Operation Manual. Canon CXDI-1 System Digital Radiography

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1 Canon CXDI-1 System Digital Radiography Operation Manual Before using the instrument, be sure to read this manual thoroughly. Also, read the manuals of other instruments in this system. Keep the manual where it is easily accessible.

2 PLEASE NOTE 1. Roentgenography, image processing, reading of images, and storage of data must be performed in accordance with the law of the country where the product is being used. Also, the user is responsible for maintaining the privacy of image data. 2. In no event will Canon be liable for direct or indirect consequential damage arising out of the use of this product. Canon will not be liable for loss of image data due to any reason. Microsoft and Windows are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Ethernet is a trademark of Xerox Corporation. Swiss 721 is a trademark of Bitstream Inc. Swiss 721 is copyright Bitstream Inc., and have been licensed to Canon Inc. TrueType is a trademark of Apple Computer. Other systems and product names in this manual are the trademarks of each manufacturer that developed them. This software is based in part on the work of the Independent JPEG Group. The word DEP used in this manual is an abbreviation of Display Enhancement Processing. CANON INC All rights reserved. Under copyright laws, this manual may not be reproduced, in whole or in part, without the written permission of Canon.

3 Contents Starting Up/Shutting Down Starting Up/Shutting Down the CXDI Starting Up the CXDI Turn ON the Power Welcome Message Exposure Screen Display Shutting Down the CXDI To Shut Down the CXDI To Restart the CXDI... 6 Exposure and Output Taking an Image Entering Patient Data Entering Data from the Operation Panel Acquiring Data from a Magnetic Card Reader (optional unit) Acquiring Data by HIS/RIS or from a Database File Selecting and Changing the Exposure Mode Selecting an Exposure Mode Changing Generator Parameters after Exposure Mode Selection Taking an Image Starting Exposure Cancelling the Exposure Displays after Exposure Operations from the Exposure Ready Condition Operations from the Exposure Ready Condition Selecting Image Output Destination END STUDY Output Control (Process Viewer)...31 Viewing the Images Browsing Images (Preview Image Screen) Displaying the Preview Image Screen Available Operations in the Preview Image Screen Selecting Image Output Destination Rejecting a Bad Image Retaking an Image... 41

4 Contents 5. Viewing Multiple Images (Multi-View Screen) Displaying the Multi-View Screen Available Operations on the Multiview Screen Window Operations Changing the Output Order Rejecting a Bad Image Checking Images on the Preview Image Screen Multi-Format Output Choosing Multi-Format before the Exposure Choosing Multi-Format after the Exposure Browsing Completed Studies (Study List) Displaying the Study List Customizing the Study List Outputting Study Images Deleting the Image(s) Deleting All the Images Selecting and Deleting Study Images Reproducing the Image(s) Resending the Image Resending the Study Images Processing the Image Processing the Image (QA Mode Screen) Displaying the QA Screen Operations Available on QA Screen Adjust TRIM and Adjust ROI Trimming the Image Changing the Density Adjustment Area LUT AUTO ADJUST REX ADJUST EDGE ENHANCE DEP (Display Enhancement Processing) POSITION Changing the Trim Changing Marks Change Laterality Information ANNOTATION Fixed Annotation Free Annotations Adding free annotations Modifying free annotations... 88

5 Contents 7.9 CORRECT PROC Setting the Dosage-Dependent Sharpness Adjustment Setting SUPPRESS GRID Processing Setting COLLIMATION MASK Processing Function Magnified Image Screen Option Setting Image Compression GAMMA Adjustment CXDI Adjustment Calibration Setting the Parameters Performing Calibration Self test Self test using a sensor unit with a removable grid unit Self test using the sensor unit with a grid unit which cannot be removed (CXDI-40G COMPACT) Troubleshooting Before Calling a Service Engineer Fatal Error Alert Error Warning Attention Questions and Answers Display of Exposure Screen Entering/Changing Data Settings Exposure Image Output

6 Contents Appendix A. Logging in (User Authentication Function) A.1 User Authentication Function A.2 Login A.3 Logout A.3.1 Performing Manual Logout A.3.2 Auto Logout B. Using the Rejection Reason Input Function B.1 Rejection Reason Input Function B.2 Operations during Study B.2.1 Rejecting an Image During a Study B.2.2 Entering the Rejection Reason during Retake B.2.3 Changing the Rejection Reason During a Study B.2.4 Cancelling a Rejected Image During a Study B.3 Operations after a Study is Completed B.3.1 Cancelling a Rejected Image and Outputting Again B.3.2 Rejecting an Image and Outputting Again B.3.3 Changing the Rejection Reason and Outputting Again C. Using the Sensor Unit Attach/Detach Function C.1 Attach/Detach Function of the Sensor Unit C.2 Detaching the Sensor Unit C.3 Connecting a Detached Sensor Unit D. Turning the Power of the Power Box On/Off D.1 Using On/Off for the Power of the Power Box D.2 Turning the Power of the Power Box On/Off Index

7 Notation Notation 1 Buttons that change names when touched are indicated in the text by [Button1]/[Button2]. Example: Two types of gray scale adjustments are available: auto adjustment and REX adjustment, and the type can be selected using [AUTO ADJUST.]/[REX ADJUST.]. Operation: The REX adjustment screen is displayed when [AUTO ADJUST.] is touched, and the auto adjustment screen is displayed when [REX ADJUST.] is touched. Notation 2 [AUTO ADJUST.] (left) and [REX ADJUST.] (right) Buttons that do not change names when pressed, but switch between normal and highlighted (white character) displays indicate that a function has been enabled. Example: Each time you touch [EDGE ENHANCEMENT] the button switches between a highlighted display (white characters) and a normal display, edge enhancement adjustments are enabled when highlighted. Operation: When [EDGE ENHANCEMENT] is highlighted (white characters), edge enhancement adjustments are enabled and can be performed for the image. Screen appearance when edge enhancement is disabled (left) and when edge enhancement is enabled (right)

8 Notation Notation 3 Button names are indicated by [Button1]>, [Button2]>, [Button3] and so on when they are touched in order. Example: On the exposure screen, touch [SYSTEM] > [SETUP MENU] in this order. Operation: Touch [SYSTEM] on the first screen, and then touch [SETUP MENU] on the next screen. Touch [SYSTEM] (left), and then touch [SETUP MENU] (right). Notation 4 When a more detailed explanation for an operation or setting is presented on another page, the chapter is indicated by ( page number). Note that when Setup Guide is written, please refer to the separate Setup Guide. Example: Touch [PRINT SETTING] ( Setup Guide). Description: Printer settings are provided in detail in the Setup Guide. Notation 5 When an operation or description in a chapter continues from an odd-numbered page to an even-numbered page, Continued on the following page >> appears at the bottom right of the odd-numbered page. Notation 6 This operation manual assumes the use of a touch panel. If using a mouse, replace the expression touch with click.

9 Starting Up/Shutting Down 1. Starting Up/Shutting Down the CXDI

10 Notes on Starting Up/Shutting Down the CXDI When Turning OFF the Power Never turn OFF the power during the shutdown process. This may result in hardware failure or loss of data. 2

11 1. Starting Up/Shutting Down the CXDI 1.1 Starting Up the CXDI Turn ON the Power Turn ON the power while referring to the hardware manual. When the [LOGIN] screen appears Depending on the installation setup by a service engineer, the LOGIN screen ( page 131) may be displayed when the CXDI is started up. Input the user name and password, then touch [OK] Welcome Message 1 The welcome message appears. Note, this message will only appear if the check box ( ) next to Show next time was selected the last time the power was turned OFF, or if HELLO DIALOG ( Setup Guide) is set to [DISPLAY]. Welcome Message Window 2 Close To disable displaying the Welcome message at start-up If you do not want the welcome message to appear the next time you use the equipment, touch the check box ( ) to clear it. the welcome message. Touch [CLOSE] to close the welcome message. 3

12 1. Starting Up/Shutting Down the CXDI Exposure Screen Display There are two types of exposure screen: tray type and category type. The exposure screen can be switched depending on the setting ( Setup Guide). The tray type screen displays the exposure modes that you use most frequently, and the category type screen displays all available exposure modes for each area to be imaged. (An example screen shot is shown below. Note that some items may not appear depending on the user settings and other conditions.) Exposure condition parameters (*3) Progress bar (*4) Message area (*1) Patient data area Output indicator PATIENT button [ERR] (Error button) SYSTEM button Study description button Image display area (Density adjustment area) Sensor unit button Exposure modes on a tray Tray Type Screen CHANGE button Preview image buttons MULTI VIEW button Sending images after exposure DESTI. PREF. button Present date and time Exposure conditions parameters (*3) Patient data area PATIENT button Progress bar (*4) Message area (*1) Output indicator [ERR] (Error button) SYSTEM button Study description button Category tabs Sensor unit button Logout (*2) Tab scroll button Category Type Screen CHANGE button Preview image buttons MULTI VIEW button Sending images after exposure DESTI. PREF. button Exposure modes on a tray Present date and time *1 A unique ID issued by the CXDI system ( S:xxx... and/or I:yyy... ) is displayed in the message area. *2 Depending on the installation setup, it may not be displayed. *3 Bucky msec (bucky time) is displayed only with sensor units CXDI-11, CXDI-12 and CXDI-22. *4 The progress bars are displayed when using a sensor unit which has a direct Ethernet connection to a PC. 4

13 1. Starting Up/Shutting Down the CXDI 1.2 Shutting Down the CXDI NOTE: NOTE: Never turn off the power during the shutdown process. This may result in hardware failure or loss of data. Be sure to turn off the power once a day, and conduct an inspection based on the procedure in the hardware manual To Shut Down the CXDI 1 Display the system screen. Touch [SYSTEM] on the exposure screen. 2 Select the shutdown method. Select [SHUTDOWN] or [SHUTDOWN after trans] from the shutdown menu. A window will open and the confirmation message Are you sure you want to shutdown the system? will be displayed. Touch [OK]. 3 Turn Difference between [SHUTDOWN] and [SHUTDOWN after trans] Touching [SHUTDOWN] will shut down the system immediately. If images were being output at that time, output will resume after the power is next turned ON. Touching [SHUTDOWN after trans] will shut down the system after output of all the images is complete. However, if an error occurs during output, the system will shut down at that point. off the power. A window opens with the message It is now safe to turn off the power. Refer to the hardware manual, and turn OFF the power. Depending on the type of hardware used, the power may turn OFF automatically after the message appears. 5

14 1. Starting Up/Shutting Down the CXDI To Restart the CXDI Restart the system if restarting is required after changing settings, etc. 1 Display the System screen. Touch [SYSTEM] on the exposure screen. 2 Select CXDI RESTART. Touch [CXDI RESTART]. A window will open and the confirmation message Do you want to restart the CXDI? will be displayed. Touch [OK]. 6

15 Exposure and Output 2. Taking an Image 3. Output Control (Process Viewer)

16 Notes on Exposure and Output When Using a Magnetic Card Reader (optional unit) 1. Advance setting by a service engineer is required to use the magnetic card reader. 2. Be sure to insert the magnetic card facing the correct direction, otherwise the magnetic card reader may be unable to read the data on the card. Also, do not allow cards to become dirty, damaged or deformed, as this may result in reading errors. 3. If patient data is entered without selecting [END STUDY] when an image is present, that image will be automatically output. When Acquiring Patient Data by HIS/RIS or from a Database File, etc. Advance setting by a service engineer is required. During Exposure 1. Before an exposure, check if the patient name and ID match with ones on the exposure screen. 2. The LANMIT sensor in the sensor unit will be gradually depleted if the camera is left in the READY condition. Therefore, touch [CANCEL] or [END STUDY] to cancel the exposure. 3. Never press the exposure button on the x-ray generator while you are performing operations from the operation unit. This may result in freezing the system, and data may be lost. 4. Never press the exposure button on the x-ray generator when READY is not indicated in the message area. 5. After x-ray exposure, do not perform any operation from the operation unit or enter patient data from an external device until the exposure screen, preview image screen, magnified image screen, or QA mode screen is displayed. Doing so may result in freezing the system, and data may be lost. Note When Selecting [CANCEL] After selecting [CANCEL], do not operate the operation unit until the message Enter Patient Data is displayed in the message area. Initiating operation before this message appears may result in an operation error. When Outputting an Image If you wish to use an external storage medium, settings must be changed by the service engineer. 8

17 2. Taking an Image NOTE: The LANMIT sensor in the sensor unit will be gradually depleted if the camera is left in the READY condition. Therefore, touch [CANCEL] or [END STUDY] to cancel the exposure. When the CXDI starts up, the exposure screen (tray type screen or category type screen) is displayed. Exposure Screen (Category Type Screen) CXDI exposure starts from this exposure screen. Basically, all you have to do to take an image is enter patient data and then select an exposure mode. The taken image will appear and can be checked on the operation unit. Preview Image Screen The following pages describe the exposure modes and methods for viewing and outputting images. 9

18 2. Taking an Image Flow of Operation for Taking Images 2.1 Entering Patient Data CANCEL 2.2 Selecting and Changing the Exposure Mode CANCEL RETAKE 2.3 Taking an image Exposure Display Preview Image Retake Preview Image No Display of Preview Image Next exposure without changing patient data 2.4 Operations from the Exposure Ready Condition END STUDY Next exposure after changing patient data 2.5 END STUDY 10

19 2. Taking an Image 2.1 Entering Patient Data Patient data can be entered from the operation unit, a magnetic card reader, or a database file. In addition, 2.1 Entering Patient Data ( page 11) and 2.2 Selecting and Changing the Exposure Mode ( page 15) may be performed in any order Entering Data from the Operation Panel 1 Display the software keyboard. Touch [PATIENT] on the exposure screen. Software Keyboard (Alphabet) 2 Enter 3 Enter 4 Enter 5 Select Switching the software keyboard input Touch [NUM] for numerical input, or [ALPHA] for alphabet input. Also, touch [Caps] to select between upper case and lower case alphabet letters. the name. (Optional depending on the setting) Touch the frame to display the cursor and enter the name in 63 or fewer alphanumeric characters. the ID. (Required) Touch the frame to display the cursor and enter the ID in 32 or fewer alphanumeric characters. the accession number. (Optional depending on the setting) Touch the frame to display the cursor and enter the accession number in 16 or fewer alphanumeric characters. (Depending on the installation setup by a service engineer, it may not be possible to enter the accession number.) patient s sex. (Optional depending on the setting) Touch [MALE], [FEMALE] or [OTHER]. Continued on the following page >> 11

20 2. Taking an Image 6 Enter the patient s birth date. (Optional depending on the setting) Touch the Year, Month, and Day frames, and enter the patient's birth date. When you touch the Year frame, you can select either A.D. or LOCAL CALENDAR for the year format. Software Keyboard (Numeric) Automatic patient age calculation When the birth date is entered, the age of the patient will be calculated and displayed automatically in the Age field if Automatically Calculate Age in PATIENT INFO. ( Setup Guide) has been set to [CALC]. If the patient is less than one year old, the age will be displayed as 0. Directly entering the patient s age Depending on PATIENT INFO. settings ( Setup Guide), the patient s age can be entered directly without entering a birth date. Touch the Age field, move the cursor, and enter the patient s age. Note, however, that if Automatically Calculate Age has been set to [DON T CALC], an inconsistency may arise between the birth date entered and the patient s age. 12

21 2. Taking an Image 7 Change the study information as necessary. Touch [STUDY INFO.]. The study information screen appears. Touch the frame for each item to display the software keyboard, change the setting and touch [OK]. Note that if the study is ended without saving the changes, the changes will be discarded and the settings will return to the original contents. Study Information Screen Study information saved during study When new values other than the study description are entered at the study information screen during the study, the entered values will be automatically saved by touching [OK] and quitting the study information screen. 8 Finalize [STUDY INFO.] display conditions [STUDY INFO.] for choosing study information is displayed when any item in the [STUDY INFO.] screen ( Setup Guide) is set to [ENABLE] or when the user authentication function ( Setup Guide) is activated. the patient data. Touch [OK]. However, the exposure screen does not appear in the following cases even if [OK] is selected. When items set to [ESSENTIAL] in STUDY INFO. have not been entered, or when [Automatically show study data input screen] has been selected, the study information screen will appear instead. When items set to [ESSENTIAL] in ESSENTIAL DATA have not been entered, a warning message will appear. To change patient data Touch [PATIENT] on the exposure screen to correct patient data, or [CANCEL] to clear the data that has been entered. 13 Continued on the following page >>

