M32002EN

ZView
DR Console Software
User Manual
(for HUMAN)
Manual Version : 2.10.1

Revision : 001
Digital Radiography Console Software ZView
Table of Contents
1. Introduction...................................................................................................................................... 4
2. Purpose .............................................................................................................................................. 4
3. System requirements ................................................................................................................... 5
3-1. Workstation .................................................................................................................... 5
3-2. Monitor ........................................................................................................................... 5
4. Installation & Delete software ................................................................................................. 6

5. Software configuration ................................................................................................................ 7
5-1. Worklist ........................................................................................................................... 7
5-2. Browser............................................................................................................................ 8
5-3. Review ............................................................................................................................. 9
5-4. Config ............................................................................................................................ 10
6. Operation ZView ..........................................................................................................................11
6-1. Login .............................................................................................................................. 11
6-2. Worklist ......................................................................................................................... 12

6-2-1. Main Menu ................................................................................................................................................... 12
6-2-2. Search option .............................................................................................................................................. 13
6-2-3. Refresh ............................................................................................................................................................ 13
6-2-4. List ..................................................................................................................................................................... 13
6-2-5. Inner Storage ............................................................................................................................................... 14

6-2-6. Manual Input ............................................................................................................................................... 14
6-3. Browser.......................................................................................................................... 16
6-3-2. Study List ....................................................................................................................................................... 21
6-3-3. Thumbnail...................................................................................................................................................... 21
6-3-4. Command Button ...................................................................................................................................... 23
6-4. Review ........................................................................................................................... 26

[Review Mode] ................................................................................................................................................................. 26
[Exposure Mode] ............................................................................................................................................................ 27
6-4-1. Stand & Table ............................................................................................................................................. 27

6-4-2. Generator ....................................................................................................................................................... 27
2
6-4-3. Process ............................................................................................................................................................ 28

6-4-4. Study ................................................................................................................................................................ 31
6-4-5. Re exposure .................................................................................................................................................. 31
6-4-6. R, L, MARK, TEXT ........................................................................................................................................ 33

6-4-7. TOOLS ICON ................................................................................................................................................ 35
6-4-8. TOOLS ICON in Review mode ............................................................................................................. 45
6-4-9. TOOLS Menu................................................................................................................................................ 46
6-4-10. Pop-up Menu .............................................................................................................................................. 55
6-5. Configuration ............................................................................................................... 57

6-5-1. Default Setting ............................................................................................................................................ 57
6-5-2. Storage Setting ........................................................................................................................................... 58
6-5-3. Annotation Management ....................................................................................................................... 59
6-5-4. Worklist Item Management .................................................................................................................. 60
6-5-5. DICOM MWL(Modality Worklist Server Setting ) ....................................................................... 61

6-5-6. DICOM Storage .......................................................................................................................................... 62
6-5-7. DICOM Print ................................................................................................................................................. 63
Appendix I : Simple Workflow Appendix I : Simple Workflow.........................................65

Appendix 2 : Exposure Index ..........................................................................................................66
3
1. Introduction
Zview is the name of the digital radiography of PIXXGEN Co. Ltd.
Zview is the DR control software that acquires image from the DR detector
like flat panel, processes rapidly for clinical application, and provides
DICOM services for the integration with PACS system. This manual explains
how to install and operate Zview software.
(manufacture : PIXXGEN Co., LTD.)
2. Purpose
ZView is the operation console system software integrated with PIXXGEN
detectors or X-ray generator, based on FS-MLW (Faster Specialized Multi
Layered Wavelet) technology.
ZView is the product developed for the operator, designed at the clinical
hospital through many years of clinical tests, and finished by service
engineers.
ZView is distributed and being used at the clinical fields after verifying
software on distributed worldwide.Integrating the X-ray’s generator
operation panel, the total DR system inside the software makes it possible
to control APR, AEC, Ready/Exposure with ease.
ZView is integrated with various X-ray generators, supports APR function,
which enables to work as existing operation panel with just one console
software.
4
3. System requirements
3-1. Workstation
 Processor: Intel Pentium Intel Duo Core/Core 2 Duo or compatible AMD
Dual Core Processor or later
 RAM : 2GB RAM
 HDD: At least 40GB hard disk (if possible, over 7,200 RPM). For data
backup and reliability, we recommend two separate HDDs physically-
1st HDD: System and Software, 2 HDD: Image Data Storage, not
separating the partition logically with just one HDD.
 Network Card : 10/100/1000Mbps Ethernet Network Card
 Video graphic adapter: at least over 1280 X 900 pixels, color resolution-
True Color mode(no shard memory), DVI interface connector
 Operating System : Windows XP prof.(at least SP3), Windows 7 Home
Premium/Professional. (at least SP 1)
 Need I/O : 1 Parallel port(synchronize Detector & X-ray Generator &
Software), 1 Serial port(in case Control of X-ray generator), 1 USB
port(Software Lock-Key)
3-2. Monitor
 Over 19 inch (23 inch recommended)
 Brightness : over 300cd/m2
 Contrast Ratio : over DC 8000:1
 Response time : over 5 ms
 1600X1200 or 1920X1280 recommended (at least over 1280 X 900) 4:3
, 16:9. 16: 10 ratio supported.
 High fidelity of grayscale and optimized luminance distribution
If you want to use high-resolution monitor, we recommend medical LCD
monitor (B/W or color). There is no problem because the present software
was made based on gray color when you want to use black and white
monitor.
For image quality control, we recommend the below among medical
monitors. It is because it needs to adjust the image at the same brightness
for diagnosis after taking X-ray. Most of monitors are made according to
each country’s medical standard so that there is no problem to use them.
5
4. Installation & Delete software
Note
“If you want to install on your new PC or reinstall after removing the old version, you
should call and contact service engineer.”
6
5. Software configuration
5-1. Worklist
Through DICOM Worklist, you can input the patient information, integrated
with hospital information system (HIS) or input the patient information
manually.
7
5-2. Browser
It shows the list of stored images after acquisition. You can open the images
to edit, to send to the PACS server, and to print out.
8
5-3. Review
You can take images according to the information selected from the Worklist
and edit after retrieving images stored in the browser. There are the
generator tab for controlling the generator and the process tab for editing
images.
9
5-4. Config
You can do configuration for functions and information for ZView
10
6. Operation ZView
6-1.Login
The program starts.
From the desktop, double-click “ZView” icon to execute the program. Put
the operator name (or ID) and password from the login screen and click “OK”
to start the program.
Check the connection status with detector and generator after login and Put
the color value connected with each part of the screen.
Note
-There is the difference according to the user level like company, or company name or
supervisor.
-You can ordinary user account or ordinary manager account at the hospital. The
“supervisor” account is for A/S engineers.
-The screen may look still temporarily due to the connection to the equipments after
login.
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6-2.Worklist
You can retrieve the study from the Worklist and display on the screen. You
can also input manually. You can move to the study mode by double-clicking
the patient information of the list or clicking the study button.
6-2-1. Main Menu
① EXAM: Move the studies selected from the list to the EXAM mode.
② DELETE: Delete the selected study lists.
③ ER: This is for emergency study.
④ CODE : Setting RIS code and View position.
Note
- In the case of “ER”, you need to set ER001 special code in the code manager in advance
to move to the study mode after creating ID, password and so on automatically. Here
you input the study body part, study conditions and so on for the study settings.
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6-2-2. Search option

