User Manual

3600 Series

Document # 3600-01A Revision A

 CR 3600 User Manual

Foreword
Proprietary Notice and Disclaimer
The information herein disclosed is the property of iCRco., Inc. Information in this document is subject
to change without notice and does not represent a commitment by iCRco to incorporate changes or
improvements in units previously sold or shipped.

No part of this document may be reproduced or transmitted in any form, electronic or mechanical,
including photocopying and recording, for any purpose other than the purchasers own use without the
express written permission of iCRco.

Copyright c 2003, 2004, 2005, 2006, 2007, 2008

All rights reserved.

Trademarks
iCR 2600 ,
R iCR 2600 Dual , R iCR 3600 , R iCR 3600SF ,www.icrcompany.com
R and QPC XSCAN32 are
the trademarks of iCRco. All other trademarks are the property of their respective owners, and are hereby
acknowledged.

Terms
Any one of the following iCR products will be referred to as the iCR unit throughout this document: iCR
1000 ,R iCR 1000 Dual , R iCR 2600 ,R iCR 2600 Dual , R iCR 2600SF ,R iCR 3600 , R iCR Vet , R iCR Vet
Dual ,R iCR Mobile , R iCR 1-D ,R iCR Chiro , R iCR Chiro Dual Any
R one of the following iCR products
will be referred to as iCR dual unit throughout this document: iCR 1000 Dual , R iCR 2600 Dual , R iCR
Vet Dual ,R iCR Chiro Dual AnyR one of the following iCR products will be referred to as iCR desktop
unit throughout this document: iCR 3600 , R iCR 3600 SF , R iCR 1-D .R

iCRco., Inc.
Adress: 2580 West 237th Street Torrance, CA, 90503
Telephone: 310.921.9559
FAX: 310.776.7960
Email: [email protected]
Web: www.icrcompany.com

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CR Information
Please Enter the details of your CR system here:
CR Model:
Serial Number:
Date Purchased:

Interface Type: USB 2.0 Other

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 Contents

1.0 Introduction 7
Notes, Notices, and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Laser Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Electrical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
FCC Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
iCRco Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.0 Pre-Installation 13
Pre-Installation Voltage Requirements for i CRco 3600 and i CRco 3600-SF . . . . . . . . . . . . 13
Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Systems Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Physical requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Connectivity and power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

3.0 Driver and Software Installation 16

Installing USB drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Installing QPC XSCAN32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

4.0 Hardware Installation 17

PC Specifications for i CR 3600 and i CR 3600-SF . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Installing Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Power and Scan Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
International Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Wall Mounting Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Mounting Computer Bracket to the CR base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

5.0 Cassette Handling and Loading 20

Scanning a cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Viewing and Processing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

6.0 Quick Start Guides 25

Three Step Scanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Window and Leveling Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Magnify (Zooming) Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Panning (Moving) Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Smart Box Window/Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
QPC XSCAN32 Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Patient CD/DVD Creator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Archiving QPC XSCAN32 Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Restoring Archived Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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CR Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Creating/Editing Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Modality Worklist Query . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Long Bone & Scoli Stitching Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Setting Up DICOM Send . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
DICOM Send . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
DICOM Retrieve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Advanced DICOM Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Troubleshooting Windows to DICOM Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
DICOM Store and Forward Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

7.0 Periodic Cleaning 62

8.0 NOTES 63

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 1.0 Introduction
Overview
The CR unit is an ultra high resolution Computed Radiography device. It is designed to scan cassettes
containing phosphor screens (CR plates) using patented technology. CR plates are transported past a
scanning head without bending or using rollers. This Flat Scan Path results in ultra high resolution images
with high fidelity across the entire image. High resolution is achieved from the CR plates by coupling the
flat scan path with a high energy laser.

The CR unit collects 16 Bit data that is converted to a DICOM 3.0 image and can be stored, viewed,
manipulated, and sent to any other storage device, printer, or viewing station through DICOM. This
document contains a basic technical overview of the CR unit including the optical systems, electronic
components, and driving software subsystems. A general description of the systems functionality and
user interfaces will be described. Unpacking of the hardware is covered and software installation, service
adjustments and troubleshooting are also included. This document is intended for users or service people
who need to understand the basic underlying principles of operation for the CR unit.

Safety Information
Be sure to read and understand the installation and operating instructions before applying power to the
CR unit.

Notes, Notices, and Cautions

NOTE: A NOTE indicates important information that helps you make better use of your CR and
Software.

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DANGER: A DANGER indicates that personal injury may occur if the Service person does not perform
the procedure correctly.

NOTICE: A NOTICE indicates either potential damage to hardware or loss of data and tells you how
to avoid the problem.

WARNING: A WARNING indicates that a user must be constantly aware of something that may prove
hazardous.

CAUTION: A CAUTION indicates that damage to the product may occur if the user does not perform
the procedure correctly.

Laser Safety
The CR unit incorporates a Red ≥ 30mw high-power solid-state laser diode. The CR covers protect the
service person from direct exposure to laser light. These covers will protect a user/service person only if
they are properly installed. Covers must be removed and replaced by properly trained service personnel.
Contact iCRco if there are any issues with the covers being damaged and replace them.

CAUTION
THIS EQUIPMENT EMPLOYS A LASER. LASER RADIATION MAY BE PRESENT IF THE CR
SYSTEM IS OPERATED WITHOUT COVERS. AVOID LASER BEAM. DIRECT EYE EXPOSURE TO
LASER LIGHT MUST BE AVOIDED.

Electrical Hazards
The equipment must be serviced by properly trained technicians certified by iCRco, Inc. Do not connect
the CR unit with a damaged or sub-standard power cable. Do not use an extension cord with this device.
The CR unit should be properly grounded and power connections inspected to ensure safe operation. Use at
least a 1500VA (1500W) uninterruptible power supply (UPS) with this device, as it is sensitive to variations
in power.

NOTICE:
The CR unit must be connected to a uninterruptible power supply (UPS). Failure to use a (UPS) will void
the warranty.

WARNING
THIS EQUIPMENT IS OPERATED WITH HAZARDOUS VOLTAGES WHICH CAN SHOCK, BURN
OR CAUSE DEATH.

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FCC Notification
This equipment generates, uses, and can radiate radio frequency energy, and if not installed properly, can
cause interference with radio communications.

iCRco Warranty
ICRCO, Inc. (“i CRco”) values your business and always endeavors to provide high quality products and
services. All i CRco products are provided with an initial warranty so you are covered from the date you
purchase them. This limited warranty solely applies to new products manufactured by or for i CRco and
originally purchased from i CRco or an authorized dealer of i CRco products for your own use. In addition,
an extended warranty is available for most new and recently purchased i CRco products for an additional
charge.

Hardware Limited Warranty

i CRco warrants its hardware products to be free of defects in materials and workmanship for a period of
one (1) year from the date of original shipment from i CRco subject to the limitations set forth herein.
i CRco phosphor plates sold with and for use in i CRco cassettes are warranted to be free of defects in
materials and workmanship for a period of (3) years from the date of original shipment subject to limitations
set forth herein. If a product proves to be defective in material or workmanship during the warranty
period, i CRco will, at its sole option, repair or replace the product with a similar product. Repaired
and replacement products may be or include refurbished or remanufactured parts. Any replacement item
assumes the remaining warranty period of the original product. i CRco provides no warranty for any third
party hardware or software included with any product or later acquired.