22 2. Taking an Image 9 Select the Study Description. Touch the Study Description button located on the left side of the screen. A window will open, so select a study description from the list. Study Description Window Study Description button display When study description is set to [ENABLE] in [STUDY INFO.] ( Setup Guide), the study description will be constantly displayed in the exposure screen, or it will appear after the patient data has been entered Acquiring Data from a Magnetic Card Reader (optional unit) Please contact your Canon representative or distributor Acquiring Data by HIS/RIS or from a Database File Please contact your Canon representative or distributor. 14

23 2. Taking an Image 2.2 Selecting and Changing the Exposure Mode Selecting an Exposure Mode 1 Select the sensor unit. If multiple sensor units can be used, first select a sensor unit by touching that sensor unit button. 2 Touch Case when exposure mode is selected automatically When AUTO-PRESS ( Setup Guide) has been set to [ENABLE], the sensor unit and exposure mode will be selected automatically when the patient data is entered. the required exposure mode button on the tray. On the category type screen, touch the category tab of the category in which the required exposure mode is found. If there are six or more categories, use or to scroll through them. Continued on the following page >> 15

24 2. Taking an Image When the parameter changing screen appears automatically When the parameter change screen in DISPLAYING PARAMETER CHANGE/QA SCREEN DURING EXPOSURE ( Setup Guide) is set to [VALID], the parameter changing screen (figure below) will appear. Refer to Changing Generator Parameters after Exposure Mode Selection ( page 18) and change the parameters. When print settings need to be changed The printing method is registered in exposure mode, so when the printer parameters or other settings have changed, a window will open and the message Printer settings have changed. Set the printer settings again. will appear. Touch [OK] to open the print setting window ( Setup Guide) and change the settings as required. When a warning message concerning the grid appears If the grid of the sensor unit is replaceable, it is possible to register whether to display the grid warning message for each exposure mode when editing the mode ( Setup Guide). If WARNING MESSAGE ON GRID has been set to [VALID] and the currently installed grid differs from the recommended grid, a window will open (figure below) and the recommended grid name (or YES/NO) will appear. Touch [OK] to replace the grid with the recommended grid, or attach/detach the grid as required. 16

25 2. Taking an Image 3 Check to make sure the system is ready for exposure. When the system is ready for exposure, the message area turns green and READY will appear in the message area. On the tray type screen, the image display area also turns green. Exposure Screen (Tray Type) Changing the Exposure Mode If you have selected the wrong exposure mode, touch the correct button again to select the correct exposure mode. 17

26 2. Taking an Image Changing Generator Parameters after Exposure Mode Selection 1 Display the parameter changing screen. Touch [CHANGE] on the exposure screen. 2 Select 3 Set Parameter Changing Screen the tab. Touch the tab containing the parameters to be changed. the parameters. Refer to Setup Guide and change the parameters. 4 Save If the values of the parameters do not change successively If [ENABLE] has been selected in PARAMETER TABLE ( Setup Guide), only the values set there will be available as options. the parameters as necessary. To save the current conditions as default parameters for the chosen exposure mode, touch [SAVE PARAM]. 5 Return Entering a password If a window opens and password entry ( Setup Guide) is requested, touch the password frame to display the Password screen and enter the password. to the exposure screen. Touch [OK]. 18

27 2. Taking an Image Changing the exposure parameters on the tray type screen On the tray type screen, the exposure parameters can also be changed by using and. They can also be changed by touching the parameter frame and entering the value from the ten key or parameter table. Parameter Table NOTE: If the sensor unit has been attached or removed on the exposure screen after changing parameters and the parameter changing screen, the values of generator parameters that have been changed will be lost and the READY condition of the exposure screen will be canceled. Note, however, that if [SAVE PARAM] has been applied for changed values, values changed will be loaded when selecting the exposure mode. 19

28 2. Taking an Image 2.3 Taking an Image Starting Exposure NOTE: NOTE: NOTE: NOTE: Never press the exposure button on the x-ray generator while you are performing operations from the operation unit. This may result in freezing the system, and data may be lost. Never press the exposure button on the x-ray generator when READY is not indicated in the message area. After x-ray exposure, do not enter patient data from the operation unit or from an external device until the exposure screen, preview image screen, magnified image screen, or QA mode screen is displayed. Doing so may result in freezing the system, and data may be lost. If the grid unit is detachable, make sure the patient does not remove it from the sensor unit during exposure. 1 Position 2 Press the patient. Position the patient such that the area to be imaged is within the exposure area of the sensor unit. As necessary, take a means to keep the patient still. the exposure button. Press the exposure button of the x-ray generator when the patient is correctly positioned and READY is displayed on the touchscreen. A progress bar will be displayed in the message area, and the image will be transferred from the sensor unit. Operation buffer function If using sensor unit which has a direct Ethernet connection to a PC, when the sensor unit button, [END STUDY] or [SEND] is touched while the progress bar is displayed in the message area, that operation will be executed after the image has been completely transferred. In this case, the progress bar will be displayed in the center of the screen. However, when the exposure mode, [PATIENT] or [CHANGE] is touched while the progress bar is displayed in the message area, these operations can be performed as usual. 20

29 2. Taking an Image 3 Check the image. The screen will return to the exposure screen and the system will enter the exposure ready condition ( page 25). However, note that the magnified image screen, QA screen or preview image screen may be displayed depending on the settings. Magnified image screen ( page 92) When AUTO DISPLAY in MAGNIFY SETTING window ( Setup Guide) is set to [DISPLAY], the magnified image screen will appear. QA Mode Screen ( page 65) Magnified Image Screen When QA Screen in DISPLAYING PARAMETER CHANGE/QA SCREEN DURING EXPOSURE ( Setup Guide) is set to [VALID], the QA mode screen will appear. QA Mode Screen 21 Continued on the following page >>

30 2. Taking an Image Preview Image Screen ( page 35) When Preview image ( Setup Guide) is set to [DISPLAY], the preview image screen will appear. Preview Image Screen REX check It is recommended that the REX ( page 73) always be checked, as it may be very different from the normal value if you have performed an exposure without changing the settings of the x-ray generator after performing calibration, or when the settings of x-ray generator is wrong. Also, if EXPOSURE REX CHECK ( Setup Guide) is set to enable, a message will appear when the REX exceeds the range that has been set Cancelling the Exposure Touch one of the following buttons. [CANCEL] The system will return to 2.1 Entering Patient Data ( page 11). [END STUDY] Output of images already taken will start, and the system will return to 2.1 Entering Patient Data ( page 11). Depending on the installation setup by a service engineer, the IMAGE DESTINATION window may open automatically when you touch [END STUDY]. ( page 27) [CANCEL RETAKE] (When retaking an image) A window will open and the message Retaking will be canceled. To retake, select [RETAKE] on Preview-screen. To take another image, select an exposure mode. will be displayed. Touch [OK]. Proceed to 2.4 Operations from the Exposure Ready Condition ( page 25). 22

31 2. Taking an Image Displays after Exposure If the message QA Process Error or REX Warning appears An error window may open after exposure due to an improper x-ray dose, etc. Follow the procedure below to perform image processing or to retake the image. 1 Close 2 Display 3 Perform the window. Touch [OK]. the image. QA Process Error Refer to 4. Browsing Images (Preview Image Screen) ( page 35) and display the image. one of the following operations. Processing the Image Refer to 7. Processing the Image (QA Mode Screen) ( page 65) and adjust the parameters. Retaking the Image Refer to 4.5 Retaking an Image ( page 41) and retake the image. 23 Continued on the following page >>

32 2. Taking an Image If print setting window appears Change the print settings ( Setup Guide). Touching changes the display. 24

33 2. Taking an Image 2.4 Operations from the Exposure Ready Condition Operations from the Exposure Ready Condition You can perform the following operations. To continue exposure with the same patient data Touch and select a sensor unit and an exposure mode. To output images already taken and continue the exposure Touch [SEND]. However, note that [SEND] is displayed only when SEND AFTER EXPOSURE ( Setup Guide) is set to [SEND]. Depending on the installation setup by a service engineer, the IMAGE DESTINATION window may open automatically when you touch [SEND]. ( page 27) The image output indicator blinks green during image output. To output all the images which have not been output yet and end the exposure of the current patient Touch [END STUDY]. Depending on the installation setup by a service engineer, the IMAGE DESTINATION window may open automatically when you touch [END STUDY]. ( page 27) The image output indicator blinks green during image output. Retaking an Image Touch the preview image button and touch [RETAKE] on the preview image screen. ( page 41) 25 Continued on the following page >>

34 2. Taking an Image To refer to other images for the current patient Touch the preview image button to display the preview image screen, or touch [MULTI VIEW] to display the multi-view screen ( page 43). Preview Image Screen (left) and Multi-View Screen (4 shots/screen) (right) To reject a bad image Touch the preview image button and touch [Reject] on the preview image screen. ( page 40) To change the print settings Touch the preview image button and touch [PRINT SETTING] ( Setup Guide) on the preview image screen. To process the image Touch the preview image button and touch [QA] on the preview image screen. ( page 65) 26

35 2. Taking an Image Selecting Image Output Destination 1 Open the IMAGE DESTINATION window. Touch [DESTI. PREF.] on the exposure screen. [ON] or [OFF] is displayed for the devices set as the output destinations ( Setup Guide). IMAGE DESTINATION Window 2 Select 3 Set When [DESTI. PREF.] is not displayed Depending on the installation setup by a service engineer, [DESTI. PREF.] may not be displayed. In that case, touch [SEND] or [END STUDY] to open the IMAGE DESTINATION window. the image output destination. Touch [ON]/[OFF] next to the name of the destination and select [ON] for the device to send the image. Note that the LOCAL TEMP STORAGE setting is fixed to [ON] and cannot be changed. the priority. Each time [Priority] is touched, the button switches between highlighted display (white characters) and normal display. It is enabled when highlighted. 4 Set Output priority When there are many studies waiting to be output, the images for the current patient are given priority and output first. However, note that when a study is currently being output, the images for the current patient will be output after all the images for that study have been output. In addition, when multiple images that have been given priority are waiting to be output, these priority images will be output in the order they were taken. the output destination. Touch [OK]. Close the IMAGE DESTINATION window. Continued on the following page >> 27

36 2. Taking an Image Trimming images When a printer is enabled in the printer setup ( Setup Guide) but [OFF] is selected for that printer at the IMAGE DESTINATION window, the green film size frame will be displayed in the preview image screen and the image will be trimmed to that film size during output. If you wish to output the entire irradiation field, settings must be changed by the service engineer. 28

37 2. Taking an Image 2.5 END STUDY Touch [END STUDY]. Image output will start and the system will return to waiting for patient data entry status. The image output indicator (upper right) blinks green during image output. Automatic display of the IMAGE DESTINATION window Depending on the installation setup by a service engineer, the IMAGE DESTINATION window may open automatically when you touch [END STUDY]. To perform an exposure of the next patient Enter new patient data. ( page 11) To shut down the CXDI Refer to 1.2 Shutting Down the CXDI ( page 5), and shut down the CXDI. 29

38 2. Taking an Image 30

39 3. Output Control (Process Viewer) In the process viewer, the output status is displayed in study units, and the output destination and the order of priority can be changed. 1 Display the process viewer. From the exposure screen, touch [SYSTEM] > [PROCESS VIEWER]. Process Viewer Screen 2 Select State Item Time Patient ID Patient s name Printer a study. Description IDLE Image is waiting to be output. QA Image is being processed. SEND Image is being transferred. * Priority Date and time the first image of the patient was taken. Patient ID Patient s name p1 Printer 1 or 3 p2 Printer 2 or 4 s1 Storage 1 or 3 s2 Storage 2 or 4 Touch a study. The image output process will stop and [UNSELECT] or [MODIFY] will be displayed. ([MODIFY] will be displayed only when a printer or storage has been selected as the output destination.) To restart the image output process, touch [UNSELECT]. Continued on the following page >> 31

40 3. Output Control (Process Viewer) 3 Open the CHANGE DESTINATION window. Touch [MODIFY]. [MODIFY] will not be displayed if no output destination has been set. 4 Set 5 Set 6 Close 7 Return the output destination. CHANGE DESTINATION Window [ON] will be displayed for devices that have been set as output destinations. Touch [ON] for devices to which the image will not be output to set these to [OFF]. However, note that if you select [OFF] and close the window, that device will not be displayed and you will not be able to return it to [ON] the next time the window is opened. the priority. Each time you touch [Priority], the button switches between highlighted display (white characters) and normal display. The selected study is given output priority when this button is highlighted. the CHANGE DESTINATION window. Touch [OK]. A window will open and the confirmation message Do you want to change the settings? will be displayed. Touch [OK]. to the menu screen. Touch [EXIT]. 32

41 Viewing the Images 4. Browsing Images (Preview Image Screen) 5. Viewing Multiple Images (Multi-View Screen) 6. Browsing Completed Studies (Study List)

42 Notes on Viewing Images Notes on the Study List 1. When referencing local temporary storage, the list of studies stored in the specified device will be displayed. Due to the storage capacity of the device, images of studies that are not displayed in the list are automatically deleted and cannot be reproduced. 2. Taking an image immediately after executing [RESEND] or [RESEND ALL] places a heavy load on the hardware, and may interfere with the exposure. Therefore, [RESEND] and [RESEND ALL] should be executed only after all the exposures have been finished if possible. 3. Once images are deleted, they cannot be restored. 34

43 4. Browsing Images (Preview Image Screen) 4.1 Displaying the Preview Image Screen Follow the procedure below to display the preview image screen. Number of the currently displayed image out of the total number of images Preview image buttons Preview Image Screen To display the QA mode screen automatically after the exposure From the exposure screen, touch [SYSTEM] > [SETUP MENU] > [CUSTOMIZE DISPLAY]. On the CUSTOMIZE DISPLAY screen ( Setup Guide), select [DISPLAY] for PREVIEW IMAGE. Selecting an image from the exposure screen Touch a preview image button. However, note that [Reject], [PRINT SETTING], [QA] and [RETAKE] cannot be selected for images that were output by touching [SEND]. 35

44 4. Browsing Images (Preview Image Screen) 4.2 Available Operations in the Preview Image Screen A green frame indicating the film size or irradiation field will be displayed. Series description REX ( page 73) The following contents will be displayed when the printing mode has been set. Film size Orientation of film P: Portrait L: Landscape Changing image output destination Touch [DESTI. PREF.]. ( page 38) If [DESTI. PREF.] does not appear, touch [OK] and return to the exposure screen, then touch [SEND] or [END STUDY] to open the IMAGE DESTINATION window. To reject a bad image Touch [Reject]. ( page 40) To change the print settings Touch [PRINT SETTING] ( Setup Guide). However, [PRINT SETTING] will not be displayed unless a printer has been set as the output destination. To process the image Touch [QA]. ( page 65) To retaking an image Touch [RETAKE]. ( page 41) To return to the exposure screen Touch [OK]. The system enters the ready condition. To view several images of the current patient Touch [MULTI VIEW]. ( page 43) Multi-format layout ( page 48) Fixed ratio (%) Displayed when fixed ratio printing has been selected ( Setup Guide) 36

