AW Server 3.

2 User Guide

OPERATING DOCUMENTATION

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Revision History
Revision Date Reason for change
1 July 2015 Initial release
2 May 2016 Updated with the following:
• trademark attribution statements,
• information about the context menu in the Worklist
Browser, and manual exam and series deletion,
• information about importing and sharing preferences,

• troubleshooting tip about Centricity™ RIS sessions in

hybrid integration mode,

• Single Photon Emission Computed Tomography

(SPECT) exception removed.

3 August 2016 CardEP added to the list of compatible applications

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Table of Contents
Chapter 1 REQUIREMENTS AND REGULATORY INFORMATION..................................................... 11
1 Regulatory requirements............................................................................................................... 11
2 Legal notices................................................................................................................................. 12
3 Software License - Intellectual Property........................................................................................13
3.1 Preamble.............................................................................................................................. 13
3.2 License Grant....................................................................................................................... 13
3.3 Restrictions...........................................................................................................................13
3.4 Ownership of Media..............................................................................................................13
4 User profile and training................................................................................................................ 14
4.1 Operator profile.....................................................................................................................14
4.2 Training.................................................................................................................................14
5 System requirements.....................................................................................................................15
5.1 AW Server hardware specifications......................................................................................15
5.2 AW Server client requirements.............................................................................................17
5.3 Required system – software environment............................................................................ 17
5.3.1 Client Operating system.............................................................................................. 17
5.3.2 Boundary Values......................................................................................................... 17
5.4 Security.................................................................................................................................17
5.5 Software............................................................................................................................... 18

Chapter 2 ABOUT THIS GUIDE.............................................................................................................19

1 About this guide.............................................................................................................................19
1.1 Additional manuals............................................................................................................... 19
1.2 Safety information.................................................................................................................20
1.3 Purpose of this guide............................................................................................................20
1.4 User interface note............................................................................................................... 20

Chapter 3 PRODUCT DESCRIPTION................................................................................................... 21

1 Product description........................................................................................................................21

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Chapter 4 SAFETY.................................................................................................................................23
1 Introduction....................................................................................................................................23
2 Indications for Use.........................................................................................................................24
3 Accuracy........................................................................................................................................25
4 Data storage..................................................................................................................................26
5 Display and window/level.............................................................................................................. 27
5.1 Display..................................................................................................................................27
5.2 Image Compression............................................................................................................. 27
6 Filming, saving, and data export....................................................................................................28
6.1 Filming and saving................................................................................................................28
6.2 Data Export...........................................................................................................................28
7 Image reliability, quality, and resolution........................................................................................ 29
7.1 Image compression.............................................................................................................. 29
7.2 Image resolution................................................................................................................... 29
8 Installation..................................................................................................................................... 30
9 Measurement.................................................................................................................................31
10 Non-GE images...........................................................................................................................32
11 PACS and 3rd party integration...................................................................................................33
12 Patient confidentiality...................................................................................................................34
13 Quality assurance and performance........................................................................................... 35
13.1 Client checker.....................................................................................................................35
13.2 Performance....................................................................................................................... 35
14 Safety related software messages.............................................................................................. 37

Chapter 5 GETTING STARTED.............................................................................................................39

1 Introduction to AW Server............................................................................................................. 39
1.1 Introduction to AW Server.................................................................................................... 39
1.2 AW Server integration modes...............................................................................................40
1.2.1 No integration.............................................................................................................. 40
1.2.2 Basic front end (light) integration (3rd party integration)..............................................40
1.2.3 Full front end (or hybrid) integration (3rd party integration)......................................... 40

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1.2.4 Seamless integration................................................................................................... 40

1.2.5 Starting applications.................................................................................................... 41
2 Downloading client........................................................................................................................ 42
2.1 Downloading the client......................................................................................................... 42
2.2 Uninstalling and reinstalling the client.................................................................................. 42
3 Logging in and out of the AW Server............................................................................................ 43
3.1 Overview...............................................................................................................................43
3.2 Logging in............................................................................................................................. 43
3.3 Additional Settings................................................................................................................43
3.4 Logging out...........................................................................................................................45
3.4.1 Logout..........................................................................................................................45
3.4.2 Automatic logout (only in no integration mode)........................................................... 45
3.4.3 Exiting a single application.......................................................................................... 45
4 Client window resolution................................................................................................................46

Chapter 6 AW SERVER DESKTOP.......................................................................................................47

1 AW Server desktop overview........................................................................................................ 47
2 Worklist Browser............................................................................................................................48
2.1 Worklist Browser overview................................................................................................... 48
2.2 Exams – select, filter and search..........................................................................................49
2.2.1 Tabs (A)....................................................................................................................... 49
2.2.2 Hosts (B)......................................................................................................................49
2.2.3 Filters (C)..................................................................................................................... 49
2.2.4 Search (D)................................................................................................................... 49
2.2.5 Adding/removing columns (E)......................................................................................50
2.2.6 Filtering/sorting exams (F)........................................................................................... 50
2.3 Advanced filters.................................................................................................................... 55
2.4 Series list, image list and preview........................................................................................ 58
2.4.1 Series list (A)............................................................................................................... 58
2.4.2 Image list (B)................................................................................................................58
2.4.3 Image preview (C)....................................................................................................... 59

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2.5 Settings and launching applications..................................................................................... 60

2.5.1 Launching an application (A)....................................................................................... 60
2.5.2 Setting up screens (B)................................................................................................. 60
2.5.3 Setting theme (C).........................................................................................................60
2.5.4 Image compression (D)............................................................................................... 60
2.5.5 Message display (E).................................................................................................... 61
2.5.6 Disk status (F)..............................................................................................................61
2.5.7 Network and film indicator (G-H)................................................................................. 61
2.5.8 Remote display indicator (I)......................................................................................... 61
3 Tools..............................................................................................................................................62
3.1 Tools tab...............................................................................................................................62
3.2 Referral Worklists................................................................................................................. 63
3.2.1 Creating a referral worklist...........................................................................................63
3.2.2 Renaming and deleting a worklist................................................................................63
3.2.3 Adding data to a referral worklist................................................................................. 63
3.2.4 Viewing exams in a referral worklist............................................................................ 63
3.3 Application launcher............................................................................................................. 64
3.4 Free Image Importer.............................................................................................................65
3.5 Utilities.................................................................................................................................. 66
3.5.1 Utilities tab options.......................................................................................................66
3.5.2 Service Tools............................................................................................................... 67
3.5.2.1 Service Tools...................................................................................................... 67
3.5.2.2 Preference Sharing.............................................................................................67
3.5.3 Allowing screen sharing...............................................................................................68
3.5.4 Viewing user manuals..................................................................................................69
3.5.5 Changing user interface language...............................................................................70
3.5.6 Terminating login session............................................................................................ 71
3.6 About AW Server..................................................................................................................72

Chapter 7 CLIENT CHECKER TOOL.................................................................................................... 73

1 Introduction....................................................................................................................................73

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1.1 Monitor (display) quality check............................................................................................. 73

1.2 Network summary and client information............................................................................. 73
2 Run monitor quality and client information check..........................................................................74

Chapter 8 SERVICE TOOLS..................................................................................................................77

1 Accessing Service Tools............................................................................................................... 77
1.1 From the AW Server desktop............................................................................................... 77
1.2 From web browser................................................................................................................77
2 Viewing and modifying network queue..........................................................................................78
2.1 View a network queue.......................................................................................................... 78
2.2 Modify network queue entries...............................................................................................78
3 Backing up user preferences.........................................................................................................79
4 Importing preferences manually.................................................................................................... 80
5 Sharing preferences...................................................................................................................... 81
6 Viewing user manuals................................................................................................................... 82

Chapter 9 TROUBLESHOOTING TIPS................................................................................................. 83

1 Troubleshooting tips...................................................................................................................... 83

Chapter 10 APPENDICES..................................................................................................................... 87
1 Additional applications available for the AW Server......................................................................87
2 AW Server compression types...................................................................................................... 96
2.1 Transfer compression...........................................................................................................96
2.2 Display compression............................................................................................................ 96
2.3 Data Export compression..................................................................................................... 96

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Chapter 1 Requirements and Regulatory Information

1 Regulatory requirements
This product complies with the regulatory requirements of the following:
•
Council Directive 93/42/EEC concerning medical devices: the label affixed to the
product testifies compliance to the Directive.
For a system, the location of the CE marking label is described in the system manual.

• Medical Device Good Manufacturing Practice Manual issued by the FDA (Food and Drug
Administration, Department of Health and Human Services, USA).

• International Electrotechnical Commission (IEC), international standards organization, when

applicable.

• USA/HHS:

CAUTION
United States Federal law restricts this device to use by or on the order of a
physician.

• GE Hungary Kft. and GE Medical Systems SCS are ISO 9001 and ISO 13485 certified.

• The original document is written in English.

Manufacturer address:
GE Hungary Kft.
Madarász Viktor utca 6.
1131 Budapest
Hungary

European registered place of business:

GE Medical Systems SCS
283, rue de la Miniere
78530 Buc
FRANCE
Tel: +33 1 30 70 40 40
NOTE: The AW Server turnkey offering includes off-the-shelf server hardware. This server is
not to be installed in the vicinity of patients, nor used in a patient environment. For
more information regarding compliance with applicable regulations, refer to the
documentation that came with your hardware components regarding compliance with
applicable regulations.

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2 Legal notices
GE and the GE Monogram are trademarks of General Electric Company.
Advantage Workstation, Advantage 4D, AdvantageSim, AutoBone, Centricity, Gemstone,
Innova, InSite, OncoQuant, SmartScore, and VesselIQ are trademarks of General Electric
Company or one of its subsidiaries.
Microsoft, Windows, the Windows logo, Windows Media, and Internet Explorer are either
registered trademarks or trademarks of Microsoft Corporation in the United States and/or other
countries.
Mac and Mac OS are trademarks of Apple Inc., registered in the U.S. and other countries.
Intel, Core, and Xeon are trademarks of Intel Corporation in the United States and/or other
countries.
Parallels and Parallels Desktop are registered trademarks of Parallels Software International,
Inc.
JavaScript is a trademark or registered trademark of Oracle and/or its affiliates in the U.S. and
other countries.
Adobe, Acrobat, and Reader are either registered trademarks or trademarks of Adobe Systems
Incorporated in the United States and/or other countries.
VMware, VMware vSphere and VMware vSphere Hypervisor are registered trademarks or
trademarks of VMware, Inc. in the United States and/or other jurisdictions.
DICOM is the registered trademark of the National Electrical Manufacturers Association for its
standards publications relating to digital communications of medical information.
McAfee is trademark or registered trademark of McAfee, Inc. in the United States and other
countries.
Trend Micro is trademark or registered trademark of Trend Micro Incorporated.
All other trademarks are the property of their respective owners.
AW Server 3.2 User Guide is an independent publication and is not affiliated with, nor has it
been authorized, sponsored, or otherwise approved by Microsoft Corporation.
AW Server 3.2 User Guide is an independent publication and has not been authorized,
sponsored, or otherwise approved by Apple Inc.
THIS SOFTWARE AND DOCUMENTATION IS PROVIDED "AS IS," AND COPYRIGHT
HOLDERS MAKE NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY OR FITNESS
FOR ANY PARTICULAR PURPOSE OR THAT THE USE OF THE SOFTWARE OR
DOCUMENTATION WILL NOT INFRINGE ANY THIRD PARTY PATENTS, COPYRIGHTS,
TRADEMARKS, OR OTHER RIGHTS.
COPYRIGHT HOLDERS WILL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL OR
CONSEQUENTIAL DAMAGES ARISING OUT OF ANY USE OF THE SOFTWARE OR
DOCUMENTATION.

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3 Software License - Intellectual Property

3.1 Preamble
Any software provided to the customer is subject to the specific license terms and conditions of
the applicable agreement, or shrink-wrap, or click-wrap license. In the event of any conflict
between those specific terms described below, the specific terms will supersede and prevail.
Generally those terms provided are as follows.
3.2 License Grant
GE grants to Customer a limited non-transferable license to use the Licensed Software subject
to the limitations imposed under this Agreement and to the following:
The Customer shall use the Licensed Software only on the Equipment located at the Site and
solely for the purpose of processing, storing, and transmitting images and data related to
Customer's patients. Customer must obtain a supplementary license from GE (which GE may or
may not grant, at its option) before using the Licensed Software (a) in connection with any
equipment components other than the Equipment (except as expressly contemplated by this
Agreement or any applicable Software documentation); (b) at any location other than the Site, or
(c) to process, store, or transmit data related to patients other than Customer's patients.
Customer may make one copy of the Licensed Software in machine-readable form solely for
backup purposes and shall reproduce on any such copy the copyright notice and any other
proprietary legends that were on the original copy.
Customer shall comply with all restrictions on the use of Licensed Software that Customer is
subject to as a licensee or sublicensee of GE under the terms of licenses or other agreements
or arrangements with third parties.
3.3 Restrictions
Except as necessary for Customer to exercise its express rights hereunder, Customer may not
itself or allow any third party to (i) make copies of the Licensed Software, (ii) distribute the
Licensed Software to others, (iii) electronically transfer the Licensed Software from one
computer to another over a network, or (iv) decompile, reverse engineer, disassemble, or
otherwise reduce the Licensed Software to a human perceivable form. CUSTOMER MAY NOT
MODIFY, ADAPT, TRANSLATE, RENT, LEASE, LOAN, RESELL FOR PROFIT, DISTRIBUTE,
NETWORK, OR CREATE DERIVATIVE WORKS BASED UPON THE LICENSED SOFTWARE
OR ANY PART THEREOF.
3.4 Ownership of Media
The media on which the Licensed Software is recorded or fixed is Customer's property. If
Customer receives Licensed Software hereunder that renders Licensed Software that Customer
has previously received redundant, Customer will return the redundant Licensed Software to GE
or certify in writing that all copies of such Licensed Software have been erased.

