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PATXFERDATA TRANSFERVersion 4.22

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

Clinical User Guide Rev. 1.1 PatXfer Data Transfer Ver. 4.22 3

TABLE OF CONTENTS

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

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

Visual cues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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

Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Compatibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Brainlab accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Non-Brainlab medical devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Other software providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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

PATXFER DATA TRANSFER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Basic instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Starting PatXfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Using PatXfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Platform selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Change platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Transfer Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Patient Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Image Set Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Orientation Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Localizer Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Store Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

X-ray transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Analyze transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

General information on functional MRI transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

4 Clinical User Guide Rev. 1.1 PatXfer Data Transfer Ver. 4.22

TABLE OF CONTENTS

SCAN SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Image guided surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

CT cranial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MRI cranial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

CT spinal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Image guided surgery ENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

CT cranial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Stereotaxy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

MRI cranial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

CT cranial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Radiotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

CT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Analyze Image Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Application Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

JPEG Compression Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

SCSI errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

System Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

User Command Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51


BRAINLAB PATXFER

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

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. Brainlab is not liable for damages caused by misuse of the system due to incomplete or wrong statements in this guide.

Feedback Despite careful review, this manual may contain errors.

Please contact us at [email protected] if you have suggestions as to how we can improve this manual.

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

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

CE-Label The CE mark shows that the Brainlab products comply with the essential requirements of the Medical 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 acquaint yourself 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

2.1.1 Important

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

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


Indications for use

2.2 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.


PREFACE

2.3 Compatibilities

2.3.1 Brainlab accessories

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

Only accessories and components released by Brainlab may be used with PatXfer. Us-ing 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.

2.3.2 Non-Brainlab medical devices

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

Brainlab Platforms

VectorVision Planning Station

VectorVision compact Navigation Station

BrainScan

iPlan!

Modality

Scanner Manufacturer

Data Type

CT Various DICOM 3.0

CT Various ACR-NEMA 2.0

CT Elscint Elite 2400, Twin, Helicat

CTGeneral Elec-tric

HiSa (High Speed Advantage High Light, Light Speed, CTi) Prospeed, Sytec 3x

CT Philips Tomoscan

CT Picker IQ/PQ 8mm Tape

CT Siemens Somatom Plus 4/HiQ, ART, Somaris

CT Toshibe IS&C

MR Various DICOM 3.0

MRGeneral Elec-tric

Signa, Vectra

MR Philips Gyroscan

MR Siemens Magnetom


Compatibilities

Only by Brainlab released combinations with non-Brainlab medical devices 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.

2.3.3 Other software providers

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

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 Vidar Film Scanner

XR Microtek Film Scanner

XR Various TIFF


INTRODUCTION

3 INTRODUCTIONBrainlab offers a custom-made data transfer solution for almost every CT, MRI, X-Ray, SPECT and PET scanner. The PatXfer user guide helps you to understand the general procedure for converting patient data to Brainlab format.

Due to the wide variety of scanner types and data transfer media currently available, it is not possible to discuss every single data transfer type in detail. If you have any specific questions or problems relating to a particular scanner which is not presented in this manual, please contact Brainlab sup-port for assistance.


PATXFER DATA TRANSFER

4 PATXFER DATA TRANSFER4.1 Basic instructions

4.1.1 How to use this manual

For optimum use of PatXfer, follow the directions in this manual while actually using the patient data transfer software. The manual describes each software function clearly.

Scan instructions Patient data is necessary before beginning PatXfer. To avoid initial problems, carefully read the scanning instructions in the Appendix.

Error messages For the user´s convenience, a list of explanations of possible error messages can be found in the Appendix. They are alphabetically sorted.


4.1.2 Starting PatXfer• Start the PatXfer software by double clicking on the start icon.

Figure 1PatXfer start icon

The initial screen The initial screen shows a title bar with the program name and software version number. In the mid-dle of the screen the Platform Selection dialog is displayed, which is the first page of the wizard-driven user interface. Every page contains one information line displaying environment specific mes-sages. Depending on your platform, the background screen may be omitted and only the Platform Selection dialog appears.

Figure 2Initial screen

Shutting down the System

• To shut down the system, first exit PatXfer by pressing the Exit button.

• Then click on the shut-down function of the Windows or Windows NT computer, which is located in the start menu.

This allows the computer to save all changes to the working files and to properly close all applica-tions and services. The system will then prompt the user to turn off the computer.

To prevent possible data loss, never use the power switch on the computer to quit the System. Exit PatXfer first, and then click on the Windows/Windows NT shut-down function.



4.2 Using PatXfer

4.2.1 General

Wizard A wizard-driven user interface guides the user through the transfer process. During the image trans-fer, a reporting system provides up to date information about the status of the transfer. After PatXferhas loaded the images the user can select the images to be converted into the Brainlab file format. PatXfer guides the user through this process by gathering logical corresponding images in one ‘set’. Finally, PatXfer converts and saves the images in the default patient directory using the Brainlab file format.

