brainlab patxfer...only accessories and components released by brainlab may be used with patxfer....

BRAINLABPATXFERVersion 5.2

Clinical User GuideRevision 1.1Copyright 2011, Brainlab AG Germany. All rights reserved.

Clinical User Guide Rev. 1.1 Brainlab PatXfer Ver. 5.2 3

TABLE OF CONTENTS

TABLE OF CONTENTSBRAINLAB PATXFER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Visual Cues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Compatibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

About PatXfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Procedural Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

THE TRANSFER PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Archive Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Functions for Archive Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Patient Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Functions for Patient Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Study Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Functions for Study Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Original Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Image Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Functions for Original Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Brainlab Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Functions for the Brainlab Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Send to... Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

CONFIGURATION OF ARCHIVE SELECTION . . . . . . . . . . . . . . . . . . . . . . . . . 39

Data transfer via DICOM CD-ROM, MOD,

4 Clinical User Guide Rev. 1.1 Brainlab PatXfer Ver. 5.2

Network/Hard disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Data Transfer with DICOM QR (Query/Retrieve) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Searching for Data using DICOM QR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Configuration of a Brainlab Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Archive in standard Brainlab Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Archive in advanced Brainlab Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Transferring non-DICOM Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Data Transfer from Hard Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Data Transfer from SCSI DAT Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Data Transfer from MOD Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Import from TWAIN Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Analyze Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

SPECT DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

PATXFER SUPPORTING X-RAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

XR Correction Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Assigning XR Pairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59


BRAINLAB PATXFER

1 BRAINLAB PATXFERThis guide is the introduction and the reference book for the effective and correct use of PatXfer by Brainlab.

Support If you cannot find the information you need in this guide, please contact the Brainlab customer sup-port:

Copyright This guide contains proprietary information protected by copyright. No part of this book may be re-produced, translated or transmitted without the express written permission of Brainlab.

Liability Information in this guide is subject to change without notice and does not represent a commitment on the part of Brainlab. For further information on liability, please refer to the Limitations of Liabilitysection in Brainlab’s Standard Terms and Conditions of Sale.

Feedback Despite careful review, errors may appear. We look forward to your comments and suggestions, which can be sent to: [email protected] .

Trademarks • PatXfer® is a registered trademark of Brainlab AG.

• Microsoft® and Windows® are registered trademarks of Microsoft Corporation.

• BrainSCAN™ is a trademark of Brainlab AG with pending registration.

• iPlan® is a registered trademark of Brainlab AG.

CE-Label The CE mark shows that the Brainlab products comply with the essential requirements of the Med-ical Device Directive. PatXfer is a Class I product according to MDD (Council Directive 93/42/EEC).

Manufacturer Brainlab AG

Kapellenstr. 12

85622 Feldkirchen

Germany

Region Telephone Email

United States and CanadaTel: (800) 597-5911 Fax: (708) 409-1619

[email protected]

Africa, Asia, Australia, Europe

Tel: +49 89 991568-44 Fax: +49 89 991568-811

[email protected] AmericaTel: +55 11 33 55 33 70 Fax: +55 11 33 55 33 79

JapanTel: +81-3-3769-6900 Fax: +81-3-3769-6901

France and French-speaking regions

Tel: +33-800-67-60-30 [email protected]


PREFACE

2 PREFACEThis guide is written for all members of the clinical team who use or handle the whole system or parts of it. Before using the system you should read this guide carefully and get acquainted with the sys-tem.

2.1 Visual CuesThis guide uses the following visual cues to alert you to important information.

Warnings are used to alert the user to possible injury, death or other serious conse-quences associated with the use or misuse of the equipment.

Cautions are used to alert the user to the possibility of a problem with the device as-sociated with its use or misuse. Such problems include device malfunctions, device failure, damage to the device or damage to property.

bold • Chapter headings in cross references, names of dialog windows, buttons and text displayed on the screen.

• Special Brainlab object specifications.

2.2 Important

All information given to PatXfer as input and all information received from PatXfer as output must be reviewed regarding its plausibility before patient treatment.

U. S. federal law restricts the sales of this device by, or on the order of, a physician.

2.3 Indications for UsePatXfer provides capabilities for the acceptance, transfer, display, storage and digital processing of medical images including functions for performing operations related to image manipulation, en-hancement, compression, and quantification.


Compatibilities

2.4 Compatibilities

Brainlab accessories

PatXfer is compatible with the following medical devices manufactured by Brainlab AG:

Brainlab Platforms

• VectorVision Planning Station

• VectorVision compact Navigation Station

• VectorVision2 Navigation Station

• BrainSCAN Treatment Planning Workstation

• Kolibri Navigation Station

Only accessories and components released by Brainlab may be used with PatXfer. Using unauthorized accessories/spare parts may negatively influence the safety and/or the effectiveness of the medical device and endanger the safety of the patient, user and/or environment.

Non-Brainlab medical devices

PatXfer is compatible with the following non-Brainlab medical devices:

Only combinations with non-Brainlab medical devices authorized by Brainlab may be used together with PatXfer. Using medical device combinations which have not been authorized by Brainlab may negatively influence the safety and/or the effectiveness of the medical device and endanger the safety of the patient, user and/or environment.

Modality Scanner Manufacturer Data Type

CT Various DICOM 3.0

CT Various ACR-NEMA 2.0

CT Elscint Elite 2400, Twin, Helicat

CT General Electric

HiSa (High Speed Advantage High Light, Light Speed, CTi) Pros-peed, Sytec 3x

CT Philips Tomoscan

CT Picker IQ/PQ 8mm Tape

CT SiemensSomatom Plus 4/HiQ, ART, So-maris

CT Toshiba IS&C

MR Various DICOM 3.0

MR General Electric Signa, Vectra

MR Philips Gyroscan

MR Siemens Magnetom

MR Various Analyze

PET, SPECT Various DICOM 3.0

PET, SPECT Siemens ECAT 7

XR Various DICOM 3.0

XR Siemens ACR-NEMA MOD

XR Siemens ISO-C 3D Arc

XR Various TWAIN-compatible


PREFACE

Other software providers

The Brainlab DICOM implementation is based on a MERGE DICOM library.