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4 User profile and training

4.1 Operator profile
As with any medical imaging process, only qualified personnel should use this equipment. You
must be aware of the limitations of the basic imaging modality and of ensuing image processing.
This includes understanding the limitations of the initial series acquisition, image processing
technology used, and image display methods.
AW Server is intended to be used by physicians (any sub-specialty) and technologists trained to
use a post processing review workstation. Interpretation of images may be done only by
physicians trained in reading images of their corresponding modalities having knowledge of
specific modality acquisition principles and quantitative analysis.
The users of the AW Server software application shall be a CT, MR, nuclear medicine, or
radiology technologist, radiologist, cardiologist, or physician qualified with advanced applications
training for software competencies or other personnel that the owner feels is properly trained for
this software use (radiology assistant, physician assistant, etc.).
4.2 Training
There is no mandatory AW Server specific training. However, in order to avoid usage errors, the
user MUST have a good knowledge and understanding of both the AW Server software and its
primary operating functions. This can be accomplished through applications training and
through the correct knowledge and application of User Guide content.
Please contact your GE representative to order training for qualified individuals from your site.
Make certain that the correct version of your operator manual is readily available at all times.
Make a point to review the procedures and safety precautions periodically.
Before attempting to use the application, read the Safety and Regulatory Information. It
describes safety and regulatory information that you must thoroughly understand before you
begin to use the software.
AW Server provides post processing capabilities to its clients. Any data acquired on a variety of
diagnostic imaging devices can be processed using AW Server (with the exception of x-ray
mammography).
AW Server can be used for the medical purposes described in Indications for Use (see Chapter
4, Indications for Use). There is no limitation concerning patient population, the body or type of
tissue, or the frequency of use.

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5 System requirements
5.1 AW Server hardware specifications
The following specifies the AW Server hardware requirements.
Item High Tier Low Tier
CPU • 4 x Intel® Xeon® x7542 (2.6GHz/6- • 2 x Intel Xeon x5650 (2.66GHz/6-
Core/18MB/130W) Processors Core/12MB/95W) Processors
or or

• 4 x Intel Xeon E5-4620 v2 • 2 x Intel Xeon E5-2630 v2

(2.6GHz/8-Core/20MB/95W) Pro‐ (2.6GHz/6-Core/15MB/80W) Pro‐
cessors cessors

RAM • For x7542 CPU: • For x5650 CPU:

64GB PC3-10600R DDR3 ECC 24GB DDR3 ECC DIMM (6 x 4GB,
DIMM (32 x 2GB, Improved Hemi‐ 1Rx4 PC3-14900-11 Kit, 1600MHz
sphere) or higher 1 DIMM per channel)

• For E5-4620 v2 CPU: • For E5-2630 v2 CPU:

64GB DDR3 1600MHz or higher 24GB DDR3 1600MHz ECC DIMM
ECC DIMM (16 x 4GB, 1 DIMM per (6x4GB)
channel)
or
or
64GB DDR3 1866MHz ECC DIMM
256GB DDR3 1600MHz or higher (8 x 8GB)
ECC DIMM (16 x 16GB)

HDD Internal: Internal: 6 x Internal HP® 500GB 6G

• 2 x 146GB SAS 15000 RPM HDD SATA 7.2k 2.5” SC MDL HDD
External: none
• SAS RAID controller card, P420i
with 512MB FBWC

External (in an additional 2U chassis):

• 12 x 1TB SAS 7200 RPM
• SAS RAID controller card, P421
with 1024MB FBWC

PCI Express • Has to include at least four (4) PCI

Expansion Express expansion slots

• The slots shall be capable of ac‐ —

commodating at least low-profile
cards

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Item High Tier Low Tier

Service Embedded Service Processor Card Embedded Service Processor Card
In a virtualized environment, the following minimum resources are required for:
Low Tier
• a virtualization server (host):

○ Intel Xeon CPUs supporting SSE 4.1 instructions

○ 8 physical CPU cores (using hyperthreading and CPU overcommit is not recommended)
○ 1 Ethernet port (minimum 1Gb/s)
○ data store to store all Virtual Machine (VM) data with thick provisioning
○ enough RAM to meet VM RAM requirements without RAM overcommit
• a guest (hosted) OS to run an AW Server Node:

○ CPU: 8 vCPUs
○ HDD: 70GB virtual HDD, configured disks for OS: 2
○ RAM: 24GB
○ NIC: 2 x Ethernet
High Tier

• a virtualization server (host):

○ Intel Xeon CPUs supporting SSE 4.1 instructions

○ 24 physical CPU cores (using hyperthreading and CPU overcommit is not
recommended)

○ 1 Ethernet port (minimum 1Gb/s)

○ data store to store all Virtual Machine (VM) data with thick provisioning
○ enough RAM to meet VM RAM requirements without RAM overcommit
• a guest (hosted) OS to run an AW Server Node:

○ CPU: 24 vCPUs
○ HDD: 70GB virtual HDD, configured disks for OS: 2 in no integration and hybrid
integration, 1 in seamless integration mode

○ RAM: 64GB
○ NIC: 2 x Ethernet
Supported VMware vSphere Hypervisor environments: 5.1, 5.5, and 6.0.

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5.2 AW Server client requirements

The following section specifies the minimum client hardware requirement. The end user client
hardware shall meet or exceed these specifications.
Item Specification
Processor Intel Core™ 2 Duo @2.33GHz or Pentium® 4 @3GHz minimum (or
equivalent)
Memory 1GB minimum
Disk drive 250MB free space available
Network card 100Mb/s minimum, 1Gb/s recommended
Screen Resolution Minimum: 1024H x 768V with full color (32 bit)
Optimal: 1280H x 1024V or 1600 x 1200
Up to 6 MP for optimal performance.
Mouse Two or three-button mouse. Three button mouse is recommended for
best use of functions.
Browser Security Set‐ JavaScript™ enabled
tings

5.3 Required system – software environment

5.3.1 Client Operating system
• Parallels Desktop® 10 for Mac (Mac OS® 10.10, Windows® 8.1 32bit, 64bit)

• Windows® 7 SP1 32bit, 64bit

• Windows® 8.1 32bit, 64bit

5.3.2 Boundary Values
Image processing capabilities are limited by the hardware and the license type purchased by
the customer. Licensing is based on slice count and when the number of slices that are being
processed simultaneously approaches the limits defined for the purchased license type, users
may experience slower than normal performance.
5.4 Security
NOTE: Some security software programs could potentially block the installation of the AW
Server client software or impact the connectivity to the server. If you are having
trouble, you may want to temporarily disable those programs or set the AW Server
web site status to “trusted.”

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5.5 Software
NOTE: Other non-GE software applications and operating system options, such as antivirus,
VPN, firewall and network-intensive applications, running on devices used as AW
Server clients may impair the performance and effectiveness of the product. Do not
use the software if it is damaged or compromised. If you in any way suspect that its
integrity has been compromised, contact your customer service representative
immediately.

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Chapter 2 About this Guide

1 About this guide
Depending on user privileges, AW Server users may belong to one or more of the following
categories:
• Limited users: A user (e.g., a referring physician) with restricted access to patient database
and applications. A limited user has to provide at least two of the following criteria to perform
a successful search: patient name, patient ID and birthdate. A limited user:

○ cannot export DICOM data,

○ has no access to Service Tools,
○ cannot import preferences,
○ cannot delete exams and/or series from the Worklist Browser,
○ cannot access, create, rename, or delete referral worklists.
• Standard users: A CT, MR, nuclear medicine, or radiology technologist, radiologist,
cardiologist, or physician qualified with advanced applications training for software
competencies or other personnel that the owner feels is properly trained for this software
use (radiology assistant, physician assistant, etc.).

• Administrator users: A person who manages the computer system within an organization. In
larger organizations this could be someone in your IT department. In smaller organizations
(such as stand alone sites), this could be a user who has been designated as the
administrator.

• Service users: A GE Field Engineer who has full access to the system to manage and
maintain it.

This guide is for AW Server users with limited or standard user privileges. It does not identify
components or features that are standard or purchasable options. Therefore, if a feature or
component noted in this documentation is not on your system, it is either not available on your
system configuration or your site has not purchased the option.
If necessary, consult the relevant operator manuals to familiarize yourself fully with the
application, the use of the various controls, menus and windows, and terminology before
continuing.
For administrator user information, refer to the AW Server 3.2 Administrator Guide.
NOTE: To view applications documentation, Adobe® Reader® X or later is required. To
download Adobe Reader, please visit Adobe System's website at www.adobe.com.
1.1 Additional manuals
This online help is only one part of a larger set of documentation available. Additional manuals
include those applicable to the advanced applications. If necessary, consult the relevant
operator manuals to familiarize yourself fully with the application, the use of the various controls,
menus and windows, and terminology before continuing.

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These manuals can be accessed via the web or the tools icon (see Chapter 8, Viewing user
manuals).
1.2 Safety information
The safety topics contain warnings and cautions related to the AW Server and describe the
safety information you must understand thoroughly before you begin to use the system. If you
need additional training, seek assistance from qualified GE personnel.
The equipment is intended for use by qualified personnel only.
It is important for you to periodically review the procedures and safety precautions. It is
important to read and understand the contents of this guide before attempting to use this
product.
1.3 Purpose of this guide
This manual is written for health care professionals to provide the necessary information relating
to the proper operation of this system.
1.4 User interface note
Please note that the screen captures in this document are intended for demonstration purposes
only and may not always be fully identical to the actual user interface (e.g., in color scheme).
Use these screen captures as guides.

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Chapter 3 Product Description

1 Product description
AW Server is a medical software system that allows multiple users to remotely access AW
applications from compatible computers on a network. The system allows networking, selection,
processing and filming of multimodality DICOM images.
Both the client and server software are only for use with off the shelf hardware technology that
meets defined minimum specifications.
The device is not intended for diagnosis of mammography images. The device is not intended
for diagnosis of lossy compressed images. For other images, trained physicians may use the
images as a basis for diagnosis upon ensuring that monitor quality, ambient light conditions and
image compression ratios are consistent with clinical application.
AW Server is a software package, which may be purchased as a turnkey solution that includes
off-the-shelf enterprise-class server hardware that allows easy selection, review, processing and
filming of multiple modalities DICOM images from a variety of PC client machines, using LAN or
WAN networks. It also allows user selectable compression schemes for transferring medical
images.
As an option the server can be installed on a virtual hardware.
AW Server is intended to be used in a manner similar to the current GE AW workstation
product. It will be used to create and review diagnostic evidence related to radiology procedures
by trained physicians in General Purpose Radiology, Oncology, Cardiology and Neurology
clinical areas.
AW Server may be used with a variety of other GE software medical devices, which are cleared
by appropriate regulatory bodies in their own names.

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Chapter 4 Safety
1 Introduction
To ensure efficient and safe use of the AW Server it is essential to read this Safety section and
all associated topics before attempting to use the software. The Safety section contains
important information for the safe and effective use of the AW Server.
To use the AW Server, the user MUST have a good knowledge of the AW Server applications.
The software is intended for use by qualified and trained personnel only. If you need additional
training on any AW Server application, seek assistance from your GE applications specialist.
Make certain that the correct version of your operator manuals are readily available at all times.
Make a point to review the procedures and safety precautions periodically.
Safety note legends:

WARNING
THIS INDICATES A POTENTIALLY HAZARDOUS SITUATION WHICH, IF NOT
AVOIDED, COULD RESULT IN DEATH OR SERIOUS INJURY.

CAUTION
This indicates a potentially hazardous situation which, if not avoided, may result
in minor or moderate injury.

Non-safety note legend:

NOTICE
This indicates a non–hazardous situation which, if not avoided, could result in
equipment damage, lost time, or reduced image quality.

Note:
NOTE: Provides additional information that is helpful to you. It may emphasize certain
information regarding special tools or techniques, items to check before proceeding,
or factors to consider about a concept.

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2 Indications for Use

AW Server is a medical software system that allows multiple users to remotely access AW
applications from compatible computers on a network. The system allows networking, selection,
processing and filming of multimodality DICOM images.
Both the client and server software are only for use with off the shelf hardware technology that
meets defined minimum specifications.
The device is not intended for diagnosis of mammography images. The device is not intended
for diagnosis of lossy compressed images. For other images, trained physicians may use the
images as a basis for diagnosis upon ensuring that monitor quality, ambient light conditions and
image compression ratios are consistent with clinical application.

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3 Accuracy
WARNING
ALWAYS ENSURE THAT THE DISPLAYED IMAGES BELONG TO THE
APPROPRIATE PATIENT WITH THE ORIGINAL ACQUISITION
PARAMETERS. (1)

WARNING
ALWAYS CHECK THAT THE GEOMETRY AND ACQUISITION PARAMETERS
DISPLAYED FOR AN IMAGE ARE COMPLIANT WITH THE ACQUISITION
SYSTEM DISPLAY. (3)

WARNING
ONLY USE DATES WITH A FOUR-DIGIT YEAR AND A THREE-CHARACTER
MONTH. NOTE THAT DATES ARE ALWAYS IN ENGLISH. (9)

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4 Data storage
WARNING
WHEN DOWNLOADING DATA FROM THE SERVER TO THE LOCAL CLIENT:

• DO NOT OVERWRITE EXISTING FILES OR DIRECTORIES.