45 4. Browsing Images (Preview Image Screen) Selecting an image Touch the preview image button to display the preview image screen. The preview image buttons have the following functions. or or Button Description The previous or the next image will be displayed. The first or the last image will be displayed. To change a series description Touch the frame to display the software keyboard and enter the series description in 63 or fewer alphanumeric characters. A series description can be entered for each image. If an image is retaken after changing the series description, the description registered in the exposure mode will be used. AEC (Automatic Exposure Control) area The AEC ( Setup Guide) setting range can be displayed on the preview image screen if the setup has been performed by the service engineer. When the AEC display is enabled, [Disp. AEC] will appear on the preview image screen. The setting range indication (yellow frames on the image) can be made to appear and disappear by touching this button. If the optional generator communication module has been used, the effective area will be displayed as yellow squares according to the data sent from the x-ray generator. 37

46 4. Browsing Images (Preview Image Screen) 4.3 Selecting Image Output Destination Destination of images can provisionally be changed in a unit of study. 1 Display the preview image screen. 2 Open Preview Image Screen the IMAGE DESTINATION window. Touch [DESTI. PREF.]. IMAGE DESTINATION Window 3 Set When [DESTI. PREF.] is not displayed Depending on the installation setup by a service engineer, [DESTI. PREF.] may not be displayed. In these cases, touch [OK] to close the preview image screen, then touch [END STUDY] at the exposure screen. The IMAGE DESTINATION window opens and you can select the image output destination. the priority. Each time you touch [Priority] the button switches between highlighted display (white characters) and normal display. The selected study is given output priority when this button is highlighted. 38

47 4. Browsing Images (Preview Image Screen) 4 Set 5 Close the output destination. Touch [ON]/[OFF] and select [ON] for the device to which the image is to be output. the IMAGE DESTINATION window. Touch [OK]. 39

48 4. Browsing Images (Preview Image Screen) 4.4 Rejecting a Bad Image NOTE: The rejection reason input function may be available for certain service engineer settings. For details on operation of this function, see B. Using the Rejection Reason Input Function ( page 135). When an image has been rejected, the output destination is limited to local temporary storage. 1 Display the preview image screen. 2 Reject the image. Preview Image Screen Each time you touch [Reject], the button switches between highlighted display (white characters) and normal display. The image is rejected when this button is highlighted. An image that has been rejected cannot be retaken and print settings cannot be made. In addition, a red mark will be displayed on the exposure mode name indicating that it has been rejected. Rejected Image 40

49 4. Browsing Images (Preview Image Screen) 4.5 Retaking an Image NOTE: The rejection reason input function may be available for certain service engineer settings. For details on operation of this function, see B. Using the Rejection Reason Input Function ( page 135). If you are dissatisfied with the current image, it can be retaken using the same exposure mode. 1 Display the preview image screen. 2 Select [RETAKE]. Preview Image Screen Touch [RETAKE]. A window will open and the confirmation message The original image will be rejected. Do you want to retake the image? will be displayed. Touch [OK]. The exposure screen appears and the system enters the ready condition with the same exposure mode selected as that used for the current image. You cannot select a different exposure mode for retaking the image. 3 Retake Notes on Retaking Images Depending on the installation setup by a service engineer, the window may not be displayed. the image. The image displayed in step 1 will be rejected. Continued on the following page >> 41

50 4. Browsing Images (Preview Image Screen) Retaking and rejecting images When an image is retaken multiple times in succession, all images that are retaken will be rejected, so only the last image can be output (valid image). The example below shows the flow of operation when an image is retaken twice. First retake Second retake First image taken Retake First image taken Second image taken Retake First image taken Second image taken Third image taken Valid image Invalid image Valid image Invalid image Invalid image Valid image Flow of operation when an image is retaken twice An invalid image can be changed to a valid image from the preview image screen. However, because only one image can be chosen as valid, the image that was previously valid will automatically be invalidated when another image is validated. In the example below, the lower image shows a case in which the second image taken in the above figure is changed to the valid image. Before the change After validating the second image First image taken Invalid image Second image taken Invalid image Third image taken Valid image The case when the second image taken in the above figure is changed to the valid image. First image taken Invalid image Second image taken Valid image Third image taken Invalid image Changing the valid image When you touch [Reject] for a rejected image on the preview image screen and make that image the valid image, a window will open and the confirmation message The No. n image [Exposure Mode] will be rejected. ( n is the exposure number of the valid image.) will be displayed. Touch [OK]. Also, you can invalidate all the valid images from the preview image screen. When image processing parameters have been changed before retaking the image When parameters are changed on the QA screen after exposure and then [RETAKE] is touched to retake an image, the parameters used are as follows. Changes made to the print setting, mark (except ROTATE and FLIP ), and Marker parameters are valid. For other parameters, those that applied when the first image was taken will be used. 42

51 5. Viewing Multiple Images (Multi-View Screen) 5.1 Displaying the Multi-View Screen Follow the procedure below to display the multi-view screen. 1 Select multi-format (number of images) on the multi-view screen before viewing the images. From the exposure screen, touch [SYSTEM] > [SETUP MENU] > [CUSTOMIZE DISPLAY] to display the CUSTOMIZE DISPLAY screen ( Setup Guide), then set the number of images to be displayed on the preview image screen to [4 SHOTS/1] or [9 SHOTS/1]. 2 Display the Multi-View screen. Touch [MULTI VIEW] on one of the exposure screen, preview image screen, or CALL IMAGES screen (select [CALL IMAGES] in the study list). Multi-View Screen (4 shots/screen) 43

52 5. Viewing Multiple Images (Multi-View Screen) 5.2 Available Operations on the Multiview Screen Printer name Output information Print information Print preview image Number of films Multi-View Screen (4 shots/screen) Display Printer name Print information Print preview image Number of films Output information Description This displays the output printer name. Film size, film orientation, multi-format layout are displayed. This displays the image that was cut to the film size shown in the print information. Rejected images are not displayed. The display order is the printer setting order (Printer 1 and Printer 3 first, Printer 2 and Printer 4 last), and this becomes the output number order. This displays the film number currently displayed/total films to be output. This displays the printer number/output number. For example, 1-2 means the second output to Printer 1. However, 0 is displayed when no printer is selected as a destination. Rejected images are indicated by an on the output number. To change the display of print preview images Touch or located below the print preview. The print preview image will be displayed when a printer for which output is enabled is set. To change the image Touch or located on the upper right side of the multi-view screen. To exit the multi-view screen Touch [EXIT]. The system returns to the screen displayed before entering the multi-view screen. 44

53 5. Viewing Multiple Images (Multi-View Screen) To change the output number of an image Directly touch the image whose output number is to be changed to open the window. ( page 46) To reject a bad image Directly touch the image to be rejected to open the window. ( page 47) To display a preview image Directly touch the image to open the window. ( page 47) Images output using SEND AFTER EXPOSURE Images that have been output using SEND AFTER EXPOSURE ( Setup Guide) will appear in sepia tone, and the window will not open even if these images are touched directly. 45

54 5. Viewing Multiple Images (Multi-View Screen) 5.3 Window Operations When an image on the right side of the screen is touched directly, the window will open and various operations can be performed. Output number Changing the Output Order Open the window. Change the output number. The images will be output to output destinations other than a printer in the order they were taken. 1 Open the window. Directly touch an image on the right side of the screen to open the window. 2 Change the output number. Change the number using or. 3 Determine the output number. Touch [OK]. The image output number will change, as will the output number of the remaining images. 46

55 5. Viewing Multiple Images (Multi-View Screen) Rejecting a Bad Image When an image has been rejected, the output destination is limited to local temporary storage. 1 Open the window. Directly touch an image on the right side of the screen to open the window. 2 Reject the image. Touch [Reject]. An X will appear in place of the output number of the image, and the image will be set to rejected. When an image is rejected, the output order of that image cannot be changed, but the output order of the other images will change. However, when an image that was rejected as a result of retaking is made the valid image, a window will open and the confirmation message The No.n image [Exposure Mode] will be rejected. ( n is the exposure number of the valid image.) will be displayed. Touch [OK]. Reject Checking Images on the Preview Image Screen 1 Open 2 Display the window. Directly touch an image on the right side of the screen to open the window. the preview image screen. Touch [Preview]. This changes to the preview image screen or CALL IMAGES screen (during image playback from the study list). 47

56 5. Viewing Multiple Images (Multi-View Screen) 5.4 Multi-Format Output When the same multi-format is selected for successive images, multiple images can be printed on a single film. The multi-format is registered as a print setting ( Setup Guide) in exposure mode. The method for changing this setting is described below Choosing Multi-Format before the Exposure 1 Display 2 Open 3 Set parameter changing screen. Select exposure mode, then touch [CHANGE] on the exposure screen. the print setting window. Touch [PRINT SETTING] on the parameter changing screen. the multi-format. Touch the multi-format button on the print setting window to open the multi-format window, and set the format. 4 Take Multi-Format Window multiple images using the set multi-format. Take multiple images using the set multi-format. To take images using a different exposure mode, set the multi-format again in the same manner. 48

57 5. Viewing Multiple Images (Multi-View Screen) 5 Display the print preview. Touch [MULTI VIEW]. The figure below shows an example in which a portrait image has been made into a 4-image exposure using the 2x1 multi-format. On the print preview screen of this example, the images for output numbers 1 and 2 are cut off and assigned to a single film. In addition, a preview of the output number 3 and 4 images can be displayed by touching below the print preview. Multi-Format 3-image layout If the 2x2 multi-format is selected for a three-image layout, the third image is located in the center of the second row Choosing Multi-Format after the Exposure The method for changing the print setting after the exposure is described below. 1 Display the preview image screen or the CALL IMAGES screen. Display the preview image screen ( page 35) or the CALL IMAGES screen ( page 59). 2 Open the print setting window. Touch [PRINT SETTING]. 49 Continued on the following page >>

58 5. Viewing Multiple Images (Multi-View Screen) 3 Set 4 Close 5 Display the multi-format. Touch the multi-format button on the print setting window to open the multi-format window, and set the format. the print setting window. Touch [OK]. the print preview. Touch [MULTI VIEW]. When images cannot be printed in multi-format Images cannot be printed in multi-format in the following cases: 1. When a different multi-format has been set If images that were set for different multi-format are included in the continuous images in a single study, the images from different multi-format is assigned to a different film. In the example in the figure below, when all four images can be printed in multiformat, the number of divisions for the images is set at 2x2. In this case, four images are assigned to one film. In comparison, when only the first two images can be printed in multi-format, the number of divisions is set to 2x2 for the first and second image, but the number of divisions for the third image is set to 1x1. As a result, only the first and second images are assigned to one film. All four images can be printed in multi-format Only the first two images can be printed in multi-format 2. When a different reduction ratio has been selected If a different reduction ratio is included in fixed ratio printing, the images with different reduction ratio are assigned to different film even if the same multi-format is set. 3. When a different film size or film orientation has been selected Change the print settings. 4. When a different printer has been selected as the output destination Select the same printer for all the images. 5. When an image taken by the CXDI-31 is included Images taken by the CXDI-31 are assigned to different films. 50

59 5. Viewing Multiple Images (Multi-View Screen) Multi-format when images are resent from the study list When only one image will be printed, touching [RESEND] on the CALL IMAGES screen automatically assigns images to one film and prints if the same multi-format is set for consecutive images. In the example in the figure below, if image 1 is reproduced and printed when the study has five images, only image 1 is printed. However, if any of images 2 to 5 are reproduced and printed, images 2 to 5 are all assigned to one film at 2x2 and output. Image1 Image2 Image3 Image4 Image5 Multi-format 1x1 Multi-format 2x2 Multi-format 2x2 Multi-format 2x2 Multi-format 2x2 RESEND RESEND Image1 Multi-format 1x1 Image 2 Image 4 Image 3 Image 5 When only image1 is resent, only that image will be output to the printer. When any one of images 2 through 5 is resent, images 2 through 5 will be output to a printer. Furthermore, if LOCAL TEMP STORAGE, STORAGE or EXTERNAL DISK STORAGE has also been selected as the destination, images 2 through 5 will be output to it. 51

60 5. Viewing Multiple Images (Multi-View Screen) 52

61 6. Browsing Completed Studies (Study List) 6.1 Displaying the Study List Images stored in the CXDI can be displayed or output in the study list. Before displaying the study list, see Setup Guide and set [SINGLE] or [MULTI] for SELECT STUDY LIST. 1 Display the study list. From the exposure screen, touch [SYSTEM] > [STUDY LIST]. Storage destination folder Display items 2 Select 3 Select Study List Screen (When MULTI has been selected) the location where the image is stored If the images are saved in multiple locations, click [Storage destination folder] (the currently selected folder name is displayed) to select it from the list. Touch the name of the folder to be referenced to display the studies stored in that folder. the study. If there are more than 12 studies, use and to scroll through the list. In addition, touch the display items to rearrange the display order. External disk storage Advance setting by a service engineer is required to use the external disk storage. 53

62 6. Browsing Completed Studies (Study List) 6.2 Customizing the Study List 1 Open the COLUMN SETTING window. Touch [COLUMN SETTING]. 2 Set 3 Close the display. COLUMN SETTING Window Add the items displayed in the study list to the Used Column. Setup To add an item to the study list To delete an item from the study list To change the position of an item in the list the COLUMN SETTING window. Touch [OK]. This updates the list. Procedure Select an item in the Unused Column and touch [Add] to move that item to the Used Column. Select an item in the Used Column and touch [Delete] to move that item to the Unused Column. Select an item in the Used Column and touch [Up] or [Down] to change the display order. Items will be displayed from the left side of the study list in order from the smallest number. 54

63 6. Browsing Completed Studies (Study List) Explanation of display For the exposure mode, the body part (DICOM) set as the exposure mode for the first image contained in a study will be displayed. See the table below for Previous Trans Result, Cnt of Success Trans and Trans Result (device name). Item Previous Trans Result A Cnt of Success Trans B Trans Result (device name) A, C Description If a list in an external storage medium is displayed on [Storage destination folder], all results will be displayed as - mark. A B Trans Result : Successful : A transfer request was sent, but the transfer failed. : A transfer request was not sent. Cnt of Success Trans However, 9 or more times will be indicated by *. C Transfer count display However, 99 or more times will be indicated by *. 55

64 6. Browsing Completed Studies (Study List) 6.3 Outputting Study Images One or multiple studies can be selected. 1 When selecting multiple studies, you can rearrange the order. When multiple studies have been selected, the study results are output in order from the top of the list. Therefore, touch the display item and rearrange the studies in the desired order before selecting the studies. 2 Select a study image to send. Select a study/studies in the list. [RESEND ALL] and [DELETE] will appear. When multiple studies can be selected, [UNSELECT] and [RANGE] will also appear. To select a series of successive studies, touch [RANGE] to highlight the button (white characters). To cancel all of the selections, touch [UNSELECT]. 3 RESEND ALL window appears Touch [RESEND ALL]. 4 Select 5 Set 6 Output RESEND ALL Window a device for sending the image. Touch [ON]/[OFF] next to the destination name and select [ON] for the device for sending the image. [ON]/[OFF] will not be displayed for devices with invalid settings ( Setup Guide). the priority. Each time you touch [Priority] the button switches between highlighted display (white characters) and normal display. The selected study is given output priority when this button is highlighted. the images. Touch [RESEND ALL]. 56

65 6. Browsing Completed Studies (Study List) If a message appears If the output location is different from that at exposure when the study is resent, a window opens with a message. In this window, touch [Cancel] to close the window, and then go to output location settings ( Setup Guide) to check the settings. Message Examples 57

66 6. Browsing Completed Studies (Study List) 6.4 Deleting the Image(s) NOTE: Once images are deleted, they cannot be restored Deleting All the Images [DELETE ALL] will be displayed only when no study has been selected. 1 Select [DELETE ALL]. Touch [DELETE ALL]. A window will open and the confirmation message Are you sure you want to Delete ALL? will be displayed. Touch [OK]. Entering password If a window opens and password entry ( Setup Guide) is requested, touch the password frame to display the password screen and enter the password Selecting and Deleting Study Images 1 Select the study. Touch a study to be deleted. [RESEND ALL] and [DELETE] will appear. 2 Select To select multiple studies When multiple studies can be selected, [UNSELECT] and [RANGE] will also appear. To select a series of successive studies, touch [RANGE] to highlight the button (white characters). To cancel all of the selections, touch [UNSELECT]. [DELETE]. Touch [DELETE]. A window will open and the confirmation message Do you want to delete it? will be displayed. Touch [OK]. Entering password If a window opens and password entry ( Setup Guide) is requested, touch the password frame to display the password screen and enter the password. 58