Software Limited Warranty/Support

i CRco warrants that its QPC XSCAN32 software originally provided with any product will substantially
conform to i CRco’s specifications and that the media, not including hard drives, on which the software is
furnished will be free from defects in materials and workmanship under normal use for a period of one (1)
year from the date of original shipment from i CRco. i CRco’s sole obligation under this warranty is linmited
to making reasonable efforts to ensure such conformity and to supply the consumer with a corrected version
of the software as soon as it is practical after the consumer has notified i CRco of any non conformity.
i CRco does not warrant that the operation of any software will be uninterrupted, glitch or error free or
that functions contained in the software will operate in the combinations which may be selected for use
by the user or meet the user’s requirements. This limited software warranty will be void if the software
is modified without the written approval of i CRco or is used outside of the recommended parameters or
equipment. i CRco does not provide any warranty or support for any other software.

i CRco agrees to provide one (1) year of telephonic and/or e-mail based support for QPC XSCAN32
software originally provided with any new i CRco product from the date of original shipment from i CRco.
All software support shall be limited to making reasonable efforts to resolve i CRco software issues and shall

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be limited to i CRco’s regular business hours. In addition, i CRco will provide revisions and upgrades to its
software upon request (when available) during the first year after the software was originally shipped from
the i CRco factory. The initial support period will include support via remote login software (GoToMeeting),
only if the customer has access to the Internet from that PC and only if the customer agrees i CRco shall
have no liability in connection with its support efforts. Remote login software allows i CRco technical
support to remotely access the customer’s PC via the Internet for the purposes of rendering technical
support. Please note that this warranty, including software support, does not include computer hardware,
third party software or operating system or network issues, which are outside the control of i CRco.

Warranty Product Technical Requirements

i CRco requires that all CR, Scanner and/or products requiring PCs be fitted and installed with an
uninterruptible power supply (“UPS”). i CRco recommends the APC1000 specification UPS or equivalent.
For warranty evaluation and service, i CRco requires the customer to provide a network drop (DSL or
Dialup) or the minimum of a phone line accessible by extension cord to the product enabling i CRco
technicians to perform remote diagnostics on installed equipment. In addition, each i CRco product must
be installed, maintained and operated in accordance with the respective product manual. Failure to comply
with these requirements will result in a voided warranty claim.

Requesting Warranty Service

For information on obtaining warranty service, call i CRco’s customer support at (310)921-9559. In order
to evaluate a warranty service request, i CRco requires the following information: the i CRco serial number
of the product; a detailed description of the problem; customer name and contact information; product
location and operating conditions; a copy of the purchase documents; and sufficient information and
authorization, including a liability release as to any loss of data (which should always be backed up),
software or network injury, or downtime, allowing i CRco technicians remote access to the product. Product
may not be returned to i CRco without first obtaining a Return Material Authorization (“RMA”) number
from i CRco. Prior to providing an RMA, i CRco may require remote access to the product. If i CRco
determines that the product may be defective, is under warranty and necessitates a return to i CRco for
service, an RMA number and instructions for return of the product will be given. i CRco is not responsi-
ble for any unauthorized returned product, i.e. one for which an RMA number has not been issued by i CRco.

Warranty service requires all authorized returns be shipped to the i CRco factory prepaid and insured. All
such authorized returns are the customer’s responsibility. For products sold and located within the United
States, i CRco will pay for return shipping.

Products being returned are only to be shipped in i CRco approved shipping containers. The origi-
nal box and packaging materials are approved and should be kept for moving and/or shipping the product.
Original and approved packaging my also be purchased from i CRco. i CRco shall have no liability nor
responsibility for warranty service to any product that is not shipped in an i CRco approved shipping
container or that is damages from incorrect packaging or damage during shipping.

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Additional Warranty Limitations and Extent of Warranty

This warranty does not apply if the product has been damaged by accident, misused or abused. In addition,
warranty service does not include the repair of failures or defects caused by: unauthorized attachments
to any i CRco product; unsuitable physical or operating environment, maintenance or repair by anyone
other than i CRco or the i CRco authorized dealer that sold the product, operation of a product beyond its
duty cycle; use of the product outside of its specifications; the use of supplies, parts, materials, software, or
interfaces not furnished, authorized or recommended by i CRco. If the product, including any software has
been opened, tampered with, modified or altered in any way without written authorization by i CRco, the
warranty will also no longer apply.

This warranty applies only to products manufactured by, or for, i CRco, and that can be identified
by “i CRco ” serial number as originally affixed to the product. Any modification to the i CRco serial
number tag or its attachment to the product shall immediately void this warranty.

This warranty is non-transferable and subsequent owners must contact i CRco to establish if the equipment
is eligible for an extended warranty.

THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO ANY

ICRCO PRODUCT OTHER THAN AS SPECIFICALLY SET FORTH HEREIN, AND
ICRCO SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTIES OR CONDITIONS
OF MERCHANT ABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND SATIS-
FACTORY QUALITY. ANY WARRANTIES THAT MAY NOT BE DISCLAIMED UNDER
APPLICABLE LAW ARE LIMITED IN DURATION TO THE INITIAL WARRANTY PE-
RIOD AND NO WARRANTIES, EXPRESS OR IMPLIED, WILL APPLY AFTER THIS
PERIOD. ALL INFORMATION, SPECIFICATIONS, PRICES, AND SERVICES ARE SUB-
JECT TO CHANGE AT ANY TIME WITHOUT NOTICE.

Limitation of Remedies and Liability/Exclusion of Damages

The exclusive remedy for any defective product is limited to the repair or replacement of the defective
product. i CRco shall have a reasonable time after determining that a defective product exists to repair or
replace a defective product. i CRco’s entire liability for any product is limited to the actual purchase price
for the product. This limitation applies even if i CRco cannot or does not repair or replace any defective
product and your exclusive remedy fails of its essential purpose.

IN NO EVENT WILL ICRCO BE LIABLE FOR ANY GENERAL, SPECIAL, CONSEQUENTIAL

OR INCIDENTAL DAMAGES, including but not limited to, damages related to the loss of use, loss of
recorded product, the installation of replacement product, or any inspection, testing, or redesign caused
by any defect or by the repair or replacement of any product arising from a defect in any product. This
exclusion of damages applies even if the customer advises i CRco or an i CRco dealer of the possiblity of
such damages.

This limitation of remedies also applies to claims against any suppliers or dealers of i CRco. i CRco’s and its

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suppliers’ and dealers’ limitations of remedies are not cumulative. Such suppliers and dealers are intended
beneficiaries of this limitation. i CRco is not liable for any claim by or against the customer arising from a
third party claim.

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 2.0 Pre-Installation
Pre-Installation Voltage Requirements for i CRco 3600 and i CRco
3600-SF
The CR unit incorporates an international switching power supply. i CRco employs CE certified medical
grade universal power supplies to allow the unit to work between 90 to 253V AC 50/60Hz. In order to run
the unit with different power types, apply voltage to the power input module at the end of the CR unit.
For international units, a local power cord must be used that can handle the power requirements of the
unit. A 13A/125V power cord is sufficient.

NOTE
The power input module will be set to the proper voltage setting at the factory. If a voltage change is
necessary, remove the voltage plate on the power entry module and select the proper voltage setting.

Environmental
The CR digitizer should not be placed in a room with a film processor present. This will void the warranty.
The humidity and temperature limits are 20 to 80% non-condensiing, and 15◦ C to 35◦ C, operating,
respectively. The room should have good ventilation. Another factor to consider prior to installing the
CR unit is dust and particulates in the environment. The CR unit is designed to be resistant to dust and
particulates that may be present at the installation site. This is accomplished by 3 systems that work
together to ensure that the unit remains clean.

1. The cooling fan sucks air into the device. There is a filter in front of the fan to ensure that the air in
the CR is clean.

2. The cooling fan ensures that the pressure in the case is slightly higher than the outside pressure.
Thus dust and dirt do not enter the device through the scan head.

3. All the optics are sealed in the optic cavity, separate from the electronics. Although these systems
are in place, in a dusty environment, small amounts of dust and/or dirt may enter the optic cavity.
This dust could affect image quality. To prevent this potential issue, it is recommended that the unit
be installed and operated in a clean, dry environment.

