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REV AUTHORED BY
DATE
M. GALL
REV DRAFTED BY
06/08/09
DATE
J. SHARP
06/22/09
TITLE DOCUMENT NUMBER REV
PROPRIETARY INFORMATION: The content of this document is the exclusive property of Hologic and may not, without prior written permission of Hologic, be reproduced, copied or used for any purpose whatsoever.
AW-01279
SIZE A
002
ENG-0034-T33, Rev. 002
SHEET 1 OF 1
Technologists Workbook for Selenia and SecurView Part Number MAN-00477 Revision 002
June 2009
Disclaimer
This document is not meant to replace the user manuals or the quality control manuals. The information contained herein answers questions commonly asked during training and is provided for informational purposes. Always use the manuals provided with your system when performing mammography and Quality Control tests.
Corporate Headquarters 35 Crosby Drive, Bedford, MA 01730-1401 USA Tel: 781.999.7300 Sales: 781.999.7453 Fax: 781.280.0668 www.hologic.com
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Copyright Hologic 2009. All rights reserved. Printed in USA. This manual was originally written in English. Hologic and the Hologic Logo are trademarks or registered trademarks of Hologic, Inc. Other trademarks registered or used by Hologic and its divisions and subsidiaries in the United States and other countries include: Affinity, Affinity Platinum, Auto Film ID, Clarity of Vision, Dimensions, DSM, FAST Paddle, Fully Automated Self-Adjusting Tilt, HTC, Lorad, Lorad A Hologic Company, Lorad DSM, MIMS-plus, M-IV, MultiCare, ScoutMarc, SecurView, Selenia, Selenia Dimensions, Selenia TechMate, SmartWindow, StereoLoc, and TechMate. Microsoft and Windows are trademarks or registered trademarks of Microsoft Corporation in the United States and other countries. Any other product and company names mentioned herein are the trademarks or registered trademarks of their respective owners.
Table of Contents
Chapter 1How to Start Up and Shut Down the System 1
Quick reminder for system startup in Sleep mode ...................................................................................... 1 Quick reminder for system startup when completely off ............................................................................... 1 How should I turn off the system at the end of the day? ................................................................................ 1 How do I turn the system completely off? ..................................................................................................... 1 How do I start up the TechMate if it is turned off? ......................................................................................... 1
How can I switch users? ............................................................................................................................... 2 What are the button functions on the Select a Patient and Patient View Screens? ......................................... 2 What are the AEC modes I have available for use? ........................................................................................ 3 What exactly is TEC (Tissue Exposure Control)? ............................................................................................ 3 What must I know to acquire images on patients with implants? .................................................................. 4 How should I perform implant procedures? .................................................................................................. 8 When I print implant images, what adjustments might I need to make? ........................................................ 9 Hints for a Localization Procedure .............................................................................................................. 10 What is the recommended exposure technique for a Specimen? .................................................................10 How can I see which patients are on the CD in the drive? .......................................................................... 11 What must I do when I get a Paddle Message? ............................................................................................ 11 How can I send images to an output after the procedure is completed? ...................................................... 11 How do I edit the patient information on Selenia, and PACS? ..................................................................... 12 What if I take an exposure using an incorrect icon? .................................................................................... 13 Changing the View Selection ...................................................................................................................... 15 What if I reject an image, but then change my mind? ................................................................................. 17 What are the Quality Control Tests We Have to Perform? ........................................................................... 19 These tests, from the ACR Mammography Quality Control Manual, must still be performed .......................19 Quality Control HintsAcquisition Workstation ........................................................................................ 19 What is the best way to organize the rest of the Weekly Quality Control? ................................................... 19 How can I be sure my Weekly Quality Control patient is not deleted from the Acquisition Workstation? 19 Could I run this Repeat/Reject Analysis from an office computer? ............................................................... 20 Saving Repeat/Reject Analysis as a Shortcut on an office computers desktop ............................................. 20 How should I empty the Reject Bin, and how often should I do it? ............................................................. 21 Hints for the Flat Field Calibration test. ....................................................................................................... 22 Hints for the Artifact Evaluation test. ...........................................................................................................22 Hints for the Phantom View and SNR/CNR tests. ........................................................................................ 22 Optional Worksheets .................................................................................................................................. 23