67 6. Browsing Completed Studies (Study List) 6.5 Reproducing the Image(s) Touch the required study, and touch [CALL IMAGES]. When multiple studies have been selected, [CALL IMAGES] will not function even if touched. Preview image buttons To change patient data CALL IMAGES Screen Touch [PATIENT] to open the patient data entry screen. ( page 11) To select an image When a study contains more than one image, touch the preview image buttons to select the image. The preview image buttons have the following functions. or or Button Function The previous or the next image will be displayed. The first or the last image will be displayed. To display the multi-view screen Touch [MULTI VIEW] to switch to the multi-view screen. ( page 43) To display the QA screen Touch [QA] to switch to the QA screen. ( page 65) To change the print settings Touch [PRINT SETTING] ( Setup Guide) to open the print setting window. [PRINT SETTING] will not be displayed unless a printer has been set as the output destination. To resend only the displayed image Touch [RESEND]. ( page 60) If multi-format has been selected for that image, note that multiple images may be output. ( page 48) 59 Continued on the following page >>

68 6. Browsing Completed Studies (Study List) To resend all the images contained in a study Touch [RESEND ALL]. ( page 61) To return to the study list Touch [RETURN TO STUDY LIST] Resending the Image Follow the procedure below to resend the displayed image. 1 Open the RESEND window. Touch [RESEND]. 2 Select 3 Set 4 Resend RESEND Window the device for sending the image. Touch [ON]/[OFF] next to the destination name and select [ON] for the device for sending the image. [ON]/[OFF] will not be displayed for devices with invalid settings ( Setup Guide). the priority. Each time you touch [Priority], the button switches between highlighted display (white characters) and normal display. The selected study is given output priority when this button is highlighted. the images. Touch [RESEND]. 60

69 6. Browsing Completed Studies (Study List) Resending the Study Images Follow the procedure below to resend all the images contained in a study. 1 Open the RESEND ALL window. Touch [RESEND ALL]. 2 Select 3 Set 4 Resend RESEND ALL Window the device for sending the image. Touch [ON]/[OFF] next to the name of the destination and select [ON] for the device for sending the image. However, [ON]/[OFF] will not be displayed for devices that have not been set as the output destination ( Setup Guide). the priority. Each time you touch [Priority], the button switches between highlighted display (white characters) and normal display. The selected study is given output priority when this button is highlighted. the study. Touch [RESEND ALL]. If all images contained in a study are rejected If you touch [RESEND] or [RESEND ALL] after all images contained in a study were rejected ( page 40), a window will open and the confirmation message All the selected images are the rejected images. They can only be sent to the internal storage. Do you want to continue? will be displayed. If you touch [OK], the IMAGE DESTINATION window will open and you will be able to make the [ON]/[OFF] setting to select internal storage as the output destination. 61

70 6. Browsing Completed Studies (Study List) 62

71 Processing the Image 7. Processing the Image (QA Mode Screen)

72 Notes on Image Processing Notes on the Edge Enhancement Process and DEP When the parameters of the edge enhancement process or DEP are set to excessively high values, artifacts may occur and the useful information in the image may be degraded. If you think the image looks as if it has been over-processed, set the parameters to lower values, or void the process. 64

73 7. Processing the Image (QA Mode Screen) In the CXDI series, image processing is called QA (Quality Assurance) processing, and the image can be optimized by adjusting the parameters on the QA screen. 7.1 Displaying the QA Screen You can access the QA screen in one of the following ways: QA Mode Screen To set the QA mode screen to appear automatically after the exposure From the exposure screen, select [SYSTEM] > [SETUP MENU] > [SYSTEM SETUP], and in the DISPLAYING PARAMETER CHANGE/QA SCREEN DURING EXPOSURE, set the QA Screen to [VALID]. To perform QA processing after the exposure Touch [QA] on the preview image screen ( page 35). To perform QA processing after completing the study Load the image from the study list ( page 53), and then touch [QA]. 65

74 7. Processing the Image (QA Mode Screen) 7.2 Operations Available on QA Screen NOTE: After performing QA processing and touching [OK] to exit the QA screen, it may not be possible to return to parameters even after touching [RESET]. Touching or at the bottom of the QA screen switches the display options at the bottom between the commands [RESET] and [OK] and the commands [OPTION], [SAVE PARAM], Frequency Processing ([Standard Frequency Processing], [MLT(F) Frequency Processing], [MLT(M) Frequency Processing], and [MLT(S) Frequency Processing]). LUT Tab To set the image processing parameters Touch the tabs to set the parameters. The parameters cannot be changed for images loaded from external storage media in the study list. To adjust the trimming area or density adjustment area ( page 68) Touch [Adjust TRIM]/[Adjust ROI] to select the range. To display a magnified image ( page 92) Touch [MAG] or [QA-MAG]. To adjust the gamma correction of the operation unit ( page 93) Touch [OPTION] To return the parameters to their original values Touch [RESET]. 66

75 7. Processing the Image (QA Mode Screen) To save the changed parameters Touch [SAVE PARAM]. The edited parameters can be saved as the default for the selected exposure mode. [SAVE PARAM] is not displayed after the called image is processed from the study list. To use the image processing software To use the image processing software, touch [STD. FREQUENCY] to open the window, and then select [MLT(F) FREQUENCY], [MLT(M) FREQUENCY], or [MLT(S) FREQUENCY]. NOTE: Advance setting by a service engineer is required to use [MLT(F) FREQUENCY], or [MLT(M) FREQUENCY]. For the operating procedures of the image processing software, refer to the operation manual supplied with the software. 67

76 7. Processing the Image (QA Mode Screen) 7.3 Adjust TRIM and Adjust ROI Trimming the Image Images can be trimmed manually. Selecting the POSITION tab enables fine adjustment of the position using the buttons. ( page 81) 1 Set 2 Select 3 Set the film size. To trim the image To output to a printer, touch [PRINT SETTING] from the preview image screen or CALL IMAGES screen, and set the film size before adjusting the trimming. If the film size is changed after adjusting the trimming, the trimming area becomes the film size. [ADJUST TRIM]. Touch [ADJUST TRIM]/[ADJUST ROI] and select [ADJUST TRIM]. the trimming area. Touch two points on the image. The new trimming area is indicated by a red line. Limitations on trimming areas The following limitations apply to trimming areas. After a printer is set, no settings can be made that exceed the printable size. If an area of less than 8 pixels (approx. 1 cm) is set for the vertical and horizontal direction of the displayed image, a window will open and the message The cropped area is too small. Select a larger area! will appear. Touch [OK] to close the window and change the trimming area. 68

77 7. Processing the Image (QA Mode Screen) 4 Exit Annotations When you change the image trimming range, annotations (fixed or free) may be out of the image. the screen. Touch [OK] Changing the Density Adjustment Area The density adjustment area ( Setup Guide) can be changed manually in gray scale adjustment mode ( page 70) if [AUTO ADJUST.]. 1 Select 2 Set 3 Exit [ADJUST ROI]. Density Adjustment Area Touch [ADJUST TRIM]/[ADJUST ROI] and select [ADJUST ROI]. the density adjustment area. Touch two points on the image. The area you have selected will be indicated by a reddish purple frame. The reference point is changed, and the density of the entire image changes. the screen. Touch [OK]. Changing the gray scale When [AUTO ADJUST.] is touched to change to [ADJUST REX], [ADJUST TRIM]/ [ADJUST ROI] is fixed at [ADJUST TRIM] and the density adjustment area cannot be changed. 69

78 7. Processing the Image (QA Mode Screen) 7.4 LUT The gray scale curve used to display the image is modified using the lookup table (LUT). Any changes in these parameters are immediately reflected in the displayed image. Two types of gray scale adjustments are available: auto adjustment and REX adjustment (Reached EXposure index), and the type can be selected using [AUTO ADJUST.]/[REX ADJUST.]. AUTO ADJUST. (left) and REX ADJUST. (right) LUT graph The relation between pixel value and density is shown in this graph. Density Pixel Value AUTO ADJUST. The gray scale is adjusted based on the Fixed ROI ( Setup Guide) or analysis value calculated from the Automated ROI. See Setup Guide for details about the ROI. 1 Select AUTO ADJUST. Touch [AUTO ADJUST.]/[REX ADJUST.] and select [AUTO ADJUST.]. 70

79 7. Processing the Image (QA Mode Screen) 2 Select When adjusting the REX If the REX is adjusted and then [AUTO ADJUST.] is selected, a window is opened with the message Any REX value settings will be lost, OK? To change, touch [OK]. the characteristic gray scale curve. Touch to open the window and select. Table 7.4.1A: Gray scale Curves and Their Characteristics Name CHEST LINEAR INV. LINEAR STAN. CONTRAST BONE #1 BONE #2 CHEST #2 BONE #3 BONE #4 Features This is an S-shape curve for examining the chest. This is a linear lookup table. This lookup table reverses the image density. This is a standard S-shape curve. It is usually used for examining bones. While maintaining contrast in a low density area, soft tissue can be observed in the high density area. A low density area can be seen almost the same as in BONE #1. However, soft tissue in the high density area can be observed more clearly. This is the version of the CHEST gray scale curve that supports high contrast. This is the version of the BONE #1 gray scale curve that supports high contrast. This is the version of the BONE #2 gray scale curve that supports high contrast. Continued on the following page >> 71

80 7. Processing the Image (QA Mode Screen) 3 Set the corresponding density. Touch or to select a setting from 1 to 29. The displayed value on the left is the saved value, and the value on the right is the modified value. The analysis value obtained by the Automated ROI or the Fixed ROI will be converted to a density corresponding to the setting. The following table is the density when the printer s LUT is linear, the maximum density is 3.2 D, and the minimum density is 0.2 D. Table 7.4.1B: Setting Values Density Setting Density Setting Density Setting Density Set Brightness By adjusting the brightness, the density of the whole area can be changed. For example, a high brightness setting will shift the LUT graph toward the left, raising the density of the whole image, as illustrated in the right. Similarly, a low brightness setting will shift the LUT graph to the right, lowering the density of the whole image. the contrast. Density BRIGHTNESS Touch or to select a setting from 1 to 29. The displayed value on the left is the saved value, and the value on the right is the modified value. Higher values result in higher contrast, and lower values result in lower contrast. UP DOWN Analysis Value Pixel Value Contrast Adjusting the contrast setting as shown below changes the contrast of the whole image. Density UP DOWN DOWN UP Analysis Value Pixel Value 72

81 7. Processing the Image (QA Mode Screen) REX ADJUST. Use of the same REX (Reached EXposure index) will cause the density of the image to change with the X-ray dose, as in conventional film/screen systems. 1 Select 2 Select REX ADJUST. Touch [AUTO ADJUST.]/[REX ADJUST.] and select [REX ADJUST.]. the characteristic gray scale curve. Touch to open the window and select the gray scale curve. Table 7.4.2: Gray scale Curves and Their Characteristics Name CHEST LINEAR INV. LINEAR STAN. CONTRAST BONE #1 Features This is an S-shape curve for examining the chest. This is a linear lookup table. This lookup table reverses the image density. This is a standard S-shape curve. It is usually used for examining bones. While maintaining contrast in a low density area, soft tissue can be observed in the high density area. Continued on the following page >> 73

82 7. Processing the Image (QA Mode Screen) Table 7.4.2: Gray scale Curves and Their Characteristics Name BONE #2 CHEST #2 BONE #3 BONE #4 Features The low density area can be seen almost the same as in BONE #1. However, soft tissue in a high density area can be observed more clearly. This is the version of the CHEST gray scale curve that supports high contrast. This is the version of the BONE #1 gray scale curve that supports high contrast. This is the version of the BONE #2 gray scale curve that supports high contrast. 3 Set the REX. Touch or to select a setting from1 to Or, touch the frame and enter the value from the ten key window. The larger the number, the lighter the entire image. The smaller the number, the darker the entire image. REX usage examples To observe over time a patient whose image has been taken before, take the image using the same exposure conditions, contrast, and gray scale curve as before. You can also observe under the same conditions by setting the gray scale to REX ADJUST. and setting the REX to the same value as before. 74

83 7. Processing the Image (QA Mode Screen) REX When REX is adjusted, the LUT graph shifts in the pixel value direction (right figure). Density An enlarged graph is shown below. DOWN UP REX Pixel Value Extracted analysis value position Analysis value = 1220 Density = 1.9 D (Second quadrant) Density Low X-ray dose (High sensitivity) Density = 1.9 D Reference density = 0.75 D Gray scale curve High X-ray dose (Low sensitivity) (First quadrant) X-Ray dose (Third quadrant) REX = 375 Pixel value (12 bit log) (Fourth quadrant) Analysis value = 1220 Sensor Characteristics Curve Sensor output (14 bit linear) Logarithm conversion curve This graph depicts an REX for a chest front exposure. The name of the quadrants, from the upper right in counterclockwise direction, are as follows: the first quadrant, the second quadrant, the third quadrant and the fourth quadrant. The first quadrant is the gray scale curve showing the relationship between pixel and density. The third quadrant is the sensor characteristics curve, showing the relationship between the X-ray dose that has reached the sensor and the sensor output value. The fourth quadrant is the logarithm conversion curve, which converts the sensor output value (proportional to the X-ray dose) into a pixel value proportional to the logarithm of X-ray dose. Only the right half of the graph (the first and the fourth quadrants) will be explained here to simplify the explanation. First, an explanation of the algorithm that determines the gray scale curve The CXDI selects the maximum pixel value of the upper lung area as the analysis value for chest PA exposure. In the above graph, the analysis value is Suppose 1.9 D has been specified as the density at the analysis value position. The gray scale curve shifts in the horizontal direction. The amount by which it shifts is determined by the position where the arrow from the analysis value intersects with the arrow from the density. Next, an explanation of the algorithm that determines the REX. The REX is determined by using the gray scale curve. The position where the arrow from the gray scale curve at reference density 0.75 D (fixed) intersects with the logarithm conversion curve is the REX. Thus, the sensor output value corresponding to the area expressed as density 0.75 D is the REX D is the density when the printer LUT is linear, the maximum density is 3.2 D, and the minimum density is 0.2 D. 75

84 7. Processing the Image (QA Mode Screen) 7.5 EDGE ENHANCE. NOTE: When parameters are set to excessively high values, artifacts may be generated or effective image information may be degraded. If you think the image looks as if it has been over-processed, set the parameters to lower values, or void the process. The edge enhancement process emphasizes the edges of the image and sharpens the image. However, it is difficult to check the effect of changes by modifying the parameters in the QA screen. 1 Enable 2 Set 3 Set edge enhancement. EDGE ENHANCE Screen Touch and highlight (white character) [EDGE ENHANCEMENT]. the degree of enhancement. Touch or to select a setting from 1 to 11. The displayed value on the left is the saved value, and the value on the right is the modified value. The effect is proportional to the setting value. Higher values result in higher emphasis, and lower values result in lower emphasis. the enhancement frequency. Touch or to select a setting from 1 to 11. The displayed value on the left is the saved value, and the value on the right is the modified value. The larger the value, the clearer the definition of detailed (high frequency) structures, such as bone trabeculae. Low frequency values result in clearer definition of larger (low frequency) structures, such as soft tissue. The settings and corresponding frequencies are shown below: Table 7.5.1: Setting Values Enhancement Frequency Setting FREQUENCY (lp/mm)