NOTE
Some systems have a removable filter housing. That enables the easy removal of filter for cleaning. Rinse
under warm water and air dry before replacing.

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Systems Specifications
Cassette Sizes 14x17in, 10x12in, 8x10in. (CR uses i CRco digital X-ray cassettes that comply with all
standards for conventional X-ray cassettes).

Pixels per Line Resolution

3500 (High Resolution) over 356mm (14 inches) 2048 (Normal Resolution) over 356mm (14 inches).

Scan Rate
Scan Rate 60 lines/second

Grey Scale Resolution

16 bits (65,535 shades of gray)

Interface
USB 2.0 or DAC (SCSI III)

Dimensions
i CR 3600 10W x 22H x 44L inches
i CR 3600-SF 10.25W x 18H x 34.5L inches

Power Requirements
Domestic 100 to 120V, 50/60Hz, 3.5A
International 220 to 240V, 50/60Hz, 1.75A

Temperature Conditions
10 to 35◦ C - operating
18 to 65◦ C - non-operating

Humidity
20 to 80% non-condensing

Vibration/Acceleration
3-4G Max (in shipping)

Altitude
0 to 9,500 ft. - operating

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Weight
i CR 3600 78 lbs
i CR 3600-SF 42 lbs

Physical requirements
The CR unit requires a stable operating environment. It is important the system is placed on a table, stand
or wall mount that provides adequate support. Wall or Cart mounting and other options are available.

Connectivity and power supply

The room needs to have wall power and should not be used with an extension cord. Please use at least
a 1500VA (1500W) UPS betwen the wall power and the digitizer. It is also required to have a network
connection for fast technical support. Alternatively you should have a phone/fax line that can be connected
to the PC as a minimum to comply with i CRco warranty terms.

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 3.0 Driver and Software Installation
Installing USB drivers
Installation of USB drivers are automatic with the installation of the i CRco software (i.e. QPC XSCAN32).

Installing QPC XSCAN32

QPC XSCAN32 software comes bundled with the CR unit. This software package will allow the user to
control the CR unit.

1. Insert the QPC XSCAN32 Software CD into your PC. It will run automatically.
2. Select the QPC XSCAN32 Software button.
3. Select the Next button from the Welcome dialog.
4. Read through the Software License Agreement and select the Yes button if the user agrees to the
terms.
5. Select the QPC XSCAN32 Software and Software Key Drivers components and select the Next button.
6. Select Scanning Station or Reading Station from the Select Station Type dialog and select the Next
button.
7. Select the appropriate Modality Type from the dialog (i.e. Medical, Podiatry, Dental, Veterinary,
Mammography, etc.)
8. Select your Hardware Type from the Select Hardware Component dialog. Depending on the user’s
choices from step 6 and 7 this dialog will differ. Select the Next button.
9. Select the destination folder and select the Next button.
10. Select the Next button on the Program Folder dialog.
11. QPC XSCAN32 will begin to install.
12. Click the Finish button when QPC XSCAN32 has finished installing.
13. Click the Exit button on the software menu.

NOTE
If you have QPC XSCAN32 already installed on your computer and it is running while you are trying to
install the new version an error will appear in the install process. Please close QPC XSCAN32 and reinstall
the new version.

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 4.0 Hardware Installation
PC Specifications for i CR 3600 and i CR 3600-SF
The minimum requirements for the Q/C computer are as follows:

Processor: Pentium D
RAM: 1 GB or more
OS: Windows XP
HDD: 250 GB or more

USB 2.0 Installation

The user’s PC must have an appropriate USB port for the CR unit.

Power Locations for i CR 3600 and i CR 3600-SF

The power switch for the CR unit is located on the left hand side of the unit.

Installing Power Cable

1. Plug the power cable for the CR unit into the power switch unit.

2. Plug the other end of the power switch cord into the UPS.

3. Make sure the UPS is not in bypass mode.

4. Turn the CR unit switch to the on position.

Power and Scan Lights

In the center of the CR unit is the power and scan lights. When the unit is powered on, the green light is
illuminated. While the unit is scanning the yellow light will be illuminated.

International Power Cable

The CR unit utilizes an international IEC grade connector for the power cable. Systems are shipped with a
standard NEMA 5-15 hospital grade cable. The cable needs to be changed depending on the male end,
which varies from country to country. Follow instructions to set power module voltage as of page 9.

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Wall Mounting Plates

NOTICE: Wall mounting plates must be installed by a licensed contractor.

1. Locate the large wall mounting plate

against wall at desired height.

2. Attach the small wall mounting plate

to the CR unit with the appropriate
fasteners.

3. Lift the CR unit onto the large wall

mounting plate so that the bottom of
the small wall mounting plate rests
on the top of the large wall mounting
plate.

4. Secure the bottom of the CR unit to

the bottom of the large wall mounting
plate with 10-32 screws.

Mounting Computer Bracket to the CR base

1. Attach the CR Computer Bracket to the back of the cassette tray.
3
2. After aligning the CR Computer Bracket screw in the 2 screws. (6-32 8
inch Truss Head)

3. Align the computer with the mounting bracket and line up the holes.
3
4. Screw in the 2 screws. (6-32 8
inch Truss Head)

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5. Verify that the CD is facing towards the user.

Installing of USB cable from CR unit to PC

Plug a standard USB cable into the CR USB port and then into the PC.

Power-Up
The power switch is normally located on the lower left side of the device. When the CR is started up, the
fan located above the power supply turns on.

NOTE
The CR unit should be allowed to warm up for 5 minutes prior to use in order to stabilize the system.

Technique
• The CR, like most CR systems, mimics a 200 speed system. Although the response of CR imaging
plates is not identical to film, and the dynamic range is far superior to that of film, a 200 film speed
technique should be used to minimize schott noise so that images do not look grainy on the monitor.

• The CR scanning system utilizes a 16 bit image capture process, so in some cases it is possible to use
400 speed techniques and window and level the images to obtain acceptable results. If film images are
no longer being taken with the equipment, Phototiming sensors should be adjusted for CR exposures.
This is very important as digital cassettes attenuate x-rays differently than conventional screen-film
cassettes, so Phototiming may be off. 99% of all CR imaging issues are related to improper technique.

• It is very important to calibrate the imaging system. Typically CR imaging systems reduce repeat
exposures to below 5% , so additional exposure to a patient from retakes is minimized. GRIDS: The
presence of a grid in a Bucky tray can cause issues with your images.

• If the grid is stationary you may need to change it to avoid artifacts (103 LPI Grids can cause a
problem if they are not oscillating). 12 to 1 grids can cause issues because the grid factor can affect
the dose to the patient.

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 5.0 Cassette Handling and Loading
Unlike other CR solutions, the CR unit does not allow for contact to the delicate phosphor imaging plate.
The hard X-ray cassette is designed to protect the plate and allow for it to be read by the CR digitizer.

Scanning a cassette
WARNING
THIS EQUIPMENT EMPLOYS A LASER. LASER RADIATION MAY BE PRESENT IF THE CR UNIT
IS OPERATED WITHOUT COVERS IN PLACE. AVOID LASER BEAM. DIRECT EYE EXPOSURE
TO LASER LIGHT MUST BE AVOIDED.
Once the cassette is placed in the CR unit and the door is closed, the user can bring up the scanning
interface and scan the image.

i CR 3600 i CR 3600-SF (Small Format)

i CRco Cassettes

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1. Open QPC XSCAN32.

2. Create/open patient profile.

3. Click on Scan (if it is a patient with no images the scan dialog will automatically
appear).

4. The i CR Quality Processing Center dialog will appear.

5. Select the anatomy from the pull down menu located in the left of the Scan
dialog. Running your mouse over different regions of the anatomy will bring
up a pop up menu. Scroll through the pop up menu until you find the correct
anatomy and select it with a left mouse button click.