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How can I export images to a CD? ............................................................................................................. 27 How can I export Screen Captures from Multi-Modality to the Exports Directory? ...................................... 27 How can I Export images to a USB? ............................................................................................................ 28 How can I Import DICOM Part 10 Images from a CD/DVD to the SecurViewDX? ....................................... 29 How can I Export DICOM Part 10 Images from the SecurViewDX to a CD/DVD? ....................................... 29 How can I Import ReportFlows from my USB to the SecurViewDX? ............................................................ 30 How can I Export ReportFlows from the SecurViewDX to my USB? ............................................................. 30 How can I print images from SecurViewDX and SecurViewRT? ................................................................... 31 How can I print a screen capture? .............................................................................................................. 31 How do I print an image that will be used for Diagnosis? ........................................................................... 31 How can I schedule and view Sessions on the SecurViewDX? ..................................................................... 32 Can I add patients to a session already created? .......................................................................................... 32 Can I remove patients from a session? ........................................................................................................ 33 Can I reassign a Session to a different radiologist? ....................................................................................... 33 Can I view the Sessions? ............................................................................................................................. 33 How do I configure Hanging Snapshots and ReportFlows in SecurView Ver. 6-0? ...................................... 34 How can I create ReportFlows? .................................................................................................................. 37 What should I do if the screen locks up on a SecurView? ........................................................................... 40 How should I send or view notices at the SecurViewRT? ............................................................................. 41 How should I close this case out? ............................................................................................................... 41 Are there any shortcut keys for SecurViewRT? ............................................................................................. 42 What are the Quality Control Tests I have to Perform on SecurView? ......................................................... 43 What are the procedures I have to know how to do at the SecurViewDX? ................................................... 43 What are the Quality Control Tests on my LCD (Flat Panel) SecurViewDX Workstation? ............................. 43 What are the Quality Control Tests on my CRT SecurViewDX Workstation ................................................. 43 Is there more than one way to score the ACR Phantom on the Diagnostic Review Workstation? ................. 44 How can I add new radiologists to SecurViewDX Workstation? ................................................................... 45 How should I Back-up the SecurViewDX, and how often? ........................................................................... 45 How should I manually delete cases from a SecurView Workstation? ......................................................... 46
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How should I turn off the system at the end of the day?
1. Click File (upper left of main screen), then select Exit. 2. Click the Log out of the computer option, and then click the Yes button. 3. Click the Yes button in the second Exit from acq. station dialog box. If a message appears that spool jobs are waiting, wait until the jobs are finished. The Logout Confirmation dialog box appears. It warns your current session will not be saved. Do not be concerned about this message. 4. Click the OK button. The OS Login dialog box appears. The unit enters a Sleep mode.
What are the button functions on the Select a Patient and Patient View Screens?
When a Patient is selected, these button functions change. Procedure Buttons Button Sign Out Search Patient (New/Edit/Close) Select a Patient screen Active Active Active Patient Views screen n/a n/a Edit active, Close active only when the Choose a Procedure window open. Active
Procedure n/a (New/Edit/Add) Add View n/a Active Delete Unexposed Views n/a Active Close Procedure* n/a Active Complete Procedure** n/a Active Pend Procedure** n/a Active Discontinue Procedure** n/a Active Select Outputs Active Active Non-Imaging Mode Active Active Simulate Capture n/a n/a Review n/a Active after an image accepted *Behavior is different when MPPS is installed. **Replaces Close procedure when MPPS is installed. The Close button in the Patient box is active only when you have the Choose a Procedure screen open. Use this button to close that screen without opening any procedures.