Flow chart Shown below are all the steps of the PatXfer wizard. The steps within the solid boxes are mandatory. The steps in the dotted boxes are optional, depending on the selected platform.

Figure 3Flow chart of the PatXfer wizard

<Back, Next> All wizard pages can be easily leafed through:

• Clicking Next> proceeds to the next wizard page.

• Clicking <Back returns to the previous page.

Help • The online help can be accessed on all wizard pages. Please use the question mark button ?, to start the help.

• The online help is not available for Alpha computers.

Exit All wizard pages include an Exit button.

• Use the Exit button or the Esc key to quit the program at any time during the process. You are prompted to confirm the selection before the application will close.


Using PatXfer

4.2.2 Platform selection

Figure 4Platform Selection

Image format On the initial page the platform can be changed according to the corresponding software. PatXferallows saving patient data in different formats as Standard Brainlab format and new, more advanced image formats according to additional Brainlab software.

Never select a platform if the appropriate planning software is not available, as the pa-tient data may then not be compatible with the available software, even if the transfer is successful.



4.2.3 Change platform• Click the Change button to open the available platform list. Please select one of the platforms,

depending the Brainlab module you use for the images.

Figure 5Change Platform

About PatXfer Clicking the About button opens an information box displaying the version of PatXfer (including the build-number in brackets), the support library, and all available transfer modules. Furthermore, the Dongle license with the date and name of the online help manual file will be shown. If there be prob-lems with the image transfer, please forward the software version information to Brainlab support.

Figure 6About PatXfer


Using PatXfer

4.2.4 Transfer Selection

Figure 7Transfer Selection

Modality • Select the scanner modality by clicking on one of the buttons:

- MR

- CT

- X-Ray

- Other (this includes PET, SPECT or special scanner data transfer)

Data Format If different scanners of the same modality are available (e.g. two CT scanners from different manu-facturers), select the appropriate scanner in the Data Format box. Click the small arrow on the right side to list all the additional scanner and media types.

Medium type Once the appropriate scanner has been selected, the transfer media can be loaded. The transfer media can be a tape, an optical disk or a floppy disk, depending on the data transfer.

Network transfer When using a network connection to transfer patient data to the Brainlab computer, a Brainlab Ser-vice Engineer provides specific instructions on-site. Prior to sending images from a CT/MR scanner make sure that the Brainlab computer has been turned on and has been connected to the network. An additionally installed program automatically stores the images in a local folder, which can be transferred later to the Brainlab format via PatXfer.

Default The most recently selected modality and scanner type is the default setting when PatXfer is restart-ed.



4.2.5 Patient Selection

Figure 8Patient Selection

Available Patients The Available Patients list shows all patients whose images sets are saved on the medium.

• To select a patient, click the patient’s name with the left mouse button. The selected patient is then highlighted.

Patient Attributes Once a patient has been selected, information about the patient (patient ID and number of image sets) is provided in the Patient Attributes area.


Using PatXfer

4.2.6 Image Set Selection

Figure 9Image Set Selection

Transfer During the transfer, the set to which the current image is added is highlighted. The corresponding image is shown in the Set Preview area.

The display can be switched between the following:

• Preview displays the images which have already been transferred.

• Info provides information about the parameters for the highlighted image set (number of slices, scan date, image type, series number, study number, pixel number, pixel size and matrix size). During the transfer the number of slices is incremented every time a new image has been loaded.

• Comment displays the original comment from the scanner. Depending on the platform, it may be possible to add an additional description in the comment field.

Selecting the image set

All available image sets for the current patient are listed in the Image Set box.

• Click on the name of the set to view the corresponding information in the Set Preview/ Info/ Comment area.

• To select the image sets to be stored on the Brainlab system, click the small box on the left side of the set name (a tick will appear in the box). Only the selected image sets will be stored.

The image set including the most images is selected by default.

Maximum number of image sets

The maximum number of image sets mainly depends on the selected platform. The Brainlab stan-dard platform allows you to save the following number of sets in a single patient folder:

• two axial CT image sets

• one MRI image set of the three possible geometries: axial, coronal and sagittal

• three X-Ray image sets

• two PET/SPECT image sets of the three possible geometries: axial, coronal and sagittal

For more information about platform specifications please check the first wizard page or contact Brainlab support.



To add new image sets to an existing patient folder, remember the platform-dependent number of allowed image sets for one patient folder. It may not be possible to add and store the sets to a specific existing folder.

Delete Img • A single image can be deleted with the Delete Img button.

• Use the slider in the Set Preview mode to select the image to be deleted.

• This button is not available during transfer for X-ray image sets and for all sets which contain only one image.

Stop • Press the Stop button to interrupt the transfer.

