS Picture Archiving and Communications Systems (PACS) is the image archive, storage, management and distribution of patient images. Images are stored on a server, either centrally or in a distributed form, with images connected through TCP/IP protocol. This is a workgroup server and images can be shared and accessed concurrently, enabling concurrent reporting (i.e. workflow management) through Voyager workstations. Study state indicators ensure that each study is only reported once by a radiologist. Additionally, images on the PACS archive can be accessed through a web interface option of Voyager PACS. This allows images to be viewed within a hospital or clinic, or remotely via LAN/WAN or Internet, using Windows explorer software (version 6.0 or later).
1.3.1
Voyager PACS Client Station Voyager PACS client, as part of the Voyager Diagnostic provides the following additional features: Personal login Client – Server – review of images residing on Voyager archive server Concurrent reporting Includes all Teleradiology and Softcopy reporting
1.3.2
Voyager PACS Administration Station Voyager as a PACS Administration Station, provides the following functionality in support of the PACS system for a hospital or clinic:
Modify/correct Patient and Study data Delete studies on the PACS Archive Forward studies to other archives Print studies to film or paper
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VOYAGER OVERVIEW Voyager as a Document Scan Station Voyager as a Document scan station for the PACS allows increased workflow in a hospital or clinic through: Adding a referral or worksheet document to a study on a PACS archive.
1.3.4
PACS Administrator The PACS Administration module allows the system administrator to perform the following functions: Allows access to the PACS Administrative functions both locally and remotely through LAN/WAN and Internet Add, Edit and Delete system users. Set system controls and restrictions for users including; Visibility restrictions, password expiry, and access levels Setup and control system storage for images (lossless and lossy)
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1-5
Online Help Voyager software contains an Online Help System, which is available by pressing F1, clicking on the Help toolbar button, or clicking on the Help button (where available). You can also select Help Topics from the Help menu and select the Contents tab The Help system is intended as the primary source of information on how to operate the Voyager system. It contains descriptions of the various windows, dialogs and fields that make up the software, as well as procedural help to assist you perform various functions.
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VOYAGER OVERVIEW
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Chapter
2 Using Voyager
This chapter describes how to use Voyager Imaging effectively. 2.1
Start Voyager
Ensure that all peripheral devices are switched on before starting the PC. Turn the PC on. When Windows has finished booting up, log in, then doubleclick on the Voyager icon on the desktop.
The Software Dongle must be installed in order for the software to operate.
Figure 2-1: USB Software Dongle
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2-2 2.2
USING VOYAGER Work Centers The majority of Voyager‟s functions are performed from three main work centers:
The Worklist The Patient/Study Info Dialogue Box The Study Review Window Login
Initiate Studies Open Studies Import Studies Initiate Transfers View Outbox View Logs Set Options
Worklist
Record Patient Info Record Study Info Scan Images Scan Documents -
Initiate Studies Patient / Study Info
Review Studies Study Review
- Review Images & Documents - Manipulate Images - Annotate Images
Figure 2-2: Primary Voyager Work Centers All functionality is accessible through these areas. Which work center is accessed depends on which mode Voyager is used in at the time.
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