Auto-Filter
When the user selects the Auto-kV or Auto-Filter modes, the Filter and kV values are chosen by using the compressed breast thickness as an index into a kV/filter look-up table.
The implant away from the nipple provides enough breast tissue for AEC imaging.
Implants near the nipple require the manual exposure techniques because there is not enough breast tissue to use AEC. Selenia with Molybdenum X-ray tube Thickness (cm) Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm kV 28 28 28 28 28 mAs 60 100 160 200 240
Selenia with Tungsten X-ray tube Thickness (cm) Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm kV 28 28 28 28 28 mAs 100 120 150 150 180
AEC with manual AEC Sensor position used to image implant displaced views
1. Select the Screening Mammogram w/Implants procedure from the drop-down list. Check the Implant Present box above the views. Leave this box checked for all views. 2. Position and compress the breast correctly for an augmented breast. 3. Acquire the full implant view: a. Method OneIf the implant is away from the nipple, use Auto-Filter and manaually move the AEC Sensor to the middle of the breast tissue.
b. Method TwoIf the implant is near the nipple, use a Manual exposure technique for the full implant view. Refer to the charts below for recommended exposure techniques to acquire an image of an implant near the nipple. The Exposure Index will be very low, but you do not need to be concerned. The exposure index is measured under the implant.
Recommended Exposure Techniques to Acquire an Image of an Implant Near the Nipple Selenia with Molybdenum X-ray tube Selenia with Tungsten X-ray Tube Thickness (cm) Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm c. kV 28 28 28 28 28 mAs 100 120 150 150 180 Selenia with Molybdenum X-ray Tube Thickness (cm) Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm kV 28 28 28 28 28 mAs 60 100 160 200 240
Method ThreeIf the full implant preview includes a dense area next to the implant, re-acquire the image: 1. If you used Method One, switch to Auto-Time and increase kV by 2 kV. Adjust the manual sensor if necessary. 2. If you used Method Two, keep the same mAs and increase the kV by 2 kV.
4. Perform implant displaced views with AEC. a. If the implant is in the field of view, place the photocell beyond the implant to avoid photo timing through the implant.
b. If the implant can be almost completely displaced from the imaging area, use AutoFilter. c. Note If a small part of the implant appears in the imaging area, use a manual sensor position. If you forget to check the Implant Present box on the Patient View screen, you may check the box on the Preview screen then click the Reprocess Image button at the bottom of the Preview screen.
4. After closing the Standard Setup window, confirm that Manual Release has been activated by checking the settings in the lower left hand part of screen. See the figure above. Upon completion of the Procedure, change the Compression Release back to automatic if this is the default. Confirm Automatic Release has been activated by checking settings in lower left hand part of screen.
Remove the face shield. To add views, click the Add View button before you begin the exam. (Be aware, any additional view is automatically highlighted, so make sure you scroll back to the beginning of your procedure and highlight the first view). Take the scout image using Auto-Filter. Do not use Auto AEC position. Use manual position 2 or 3. If doing a magnification needle localization attach the magnification stand and magnification crosshairs. Remember to move the crosshair device or dial the crosshairs out of the field before you acquire the scout image.
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This message appears if your Smart Paddle is in the wrong position for the selected View. The system will not acquire an image if the paddle is not installed in one of the three positions. The paddle position must match the selected View. Move the paddle to the correct position and the alarm clears.
2. Click the Resend tab and either click the Resend All Images button, or select images and click the Resend Selected Images button. 3. Choose the Output from the dropdown list. 4. Click the Resend button.
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Scenario One
If the mistake is discovered before the image is accepted: 1. With the Preview screen displayed, click the Clear All Markers button (upper right side of screen); the incorrect marker is removed. 2. Click the correct marker tab. 3. Click the correct marker. A new marker appears on the preview image. 4. Use the table on the following pages as a guide to determine if additional changes are required. These changes may include: Dragging the new marker to the bottom of the image. (This is done by putting your cursor on the new marker, then holding the left trackball button down while moving the trackball to move the new marker to the desired area.) Changing the Image Laterality (middle right side of screen). Changing the Patient Orientation Column (middle right side of screen).