No further images are then be transferred. The transfer can be continued, but in this case not all images are available for the selected patient. To transfer all images, return to the previous page by clicking on the Back button and re-start the transfer.

Logfile • Press the Logfile button for more detailed information about each transferred image.

The logfile is displayed in an external viewer. It is updated during the transfer. Once an image set is saved and the transfer is finished the logfile.log file is moved into the patient folder.

• The logfile has to be closed manually.

Figure 10Logfile


Using PatXfer

4.2.7 Orientation Check

Image set display All selected image sets are displayed one after another and all available slices can be displayed us-ing the scrollbar.

• Please verify the orientation labels before confirming it with the Next button.

Figure 11Orientation Check

Make sure to type the correct patient orientation in the scanner protocol. If a patient has already been scanned and the scanner operator used the wrong orientation, please call the Brainlab hotline to solve the problem.



4.2.8 Localizer Selection

Image set display As in the previously explained dialog boxes, all selected image sets are displayed one after another and all available slices can be viewed using the scrollbar.

Localizer for Set... If the patient was scanned using a localizer, select the localizer used from the list provided in the localizer combo box.

This box lists the three most recently used localizers in the top list. The list below holds all available localizers. The localizers are saved in the initialization file every time the system proceeds to the next page.

Figure 12Localizer Selection

Always ensure that the correct localizer type has been selected. Otherwise the patient images are not able to be localized using additional Brainlab software and treatment planning is impossible.

Never choose a localizer, if the patient was scanned without a localizer.

In case of adding a new image set with a localizer to the existing patient folder, you must not have other localizeable image sets in this plan, which do not fit to the latest physical position of the head frame related to the patient skull. Otherwise different ste-reotactic coordinate origins are found corresponding to the patient anatomy, if all lo-calizeable image sets are localized and fused. This would lead to safety critical risks for the patient due to dangerous confusion about stereotactic planning and possible misinterpretation of planned stereotactic procedures.


Using PatXfer

4.2.9 Store Options

Figure 13Store Options

Create a new patient folder

• Activate the radio button Create New Patient Folder to store image sets in a new patient folder.

• If necessary edit the patient name in the line Patient Name.

Add image set to existing patient folder

• Activate the radio button Add image set to existent patient folder to store the image sets in an already existing folder.

• Select the corresponding patient in the list Patient Name.

This is typically done when an additional set of MRI images of the same patient is transferred to an existing CT image set of the same patient.

To ensure that the correct patient has been selected, check the Patient ID. The list at the bottom provides set information of the selected patient (type of set (modality), set index, orientation and number of images, scan date).

Whenever new images are added to an existing patient folder and the patient’s name or ID numbers are not identical, a confirmation is required.

Normally patient name or ID should not change for different scanning modalities or examinations.

Due to platform restrictions, it may not be possible to add the selected sets to an ex-isting patient, as the number of supported image sets per patient folder is limited. In this case, a new patient should be created or the respective number of sets should be deselected.

Always use at least one folder for each patient. Incorrect usage could lead to patient injury, due to incorrect image referencing.



4.2.10 SummaryThe final page Summary resumes the settings made in the various wizard pages. Verify the settings via this information.

Figure 14Summary

Finish • Click Finish to store the different sets.

To create a squared image matrix, the system performs interpolation if necessary and then saves the data. A progress bar mirrors the current position of the process.

Next Depending on the selected platform, PatXfer is closed and a new Brainlab application started. In this case the Finish button is labeled as Next.

After all images have been successfully transferred a box appears stating the end of the transfer process.

Restart If a platform is not available, PatXfer is restarted and by default the Patient Selection wizard page is displayed. This avoids time-consuming re-scanning of the patient directory and the user can easily proceed with the next patient. Of course the user can go back and choose another platform or trans-fer module.

If another restart wizard page is desired, ask the Brainlab support to configure the settings accord-ingly.


Using PatXfer

4.2.11 X-ray transfer

DICOM The DICOM X-ray transfer is the same as the standard CT and MRI transfer up to the Set Selectiondialog box. Due to the fact that no image orientation information (lateral or frontal) is available in the header, the orientation has to be manually defined.

Valid X-ray set To make the selection as easy as possible, one image after another is displayed until a full set has been created. A complete valid X-ray image set for a Brainlab system contains one lateral and one frontal image.

Figure 15Projection Selection

The line in the upper left corner shows the current set number, the number of the currently displayed image and the number of all available images in this set.

Lateral, Frontal projection

• Select Lateral or Frontal and confirm with Next.

The selected projection is disabled in the next screen, to avoid transferring the same projection twice.

Skip Image • Check Skip Image to skip inadequate images, this is the default setting.

When a projection has been assigned to the last image and not enough images have been selected to create a valid set, you are prompted to verify the selections. It is necessary to go back to the pre-vious pages and re-set the projection. Remember that exactly two images are needed for a valid X-ray set.