6. Select the cassette size by clicking the correct button (i.e. 14x17 in, 10x12 in,
8x10 in).

7. The CR will begin scanning the plate. The preview window will display the
image as it is scanning. Once it has finished scanning it will automatically
import the image into QPC XSCAN32.

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Viewing and Processing Images

Once the image has finished scanning it will automatically process
the image on the predefined anatomy presets. The anatomy
presets are user configurable. If the image is opened immediately
after scanning the user will be presented with the original image
data (prior to image processing) and a progress bar that lets the
user know the time remaining on the processing.

If the user is currently viewing the processed image QPC XSCAN32 will display the
text “Processed Image” and the processing values used in the patient information
overlay. As an example the image on the right was processed with gain of 2 and
processing strength of 2.

The delicate imaging plate is embedded within a rigid cassette in such a way that nothing touches the plate
during the scanning or handling process. The cassette is carbon fiber with an embedded aluminum/lead
back plane.

For Service use only

There is a release catch to allow the service person to access the plate within the cassette. Using a ball
point pen, push and release catch located on the top extrusion on the cassette. The plate can be examined
for dust or particulates and cleaned using i CRco plate cleaner (AGFA - CR Phosphor Plate Cleaner) using
a soft, lint free cloth. If the i CRco cleaner is not available use Taskmate all-purpose wipers or Kimtech
Kimwipes. At no time should abrasive cleaners or chemicals be used to clean the cassette or plate as this
will void the warranty. With careful handling the cassette plate system should provide years of service as
there is no known lifetime for the phosphors used in the plate system.

The cassette is loaded tube side toward the device at an angle with the arrows pointing upwards. The
cassette will rotate easily onto the scan bar at the bottom of the cassette.

If the user is positioning an 8x10 or 10x12 in cassette make sure to follow the cassette size guides
on the bezel. In other words, the user should be able to see a white border around the cassette.

It should be gently pushed as far as it can go to the left hand side such that the plate remains flush against
the surface and has no “give” in either direction.

If the user can not see all of the white border than the user may have misloaded the cassette and it
may get stuck when entering or returning.

At any stage the user is able to re-process an image.

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Image Processing Interface

The Process for viewing and manipulating a CR image:

1. Rotate/Flip to correct orientation.

2. Crop or mask the image to remove any collimation.

3. Process (as described below.)

4. Window/Level the image.

5. Accept and Save the image to save the processing and W/L settings.

Standard ICE Processing

• Click the “Process” button to apply new processing parameters.

• For example, move the sliders to change the gain to 5 and the
Frequency Enhancement to 3, then click “Process” to apply
these new parameters.

NOTE:
The user can update the preset to save these values for future use.

Advanced ICE-2 Processing

ICE-2 is a state-of-the-art im-
age processing package that au-
tomatically enhances and op-
timizes the diagnostic quality
After the user clicks on the drop
of digital radiographic images.
down menu an interface appears
ICE-2 enables the user more flex-
showing two sliders. The first
ibility through the “soft” and
slider enhances edges and con-
“sharp” processing options. The
trast ass the slider is moved to
“soft” option produces an image
the right. The second slider ad-
with less enhancement thereby
justs image smoothness. Adjust
making the image more “film-
each slider until the desired re-
like.” The “sharp” button ap-
sult is achieved. Click on the
plies more enhancement to the
“Save As” buttons to Save the set-
image. Clicking the drop down
tings for Soft, Standard or Sharp
menu button located below the
processing.
“sharp” option gives the user the
ability to refine the image fur-
ther as indicicated in the next
figure.

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Lateral Lumber Spine

Conventional Processing ICE-2 Processing

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 6.0 Quick Start Guides
Three Step Scanning
Patient Data Entry:
Open the yellow folder icon, in the upper left corner of the toolbar to return to the Patient information
dialog. Click the New button, enter patient data and select on the Save and View button.
1. Scan:
Left click on the scan icon in the toolbar. Select the anatomy and view, and click on the scan icon
that corresponds to the cassette size. Plate will be scanned, processed and displayed as an icon in
QPC XSCAN32.
2. Optimization:
Bring image up and crop as necessary. Select the crop icon and then click on the desired image to
crop. Hold the mouse button down and move diagonally across the screen to crop image to size. Note:
Do not over crop images. Cropping should be done to the collimation mask if a small image is created
on a large cassette.
Window/Level images by holding down the middle button, or scroll button on the mouse and moving
the window/level icon around on the screen. Rotate image to correct orientation. Once the image has
been optimized click on the Accept button in the top left hand corner. This will save the changes
to the current image and move to the next image that needs to be optimized. Note: Retakes are
uncommon with CR. Optimization is the most important step in achieving high image quality. Be
sure image is processed (check annotation note) and window/level properly.
BE SURE THAT THE IMAGE HAS BEEN PROCESSED PROPERLY (WINDOW/LEVEL, RO-
TATE, etc.) BEFORE SENDING TO THE ARCHIVE.
3. Sending Images to Archive:
After images have been optimized, and orientated properly, highlight image icons. Select the DICOM
Send button on the main toolbar along the top of the screen. This will send images to the pre-selected
target(s). Alternatively, the user may manually select the targets from the DICOM list.
Default settings can be configured by the user to automatically send images. Go to image transfer
preferences to enable this option.
After the images have been scanned, optimized and accepted by the user the images will automaticcaly
be sent to the the pre-configured target.
i CRco provides quick start guides to all features of QPC XSCAN32. These guides can be found
online at

http://www.icrcompany.com/quickstart_downloads.html

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Window and Leveling Images

Hold the Middle Scroll button down and move the mouse up and down to adjust level and from side to side
to adjust window.

The middle scroll button is used to

window and level images.

To window and level through more gray values at a tie, hold down the Ctrl key and use the Middle Scroll
button. This will perform a faster window and level on images with a large histogram (i.e. CR and DR
images).
To window and level through less gray values at a time (i.e. single step through window and level values)
hold down teh Shift key and use the Middle Scroll button. This will perform a slower window and level on
images with a smaller histogram (i.e. CT and MR images).

Magnify (Zooming) Images

The right mouse button is

used to magnify images.

Hold down the right mouse button and move the mouse up and down to magnify and reduce the size of
the image. (Alternatively the user can hold down the middle mouse buttong and move the mouse up and
down to magnify.) To magnify an area of interest in the image hold down the Shift key and the Left mouse
button and move it over the area of interest.

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Similarly, on a laptop the

user may right click and

drag along the touchpad in-
terface to zoom.

Panning (Moving) Images

Hold down the Left mouse button and move the mouse around the screen. This is useful when the image is
magnified.

@
@
The left mouse button is used to pan images. R
@
To pan through the image faster hold down
the Ctrl key and the Left mouse button.

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Smart Box Window/Level

The Smart Box feature can be activated from the processing toolbar by
clicking the icon shown in the figure. A box enclosed in dashed lines will
appear on the image. This is the Smart Box’s representation of the Auto
Window/Function feature.

To resize the smart box hold down the left mouse button on the
border of the smart box and move the mouse forwards and backwards (or
up and down if adjusting the bottom edge).

To resize both edges of the smart box at the same time hold down
the Ctrl key and Left mouse button on any of the four corners of the smart
box and move the mouse.

To move the smart box around the image hold down the left mouse button
anywhere inside the smart box and drag the mouse around the image.

The Smart Box’s size and position can be adjusted to yield different results. This allows the user fast and
efficient image processing methods. Examples of these features are shown above.

QPC XSCAN32 Keyboard Shortcuts

Function Keys

F1 Rotates an image clockwise.

F2 Rotates an image counter-clockwise.
F3 Horizontally flips an image.
F4 Vertically flips an image.
F5 Inverts an image.
F7 Opens and closes the Window/Level dialog.
F8 Opens and closes the CR Processing dialog.
F9 Resets the window/level of an image to the original window/level setting.