Note
The flipped images are not shown on the Acquisition Workstation, but are shown on the SecurView workstation. They may not show on 3rd party systems.
5. Click the Accept button, after the changes have been made.
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Note
CCL, CV, RL, RM, TAN, CCID - these views all behave the same as CC. ML, AT, MLOID - these views all behave the same as MLO. LMO, SIO - these views all behave the same as LM.
Scenario two
This is the process to correct an image once it has been accepted: If the error is not corrected before you Accept the image, the system sends the incorrect image to the chosen outputs. 1. Corrections need to be made at the outputs before resending the corrected image. Printer Collect incorrectly printed images and discard. SecurViewLog on, user name-delete, click Administration, click the patient to be deleted, click the Delete button, then click the Exit button to close the window. PACSContact your PACS administrator to delete the incorrectly marked study.
2. Corrections must be made in Image (or Spool) Management. Select Admin>Image (or Spool) Management. 3. Search for the patient. 4. Click the thumbnail of the image that needs to be corrected. 5. Click the Repreview tab. 6. Click the Repreview button. 7. Make the corrections as previously indicated. 8. Click the Save button. This creates an additional thumbnail showing the corrected image. 9. Click the Resend tab. 10. De-select the image that you have corrected. 11. Click the last thumbnail (corrected image), along with the other images that need to be resent. 12. Click the Resend selected image(s) button. 13. Go to Outputs, and select the correct outputs. 14. Click the Resend button. 15. Click the OK button in the Resend Confirmation dialog box. 16. Click the Close button (bottom right hand corner). 17. A manager can delete the incorrect image. Note If there is any doubt of the accuracy of the corrected images, repeat the image. The correction may only be made if the procedure is still on the Acquisition Workstation. Be sure the incorrect images are still on the Acquisition Workstation before you delete them from the PACS.
Note
Note
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no no change bottom no change bottom no change bottom R bottom R no R no R bottom no change bottom bottom no no no bottom bottom bottom no change no change no change R R R R no change
RML RLM
RFB
bottom no change bottom no change no no change no R no R bottom R bottom R no no change bottom no change bottom no change bottom L bottom L no L no L
LCC
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The view you View icon chosen Change wanted in error Marker to: LMLO LCC LLM LFB RCC RMLO RLM RFB LLM LCC LMLO LFB RCC RMLO RLM RFB LML LCC LMLO LLM RCC RMLO RLM RFB LMLO LMLO LMLO LMLO LMLO LMLO LMLO LML LLM LLM LLM LLM LLM LLM LLM LLM LFB LFB LFB LFB LFB LFB LFB
Drag
Image Laterality
Patient Orientation Column no change H L no change H no change R H L H no change R no change H L H L H no change R no change H no change
no no change bottom no change bottom no change bottom L bottom L no L no L bottom no change bottom no change bottom no change no no change no L no L bottom L bottom L bottom no bottom no change bottom no change no no change no L no L bottom L bottom L
LML LLM
LFB
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1. Click the Review button (right side of screen, underneath Jobs in Queue). A dialog box opens in the upper left of screen with tabs for all the views taken. 2. Click the Tab of interest [ex: RCC]. There are two rejected images. 3. Click the image that you want to Accept. 4. When the preview image appears, click the Set Accepted button. A dialog box opens, asking, Send this image to currently selected output? 5. Click the Yes button. The dialog box closes, the image is sent to the outputs, and the Preview window is closed. 6. Click the OK button to close the Review dialog box. Only one Accepted image can be housed under one view icon at any one time.
Scenario #2
The first image is taken and rejected. The second image is taken and Accepted (sent to outputs when accepted). You'd like to un-reject the first image and add it to the study.