After selecting the second projection the set is complete, and the system proceeds to the next wizard page, which is usually the Localizer Selection.



Fim scanner

X-ray Patient Information

• To reference the scanned images, enter the patient name and ID on the Input Patient Datapage, then proceed to the next wizard page.

Figure 16X-Ray Patient Information


Using PatXfer

Portrait, Landscape There are two window formats for displaying the scanned images from the scanner. Depending on the user´s preference or the inserted film, the format can be changed by pressing the corresponding button. For example, the format below is landscape. Thus, press the Portrait button.

Figure 17Landscape Scan (Frontal Projection)

Image order Please note the order of the projections. The first step is to set the lateral projection. This is indicated in the middle of the dialog box and also mentioned in the title bar.

Never scan a lateral projection if indicated that the a frontal image should be posi-tioned and vice versa, as localization and the use of the image set during treatment planning are not possible then.



Scan • After setting up the right film on the scanner unit, press the Scan button. A pre-scan of the entire scanner area is performed.

Figure 18Landscape Scan (Frontal Projection) dialog box showing the prescan

Brightness • If necessary use the Brightness scroll bar to adjust the brightness of the scanned image. The film must be re-scanned to see the changes.

Frame If the brightness is satisfactory, adjust the yellow frame to fit the area of the final image.

• To change the size of the frame, position the mouse cursor over one of the four handles. Then move the mouse while holding down the left mouse button. The rectangle directly changes the size according to this movement.

• To position the frame over the final scan area, position the mouse inside the borders of the square (not over the handles). Press the left mouse button and properly reposition the frame.

Final scan • To scan the adjusted area, press Next.

The scanner now performs the final scan. Please wait until the scanner stops and the next wizard page is displayed to scan the second image or to select a localizer.


Using PatXfer

4.2.12 Analyze transferThe Analyze transfer is mostly used to interface functional MRI data and is similar to other transfers regarding the configuration, patient selection, transfer and storage. The Brainlab Support Engineer 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 hard-disk. Usually the location is C:/Brainlab/Analyze but in case of doubt please contact the Brainlab Support Engineer. The data source may also be located on CD-ROM, floppy disk or on the network.

An Analyze patient image series contains two data files:

• The patientName.hdr file, which contains the image header with parameters related to the image volume

• The patientName.img file, which is 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 can't 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 make sure 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. Make sure to choose the correct patient.

The Analyze transfer is the same as the standard CT and MRI transfer except for the Orientation Check dialog box.

Due to the fact that no image orientation information (head - feet/anterior - posterior) is available in the header, the orientation has to be manually defined. This is also stated in the dialog box, which is displayed when you click Next in the Image Set Selection dialog box.

Figure 19No orientation information included in the Analyze data

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 the user has to verify, correct and accept the im-age parameters.

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



Orientation Check The selected image set is displayed one after another and all available slices can be displayed using the scrollbar.

Figure 20Orientation Check dialog box for Analyze data

This dialog box allows you to verify and adjust the image labeling.

The image preview in PatXfer displays the slices as required by the radiologist (RPF). The patients left side has always to be on the left side of the screen!

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

• Use Reset to restore the initial image set orientation.

Please use the slider and verify all slices to see if the sorting order is correct.

The correct patient orientation has to be selected. Please use other image modalities and films from the selected patient to verify the correct image orientation of the image data. Only in case you are sure that the image labeling left/right, anterior/posterior and head/feet is correct you may confirm the correctness and proceed with the data trans-fer.

• Please verify the orientation labels before confirming it with the Next button.

All relevant information is written to a transfer specific logfile.

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

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


Using PatXfer

4.2.13 General information on functional MRI transferTo use functional MRI (fMRI) data you need to have at least two image series and to apply a partic-ular procedure:

• First a high-resolution T1 MRI (anatomical data) series has to be transferred using the standard MRI data transfer (DICOM or any other installed MRI transfer).

• The output of the fMRI image processing (SPM, AFNI or fMRI tools from scanner manufactur-ers) is transferred adequately and has to be stored to the same patient folder as the anatomical data.

fMRI series have to contain the functional structures as gray value overlay to one of the EPI series. It is required to have enough anatomical information (field of view, number of slices) to match the fMRI data later with the high resolution T1 MRI series.

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

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


SCAN SETTINGS

5 SCAN SETTINGS5.1 Image guided surgery

5.1.1 CT cranial

Supported CT cranial scan settings

Not supported CT cranial scan settings

The slice increment and the slice thickness in the vertical scan range containing the blue CT marker spheres should not exceed 3 mm. It is even recommended to use 1.5 or 2 mm, if a scanner with a reasonable speed and throughput is available. Please note that the accuracy of the navigation system can never exceed the accuracy of the CT scan mode.