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Shift + F8 Opens and closes the Annotations dialog.

Ctrl + F8 Turns the patient information overlay on and off.
F11 Opens QPC XScan32 Help.
F12 Selects and unselects all image icons.
Ctrl + A Selects and unselects all image icons.
Ctrl + D Deletes teh slected image icons.
Shift + P Opens preferences.
Shift + S Adds images to the send queue.
Ctrl + S Sends queued images.
Shift + Q Adds images to the send queue and sends the queued images.
Shift + R Imports received images immediately.
Right Arrow Moves to the next image.
Left Arrow Moves to the previous image.
Down Arrow Moves to the next row of images.
Up Arrow Moves to the previous row of images.
Page Down Moves to the next page.
Page Up Moves to the previous page.

Patient CD/DVD Creator

NOTE:

CD/DVD Creation Software is NOT part of the QPC XSCAN32 Software. This section is optional for
users who already have CD/DVD Creation Software already installed on their respective PCs.

1. In the patient information window select the patient(s) to be placed on the CD/DVD. To select
multiple patients hold down your Ctrl key on the keyboard and using your left mouse button select
each patient.

2. Click on the Create CD button in the toolbar. Selected patients will be copied into the patient CD
layout folder (C:\XscanCDFolder).

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NOTE:
If this is the first time using the patient CD creator fea-
ture a prompt will appear indicating the user to browse
for the location of the DVD/CD Creator software. Al-
ternatively, if Nero software is already installed on the
PC - Select the option “Use Nero scripting to create
CD/DVD”.

Using Nero Scripting

1. When the software has finished initializing and copying the patient CD the Nero scripting dialog will
appear.

2. Select the device to burn to. (i.e. if multiple drives are present)

3. Put the CD/DVD into the drive and select the Burn button.

4. The drive will eject media once it has completed. Click the Burn button again to make multiple copies
(or alternatively set the Number of copies option before burning).

Using other CD/DVD recording software

1. When the software has finished initializing and copying the patient CD, a ‘ready to create CD’ prompt
will appear, select Yes.

2. The DVD/CD Creator software will open. Select source folder C:\XscanCDFolder and drag the folder
and two files into the data project region. NOTE: The user must not create their own folders on the
CD/DVD. The autorun.inf file must appear on the top level (i.e. under the root directory) of the
CD/DVD.

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3. Click the Record button in CD Creator software.

Associating Barcode with Study

1. In the patient information window enter patient and study information.

2. Select patient and study.

3. Select Add Barcode button.

4. Using a barcode reader, scan the barcode of an unexposed cassette.

5. The barcode will be added into the barcode list with the default cassette size
14x17.

6. Repeat steps 3 to 5 for each cassette that will be associated with the study.

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NOTE: The user can change the cassette size by clicking

under the column Cassette Size and selecting the actual size.
This will be saved for future use in the database.

NOTE: The user can remove the association by selecting the

barcode from the list and selecting the Delete Barcode button.

Finding Barcodes and Scanning CR Images

1. In the patient information window select the Find Barcode edit box.
2. Using a barcode reader, scan the barcode of the exposed cassette.
3. Select the anatomy information for the study.
NOTE: this can be corrected later in QPC XSCAN32 when viewing the images.
4. Load cassette into the CR device.
5. Select the appropriate scan button.

QPC XSCAN32 will automatically open the study that the cassette is associated with.
The CR scan interface will open with the details of the associated patient.

The image will be imported into QPC XSCAN32 when

it has completed scanning. The association with that
cassette barcode and the study will be removed and
the cassette can be reassigned to another patient.

Other Tips
The CR scan interface also allows the user to find
barcodes in the database. The patient information
displayed in teh CR scan interface will change dep-
neding on the barcode selected for scanning.
The image below indicates that the image will appear under the patient Joe Smith and the barcode fo the
cassette that will be scanned is 01003.

There is an option in the CR scan interface settings that requires the user to scan the barcode before they
are able to scan cassettes into the interface. In other words they have to tell the CR scan interface which
barcode they are scanning. If no barcode has been selected for scanning the user will be prompted to find a
barcode.

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Archiving QPC XSCAN32 Database

1. Open QPC and click on Archive Database in
the File menu

2. The user is asked to confirm the archive process.

3. Select the location to archive the database to.

4. When archiving is completed a message will

appear informing the user of the archive location.

NOTE: the current date and time is used for the

folder name of the archived databse.

Restoring Archived Database

1. To resotre an Archive click on Restore Archive in the File menu.

NOTE: The current database in QPC must be empty.

2. Select the location of the database to restore.

Searching QPC XSCAN32 Archive

1. Click on File menu.

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2. Click on Search Archives.

3. To search a particular archive, select teh archive location by selecting the Browse button. i.e. select
C:\ XSCAN32\ Archive\

4. Under Date/Time select from the list of valid archives

5. The user can either:

(a) Select Find to open the entire database.

(b) Enter search values into the patient information fields. If the database contains a patient or
multiple patients that match the criteria the database will be opened with the patient(s) selected.
If the patient(s) could not be found you will be returned to the search dialog. For example, the
user could enter “Th” in the First name field to find values such as “Thomas” and “Thelma”.

6. The user can refine the search further by changing the Match field.

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CR Processing

1. Open an image for viewing.

2. Select an anatomy from the CR Preset box.

3. Click the Process button to begin the processing.

4. You can press the Reset button to restore the original image data set.

NOTE: the user can also press the Process button again and the
original data set will be automatically restored and processed again.

5. To optimize processing strength change Gain and Frequency En-

chancement as needed.

NOTE: the user can update the CR preset by selecting the Update
button, whcih will ensure that these processing strengths will be used
each time with the currently selected anatomy.

Original Image Processed Image

Creating/Editing Patients

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1. Open the QPC XScan32 software and click the New

button on the Patient Information dialog under Pa-
tient. Alternatively, if the patient is already in the
patient list then select the patient and click the Edit
button on the Patient information dialog.
2. Enter the patient details into the appropriate fields
on the dialog. The user also needs to enter the exam
information for the patient.

NOTE: Last Name, First Name, Date and DOB

are required fields. The use can also make Patient ID
a required field by clicking on the Options menu →
Preferences → Defaults tab

3. Click the Save or Save and View button after the patient details have been entered.

NOTE: The Save and View button will create/edit the patient and open the exam immediately for
viewing or scannning of images.

4. To create an additional exam for the patient return to the Patient

Information dialog and click the New button under Exam. Enter
in the exam information.
5. Click the Save or Save and View button when you have completed
entering the exam details.

NOTE: When the user opens an exam with no images QPC

XSCAN32 will automatically open the default scan interface.
The user can change the the default scan interface by clicking
on Options → Preferences → Scanner tab.

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Annotations
Line Annotations
Creates a straigth line on the image.

1. Select the Line button from the annotations toolbar.

2. Left mouse click on the area of the image to set the first endpoint.

3. Move the mouse to where the second endpoint will be.

4. Left mouse click on the are of the image to set the second endpoint.

Extended Line Annotation

Creates a straight line that passes through the image.

1. Select the Extended Line from the annotations toolbar.

2. Left mouse click on the area of the image to set the first endpoint.
NOTE: that the line will be extended through the entire image.

3. Move the mouse to where the second endpoint will be.

4. Left mouse click on the area of the image to set the second endpoint.

Arrow Annotation
Creates an arrow on the image, which will point to a region of interest.

1. Select the Arrow button from the annotations toolbar.

2. Left mouse click on the area of the image to set the end of the arrow.

3. Move the mouse to where the arrow should point.

4. Left mouse click to set the second endpoint of the arrow head.

Cross Hair Annotation

Creates a cross hair on the image.