This software is based in part on the work of the Independent JPEG Group.

This product includes software developed by the Apache Software Foundation (http://www.apache.org).


Compatibilities


INTRODUCTION

3 INTRODUCTIONPatXfer by Brainlab offers a data transfer solution for almost every CT, MRI, SPECT, and PET scan-ner supporting DICOM. Furthermore, proprietary formats, as well as X-ray data, and formats from a TWAIN scanner, are supported. This PatXfer user guide explains the general procedure for convert-ing patient data into the Brainlab format.

Due to the wide variety of scanner types and data transfer media that are currently available, it is not possible to discuss every individual data transfer type in great detail. If any specific questions or problems arise relating to a particular scanner, please contact Brainlab support for assistance.

3.1 About PatXferPatXfer by Brainlab was created in order to allow quick, reliable and easy data browsing and trans-fer. PatXfer is compatible with all DICOM data from medical devices stored on CD-ROM, harddisk, MOD or sent via network and DICOM QR. The transcription can either be performed pre-operatively on the Planning Station or directly on your Brainlab system in the OR. PatXfer provides a variety of preview options, including image details, full screen and catalog.

Images can look distorted on monitors with the wrong aspect ratio.

3.1.1 Procedural Overview

Brainlab’s data transcription can transfer various data forms from different sources and media, in-cluding DICOM, DICOM QR, MOD, etc. to the Brainlab format. The entire transcription procedure should take less than ten minutes, allowing the planning of the operation to be started almost imme-diately. The procedure has six main steps:

• Selection of the data source (Archive Selection).

• Selection of the patient data to be translated (Patient Selection).

• Selection of the study (Study Selection [DICOM only]).

• Selection of the original series to be transferred (Original Series).

• Filtering to Brainlab series (Brainlab Series).

• Saving data to desired location (Send to...).

If no selection is possible, some steps may be automatically skipped by the software.


Compatibilities

3.1.2 User InterfaceThe user interface is set up, so that you can always view which step is currently performed. The Nav-igator section of the main screen displays the current step and below it, the Functions section pro-vides the software functions available for that step. The name of the currently selected archive is also displayed in the upper right corner. The image below shows the user interface during the first step of the procedure.

Figure 1 Main screen

The description of the current step is on the left and the software functions, as well as an explanation of the current stage of the procedure, are on the right side.

Displaying information

The information provided on each screen can be organized according to the headings at the top of the page.

• To reorganize the display, click the corresponding tab, i.e. archive name, data source, descrip-tion, treatment data, etc. The system automatically re-organizes the display accordingly.

Figure 2 Setting the view of the data

In this example, the Treatment Data field has two arrows. This means the data is sorted by the name of the treatment data in alphabetical order. Click once to reverse the sort order of the treatment data field. Click twice to reorganize the treatment data field in the primary order. If you click any other header field, the data is sorted according to the sort criteria of this field in ascending order and the respective field is marked with two arrows. Click this field again to reverse the sort order.


INTRODUCTION

Navigator

Figure 3 Navigator

The Navigator displayes which steps have already been performed, as well as the current and next step.

• To return to a previous step, simply click its name. For example, if the original series has already been opened, but a different data source is needed, simply click Archive selection and the archive list is re-opened.

Functions The Functions section, located below the Navigator, enables access to all software functions avail-able for the current step, e.g. archive selection or deleting files. The Functions section changes ac-cording to the step performed.

Figure 4 Functions section

The description of each available software function for every stage of the procedure is given under the specific section.


Compatibilities

Interrupt When data (an archive, patients, series, etc.) is opened, an Interrupt dialog is displayed for lengthy operations. It displays the progress of the step and enables you to stop the transfer. Click the Inter-rupt button to stop the data transfer. Only the data, which has been transferred up to this point, is loaded. For example, if you click the Interrupt button while the software is reading a patient list, PatXfer stops loading patients at the point of interruption. If the missing data is needed later, it must be re-loaded.

Figure 5 Transfer box with Interrupt button


THE TRANSFER PROCEDURE

4 THE TRANSFER PROCEDURE

After scanning the patient according to the Brainlab scanning instructions, data is stored on the de-sired medium (MOD, CD-ROM, etc.) or can be sent from the scanner to the Brainlab Planning Sta-tion via DICOM. From there, the data can be transferred and adjusted as required using PatXfer. As mentioned above, there are six main steps for transferring patient data. Every step is described in detail within this chapter.

4.1 Archive SelectionPatXfer supports a variety of data sources, including DICOM and DICOM QR. There is a different procedure for DICOM QR data transfers, which is explained on Page 42.

The first step in transferring data is to select the source.

• To activate the source, click directly on its name or icon.

• To delete several list entries, select the box next to the entry to be deleted.

Figure 6 Defining the data source

• If you have selected the desired source, click Patient Selection or Next. PatXfer searches the archive for patients and displays the patients found.

In the lower right hand corner, various functions are available for this step. These are described in section “Functions for Archive Selection” on page 16.


Compatibilities

4.1.1 Functions for Archive SelectionThe Functions section for the Archive Selection enables you to define general settings that apply to the entire PatXfer software, as well as the location of the data to be specified. The Function sec-tion changes according to the step performed.

Figure 7 Functions section for archive selection

New Archive If the archive you want to use has not yet been defined, create a new archive using the New Archive button and define the data format type. The system then automatically generates the description of the format. Only enabled (licensed) data format types are listed on the New archive page.

Figure 8 New archive dialog

Archive formats Two Brainlab data formats are available for new archives:

• Brainlab standard format. The Brainlab standard format applies to current and older software.

• Advanced File format. This Brainlab format applies to new software that meets the respective requirements (iPlan 2.x or later). To ensure that your software is compatible with this data for-mat, refer to your planning software manual.