85 7. Processing the Image (QA Mode Screen) 7.6 DEP (Display Enhancement Processing) NOTE: NOTE: When parameters are set to excessively high values, artifacts may be generated or effective image information may be degraded. If you think the image looks as if it has been over-processed, set the parameters to lower values, or void the process. If you wish to adjust both the LUT ( page 70) and the DEP, void the DEP by touching the DEP button in DEP mode so the word is not highlighted. Adjust the LUT of the main area of interest in LUT mode first. Then, adjust the area of lesser interest with DEP parameters. DEP widens the range that can be viewed on film or monitor by narrowing the pixel value range of areas of lesser interest without changing the view of the microstructure of the area of main interest. The effect of changes by modifying the parameters can be checked in the QA screen. 1 Enable 2 Set DEP. DEP Screen Touch and highlight (white character) [DEP]. the high density effect. Touch or to select a setting from +10 to -10. The value on the left is the value analyzed automatically (DEP analysis value). The value on the right is the effectivity that will be added to the analyzed value on the left side (table below). The larger the number, the stronger the processing. However, too large a value can make the parts of the image not covered by the patient very light, resulting in a poorer image. Table 7.6.1: Setting Values Corresponding Efficacy (high density) Setting Efficacy Setting Efficacy Continued on the following page >>

86 7. Processing the Image (QA Mode Screen) Suppose the analyzed value is If the setting is +1, the DEP will be If the setting is -1, it will be If the analyzed value is 1.00, it is the same as if the DEP had not been performed. The effect is limited to the 0 to 1 range. Efficacy of high density When the efficacy of high density is increased, the range of pixels will narrow after the image is processed at a higher level than the compression starting level. Pixel value after the process 0.35 (Setting -1) 0.3 (Setting 0) 0.25 (Setting +1) 3 Set the starting level for high density. Compression starting level Pixel value before the process Touch or to select a setting from +10 to -10. The value on the left is the value analyzed automatically (DEP analysis value). The value on the right is the efficacy that will be added to the analyzed value on the left side (table below). The larger the number, the narrower the effective area. Table 7.6.1B: Setting Values Starting Level Changes (high density) Setting Starting Level Change Setting Starting Level Change Suppose the starting level is If the setting is +1, the starting level will be If the setting is -1, the level will be Starting level for high density When the starting level is high as shown at the right, the effective range (shaded part) will narrow. Distribution frequency Efficacy range Starting level low Pixel value Distribution frequency Efficacy range Starting level high Pixel value 78

87 7. Processing the Image (QA Mode Screen) 4 Set the low density effect. Touch or to select a setting from +10 to -10. Although large values will improve the visibility of low density regions of the image, the use of too large a value may result in an increase of the graininess of the image. The value on the left is the value analyzed automatically (DEP analysis value). The value on the right is the efficacy that will be added to the analyzed value on the left side (table below). The larger the number, the stronger the processing. Table 7.6.1C: Setting Values Corresponding Efficacy (low density) Setting Efficacy Setting Efficacy Suppose the analyzed value is If the setting is +1, the DEP will be If the setting is -1, it will be If the analyzed value is 1.00, it is the same as if the DEP had not been performed. The effect is limited to the 0 to 1 range. 5 Set Efficacy of low density When the efficacy of low density is increased, the range of pixels will narrow after the image is processed at a lower level than the compression starting level. the starting level of low density. Pixel value after the process 0.45 (Setting +1) 0.50 (Setting 0) 0.55 (Setting -1) Compression starting level Pixel value before the process Touch or to select a setting from +10 to -10. The value on the left is the value analyzed automatically (DEP analysis value). The value on the right is the efficacy that will be added to the analyzed value on the left side (table below). A larger starting level results in a wider effect range, and a smaller starting level results in a narrower range. Table 7.6.1D: Setting Values Starting Level Changes (low density) Setting Starting Level Change Setting Starting Level Change Suppose the starting level is If the setting is +1, the starting level will be If the setting is -1, the level will be Continued on the following page >>

88 7. Processing the Image (QA Mode Screen) Starting level of low density As shown at the right, a smaller starting level for low density results in a narrower effect range (shaded part). Distribution frequency Efficacy range Distribution frequency Starting level high Pixel value Efficacy range Starting level low Pixel value 80

89 7. Processing the Image (QA Mode Screen) 7.7 POSITION You can trim the image and perform geometric transformations here. Mark list window Orientation button Changing the Trim 1 Select 2 Set 3 Move the option to be adjusted. POSITION Screen Touch [ADJUST TRIM/ADJUST ROI] to select the range. the range. If [ADJUST TRIM] was selected, set the trimming area ( page 68), and if [ADJUST ROI] was selected, adjust the density adjustment area ( page 69). the frame Changing Marks 1 Select 2 Enable Touch,, or to move the frame. A red frame is moved if [ADJUST TRIM] was selected, and a red-purple frame is moved if [ADJUST ROI] was selected. the mark name. Touch to select from the list. the mark. Touch and highlight (white character) [View]. When View is enabled, Annotation and DICOM Output are enabled. When Link Setting ( Setup Guide) is set to [ENABLE], Link is displayed. 81 Continued on the following page >>

90 7. Processing the Image (QA Mode Screen) 3 Set the orientation. Touch the orientation button to open the orientation window and make the setting. FLIP ROTATE Display/Button Description Indicates the orientation of the image using when viewing a patient facing the CXDI from the x-ray generator side. Flips the image vertically. Flips the image horizontally. Rotates the image 90 counterclockwise. Rotates the image 180. Rotates the image 90 clockwise. 4 Close Link Setting and orientation If the Link Setting has been set to [ENABLE], the changes will not be reflected even if you touch [SAVE PARAM] after changing the orientation. the ORIENTATION window Touch [OK]. Free annotation When the image has been rotated or flipped, free annotations may be outside the image Change Laterality Information 1 Flips 2 Select the image horizontally. Touch and highlight (white character) [Marker]. When Marker is enabled, Annotation is enabled and,, and can be selected. The selected contents are reflected to the Annotation and DICOM Output. When the Link setting ( Setup Guide) is set to [ENABLE], Link is displayed. laterality. Touch the required button (,, or ). The annotation view is switched. When Link is displayed, the display position of the linked annotation is also switched automatically. Button Laterality Information Annotation Display Left L Right R Unpaired Both Left and Right No display 82

91 7. Processing the Image (QA Mode Screen) 7.8 ANNOTATION Enter annotations. See Setup Guide for details about the settings Fixed Annotation Text can be added to any selected location on the image. 1 Open ANNOTATION Screen (when free annotation is activated) the DETAIL SETUP window. Touch [FIXED ANNOTATION] (when free annotation is activated) or [DETAIL]. 2 Select DETAIL SETUP Window the annotation setting value. Touch [Use System Settings]/[Don t Use System Settings] ([Use System Settings]/[Use Saved Image Setting] in the case of a study list), and select the setting value. Continued on the following page >> 83

92 7. Processing the Image (QA Mode Screen) 3 Enter annotation settings. Set Position and Justification for the annotation. When the display position of the enabled link annotation is changed, the right and left sides are automatically switched. 4 Enter Link Setting and annotation If the Link Setting has been set to [ENABLE], link annotations will not be reflected even if you touch [SAVE PARAM] after changing the position or justification. multi text. Touch on the window and select a multi text from the preset list, or touch the multi text frame to enter text from the displayed software keyboard. For display of multi text annotations, see Setup Guide. 5 Close the window. Touch [OK]. Multi Text List Window 84

93 7. Processing the Image (QA Mode Screen) Free Annotations Adding free annotations You can add arrows and text at optional positions in the image. 1 Open the FREE ANNOTATION window. Touch [FREE ANNOTATION]. List FREE ANNOTATION Window Software keyboard display When Automatic display of keyboard is enabled through the Optional Setting under the Annotation Setup ( Setup Guide), [ADD TEXT (KEYBD)] and [ADD TEXT (LIST)] will be displayed in the FREE ANNOTATION window. Touch [ADD TEXT (KEYBD)] to display the software keyboard, or [ADD TEXT (LIST)] to display the TEXT window. By touching these buttons, step 5 and step 6 are reversed. TEXT Window 85 Continued on the following page >>

94 7. Processing the Image (QA Mode Screen) 2 Add an arrow. Touch [ADD ARROW] to open the ADD ARROW window, and then touch two points on the image (start point and end point). A red arrow will be displayed. 3 Adjust 4 Close 5 Determine the arrow. Adjust the POSITION and WIDTH. the ADD ARROW window. Touch [OK]. ADD ARROW Window Display Description POSITION Touch,,, or to move the arrow. WIDTH Touch the button to open the WIDTH window, and select the thickness from the list. the position of text to be added. Touch [ADD TEXT] to open the ADD TEXT window, and then touch one point on the image. A red + will be displayed, determining the text position. ADD TEXT Window 86

95 7. Processing the Image (QA Mode Screen) 6 Adjust the text. Adjust the position, text, and font. Display Operation POSITION Touch,,, or to move the text. Touch the inside of the text field to input text from the software keyboard. When selecting text from the list, touch to open the TEXT window, and then select. TEXT TEXT Window Touch the button to open the FONT window, and then touch to select the font and size from the list. FONT 7 Close 8 Close the ADD TEXT window. Touch [OK]. the FREE ANNOTATION window. Touch [EXIT]. Continued on the following page >> 87

96 7. Processing the Image (QA Mode Screen) When a free annotation has gone out of the image When a free annotation has gone out of an image due to trimming, rotating or flipping the image, or when an arrow or text extends out of the image when inputting a free annotation, >>> will be displayed on the left side of the list in the FREE ANNOTATION window. If you attempt to exit the QA screen with a free annotation extending from the image, a window will open and the message Free annotation is out of frame. Are you sure you want to close QA Screen? will be displayed. In this case, touch [CANCEL] to close the window, then modify the free annotation so that it is in the image Modifying free annotations 1 Select 2 Open the arrow or text. Select the arrow or text from the list. the MODIFY window. Touch [MODIFY]. The MODIFY ARROW window or MODIFY TEXT window will be displayed. MODIFY ARROW Window (left) and MODIFY TEXT Window (right) 88

97 7. Processing the Image (QA Mode Screen) 3 Change the settings. To change the arrow, see step 3 under Adding free annotations ( page 85), and to change the text, see step 6 under Adding free annotations ( page 85). 89

98 7. Processing the Image (QA Mode Screen) 7.9 CORRECT PROC. In this screen, the dosage-dependent sharpness of the image can be set, the stripes caused by the fixed grid can be decreased, and the collimation mask can be set. CORRECT PROC. Screen Setting the Dosage-Dependent Sharpness Adjustment 1 Enable 2 Set the dosage-dependent sharpness. Touch and highlight (white character) [D. DEPEND MTF. IMP]. the type. Touch to open the window and select the body part. 3 Set the intensity as required. Type Button Window Touch or to select a setting from 0 to 3. The displayed value on the left is the saved value, and the value on the right is the modified value. Larger values provide more sharpness. 90

99 7. Processing the Image (QA Mode Screen) Setting SUPPRESS GRID Processing You can use the SUPPRESS GRID function to decrease the stripes on the image caused by using fixed grid. For details on the SUPPRESS GRID function, see Setup Guide Setting COLLIMATION MASK Processing Function NOTE: Advance setting by a service engineer is required to use the COLLIMATION MASK processing function. The white areas around the periphery of the image are blackened out. Each time you touch [COLLIMATION MASK], the button switches between highlighted display (white characters) and normal display, and it is enabled when highlighted. Without COLLIMATION MASK Processing (left) With COLLIMATION MASK Processing (right) 91

100 7. Processing the Image (QA Mode Screen) 7.10 Magnified Image Screen This displays a magnified image. 1 Display 2 Magnify 3 Return a magnified image. Touch [MAG.] or [QA-MAG.]. [MAG.] [QA-MAG.] Button the image. Magnified Image Screen Touch the part on the image that you want to magnify. To return to the original status, touch [RESET]. to the QA screen. Touch [CLOSE]. Description The image is displayed after LUT processing is completed. The image is displayed after all image processing is completed. The display processing time is longer than when [MAG.] is selected. Display on high-definition monitors The system can be set by a service engineer to display images on a high-definition monitor instead of on the magnify screen. If this is done, steps 2 and 3 cannot be performed. 92

101 7. Processing the Image (QA Mode Screen) 7.11 Option NOTE: Advance setting by a service engineer is required to use the JPEG SETUP. Image compression can be set and the gamma can be adjusted. Touch [OPTION] to open the option window. If [OPTION] is not displayed, touch so that the button is displayed Setting Image Compression Option Window The image is compressed when saved to storage or to an external storage medium. For details on the storage procedure, see Setup Guide GAMMA Adjustment 1 Open the GAMMA Adjustment window. Touch for gamma adjustment. GAMMA Adjustment Window Entering a password If a window opens and password entry ( Setup Guide) is requested, touch the password frame to display the password screen and enter the password. 93 Continued on the following page >>

102 7. Processing the Image (QA Mode Screen) 2 Enter 3 Close the gamma value. Touch the inside of the frame in the preview image (image displayed in the preview image screen or QA screen) or magnified image (image displayed in the magnify image screen) to display the numeric input keys, and then enter the gamma value in a range from 1.00 to the GAMMA Adjustment window. Touch [OK]. This closes the window and saves the entered values as system setting values. 94

103 CXDI Adjustment 8. Calibration 9. Self test

104 Notes on CXDI Adjustment Before Calibration 1. The temperature in the room when performing calibration must be the same as during an ordinary exposure. Otherwise, you will not be able to obtain a uniform image. 2. Wait for the sensor unit to stabilize before calibrating the instrument (approximately 30 minutes after turning ON the power). 3. Do not use a AEC (Automatic Exposure Control). 4. A more uniform image may be obtained by setting the tube voltage and exposure time to values used frequently during the actual exposures. 5. Uniformity of image may be improved when the exposure is performed many times. Four or more exposures should be done. 6. If the sensor unit s grid is detachable, also refer to the hardware operating manual. 7. When a multiple number of sensors are used, perform the calibration for each of the sensors. 8. When a single sensor is set for a multiple number of sensor units, perform the calibration for each of the units. 9. With the CXDI-40G COMPACT, do not remove the grid. When calibration is to be performed, ask the service technician to do this job. During Calibration 1. Align the system as for an ordinary exposure, such as when the whole imaging area of the sensor unit will be exposed. Although calibration can be performed even by irradiating part of the sensor unit, you will not be able to obtain a normal image for the areas that have not been irradiated by x-rays. 2. Do not put any lead mark on the sensor unit, or place any object between the sensor unit and the X-ray tube. Such an object will appear on all the pictures. 3. If the message Calibration Error. Too Much/Little Dose. Or collimator is used. is displayed, perform calibration again after adjusting the X-ray exposure condition. During Self Test 1. Perform the exposure using the same settings as calibration for the exposure parameter settings and grid usage. With the CXDI-40G COMPACT, proceed to undertake the self test while leaving the grid in place. 2. In some cases, an error may be detected in TEST1 due to unintended exposure of the ion chamber or photo timer inside the sensor unit. This is not a malfunction, and you may continue usage as before. 3. Align the system as for an ordinary exposure, such as when the whole imaging area of the sensor unit will be exposed. If a partial exposure occurs, an error may be detected. 4. Do not put any lead mark on the sensor unit, or place any object between the sensor unit and the X-ray tube. If an object obstructs exposure, an error may be detected. 96

105 8. Calibration Calibration is used to adjust the X-ray sensitivity of the sensor unit. Perform calibration in the following cases. 1. When a warning message is displayed 2. When the exposure conditions are changed significantly 3. When the density of the image does not appear as desired 8.1 Setting the Parameters 1 Display the calibration screen. From the exposure screen, touch [SYSTEM] > [CALIBRATION]. Sensor unit button Exposure parameters Calibration Screen Display Last Calibration times Bucky msec Exposure Parameters Last Grid Timeout for warning Memo Grid Description The date and time of the last calibration exposure The number of times that calibration exposures will be made. Displayed when the sensor unit using the movable grid is selected. Starting from the top, the parameters are displayed in the following order: X-ray tube voltage, X-ray tube current, exposure time, mas value, and tube-sensor distance. Grid name used previously. It is not displayed for sensor units CXDI-11 and CXDI-12. The time until a warning is displayed for performing the next calibration. Enter a memo as required. The grid name currently being used. It is not displayed for sensor units CXDI-11 and CXDI-12. Continued on the following page >> -97-