Item Supported parameters

Scanning mode Sequential, spiral or helical scans

Pixel size Squared pixel size

Matrix size Squared and non-squared matrix size

Slice thickness Image sets with overlapping or non-overlapping slices

Slice distance 1 - 3 mm

Patient orienta-tion

Supine

If prone position is requested contact Brainlab support.

Gantry tilt All available positive and negative gantry angles

Item Comment

Changing gantry tilt during scan

Changing Swivel during scan Only applicable for Elscint CT scanner

Changing image size during scan

This includes matrix size, field of view and zoom factor (pixel size).


Using PatXfer

5.1.2 MRI cranial

Supported MRI cranial scan settings

Not supported MRI cranial scan settings

The slice increment and the slice thickness in the vertical scan range containing the green MRI marker spheres should not exceed 3 mm. It is even recommended to use 1.5 or 2 mm, if a scanner with a reasonable speed and throughput is available. Please note that the accuracy of the navigation system can never exceed the accuracy of the MRI scan mode.


Scanning mode Sequential or volume scan

Scan sequence T1 or T2 weighted images



Slice thickness 1 - 3 mm

Slice distance Image sets with overlapping or non-overlapping slices


Supine.


Angulation Positive and negative angles < 10 degree

Item Comment


This includes matrix size, field of view and zoom factor (pixel size).


SCAN SETTINGS

5.1.3 CT spinal

Supported CT spinal scan settings

Not supported CT spinal scan settings

Please note that the accuracy of the navigation system can never exceed the accuracy of the used CT scan.


Scanning mode Sequential, reconstructed spiral or helical scans



Slice distance and thickness

Sequential scans: 1 - 2 mm,

Contiguous or overlapping slices. No gap.

Helical Scans: 1 - 2 mm, pitch (slice thickness: slice distance) = 1:1. Recon-structed images are allowed.

Slice distance can be changed during the scan.


Supine

Scanning orien-tation

Head first or feet first. Specify settings on the scanner.

Windowing Scan with kernel (soft tissue windowing).


Field of viewThe vertebra should be in the center of the field of view.

Include the whole spinous process of the vertebra in the scan.

Include as little of the hips and ribs as possible in the field of view.

Do not include the table in the field of view. Do not include too much tissue, only bone structure should be visible.

Scan range • Include region of interest and known landmark to count the level.

• Please add the scan range to the patient’s name (e.g. … L3-L4).

• Scan at least the entire vertebra, as well as the two adjacent vertebrae, in order to have as much surface area as possible.

Item Comment

Changing Gantry tilt during scan Not supported



This includes matrix size, field of view and zoom factor (pixel size)


Image guided surgery ENT

5.2 Image guided surgery ENT

5.2.1 CT cranial

Supported CT ENT scan settings

Not supported CT ENT scan settings

Please note that the accuracy of the navigation system can never exceed the accuracy of the CT scan.

While scanning with the Headset Localizer make sure that all 6 blue marker spheres of the Localizer are visible within the selected field of view and scan range!






Slice distance 1 - 3 mm. Reconstruction to 1 mm preferred.


Supine


Image typeAxial

If coronal images are requested contact Brainlab support.


Item Comment






SCAN SETTINGS

5.3 Stereotaxy

5.3.1 MRI cranial

Supported MRI cranial scan settings

:

Not supported MRI cranial scan settings

The slice increment and the slice thickness in the vertical scan range containing the Rods of the MRI-compatible Localizer (if available) should not exceed 3 mm. It is even recommended to use 1.5 or 2 mm, if a scanner with reasonable speed and throughput is available. Please note that the accuracy of the navigation system can never exceed the accuracy of the MRI scan mode.

The orientation of the MRI-compatible Localizer should be aligned to the patient´s an-atomical orientation. Especially Localizers having a radial symmetrical design must be imaged in a definite orientation.


Scanning mode Sequential or volume scan

Scan sequence T1 or T2 weighted images






Supine.


Angulation Positive and negative angles < 10 degree

Item Comment




Stereotaxy

5.3.2 CT cranial

Supported CT cranial scan settings

Not supported CT cranial scan settings

The slice increment and the slice thickness in the vertical scan range containing the Rods of the CT compatible Localizer should not exceed 3mm. It is even recommended to use 1.5 or 2 mm, if a scanner with a reasonable speed and throughput is available. Please note that the accuracy of the navigation system can never exceed the accuracy of the stereotaxy system which can never exceed the accuracy of the CT scan mode.

The orientation of the CT compatible Localizer should be aligned to the patient´s ana-tomical orientation. Especially Localizers having a radial symmetrical design must be imaged in a definite orientation.


Scanning mode Sequential, spiral or helical scans



Slice thickness Image sets with overlapped or non overlapped slices



Supine



Item Comment


Changing Swivel during scan only applicable for Elscint CT Scanner




SCAN SETTINGS

5.4 Radiotherapy

5.4.1 CT

Supported CT scan settings

Not supported CT scan settings






Slice distance 1 - 3 mm.