Creating a new archive

The Settings dialog for the Archive selection enables general settings and the definition of a spe-cific archive. If an archive is selected, click the Settings button to display the archive settings dialog.

• Click Cancel to exit the New archive dialog, or click OK, to open the Settings dialog.

For details on creating a New archive, please refer to chapter “CONFIGURATION OF ARCHIVE SELECTION” on page 39.

Tabs of Settings dialog

The Settings dialog contains the Archive, Display, and About tabs.

Figure 9 Settings dialog tabs

Display This feature enables you to select the viewing direction for the patient data. It does not define the scanning direction and it does not affect the actual image orientation. It only determines the display of the image in the PatXfer software.

Changing the image display only affects how the images are displayed, and not their actual orientation. Moreover, it only determines how they are displayed in the PatXfersoftware.

Ensure that the correct patient orientation has been entered into the scanner protocol.

Figure 10 Display dialog

• To select the viewing direction, i.e. RPF or LPH, select the option button located below the cor-responding image and click OK.

• RPF (Right/Posterior/Feet) displays the patient’s left side on the left side of the screen, with viewing direction from head to feet.

• LPH (Left/Posterior/Head) displays the patient’s left side on the right-hand side of the screen, with viewing direction from feet to head.

• Click OK to accept your current settings, or Cancel to discard.


Compatibilities

About The About dialog provides information about the current software, including the name of the soft-ware, the version number, the copyright license number, the computer name, the IP address, etc. This is simply an information screen. When using DICOM QR for data retrieval, it is important to ver-ify the settings displayed in the About window.

Figure 11 About dialog

• Click OK to accept the current settings and return to the previous step. Click Cancel to exit the Settings dialog.

Delete The Delete function permanently removes the currently selected archive(s) from the archive list. The system always asks for final confirmation before final deletion.

Figure 12 Delete dialog

• Click Yes to delete the selected archive(s). If an archive is deleted by mistake, it must be re-defined and re-configured using the New Archive function.

• Click No to return to the archive selection dialog.

Deleting an archive only removes the entry from the archive list. No patient data is deleted.



Logfile The Logfile provides information about the currently selected data source, as well as every step ap-plied to that source so far. This is useful for keeping track of the steps performed, the data parame-ters transferred, and for solving errors.

Figure 13 Logfile dialog

• Click OK to close the Logfile tab.

Exit The Exit function closes the PatXfer software. Be aware that exiting the software using the Exitfunction does not save any data!

The system asks you, if the application should really be closed. Only exit once all necessary data has been saved.

Figure 14 Exit dialog


Patient Selection

4.2 Patient SelectionOnce the data source has been selected, all patients located within that source are displayed.

• Click on the name, the icon or the checkbox of the data to select the patient who is to be trans-ferred. To delete more than one patient, select the box to the left of the patient. If you select more than one patient, the Next button is disabled.

• Click Next to display the hierarchical data level.

Figure 15 Patient selection dialog

The data can now be organized either by the name of the patient, the patient ID or the creation date of the data. Click on the corresponding header field to do this.

• To return to the Archive dialog, select the Archive selection button in the Navigator area.

If the patient only has one study, the system automatically opens it and proceeds to the Original series window (see Page 24). The automatic selection of the study is displayed in the Navigatorarea.



4.2.1 Functions for Patient SelectionThree functions are available during the selection of a patient: Delete, Logfile, and Exit.

Figure 16 Software functions for Patient Selection

Delete • Use Delete to remove one or more patient folders. If no patient is selected, the Delete button is inactive.

Only patient data located on the harddisk can be deleted. MODs and CD-ROMs are set to read-only.

• If you click Delete, the system prompts you, if the data should really be deleted.

Figure 17 Deleting the patient

• Click Yes to permanently delete the data, or click No to return to the patient list.

The data is deleted from the hard disk even if it is set to read-only. If DICOM data is to be deleted and Quick search is selected, the complete directory will be deleted, even if it contained data from different patients.

If the last patient in the list has been deleted, the system automatically returns to the Archive page.

Logfile The Logfile displays a summary of the steps which have been performed up to this point.

Exit The Exit function closes PatXfer.


Study Selection

4.3 Study SelectionIf more than one study is available for a patient, the system displays the studies available for selec-tion.

• To open the study, click the name/icon of the study, then click Next.

• Select the box next to the study to select it. To open more than one study, select the boxes next to the desired studies and select Original series or Next from the Navigator area.

If only one study is available, the system automatically proceeds to the Original Series dialog using the available study.

Figure 18 Selecting a study

Studies can be sorted according to the study ID, the study date or the study description.



4.3.1 Functions for Study SelectionThree functions are available during the selection of the study: Delete, Logfile and Exit.

Figure 19 Software functions for study selection

Delete • Click Delete to remove one or more studies.

Only data located on the hard disk can be deleted. MODs and CD-ROMs are set to read-only.

• If you click Delete, the system asks if you really want to delete the data.

Figure 20 Deleting the study

• Click Yes to permanently delete the data, or No to return to the study list.

The data is deleted from the hard disk even if it is set to read-only.

If there is only one study, it cannot be deleted. It is impossible to delete all studies of a patient.

Logfile The Logfile displays a summary of the steps that have been performed up to this point.

Exit The Exit function closes PatXfer.


Original Series

4.4 Original SeriesThe Original series dialog is displayed once a study has been selected. The original series consists of all image data saved to a specific study for an individual patient. The original series may contain the volume slices and the scout and overview/test images.

Figure 21 Original series dialog

The software automatically selects the Original series containing the most images. The images are displayed during the transfer.



4.4.1 Image DisplayBelow the image on the left are two display functions: Details and Fullscreen. Details is active per default (see Figure 21). Selecting Fullscreen changes the view to a full screen view of the image, as shown in Figure 22.