• ALWAYS CHECK THAT DATA DOWNLOADED FROM SERVER TO THE

LOCAL CLIENT ARE APPROPRIATE BEFORE USING FOR ANY
PURPOSE.

• DO NOT USE IMAGES PRINTED ON A NON-DICOM PRINTER FOR

DIAGNOSIS.

• DO NOT ATTEMPT TO USE OR ACCESS ANY TEMPORARY DATA

CREATED WHEN SAVING A FILE OR DIRECTORY. (16)

NOTICE
AW Server is not a storage commitment or an archive device for medical imaging
data. All data on the AW Server is transient. A secure copy should be maintained
in a separate location such as a PACS archive, original acquisition device, or
long-term archive media.

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5 Display and window/level

5.1 Display
NOTE: The image display quality is limited by the display device of the client hardware. The
medical imaging professional operator is required to use good judgement of the
display quality, ambient lighting conditions and other factors to decide if the
presentation is of sufficient quality for the clinical circumstances. AW Server client
software presents information using color and is not intended for use on gray scale
monitors.
NOTE: The client size is above the supported value. Please note that you may encounter
some serious performance degradation.
NOTE: The client size is above the recommended value. Please note that you may encounter
performance degradation.
5.2 Image Compression

NOTICE
The image quality may be degraded by the data compression techniques
(depending on the compression settings). Diagnosis has to be performed on the
original images in DICOM format.

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6 Filming, saving, and data export

6.1 Filming and saving

NOTICE
The image quality may be degraded by the data compression techniques
(depending on the compression settings). Diagnosis has to be performed on the
original images in DICOM format.
6.2 Data Export
The Data Export function allows you to export images (in the form of an “electronic film”) to
other systems that do not support the DICOM format.

WARNING
THE MPEG/AVI/MOV MOVIES COMPRESSED WITH HIGH IMAGE QUALITY
MAY NOT BE PLAYED BACK CORRECTLY ON SLOWER MACHINES. IMAGE
SKIPPING MAY OCCUR. (38)

NOTICE
The image quality may be degraded by the data compression techniques
(depending on the compression settings). Diagnosis has to be performed on the
original images in DICOM format.

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7 Image reliability, quality, and resolution

7.1 Image compression

WARNING
LOSSY DATA COMPRESSION IS AVAILABLE ON THE AW SERVER TO HELP
IMPROVE THE DISPLAY PERFORMANCE OF THE APPLICATIONS. THE
JUDGEMENT OF THE MEDICAL IMAGING PROFESSIONAL IS AN
IMPORTANT PART OF REACHING THE APPROPRIATE CONCLUSION FROM
THE RESULTS PRESENTED BY COMPRESSED IMAGES. IF NECESSARY,
TURN COMPRESSION OFF BEFORE USING IMAGES FOR DIAGNOSIS. (18)

7.2 Image resolution

The image set resolution is determined by:
• the size of the field-of-view

• the matrix size

• the inter-slice distance

In the acquisition plane, the measurement accuracy cannot be better than the size of the
smallest element. In the same way, the accuracy in a direction perpendicular to the acquisition
plane cannot be better than the inter-slice distance. In the acquisition plane, for a field-of-view of
about 25cm, the smallest detail in an image acquired with a 512x512 matrix will be about
0.5x0.5mm. With a 256x256 matrix, the smallest detail will be 1x1mm.

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8 Installation
WARNING
THE CLIENT MONITORS SHALL BE POSITIONED SO AS TO AVOID
REFLECTIONS FROM ROOM LIGHTING OR WINDOWS, OR TOO MUCH
AMBIENT LIGHT STRIKING THE MONITOR SCREEN DIRECTLY.
INCORRECT POSITIONING MAY LEAD TO DEGRADED IMAGE QUALITY
AND CRITICAL FEATURES ON THE IMAGES NOT BEING CLEARLY VISIBLE.
(47)

NOTE: Always run the image quality tool when you change your monitor, graphic card or
monitor cable, or when you dock or undock a laptop, or change viewing conditions –
for example taking a laptop into or out of a dark reading room.

NOTICE
United States Federal law restricts this device to use by or on the order of a
physician.

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9 Measurement
This section provides information about the accuracy of on-view measurements. This accuracy
depends on various factors, and in particular on the size of the region of interest (ROI) being
measured.
NOTE: In the 2D and 3D Viewers, the ROI statistics will vary slightly depending on the zoom
factor used to view the images when the ROI is deposited. If exact accuracy of the
mean and standard deviation is critical, make sure the image is not zoomed before
depositing the ROI.
To assess the accuracy of measurements performed with other AW Server applications, please
consult the Measurements section of the appropriate user manuals.

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10 Non-GE images
Follow the DICOM acquisition parameter guidelines listed in each application user guide.
Consult GE-published DICOM conformance statement of Volume Viewer.

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11 PACS and 3rd party integration

WARNING
IN PACS INTEGRATION, THERE MAY BE A TIME DELAY BETWEEN THE
TIME THE USER SAVES DATA FROM AN AW APPLICATION TO THE TIME IT
CAN BE SEEN IN THE PACS WORKLIST. (56)

WARNING
IN THE CASE OF PACS INTEGRATION, IF THE NETWORK BETWEEN THE
PACS AND THE AW SERVER IS LOST THE PATIENT IMAGE DATA READ
AND APPLICATION START IS NOT POSSIBLE. (57)

WARNING
IN THE CASE OF COMMAND LINE INTEGRATION WITH A 3RD PARTY
SYSTEM, LOADING A NEW PATIENT AND STARTING A NEW APPLICATION
ON THE 3RD PARTY SYSTEM DOES NOT AUTOMATICALLY UPDATE THE
DATA DISPLAYED ON THE AW SERVER. THIS WILL CAUSE DIFFERENT
PATIENTS TO BE DISPLAYED ON THE DIFFERENT MONITORS.TO
SYNCHRONIZE THE PATIENTS BETWEEN THE TWO MONITORS, USERS
MUST CLOSE THE OPEN APPLICATION ON THE AW SERVER, DISPLAY
THE PATIENT BROWSER, AND RE-INVOKE AW SERVER CLIENT ON THE
3RD PARTY SYSTEM. (110)

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12 Patient confidentiality
NOTE: Copying images to the clipboard will also copy the patient name if it is displayed on
the images. If patient privacy is required, be sure to remove patient information before
printing or saving.
NOTE: AW Server should always be run over the hospital VPN (virtual private network) if
accessing from any external network. Running it on the open internet without proper
network security measures (such as enterprise firewall) could lead to patient privacy
issues.
NOTE: The AW Server includes hard disk drives which may hold medical data related to
patients. Such equipment may in some countries be subject to regulations concerning
the processing of personal data and the free circulation of such data. It is strongly
recommended that access to patient files be protected from all persons not in medical
attendance.
To prevent unauthorized access to patient data:
When leaving the client station unattended for any length of time, exit the AW Server
applications and close your user session.

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13 Quality assurance and performance

WARNING
TO ENSURE CONSISTENT IMAGE QUALITY FROM THE AW SERVER
CLIENT WORKSTATION, IT IS THE USER’S RESPONSIBILITY TO
IMPLEMENT A PROCEDURE OF REGULAR QUALITY ASSURANCE
CHECKS. (69)

13.1 Client checker

WARNING
THIS TOOL IS DESIGNED TO EVALUATE YOUR CLIENT CONFIGURATION
AND MONITOR TO HELP YOU DETERMINE IF YOUR SYSTEM IS
SUFFICIENT FOR THE CLINICAL APPLICATION AW SERVER. THIS QUALITY
CHECK IS AN INITIAL EVALUATION OF YOUR OPERATING SYSTEM. IT IS
NOT MEANT TO REPLACE YOUR QA PROCEDURES. (70)

WARNING
ALWAYS RUN THIS IMAGE QUALITY TOOL WHEN YOU CHANGE YOUR
MONITOR, GRAPHIC CARD OR MONITOR CABLE, OR WHEN YOU DOCK
OR UNDOCK A LAPTOP, OR CHANGE VIEWING CONDITIONS – FOR
EXAMPLE TAKING A LAPTOP INTO OR OUT OF A DARK READING ROOM.
(71)

13.2 Performance
For AW Server installations on GE-provided server hardware or on customer provided
VMware® computing capacity is limited by the hardware resources. In order not to overload the
system, a slice count mechanism is used. When the number of slices that are being processed
simultaneously approaches the applicable limits, users may experience slower than normal
performance.

WARNING
THERE MAY BE A PERFORMANCE DEGRADATION AS THE NUMBER OF
USERS ON THE AW SERVER INCREASES. (72)

WARNING
THE PROCESSING EFFICIENCY AND SPEED OF THE AW SERVER ARE
AFFECTED BY THE AMOUNT OF MEMORY AND THE NUMBER OF ACTIVE
PROCESSES RUNNING ON THE CLIENT. CONVERSELY, RUNNING THE AW
SERVER CLIENT MAY TEMPORARILY IMPACT OTHER ACTIVE
PROCESSES. (89)

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WARNING
WHEN RUNNING AW SERVER ON A HOME NETWORK, EXTERNAL
SOFTWARE SUCH AS CITRIX AND VPN MAY COMPRESS DATA DURING
DATA TRANSFER BETWEEN THE AW SERVER AND YOUR CLIENT. IN THIS
CASE, THE IMAGE QUALITY MAY BE IMPACTED AND THESE IMAGES
MUST NOT BE USED FOR DIAGNOSIS. (90)

WARNING
IF THE SERVER IS NOT IN A CONTROLLED ACCESS ENVIRONMENT, THE
SERVER COULD BE SHUTDOWN AT ANY TIME WITHOUT GOING
THROUGH AN ORDERLY SHUTDOWN PROCEDURE. ALTHOUGH NOT
REQUIRED, CONTROLLED ACCESS IS STRONGLY RECOMMENDED FOR
ALL AW SERVERS. (91)

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14 Safety related software messages

Messages giving information and warnings relating to the current system status are displayed
while using the AW Server. Some of these messages may be related to safety issues. For
example, a message may warn that a screen or printed image will be enlarged or reduced, and
this must be taken into consideration when making a diagnosis. It is important that users take
note of and act on the information given in these messages. The table below shows safety–
related messages which may be displayed. In manuals intended for use in countries in which
the on–screen language is different from the local language, the table shows the displayed
messages and gives a translation in the local language. In manuals intended for use in
countries in which the on–screen language is available in the local language, the right side of
the table is blank.
English Translation
Print not for diagnosis (98)
System could not supply enough resources.
(106)
Please be aware that the images contained
in this electronic film may have lost informa‐
tion due to a lossy compression, and are not
for diagnostic use.
Please note that the MPEG/AVI/MOV mov‐
ies compressed with high image quality may
not be played back correctly on slower ma‐
chines - image skipping may occur. (109)

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Chapter 5 Getting Started

1 Introduction to AW Server
1.1 Introduction to AW Server
AW Server may act as a collaborative workflow connection between clinicians within the
department and between the department and referring physicians. AW Server is a central
access point for Diagnostic Imaging exams, even those in progress, allowing clinicians to
collaborate. From any supported PC, a clinician can use AW Server to export diagnostic images
into other desktop applications.
The AW Server may also serve as a computational engine powering advanced applications. AW
Server may be purchased as a turnkey solution that includes off-the-shelf enterprise-class
server hardware or installed in a hardware virtualization environment.
Interactive workflows include user interaction with applications either selected in the worklist, or
selected by the user with help from the AW Server software. Multiple users can manipulate or
view a data set at the same time, facilitating collaboration.
This manual contains information specific to the AW Server. It does not contain information on
any client operating system.
AW Server terminology
When talking about the AW Server product, two major terms are used to describe the
components:
• The server: the hardware and software applications (supplied by GE) and exam data and
can be used simultaneously by multiple people from multiple locations.

• The client: the hardware an individual uses to access the server to run applications and
access data on the server. The client is typically a personal computer, laptop, PACS, etc.
and can be located practically anywhere in the world where you have an internet connection
to access the server.

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1.2 AW Server integration modes

There are four types of integration in AW Server:
• No integration

• Basic front end (light) integration (3rd party integration)

• Full front end (or hybrid) integration (3rd party integration) with or without Worklist Browser

• Seamless integration.

1.2.1 No integration
If there is no integration, AW Server applications cannot be run from a remote system.
1.2.2 Basic front end (light) integration (3rd party integration)
NOTE: This integration mode is available only in the case of upgrade from AW Server 2.
Both the remote system and AW Server has its own patient list. Once selecting the exam on the
3rd party system it can a synchronize the selection with the AW Server client exam list.
AW Server applications can be then launched from the AW Server client.
Both the remote and AW Server database shall contain the identical patient data.
All processed data using this integration mode is stored on the AW Server database.
1.2.3 Full front end (or hybrid) integration (3rd party integration)
Two modes are supported depending on how the integration is used: with or without AW Server
client Worklist Browser.
When AW Server Worklist Browser mode is used, the integration mode is the same as the basic
front end (light) integration.
When AW Server Worklist Browser mode is not used, the application can be launched directly
from the remote browser if the remote and the AW Server database contain the identical patient
data.
All processed data using this integration mode is stored on the AW Server database.
1.2.4 Seamless integration
AW Server uses seamless integration mode with Universal Viewer.
In seamless integration mode, the 2D views in Universal Viewer desktop and 3D views of the
AW Server views are synchronized to power the Advanced Applications in the Universal Viewer.
Both 2D and 3D viewers are accessed and displayed via the Universal Viewer desktop.
Advanced applications supported by AW Server may be launched in the Universal Viewer
desktop either through inclusion in hanging protocols, or from within a viewport in the Universal
Viewer desktop via a pull-down menu.
While working on 2D views in the Universal Viewer desktop and on the 3D views of the AW
Server, the following functions are synchronized:
• Mouse mode

• Paging

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• 3D cursor

• Zoom

• Window Width/Window level

Multiple advanced applications tools that may be familiar to users of other AW products are now
accessible from the main Universal Viewer toolbar (e.g., 2D Measure Distance).
1.2.5 Starting applications
Depending on the actual integration configuration, the following options are available to start
applications:
• from AW Server Worklist Browser (e.g., no integration, light and in certain hybrid integration
mode configurations),

• from the 3rd system (PACS, Centricity PACS, CT or MR Console, etc.) (e.g., in certain
hybrid integration mode configurations),

• from application list panel (in certain hybrid integration mode configurations),

• from the Universal Viewer (in seamless integration).