Supine only


Item Comment


Changing Swivel during scan Only applicable for Elscint CT Scanner


This includes: matrix size, field of view and zoom factor (pix-el size)


Analyze Image Parameters

5.5 Analyze Image ParametersHow store Analyze data for the Brainlab Planning System*

NOTE: * Based on PatXfer 4.22 or higher. If you need additional information please contact your local Brainlab Support Engineer.


FoV (Field of View) Scan Range

Include region of interest

Modality MRI only

Slice thicknessSame slice distance for all slices. Sequential scans 1-5mm, contiguous slices

Scan PropertiesAxial only NO coronal or sagittal reconstructed slices

Angulation NO angulation is allowed

Patient orientationStrict supine position Orientation “Head first”

Scan directionCranial to caudal Caudal to cranial

Image/pixel size Must remain the same during the scan.

Image compression Save images as 8 or 16 bit

Matrix sizeAny, recommend squared, e.g.: 256 x 256 512 x 512


SCAN SETTINGS

5.6 Error MessagesIf questions regarding the errors mentioned below or if an error which cannot be resolved occurs, please contact Brainlab support.

NOTE: A ’%’ followed by a number is a placeholder for an additional customized string.


Error Messages

5.6.1 Application MessagesBelow the message codes and corresponding comments are defined in alphabetical order

Can't find manual file!

Please install the manual from the installation CD or contact Brainlab support!

Can’t load support DLL!

The support.dll file can’t be found in the expected directory. It should be together with the PatXfer executable. Please verify the location and move this file the proper directory.

Can't load transfer DLL: %1

A transfer DLL was found, but could not be loaded. Please check the permission level of the spec-ified directory.

The transfer libraries were moved during the execution. Please undo the operation.

Can't process: incomplete image set!

An image set operation can’t proceed due to unavailable information.

Can't retrieve DLL information: %1

Tried to read information from the DLL, but there was no response.

Can't run follow-up application: %1

An attempt to start an external application was performed, but the application did not respond. It may not be found in the specified directory.

Can't run Notepad to show the logfile: %1

The external viewer Notepad should have been spawned, but an internal error prevented the exe-cution. Check permission level and the installation of Notepad in the Windows system directory.

Can't start the application to read the manual file!

The reader program for the manual file can not be found. Please contact Brainlab support!

Can't update list box: %1

An attempt to change a list control or box was performed, but an internal error prevented the com-mand execution.

Error in system palette while creating color table!

Change the color depth of the desktop and restart application.

Error while creating GDI objects!

A Graphic device interface was tried to create, but an internal error prevented from proceeding.

File I/O error! Can't open file: %1

Check permission and restart transfer.

File I/O error! Can't read file: %1

Check permission, media (could be corrupt), and restart transfer.

File I/O error! Can't write file!

Check write permission, disk space and try again.


SCAN SETTINGS

Invalid target platform is selected.

A platform name was given in the configuration file which was not found in the Platform.inifile. Please contact Brainlab support!

Invalid wizard page requested by transfer module!

A transfer module requested a not existing wizard page. This indicates a version conflict between the main program PatXfer and the transfer DLL. Please check transfer version or contact Brainlab support!

No more images available.

One frontal and one lateral projection has to be selected. Please verify your selections!

No valid exported variable in %1 found! This is no valid Brainlab transfer DLL.

A DLL was loaded, but did not respond to a secret key. This could be a foreign DLL, which is in the same directory as the transfer modules (in this case, delete the foreign DLL), or the Transfer path is wrong.

No valid sets! Either no images were found, incomplete images were read or the images did not match the se-lected platform. Please check the transfer logfile or refer to the scanning instructions!

No valid transfer DLL available.

The dongle may not enable the desired transfer modules. Please contact Brainlab support to check the dongle settings.

The specified transfer DLL directory %1 is empty, does not exist or there is no permission granted to access the transfer libraries!

The directory containing the transfer libraries has to be named TransferDLL and has to be located in the same directory as the PatXfer main program. Please contact Brainlab support!

Too many logfiles in patient folder! Can't create new logfile!

Please delete old logfiles.

Unable to create directory!

Wrong patient database directory, no permission or disk space. Please contact Brainlab support!

Unable to create font!

Internal error, the Brainlab font could not be created. The standard window font should be used in-stead.

Unable to create logfile!

Wrong patient database directory, no permission or disk space. Please contact Brainlab support!

Unable to create window!

A window creation failed. It may be that too many windows are open or not sufficient memory is available. Please close a few applications.


Error Messages

Unable to do image processing! Image flipping failed.

An image process failed. Try the transfer again.

Unable to interpolate image!

An image process failed. Try the transfer, i.e. to store, the patient again.

Unable to read directory: %1 Skipping directory!

