SECTION A

Introduction

This section provides an overview of the DROC system. A description and illustration of
the system components which might be connected is included, as well as a description of
possible output devices and image acquisition workflow.

CONTENTS

SECTION A INTRODUCTION ............................................................................................................. 1

INTRODUCTION ......................................................................................................................................... 2
COMPATIBLE DEVICES .............................................................................................................................. 3
OPERATIONS PERFORMED ......................................................................................................................... 5
STANDARD FUNCTIONS ............................................................................................................................ 6
IMAGE ACQUISITION WORKFLOW ............................................................................................................ 8
ADDITIONAL WORKFLOW OPERATIONS .................................................................................................... 9

A1
Introduction

Introduction

The DROC is the user interface application of the Digital Radiography System. New patient
register/Worklist retrieving, exposure control, image processing and data transmitting are all
achieved at the DROC. The DROC also provides the control functions responsible for
synchronizing the ready states of the Detector and the X-ray equipment.

The DROC is composed of following components:

 DROC software
 E-COM dongle
 Exposure Synchronizing Device

In practice, the peripheral devices which collaborate with DROC to make an entire DR
system for actual operation MIGHT involve:

 PC with monitor, keyboard, pointing device (mouse or trackball), and network card.
 Prep/Exposure switch
 Detector
 X-ray high frequency generator
 Collimator
 Auto-positioning supporting system
 Uninterrupted Power Supply (UPS) is extremely recommended to ensure the uninterrupted
power for the PC
 Bar Code Reader; supports a Hospital Information System/Radiology Information System
(HIS/RIS) interface

The recommended PC hardware for DROC, anyway, a high performance computer is

strongly recommended to improve the system stability.

 OS: Windows XP SP3 or Windows 7

 CPU ≥ Intel P4 2.6G
 Memory ≥2048MB
 HD ≥200GB
 One monitor supporting adaptive resolution & true color (24 or 32bit)
 At least 1 series ports (optional)

A2 DROC User Manual

 Introduction

Compatible Devices

FLAT PANEL DETECTOR

 Trixell Pixium RAD 4600

 Trixell Pixium Portable 3543
 Trixell Pixium RAD 4143
 Varian PaxScan 4343R
 Varian PaxScan 4336R
 Toshiba FDX4343R
 SAMSUNG Xmaru 1417
 SAMSUNG Xmaru 1717
 Carestream DRX-1
 DRTECH FDXD 810/1417
 DRTECH FLAATZ 750
 ATLAIM ATAL8

GENARATOR

 CPI Series
 SEDECAL H.F.
 SEDECAL H.F. & PLUS
 SEDECAL MOBILE
 SHIMADZU
 SHIMADZU APR
 PROVOTEC
 HERCULES
 EMD
 DK
 K&S
 SIEMENS
 HERCULES STITCHING
 SEDECAL H.F & PLUS & STITCHING
 HITACHI
 MTCPI
 IMD
 Poskom
 MIKASA
 CONTROLX
 ALLENGERS

DROC User Manual A3

Introduction

 YIJU
 IMDMOBILE
 XH
 SIEMENSPOLYDOROS

NOTE: Though DROC has the ability to be compatible with various X-ray devices and Detectors, the
compatible models will have to be fixed according personalized requirements before leaving
factory.

A4 DROC User Manual

 Introduction

Operations Performed

There are many operations that you can perform on DROC. The standard functions are
listed in Table 1, and from where you can also find some more information about each.

NOTE: As the DROC program is always working with various x-ray devices and detectors, there
might be some differences on the GUI and operation. All the differences will be specified
when following sections going on.

DROC User Manual A5

Introduction

Standard Functions

Table 1: DROC System Standard Functions

From the DROC, you can For more information

Add a new patient to the system, and enter information about Refer to Section B
the patient and physician that will be associated with the
radiographic images.

Emergency Registration Refer to Section B

Edit existing patient information. Refer to Section B

Pick from a sequence of procedures, which defines the series of Refer to Section B
images to be taken.