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2 Downloading client
NOTE: If the user name on the host system contains special characters the AW Server client
may not be operational. If this problem is encountered, change the user login so that it
does not contain special characters.
NOTE: The below procedures are not applicable to seamless integration mode, where AW
Server client installation is managed via the Universal Viewer.
2.1 Downloading the client
1. In your web browser, enter the IP address of the server (e.g., http://3.70.111.10) to display
the AW Server master screen.
2. Click [Download] at Client for Windows.
3. Click [Run] on the File Download – Security Warning dialog box.
Alternatively, click [Save] to save the installation file on your PC or click [Cancel] to cancel
the operation.
4. If you get a Security Warning dialog box, click [Run].
Alternatively, click [Don’t Run] to cancel the operation.
5. Click [Next] on the AW Server Client Setup wizard to start the installation or click [Cancel] to
stop the installation process.
6. Select a destination folder or accept the default on the Select Installation Folder dialog box
and click [Next].
Alternatively, click [Back] to return to the previous dialog or click [Cancel] to stop the
installation process.
7. Click [Install] on the Ready to Install dialog box.
Alternatively, click [Back] to return to the previous dialog or click [Cancel] to stop the
installation process.
8. Click [Finish] on the AW Server Client Setup wizard.
2.2 Uninstalling and reinstalling the client
If, for any reason, you need to uninstall and reinstall the AW Server client, you first need to
uninstall the client manually, then follow the instructions in the previous section to download and
reinstall it.

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3 Logging in and out of the AW Server

3.1 Overview
Login and logout procedures depend on the actual AW Server integration and authentication
mode. The login options include, but are not limited to:
• via AW Server login screen (in no integration mode, (see Section 2))

• via AW Server login window (in certain hybrid integration mode configurations)
Select the Keep me logged in check box on the AW Server login window to stay logged in
the AW Server so that you will not need to log in again at the next session.

• via the 3rd party system (depending on the configuration, login may not be required) (in
certain hybrid integration mode configurations)

• via Centricity PACS (no login is required)

• in seamless integration mode no login is required.

3.2 Logging in
1. Start the AW Server application. This will vary by site, but some typical approaches include:

○ Clicking the shortcut on your client desktop.

○ Clicking [Start] from the desktop and select AW Server.
2. In the AW Server login screen, enter the Server IP address or use the default address
already displayed.
When logging in from an untrusted network, click the Show settings option and select the
Secure mode check box.
3. Enter your username and password and click [Login].

NOTE: In the event of Windows hibernation or switching users, the AW Server client session
is not preserved. Logout and login are required.
3.3 Additional Settings
Click Show settings to expand the Login dialog screen from which you can modify the additional
settings. The proxy settings are available when the Secure mode [1] check box is selected.

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Illustration 1: Settings

Connection type [2] describes the network performance between the AW Server and client.
Automatic means that each time you log in, the client executes a network measurement and
selects the connection type corresponding to the network performance to the server. If you
would like to override this connection, click on the arrow and select a choice between Fast,
Medium or Slow. The setting you choose affects different system parameters (including
compression) to adapt performance to the network condition. You can later override the
compression settings by selecting a different compression value displayed on the bottom of the
AW Server desktop.
Measure Time [3]: Click [Measure] [4] to open the Measure Network Connection dialog (see
Illustration 2) and run the network connectivity measurement tool.

Illustration 2: Measure Network Connection dialog

The Measure Network Connection dialog box displays the download and upload measurements
for:
• Connection time [a]

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• Ping time (RTT) [b]

• Bandwidth [c]

and provides a Suggested connection [d]. You can either accept this suggestion by selecting the
Apply result to the connection type [e] check box, or manually set it at Connection type [2]. Click
on the up and down arrows in the measure time box to set a different measurement time. The
default is 10 seconds per direction (20 seconds total). Click the [Close] [f] button when you are
finished.
Secure Mode [1] (see Illustration 1) enables a Secure Socket Layer (SSL) protocol when
checked. The SSL is used to provide secure communications on the Internet. This setting might
typically be used when the client is accessing the server over a untrusted network. Note that the
performance is slower in secure mode.
Proxy settings [5] (see Illustration 1)
When secure mode is selected, the AWS client can make use of the HTTPS proxies to reach its
server. Use these settings to set up the desired proxy.
• Direct (no proxy) [6] allows a direct connection to the AW Server
using the intranet.

• Use system proxy settings [7] shows the proxy setting from your Operating System. On
Windows systems the proxy settings are taken from those set up for Internet Explorer.

• Manual proxy configuration [8] requires a specific IP address and Port number. If this option
is necessary, you must obtain this information from your IT administrator.

• Automatic proxy configuration [9] requires a URL (obtained from your IT administrator).
3.4 Logging out
3.4.1 Logout
If you click [Logout] in the upper right corner of the screen, you are automatically logged out of
all applications currently running, any unsaved work is lost and you are returned to the login
screen.
Click the X button in the upper right corner of the screen to close the AW Server Client and all
open applications. You will be automatically logged out of all applications currently running, any
unsaved work is lost.
3.4.2 Automatic logout (only in no integration mode)

NOTICE
Your system may be configured with an automatic log out if the system has been
inactive for a predetermined amount of time. The first message will notify you that
the system has been inactive for a set amount of time. If you do not respond, the
system automatically logs you out and your work is not saved.
3.4.3 Exiting a single application
To exit a single application and not log out, click on the white X on the tab. Note that in this case
any unsaved work will be lost.

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4 Client window resolution

The proper resolution is critical to help ensure the best image quality and performance on the
AW Server. If the resolution is too low, small detail information may be missed.
Use the Client Checker Tool to perform a basic test of the pixel bit depth setting of your display,
the resolution of your display, etc. If these display settings do not meet the minimum
requirements (e.g., if the resolution is too low, important details may not be visible), warning
messages are displayed.
If you choose to ignore the warning messages, it is critical to understand that the displayed
images may not be of diagnostic quality.
For detailed information about the Client Checker, see Chapter 7, Client Checker Tool.

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Chapter 6 AW Server Desktop

1 AW Server desktop overview
When you first start the AW Server application, the desktop is displayed.

There are two main tabs available:

• Worklist Browser

• Tools

NOTE: The AW Server desktop is available in no integration mode and in certain hybrid
integration mode configurations. In other cases, refer to the corresponding client (e.g.,
Centricity PACS or Universal Viewer) user documentation for instructions about
selecting patients, launching applications, etc.

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2 Worklist Browser
2.1 Worklist Browser overview
The Worklist Browser allows you to:
• select host, filter, select, delete, and search exam(s) (see Exams – select, filter and search),
and apply advanced filters (see Advanced filters);

• select and delete series, and select and preview images (see Series list, image list and
preview);

• access Worklist Browser settings, and manage and launch applications (see Settings and
launching applications).

The right-click context menu on the exam list provides the following options:
• Assign to: add selected exam(s) to a referral worklist (exam list only, see Section 3.2.3,
Adding data to a referral worklist for further information)

• Send to: push selected item(s) to a networked system (available also on the series and
image list),

• Priority: modify exam priority settings,

• State: modify exam state settings,

• Lock: lock or unlock exam,

• Search selected: search selected exam on a networked system,

NOTE: For further information about the Priority, State, Lock, and Search selected options,
see Exams – select, filter and search.

• Delete: delete selected item(s) if this option is enabled by the system administrator
(available also on the series list).

To select multiple exams, series or images:

• hold down the <Control> key and click each item you want to select

or

• to select consecutive items, hold down the <Shift> key and click on the first, and then on the
last item to be selected.

NOTE: If you select more than 16 exams, the context menu options will be inactive (greyed
out).

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2.2 Exams – select, filter and search

2.2.1 Tabs (A)

Tabs provide access to the Worklist, Tools and any open applications. The application tabs
display the patient name and can be closed by clicking on the X which is only visible when you
hover the mouse cursor over the tab. The Worklist and Tools tabs cannot be closed.
Tabs can be rearranged by clicking and dragging. Click on a tab to bring it to the front for
viewing and processing.
2.2.2 Hosts (B)
Hosts identify the current database or list being accessed. Click the arrow to expand the list and
the view referral lists and networked stations. To collapse the list, click on the arrow again or
click on an entry in the worklist.
To pull an exam from a networked system, click on the arrow to expand the list of networked
systems, right-click on the exam to transfer to your local system, and click Copy to local.

Click the (Reload data) button to refresh the worklist.

Right-click anywhere in an exam’s row to modify Priority, State, and Lock settings for the exam,
and to add it to a referral worklist (Assign to) or push it to a networked system (Send to).
2.2.3 Filters (C)
Filters set search parameters.

Click the (Advanced filters) button to open the Filter Dialog, see Advanced filters.
For additional information, see Section 6 below.
2.2.4 Search (D)
Search allows you to search for text in any displayed column in the worklist.

Enter the search term/criteria in the Search text field, and then click the (Find exam) button
or press <Enter> to start the search.
The first exam matching that criteria is displayed. Continue clicking the Find exam button to
display the next exam matching the criteria.
To perform quick search, type the first letter of the patient name you are searching for to display
the first patient in the list whose name starts with this letter. Press the same key repeatedly until
the patient name you are searching for is displayed.

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2.2.5 Adding/removing columns (E)

Columns can be added to or removed from the worklist.
1.
Click the button open the Column Settings dialog to add and/or remove columns. The
following columns can be added:

○ State
○ Priority
○ Name
○ Patient ID
○ Birth Date
○ Modalities
○ Description
○ Date
○ Priors
○ Accession
○ Exam ID
○ Institution
○ Locked
○ Reading Physician
○ Referring Physician
○ Station
2. Click [Ok] to add and/or remove columns, or click [Cancel] to discard the modifications and
close the dialog.

For details about columns, see Section 6 below.

2.2.6 Filtering/sorting exams (F)
You can filter/sort exams by multiple criteria. Note that, if any preset filters have been applied/
defined at the Filter Dialog, exams are already filtered by these filtering criteria. You can sort
and/or narrow down the filtering results using the below criteria.
Filter/sort exams as follows:
• State
Click on the triangle to open the list of states, and then click the required state to filter the
exams.

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The following state options are available:

○ All (default)
○ New
○ Post Processing
○ Post Processing Done
○ Complete
○ Complete (2)
○ Complete (3)

Click on State to sort exams by their state either in ascending (downward pointing white
triangle) or descending (upward pointing white triangle) alphabetical order.

• Priority
Click on the triangle to open the list of possible priority options (All, STAT or Normal), and
then click the required priority setting to filter the exams.
A STAT exam is identified by the word STAT in red in the Priority column.

• Name
Click on Name to sort exams either in ascending (downward pointing white triangle) or
descending (upward pointing white triangle) alphabetical order.
OR
Start typing the name of the required exam(s), and then press <Enter> or <Tab> to filter the
exams.

• Patient ID
Click on Patient ID to sort exams by the patient IDs either in ascending (downward pointing
white triangle) or descending (upward pointing white triangle) order.
OR
Start typing the patient ID of the required exam(s), and then press <Enter> or <Tab> to filter
the exams.

• Birth Date
Click on Birth Date to sort exams by the birth dates either in ascending (downward pointing
white triangle) or descending (upward pointing white triangle) order.
If you want to display exams of patients who were born on and after a specific date only,
click on the triangle to open the calendar, select the required date, and then click [Ok] to
filter the exams.

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Click [Clear] to deselect all parameters or click [Cancel] to cancel all modifications and close
the calendar.

• Modalities
Click on the triangle to open the list of modalities, select or remove selection from the listed
modalities’ check boxes, and then click [Ok] to filter the exams according to the selected
modalities, or click [Cancel] to cancel the selection and close the list.
OR
Click on Modalities to sort exams by their modalities either in ascending (downward pointing
white triangle) or descending (upward pointing white triangle) alphabetical order.

• Description
Click on Description to sort exams by their descriptions either in ascending (downward
pointing white triangle) or descending (upward pointing white triangle) alphabetical order.
OR
Start typing the description of the required exam(s), and then press <Enter> or <Tab> to
filter the exams.

• Date
Click on Date to sort exams by their dates and times either in ascending (downward pointing
white triangle) or descending (upward pointing white triangle) order.
If you want to display exams that were created on and after a specific date only, click on the
triangle to open the calendar, select the required date, and then click [Ok] to filter the
exams.
Click [Clear] to deselect all parameters or click [Cancel] to cancel all modifications and close
the calendar.