A query on a transfer directory with patient data was attempted. Either the access is denied or the import directory is wrong.

Unable to save *.SPC file!

Check for sufficient disk space in the patient directory and try again.

Unable to save Case#001.cas file!


Unable to save image file!


Unable to save info.pid file!


Unable to scan directory for free set IDs!

Each image set in a patient folder contains a unique ID number. An error occurred while calculat-ing the next ID number.

Unable to start Application! %1 Application will be closed!

A major error occurred, which is preventing the application from starting. Reboot the system and try again.

Unable to store object data!


Unsupported combination of modality and orientation!

The set recognition string, which is created from the modality and the image type, could not be performed (for example CT, MA, MS, XR). The set specification is currently not supported or does not exist.

Wrong support DLL version!

A version conflict occurred between the ‘Support’ library and the main program.

Wrong transfer DLL version: %1

A version conflict occurred between the ‘transfer’ library and the main program.

An unknown localizer type is selected!

The Localizer.ini file may not be correctly configured. Please contact Brainlab support.


SCAN SETTINGS

5.6.2 JPEG Compression ErrorsThe error messages in this section are only a note as to where the error occurred in the decompres-sion routine. If one of these messages appears, contact Brainlab support or the scanner manufac-turer, as this indicates a format error in the compression code.

- Bad DRI header!

- Bad Huffman table!

- Error in SOF header!

- Error in SOS header!

- JPEG compression error! JPEG image data is corrupt!

- No Matrix specified (redefinition of line numbers (DNL) not supported)!

- Precision must be between 2 and 16 bits!

- Sampling factor must be 1!

- This is not a lossless JPEG image!

- Too many components for interleaved scan!

- Undefined predictor level!

- Unexpected end of image (EOI Marker)!

- Unexpected Marker encountered!

- Use of undefined Huffman table!


Error Messages

5.6.3 SCSI errorsMost of the SCSI errors result from improperly installed hardware or wrong media handling. Please refer to the hardware documentation if problem arise, or call Brainlab support if the problem cannot be solved.

Below is a definition of the error codes and corresponding comments in alphabetical order:

Bad SCSI port! The transfer queries the wrong SCSI interface. The installation of the device might not be correct, i.e. it might not be recognizable by the operating system or the initialization file may need to be configured.

Bad status! The SCSI device returned a bad status. Please check if the device is being used by another appli-cation.

Blank check! The medium being used seems to be blank or is the wrong device for that medium.

Can't access medium! Medium or SCSI error! Can’t read from medium!

The transfer did not receive any data from the device. Check the medium or device. Reboot the system, once the device has been turned on.

Illegal drive letter for MOD drive!

Every standard MOD drive is recognized by the operating system as a casual hard-disk drive. The OS assigns a drive letter for each found drive, so the drive letter can be verified in the ‘Explorer’. This drive letter may be incorrectly setup in our initialization file.

Illegal request! An illegal device operation was requested.

Illegal SCSI id for 12\” optical disk drive!

The SCSI ID is incorrectly setup in the initialization file.

Illegal SCSI id for film scanner!


Illegal SCSI id for tape drive!


Medium error! The transfer library could not read the medium. It may be corrupt or is for another device. If a sec-ond drive is available, try that.

SCSI Device not accessible! Could not create file!

Check hardware connections or the inserted medium!

SCSI driver not initialized!


SCSI error! Command aborted!

An error occurred while device communication.

SCSI error: Illegal block length!

The device did not respond with the correct data block length.


SCAN SETTINGS

SCSI hardware error!


SCSI reservation conflict!

During initialization of the SCSI device, in this case typically a film scanner, we reserve the device exclusively for our application. It seems that another application is using the device. Please close any other applications.

SCSI target device is busy!

The device may be in use by another process.

This will also occur if, for example, a tape is changed and the transfer is started before the tape could be mounted by the device. Please wait a while and try again.

SCSI target device is not ready!

The device may be in use by another process.

This also happens if you change, for example, a tape and you start the transfer before the tape could be mounted by he device. Please wait a while and try again.

Unexpected end of medium!

The transfer library tried to access a data block after the end of medium was reached.

Unexpected file mark encountered!

The transfer library tried to access a data block after the end of the file marker was reached. (Imagine a medium, which is partitioned in many parts.)

Unit attention! The SCSI device returned a unit attention code. Try again.

Unknown tape storage format!

The expected format did not match the read data.

Unspecified SCSI problem!

The SCSI device returned an undocumented error.

Unsupported media type!

Use only media of size 512 or 1024 bytes/sector!


Error Messages

5.6.4 System MessagesBelow are the system message codes and comments in alphabetical order:

Disk is not IBM 3.0 formatted!

The expected file system of the medium is not the one specified. Check the storage mode of the scanner.

Illegal image storage mode!

An unknown storage mode is being used. Please contact Brainlab support.