106 8. Calibration 2 Select 3 Remove 4 Set 5 Select 6 Set 7 Set the sensor unit. If multiple sensor units can be used, first select a sensor unit by touching that sensor unit button. the grid unit. If a sensor unit with removable grid unit is selected in step 2, remove the grid unit. If [START] is touched while the grid unit is attached, it will display an error, and calibration will not be performed. times (number of exposures). Set the number using or. Or, touch the frame and enter the value from the ten key window. the bucky time. Touch to select from the list. This setting can only be made when using a movable grid. Calibration will not be performed properly unless the X-ray irradiation time is within the bucky time. the exposure parameters. Set the number using or. Or, touch the frame and enter the value from the ten key window or parameter table. the timeout for warning. Set the period from the completion of calibration until a warning is displayed to perform the next calibration. Touch [hour]/[day]/[week] to select the unit of time. Touch or to set the display duration. Or, touch the frame and enter the value from the ten key window. A warning will not be displayed if the time is set to 0. 8 Enter Warning on calibration The warning on calibration will be displayed as a yellow [ERR] mark blinking on the lower right side of the message area. Although exposures can be performed even when the warning is displayed, you must remember to calibrate the instrument later, as the warning will disappear when another error occurs. a memo as required. Touch the frame to display the software keyboard and enter the memo in 64 or fewer alphanumeric characters. 98

107 8. Calibration 8.2 Performing Calibration 1 Start the calibration. After setting the parameters on the calibration screen, touch [START]. The unit is ready to perform an x-ray exposure. 2 Press the exposure button. Preparing for Exposure Screen Press the exposure button on the x-ray generator. Data processing starts. If data processing succeeds and two or more exposures are set, it is possible to proceed with the next exposure. Be sure to perform calibration exposures only for the number of set exposures. Data Processing Success Continued on the following page >> 99

108 8. Calibration When data processing results in an error A window is opened, and an error message is displayed. After checking the error details, touch [OK] to close the window. Touch [EXIT] to cancel calibration, or [RETAKE] to perform calibration again. When the grid stripes have been detected in the course of the calibration of the CXDI-40G COMPACT A window is opened, and an error message is displayed. After checking the error details, touch [OK] to close the window. To cancel calibration, touch [EXIT]; to perform calibration again, check that the grid has been removed, and then touch [RETAKE]. 3 Exposure is completed. When the last exposure is completed, the message Please wait. is displayed, and data processing is started. 100

109 8. Calibration 4 After the calibration, result will appear. When calibration is successfully completed, the message Calibration has succeeded. is displayed. Touch [CHECK] to return to the initial screen. Calibration Successful 5 Change 6 Return 7 Return When calibration has failed A window is opened, and an error message is displayed. After checking the error details, touch [OK] to close the window. Touch [EXIT] to cancel calibration, or [RETAKE] to perform calibration again. the exposure parameters. If the settings of the x-ray generator were changed when starting calibration, change exposure parameters other than number of exposures and bucky time. The changed parameters will be saved when you touch [EXIT] or change the sensor unit. to the menu screen. Touch [EXIT]. the x-ray generator to the settings for normal exposure. Be sure to change the settings of the x-ray generator to those for normal exposures. REX check If exposure is performed with the settings for calibration exposure, the REX will display a value differing significantly from normal exposure, and a normal image will not be obtained. It is recommended that you always check the REX. 101

110 8. Calibration 102

111 9. Self test This procedure checks the image data transfer path of the CXDI system and individual sensor performance within the sensor unit. 9.1 Self test using a sensor unit with a removable grid unit 1 This displays the Self Test Screen. From the exposure screen, touch [SYSTEM] > [SELF TEST]. 2 Select 3 Remove the sensor unit. Self Test Screen If multiple sensor units can be used, first select a sensor unit by touching that sensor unit button. the grid unit. If a sensor unit with removable grid unit is selected in step 2, remove the grid unit. If [TEST START] is touched while the grid unit is attached, it will display an error, and the self test cannot be performed. Continued on the following page >> 103

112 9. Self test 4 Start the self test. Touch [TEST START]. The exposure parameters for the last calibration are displayed. Set the exposure parameters of the x-ray generator to match the displayed parameters. 5 Press the exposure button. Ready State Press the exposure button on the x-ray generator. The self test is started. The self test consists of five parts from TEST1 to TEST5. The self test is finished when TEST5 is completed. When the test is successfully completed, Passed. is displayed for TEST1 to TEST5. 104

113 9. Self test If the test fails A window opens, and an error code is displayed. After recording the error code, touch [OK] to close the window. Make a note of the error code and contact a Canon representative or distributor. 6 Return to the menu screen. Touch [EXIT]. 105

114 9. Self test 9.2 Self test using the sensor unit with a grid unit which cannot be removed (CXDI-40G COMPACT) Take the following steps for the self test using the CXDI-40G COMPACT. Steps which are not described here are the same as for a sensor unit with a removable grid unit. Refer to the steps described in 9.1 Self test using a sensor unit with a removable grid unit (see page 103). 1 Display the Self Test Screen. From the exposure screen, touch [SYSTEM] > [SELF TEST]. 2 Start the self test. Self Test Screen Without removing the grid, touch [TEST START]. Although the exposure parameters for the self test can be changed, as a basic rule, their optimal values were set by the service technician at the time when the product was installed. Simply go ahead and perform the self test. 106

115 9. Self test When the exposure parameters are to be changed When the exposure parameters are to be changed, touch [EXP. COND.]. The Exposure Parameter Screen is displayed. Set the optimum parameters. 3 Press 4 Return the exposure button. to the menu screen. Exposure Parameter Screen 107

116 9. Self test 108

117 Troubleshooting 10. Before Calling a Service Engineer 11. Questions and Answers

118 Troubleshooting Notes Remedies 1. If an error continues to occur despite performing the remedies described here, please contact a Canon representative or distributor. Before making your inquiry, be sure to make a note of the type of error that occurred, its number and details, and then explain the situation in as much detail as possible. 2. If an error occurs immediately after taking an image with PREVIEW IMAGE set to [DISPLAY] on the CUSTOMIZE DISPLAY screen ( Setup Guide), do not touch [ERR] displayed in the lower right side of the message area until the preview image appears. 110

119 10. Before Calling a Service Engineer If a problem occurs, an error window is displayed or [ERR] is displayed in the bottom right message area. The error type and details are displayed in the error window as shown below. Use the information shown in the tables on the following pages to take the appropriate measure. If there is more than one remedy, select one. Type of error Type and number Description Touch [ERR] to open the window. Touch [CLOSE] to close the window. Type of Error Type of error Fatal Error Alert Error Warning Attention Screen Display The entire screen blinks in red and an error window opens. An error window opens, and a red [ERR] warning blinks in the lower right corner of the message area. An error window opens, and a red [ERR] warning is displayed in the lower right corner of the message area. A yellow [ERR] warning blinks in the lower right corner of the message area. Touch [ERR] to open the error window. A yellow [ERR] warning is displayed in the lower right corner of the message area. Touch [ERR] to open the error window. 111

120 10. Before Calling a Service Engineer 10.1 Fatal Error Error Code Sensor Unit: SelfCheck Error Detected an Error. Capture Board SelfCheck Error Detected Capture Board Error. Capture Device Open Error Failed to open capture device. READ Timeout Error Error Message (Upper box: Error type Lower box: Error description) Failed to transmit data. Do not disconnect sensor during data transmission. Requested I/O pending error Failed to access the device. CXDCAP.INI Open Error Install CXDCAP.INI file. Capture Board SelfCheck Error Detected Capture Board Error. Power Supply Error Shuts down after 10 seconds. File Open Error: (file name) File is not found. Remedy Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. If [SHUTDOWN] is displayed, touch it. The system will automatically shut down. When these errors occur, note the error code and contact a Canon representative or distributor. 112

121 10. Before Calling a Service Engineer 10.2 Alert Error Code System Info Error Error Message (Upper box: Error type Lower box: Error description) Remedy -4 Driver info is updated. If there is the trouble of sensor, the sensor power unit may not be supplied. System Info Error -5 Capture device info is updated. If there is the trouble of sensor, the sensor power unit may not be supplied System Info Error A/D board info is updated. If there is the trouble of sensor, the sensor power unit may not be supplied. System Info Error LANMIT info is updated. If there is the trouble of sensor, the sensor power unit may not be supplied. System Self Check Error: (Contents) Call a service engineer and let him/her know the error code. Capture Board Error Detected Capture Board Error. Sensor Unit: Self Check Error Detected an Error. Image Error An error occurred in the image. Call a service person. Check the image in the Preview-screen and also in the high-resolution monitor or by using [MAG.] or [QA-MAG.] in the QA screen. Also, turn the power box off and on again to restart the CXDI. Internal Storage Limit Warning: The amount of available internal storage space has dropped below (current settings). Images currently in storage commitment or that failed in storage commitment will be automatically deleted. Internal Storage Limit Warning: The amount of available internal storage space has dropped below (current settings). Check the contents of the study list. OPU-CCR RPC Error OPU-CCR RPC Error. OPU-CCR RPC Error Operation has been canceled. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window. Perform operations according to the messages displayed. Note the error code and contact a Canon representative or distributor. Touch [OK] to close the window. Touch [OK] to close the window and then see 6.4 Deleting the Image(s) ( page 58), and delete the image. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. 113

122 10. Before Calling a Service Engineer 10.3 Error Error Code Insufficient tmp disk space Error Message (Upper box: Error type Lower box: Error description) Output the saved data or erase the backed up data. Insufficient que disk space Output the saved data or erase the backed up data. Sensor Unit: SelfCheck Error Detected an Error. Sensor Unit: Sequence Error Sequence Error. Call a service engineer. Sensor Unit: Control Error Detected Control Error. Call a service engineer. Sensor Unit: PLD Error Detected PLD Error. Call a service engineer. Sensor Unit: Grid Error If you select [OK], the system will separate the Grid component, then change to force-grid mode. In this case, the image quality cannot be guaranteed. If you select [CANCEL], Grid component will be re-initialize. Sensor Unit: Grid Error Because of the Grid error, this image may have a quality problem. Sensor Unit: Temperature Error The internal temperature of the Sensor Unit exceeded the temperature limit. Cannot capture images until the temperature goes below the limit. Sensor Unit Sensor Unit cannot become ready for exposure. Check the following part: (message) Sensor Unit: Signal Line Error Problem has occurred between sensor unit and EO box. Call a service engineer. Sensor Unit: Data Transmit Error Failed to transmit the data. Capture Board Error Detected Capture Board Error. Capture Board Control Error Detected Capture Board Control Error. Call a service engineer. Remedy Touch [OK] to close the window, and then see 6.4 Deleting the Image(s) ( page 58), and delete the image. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. This cuts off control of the movable grid. The grid lines appear over the image, and the image quality cannot be guaranteed. To continue with the exposure anyway, touch [OK]. Touch [CANCEL] to re-initialize the grid unit. Touch [OK] to close the window, and then check the image. Perform exposure again if there are any abnormalities. Touch [OK] to close the window and try again after a while. Touch [OK] to close the window and lock the slide adapter (optional unit) or the grid unit. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window. As image quality will not be guaranteed, take an image again. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. 114

123 10. Before Calling a Service Engineer Error Code Capture Board Error Capture Board Error. Call a service engineer. Capture Board: Sequence Error Failed to synchronize with the sensor unit. Call a service engineer. Capture Board: Sequence Error X-ray monitor in sensor unit failed to detect the beginning of irradiation. Capture Board: Data Transmit Error Failed to transmit the data. Call a service engineer. Capture Board: Control Line Error Control line error has occurred in capture board. Call a service engineer. Sensor Unit: Sensor Analogue Power Supply Error Sensor Analogue Power Supply was detected. Call a service engineer. Grid ID Readout Error Grid ID readout error has been detected. Acquisition Parameter Error Detected Illegal Parameter Error. LUT Write Error Quit the exam and perform calibration. Calibration Table Error Perform Calibration. Error Message (Upper box: Error type Lower box: Error description) Remedy Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window. Exposure can be continued. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window, and then see 8. Calibration ( page 97) to perform calibration Sensor Unit Configuration Error Incorrect Sensor Unit Configuration. Call a service engineer. Sensor Unit: Firmware Write Error The firmware is incorrect. Capture Device Access Error Detected Communication Error Either an error occurred in the sensor, or the sensor power may be turned off. Capture Device Access Error Detected Communication Error Either an error occurred in the sensor, or the sensor power may be turned off. Sensor Unregistered Error. The connected sensor cannot be used because it is unregistered. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. If sensor power is turned off, turn the sensor power on and try performing the operation again. If sensor power is on, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window, and then connect a registered sensor. 115 Continued on the following page >>

124 10. Before Calling a Service Engineer Error Code Sensor Connection Error Multiple sensors sharing the same BodyPart cannot be used at the same time. Turn on the power for one sensor only that will be used. Calibration Error Too Much Dose. Or collimator is used. Calibration Error Too Little Dose. Or collimator is used. Calibration Error Invalid Data. Or collimator is used. Calibration Error Collimator may be used. QA Process Error Image Analysis Error. Adjust image process parameter manually. Calibration Error Periodic noise is detected in acquisition data. It is necessary to remove the grid before calibration. REX Warning Error Message (Upper box: Error type Lower box: Error description) Remedy Touch [OK] to close the window. Then, turn off the power of unused sensor unit(s). Turn on only one sensor unit when multiple sensor units share the same body part. Touch [OK] to close the window. Adjust exposure dose (mas) or focal distance and take an image again. Touch [OK] to close the window and repeat the exposure. Please contact Canon if the irradiation field aperture is not being used. Touch [OK] to close the window, and then see 7. Processing the Image (QA Mode Screen) ( page 65) to manually perform QA processing. Check that the grid has been removed, and then retake. When calibration is to be performed for the CXDI-40G COMPACT, ask the service technician to do this job REX is (detected value). It is below lower limit (setting values). Check generator setting and exposure conditions. If exposure conditions were correct, adjust IP parameters. REX Warning REX is (detected value). It is over maximum limitation (setting values). Check generator setting and exposure conditions. If exposure conditions were correct, adjust IP parameters. Touch [OK] to close the window and adjust the dose Incomplete End Error The last image in the last study was not saved completely. Incomplete End Error Do you want store captured images into internal storage in order to restore them later? External Storage Error Selected directory or disk for storage can only be read. External Storage Error Cannot recognize the external storage. Set the disk properly and retry. Touch [OK] to close the window and repeat the exposure. Touch [OK] to recover. Touch [CANCEL] to delete the image. Touch [OK]. Change the attribute of the storage medium and try again. Touch [OK] to close the window and check the setting of the external storage medium Media Control Error Touch [OK] to close the window and try again Operation has been canceled because the external storage or directory is busy. after a while. 116

125 10. Before Calling a Service Engineer Error Code Error Message (Upper box: Error type Lower box: Error description) Remedy -514 External Storage Error The exposed images cannot be stored because the size of folder partition is smaller than the exposed images. Use a new disk, erase the folder contents or enlarge the folder size and retry. Touch [OK] to close the window, finish the study, and output the image. Also, see Setup Guide, and check that the maximum storage space of the external storage media is set to an appropriate setting Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. External Storage Error Capacity of external storage memory is insufficient. Retry after making a space in the disk. Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. Queue File Open Error Queue file is not found. Reject Info Output Error Selected directory for reject list can only be read. Reject info cannot be saved on the file. Reject Info Output Error Selected directory for reject list does not exist, or attribution is incorrect. Reject info cannot be saved on the file. Reject Info Output Error The file format for reject list includes incorrect strings. Reject info cannot be saved on the file. Storage Commitment Result Error Receipt of the storage commitment failed. Storage Commitment Result Error Storage commitment failed. External Storage Error (folder name) An error has occurred in DICOMDIR. Files may have been destroyed. Call a service person. The DICOMDIR functions will remain canceled until the system is restarted. File Open Error File is not found. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK]. Replace the external disk and try again. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. 117 Continued on the following page >>