Figure 22 Full screen view of the image

Image details Information is provided about the individual images. The table to the right of the image in the Detailsview provides all relevant information, including scan parameters, table position, etc. The informa-tion regarding every image can be viewed using the scroll bars to the right of the image. The infor-mation refers to the displayed image only.

Figure 23 Information details for the displayed image


Original Series

Note Depending on the scanner format, not all information may be available.

The following information is provided for every image:

Figure 24 Enlarged view of image details



4.4.2 Functions for Original SeriesThere are five functions available for the Original series: Delete, Settings, Logfile and Exit. Please note that the Send to... button is only active if X-ray images are displayed.

Figure 25 Functions for Original series

Delete • Click Delete to permanently remove an entire image series. This is only possible if more than one series is available. The last series cannot be deleted.

Only data located on the hard disk can be deleted. MODs and CD-ROMs are set to read-only.

• If you click Delete, the system asks if the data should really be deleted.

• Click Yes to permanently delete the data, or No to discard and return to the study list.

The data is deleted from the hard disk even if it is set to read-only.


Original Series

Sort settings The Sort settings function enables you to determine the settings according to which the images should be grouped or sorted. In order to translate this image data to the Brainlab format (the Brain-lab Series), PatXfer re-organizes this data according to different factors. This is necessary as only certain data can be used for three-dimensional imaging. For example, scout views are separated from the data volume, as these cannot be used for 3D imaging.

Before separating the data, PatXfer enables you to define the factors, used to group images.

• Click the Sort settings button in the Functions section. A dialog with various sort settings opens.

Figure 26 Image grouping factors

Images can be grouped according to these factors: If they have the same study ID, the same series ID, the same acquisition, the same comment, a different image ID, various combinations of these or none of these.

For example, if two image series are scanned (one for hip and one for knee), the scanner gives every series a new number/ID. The two series can be grouped for 3D imaging by deselecting this factor, i.e. unchecking the same series ID box.

• To activate the individual grouping factors, select the box next to the desired factor. A check mark shows that it has been selected.

• Click OK to save these grouping factors and to separate the images accordingly.

• Click Cancel to exit the Sort settings dialog without saving any grouping information.

The grouping settings do not affect the sorting order of the image slices. Each slice retains its own x, y, z position, ensuring their correct placement.

• Once the grouping factors have been defined, click the Brainlab Series button or the Next but-ton in the Navigator, to activate the image grouping.

Logfile The Logfile displays a summary of the steps which have been performed up to this point.

Exit Exit closes PatXfer.



4.5 Brainlab SeriesThe sorting process opens the image set and displays all images in their defined group. The list con-tains treatment plans and image series. All Brainlab image series are displayed as a folder with the number of images listed in the respective column.

Figure 27 Brainlab series dialog

• From the list, click the icon or the name to select one series.

• To select more than one series, select the box to the left of the list entry. The Send to... button is disabled, if no image series or a treatment plan is selected.

All images can be viewed individually using the buttons to the left of the image, or the series can be scrolled through using the slider. Image details are displayed to right of the image. For an enlarged view see Figure 24 on page 26.

• Click Full Screen to see a magnified view of the image (see Figure 22 on page 25).


Brainlab Series

• Click Catalog to see an overview of all images.

Figure 28 Catalog display

• Click on the image to view it in full screen mode, or to display its details. Please note that cata-log image turns blue when high-lighted. Click on the desired function, i.e. Full screen or Detailsto display the image respectively.



4.5.1 Functions for the Brainlab SeriesThere are six functions for the Brainlab series: Windowing, Delete, Delete Image, Settings, Logfileand Exit.

Figure 29 Functions for Brainlab Series

Windowing The Windowing function enables you to adjust the gray scale and brightness/contrast for the data set.

Figure 30 Windowing

Windowing can be adjusted using the touchscreen or with the mouse. All values are listed beneath the histogram on the right. The vertical lines in the histogram define the limits of the used gray val-ues. All values left of the lower limit (Left) are displayed black and all values right of the upper limit (Right) are displayed white.

• Touchscreen adjustments:

- Use the histogram to set the minimum and maximum values. Touch the area to the right/left of the upper slider to adjust the maximum value.

- Touch the area to the right/left of the lower slider to set the minimum value.

• Mouse adjustments:

- Use the histogram to set the minimum and maximum values. Click to the right/left of the right/left slider to adjust the maximum/minimum value.

- Click and drag the upper/lower slider to select the minimum/maximum value.

- The brightness/contrast can also be adjusted by left-clicking the mouse within the preview image, then dragging the tip of the mouse within the image. Vertical dragging adjusts the brightness and horizontal adjustments adapt the contrast.

• Scroll through the individual slices by using the slider to verify the settings.

• Click Reset to return your current settings to the default settings.


Brainlab Series

• Click OK to accept the settings or Cancel to exit the Windowing.

Changing the brightness and/or contrast can change the display or interpretation of the anatomical structure. Parts of the image may be enlarged, decreased or even made invisible.

Do not use PatXfer for diagnostic imaging purposes.

Delete The Delete button can be used to permanently remove local Brainlab data from the harddisk. The button is enabled only if one or more 3D series or treatment plans are selected and if only the initial case/treatment plan is in the folder. Delete removes the selected series. The last series cannot be deleted.

When the deletion is confirmed, the data is deleted from the hard disk, even if it is set to read-only.

Delete Image Delete Image deletes the currently selected image.

• To delete multiple images, use the scroll bar next to the image to access the individual images.

Images are only removed from the Brainlab Series, neither from the Original series nor the storing device.

Settings Click Settings to open the Orientation and Comment tabs.

Orientation Once the Brainlab series is created, the orientation of the images should be verified. When viewing an image, the Settings button opens the image orientation dialog to adjust the orientation of the im-age. The orientation is displayed within the image box by an L for left, an R for right, a P for posterior, an A for anterior, H for head, and F for feet.