1. Click the Review button (right side of screen, underneath Jobs in Queue). 2. A dialog box opens in the upper left of screen with tabs for all the views taken. 3. Click the Tab of interest [ex: RCC].There are 2 images, 1 Rejected, 1 Accepted. 4. Click the Accepted image. 5. Wait for the preview image to appear, click the Set Rejected button. 6. When the Image Rejection Information dialog box opens, check the appropriate reason. 7. Click the Reject button. 8. Now there are 2 rejected images. Click the first Rejected image. 9. When the preview image appears, click the Set Accepted button. 10. A dialog box opens, asking Send this image to currently selected output? Click the Yes button. 11. Click the OK button to close the Review window.
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Scenario #3
Note Any image that was rejected prior to the Close Procedure will not go to CAD. These images may be sent to CAD using the Scenario #3 instructions.
To use this method you must be signed in at the mgr level. 1. Click Admin. 2. Click Reject Management. 3. Click Choose a New Patient. 4. Select Patient Name tab, in the Patient Name field type in the patients name. Click Search. 5. Select the patient. 6. Click the rejected images you want to send to an output. 7. Select Resend. 8. Click either Resend All Images for patient or Resend Selected Images. 9. Choose the Output from the dropdown box. 10. Click Resend. 11. Click Close.
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These tests, from the ACR Mammography Quality Control Manual, must still be performed
Visual Checklist Viewboxes and Viewing Conditions Compression Force
3. At the Procedure Description, choose Tech Quality Control procedure. 4. Confirm Weekly Quality Control is the default. 5. Click the Accept button.
How can I be sure my Weekly Quality Control patient is not deleted from the Acquisition Workstation?
Make sure you Protect your Weekly Quality Control patient. 1. Select Admin>Protect Patient; search and click this months Weekly Quality Control patient. 2. Click the Protect button, and click the Yes button in the dialog box. 3. Click the Close button to close the Protect Patient dialog box.
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How should I empty the Reject Bin, and how often should I do it?
Running the Reject report monthly gives the site better control, but it must be performed at least quarterly. 1. You must be signed on as mgr to perform this task. 2. Click Admin>Reject Management. 3. Click Rejected Image Report. 4. Click Search. If message displays, There are too many results. Please refine your search, you must narrow the search: a. Enter the Operators (Technologists) Name. This is their username for the system, which may be their initials.
b. Click the Search button. 5. Click the first item in your Search Results. 6. Click the Delete Tab. 7. Click the Delete All for Patient button. 8. When Confirm Operation box appears, click the Yes button. 9. Click the Rejected Image Report button. 10. Click the Search button again. 11. Click the first item in your Search Results. 12. Follow step 7 to step 11 until you have deleted all rejected images. 13. If you entered the operators name, you must enter the next operators name and delete all of their images. Follow these steps until you have deleted all rejected images for all techs. 14. Click the Close button (bottom right) to close the Choose an Operator dialog box. 15. Click the Close button (bottom right) to close the Reject Management dialog box.
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1. Click Info>About the Acquisition Station. 2. Check that the current temperature is within the normal range. If not, delay the calibration until it is within normal temperature range. On the left side of the Info screen, midway down, look for Temperature. This is the current detector temperature. Check for fluctuation from the last Calibration Temperature, next line down. You should wait until the current temperature is in the same range as the last calibration temperature. If doing this test in the middle of the day, you need to wait at least 30 minutes after the last patient to start the calibration procedure.
