Download Eleva Workspot 1.x - Training Advanced User Functions
Transcript
Eleva Workspot 1.x - Training Advanced User Functions State: April 2007 Purpose of this Presentation • General – Get an overview about all "advanced user" functions in Eleva Workspot 1.x These are available in the System task area – Be able to adapt / use all functions from here that are not described in a more specific presentation (like EVA EVA, reject analysis analysis, ...)) Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 2 Content 5. User defined settings Patient list type Use a barcode reader ? Everything behind: Hyperlinks: 1. General System overview General Licenses 2. Export queue 3. Print q queue 4. Quality Assurance Advanced monitor calibration Spatial touchscreen calibration Printer calibration DICOM Export Test images R j t analysis Reject l i Plate statistics Company confidential Examination button layout Examination sorting Sh tt b Shutter border d width idth Use of virtual keyboard User defined annotations Modify image processing protocols Export schemes for automatic export Print destinations for automatic printing Print medium types for automatic printing Advanced print settings / templates EVA tool 6 Administration 6. Ad i i t ti Date and Language User accounts Log settings Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 3 normal advanced user service Before we start: Who is allowed to do what ? Coloring scheme in this presentation • Normal user = everybody • Advanced user = "eleva" (*) normal advanced user • Service user = "Service" (*) service Note ((*): ): The user names "eleva" and "Service" are fix for Eleva Workspot 1.x but may be different / changeable in following releases. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 4 Remember ? 3 tools for customization & configuration • System – Information – Queues – Quality Assurance – Settings ... normal • EVA tool – Advanced user only – Anatomy A t database d t b – Processing protocol usage – Auto export – Auto A t print i t – RIS Code mapping ... • FSF ((Field Service Framework)) – only with service "dongle" – System parameters – DICOM configuration g – Backup & restore ... Company confidential advanced user advanced user service service sta t in start System / Settings / EVA service Field Service Framework Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 start in System / General 5 normal advanced user service System - what do you find here ? • General + system parameters – Logout and system exit – Start FSF – Import license files • Export and Print Queue • Quality Assurance tools – Monitor & touch calibration – Printer calibration – Export E port calibration + params – Load test images – Reject analysis tool – Image I plate l t statistics t ti ti Company confidential • Settings – User interface and workflow – User defined text annotations – Processing protocol administration – Export destination mapping – Print destination mapping – Print templates and other definitions – Start EVA tool • Administration – Date, Time, Country and Language – User accounts and passwords – Log L llevell Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 6 normal advanced user service General Control network access of service: - Full access - Monitoring - No access Easy access to system information for - communicaton with service - updates - license order Read only. Company confidential Start FSF Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 Display of all installed licences 7 advanced user service Licenses • License display – All available licenses – "Installed" means permanent or Expiration date is displayed • How to import licenses – Insert medium with license file memory stick cd diskette – Press "Import" – Eleva searches for file & loads it – New license situation on display for verification - not applied yet! – Press "Apply" to accept, or Reset to revert to last state. "Reset" Company confidential The system sends a message •if licenses are about to expire •if licenses are expired. Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 8 normal advanced user service Export queue Cancel a submitted job. Job will appear under "Failed" List of completed jobs is automatically cleared in order of completion. Redo a completed job. Delete a completed job. Why has this job failed ? Redo a failed job. D l t a failed Delete f il d job. j b List of failed jobs is not cleared by system ! Must be done by user user. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 9 normal advanced user service Print queue Identical to export queue Cancel a submitted job. Job will appear under "Failed" List of completed jobs is automatically cleared in order of completion. Redo a completed job. Delete a completed job. Why has this job failed ? Redo a failed job. D l t a failed Delete f il d job. j b List of failed jobs is not cleared by system ! Must be done by user user. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 10 normal advanced user service QA - Quality Assurance • QA overview in this presentation – Advanced monitor calibration – Spatial touchscreen calibration – Printer calibration – Test images – Reject analysis – Plate statistics • Details about – calibrations, – reject analysis – How to etc. in seperate presentation "Quality Assurance" Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 11 normal advanced user service QA / Monitor display Eleva Workspot 1.x displays images y with DICOM greyscale g y display p y always standard A correction LUT (lookup table) is pp during g the image g display. p y applied - Factory provided curves work fine! - Can be replaced by measured curves - because monitors may drift away - to t adapt d t exactly tl to t viewing i i condition diti Monitor type Simple correction or measured on screen Measured from a distance with ambient light > 2 methods for monitor calibration Selected calibration • Without ambient light (*) () (place light meter on screen) + room light factor > normal user can select from dark medium dark, medium, bright • With ambient light (measure with light meter from a distance) g factor + no room light (*) factory provided curve is without ambient light, > select "measured" so please choose the current viewing condition Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 12 advanced user service QA / Advanced monitor calibration Perform monitor calibration measurements for DICOM greyscale display standard Listt off performed Li f d monitor it calibrations Perform a verification of the currently loaded calibration Apply a performed monitor calibration from the list Delete a performed monitor calibration from the list Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 13 advanced user service Advanced monitor calibration Greyscale calibration of monitor with lightmeter Measure luminescense in cd/m2 of the square in the middle p in 18 steps and enter the values. Detailed p procedure ? See also Service Manual Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 14 normal advanced user service Spatial Touchscreen Calibration • To align the "virtual mouse click" position with finger tip position • Necessary N – after software / hardware change – viewing angle changed (monitor position / people's size ...) • On screen guidance always English (!) 1 2 3 4 Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 15 normal advanced user service Why touch screen calibration ? 1. direct view you see and touch pixel here Where the pixel really is Y point of touch differs, depending on viewing angle Monitor's Pixel plane Eye Company confidential Touch glass surface Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 16 advanced user service QA / Printer calibration Choose one of the configured printers and a medium for this printer Define lightbox parameters ambient light and luminescense as p part of the DICOM display p y standard conform calibration Perform printer calibration for selected printer and medium Listt off performed Li f d printer i t calibrations, lib ti (including "linear" for calibration print) Verify a performed printer calibration from the list A l the Apply th selected l t d printer i t calibration lib ti to the selected printer / medium Company confidential Delete the selected printer calibration from the list Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 17 normal Printer calibration 1. Load test images to test patient 2. Go to System / QA / Printer, 3. 4. 5. 6. 7. 8. 9 9. calibration select "linear" calibration for printer and medium Select test patient and print "Printer Calibration" image Go to System / QA / Printer, select Printer and Medium Press "Perform Calibration" Measure printout and enter values into form New calibration is saved in list of performed calibration Select and apply calibration to printer with "Apply" Perform verification verification, same principle as calibration Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 advanced user service verification See also Service Manual 18 QA - DICOM Export settings in Standard: DICOM Grayscale SDF Possible: EasyVisionCurve Problem child: Pixel spacing (see next slide) Patient Orientation, View Position, Body Part Examined are supressed by default (because seldom filled correctly) Export calibration (see next slide) Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 19 DICOM Export calibration (in DiDi called Measure Mode) 1. Set Calibration to LINEAR 2. Load Test Images 3. Send Export p Calibration test image g to 4. 5. 6. 7. 8. 9. 9 the PACS Measure 16 steps ((typically yp y with lightg meter on monitor surface) Click Calibration (state of „„Viewing g Conditions“ does not matter) Enter values Select p proper p „„Viewing g condition“ to add ambient light virtually Click apply Double oub e check c ec message essage Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 20 What if ... (ctd) Doctor complains, he can't measure on the images in the PACS Reason may be: The PACS workstation needs the DICOM attribute (0028,0030) g Pixel Spacing p g for its measurement tool. Image Background information: There are 2 attributes for communicating the size of the image /pixels. - Imager Pixel Spacing (0018 (0018,1164). 1164) Pixel size of the detector/image plate plate. - Image Pixel Spacing (0028,0030). This is defined for the patient plane!! The Eleva Workspot system does not know where the patient plane is, of course. With R1.0x it was sent as a copy of (0018,1164), but this can lead to confusion and errors! So it was taken out by default. This (0028,0030) (0028 0030) attribute is by default only sent by Eleva Workspot Workspot, if either - the user has applied a manual image calibration (R1.1 license must be available) - in /QA/Export: "Send 0028,0030, even if not calibrated" is switched to ON. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 21 advanced user QA / Test images Press button to create patient "Test, Images" and load factory f test image set service Additionall test Additi t t images: i Eleva scans all drives like CD, Diskette, Memory Stick, ... All your .dcm or .gip images found in root folder \additional_test_images will be put under „Other". With the "Move image" tool you can move images then to another "real" exam, that you booked for this test patient. Must have in EVA: (language independent!) - Region name = "Service" - Exam. name = “Test Images” - View names = names of test images Comes with factory EVA database Do not change it !!! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 This is the ONLY way to get images INTO Eleva Workspot R1.x ! 22 advanced user service QA / Reject analysis Tabular display off records ffor all images taken with this workspot - one record per image - sortable - filtered Including (simple) statistic analysis smith smith young young young young smith smith smith young smith smith young young young smith smith young young young smith smith young young young For details see separate reject analysis presentation Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 23 advanced user Settings / User interface service Adapt information display to customers needs Adapt image display to customers needs Adapt UI behavior to the customers workflow Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 Adapt p virtual keyboard y behaviour to situation 24 advanced user service Workflow and Examination settings g ... ((PCR Eleva)) ... are about: • Patient P i and dE Examination i i list display • Barcode reader usage • Auto confirmation • Messaging on completing examinations • What to do with rejected images ? • Using the reject reason ? • Study folder handling Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 25 advanced user service Workflow and Examination settings ... Eleva Workspot 1.x ... are about: • Patient and Examination list display (Font size of view names) • No N Barcode B d reader d usage • Auto confirmation • Messaging M i on completing examinations • What to do with rejected j images ? • Using the reject reason ? • Study folder handling • Media usage Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 26 advanced user service Workflow: Change patient list type • What exams are grouped with one patient list entry ? Either one of – All studies of the patient behind one entry – Exactly one DICOM study per entry – All studies with the same Accession # together – All studies created on the same day together • Different RIS, different ways of working ... > try out which setting fits best (restart necessary) • This is also known as "merging g g criteria" in other systems y Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 27 advanced user service Good to know ... when patient list type is not "Patient" Patient The following - maybe unexpected behaviours should be considered: • The patient edit dialog shows always ALL studies of the patient, even if the patient list is configured to show studies studies. You may see more studies than expected expected. • You miss your change (add, change, delete) of studies/exams in the patient list after closing the patient edit dialog: – you select l t a patient ti t (in (i ffactt a study t d group)) in i the th patient ti t list li t and d edit dit – you add (or change) a new study with one or more exams – you close the patient edit and come back to patient list – here your selected patient does not show the new study (exams) – why ? where are they ? – the news have formed another patient list entry entry, which is either somewhere else in your current worklist, or not even part of it (because "in progress" worklist is active, but they are scheduled etc.) – why h did that happen ? – because your new study has another date or acc# than the others! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 28 advanced user service Change examination button layout • One selected additional attribute can be shown on Examination buttons • Can C b be a – RIS attribute (accession#, procedure code or procedure description, ...) – or the exam's Laterality as defined in EVA (details in EVA .ppt) nothing thi Hand Hand 4 examples 12345678 Hand L Hand Hand R 2V Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 Try out! 29 advanced user service Change examination sorting • Examination list can be sorted by date and time – oldest examinations on top – newest on top – not sorted, but in order exams where booked • Note: "examination examination date + time" time depends on the examination state >> date and time it is scheduled for >> date and time when it was started >> date and time when it was completed Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 30 advanced user service Auto proceed • Automatic proceeding of the blue selection of views during the examination is always selected & cannot be turned off Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 31 advanced user service Image documentation & archiving control archived • One or two out of these two options must be checked (no way out) • This influences, whether messages appear on completing the Examination • If checked, then the system warns the user, if an image is - not printed already or at least marked for auto print on complete - not exported already or p on complete p at least marked for auto export • But the system does not force the user to export or print This can be achieved via taking the Company confidential buttons off the tool bar ... Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 32 advanced user service What to do with rejected images ? • Automatic print jobs will not be triggered • Automatic export p jjobs will not be triggered gg ... if these options are checked. • Of course, you can still print and export manually Reject • The messages on examination completion about unexported / unprinted images reflect the settings of these two options here Confirm Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 33 advanced user service Enter reason of image rejection (option) • Each time a user presses – reject the system may ask for a reason and a comment, which is stored in the reject analysis and image header on export • This is optional • If not desired, desired do not check itit, and system will not ask Reject C fi Confirm Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 34 advanced user service Use image confirmation vs vs. auto confirm Reject j Confirm Image confirmation = Yes: • User can confirm and reject image • Implicit confirmation of the undecided images happens with "Complete" Complete • Auto export and print after confirmation Company confidential Image confirmation = No (= auto confirm): • User cannot confirm and reject image (decision buttons always disabled) • Automatic confirmation after readout • Auto export and print follow immediately Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 35 Confirm reject Confirm, reject, auto export and print altogether Confirm Single Image confirm co or: confirm on complete, p , or auto confirm: Auto export Auto print Auto export Auto print Reject Reject Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 ? ... depends: Icons may be taken away 36 advanced user service New Study per new Examination ? • Affects only manually booked additional examinations • If unchecked unchecked, you may book examinations into a selected study folder – Accession number and Study Instance UID etc. re-used – New examination refers to the RIS SPS data of the original study – Still you can create a new study by yourself empty accession number new Study y Instance UID no referring to the SPS RIS data • If checked, every new examination booking creates a new study – Empty accession number – New Study Instance UID – No referring to the SPS RIS data – Typically this creates an UFO in PACS in RIS environments This is intended! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 37 Study Description content • Eleva Workspot p 1.xcan fill Study y Description p ((DICOM attribute 0008,1030)) with – Examination name of 1st image exported for this study, or (if customer want several exams per RIS code, and decide in the situation, which one is actually performed) – Requested R t d Procedure P d Description D i ti from f RIS, RIS or ("cross mapping", study folder in PACS has RIS procedure name) – Leave it empty (for customers, who split Studies among Modalities) • Set in Field Service on Worklist Management (WLM) configuration page! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 38 advanced user Change shutter border width service without electronic shutters How do you know this image was collimated properly ? After electronic shutters may have cut off / blacken the unexposed area ? >> Eleva can draw the electronic shutters in a way that h an unxeposed d fframe around d the h iimage iis visible i ibl >> Width of this border can be adjusted from 0 to 5 with electronic shutters Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 39 Rerange to Shutter What is "Reranging" ? During the automatic image processing processing, the UNIQUE "ranger" ranger finds the anatomy of interest in the image (pixel histogram). Thereby the ranger looks only in the area that the autoshutter algorithm has initially identified as exposed image area.(This area (This is the same area that a new calculation of the polygonal autoshutter in the shutter tool would show). With the Rerange button switched on, any user applied changes to the electronic shutters are t transmitted itt d to t the th ranger algorithm. l ith The ranger is then recalculating with every shutter move, adapting to the new user defined shutter shape. This can be observed by opening the Ranger tool in here as ranger shutters. Company confidential the last applied shutter changes are also taken Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 40 Rerange to Shutter default Setting of this button determines the default setting on/off for every new image in the shutter tool. Example: • Rerange leaving out the artefact through the implant • 3 Steps 1.shutter without implant 2. rerange off Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 3. autoshutter again 41 advanced user service Change use of virtual keyboard Three options for usage of virtual keyboard No = Always = keyboard appears never keyboard appears always when a text field gets focus Request = when a text field gets focus, a little keyboard icon appears, press it i to open close 3 positions to choose ! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 42 advanced user service User defined annotations Adjust size of L + R markers • Add Annotation: 1. enter free text 2. choose size press Save 3. p • Changing is not possible ... > delete > re-enter Delete Annotation from list Change order off annotations (how they appear in anntotation tool) Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 43 advanced user service Image processing protocols Change & save in application Organize in "System" Connect protocols to views in Eva tool EVA Details about handling of Image processing protocols: See Image Processing presentation presentation. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 44 advanced user service What you can do in "System" System with protocols ... Select existing region or enter new name Browse by type and region g Delete protocol Change region for one or more protocol(s) Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 45 advanced user service Export destinations for automatic export • Eleva Workspot 1.x exports images according to export schemes • • • • (default, export1, export2, export3, export4, export5) Export schemes are selected in EVA tool - one per Examination The advanced user can define what destinations are connected to a scheme > choose from all service configured DICOM export nodes Up to 4 destinations per export scheme can be selected > images will be sent to selected destinations one after the other Destination 1 is meant to be the archive (no extra control mechanism behind (yet)) PACS EVRAD PACS EV-DX PACS PACS continued on next slide ... EV-DX EVRAD EFILM Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 46 advanced user service Factory Default • Don't worry ... • In factory database, and --- after USIT import: > All Exams have Default selected --- --- PACS Standard case: - Just select the archive node for Destination 1 - Ready ... Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 47 advanced user service Multiple destinations ... • Export scheme is selected in EVA per Exam • Export destination selected in per scheme PACS PACS + EVRAD EV-DX PACS Result: Chest exam will be sent to 1. PACS,, and 2. EVRAD Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 48 advanced user service Why these Export Schemes ? • You can route images to several destinations, dependent on examination type (exam set). • You can change routing – add workstation – change temporarily, PACS PACS + EVRAD EV-DX PACS if one destination is down without editing the EVA database ! • Advanced user can do this without EVA training • The configuration g in EVA database is not fixed to the DICOM node names! >> transfer of databases from one customer to the next Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 49 advanced user service Print destinations for automatic printing • Eleva Workspot 1.x selects printer and medium according to print medium types ( (default, , small,, medium,, large, g , extra1 and extra2)) • The advanced user can define what available printer + medium is connected to a print medium type: > choose from all service configured DICOM printers > choose from all service configured media for the selected printer Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 50 advanced user service Print destinations for automatic printing • Print medium type is selected in EVA per Exam • Final printer and medium selected in per type AGFA 11x14 Kodak1 11x14 Kodak1 Kodak1 + 11x14 11x14 Result: Chest exam will be printed on - Kodak1 - 11x14 11 14 fil film Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 51 advanced user service Why these Print Medium Types ? • You can change printing rules when – add a new printer – replace a printer – change temporarily, AGFA 11x14 11x14 Kodak1 Kodak1 Kodak1 + 11x14 11x14 if one printer or slot is down without editing the EVA database ! • Advanced user can do this without EVA training • The configuration in EVA database is not fixed to the printer names and available media ! >> transfer of EVA databases from one customer to the next much easier Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 52 advanced user service Different customers customers, same EVA print config ? E Examination i ti Hand Skull P i t medium Print di type t Customer 1 AGFA_1 8x10 AGFA_2 11x14 AGFA_2 14x17 small medium large Chest Customer 2 extra1 Mammo AGFA_1 8x10 KODAK_1 14x17 MAMMO 8x10 extra2 ... default EVA mapping - unchanged ... or only as few changes as absolutely necessary ... Company confidential System mapping - customized - Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 53 advanced user service Print settings ... are all about print templates and fonts. See separate printing presentation. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 54 advanced user service EVA tool Start here ... See seperate EVA tool presentation. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 55 normal advanced user service Administration / System: Date and Language Advanced user can set Normal user can see Date and Time Country > date and number formats Advanced Ad d user can set Date and Time Language > assortment depends on selected country If you are lost in a foreign language, select the first Country "-->o<--" -->o<-----> You'll get English Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 56 advanced user service Administration / Users Define as many "normal" users as you need. d - User name - Password (no rules) - Full name Change password of advanced user "eleva", which is also "eleva" as factory y default. Allow "normal" users to change their password. Password of user "Service" can not be changed! Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 57 normal advanced user service Administration / Log settings Advanced user can raise internal log level, e.g. in case ser ice asks for on the phone service after an error report etc. Company confidential Eleva Workspot R.1.x – Training Material – T.Dorn – April 2007 58