If the patient has been scanned, but the scan operator used the wrong orientation, this page enables you to correct the image orientation. Note that some scanners and medical information formats do not contain the image orientation in the image header.



In the Orientation tab of the Settings dialog, you can see the Modality of your image and the Image type. The Orientation radio button enables you to choose between a supine and prone orientation of your image. The options of the Submodality radio button vary with the Modality of your images. If the image modality, image type (axial, coronal, sagittal), or the patient position is not provided by the scanner, these factors can be selected at this point. Use the slider to view every individual slice.

Figure 31 Defining the orientation of the images

If the changes made to the image are incorrect, the Reset button returns the image to its original orientation.

There are two Rotate functions for both, Sagittal and Coronal/Axial:

If you have a sagittal image, the Rotate buttons enable you to move the image from head to feet and from left to right. For a Coronal/Axial image, the Rotate buttons enable you to move the image from anterior to posterior and from head to feet and vice versa.

• Click OK to accept and save the changes, or click Cancel to exit the Settings dialog.

This function also enables you to correct a coronal CT series for ENT. Prior to the manipulation, you must make sure that image manipulation is allowed for your desired Brainlab application.

To correct the orientation:

• Change Image type to Coronal.

• Rotate the Head - Feet orientation, if necessary.

• Rotate the Anterior - Posterior orientation, if necessary.

• Verify the changed orientation.

If you have a coronal data set and want to use it with a non-compatible platform, you can change the data set label to axial and then load it onto your platform. Keep in mind that in this case the la-belling is not correct.

Ensure that the correct patient orientation is entered into the scanner.

Every orientation change is written in the series comment and in the transfer logfile.

Carefully verify the image labelling: left-right, anterior-posterior, head-feet. Only use the rotate buttons if you are sure that the patient orientation needs to be corrected. Click OK to confirm that the defined orientation is correct.


Brainlab Series

Comment The Comment tab enables you to change the existing comment or to add a comment to the image series. Depending on your planning software, you may either see the text inserted into the Short Comment field or the Long Comment field.

Figure 32 Comment tab

Logfile The Logfile displays a summary of the steps performed up to this point.

Exit Exit closes PatXfer.



4.6 Send to... Dialog

Selecting the archive

In the Send to... dialog, select the appropriate archive type for your requirements. You can edit the Patient name and the Patient ID, e.g. for anonymization purposes.

Figure 33 Archive selection in the Send to... dialog

After selecting the appropriate archive, click Next to enter the Patient selection. Select the patient folder, where you want to save the data set.

• Click New patient to create a new patient folder and to save the data to this folder.

• Click New Study to create a new study (advanced file format only).

• Click Add to... if you want to add your set of data to an existing study or patient.

• Click Cancel to discard.


Send to... Dialog

Selecting the patient folder

Figure 34 Patient selection in the Send to... dialog

The images are now saved in a new folder with the patient’s name in the chosen format.

Figure 35 Info dialog

• Click Yes to return to the Patient selection dialog.

• Click No to finish your PatXfer session. The program will exit.

• Click Cancel to return to the Brainlab series.

Note NOTE: Please note that the advanced (or XBrain) data format enables you to add data to a patient and also to a study! The following warning message appears if the patient name or the patient ID do not correspond.

Figure 36 Warning when saving a series



• Click Yes to save the data. The images are now saved in the format you selected in the patient’s folder and a dialog box is displayed confirming that the series is saved.

• Click No to return to the Patient selection in the Send to... dialog.

A log file is created for the complete data transcription including the storage procedure.

Figure 37 Logfile tab for data transcription


Send to... Dialog


CONFIGURATION OF ARCHIVE SELECTION

5 CONFIGURATION OF ARCHIVE SELECTION

The following chapter describes the various configurations of a new archive. It is explained how to transfer:

• DICOM data,

• DICOM QR data,

• proprietary Brainlab data, and

• non-DICOM data.


Data transfer via DICOM CD-ROM, MOD, Network/Hard disk

5.1 Data transfer via DICOM CD-ROM, MOD, Network/Hard disk

Configuring the DICOM connection

DICOM data can be stored to a CD-ROM, MOD or can be sent to the Brainlab Planning Station from a DICOM system via network (e.g. a scanner or an archive system).

If the Planning Station has already been booted, simply send the DICOM images to the Brainlab computer. PatXfer, i.e. Dicom Service, intercepts the data and automatically stores it to the local hard disk. Dicom Service is an application used to intercept transferred data and to save this data on the hard disk for later DICOM import. It is included in every PatXfer installation. The DICOM im-ages can be on a harddisk, a CD-ROM, or an MOD drive.

In order to ensure that the communication flows properly between the DICOM system and the Plan-ning Station, the connection must be correctly established. The following parameters are necessary:

• Provide an adequate Configuration name for the new archive.

• Enter the data path, e.g. C:\Brainlab\DICOM\... This data can either be entered manually, or you can browse to find the folder in which the DICOM images are located.

Scan depth defines the amount of subdirectories that are searched. File Mask specifies the file type to open. With Quick search, the system assumes only one patient in every folder. If you deselect Quick search, every file in the folder is scanned for the patient name.

Figure 38 Configuring the DICOM connection

Alias Patient Handling is a feature that prompts you to define how to arrange the patient data. The options are:

• Select Patient ID is unique, if the archive to be created uses only the patient ID as the criterion for creating the archive.

• Select Patient Name and ID is unique, if the patient name and the patient ID must match for archive creation.

• Select Ask user, to prompt how to proceed when creating an archive.

Figure 39 Alias Patient Handling list box

Use DICOMDIR if available is a feature that considers meta information in a DICOM directory struc-ture, if available on the medium.

To convert the data into the Brainlab data format, please follow the procedure described in the chap-ter “THE TRANSFER PROCEDURE” on page 15.



Browse A Browse function is available to navigate through the available directories in order to find the source path.

Figure 40 Browsing for the archive path

- Click on the + sign to the left of the respective directories, until the final path has been found.