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Optional Worksheets
Phantom DICOM Printer Artifact SNR & CNR OD Measurements Mo Rh Std. Dev. Mean Mean Date Tech 10% 40% 90% kVp mAs kVp mAs kVp mAs inside disk beside disk beside disk kVp mAs Fibers Specs Masses
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Date
Record Mean Tech Beside Disk % of Today's Base X BASE = Result = Result = diff. to CNR CNR CNR 100 Plot
= = = = = = = = = = = = = = = = = = = = = = = =
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
= = = = = = = = = = = = = = = = = = = = = = = =
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= = = = = = = = = = = = = = = = = = = = = = =
Result
= = = = = = = = = = = = = = = = = = = = = = =
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Date
DICOM Printer Artifact OD Measurements Rh Ag Tech 10% 40% 90% kVp mAs kVp mAs
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How can I export Screen Captures from Multi-Modality to the Exports Directory?
1. Select the Screen Capture to export in the study browser. 2. Right click and select Export as tiff. 3. A message, Exporting tiff image, appears. 4. Copy these images onto a CD using directions above or onto a USB using directions on the next page. Note On your computer, you must save these tiff images in a format that Power Point accepts.
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How can I Import DICOM Part 10 Images from a CD/DVD to the SecurViewDX?
1. Insert CD/DVD into CD tray, close tray. 2. If there is a Manager, it is best to use it when possible. 3. Press the Flying Windows key on the computer keyboard. 4. Windows opens; click Image Import. 5. Image Import box appears; click Import from CD (DICOM Part 10 media). 6. IMG IMPORT box appears, with Importing Images message. 7. Image Imp box appears with Done, click the OK button. 8. Click X to close the Image Import box. 9. Click X to close the MBC EXPORT. 10. Remove the CD/DVD. 11. Patient(s) are on the Patient List.
How can I Export DICOM Part 10 Images from the SecurViewDX to a CD/ DVD?
1. If there is a Manager, it is best to use it when possible. Log into SecurView and click the Administration tab. 2. Insert CD/DVD into CD tray, close tray. 3. Highlight patient/patients to export. 4. Right click patient (or last patient of group) that you want to export. 5. Click the Export to media button. 6. Destination box with D drive selected appears; click the Export button. 7. It starts exporting, burning, writing data to disc, closing media, and verifying exported data. 8. MBC EXPORT (D:) window appears. 9. Destination box message says, Export was successful, click the OK button. 10. Tray opens automatically, remove the CD/DVD. Label it.
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5. Diagnostic:
3. Under Printer, in the drop down box, choose a specific film size or printer if necessary. 4. Click the Print button. The dialog box closes automatically. There is an ! mark over the DICOM Print icon (which does not allow you to print additional images until the first ones are sent to the printer).
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8. Continue highlighting patients, and using arrows to move patients into the required sequence. 9. When the sequence is correct, click the Apply Order button, and then click the OK button. Then click the OK button in the next dialog box. 10. Click the Reviewing tab on the MG display, then the View tab to see the session you have just created.
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5. Click the View button near the bottom center of the box.
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Section 1 lists all default Available Hanging options, called Hanging Snapshots
You also see Functional ReportFlow Steps within this section. Open/Close Navigator. Close Study. Consecutive Hanging. Synchronize.
Section 3
In Section 3 make your choices: Modality. Displays modalities assigned to tile. Patient Evaluation (Current/Prior). Prior may be configured to a specific prior year or to see all the priors, in stacking order of newest to oldest or oldest to newest. Laterality. Chest Wall display direction if MG is selected. Omit Hanging Snapshot if tile is empty. This allows the system to Omit this Hanging Snapshot from the workflow if the tile is empty. Synchronize Tile. Selecting this marks the corresponding tile as synchronized. Stacking Order. This stacks identical views within the same case by the time sequence in which it was taken.
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View Codes
To choose the view(s) to display in this tile: 1. Click the Edit button (the gear icon) under View Codes in Section 3. 2. Click the view(s) you want in the Available column (you can click more than one). 3. You can either drag these to the Selected column or use the arrow to move them. 4. You can stack any number of views in this tile. They stack in the order you choose. 5. Change the order by selecting a view and using the arrow buttons on the right side of the column. 6. If only the view none is chosen, the system will hang no views. 7. Click the OK button to close the View Codes or Cancel to close without any changes.