126 10. Before Calling a Service Engineer Error Code Resend Error File may have been automatically deleted. Sensor Unit: Detect Error Check the sensor power unit or cable connection. Sensor Unit: Detect Error Check the sensor unit cable connection. If you want to recover the system, shut it down. Grid Error Remove Grid for this exposure. Grid ID Error Replace with the recommended grid (Grid Name). Installed grid: (Grid Name). Grid ID Error This is a none-grid mode. Remove the grid. Grid ID Error This is a fixed-grid mode. Attach the grid. Grid ID Error Error Message (Upper box: Error type Lower box: Error description) This is a moving-grid mode. Attach the grid. Remedy Touch [OK] to close the window. Touch [OK] and shut down the system (see 1.2 Shutting Down the CXDI ( page 5)). Check the cable connections. If the cause cannot be found, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window and remove the grid from the sensor unit. Touch [OK] to close the window and check the grid in the sensor unit. Touch [OK] to close the window and remove the grid from the sensor unit. Touch [OK] to close the window and attach the grid to the sensor unit. 118

127 10. Before Calling a Service Engineer 10.4 Warning Error Code Error Message (Upper box: Error type Lower box: Error description) Remedy -9 SMART Error An error is detected in HDD. It's possible that the HDD(1 or 2) will break down. Call a service person. HDD Communication Error Cannot communicate with HDD. Mirroring function will be disabled since the HDD(1 or 2) is not available. Call a service person. SMART Error An error is detected in HDD. It's possible that the HDD(1 or 2) will break down and the data will be lost. Call a service person. Sensor Unit: SelfCheck Error Detected an Error. Sensor Unit: Flash ROM Error Detected Flash ROM Error. Call a service engineer. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor Sensor Unit: Sequence Error This image may have a problem. Sensor Unit: Temperature Warning The internal temperature of the Sensor Unit is too high! Do not leave the Sensor Unit in READY condition. Capture Board Error Detected Capture Board Error. Capture Board Error Capture Board Error. Capture Board: Sequence Error X-ray monitor in sensor unit failed to detect the beginning of irradiation. Capture Board: Sequence Error X-ray monitor in sensor unit failed to detect the end of irradiation. Image quality attention CXDI has stopped irradiation. Check image. DICOM Connect Error Cannot connect to target. Check network or port number setting. (The following message is added when transferring all data at once.) If operating offline, press the Close button and check the output status of the Process Viewer. DICOM Transfer Error Error has occurred during association. Touch [OK] to close the window. As image quality cannot be guaranteed, take an image again. Touch [OK] to close the dialogue window. Lower the temperature of the room where the sensor unit is installed, or wait until the temperature in the sensor unit drops. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [OK] to close the window. As image quality cannot be guaranteed, take an image again. After confirming that the network is normal, touch [RETRY]. Touch [CANCEL] to close the window, and then see Setup Guide and set the parameters. If running the software offline, check that the output status of the process viewer is [IDLE]. If output status is [SEND], change it to [IDLE]. 119 Continued on the following page >>

128 10. Before Calling a Service Engineer Error Code DICOM Parameter Error DICOM transfer Parameter is wrong. DICOM Response Error Receiving device reported an error in DICOM response. Check receiving device. DICOM Printer Status Error CXDI has aborted DICOM transmission because of a FAILURE in DICOM printer status. Check receiving device. External Storage Error Selected directory or disk for storage can only be read. External Storage Error Selected directory or disk for storage does not exist. Or image cannot be saved on external storage, because the external storage or directory is not properly set. External Storage Error Cannot recognize the external storage. Set the disk properly and retry. External Storage Error The exposed images cannot be stored because the size of folder partition is smaller than the exposed images. Use a new disk, erase the folder contents or enlarge the folder size and retry. Internal Storage Error Selected directory for storage can only be read. Internal Storage Error Selected directory for storage does not exist, or attribution is incorrect. Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. External Storage Error Capacity of external storage memory is insufficient. Retry after making a space in the disk. Internal Storage Error Exposed image cannot be stored, because the capacity of internal storage memory is insufficient. DICOM Storage Commitment Warning Error Message (Upper box: Error type Lower box: Error description) Processing has not been performed, although parameters of commitment have been specified. Check the execution path of commitment. Remedy Touch [RETRY]. Touch [CANCEL] to close the window, and then see Setup Guide and set the parameters. Check that the printer or storage medium is normal. Then touch [RETRY]. Touch [CANCEL] to close the window and then check the settings. After eliminating the printer error, touch [RETRY]. Touch [CANCEL] to cancel output. Replace the disk with a writable disk and touch [RETRY]. Touch [CANCEL] to cancel save. Contact the system administrator. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [RETRY] after the green mark disappears from the message area of the exposure screen. Touch [RETRY] to store the image on the internal storage again. To cancel saving, touch [CANCEL]. Replace the disk with a writable disk and touch [RETRY]. Touch [CANCEL] to cancel save. Contact the system administrator. Touch [RETRY] to store the image on the internal storage again. To cancel save, touch [CANCEL]. Touch [OK] to close the window. 120

129 10. Before Calling a Service Engineer Error Code Error Message (Upper box: Error type Lower box: Error description) Remedy Reject Info Output Error Selected directory for reject list can only be read. Reject info cannot be saved on the file. Reject Info Output Error Selected directory for reject list does not exist, or attribution is incorrect. Reject info cannot be saved on the file. Reject Info Output Error The file format for reject list includes incorrect strings. Reject info cannot be saved on the file. Reject Info Output Error Error has occurred on saving reject info on the file. Do you retry it? DICOM Connect Error Transmission of the storage commitment request failed. Connection to output equipment is not possible. Check the network or port number settings. Retry? DICOM Transfer Error Transmission of the storage commitment request failed. An error occurred during transmission with the output equipment. Retry? DICOM Parameter Error Transmission of the storage commitment request failed. The DICOM output parameter settings are invalid. Retry? DICOM Response Error Transmission of the storage commitment request failed. The DICOM response reported by the receiving equipment was an error. Check the receiving equipment. Retry? Storage Commitment Request Error The storage transfer was canceled, and so the storage commitment request was not issued. Calibration Error (Sensor unit ID: 1 to 4): (Elapsed time) have passed since the last calibration. Perform calibration. Touch [OK] to close the window, and then see 1.2 Shutting Down the CXDI ( page 5), and turn off the CXDI. When these errors occur, note the error code and contact a Canon representative or distributor. Touch [RETRY] to store the image on the storage again. To cancel save, touch [CANCEL]. After confirming the storage is normal, touch [RETRY]. Touch [CANCEL] to close the window and then check the settings. Touch [OK] to close the window. Touch [CLOSE] to close the window, and then see 8. Calibration ( page 97) to perform the calibration. 121

130 10. Before Calling a Service Engineer 10.5 Attention Error Code DICOM Response Warning Error Message (Upper box: Error type Lower box: Error description) Although transfer finished properly, receiving device reported a warning in DICOM response. Check receiving device. DICOM Printer Status Warning Although transfer finished properly, receiving device reported a warning in DICOM printer status. Check receiving device. External Storage Attention Remaining space in external storage is less than (setting values)%. Remedy Touch [OK] to close the window and check the settings of output destination. Touch [OK] to close the window. Replace the external disk before it reaches full capacity Internal Counter Mismatch Error (folder name) Touch [OK] to close the window. The setting file was restored since there was a mismatch in the internal counter. 122

131 11. Questions and Answers 11.1 Display of Exposure Screen Q1-1 The exposure screen does not appear on the touchscreen. A1-1 Reset the system according to the display on the touchscreen. Contact a Canon representative or distributor if the problem cannot be resolved even after resetting the system several times. When the Microsoft Windows XP Professional screen is displayed Select [start] > [Turn Off Computer] > [Turn Off]. When the exposure screen appears completely black or completely blue without showing anything else Refer to the hardware manual, and reset the system. Q1-2 Nothing is displayed on the touchscreen even when the power is turned ON, or the screen has frozen with the message Checking NV RAM... A1-2 Refer to the hardware manual, and reset the system. Q1-3 No operations can be performed from the touchscreen. A1-3 Operation from the touchscreen will not be accepted while the system is performing a process or when the system has crashed. Wait for about one minute and try again. If it still doesn t work, refer to the hardware manual, and reset the system. Q1-4 What is the green mark blinking at the upper right side of the exposure screen? A1-4 It indicates that the image is being transferred or the image is being processed. It disappears after the process ends. Q1-5 What are the S and I displayed in the message area of the exposure screen? A1-5 They are the original IDs issued by the system for DICOM. Q1-6 A1-6 What are the small green rectangles in the part where the preview image will be displayed on a tray type screen after an exposure? The rectangle shows the Fixed ROI area. For details about the Fixed ROI area, see Setup Guide. Q1-7 There is no study description button on the exposure screen. A1-7 Set the Study Description to [ENABLE]. ( Setup Guide) Q1-8 The new exposure mode button that has been made is not displayed on the exposure screen. A1-8 On the tray type screen, the exposure mode will not be displayed unless it has been POSITION IN TRAY ( Setup Guide). Q1-9 The print preview image is not displayed properly on the multiview screen. A1-9 Refer to Choosing Multi-Format after the Exposure ( page 49) and then set the printer for output. 123

132 11. Questions and Answers 11.2 Entering/Changing Data Q2-1 There are exposure parameters that are not displayed on the exposure screen. A2-1 You can select the exposure parameters to be displayed from the SYSTEM SETUP screen ( Setup Guide). Parameters set to off are not displayed. Q2-2 Do you have to enter all the data on a patient? A2-2 An error occurs if any of the required fields ( Setup Guide) are not completed. The required fields can be selected. Q2-3 How can patient data be changed after input? A2-3 Touch [PATIENT]. Now the data can be changed. The [OK] at the bottom right of the software keyboard changes to [CHANGE]. To exit, touch [CHANGE]. Q2-4 How can exposure parameters be changed on the category type screen? A2-4 Unlike the tray type screen, they cannot be changed directly from the category type screen. Touch [CHANGE] to display the screen for changing parameters. Q2-5 A2-5 Although the exposure parameters have been changed, they returned to the previous settings after an exposure was performed. Unless you touch [SAVE PARAM] and save the parameters after changing them ( page 18), the changed parameters will return to the previous settings after an exposure has been taken. Q2-6 There is a parameter that cannot be changed during the exposure operation. A2-6 For msec and mas, only the one that has been selected on the SYSTEM SETUP screen can be changed. Selection can be made in the Exposure Condition Display ( Setup Guide). Q2-7 Exposure parameters cannot be changed freely. If [ENABLE] has been selected for PARAMETER TABLE ( Setup Guide) on the SYSTEM SETUP A2-7 screen, only the preset values in the exposure parameter table will be displayed. Setting to [DISABLE] allows setting of any user-selected value. 124

133 11. Questions and Answers 11.3 Settings Q3-1 A new exposure mode button cannot be made. A3-1 To create a new exposure method, copy the exposure method used before and then edit it. ( Setup Guide) This eliminates the need to enter the parameters from the beginning. Q3-2 What is a bucky msec? A3-2 It is a measure of the time for linking the movable grid with the X-ray irradiation. When it is not set properly, vertical lines may appear on the image. Q3-3 What is the difference between the fixed ROI and phototimer? A3-3 In the Fixed ROI settings, the adjustment range for LUT processing ( page 70) is set. By setting the phototimer, the position of the phototimer installed in the CXDI is set. Q3-4 What is an X-ray monitor? A3-4 It is used to detect the completion of X-ray irradiation and judge the timing for image generation. Normally, this cannot be changed. ( Setup Guide) 125

134 11. Questions and Answers 11.4 Exposure Q4-1 The message QA Process Error has appeared. A4-1 There are several causes. Typical examples and remedies are shown below: You have pressed the wrong exposure mode button. Select the correct exposure mode. Adjust the REX. Q4-2 The density of the image cannot be adjusted as desired. A4-2 There are several causes. Typical examples and remedies are shown below: Check the QA processing parameters. ( page 65) Check the IP PARAMETER for the exposure method. ( Setup Guide) Perform calibration. ( page 97) Execute SELF TEST. ( page 103) Q4-3 The image is completely white or black. A4-3 There are several causes. Typical examples and remedies are shown below: The X-ray dose may be wrong, or the CXDI system may not be synchronizing with the x-ray generator. Check the settings of the x-ray generator. You have pressed the wrong exposure mode button. Select the correct exposure mode. Adjust the REX. Q4-4 Why is an exposure mode chosen automatically after entering a patient s data? A4-4 Because AUTO-PRESS ( Setup Guide) is set to ENABLE on the SYSTEM SETUP screen. 126

135 11. Questions and Answers 11.5 Image Output Q5-1 The image cannot be output to the printer, etc. A5-1 In some cases, it is difficult to determine the cause. Check the following items: 1. Check the image output status in the Process Viewer. It takes time when there are many images waiting to be output. If you are in a hurry, touch [MODIFY] to display the CHANGE DESTINATION window, and then touch [Priority] to set to Priority Output. ( page 31) 2. Check that the output destination is selected. ( Setup Guide) If exposure finishes with nothing selected, no image is output. In this case, after the output destination is selected, the image in the Study List ( page 53) can be loaded and output. 3. Check that there is no problem with the printer, etc. where the image is going to be output. 4. Check that there is no problem in the network. Q5-2 Part of the printed image was missing. A5-2 Check the printer settings. ( Setup Guide) In handling, if [LIFESIZE] is selected and a large value is set for the Margin ratio, a large portion of the image may be cut away. Redo the settings. Q5-3 Can an image that has already been output be sent to another destination? A5-3 If the study is displayed in the Study List ( page 53), the image can be resent after it is loaded. 127

136 11. Questions and Answers 128

137 Appendix A. Logging in (User Authentication Function) B. Using the Rejection Reason Input Function C. Using the Sensor Unit Attach/Detach Function D. Turning the Power of the Power Box On/Off

138 Notes on Setting the User Authentication Function Note on User Authentication Function 1. Advance setting by a service engineer is required to use the user authentication function. 2. Only logged in users can use the CXDI when the user authentication function is set. A user name and password are required to log in to the CXDI when the user authentication function is set. Note on Rejection Reason Input Function Advance setting by a service engineer is reguired to use the rejection reason input function. 130

139 A. Logging in (User Authentication Function) A.1 User Authentication Function Advance setting by a service engineer is required to use the user authentication function. When this function is set, the login screen is displayed, and the exposure screen will not be displayed unless the correct user name and password are entered. For details about user registration, see Setup Guide. Login Screen [SHUTDOWN] display [SHUTDOWN] will be displayed only in the initial Login screen after starting up the CXDI. When you touch [SHUTDOWN], a window will open and the confirmation message Are you sure you want to shutdown the system? will appear. Touch [OK] to shut down the system. 131

140 A. Logging in (User Authentication Function) A.2 Login Enter the user name and password registered to the CXDI to log in. 1 Display the User Name Input screen. Touch the box for the User Name in the login screen. 2 Enter the user name User Name Input Screen Enter the user name, then touch [OK]. The Password Input screen is displayed. 3 Enter the password Password Input Screen Enter the password, then touch [OK]. After the user name and password registered to the CXDI are entered, the exposure screen is displayed. 132

141 A. Logging in (User Authentication Function) Logout button display After logging in, a logout button is displayed at the bottom left of the exposure screen. The logout button displays the currently logged in user name. Logout Button 133