- Click OK to accept the new configurations and to return to the Settings dialog.

- Click Cancel to exit the Browse dialog.

• Click the Test connection button to verify that your connection is working properly.

• Click OK to accept your current settings or Cancel to discard.


Data Transfer with DICOM QR (Query/Retrieve)

5.2 Data Transfer with DICOM QR (Query/Retrieve)

Configuring the DICOM QR connection

The DICOM QR option enables you to directly access DICOM data from a scanner or PACS archive. To configure the DICOM QR connection, define the following items:

Figure 41 Configuring the DICOM QR connection

• Provide an adequate Configuration name for the new archive.

• The PatXfer application must be known by the remote system (the scanner or the archive to be queried). In order to do so, inform the technician responsible for the scanner about the Brainlab parameters for DICOM communication. They should then enter a new DICOM application into the scanner system with the following parameters:

- My DICOM AET (to retrieve data-Storage SCP)

- My port number, be careful not to use the DICOM service port number.

- My DICOM QR AET to receive data. This is usually the equivalent of My DICOM AET, although some servers require a different AET to send data.

• Ask the responsible technician about the scanner configuration settings for query/receive pro-cesses, then enter the following values into the configuration dialogue:

- Host name (DICOM QR server)

- DICOM AET (DICOM QR server)

- Port number (DICOM QR server)

All three AET are case sensitive and may not exceed 16 characters.

Once the configuration settings have been entered, check the connection using the Test connec-tion function. For details on Alias Patient Handling, please refer to Figure 39 on page 40.

Changing or confusing My DICOM AET and/or My port number affects all DICOM communications with other scanners and systems. After changing one of these pa-rameters, it is necessary to verify and reconfigure all existing DICOM connections at the scanner site. The application must be re-started to activate the My port numbersettings.

For further details regarding the Brainlab DICOM implementation, please refer to the current DICOM Conformance Statement on the Internet at: www.Brainlab.com.



5.2.1 Searching for Data using DICOM QRWhen retrieving data using DICOM QR, the data source must be identified. There are different ways to search for the desired patient data: The patient can be searched by name, part of the name, a single letter or by the creation date of the study. The supported search masks type (e.g. Patient ID = 12* or a complete ID) depends on the QR server. For more information, refer to the DICOM QR documentation of the scanner (conformance statement).

Figure 42 Search options for QR search

In the search mask, the patient’s name, or part of, can be entered in the Patient name text box. The patient ID, or part of, can be entered into the Patient ID text box. Data can also be searched from the Date text box by the current date, by specific scan date, by any date, or within a time span.

Click Start search to begin the search. This produces a patient list, from which the desired data source can be selected.

Figure 43 Search results

If the list is too long, the same search functions can be used to refine the search, i.e. to search within the search results.

Once the patient has been selected from the source, the procedure can be continued in the same manner as all other data forms (see Page 23).

When using the DICOM QR, data cannot be deleted as the source is external.

If the data search is disabled (due to the capabilities of the DICOM QR server) all patients, regard-less of study creation date, are displayed.


Configuration of a Brainlab Archive

5.3 Configuration of a Brainlab ArchiveThe following section describes the possible configurations for new archives.

• From the New archive dialog, select the appropriate archive and click OK to open the Settingsdialog for your respective archive.

If you are uncertain about the archive to select, please contact the Brainlab support for assistance.

5.3.1 Archive in standard Brainlab Format

This allows the name of the data source and the location of the data to be defined or redefined, as necessary. Depending on the data format selected, the corresponding settings can be defined. A Brainlab standard format has been selected in the image below.

Figure 44 Archive configuration window for Brainlab standard archive

• Enter the Archive name.

• Enter the path to the Planning software. The path to the folder where the platform.bin file is located must be entered. If the computer used for data transfer and the computer on which your planning software is installed are the same, the path to the *.bin file and the *.exe file of the planning software is also the same. PatXfer reads the platform properties from the platform.bin file and needs the *.exe file if the planning software is started automatically upon transferring the data. Once a path for the planning application has been defined, the system detects the specific parameters for the application and displays the Platform name in the respective row.

• Verify the Platform name.

• Click Info to display the parameters of the platform.

Data path displays the path where the archive is currently located. This path is read from the re-spective *.ini file of the planning application and cannot be changed. For details on the Browse func-tion, see Figure 40 on page 41.

How the image data is configured can also be defined using the check box functions at the bottom of the Archive dialog.

Figure 45 Image configurations

If you select Image interpolation, PatXfer enlarges the image to the Brainlab format of 512 x 512 using interpolation. If not selected, the pixel groups are enlarged without interpolation and the imag-es are not smoothened. You can also select whether PatXfer is automatically closed once the data has been transferred. Finally, you can determine whether the planning software is started automat-ically. Select Close PatXfer once data has been successfully saved to close the application once the data has been successfully transferred and saved. Select Automatically start planning soft-ware to start the planning software immediately after the data transfer is complete.





5.3.2 Archive in advanced Brainlab Format

The following image displays the archive configuration dialog for the advanced, or XBrain format. As in the archive configuration dialog for the standard format, you can define the Archive name, the path for your Planning software, and the Data path. Please note that it is now also possible in this format to automatically close PatXfer and to open your planning software after the transfer is com-plete. It is no longer necessary to interpolate your images, as in the advanced format, your images are saved in their original resolution.

Under Planning software, instead of the *.exe file, you can select the respective batch file of your planning software, which might hold further parameters that are considered automatically at pro-gram start. For details on the Browse function, see Figure 40 on page 41.

Figure 46 Archive configuration for XBrain format




Transferring non-DICOM Data

5.4 Transferring non-DICOM DataIn addition to the transfer methods mentioned before, you can transfer data to your planning station with transfer DLLs. These transfer modules allow the data transfer from a SCSI DAT tape drive, an MOD drive, and from a hard drive. Please note that data from MOD and tape drives can only be ac-cessed, if the user is assigned administrator rights. Furthermore, all drivers for tape drives must be disabled in the Device Manager of Windows NT/2000/XP.