• Priors
Click on Priors to sort exams by the number of their prior exams for the same patient either
in ascending (downward pointing white triangle) or descending (upward pointing white
triangle) order.
If there is one or more additional exams for the same patient, a + (plus) or - (minus) sign is
displayed in the front of the patient’s row, depending on whether the list of the additional
exam(s) is collapsed or expanded, respectively.

• Accession
Click on Accession to sort exams by their accession number either in ascending (downward
pointing white triangle) or descending (upward pointing white triangle) order.
OR
Start typing the accession number of the required exam(s), and then press <Enter> or
<Tab> to filter the exams.

• Exam ID

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Click on Exam ID to sort exams by their exam IDs either in ascending (downward pointing
white triangle) or descending (upward pointing white triangle) order.
OR
Start typing the exam ID of the required exam, and then press <Enter> or <Tab> to filter the
exams.

• Institution
Click on Institution to sort exams by the corresponding institution names/IDs either in
ascending (downward pointing white triangle) or descending (upward pointing white triangle)
alphabetical order.
OR
Start typing the institution names/ID of the required exam(s), and then press <Enter> or
<Tab> to filter the exams.

• Locked
Click on the triangle to open the list of states (All, Locked or Unlocked), and then click the
required state to sort the exams.
Locked exams have a closed padlock symbol displayed in the Locked column.
OR
Click on Locked to sort exams by their locked/unlocked status either with locked (downward
pointing white triangle) or unlocked (upward pointing white triangle) exams first order.

• Reading Physician
Start typing the reading physician information (name, ID, etc.) of the required exam(s), and
then press <Enter> or <Tab> to filter the exams.
OR
Click on Reading Physician to sort exams by the reading physician information either in
ascending (downward pointing white triangle) or descending (upward pointing white triangle)
alphabetical order. Note that, in the former case, exams without reading physician
information are listed first.

• Referring Physician
Start typing the referring physician information (name, ID, etc.) of the required exam(s), and
then press <Enter> or <Tab> to filter the exams.
OR
Click on Referring Physician to sort exams by the referring physician information either in
ascending (downward pointing white triangle) or descending (upward pointing white triangle)
alphabetical order. Note that, in the former case, exams without referring physician
information are listed first.

• Station

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Start typing the station information for the required exam(s), and then press <Enter> or
<Tab> to filter the exams.
OR
Click on Station to sort exams by the station information either in ascending (downward
pointing white triangle) or descending (upward pointing white triangle) alphabetical order.
Note that, in the former case, exams without station information are listed first.

Click and drag the heading(s) of column(s) to rearrange their order.

Tip: You can use the * (asterisk) wildcard as a substitute for zero or more characters before,
after or on both sides of a character string you are searching for (e.g., *de, de* or *de*).

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2.3 Advanced filters

Click the (Advanced filters) button at the top of the browser to open the Filter Dialog screen
(see Illustration 1). Scroll down to see screen details.

Illustration 1: Filter Dialog

Item Description
Select type or type in new one
Type in a new name or use the arrow button to view predefined filters.
A
Click [Modify] to change a preset filter or click [Delete] to remove a filter from the pre‐
sets.
Show exams that match
B Narrow the choice to a specific, user entered or all modalities by clicking on the re‐
spective button, or enter a new modality in the Other text field.

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Item Description
Exam Date
Click the triangle to select the operator (All, Today, Since Yesterday, Since 3 Days, or
C
Since 7 Days) or select Custom to open the calendar to specify a concrete date or a
period.
Patient Name
D Click the triangle to select the operator (is, starts with or contains) and then type the
patient name information in accordance with the selected operator in the text field.
Patient ID
E Click the triangle to select the operator (is, starts with or contains) and then type the
patient ID information in accordance with the selected operator in the text field.
Birth Date
Click the triangle to select the operator (is, on or before, on or after, or between) to
F
open the calendar, and then select the date(s) in accordance with the selected opera‐
tor.
Accession number
G Click the triangle to select the operator (is, starts with or contains) and then type the
accession number in accordance with the selected operator in the text field.
Description
H Click the triangle to select the operator (is, starts with or contains) and then type the
description in accordance with the selected operator.
State
I Click the triangle to select the operator (is, at most or at least) and then select the state
in accordance with the selected operator.
Priority
J
Click the triangle to select the required priority.
Reading Physician
K Click the triangle to select the operator (is, starts with or contains) and then type the
reading physician information in accordance with the selected operator in the text field.
Referring Physician
Click the triangle to select the operator (is, starts with or contains) and then type the
L
referring physician information in accordance with the selected operator in the text
field.
Exam ID
M Click the triangle to select the operator (is, starts with or contains) and then type the
exam ID in accordance with the selected operator in the text field.
[Apply]
N
Applies and saves the changes.
[Clear]
O
Clears all selected items.

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Item Description
[Cancel]
P
Ignores any changes and closes the dialog box.

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2.4 Series list, image list and preview

2.4.1 Series list (A)

Series list browser displays all series of the selected patient.
1.
Click the button open the Column Settings dialog to add and/or remove columns. The
following columns can be added:

○ Type
○ Series
○ Description
○ Images
○ Archived
When exams are networked to the AW Server, they retain the archive status on the
originating station. If you create new series and want to archive it, you must network it to
an archive capable workstation. There are no archive capabilities on the AW Server.

○ Modality
2. Click [Ok] to add and/or remove columns, or click [Cancel] to discard the modifications and
close the dialog.
2.4.2 Image list (B)
Image list browser displays all the images associated with the series.
The scroll bar displays if not all the images are listed.
1. Click the Image list tab to see a list of the images in the selected series.
2.
Click the button open the Column Settings dialog to add and/or remove columns. The
following columns can be added:

○ ImageNumber
○ Location
○ Thickness

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○ Spacing
○ Gantry
○ Phase
○ Echo
○ Delay
○ Frame Time
○ Name
○ Label
○ Date Time
○ Operator’s Name
○ Click [Ok] to add and/or remove columns, or click [Cancel] to discard the modifications
and close the dialog.
2.4.3 Image preview (C)
Image preview (or preview pane) displays the image(s) selected in the image list. The image
preview will not display images from a remote host, or if more than 16 series are selected.
The preview pane displays the first image of one or more of the selected series. The image
annotation displayed depends on the size of the preview pane. If a series is not selected, the
window is blank. Display a series by:
• clicking the scroll box, and dragging it up or down,

• clicking on the top or bottom scroll arrow,

• using the middle mouse button.

Put the mouse over the scroll bar to view the current image number. As you click and drag,
the image number corresponding to the location of the scroll bar is displayed. Release the
mouse to jump to that image.

To switch back to the browser, click Image list.

NOTE: To adjust the size of the preview pane, place the cursor on either edge or top. When
the cursor changes to a double arrow, click and drag the border.

NOTICE
Image preview is not intended for diagnostic use, it is for preview purposes only.

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2.5 Settings and launching applications

2.5.1 Launching an application (A)

Launch an application from here.
If you do not see the application you need, click [More] to open the list of all available
applications for the selected exam.
Note that if you double-click an exam that contains at least one 3D Save State series or you
double-click such series in the Series list browser (see Section 2.4.1, Series list (A)), it will
automatically open the series in the 3D Viewer.
2.5.2 Setting up screens (B)
Click the screen button to switch between windowed (a separate window on the screen) and full
screen mode when clicked.
Click the triangle to switch to dual screen mode or click Restore to return to single screen mode
when two monitors are connected.
2.5.3 Setting theme (C)

Click the button to switch between the dark and light screen themes.
2.5.4 Image compression (D)
The compression set in the AW Server desktop will apply the compression ratio only during
transient states such as rotation, paging, roaming or cine within Volume Viewer applications.
During all other times, images are displayed at full fidelity. This compression will NOT apply to
data export or the Filmer application.
NOTE: Any DICOM save or print is performed in full fidelity.
In the case of lossy compression, the annotation ’lossy’ is temporarily displayed in the image
during using rotation, paging, roaming and cine mode.
Data compression status is displayed at the bottom left of the AW Server desktop and is in one
of four states:
• Lossless (1:1)

• Low Lossy (15:1)

• Medium Lossy (22:1)

• High Lossy (33:1)

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Compression ratio is defined as the size of the original image to that in a compressed version of
that image. For example, a compression ratio of 15:1 corresponds to a compressed image with
one-fifteenth the size of the original.
Compression Speed Resolution
High Faster Lower
Low Slower Higher
1. Click on the arrow next to the Image compression status on the AW Server desktop.
2. Select a compression from the pull-down menu choices.
2.5.5 Message display (E)
Displays system messages. Messages can be one of 3 types: Information, Warning, Severe.
2.5.6 Disk status (F)
Disk status displays total size, unused size and available space on the server when the mouse
is placed over the icon.
2.5.7 Network and film indicator (G-H)
Network (G) and film (H) indicators display the network and film status of the hosts and filmers
connected to the AW Server.
Network and film icons identify the following status:
• unknown

• error

• no error

• in progress
2.5.8 Remote display indicator (I)
Remote display indicator shows the connection status between the AW Server and the client.

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3 Tools
3.1 Tools tab
1. Click the Tools tab on the AW Server desktop.
The Tools tab opens:

2. Click on the tabs to launch one of the following applications:

○ Referral Worklists (A) to create, rename or delete referral worklists,

○ Application launcher (B) to arrange the order of applications displayed on the desktop,
○ Free Image Importer (C) to import DICOM images from a CD/DVD or USB,
○ Utilities (D) to launch a set of tools,
○ About (E) to get information about the server build, date, etc.

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3.2 Referral Worklists

Referral Worklists help manage exam data by providing physicians a quick and easy way to
access exam data requiring their attention. They can also be useful as a grouping for quick
access to specific exams, for example, specific CT spine exams to be considered for a
presentation. Placing the data in the referral worklist is simply a way to organize the data. It
does not create a duplicate entry in the database.
3.2.1 Creating a referral worklist
1. Click the Tools tab on the AW Server desktop
2. Click the Referral Worklists tab.
3. Click [Create].
4. In the New worklist entry, type over the text with the new name.
5. Click [Save].
3.2.2 Renaming and deleting a worklist
1. On the Referral Worklists tab, click on an existing entry.
2. Click [Modify] and type over the text with the new name or [Remove] to delete the entry.
3. Click [Save] if you modified an existing entry.
3.2.3 Adding data to a referral worklist
1. From the AW Server desktop, right-click on one or more exams from the browser.
2. Drag the mouse to Assign To which expands the selection to display all the referral lists
created.
3. Move the mouse over the desired names and release.
The exam is immediately identified as part of that worklist, but still remains in the AW Server
database.
3.2.4 Viewing exams in a referral worklist
1. On the AW Desktop, click the arrow at Hosts.
2. Move the mouse over the desired name and release.
Only the exams in that referral list are displayed.

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3.3 Application launcher

Use the Application launcher to arrange the order of applications displayed in the Worklist
Browser.
At the bottom of the Worklist Browser, depending on the number of available applications, up to
8 application buttons can be displayed. These buttons can be rearranged, deleted, or new
buttons added based on your personal preferences. The applications with their own buttons in
the Worklist Browser are shown highlighted on the top of the list. Click one of the buttons to
launch an application, or click [More] to see the list of applications currently available on the
server. Use this procedure to modify the button display.
1. Click the Tools tab on the AW Server desktop.
2. Click the Application launcher tab.
Alternatively, click [More] at the bottom of the Worklist Browser, and then click Settings... in
the list to open Application launcher.
3. Click on one or more of the listed applications, then

○ click [Move to top], [Move up], [Move down], or [Move to bottom] to arrange the order of
the applications in the list.

○ click [Show in menu] (an “open eye” icon is shown in front of the application name) or
[Hide from menu] (a “closed eye” icon is shown in front of the application name) to
include applications in or hide applications from the [More] menu, respectively.
The first 8 applications in the list are highlighted and have their own quick launch buttons
at the bottom of the Worklist Browser. Modify the order of the applications as described
above to add applications to or remove them from the Worklist Browser quick launch
applications.

NOTE: AW Server applications can only be launched using data already cached on the
server.

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3.4 Free Image Importer

Use the Free Image Importer to import DICOM images from a CD, DVD, USB or your
filesystem.
1. With the source media inserted, click the Tools tab on the AW Server desktop.
2. Click the Free Image Importer tab.
A viewer window displays the available data.
3. Click [Import more images] and select the media containing the images in the Select Images
to Import dialog.
4. Navigate to the DICOM folder, click on one or more images or folders and click [Open].
Simply selecting a folder retrieves all the DICOM data present on the media.
5. As the images are transferred, the status bar shows the progress.
The declaration status area is updated with information on all successful or failed transfers.
6. If necessary, click [Cancel] to stop the import of files.
Click [Clear status area] to remove all the messages from the declaration status area.

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3.5 Utilities
3.5.1 Utilities tab options
1. Click the Tools tab on the AW Server desktop.
2. Click the Utilities tab.
The Utilities tab opens, providing the following options:

○ Service Tools
○ Screen Share
○ User Manuals
○ Language
○ Login session (only in certain hybrid integration mode configurations)

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3.5.2 Service Tools

If not expanded, click Service Tools to expand the Service Tools menu.
3.5.2.1 Service Tools
1. Below Open a web browser to access administrative and service tools, click [Launch].
If your site does not have a valid certificate, a Security certificate warning is displayed. Click
Continue to this website.
2. In the Service Tools log in dialog window, if desired, select the Secure connection check box
to transmit data securely between the server and client.
3. Enter your Login name and Password and click [Log in] to view the top level service tools
screen.

For details about Service Tools, see Chapter 8, Service Tools.