Associate a unique ID number with the current visit by a patient Refer to Section B
(e.g., a visit or accession number).

Delete an item from Worklist table Refer to Section B

Adjust technical settings before capturing Refer to Section C

Capture the required X-ray image. Refer to Section B

Preview the image, accept or reject it, then attach comments or Refer to Section B
rejection reasons to the image. (Accepted images are sent to
the selected output destinations.)

Save an incomplete procedure, for which the rest of the Refer to Section B
exposures will be made at a later time.

Close a procedure when all images have been captured. Refer to Section B

Power off the system Refer to Section B

Re-exam a completed patient Refer to Section D

Resend and reprint images. Refer to Section D

A6 DROC User Manual

 Introduction

Protect patient records from being deleted by the system (as part Refer to Section D
of the system's storage space reclamation).

Delete an examined Study with all images being captured Refer to Section D

Edit user accounts Refer to Section E

Edit Emergency Settings Refer to Section E

Check statistical information Refer to Section E

Film Composer Refer to Section F

* DICOM WORKLIST Refer to Section E

* SymphonyTM Image Optimization Algorithm Refer to Section E

* Optional features

DROC User Manual A7

Introduction

Image Acquisition Workflow

There are five steps in the basic image acquisition workflow:

1. Get patient information

The start of the workflow depends on whether your site is using a bar code reader.

If your site is using patient ID or accession number bar codes, each patient’s
image acquisition session starts when you scan a patient ID or accession number bar
code.

Then:
 If your site supports a connection to a Hospital Information System, Radiology
Information System, or other remote patient database, the DROC application
queries that database for the ID.
 If your site does not support such a remote database connection, the DROC
application searches its local database for the patient ID or accession number.
Patients and related patient/visit information are kept temporarily (the time interval
to save is defined by configuration). The storage space availability limits the saving
interval as well.
 If it finds the ID, the DROC application “opens” that patient in the application’s main
window.

If your site is not using bar codes, each patient’s image acquisition starts by:
 Searching for and selecting an existing patient who has recently been X-rayed, if
the patient's record is still stored in the application's local database.
 If the patient's record is not in the local database, manually specifying the patient
and related patient/visit information.

2. Select an acquisition procedure. The procedure defines the number and types of patient
views to be captured. In the DROC application, a procedure is also referred to as a study
or serials.

3. Capture an image. Before capturing an image, you can change the technique settings for
the exposure.

4. After taking an exposure, preview the image on the DROC monitor and accept or reject it.
When you finish (or suspend) a procedure, the image accepted in the procedure are sent
to the output destinations. The image identification information, patient name/ID,
accession number, and study ID is sent with the image to the specified output devices. It
can then be printed on the film, or displayed at an image viewing workstation that supports
displaying such information, or stored with the image on an archiving system.

A8 DROC User Manual

 Introduction

Additional Workflow Operations

In addition to the basic workflow described previously, the DROC provides the following
optional workflow operations:

 You can open multiple procedures (studies or serials) for a patient.

 To help you understand the patient/procedure (study or serials)/image hierarchy, please
refer to Figure 1.

Images and patient information are temporarily stored in the system for days until expired
(you can set the span for expiration), you can search by either patient ID or accession
number to:

 Capture extra images for a completed study which still existed in the Worklist form
 Recall a completed study to reprocess the image and save as a new one
 Recall a completed study to resend images that were previously acquired

DROC User Manual A9

Introduction

Patient

Procedure Procedure Procedure

(Study or Serials) (Study or Serials) (Study or Serials)

Image Image Image

Figure 1: Hierarchy of Patient/ Procedure (Study or Serials)/ Image

NOTE: A study is equivalent to a procedure. For serials, there are two different conditions: one is that it
is correspondent to one image, and a study contains one or multiple serials; the other is that a
serial is equivalent to a study (procedure), so one serial contains one or multiple images.
These conditions can be both accommodate

A10 DROC User Manual