If the patient name or patient ID is not written in the original data, it is set to ‘unknown’. This leads to the potential risk of selecting the wrong patient data for treatment. Make sure that the scanner operator always assigns the correct name and ID to the data.

5.4.1 Data Transfer from Hard Drive

The following image displays the archive configuration dialog, as displayed when transferring data from a hard drive, using a transfer DLL. You can define the Archive name and the Data path. The PatXfer transfer module displays the exact DLL file used for data transfer. For details on the Browse function, see Figure 40 on page 41.

Figure 47 Archive configuration dialog for DLL transfer from hard drive





5.4.2 Data Transfer from SCSI DAT DriveThe following image shows the archive configuration dialog, as displayed when transferring data from a SCSI DAT drive, using a transfer DLL. You can define the Archive name and the Data path. The PatXfer transfer module displays the exact DLL file used for data transfer. Furthermore, you must define the SCSI port number and the SCSI ID.

Figure 48 Archive configuration dialog for DLL transfer from SCSI DAT drive



5.4.3 Data Transfer from MOD Drive

The following image shows the archive configuration dialog, as displayed when transferring data from a MOD drive, using a transfer DLL. You can define the Archive name. The PatXfer transfer module displays the exact DLL file used for data transfer. Furthermore, you have to define the MOD drive letter and the Alternative MOD Drive Letter.

Figure 49 Archive configuration dialog for DLL transfer from MOD drive





5.4.4 Import from TWAIN DeviceBeyond creating archives from data carriers in various formats, you can import images that are scanned on a twain device connected to your workstation. Before you can operate the scanner, the manufacturer’s twain driver has to be installed. Please consult your manufacturer’s installation man-ual for hints on installing the drivers for your twain device. Please note that only certain configura-tions are certified by Brainlab. Contact the Brainlab customer service for support on configuring a twain device, if you experience difficulties with a specific type of scanner.

During the transfer of scanned data to PatXfer, a default patient name is used, as the data has to be renamed after the transfer. As long as the twain dialog is open, several scans are possible, which may be attributed to one series. After closing the twain dialog, no further scans can be added to this series. Please note that a color scan may cause an information message to be displayed, as directly scanning in greyscale improves the image quality, rather than first scanning color and then convert-ing the data to greyscale. The message suggests to only scan 8-bit and 16-bit greyscale images.

Please note that you can only select a twain device which is already installed on your workstation.

• In the settings dialog, define an Archive name and select a TWAIN Data Source.

Figure 50 Archive creation from TWAIN data source





5.4.5 Analyze TransferThe Analyze transfer is mostly used to interface functional MRI data, and is similar to other trans-fers regarding the configuration, patient selection, transfer and storage. The Brainlab support engi-neer does the specific configuration followed by additional user training.

The Analyze patient data has to be copied to the defined Analyze folder on the computer harddisk. Usually the location is C:/Brainlab/Analyze, however, the data source may also be located on CD-ROM, floppy disk or on the network. If in doubt, please contact the Brainlab support engineer.

An Analyze patient image series contains two data files:

• The patientName.hdr file; containing the image header with parameters related to the image volume

• The patientName.img file; the image file corresponding to the header file.

The file names of the *.hdr and *.img have to be the same. If one of the correspond-ing files is missing the patient data cannot be transferred.

The file names of the *.hdr and *.img files represent the patient name and should contain the real patient name. The patient name used in PatXfer is constructed from these file names, so please ensure that the file names contain the real patient name.

In the patient selection dialog, the patient names listed are reconstructed from the An-alyze data file names. Ensure that you choose the correct patient.

Orientation dialog

As no image orientation information (head - feet/anterior - posterior) is available in the header, the image orientation has to be manually defined. An error message below the image area indicates the wrong orientation.

Figure 51 Orientation dialog with corrupt image orientation

The Analyze format does not include several required image parameters. Some of the volume parameters are default values and may be incorrect. Brainlab does not rely on the Analyze format information and you must verify, correct and accept the image pa-rameters.



The Analyze format does not support angulation. Do not use Analyze images with an-gulation.

The user must manually adjust the modality, if MR data is not displayed.

The selected image set is displayed one after another and all available slices can be displayed using the scrollbar, enabling you to verify and adjust the image labelling.

Figure 52 Orientation dialog with correct image orientation

• Use the Rotate buttons to rotate the complete image set in the respective (anterior - posterior or head - feet) direction.

• Use the Image type combo box to change between axial, coronal, and sagittal.

• Use Reset to restore the initial image set orientation.

Please use the slider and verify that the sort order is correct in all slices.

The correct patient orientation must be selected. Please use other image modalities and films from the selected patient to verify the correct image orientation of the image data. Only when you are certain, that the image labeling left/right, anterior/posterior and head/feet is correct should you confirm the correctness and proceed with the data transfer.

• Please verify the orientation labels before confirming them with the OK button.

All relevant information is written to a transfer specific logfile.

• For fMRI planning, please refer to the iPlan manual.

• For fMRI navigation, please refer to the VV Cranial manual.



5.4.6 SPECT DICOMSimilar to the Analyze transfer, the SPECT DICOM multiframe format does not contain required im-age parameters. The user has to verify, correct, and accept the image parameters. For further infor-mation, please refer to section “Analyze Transfer” on page 49.

The SPECT DICOM multiframe format does not contain the image orientation (row and column vectors) or wrong values. The transfer tries to read the original values from the DICOM header, but they may be incorrect. As Brainlab does not consider the SPECT DICOM multiframe format to be reliable, the user has to verify, correct, and ac-cept the image parameters.

The correct patient orientation and image type has to be set manually, as SPECT DI-COM multiframe does not always provide correct orientation information.