3.5.2.2 Preference Sharing
The preference sharing manager allows users to share preferences between themselves,
eliminating the need for each user to re-create a preference used by a colleague.
1. Below Open a web browser to access Preference Sharing, click [Launch].
If your site does not have a valid certificate, a Security certificate warning is displayed. Click
Continue to this website.
2. In the Service Tools log in dialog window, if desired, select the Secure connection check box
to transmit data securely between the server and client.
3. Enter your Login name and Password and click [Log in] to open the preference sharing
screen.
4. In the list under Select user you want to import preferences from, select the check boxes in
front of the user(s)’ name(s) you want to import preferences from.
To select or deselect all users in the list, select or remove selection from the User ID check
box on the top of the list.
Optionally, click [Refresh] to update the list of available users.
5. Click [Import] to import the preferences from the selected users.

○ Any preferences you don't have will be added to your preferences.

○ A summary showing the imported preferences is displayed.
NOTE: Some preferences may not get fully imported if any affected user is logged in a patient
list/browser during the import process.

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3.5.3 Allowing screen sharing

1. If not expanded, click Screen Share to expand the item.
2. Select the Enable screen share service check box to allow sharing.
3. When requested by the Service Engineer, turn screen share off.
To disallow or turn off screen sharing, remove selection from the Enable screen share
service check box.

To allow screen sharing via remote connection:

1. From the Windows® start button, select Programs→AW Server→AW Server
3.1→ScreenSharing.
The GE Screen Sharing dialog opens.
2. In the GE Screen Sharing dialog, enter the IP server address in the Host text field.
3. Click Show settings.
4. Click the Use system proxy settings option button.
5. Click [Start].
The screen share window now indicates your screen is shared.
6. Click [Stop] to turn off screen sharing.

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3.5.4 Viewing user manuals

1. If not expanded, click User Manuals to expand the item.
2. Click [Launch].
3. On the navigation pane on the left side of the window that opens, click the name of the
documentation you want to view.

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3.5.5 Changing user interface language

1. If not expanded, click Language to expand the item.
2. Below Select user interface language. The change will be visible after restarting the
software, click the downward pointing arrow to open the list, and select the language you
want to set for the user interface.
By default, the software uses the language set during the installation (Use system locale).
3. Restart the software for the change to take effect.

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3.5.6 Terminating login session

Use Login session to terminate the AW Server login session set when you selected the Keep
me logged in check box on the AW Server login window.
1. If not expanded, click Login session to expand the item.
2. Under AWS login session, click the [Clear session cookie] button.

Having cleared the login session cookie, you will need to provide your login credentials on the
next login.

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3.6 About AW Server

1. Click the Tools tab on the AW Server desktop.
2. Click the About tab.

The software version, build number and date are displayed along with trademark and copyright
information.

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Chapter 7 Client Checker Tool

1 Introduction
The client checker provides an initial evaluation of your operating environment by providing
feedback on the quality of the client hardware, as well as the network status and basic
information about your computer.
When you start the client checker, perform a basic test of your computer – the memory
available, the pixel bit depth setting of your display, the resolution of your display, etc. Following
this initial check, you are prompted to run the monitor quality check.
If your system fails either the initial system compatibility or monitor quality test, your system
should not be used to support a medical diagnosis. Your system may require different settings
or an upgrade. If that occurs, please contact your hospital or clinic support staff.
1.1 Monitor (display) quality check
This evaluation checks the monitor and display. It is based on the answers you give to visual
cues such as how well you can visualize shades of gray, detail, etc. It does not run diagnostic
tests on the hardware nor replace your normal quality assurance checks.
This check evaluates the monitor's ability to display:
• subtle variations in contrast

• objects without distortion

• objects with artifacts

When possible, suggestions are made on how to adjust the monitor.

1.2 Network summary and client information
The network summary and client information displays detailed information of interest to site IT
administrators and field engineers.

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2 Run monitor quality and client information check

1. Type in the IP address (e.g., http://3.70.111.11) of the server.
Depending on the site configuration set by the IT department, you may also be able to enter
a domain name (e.g., http://hos-client.childrenhosp.com).
2. On the AW Server master screen, click [Launch] next to Client Checker Tool.
If a Security Warning is displayed, select the I accept the risk and want to run this
application check box at the bottom of the warning dialog, and click [Run].
3. The Client Checker Tool dialog opens.
4. Click [Start] on the Quality Test / Monitor Quality Check area, and answer the questions at
steps 1 through 6 regarding grayscale, aspect ratio, resolution, and continuity by selecting
the appropriate option button.
If the check passed, a green check mark is displayed for the check that passed.
If the check does not pass, you are given adjustment suggestions and re-prompted for an
answer.
If the check fails even after the suggested adjustments have been made, a circle crossed
out in red is displayed for the check that failed.
5. At Step 7: Monitor Type, select your monitor type and click [Next].
6. Do one of the following looking for any bad pixels (shown as white dots):

○ Click [Check Full Screen] to check the whole screen (recommended method).
Click the X in the upper right corner of the window to close and return to the Quality Test
screen.

○ Check only the currently displayed area on the right of the window.
7. Click [Yes] or [No] depending on the results of the test.
8. Click [Next].
9. Repeat step 6 and 7, this time looking for black dots.
10. Click [Next] to view the test summary.

○ If all the checks pass, you will see the following:

Your computer and monitor has passed the image quality test. This
does not guarantee that your system is adequate for clinical use.
Please consult your local QA procedure.

○ If the checks do not pass, a summary of the results is displayed along with the following:
Based on your test answers, your computer and monitor do not have
the ability to faithfully represent an acquired image.

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WARNING! Based on responses to the preceding tests, your system

shall not be used to support a medical diagnosis. Your system may
require different settings or an upgrade.
Please contact your hospital or clinic support staff.
11. To send an e-mail summary of the results, click [Email Summary] on the Summary area,
enter the recipient's e-mail address, and send the e-mail summary.
12. You can also capture client information.
To save client information:
a. Click [Client information].
b. Click [Save].
c. Navigate to a directory or folder of your choice and enter a file name.
d. Click [Save] to save the client information, or click [Cancel] to cancel the action.

To send client information in e-mail:

a. Click [Email Configuration].
b. Enter the recipient's e-mail address, and send the results.
13. Click [Close] to close the Client Checker Tool dialog.

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Chapter 8 Service Tools

1 Accessing Service Tools
Access administrator and user tools using this procedure. Note that the available tools depend
on the user’s permissions (i.e., Standard or Administrator).
1.1 From the AW Server desktop
1. Click the Tools tab on the AW Server desktop.
2. Click Utilities tab.
3. If not expanded, click Service Tools to expand the Service Tools menu.
4. Under Open a web browser to access administrative and service tools, click [Launch].
If your site does not have a valid certificate, a Security certificate warning is displayed. Click
Continue to this website.
5. Enter your Login name and Password and click [Log in] to view the top level service tools
screen.
1.2 From web browser
1. Type in the IP address (e.g., https://3.70.111.11) of the server.
Depending on the site configuration set by the IT department, you may also be able to enter
a domain name (e.g., https://hos-client.childrenhosp.com).
2. At the bottom of the AW Server master screen, click [Launch] in the Configuration/
Administrative and Service Tools.
If your site does not have a valid certificate, a Security certificate warning is displayed. Click
Continue to this website.
3. Enter your Login name and Password and click [Log in] to view the top level service tools
screen.

NOTICE
The Security warning is an automatic response by web explorer program. In
general, if you are not sure about the URL of the server, you would close the
window. However, if you know the URL of the server (as in this case), you can
confidently continue. Continuing will not make your PC vulnerable to viruses or
other problems. Talk to your IT department if you have any questions or issues.

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2 Viewing and modifying network queue

NOTE: Any user can view the network queue, but modifying entries requires administrator or
service privileges.
Any exams scheduled, but not yet sent to another system on the network, are placed in a
network queue. As soon as the current exam is completely transferred, the next exam is
automatically networked. You can view or modify the jobs in the network queue.
2.1 View a network queue
1. Access Service Tools (see Accessing Service Tools).
2. Click Administrative.
3. Click Utilities.
4. Click Network Queue.
The Manage DICOM network queue screen opens.
5. Click [Refresh] to see the latest status.
The following information is displayed:

○ E/S/I
○ Type
○ Status
○ Progress
○ Date
○ Source
○ Target
To view network queue history:
1. On the Manage DICOM network queue screen, click Show history.
2. Click [Refresh] to refresh network queue history.
2.2 Modify network queue entries
1. Select on one or more check boxes on the left of the queue entry.
2. Click [Pause], [Resume], [Retry] or [Cancel] to perform the corresponding action. The action
will be applied to all entries selected.
3. Click [Refresh] to see the updated queue.

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3 Backing up user preferences

NOTICE
Although not mandatory, this procedure is best done in maintenance mode or
when the system is idle. Backing up in a non-maintenance mode may result in a
partial backup.
The instructions for backing up preferences on the client refer to the dialog boxes on Microsoft®
Internet Explorer®. Different web browsers may have slightly different steps or button names.
1. Access Service Tools (see Accessing Service Tools).
2. Click Maintenance.
3. Click Backup.
4. Click User Preferences.
The Backup user preferences screen opens.
5. Under Available preferences, select the check box(es) in front the user(s)’ name(s) whose
data you want to backup.
6. Click either [Pull from system] to save the data on your client or [Save on system].

○ If you select [Save on system], the data is saved on a back up location on the server and
no further action is required.

○ If you select [Pull from system]:

1. Click [Save] on the File Download dialog box.
2. Navigate to a location on your client and click [Save] on the Save As dialog box.
The file name contains:

■ system ID (if configured)

■ type of download
■ time stamp
■ extension

NOTICE
If you rename the file (which is not recommended) be sure to keep the
".tar.gz" file extension.

3. When the download is complete, click [Close].

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4 Importing preferences manually

1. Access Service Tools (see Accessing Service Tools).
2. Click Tools.
3. Click Preferences.
4. Click Manual import.
The Preference Management screen opens.
For further instructions, see steps 4 and 5 in Chapter 6, Section 3.5.2.2, Preference Sharing.

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5 Sharing preferences
Chief radiologists and/or other lead professionals can set up best practice preferences sets and
have users assigned to these preferences.

NOTICE
Once you have shared your preferences, existing preferences of assigned users
will be overwritten by your share.
Be aware that updated preferences might contain changes to default
measurement units, behavioral settings, etc.
Make sure that you describe each important detail of your preferences for the
users.
NOTE: Close all running applications before sharing your preferences.
When you have finished setting up the preferences (protocols, measurements, etc.), follow the
below procedure to share your current preferences:
1. Access Service Tools (see Accessing Service Tools).
2. Click Tools.
3. Click Preferences.
4. Click Share preferences.
The Share your preferences screen opens.
5. In the upper, editable text field on the Share your preferences screen, provide a detailed
description of the shared preferences.
The lower History field shows the history of the share updates in chronological order.
6. Click [Share] to share your preferences or leave the screen to discard changes.
7. Contact your site administrator to assign users to your share if no users have been assigned
or you want to have additional users assigned to the share.

Assigned users will automatically get the shared preferences on the next login.
When a new preference share is available, the system will display the Automatic preference
update notification dialog to the assigned users on their next login, with the description of the
preferences in the share, and informing them that the updated preferences might contain
changes to default settings (measurement units, behavioral and other settings, etc.), also
advising them to contact the share owner and the site administrator if the preference update
was not communicated in advance. Note that the preference synchronization may take a few
minutes.
Once the synchronization is completed, the [OK] button becomes active. Click it to close the
dialog.

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6 Viewing user manuals

1. Access Service Tools (see Accessing Service Tools).
2. Click Documentation.
3. Click Documentation.
The User and service documentation screen opens.
4. On the User and service documentation panel, click the [Documentation] button.
5. On the navigation pane on the left side of the window that opens, click the name of the
documentation you want to view.

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Chapter 9 Troubleshooting Tips

1 Troubleshooting tips
NOTE: In the case of problems not discussed herein, contact your system administrator, site
IT Administrator or GE service representative for assistance.
Problem Solution
Cannot see all the system tools. Service tools accessibility depends on user (limited, standard, admin‐
istrator) privileges.
Get the following message: Verify and retype the IP address.
Login Failed. IP address
is not an AW Server
Cannot connect. • Verify IP address and re-type the user name and password.
Get the following message:
Connection failed for • Check network connection.
unknown reason
Maximum number of licenses The sum of the number of slices to be loaded and the number of slices
exceeded. already in use exceeds the amount the license allows. In this case,
close running application(s) to release slices so that resources be‐
come available.
Application could not be started. • Depending on the AW Server integration mode, each client can
run a maximum of:

○ 4 applications (with Worklist Browser)

○ 5 applications (without Worklist Browser)
Close one of the applications to continue.

• Log out and log back in. Wait approximately 30 seconds before
trying to start application from desktop.

The connection to the server • System was inactive for a predetermined time set by the adminis‐
has been closed. trator.

• Network connection failed.

System is slow. • Check network connection and bandwidth.

• Verify the network latency is less than identified in data sheet.

• Run the network check of the Client Checker Tool.

• Check compression ratio.

You cannot launch an applica‐ Check the amount of RAM on your client. The application will not start
tion via the client. with insufficient RAM.