Illegal patient orientation!

The patient orientation is not supported by the chosen platform. Ask the scanner operator to change the orientation to true axial, coronal or sagittal images - depending on the scanner, or if newer planning software is owned which supports oblique images, change the platform.

Insufficient memory!

Close a few applications or restart the program.

Medium contains images with illegal image modality!

An unsupported image modality was encountered. Check with the scanner operator or ask our support engineers.

No usable images found! Please check import directory settings!

The specified import directory does not contain any images. Move the images to be transferred to the import directory or change the path setting in the initialization file.

Please use only uncompressed images!

The encountered compression code is unknown. Advise the scanner operator to store the images without compression.

The selected folder does already contain the maximum number of image sets!

An attempt to add new image sets to an existing patient folder, but it exceeded the maximum num-ber of supported image sets for the specified platform. Change the platform, if own a platform sup-porting more image sets is owned, cancel some selected sets or store as a new patient.

Unknown media format!

The medium was not recognized as a valid format. Check the medium or try the other side.

Unknown file format of image file!

The file format of the image is different from the manufacturer’s documentation. Try storing the data in a different format.


SCAN SETTINGS

5.6.5 User Command MessagesBelow are user command messages codes and comments in alphabetical order:

Illegal path for %1 directory: %2

The settings in the initialization file are wrong. Correct the path and restart application.

Illegal path for patient database: %1

The settings in the initialization file are wrong. Correct the path and restart application.

Unsupported Color depth! Use 8, 16, 24 or 32 bit!

Please change the settings in the Display set-up!


Error Messages


INDEX

INDEXSymbols

? (Online Help)..................................................... 15

AAbout................................................................ 17About box........................................................... 17Add sets to existing patient folder ............................... 21Application Messages............................................. 42Available image sets .............................................. 20Available patients.................................................. 19

BBack button......................................................... 15Box Image Set ..................................................... 20Button

Change Platform................................................. 17Logfile ............................................................. 21

CChange button ..................................................... 17Change Platform................................................... 16Change platform ................................................... 17

DData Format box................................................... 18Default .............................................................. 18Default setting...................................................... 18Delete Image....................................................... 21DICOM

Frontal Image .................................................... 26Lateral Image .................................................... 26Skip Image ....................................................... 26

DICOM X-ray transfer ............................................. 26Dongle license ..................................................... 17

EError Messages

JPEG Compression Errors ..................................... 45System Messages ............................................... 48User Command Messages ..................................... 49

Error messagesSCSI errors....................................................... 46

Exit button ..................................................... 14, 15Exit PatXfer......................................................... 14

FFilm Scanner

Brightness ........................................................ 29Image order ...................................................... 28Landscape........................................................ 28Portrait ............................................................ 28Scan............................................................... 29Yellow frame ..................................................... 29

IImage format ....................................................... 16Image Set box ..................................................... 20Image Set Display ................................................. 23Image Set Selection............................................... 20Images for a valid x-ray set ...................................... 26Initial Page ......................................................... 16initial screen........................................................ 14Interrupt the transfer .............................................. 21

JJPEG Compression Errors ....................................... 45

LLocalizer ............................................................ 23Localizer Selection ........................................... 23, 26Logfile............................................................... 21Logfile button ...................................................... 21

MManual file.......................................................... 17Maximum number of Image Sets ................................ 20Medium Type ...................................................... 18Modality............................................................. 18

NNetwork transfer ................................................... 18Next button .................................................... 15, 25

OOnline Help......................................................... 15Orientation Page .................................................. 22


INDEX

PPatient attributes................................................... 19Patient orientation ................................................. 22Patient selection ................................................... 19Platform selection ................................................. 16Possible patients .................................................. 19Pre-scan window .................................................. 29

QQuit program ....................................................... 15Quit the system .................................................... 14

RRestart at Patient Selection ...................................... 25

SScan settings

CT cranial......................................................... 33CT spinal ......................................................... 35IGS CT for ENT .................................................. 36Stereotaxy MRI cranial.......................................... 37

Scanner modality .................................................. 18Scanner type ....................................................... 18SCSI errors......................................................... 46Select Image Set .................................................. 20Select image sets.................................................. 20Select Localizer............................................... 23, 26Select patient ...................................................... 19Select Transfer..................................................... 18Selection platform ................................................. 16Set orientation ................................................ 22, 31Shut down system ................................................. 14Start icon ........................................................... 14Starting PatXfer.................................................... 14Stop button ......................................................... 21Stop Transfer ...................................................... 20System Messages ................................................. 48

TTransfer medium .................................................. 18Transfer selection ................................................. 18Transfer via network .............................................. 18Turn off computer.................................................. 14

UUser Command Messages ....................................... 49

VVerify orientation.............................................. 22, 31

XX-Ray ............................................................... 26

DICOM............................................................ 26

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