PATXFER SUPPORTING X-RAY

6 PATXFER SUPPORTING X-RAY

Original series with X-ray images

PatXfer 5.2 supports X-ray images. This functionality enables you to define the exact view onto your X-ray images. In the following chapter, you will define the posterior, anterior, frontal, and lateral po-sitions of your X-ray images. The figure below displays the Original series dialog with a series of two X-rays.

Figure 53 Original series dialog with loaded X-ray images

XR Pairs button

According to the X-ray functionality, the Navigator and the Functions areas contain respective but-tons. In the Navigator area, please note the XR Pairs button.

Figure 54 Navigator area with XR Pairs button



XR Correction button

In the Functions area, please note the XR Correction button.

Figure 55 Functions area with XR Correction button



6.1 XR Correction DialogDepending upon your planning software, you may need to perform an XR Correction. For example, with iPlan by Brainlab, it is necessary to exactly define the orientation of the image by determining the head, feet, left, right, anterior, and posterior orientation of the image.

Unknown Projections

In the Functions area, click the XR Correction button, in order to open the XR Correction dialog. The image displays the first of the X-rays. However, upon initial opening of the dialog, the projections of all X-ray images are unkown. To the right of the image area, please note the buttons Mirror, Flip, Rotate -90°, and Rotate +90°.

Figure 56 XR Correction dialog with unkown projections

Frontal Projection Once you click Frontal or Lateral Projection, four letters appear in the image area, describing every direction of the image. In the Frontal Projection, these directions are H (head), F (feet), L (left), and R (right). Verify your settings, before you move to the next image, using the slider to the right of the image area.

Figure 57 Frontal Projection in the XR Correction dialog


XR Correction Dialog

Lateral Projection In the second image, you must again define the frontal or lateral projection. As you click Lateral Pro-jection, four letters appear in the image area, describing every direction of the image. In the lateral projection, these letters are H (head), F (feet), A (anterior), and P (posterior).

Figure 58 Lateral Projection in the XR Correction dialog

Please note that there is no Cancel button. As changes in the viewing aspects cannot be reversed, reenter the XR Correction dialog if you need to reconsider your settings.

• Once you have assigned the appropriate viewing directions to all of your X-ray images, click OKto accept your current settings and return to the Original series dialog.



6.2 Assigning XR PairsFor the treatment planning software BrainSCAN by Brainlab, you must define the frontal and lateral views onto your X-rays. A further definition of the image orientation is not necessary, as in Brain-SCAN you must pre-localize your images.

In this step, you must exactly determine which one of the two X-ray images is your lateral, and which one is your frontal image. Click XR Pairs in the Navigator area of the Original series dialog or click the Next button to open the XR Pairs dialog. In the figure below, one X-ray has already been as-signed the frontal view. The other X-ray image is highlighted and will be assigned the lateral view.

Figure 59 XR Pairs dialog with frontal projections already assigned

After assigning the appropriate viewing options to both X-ray images, click the Next or Send to...button in order to open the Send to... dialog. For details on the Send to... dialog, please refer to section “Send to... Dialog” on page 35.

• Click Windowing to open the windowing dialog. For details on windowing, please refer to sec-tion “Windowing” on page 31.

• Click Logfile to view the logfile. For details on the logfile, please refer to section “Logfile” on page 34.

• Click Exit to open the Exit dialog box.


Assigning XR Pairs


INDEX

INDEXA

About................................................................ 18About tab ........................................................... 18Accessories ......................................................... 8Advanced BrainLAB Format...................................... 45Alias patient handling ............................................. 40Analyze Transfer .................................................. 49Archive.............................................................. 41Archive selection ............................................. 15, 16

BBrainLAB series ................................................... 29Browse function.................................................... 41

CCatalog view ....................................................... 30Comment tab....................................................... 34Configuration name ............................................... 40Configuring the DICOM connection ............................. 40

DData forms.......................................................... 11Data path ........................................................... 40Data transfer ....................................................... 15Delete function ..................................................... 18Deleting an archive................................................ 18Details .............................................................. 25DICOM CD-ROM .................................................. 40DICOM harddisk ................................................... 40DICOM MOD....................................................... 40DICOM QR ......................................................... 42DICOM QR data search .......................................... 43Dicom Service ..................................................... 40DICOM transfers................................................... 42Display configuration .............................................. 17Display tab ......................................................... 17Displaying information ............................................ 12

EExit function ........................................................ 19

FFirst step in transferring data..................................... 15Frontal projection .................................................. 55Full screen function ............................................... 25Functions for patient selection ................................... 21Functions section ............................................. 12, 13

IImage configurations.............................................. 44Image details....................................................... 25Image information ................................................. 25Image interpolation ................................................ 44Image orientation .................................................. 32Image rotation ..................................................... 33Image separation .................................................. 28Interrupt............................................................. 14INTRODUCTION .................................................. 11Introduction......................................................... 11

LLateral projection .................................................. 56Logfile............................................................... 34

MMOD drive.......................................................... 47

NNavigator ...................................................... 12, 13New archive ........................................................ 16

OOrientation of the images......................................... 32Original series ..................................................... 24Original series functions .......................................... 27

PPatient folder....................................................... 36Patient selection ................................................... 20Planning station.......................................... 11, 15, 40Procedural overview .............................................. 11

QQuick search ....................................................... 40

RRe-organizing the display ........................................ 12Rotating images ................................................... 33


INDEX

SScan depth ......................................................... 40SCSI DAT drive.................................................... 47Set orientation ..................................................... 50Settings ............................................................. 17Sort settings........................................................ 28Sorting .............................................................. 28Source selection ................................................... 15Standard BrainLAB format ....................................... 44

TTransfer procedure ................................................ 15Treatment data..................................................... 12TWAIN device...................................................... 48

UUser interface ...................................................... 12

VVerify orientation................................................... 50

WWindowing.......................................................... 31

XXR correction ...................................................... 54XR pairs ....................................................... 53, 57X-ray images ....................................................... 53

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