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Problem Solution
East Asian languages (Chinese, Contact your site IT Administrator for assistance.
Japanese and Korean (CJK))
are not displayed properly.
If Antivirus or Security Suite soft‐ Due to the great diversity, it is not possible to give a comprehensive
ware is installed on the server’s list of all the Antivirus/Security software products which may cause
host operating system (Win‐ conflicts with the AW Server Client. However, the following are known
dows), when you run the AW to cause these problems:
Server Client, some or all of the • Trend Micro™ Antivirus products
following symptoms may occur:
• You cannot display an exam • McAfee® Antivirus/Security products
series or open any applica‐
tion. If an Antivirus/Security software product is installed on the workstation
try the following first to see whether the symptoms still occur:
• Under the orange icon it in‐
• temporarily disable it,
dicates that the remote dis‐
play is disconnected. • reduce the security scan/vigilance level (for instance from High to
Medium).
• Attempts to log out from the
client fail – you need to If these do not eliminate the symptoms, contact your AW Server Ad‐
close the client via Windows ministrator for assistance.
Task Manager (<Ctrl+Alt
+Del>).

Successfully exported data to a It is recommended that you export data only to directories to which you
Windows directory, but later you have full write and read permissions.
cannot find the data in the direc‐ Previously saved data may be found in the Windows VirtualStore
tory you saved it in. directory.
The following message is dis‐ Solution 1:
played upon launching the Client 1. Open the Control Panel.
Checker:
Application Blocked by 2. Click Java/Java (32 bit) to open Java Control Panel.
Security Settings 3. Click the Security tab.
4. Change the Security Level to Medium.
5. Click [Apply].
6. Click [OK].

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Problem Solution
Solution 2:
1. Perform steps 1 through 3 above.
2. Click [Edit Site List...] to open the Exception Site List dialog.
3. Click [Add] and enter the IP address of the AW Server.
4. Click [OK].
5. Click [Continue] on the Security Warning – HTTP Location dialog
to add the IP address to the exception site list.
Alternatively, click [Cancel] to discard the changes.
6. Click [OK] on the Security tab.

Opening application documenta‐ Deselect the Reuse windows for launching shortcuts option at Internet
tion when using AW Server in Explorer→Tools→Internet Options→Advanced→Browsing.
Internet Explorer® 10 (or earlier)
terminates active Centricity RIS
session in hybrid integration
mode.

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Chapter 10 Appendices
1 Additional applications available for the AW Server
AW Server provides a platform for running additional applications. These applications may
require an additional purchase and a separate software license.
Volume Viewer (version 12.3) is a medical diagnosis software that allows the processing,
review, analysis, and communication of 3D reconstructed images and their relationship with
originally acquired images from CT, MR, X-Ray Angio, and PET scanning devices. The
combination of acquired images, reconstructed images, annotations, and measurements
performed by clinicians are intended to provide referring physicians with clinically relevant
information for diagnosis, surgery, and treatment planning.
Volume Viewer provides advanced PET functions for the analysis of 3-dimensional PET image
series on AW Server systems. The application “builds” a 3-D model of the image data in the
workstation memory, from which you can generate and display reformatted views and 3D
objects.
Volume Viewer also provides MR specific functionality allowing the recognition of MR image
types (acquisition sequence, weighting, etc.) acquired on GE HDx2 MR and later systems.
CT Perfusion 4D (CT Perfusion 4D Neuro & CT Perfusion 4D Multi-Organ) (version 12.3) is an
image analysis software package that allows the user to produce dynamic image data and to
generate information with regard to changes in image intensity over time. It supports the
analysis of CT perfusion images (in the head and body) after the intravenous injection of
contrast, in calculation of the various perfusion-related parameters (i.e. regional blood flow,
regional blood volume, mean transit time and capillary permeability). The results are displayed
in a user-friendly graphic format as parametric images.
This software will aid in the assessment of the extent and type of perfusion, blood volume and
capillary permeability changes, which may be related to stroke or tumor angiogenesis and the
treatment thereof.
AutoBone™ Xpress (version 12.3) option is a software package that is intended to facilitate
segmentation of bony structures and calcifications from abdominal and extremity CT
Angiography data.
CardIQ Function Xpress (version 12.3) is intended to provide an optimized non-invasive
application to analyze cardiovascular anatomy and pathology and aid in determining treatment
paths from a set of Computed Tomography (CT) Angiographic images.
CardIQ Function Xpress in conjunction with CT cardiac images to automatically calculate and
display various left ventricular and right ventricular functional parameters as ejection fraction,
end systolic and end diastolic volumes, stroke volumes, wall motion, wall thickening, cardiac
output, myocardial mass, systemic and pulmonary vascular resistance. Volume measurement of
each chamber of the heart is also available. With CardIQ Function Xpress atrium volumes may
be used to determine volume assessment of atrial disease to include but not limited to atrial
fibrillation. CardIQ Function Xpress is a CT, non-invasive image analysis software package,
which aids in the assessment of cardiac function and in determination of cardiovascular disease
diagnosis and management.
CardIQ Fusion (CardIQ Fusion PET & CardIQ Fusion SPECT) (version 12.3) is intended to
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in the assessment of functional data e.g. PET perfusion, and aid in tailoring treatment plans
based on the fused anatomical and functional information. Anatomical data could be from a set
of Computed Tomography (CT) Angiographic images while functional data could be from PET,
SPECT, or processed CT data.
CardIQ Fusion is a software post-processing package for AW Server, PET/CT and CT scanners
and PACS reading stations. It is an additional tool for the analysis of 3D CT angiographic
cardiac images/data providing a number of display, measurements and batch filming/archive
features to study user-selected vessels. Also included is the capability to visualize reformatted
CT/PET/SPECT perfusion and viability data. Finally, it provides different ways of visualizing CT
anatomy fused with PET/SPECT functional information.
With CardIQ Fusion, clinicians have the opportunity to overlay functional information over the
(CT) anatomy of a patient’s heart, and thus, they can potentially tailor their decision for that
particular patient. CardIQ Fusion provides the visualization of the vessels in several different
formats including 3D rendering and curved reformats. Once vessels are visualized, tools are
available for sizing the vessel, analyzing calcified and non-calcified plaque to determine the
densities of plaque within a vessel, measure areas of abnormalities within a vessel (like
stenosis, plaque).
Functional data could come from PET, SPECT, or processed CT data for perfusion information.
The functional and anatomical data could come from the same scanner as in the case of
PET/CT scanner; or they could come from separate scanners like stand-alone SPECT camera
and stand-alone CT scanner.
CardIQ Xpress 2.0 (Reveal) (version 12.3) is intended to provide an optimized non-invasive
application to analyze cardiovascular anatomy and pathology and aid in determining treatment
paths from a set of Computed Tomography (CT) Angiographic images.
CardIQ Xpress 2.0 is a CT, non-invasive, image analysis software package, which aids in
diagnosing of cardiovascular disease to include, coronary artery disease, functional parameters
of the heart, heart structures and follow-up for stent placement, bypasses and plaque imaging.
CardIQ Xpress 2.0 offers unique tools such as automatic tracking, which will pre-process the CT
data into multiple viewing ports to allow for an expedited read time improving workflow. With
CardIQ Xpress 2.0, the user can color code the myocardial tissue to show hypo/hyper-dense
areas in the myocardial tissue of the heart. With the IVUS-like view the user can color code the
HU units of the plaque to better visualize the difference between calcified and non-calcified
plaque in the wall of the vessel and the lumen to determine the amount of atherosclerosis. The
user can see the different valve planes along with a variety of new layouts to align the heart.
The IVUS-like view is created by applying GE's Volume Rendering on a cross-section
perpendicular to the detected centerline. This view merely displays a cross section as in IVUS
imaging and color codes like IVUS images. No new or additional diagnostic information is
added.
CardIQ Xpress Process (version 2.3) is an optional software extension of the Volume Viewer
application.
One of the principle causes for non-diagnostic images in Coronary Computed Tomography
Angiography (CCTA) is that one or more of the coronary segments are obscured by motion
artifact. Just one of these artifacts in a critical location can defeat the ability to assess the
anatomy and can reduce the confidence in the overall exam. In worst case, motion artifacts can
lead to a repeat of the CT exam and/or possible misdiagnosis of the patient condition. The

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introduction of the CardIQ Xpress Process with motion artifact reduction allows for reduction of
motion artifacts and may reduce dependence on high temporal resolution acquisitions.
CardIQ Xpress Process requires a special SnapShot Freeze three phase input series to
generate a new series where motion reduction has been applied.
CardEP (version 12.3) is a software post-processing package for the Advantage Workstation
(AW) platform and CT scanners. It is an additional tool for the analysis of 3D angiographic data
providing a number of display, measurements and batch filming/archive features to study the left
atrium, pulmonary veins and coronary veins. The features include but are not limited to:
automatic volume rendering models of the left atrium and heart, vessel analysis for pulmonary
veins and coronary veins, navigator views of the veins, along with guided double oblique
reviews of the left atrial appendage and the pulmonary veins.
Colon VCAR EC (version 12.3) is a CT, non-invasive, image analysis software package that
allows the visualization of 2D, 3D and dissected medical image data of the colon derived from
DICOM 3.0 compliant CT scans. Colon VCAR is designed to aid the physician in evaluating the
lumen and internal wall of the colon to confirm the presence or absence of colonic lesions (e.g.
polyps). It provides functionality for 2D/3D rendering, bookmarking of suspected lesions,
synchronized viewing of the 2D, 3D and 360 dissection views for data sets acquired in any
position, and an object oriented endoluminal display.
In comparison to Colonoscopy, this tool has an advantage of depth penetration due to its 3D
presentation capability. It is intended for use by clinicians to process, render, review, archive,
print and distribute colon image studies.
The Colon VCARDigital Contrast Agent (DCA) module is an automated highlight feature for the
visual identification of spherical structures within the colon and is intended to be used as
concurrent reading device. Digital Contrast Agent (DCA) is a 3D filter that produces images that
highlight spherical anatomical regions, such as polyps, and/or stool. Colon VCAR uses color to
display these highlighted spheres. Images are made available to the physician to aid in
characterization of potential polyps and thus, the patient management care decision process.
Colon VCAR EC is not sold in the United States of America.
AdvantageCTC Pro3D EC (version 12.3) is a CT image analysis software package which allows
the visualization of 2D and 3D medical image data of the colon derived from DICOM 3.0
compliant CT scans for the purpose of screening of a colon to detect polyps, masses, cancers,
and other lesions. It provides functionality for 2D/3D rendering, bookmarking of suspected
lesions, synchronized viewing of the 2D, 3D and 360 dissection views, and an object oriented
endoluminal display.
In comparison to Colonoscopy, this tool has an advantage of depth penetration due to its 3D
presentation capability. It is intended for use by Radiologists, Clinicians, and referring
Physicians to process, render, review, archive, print and distribute colon image studies.
Dynamic Shuttle (version 12.3) is intended to facilitate segmentation of bony structures from
head and neck, body, and extremity data. When used with dynamic data, it facilitates
visualization of vessel features.
Integrated Registration (version 12.3) provides easy means for comparison of three-dimensional
(3D) images from Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Emission
Tomography (PET or SPECT) and X-Ray Angiography (XA). To help physicians in diagnostic
radiology or therapy planning, Integrated Registration allows 3D registration between volumetric

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acquisitions that may come from the same acquisition modality or from different acquisition
modalities.
Lung VCAR (version 12.3) is intended to provide an optimized non-invasive application to
measure abnormalities in the lung (for example, nodules, lesions, etc.) from a set of computed
tomography (CT) images. The software is designed to support the physician in confirming the
presence or absence of physician identified lung lesions (e.g. nodules). The software allows
measurement of volume over time using a consistent standardized measurement protocol, thus
providing an estimation of the volume doubling time. The Lung VCAR software allows analysis
and displays statistics for nodule characterization all the different nodule types.
Lung VCARDigital Contrast Agent (DCA) module is an automated highlight feature for the visual
identification of possible lesions. Digital Contrast Agent (DCA) is a 3D filter that produces
images that highlight spherical (S) or cylindrical (C) anatomical regions, such as nodules, cysts,
scars, and vessels. Images are made available to the physician to aid in characterization of
suspicious nodules and thus, the patient management care decision process. Lung VCAR
provides the physician with additional information, meant to complement diagnosis based on
classical techniques.
VesselIQ™ Xpress (version 12.3)
VesselIQ Xpress for CT
VesselIQ Xpress is intended to provide an optimized non-invasive application to analyze
vascular anatomy and pathology and aid in determining treatment paths from a set of Computed
Tomography (CT) Angiographic images.
VesselIQ Xpress is a post processing application option for the AW Server, CT Scanner or
PACS stations, which can be used in the analysis of 2D and 3D CT \Angiography images/data
derived from DICOM 3.0 compliant CT scans for the purpose of cardiovascular and vascular
disease assessment. This software is designed to support the physician in assessment of
stenosis analysis, pre/post stent planning and directional vessel tortuosity visualization.
VesselIQ Xpress automatic visualization tools provide the users with the capabilities to facilitate
segmentation of bony structures for accurate identification of the vessels. Once vessels are
visualized, tools are available for sizing the vessel, analyzing calcified and non-calcified plaque
to determine the densities of plaque within an artery, measure area of abnormalities within a
vessel.
VesselIQ Xpress for X-Ray
VesselIQ Xpress is a software post processing option for the AW Server, which can be used in
the analysis of the 3D X-ray Angiography data. It provides a number of display, measurement,
and batch filming/archive features and will aid physicians in studying user selected vessels for
stenosis analysis, pre/post stent planning, and directional vessel tortuosity visualization.
MR VesselIQ Xpress (version 12.3) is intended to provide an optimized non-invasive application
to facilitate vascular anatomy and pathology analysis from a set of DICOM 3.0 compliant 3D
contrast-enhanced Magnetic Resonance Angiographic (MRA) images.
MR VesselIQ Xpress is a post processing application which can be used in the analysis of MRA
data for the purpose of vascular disease assessment.
This software is designed to assist radiologists and other clinicians in the evaluation and
assessment of vascular anatomy and disease with the capability to provide a set of tools for