1. Select the Cross Hair button from the annotations toolbar.

2. Left mouse click on the area of the image to set the start point of the cross hair.

3. Move the mouse to where the second endpoint will be.

4. Left mouse click on the area of the image to set the cross hair.

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Free Hand Annotation

Allows user to draw freehand on the image.
1. Select the Free hand button from the annotations toolbar.

2. Hold down the left mouse button on the part of the image that is desired to start drawing then drag
the mouse.

3. Continue to hold the left mouse button and draw as necessary .

4. Release the left mouse button to end the freehand drawing.

Ellipse Annotation
Creates an unfilled ellipse on the image. This feature is used to show a region of interest on the image.
1. Select the Ellipse button from the annotations toolbar.

2. Left mouse click on the area of the image to start the ellpise.

3. Move the mouse to where the ellipse will end.

4. Left mouse click to set the ellipse in place.

Box Annotation
Creates an unfilled box on the image. Used to show a region of interest on the image.
1. Select the Box button from the annotations toolbar.

2. Left mouse click on the area of the image to start the box.

3. Move the mouse to where the box will end.

4. Left mouse click to set the box in place.

Text Annotation
Creates a text annotation on the image.
1. Select the Text button from the annotations toolbar.

2. Left mouse click on the area of the image to set the upper left corner of the text box.

3. Move the mouse to where the text box will end.

4. Left mouse click to set the size of the text box.

5. The text box will become white with a flashing cursor. Type text.

6. Click anywhere on the image to end the text box.

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Measurement Annotation
Used to measure the distance of a straight line on the image. This can be in inches, cm, mm and pixels.

1. Select the Measurement button from the annotations toolbar.

2. Left mouse click on the image to set the first endpoint of the measurement.

3. Move the mouse to where the endpoint of the measurement will be.

4. Left mouse click to set the endpoint of the measurement. The measurement will appear below the
line.

5. To place the text in this default position left mouse click on the same point again. To move the text
out of the way, move the mouse to the desired location and left mouse click to set the placement of
the text.

Angle Measurement Annotation

Used to draw an angle on the image.

1. Select the Angle Measurement button on the annotations toolbar.

2. Left mouse click on the image to set the vertex (center point) of the angle.

3. Move the mouse to where the endpoint of the first vector will be.

4. Left mouse click to set the endpoint of the first vector.

5. Move the mouse to where the endpoitn of the second vector will be.

6. Left mouse click to set the endpoitn of the second vector. The angle measurement will appear.

7. To place the angle text in this default position left mouse click on the same point again. To move the
angle text out of the way or to change angles, move the mouse to the desired location and left mouse
click to set the placement.

Cobb Angle Annotation

Used to draw a cobb angle on the image.

1. Select the Cobb Angle button on the annotations toolbar.

2. Left mouse click on the area of the image to set the first endpoint of the first line.

3. Move the mouse to where the second endpoint of the first line will be.

4. Left mouse click on the area of the image to set teh second endpoint of the first line.

5. Left mouse click on the area of the image to set the first endpoint of the second line.

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6. Move the mouse to where the second endpoint of the second line will be.

7. Left mouse click on the area of the image to set the second endpoint of the second line. The angle
measurement will appear.

8. To place the angle text in this default position left mouse click on the same point again. To move
the angle text out of the way, move the mouse to the desired location and left mouse click to set the
placement.

Heart to Lung Ratio Annotation

Used to find the heart to lung ratio.

1. Select the Heart to Lung Ratio button on the annotations toolbar.

2. Left mouse clck on the area of the image to set the first endponit of the first line.

3. Move the mouse to where the second endpoint of the first line will be.

4. Left mouse click on the area of the image to set the second endpoint of the first line.

5. Left mouse click on the area of the image to set the first endpoint of the second line.

6. Move the mouse to where the second endpoint of the second line will be.

7. Left mouse click on the area of the image to set the second endpoint of the second line. The raito
measurement will appear.

Center Line Annotation

Used to find the center line of four points.

1. Select the Center Line button on the annotations toolbar.

2. Left mouse click on the area of the image to set the first point.

3. Left mouse click on the area of the image to set the second point

4. Left mouse click on the area of the image to set the third point.

5. Left mouse click on the area of the image to set the fourth point. The center line of these four points
will be drawn on the image.

Templates
Used to load and draw custom templates.
Select the Templates button on the annotations toolbar.

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Annotation Defaults
Used to change the default font name, font size and colors.
Select the Defaults button on the annotations toolbar.

Measurements Units
Used to toggle between the current measurement units.

Delete All Annotations

Used to permanently remove all annotations from the currently selected images.
Select the Delete All Annotations button.

Deleting Annotations Individually

1. Select the annotation.

2. Right mouse cick on the annotation.

3. Select Delete from the popup menu.

Selecting Annotations
1. Move the mouse over the annotation. The mouse pointer
will become a pointing hand.

2. Left mouse click on the annotation to select it. The anno-

tation will become a dotted line with several handles.

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Moving Annotations
1. Select the annotation.

2. Move the mouse over the annotation onto any part of it

except the handles (i.e. small boxes). The icon will change
to the moving annotations icon.

3. Left mout click on the annotations and drag it anywhere

on the image.

Resizing Annotations
1. Select the annotation.

2. Move the mouse over the annotation (onto any of the han-
dles). The icon will change to the resizing annotations
icon.

3. Left mouse click on the annotation handle and drag it

anywhere on the image.

NOTE: for measurement annotations the size/angle will change accordingly. One of the handles provided
for measurement annotations will also allow the user to reposition the text.

Left and Right CR Markers

1. Open an image for viewing.

2. Select the Left/Right Markers button to apply a Left or Right marker to the
image.

3. Select either the Left or Right marker. When the user clicks on the Left/Right
Marker button the Left marker icon will appear. If the user clicks the
Left/Right Marker button again the Right marker icon will appear. Clicking
again will toggle back to the Left marker.

4. Move the mouse onto the part of the image where the marker needs to appear.
When the user moves the mouse over the image a Left or Right marker icon will
appear in place of the mouse.

5. Click on the image to place the icon.

6. To remove the marker click on the Left/Right Marker button again.

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CR Cropping
1. Open the image that needs to be cropped.

2. Select the Crop button from the toolbar.

3. While holding down the left mouse button cut out the
region that needs cropping.

4. When the mouse is released, the area to be cropped will

be surrounded by a red line. A message box will appear
asking to confirm the selected region.

5. To confirm the region click OK.

6. The new image will be created in the same study and will
open automatically for viewing.

CR Masking
1. Open an image for viewing.

2. Click the User Mask button.

3. To remove the collimation mask select the Mask button again.

Before After

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CR User Masking
1. Open an image for viewing.

2. Click the User Mask button.

3. Select the number of views from the Multi-View Mask

dialog, (i.e. if there are two hand exposures on one image
select the two-view button.

4. Hold the left mouse button down on the start region and
move the mouse to the end of the crop region.

5. Repeat step 4 for each exposure. After the user has com-
pleted selecting the number of exposures, the masks will
appear on the image.

6. To remove the user mask select the Mask button.

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Moving Icon Thumbnails

1. Open a patient study for viewing.

2. Hold down the Ctrl key while clicking

the left mouse button on the image
that needs to be moved. The arrow
icon will change to a hand icon
. The icon highlighted in red shows
the location where the image will be
dropped.

3. To drop the icon, simply release the

left mouse button.

NOTE: if the moving icon is highlighted, this indicates that it will return to its
original position. If an icon is dragged forwards in position (i.e. the image number
of the highlighted icon is higher than the moving icon) then all icons between its
original position and its new position will move backwards and each image number
decreases by one. If an icon is dragged backwards in position (i.e. the image number
of the highlighted icon is less than the moving icon) then all icons between its original
position and its new position will move forward and each image number increases by
one. If no icons are highlighted when dragging, then the image will be returned to its
original position.