View Modifiers
Choose any/all Modifiers you wish to view in this frame using the same steps as above. You can only work in one of the View Codes or View Modifiers at a time. Both options are not available at the same time.
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Choose one of three options to automatically determine which Report Flow is used to view any procedure that may arrive on the SecurView.
Click the Preferences tab.
Option oneautomatically determine the best matching Report Flow based on procedure name and image content. 1. Click an Report Flow in the list in Section 1. 2. Click the New icon in Section 4. 3. A list of all procedures entered on the SecurView appears, as well as options for Current and Prior. 4. Click the procedure to link to this Report Flow. 5. Now if this procedure arrives on the SecurView when you are signed in, the system will automatically use the Report Flow you linked to it.
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Option twoautomatically determine best matching Report Flow based on image content alone. This option examines the view content of the procedure, and chooses the Report Flow that best matches those views. Option threealways use this Report Flow by default. Allows you to choose a specific Report Flow for all Screening, Diagnostic, or Undefined studies. You may also choose a different Report Flow while you are in the process of reading any case. Click the list of Report Flow in the lower left corner of the left SecurView display. You may choose the Hanging Snapshot that will be displayed anytime you press the Overview Key on your keypad or screen icon.
Left click and drag the desired Hanging Snapshot to the Overview area.
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What are the Quality Control Tests on my LCD (Flat Panel) SecurViewDX Workstation?
These Quality Control tests run automatically, but you must check the logs for results. Explanation of SecurViewDX Quality Control Tests for LCD Displays LCD Quality Control Test Automatic I-Guard Check Calibration Settings Check Measure Display White Measure Quality Level Frequency Weekly Weekly Weekly Monthly What it does Checks performance of the integrated photosensor Checks electronic settings of display Measures brightness of display (should be 300 nit). Measures performance of the display, and indicates display calibration.
Display White Measurement Weekly Display Black Measurement Weekly Quality Level Measurement Monthly Uniformity Measurement Quarterly
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Is there more than one way to score the ACR Phantom on the Diagnostic Review Workstation?
Method One
1. Wake the SecurViewDX by moving the trackball. If someone is signed in, click Logout. 2. Login with user name m m am o. 3. Click the Login button, or press the Enter button. 4. Click Administration. 5. Double click WEEKLY Quality Control from the Patient List. The phantom image should come up on one display in full resolution. 6. Score the phantom on one of the displays using the procedure described in the 1999 ACR Mammography Quality Control Manual, Phantom Images section. 7. Press FlowNext on the keypad (squiggly forward arrow, bottom center of keypad). The Close Study dialog box appears. 8. Confirm there is a check mark in the box below the word Read. Click the OK button. 9. Click the Exit icon (lower left corner of right display, looks like a Q). 10. Click the Logout button. 11. Record the results on the Phantom Control Charts in the Quality Control Manual. You may use the data collection worksheet at the end of this chapter to record your values.
Method Two
1. Wake the SecurViewDX by moving the trackball. If someone is signed in, click Logout. 2. Login with user name m m am o. 3. Click the Login button, or press the Enter button. 4. Click Administration. 5. Double click WEEKLY Quality Control from the Patient List. The phantom image should come up on both displays in full resolution. If the phantom appears only in the Navigator: a. c. Using the boxes at the bottom of the Navigator, make both displays 1 on 1. Close Navigator or drag it out of the way. b. Drag and drop todays Quality Control Phantom on one of the displays. d. Bring the display into Full Resolution using the correct button on the right side of keypad. 6. Score the phantom on one of the displays using the procedure described in the 1999 ACR Mammography Quality Control Manual, Phantom Images section. You may use the data collection worksheet at the end of this chapter to record values. 7. Click the Close Study button. 8. The Close Study dialog box appears. Confirm there is a check mark in the box below the word Read. Click the OK button. 9. Click the Exit icon (lower left corner of right display, looks like a Q). 10. Click the Logout button. 11. Record the results on the Phantom Control Charts in the Quality Control Manual.