142 A. Logging in (User Authentication Function) A.3 Logout Logout can be executed by two methods: touching the logout button, or automatically logging out using a timer (Auto Logout). A.3.1 Performing Manual Logout Touch the logout button in the exposure screen. A window will open and the confirmation message Are you sure you want to log out? will be displayed. (If a study is in progress, the following message is displayed: Now performing examination! Are you sure you want to log out? ) Touch [OK]. Logout Confirmation Screen A.3.2 Auto Logout If the Auto Logout function is enabled, a logout is performed automatically if no screen operations are performed for a certain period of time. For details about Auto Logout settings, see Setup Guide. Conditions when the Auto Logout function will not activate The Auto Logout function will not activate under the following conditions. At the User Management screen, User Properties screen, or Password Input screen When [SETUP MENU], [EDIT EXPOSURE MODE], [CALIBRATION], or [SELF TEST] is selected and something is set at the SYSTEM SETUP screen When a message window is open When an error window is open When an image is called from the Study List 134

143 B. Using the Rejection Reason Input Function B.1 Rejection Reason Input Function Advanced setting by a service engineer is required to use the rejection reason input function. When this function is set, the user must input the reason when an image is rejected ( page 40) during exposure. The entered rejection reason is output to a CSV (Comma Separated Value) format file (except when reproduced from the study image list). Rejection Reason Input Window CSV format file output Information other than the rejection reason can be output to a CSV format file if the setup has been performed by the service engineer. For details, please contact a Canon representative or distributer. 135

144 B. Using the Rejection Reason Input Function B.2 Operations during Study B.2.1 Rejecting an Image During a Study During a study, the image is rejected in the preview image screen or multiview screen. 1 Display the preview image screen. Touch a preview image button on the exposure screen. The image can be displayed immediately after exposure for certain settings. 2 Display 3 Display Preview Image Screen the the image to be rejected. Touch a preview image button. When displaying from the multiview screen, touch [MULTI VIEW]. the rejection reason input window. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. Rejection Reason Input Window 136

145 B. Using the Rejection Reason Input Function 4 Select or enter the rejection reason. Select the rejection reason from the Reject Reason List. If the reason you want to enter is not found in the Reject Reason List, touch the Reject Reason input box to display the keyboard, and then enter the reason. Rejection reason If the image was already rejected in the past, its rejection reason is entered. 5 Reject the image. Touch [OK]. When the preview image screen is displayed, the rejection reason is displayed on the image. It is not displayed in the multiview screen. B.2.2 Entering the Rejection Reason during Retake When retaking an exposure, the image selected for retake always becomes a reject image. 1 Display the preview image screen. Touch a preview image button on the exposure screen. The image can be displayed immediately after exposure for certain settings. 2 Display Preview Image Screen the image that will be retaken. Touch a preview image button. Continued on the following page >> 137

146 B. Using the Rejection Reason Input Function 3 Select [RETAKE]. Touch [RETAKE]. A window will open and the confirmation message The original image will be rejected. Do you want to retake the image? will be displayed. (This message may not appear depending on the setup performed by the service engineer.) Touch [OK] to retake the image. The rejection reason input window is opened. 4 Select 5 Reject 6 Retake Rejection Reason Input Window or enter the rejection reason. Select the rejection reason from the Reject Reason List. If the reason you want to enter is not found in the Reject Reason List, touch the Reject Reason input box to display the keyboard, and enter the reason. the image. Touch [OK]. The exposure screen appears and the system enters the ready condition with the same exposure mode selected as that used for the current image. You cannot select a different exposure mode for retaking the image. the image. The image displayed in Step 2 will be rejected. 138

147 B. Using the Rejection Reason Input Function B.2.3 Changing the Rejection Reason During a Study The rejection reason can be changed in the preview image screen or multiview screen. 1 Display the preview image screen. Touch a preview image button on the exposure screen. The image can be displayed immediately after exposure for certain settings. 2 Display 3 Display Preview Image Screen the image whose rejection reason you will change. Touch a preview image button. To select from the multivew screen, touch [MULTI VIEW]. the process selection dialog box. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. 4 Display Process Selection Dialog Box the rejection reason input window. Touch [CHANGE REJECT REASON]. The current rejection reason is displayed in the Reject Reason input box. Continued on the following page >> 139

148 B. Using the Rejection Reason Input Function 5 Select 6 Change or enter the rejection reason. Select the rejection reason from the Reject Reason List. If the reason you want to enter is not found in the Reject Reason List, touch the Reject Reason input box to display the keyboard, and then enter the reason. the rejection reason. Touch [OK]. When the preview image screen is displayed, the rejection reason is displayed on the image. It is not displayed in the multiview screen. B.2.4 Cancelling a Rejected Image During a Study Cancel rejection of the image. 1 Display the preview image screen. Touch a preview image button on the exposure screen. 2 Display Preview Image Screen the image whose rejection you want to cancel. Touch a preview image button. When displaying from the multiview screen, touch [MULTI VIEW]. 140

149 B. Using the Rejection Reason Input Function 3 The process selection dialog box is displayed. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. 4 Cancel the rejection. Touch [VALIDATE IMAGE]. Process Selection Dialog Box Cancelling rejection of an image that has been retaken When rejection of a retaken image is cancelled, the other image is rejected, and the rejection reason input window is opened. Enter the rejection reason for the image to be rejected. 141

150 B. Using the Rejection Reason Input Function B.3 Operations after a Study is Completed NOTE: Changes in the CALL IMAGES screen are not saved. Therefore, to save the changes, resend the image using image RESEND or study RESEND ALL. B.3.1 Cancelling a Rejected Image and Outputting Again This describes how to play back an image from the study list, cancel the rejection, and then resend the image. 1 Display the study list. From the exposure screen, touch [SYSTEM] > [STUDY LIST]. 2 Display the CALL IMAGES screen. Displaying the Study List Touch the required study, and touch [CALL IMAGES]. CALL IMAGES Screen 142

151 B. Using the Rejection Reason Input Function 3 Display 4 Display the image whose rejection you want to cancel. Touch a preview image button. When displaying from the multiview screen, touch [MULTI VIEW]. the process selection dialog box. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. 5 Cancel the rejection. Touch [VALIDATE IMAGE]. Process Selection Dialog Box 6 Output Cancelling rejection of an image that has been retaken In contrast to rejection during exposure, even if rejection of an image that was rejected during retake is cancelled, the other image is not rejected. the images. Touch [RESEND] or [RESEND ALL]. The RESEND window or RESEND ALL window is opened. Set the output destination to [ON], and then touch [RESEND] or [RESEND ALL]. 143

152 B. Using the Rejection Reason Input Function B.3.2 Rejecting an Image and Outputting Again This describes how to play back images from the study image list, set them to reject images, and output them again. In this operation, rejected images can be output to temporary internal storage only. 1 Display the study list. From the exposure screen, touch [SYSTEM] > [STUDY LIST]. 2 Display the CALL IMAGES screen. Displaying the Study List Touch the required study, and touch [CALL IMAGES]. 3 Display the image to be rejected. CALL IMAGES Screen Touch a preview image button. When displaying from the multiview screen, touch [MULTI VIEW]. 144

153 B. Using the Rejection Reason Input Function 4 Display the rejection reason input window. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. 5 Select 6 Reject 7 Output Rejection Reason Input Window or enter the rejection reason. Select the rejection reason from the Reject Reason List. If the reason you want to enter is not found in the Reject Reason List, touch the Reject Reason input box to display the keyboard, and then enter the reason. the image. Touch [OK]. the images. Touch [RESEND] or [RESEND ALL]. The RESEND window or RESEND ALL window is opened. Set LOCAL TEMP STORAGE to [ON], and then touch [RESEND] or [RESEND ALL]. 145

154 B. Using the Rejection Reason Input Function B.3.3 Changing the Rejection Reason and Outputting Again NOTE: The rejected image is output only temporarily to local temporary storage. Therefore, after changing the rejection reason, be sure to select local temporary storage as the output destination. 1 Display the study list. From the exposure screen, touch [SYSTEM] > [STUDY LIST]. 2 Display Displaying the Study List the Preview Image Screen. Touch the image in the study list, and then touch [CALL IMAGES]. 3 Display Preview Image Screen the image whose rejection reason you will change. Touch a preview image button. When displaying from the multiview screen, touch [MULTI VIEW]. 146

155 B. Using the Rejection Reason Input Function 4 Display the process selection dialog box. Touch [Reject]. When the multiview screen is displayed, directly touch the image to open the window, and then touch [Reject]. 5 Display 6 Select 7 Change 8 Output Process Selection Dialog Box the rejection reason input window. Touch [CHANGE REJECT REASON]. or enter the rejection reason. Select the rejection reason from the Reject Reason List. If the reason you want to enter is not found in the Reject Reason List, touch the Reject Reason input box to display the keyboard, and then enter the reason. the rejection reason. Touch [OK]. the images. Touch [RESEND] or [RESEND ALL]. The RESEND window or RESEND ALL window is opened. Set LOCAL TEMP STORAGE to [ON], and then touch [RESEND] or [RESEND ALL]. 147

156 B. Using the Rejection Reason Input Function 148

157 C. Using the Sensor Unit Attach/Detach Function NOTE: This function can be used only with sensor units equipped with an attach/ detach function. Be sure to also refer to the user s manuals for both the sensor unit and power box on the use of this function. The procedure below is an example of operations when using the category type exposure screen. C.1 Attach/Detach Function of the Sensor Unit The sensor unit can be attached/detached while the system is running. The procedure for attaching and detaching the sensor unit is simple. NOTE: NOTE: NOTE: NOTE: NOTE: To attach/detach the sensor unit, always turn off the power of the power box first. Do not remove the connector or disconnect the power of the power box while image data is being transferred. Image data that has been taken will be lost. Always attach/detach the sensor unit from the exposure screen. Attaching/detaching the sensor unit while on another screen may result in malfunction or loss of data. If a dialog box is being displayed on the exposure screen, close the dialog box first and then perform attachment/detachment. If the sensor unit is detached during READY status, READY status will be canceled, and the selected exposure mode and parameters set on the parameter changing screen will become disabled. To continue taking exposures, select the exposure mode and make settings again ( page 15) after connecting the detached sensor unit. 149

158 C. Using the Sensor Unit Attach/Detach Function C.2 Detaching the Sensor Unit 1 Display the exposure screen. 2 Turn off the power of the power box. Power off will be automatically detected and a disconnection dialog box will be displayed. 3 Remove the connector. Disconnect the sensor cable relay connector of the sensor unit. 150

159 C. Using the Sensor Unit Attach/Detach Function 4 Complete detaching the sensor unit. Touch [OK] on the dialog box. The sensor unit icon will change to indicate the sensor unit is not connected. 151

160 C. Using the Sensor Unit Attach/Detach Function C.3 Connecting a Detached Sensor Unit 1 Display the exposure screen. 2 Connect 3 Turn the detached sensor unit. Connect the sensor cable relay connector of the sensor unit. on the power of the power box. Power on is automatically detected and a connection dialog box is displayed. 152

161 C. Using the Sensor Unit Attach/Detach Function If connecting an unregistered sensor unit The message Sensor Unregistered Error is displayed if a sensor unit having serial number that has not already been registered is connected. After confirmation, touch [OK] to close the window and connect a sensor unit having a registered serial number. 4 Complete connecting the sensor unit. Touch [OK] on the dialog box. The sensor unit icon display will change. 153

162 C. Using the Sensor Unit Attach/Detach Function 154

163 D. Turning the Power of the Power Box On/Off NOTE: This operation is only available with the sensor unit which has a direct Ethernet connection to a PC. Be sure to refer to the user s manuals for both the sensor unit and the power box. The procedure below is an example of operations when using the category type exposure screen. D.1 Using On/Off for the Power of the Power Box The power of the power box (or remote switch) can be turned on/off while the system is running. With a mobile system, power consumption can be reduced by turning the power off while the system is being moved. NOTE: NOTE: NOTE: NOTE: Do not turn off the power of the power box while transferring image data. Image data that has been taken will be lost. Always turn the power of the power box on/off from on the exposure screen. Turning the power of the power box on/off while on another screen may result in malfunction or loss of data. If a dialog box is being displayed on the exposure screen, close the dialog box first and then perform on/off. If the power box is turned off during READY status, READY status will be canceled, and the selected exposure mode and parameters set on the parameter changing screen will become disabled. To continue taking exposures, select the exposure mode and make settings again ( page 15) after the power is turned on. 155

164 D. Turning the Power of the Power Box On/Off D.2 Turning the Power of the Power Box On/Off 1 Display the exposure screen. 2 Turn off the power of the power box. Power off is automatically detected and a disconnection dialog box is displayed. 156

165 D. Turning the Power of the Power Box On/Off 3 Close the disconnection dialog box. Touch [OK]. The sensor unit icon will change to indicate the sensor unit is not connected. With a mobile system, power consumption can be reduced by putting the system in this state while it is being moved. 4 Turn on the power of the power box. Power on will be detected and a connection dialog box will be displayed. Continued on the following page >> 157

166 D. Turning the Power of the Power Box On/Off 5 Close the connection dialog box. Touch [OK]. The exposure screen will be displayed. 158

167 Index A A.D. 12 Accession No. 11 ADJUST ROI 69 ADJUST TRIM 68 AEC 37 ALPHA 11 ANNOTATION 83 AUTO ADJUST. 70 Auto Logout 134 AUTO-PRESS 15 B Birth Date 12 Brightness 72 bucky time 4, 98 C Calibration 97 CALL IMAGES 59 CANCEL 8 Category type Screen 4 Cnt of Success Trans 55 COLLIMATION MASK 91 COLUMN SETTING 54 Contrast 72 CORRECT PROC. 90 CXDI RESTART 6 D database file 8, 14 DELETE 58 Density adjustment area 66, 69 DESTI. PREF. 27, 36, 38 E error window 111 Exposure Screen 4 F Fixed Annotation 83 Free Annotation 85 FREQUENCY 76 G Gray-scale adjustment 70 H HIS 8, 14 I ID 11 L LOCAL CALENDER 12 LOCAL TEMP STORAGE 61 Login 132 Logout 134 LUT 70 M Mag 92 Magnetic card reader 14 Magnified image screen 21, 92 Marker 82 Memo 98 Message area 17 MULTI VIEW 50 Multi-format 49, 50 Multi-View Screen 43 N Name 11 NUM 11 Number of exposures 96 O Output order 46 P POSITION 81 Preview image buttons 4, 37, 59 Preview Image Screen 22, 35, 47 PRINT SETTING 36, 49, 59 Priority 27, 38, 56, 60, 61 Process Viewer Screen 31 Q QA 65 QA Mode Screen 21, 65 QA-Mag 92 R Recommended grid 16 Reject 26, 36, 40, 45, 47, 61 Rejection Reason Input Function 135 RESEND 60 RESEND ALL Window 56, 61 RESET

168 Index RETAKE 23, 25, 36, 41, 42 REX 22, 36, 70 REX ADJUST. 73 RIS 8, 14 S SAVE PARAM 18, 67 Self test 103 Sex 11 SHUTDOWN 5 Study description 4, 14 STUDY INFO. 13 Study List 53 T Timeout for warning 98 Transfer 55 Tray type Screen 4, 9 U User Authentication Function 131 V View 81 W Welcome Message Window 3 Y Year

169

170 CANON INC. Medical Equipment Group Blank 30-2, Page Shimomaruko 3-chome, Ohta-ku, Tokyo, Japan Telephone: (81) CANON U.S.A., INC. CANON MEDICAL SYSTEMS Alton Parkway, Irvine, CA , U.S.A. Telephone: (1) CANON EUROPA N.V. Medical Products Division Bovenkerkerweg 59-61, 1185 XB Amstelveen, The Netherlands Telephone: (31) PUB. L-IE-4135I (Ver.7.2) 0509P0.001 Printed in Japan

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