Modality Worklist Query

 Worklist Query button

1. To activate the Modality Worklist Query interface click on the Worklist Query button in the QPC
XSCAN32 patient information window.

2. The QPC XSCAN32 Modality Worklist Query dialog will open. Click on Query Worklist button to
query the HIS/RIS system.

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KAA
Query Worklist Button

CO
C A
C A
C A


C A
C A

C A



C A
C A

C A



C A
C A
Search fields. For ex- The user can also specify query options such as: A
A
ample, to search for all
Click here to se-
patients with the last • querying automatically when worklist query dialog
lect the target to
name Smith - select the is opened.
query.
Last Name field in the
search box and type • query on a timer (i.e. every 5 minutes)
Smith and then click NOTE: The
• query by modality (i.e. CR patients only) user will only
enter. Only the pa-
tients that have a last • query by AET need to do this
name of Smith will ap- once.
pear. • query by Date (i.e. today’s date only)

3. The queried patients will appear in the patient list. Click on Retrieve Selected Patient(s) button to
retrieve the patients into XSCAN32 database.

Retrieve Selected
Patient(s) button. PPPP
P PP
q
P
Queried patients ap-
pear in the patient
list. An envelope
indicates a patient -
that has not been
retrieved. A check
mark indicates a pa-
tient that has been re-
trieved.

4. The patients will appear in the QPC XSCAN32 patient information window within seconds of being
retrieved from the Modality Worklist Query dialog.

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Report Writer
1. Open a patient study. Select the desired images to report.
The user can have up to four images on one report (unselect
all images if the user does not want to include any images
in the report).

2. Right mouse click on the Case button in the toolbar.

3. Select existing or add a New Facility.

4. Select existing or add a new Findings and Impressions

Code. Add patient specific information to the Findings
and Impressions fields.

NOTE: QPC XSCAN32 supports multiple page reports.

5. Select Signature Name for the reading doctors signature.

6. Click on the Image Report button

7. Click View button to view the report.

 Findings and Impressions
 Code field

- 9

Facility field yXX
X
XXX
XXX Patient specific findings
 and impressions field.

Signature 

Name field H 9

H
HH
H
HH Image Report button
View ButtonX H 
XXX HH
j  
XXX 9
 
XXX
z  To include color for US
images Select Include color option.

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Long Bone & Scoli Stitching Software

1. Open a patient study for viewing and select the image icons to stich together.

2. Click on the Stitch button in the toolbar.

NOTE: This will only appear in the toolbar when the user has installed the stitching module
software.

3. Organize the images in the correct viewing order. For example, if the images appear as they do in
Figure 1 then click on the Swap Images button.

Figure 1 Figure 2

4. If the images need to be stitched vertically then select

Vertical from the Stitch Direction frame.
5. Select the Start Stitching button when the images are
positioned correctly. When QPC finishes stitching it
will display a message box stating that the image is
ready for viewing.

Tips:
1. Images must have at least 1 inch of overlapping data

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CORRECT.
Overlapping data appears in both images

2. It is important not to collimate on the edges that will be stitched together.

NOTE: The user can collimate on any other edges.

INCORRECT.
These two edges should not be collimated.

3. Do not move the angle of the anatomy between x-rays. For example, if two images of an arm are
taken on two different cassettes, do not move the angle of the arm for the second x-ray.

4. Do not change the resolution between x-rays. (All images must be the same scan resolution.)

Setting Up DICOM Send

1. Open QPC XSCAN32.

2. Open DICOM Controller V1.00.

NOTE: If the user doesn’t have the window in the task bar open Options → Preferences → Image
Transfer Tab → Select Use DICOM to transfer images.

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3. Click on Targets button and the Image Targets dialog

will appear.

DICOM Send
1. Open a patient study for viewing and select the image icons to send.

2. Click on the DICOM Send button in the toolbar.

NOTE: This will only appear in the toolbar when the “Use DICOM to transfer images” option is
selected in the image Transfer preferences tab.

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3. The Image Targets dialog will appear. Select the target(s) to send the selected images to.

4. Select OK to confirm the selected target(s).

5. The status of the send will appear in the Event Log of the DICOM Controller window.

NOTE: If sending to another XSCAN32 application the user can turn compression on and select a
compression type (low, medium, high).

DICOM Retrieve
1. Open QPC XSCAN32

2. Click on the DICOM Retrieve button in the toolbar.

NOTE: This will only appear in the toolbar when

the user has the “Use DICOM to transfer images”
option selected in the Image Transfer preferences tab.

3. The Image Targets dialog will appear. Se-

lect the target to retrieve images from.
4. Select OK to confirm the selected target.

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5. If the user has selected the Search Parameters option, then enter
any relevant patient or study information. For example, to search
on all patients with the name John Smith, type John Smith into
the Patient Name field. To search on all patients with the last
name Smith, type *Smith* into the Patient Name field. Where
the asterisk * is used as a wildcard. To search on Study ID 12345,
type 12345 into the Study ID field or 1234* to bring up all study
ID’s starting with 1234.

NOTE: It is not necessary to fill out all fields. For a description

of the valid wildcards click on the Wildcards button.

6. The list of matching

patients will be re-
turned.
7. Select the patient(s)
to retrieve from the
list and click on the
Retrieve button.

Advanced DICOM Printer

Select images for printing

In QPC XSCAN32 select the images to

print in the image icon view and selecg
DICOM Print from the toolbar. The Ad-
vanced DICOM Printer application will
open with the selected images imported
into the right hand side. Alternatively, the
user can select the region in the preview
window where the user wants the image
and then select the Import Image button.

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Drag and Drop Images

To drag images into the print region hold the left

mouse button down on one of the image icons on the
right hand side and drag it into the preview window.
A dragging cursor will appear as the user drags
the image from the image icon window to the preview
window. If the user is out of the accepted region for
dropping, a cursor will appear letting the user
know that this is not a correct region to drop the
image into.

Split the preview window into regions

To split the preview window the user needs to first
select the region to split. For example, if there are
currently no divisions in the preview window then
click anywhere in the preview window and a green
line will appear around the window. This will enable
the image division buttons. Alternatively, the user

can press Shift+ right mouse button

click inside the preview window region to split and a
popup menu will appear with these division buttons
(as the image to the right shows).

Select one of the image division buttons and the pre-

view window will be divided into regions. To split one
of these regions again select the specified region and
again select one of the image division buttons. The
user can drag and drop images at any stage. If the
user has an image in the region that is desired, the
interface will automatically move teh image into on
eof the split regions. To remove a division, click in the
region that has been split and click on the no-division
button.

The user can show and hide the image divisions by

clicking on the Page Layout tab and clicking Show
and Lock under Image Divisions.

Set Print Settings (such as Printer AET, film size and type)

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The user can view the currently selected print settings by looking
at the left hand side of the Advanced DICOM Printer dialog. To
change these settings, and to view more settings, click on the
Printers tab.

Manipulate Images in the preview window

The Advanced DICOM Printer allows the user to flip, rotate, zoom, pan,
invert and window/level images. To manipulate the images select the
image in the preview window (the selection will be shown by the green box
surrounding the image).

The user can flip, rotate and invert by using the buttons on the
left hand side of the DICOM Printer dialog.

The user can zoom by using the right mouse button on the selected image.

To pan the image use the left mouse button on the selected image.

NOTE: The user can only pan the image when it is zoomed up.

To window/level the user can either use the middle scroll button on the
mouse or alternatively, type the required window/level into the edit boxes
on the left hand side of the Advanced DICOM Printer dialog and then
press the Update button to change the window/level for the image.

The user can also press the 1:1 button to tell the Advanced DICOM Printer dialog to print images at 1:1
resolution.

The user can use the orientation button to change from landscape to portrait view.