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7. Under Groups, click boxes for both Radiologist and Technologist. 8. Under Rights, click Setup and Reading for both Diagnostic and Screening. 9. Click the OK button. 10. Click the Exit button (bottom right of box). 11. Click the Logout button. 12. Have the Radiologist log in with their new Username and Password. 13. Click the Login button. 14. Click Administration. 15. Click User Preference. Have them set up their personal preferences under the sub tasks.
To make a back-up: 1. Wake SecurViewDX up by moving the trackball. 2. Put a CD into the CD drive on the front of the computer. 3. If someone is signed in, click the Logout button. 4. At the Login dialog box, log on with the User Name adm n, and click the Login button. i 5. Click Administration. 6. Click the Backup/Restore tab. 7. Make sure Database is checked under Backup. 8. Click the Backup button. 9. Follow the on-screen directions. 10. When finished, click the Exit button (bottom right of box). 11. Take the CD out of the drive. 12. Click the Logout button.
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Index
A
accept rejected image 17 AEC Modes, table of 3 using 3 alarms incorrect paddle position 11 paddle not locked 11
I
Identify Yourself 2 image send to output when procedure closed 11 Specimen 10 implants away from the nipple 5 dense tissue near 7 displaced 7 displaced views 8 general information 4 near the nipple 5 print images 9 procedures 8
B
button Add View 10 Eject 11 On 1 Select a Patient and Patient View screens 2 Sign Out 1
L
localization, hints 10 Log out of the computer 1 Logout Confirmation dialog box 1
C
CD, patients on a 11 contrast/density, changing in Resend utility 9 Create Session 32
O
outputs, use after procedure closed 11
D
desktop shortcut, Reject Analysis report 20
P
paddle alarms 11 patient correcting wrong information 12 edit data with MWL and PACS 12 find on a CD 11 protect Weekly QC 19 protect Weekly QC 19
E
Edit View 13 edit, patient data with MWL and PACS 12 exposure with incorrect icon 13 discover before accepted 13 discovered after accepted 14
H
hanging options, available 35 Hanging Snapshot 34 create new 35 preview area 35 view codes and modifiers 36 view/create 34 Hints Artifact Evaluation test 22 Flat Field Calibration test 22 Phantom View and SNR/CNR tests 22
Q
QC hints 22 protect Weekly QC patient 19 worksheets 23
R
Reject Analysis Office Computer 20 Shortcut on the Desktop 20 Reject Bin, empty 21
47
ReportFlows 34, 37 copy and modify 38 create new 38 set Report Flow to use for procedure 39 resend images 9, 11
T
TEC (Tissue Exposure Control), described 3 TechMate, start up 1 turn the system on and off 1
S
score the phantom, diagnostic workstation 44 Screening Mammogram w/Implants procedure 8 SecurView add new radiologists 45 Back-up 45 export images to a CD 27 export images to a USB 28 export ReportFlows 30 export screen captures 27 Import ReportFlows 30 import/export DICOM part10 images 29 manually delete cases 46 Pencil icon 42 print for Diagnostic use 31 print images 31 print screen capture 31 Quality Control Procedures 43 CRT SecurViewDX workstation 43 LCD (Flat Panel) SecurView Workstation 43 score the phantom 44 screen locks up 40 send/view notices 41 Sessions add patient 32 reassign to different radiologist 33 remove patients 33 view 33 Sessions, schedule and review 32 shortcut keys 42 Selenia, start up 1 send images to output after procedure completed 11 Sign Out 2 Sleep mode 1 Specimens, exposure technique 10 spool jobs 1 start up Selenia 1 TechMate 1 switch users 2 system paddle messages 11 turn on and off 1
U
unreject an image 17
V
View Selection, change 15
W
Weekly Quality Control 19 protect "patient" 19 Worksheets 23
48