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visualizing directional vessel tortuosity, for sizing the vessel, measuring areas of abnormalities
within a vessel.
OncoQuant (version 12.3) is a medical diagnostic software that allows the processing, review,
analysis and communication of 3D reconstructed images and their relationship to originally
acquired images from CT, MR, X-Ray Angiography, and PET Scanning devices. The
combination of acquired images, reconstructed images, annotations and measurements
performed by the clinician are intended to provide to the referring physician clinically relevant
information for diagnosis, surgery and treatment planning, and follow-up over time.
PET VCAR (Volume Computer Assisted Reading) (version 12.3) is a PET/CT software package
which can be used by the clinician to assist in diagnosis, staging, treatment planning and
monitoring treatment response. PET VCAR automatically highlights and bookmarks PET
defined regions of interest based on user-defined threshold settings. The software can be used
for visualization and analytical monitoring of disease progression or response to treatment or
therapy using multi exam comparison. The software is designed to measure Standard Uptake
Value (SUV) and volume for any PET defined metabolic activity. The software automatically
propagates bookmarks from one time point to another for the purpose of improving analysis and
workflow.
PET VCAR offers a tool called Summary Table that compiles and manages all the analytical
information in an organized and interactive design. The Summary Table is synchronized with
the image display layouts offering quick measurement / image visual validation. PET VCAR's
workflow is designed to allow clinicians to make informed follow-up decisions in an efficient
manner. PET VCAR does not provide or claim any automatic detection or automatic diagnosis
of abnormal anatomy, structure or function.
Preprocessing Enabler/AutoLaunch (version 12.3) allows the user to use preprocessing
protocols on exams to automatically create and store processed data in a save state series
without user interaction.
READY View (version 12.3) is an image analysis software that allows the user to process
dynamic or functional volumetric data and to generate maps that display changes in image
intensity over time, echo time, b-value (Diffusion imaging) and frequency (Spectroscopy). The
combination of acquired images, reconstructed images, calculated parametric images, tissue
segmentation, annotations and measurement performed by the clinician allows multi-parametric
analysis and may provide clinically relevant information for diagnosis.
The following application options of READY View are dedicated to particular anatomies:
• Brain View

• Body View

• MR-Touch

GenIQ (version 12.3) is an automated post-processing software option that is indicated for use
on dynamic magnetic resonance imaging data sets to generate parametric images from the
image intensity variations over time. This dynamic change in signal intensity is used to calculate
functional parameters related to tissue flow and leakage of the contrast agent from the
intravascular to the extracellular space.
GenIQ provides information that when interpreted by a trained physician, can be useful for
assessing tissue vascular properties.

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GenIQ is not sold in the United States of America.

Thoracic VCAR (version 12.3) is a CT, non-invasive image analysis software package, which
may be used in conjunction with CT lung images to aid in the assessment of thoracic disease
diagnosis and management. The software will provide automatic segmentation of the lungs and
automatic segmentation and tracking of the airway tree. The software will provide quantification
of Hounsfield units and display by color the thresholds within a segmented region.
FlightPlan for Liver (version 12.3) is a post processing software package that helps the analysis
of 3D X-ray images of the liver arterial tree. Its output is intended as an adjunct means to help
identify arteries leading to the vicinity of hypervascular lesions in the liver. This adjunct
information may be used by physicians to aid them in their evaluation of hepatic arterial
anatomy during embolization procedures.
Volume Viewer Innova™ (version 12.3) is an option that enhances the workflow to process the
X-ray, CT and MR 3D models in order to assist you during the Interventional procedures. This
processing is intended to provide a better visualization of anatomical structures for any
interventional procedures, in particular:
• Heart structural information such as cavities, ventricles and veins for EP procedures,

• Vessel path outline for percutaneous vascular procedures,

• Additional graphical objects, such as surgical device trajectories, to be used as landmarks

during intervention.

Volume Viewer Innova allows you to store and retrieve the processing performed for the
purposes of early preparation of the intervention and further review and reporting.
Hepatic VCAR (version 12.3) is a CT image analysis software package that allows the analysis
and visualization of Liver CT data derived from DICOM 3.0 compliant CT scans. Hepatic VCAR
is designed for the purpose of assessing liver morphology, including liver lesion, provided the
lesion has different CT appearance from surrounding liver tissue; and its change over time
through automated tools for liver, liver lobe, liver segments and liver lesion segmentation and
measurement. It is intended for use by clinicians to process, review, archive, print and distribute
liver CT studies.
This software will assist the user by providing initial 3D segmentation, vessel analysis,
visualization, and quantitative analysis of liver anatomy. The user has the ability to adjust the
contour and confirm the final segmentation.
Stroke VCAR (Volume Computer Assisted Reading) (version 12.3) gives you a complete
reading workflow solution for a comprehensive and robust analysis of hematoma and
aneurysms. Hematoma assessment is done using automated segmentation tools married with
innovative interactive editing capability in the form of SmartMesh. Aneurysm assessment is
done through an innovative user guided aneurysm segmentation and visualization. And the
program lets you generate a clear, concise clinical report.
Stroke VCAR is not sold in the United States of America.
TAVI Analysis (version 12.3)
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TAVI Analysis is intended to provide an optimized non-invasive application to analyze vascular

anatomy and pathology and aid in determining treatment paths from a set of Computed
Tomography (CT) Angiographic images.
TAVI Analysis is a post processing application option for the AW Server, CT Scanner or PACS
stations, which can be used in the analysis of 2D and 3D CT \Angiography images/data derived
from DICOM 3.0 compliant CT scans for the purpose of cardiovascular and vascular disease
assessment. This software is designed to support the physician in assessment of stenosis
analysis, pre/post stent planning and directional vessel tortuosity visualization.
TAVI Analysis automatic visualization tools provide the users with the capabilities to facilitate
segmentation of bony structures for accurate identification of the vessels. Once vessels are
visualized, tools are available for sizing the vessel, analyzing calcified and non-calcified plaque
to determine the densities of plaque within a coronary artery, measure area of abnormalities
within a vessel.
TAVI Analysis for X-Ray
TAVI Analysis is a software post processing option for the AW Server, which can be used in the
analysis of the 3D angiography data. It provides a number of display, measurement, and batch
filming/archive features and will aid Physicians in studying user-selected vessels for stenosis
analysis, pre/post stent planning, and directional vessel tortuosity visualization.
FlightPlan for EVAR (version 12.3)
FlightPlan for EVAR CT
FlightPlan for EVAR CT is intended to provide an optimized non-invasive application to analyze
vascular anatomy and pathology and aid in determining treatment paths from a set of Computed
Tomography (CT) Angiographic images.
FlightPlan for EVAR CT is a post processing application option for the Advantage Workstation
(AW) platform and CT Scanners, which can be used in the analysis of 2D and 3D CT
Angiography images/data derived from DICOM 3.0 compliant CT scans for the purpose of
cardiovascular and vascular disease assessment. This software is designed to support the
physician in assessment of stenosis analysis, pre/post stent planning and directional vessel
tortuosity visualization.
FlightPlan for EVAR CT automatic visualization tools provide the users with the capabilities to
facilitate segmentation of bony structures for accurate identification of the vessels. Once vessels
are visualized, tools are available for sizing the vessel, measure areas of abnormalities within a
vessel.
FlightPlan for EVAR MR
FlightPlan for EVAR MR is intended to provide an optimized non-invasive application to facilitate
vascular anatomy and pathology analysis from a set of DICOM 3.0 compliant 3D contrast-
enhanced Magnetic Resonance Angiographic (MRA) images.
FlightPlan for EVAR MR is a post processing application, which can be used in the analysis of
MRA data for the purpose of vascular disease assessment. This software is designed to assist
radiologists and other clinicians in the evaluation and assessment of vascular anatomy and
disease with the capability to provide a set of tools for visualizing directional vessel tortuosity,
for sizing the vessel, measuring areas of abnormalities within a vessel.

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CortexID Suite (version 2.1) software has been developed to aid physicians in the evaluation of
patient pathologies via assessment and quantification of PET brain scans.
The software aids in the assessment of human brain PET scans enabling automated analysis
through quantification of tracer uptake and comparison with the corresponding tracer uptake in
normal subjects. The resulting quantification is presented using volumes of interest, voxel-based
or 3D stereotactic surface projection maps of the brain. The package allows the user to
generate information regarding relative changes in PET-FDG glucose metabolism.
CortexID Suite additionally allows the user to generate information in PET brain amyloid load
between a subject’s images and a normal database, which may be the result of brain
neurodegeneration.
PET co-registration and fusion display capabilities with CT and MR allow PET findings to be
related to brain anatomy and offers visualization of structural abnormalities, which may result
from brain injury, trauma, disorder, disease or dysfunction, such as subdural hematoma, tumor,
stroke, or cerebrovascular disease, etc.
CortexID Suite may aid physicians in the image interpretation process of PET studies conducted
on patients being evaluated for cognitive impairment, or other causes of cognitive decline, and
is an adjunct to other diagnostic evaluations.
AdvantageSim™ MD (version 9.0) is used to prepare geometric and anatomical data relating to
a proposed external beam radiotherapy treatment prior to dosimetry planning. Anatomical
volumes can be defined automatically or manually in three dimensions using a set of CT images
acquired with the patient in the proposed treatment position. Definition of the anatomical
volumes may be assisted by additional CT, MR or PET studies that have been co-registered
with the planning CT scan. Additionally, CT & PET data from a respiratory tracked examination
may be used to allow the user define the target or treatment volume over a defined range of the
respiratory cycle.
The geometric parameters of a proposed treatment field are selected to allow non-dosimetric,
interactive optimization of field coverage. Defined anatomical structures and geometric
treatments fields are displayed on transverse images, on reformatted sagittal, coronal or oblique
images, on 3D views created from the images, or on a beam eye’s view display with or without
the display of defined structures with or without the display of digitally reconstructed radiograph.
AdvantageSim MD 9.0 also offers the CT Atlas-based Contouring and Re-planning and MR
Pelvic Organ at Risk Segmentation options that can be purchased separately.
Advantage 4D™ (version 2.3) is a non-invasive software / hardware option that can be used to
provide and display CT images of all phases of a breathing cycle for the evaluation of
respiration-induced motion. The software will allow the user to retrospectively define the best
respiratory phase from an image quality standpoint, and group images by the phase selected.
Gemstone™ Spectral Imaging (GSI) Viewer (version 2.2) accepts images from a CT System
that can acquire CT images using different kV levels of the same anatomical region of a patient
in a single rotation from a single source. The differences in the energy dependence of the
attenuation coefficient of the different materials provide information about the chemical
composition of body materials. This approach enables images to be generated at energies
selected from the available spectrum to visualize and analyze information about anatomical and
pathological structures.

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GSI provides information of the chemical composition of renal calculi by calculation and
graphical display of the spectrum of effective atomic number. GSI Kidney stone characterization
provides additional information to aid in the characterization of uric acid versus non-uric acid
stones. It is intended to be used on non-contrast studies as an adjunct to current standard
methods for evaluating stone etiology and composition.
SmartScore™ 4.0 (version 4.0) is a non-invasive software option that can be used to evaluate
calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease.
SmartScore may be used to monitor the progression/regression of calcium in coronary arteries
over time, which may aid in the prognosis of cardiac disease.

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2 AW Server compression types

There are three basic types of compression on the AW Server:
• transfer compression

• display compression (lossless and lossy compression) used during transient states such as
rotation, roaming, paging and cine

• data export data compression

2.1 Transfer compression

The compression setting on the Tools tab affects how quickly the exam data and images for the
preview pane and 2D Viewer are transferred between the server and your client. On a slow or
congested network, compressing data may allow for a quicker transfer. However due to the time
it takes to compress and uncompress data, if you are working on a fast, relatively uncongested
network (i.e. 1GB) , turning compression off may provide the fastest transfer time. The images
are always displayed uncompressed without any loss of data or information. The compression is
either on or off in the 2D Viewer.
2.2 Display compression
The compression setting on the AW Server desktop determines the speed at which you can
perform manipulations such as rotations. The greater the compression, the faster the data can
be manipulated, but poorer the image resolution. The reduction of image quality with lossy
compression may result in a corresponding loss of information content of the images: blurring of
fine body structures, loss of small detail, contour effects, etc.
Setting the compression on the AW Server desktop will apply the compression ratio only during
transient states such as rotation, paging, roaming or cine in all applications except 2D Viewer
and Filmer. During all other times, images are displayed at full fidelity. This compression will
NOT apply to data export or the Filmer or 2D Viewer applications.
Compression Speed Resolution
High Faster Lower
Low Slower Higher
NOTE: Any DICOM save or print is performed in full fidelity.
Lossless and lossy compression
• Lossless compression uses compression algorithms that allow the original data to be
reconstructed from the compressed data. All the information in the acquired data still exists
and can be completely reconstructed.

• Lossy compression reduces data by eliminating certain information, especially redundant

information and results in loss of fine detail or blurring of data.
2.3 Data Export compression
The compression setting in data export allows you to make trade offs between image quality
and transfer, storage and display rates.

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An image quality level of 10 corresponds to maximum image quality (lossless compression),

levels from 9 to 1 corresponds to a progressively lower image quality (lossy compression).

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