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Change margins

The margin tab permits the user to specify, in English or metric units, the
size of the borders on the printed image. The top and bottom borders on
the page can be adjusted independently of the borders fo the left and the
right hand side of the page.

Additionally, the user has the option to control the internal mar-
gins, which define the amount of space left between individual frames on a
page with multiple images. Internal margins are defined as multiples of the
print page border size.

By default, internal margins are the same size as the borders, with image margins on,
the left and right hand side of each frame are equal to the left and right hand borders,
and margins on the top and bottom of each frame are equal to the top and bottom
borders of the printed page.

If the user intends to cut individual frames out of the printed page, it is recommended that internal margins
are set to twice that of the page, whcih will give a uniform border size on the individual image segments. If
it is necessary to maximize the amount of space on the printed page, the internal margins can be turned off
altogether.

Saving and Loading Print Layout

The templates tab allows teh user to save and load

pre-defined print layouts. There are five user defined
layouts. Set up the layout on the preview window
and then select one of the buttons labeled “Click here
to save current layout!”. The user will be prompted
for a title.

To save more layouts click on teh Save Cur-

rent Template button. here the user can set a file
name for the Layout. The default save location is
C : \XScan32\Layout\Custom.

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Adding patient demographics

Select the overlay tab to pring up the patient demographic layout options.
From here the user can select:

• Text position (includes top left, top center, top right, bottom left,
bottom center, bottom right),

• Text size (includes: small, medium, large),

• Text color (includes: white on black, black on white).

The user has the option to apply

the current settings to every im-
age in the print view or only in
the currently selected image (i.e.
via Apply to all images button
and Apply to image button).

By selecting the Enable Overlay check box the user can turn
patient demographics overlay on and off for all images. The user
can also edit the fields that are available on patient demographics
overlay by clicking on the Edit Fields button. From here the
user is able to:

• Select a field and determine what kind of a delimter follow-

ing the field (includes: none, space, tab, comma, newline,
custom).

• Change the position of the fields with the up and down

arrows.

• Remove or display a field by selecting the Print Field check.

• Print the title for the field (i.e. the title “Date:” would be
printed in front of the date field).

After editing the fields select the Done button.

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Print preview

To see a print preview, select the Print Preview button.

Print an image from DICOM Printer

When the user has finished dragging and dropping the desired images onto the preview window and
manipulating size, position and window/level (if necessary) press the Print button in the bottom left hand
corner of the DICOM Printer dialog. Please ensure all the printer settings are correct first.

Patient Demographics for icons

When the cursor is over the icon bank Advanced DICOM Print
will display the demographics for the image.

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Multiple icon pages

Advanced DICOM Print has an unlimited number of icons that can be

loaded. However, the PC’s memory is a restricton.

To clear the current page of icons click on Clear Current Page but-
ton. To clear all pages of icons and preview window click on Clear All
Pages button.

To move between pages and move to first and last pages click on
the arrow buttons.

Printing to a Windows Printer

1. To setup QPC to open the DI-

COM Application Print Server go to
Options→Preferences→Image Transfer
Tab. Select the option Use Windows to
DICOM Printer. DICOM Print must also
be selected.

2. The Dicom Application Print Server will

print to the default windows printer. I.e.
Under windows control panel select “Set
As Default Printer” to the desired printer.
The print server uses this default printer.
3. To change the AET, port number or any
other information for the DICOM Appli-
cation Print Server click on the Settings
button.

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4. To print to the DICOM Application Print Server set

the AET in the Advanced DICOM Printer to the
DICOM Application Print Server’s AET details.
5. Select the images in QPC XSCAN32 to print and then
select the DICOM Print button. Optimize the images
in teh QPC XSCAN32 software and select print.

Troubleshooting Windows to DICOM Print

1. Make sure there is only one instance of them open in Task Manager. To open Task Manager (Click
on Start Menu, Click Run, Type in “taskmgr”, Click OK). Close QPC XSCAN32. Look for DCM.exe,
DICOMMultiPrinter.exe, AppPrintSCP.exe. If any of these are open please select and click on End
Process. Reopen QPC XSCAN32.

2. Check target information for both applications (Advanced DICOM Print and DICOM Application
Printer Server). Select Advanced DICOM Print and click on Configure DICOM button. The
DICOM Configuration dialog will appear. The target details for this application are usually: AET:
ADV PRINT DICOM, PORT: 4008, IP: 127.0.0.1, Click on Select to see full details of this target. If
Advanced DICOM Print has not been entered as an item in the targets list then please add it with
the above details. Then select this new target and click OK. Click OK on the DICOM Configuration
to save settings. Close QPC XSCAN32 and reopen Select DICOM Application Printer Server and
click on Settings button. The DICOM Configuration dialog will appear. The target details for this
application are usually: AET: PRINT DICOM, PORT: 3008, IP: 127.0.0.1, Click on Select to see full
details of this target. If DICOM Application Printer Server has not been entered as an item in the
targets list then please add it with the above details. Then select this new target and click OK. Close
QPC XSCAN32 and reopen. Go to Advanced DICOM Print and Test Printerassuming that you have
the DICOM PRINT target selected as the default printer to print to. To set it as the default, select
the Printer tab in ADVANCED DICOM PRINT and select DICOM PRINT button. Try printing. If
fails recheck that multiple instances are not open in task manager.

3. Make sure no options are selected that should not be selected. If the printer does not support border
properties then unselect. If the printer does not support background properties then unselect. If the
printer does not support 12-bit images then unselect. Try printing. If fails recheck that multiple
instances are not open in task manager.

4. Make sure correct print options are selected. If printing to a windows printer you cannot have
BLUE FILM selected (unless it has BLUE FILM). You need to select PAPER. The default for a
regular windows printer for paper size is 8Inx12IN. Try other options if this fails. If you have the
wrong paper size selected it will bring up a failed message in DICOM Application Printer Server and
the message log will say incorrect paper size.

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DICOM Store and Forward Utility

Setting up targets for forwarding

1. Under the All Targets list select the target(s) to
forward.

2. Select the Add  button.

3. To remove target(s) from the forward to list.

Select the target under the Forward to list and
click on the  Remove button.

Configuring Store and Forward Utility DICOM settings

1. Select the Configure button.

2. The default DICOM settings are:

• AET SF DICOM

• Port: 4009

Sending to Store and Forward Utility

1. From the sending application select the images to send.

2. Then Select the Store and Forward Utility as the DICOM

target to send to I.e. AET of SF DICOM. (The images
will appear in the Scheduler Event Log.)

3. The Store and Forward Utility will keep retrying to send

images if failed.

4. The status will be updated with sending, complete or

transfer pending.

Options
The Store and Forward Utility defaults to receiving compressed images and forwarding them on decompressed.
If you want to receive compressed images and send them on compressed to the PACS system then unselect
the option Receive compressed image, forward uncompressed.

NOTE: The Store and Forward Utility may report the status as complete but the PACS system may
still reject the image. If the image has an incorrect DICOM tag or it is a duplicate study, series or image

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UID. Always confirm that the PACS system has received the image before deleting images from the capture
station.

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 7.0 Periodic Cleaning
WARNING
IT IS IMPORTANT THAT THE COVERS REMAIN ON THE SYSTEM AT ALL TIMES. THE COVERS
SHOULD ONLY BE REMOVED FOR SERVICE BY AN AUTHORIZED TECHNICIAN, AND THEN
IMMEDIATELY REPLACED. THIS WILL MINIMIZE DUST ENTRY.

CAUTION
DO NOT CLEAN THE GALVO MIRROR. DUST AND FIBER IN THE LASER BEAM PATH MAY
AFFECT THE RADIOGRAPHIC IMAGE.

The outside covers of the CR unit should be clean with a slightly dampened cloth or a dry cloth moistened
with Ball
R SUNUP R glass cleaner or Sprayway c glass cleaner.

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 8.0 NOTES

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