You can set the item to display in the list. With the patient information (ID,
Name, Access No.), you can display the specific patient or the patient
satisfying special conditions with the items like Schedule, Modality and
State.
6-2-3. Refresh
You can renew the list when DICOM worklist supported.
6-2-4. List
It displays the list corresponding to the conditions set in the Option.
Double-click the right button of the mouse from the worklist to show pop-
up menu.
① Reserve (X) : Change the selected list to Reserve mode due special reasons.
② STATUS : Search study lists satisfying selected study conditions.
A. All : Display all study lists.
B. Ready : Display the list not examined yet.
C. Reserve : Search the list of Reserve mode.
D. Examined : Display the examined list.
③ Search Option: Show or hide search options of the worklist.
④ Code Manager: For the RIS code of selected studies, it displays the code
manager on the screen to select the view position. Please refer to “8.
TOOLS 의 code manager” for its usage.
⑤ Export to excel : Release the searched list to excel.
⑥ Phantom: Change examination for phantom mode.
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6-2-5. Inner Storage

List : Upload selected study from below list to the worklist of detector. Upload
worklists selected on the Zview to detector
Capt. : Change the image acquisition mode for selected study, and starts to
download images from internal storage of detector. Download stored images
from detector to Zview
Refer to attached document “Appendix – Inner Storage with Web-Viewer”
6-2-6. Manual Input

You can create new patient information by putting them.
① Manual Input
A. You input ID, Name, ACC. No. and so on. You need to input at least ID and
name. When you enter after inputting Patient ID, other information is entered
automatically before entering patient information(ID, Name, Age, etc) at least
one time.
B. You can select the type of the anatomy as below.
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C. If the favorite study lists are inputted in advance in the special code, you can
automatically check study lists in the study list by selecting the code next to
the special code. If you want to add the study list here, click the special code
to check the study list and then push the ADD button to add.
D. If you want to change or create the special code on the worklist screen, right-
click from the Study list to execute the Code manager.
E. You can create Date of Birth and the age in the DICOM file by putting them.
F. If you do not change 1900.01.01 as default, there is no value at the patient’s
birth date field (0010.0030) of the DICOM file.
G. If you put the patient age, it inputs the age only in the DICOM file.
H. You can specify the age by year, month, and date unit.
Note
Be careful not to input the Date of Birth and the Pat Age separately. It may cause that the date of
birth and age become different in the DICOM file.
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② Study List
A. ADD : Add the inputted study information to the study list.

B. DELETE : Delete the wrong list.
C. UP/DOWN : You can order when changing the sequence of the selected study
lists.
③ OK : Add the inputted study information to the Study list.

④ CANCEL : Reset the inputted study information.
⑤ EXAM: Change to the Study mode for inspecting as inputted study information.
6-3. Browser
The browser mode works as database viewer in order to review saved image
data. In this mode, you can query in various ways, x-ray again, and change
the sequence of the image. You can also send to PACS or backup and restore.
It is very useful management tool.
Note
If you execute the browser mode, you cannot see the image on the image display list
at the early stage. That is because it is not selected from the list of Patient/study/series.
Therefore, you need to select to display from the list of Patient/study/series.
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6-3-1. Main Menu
① OPEN : Open all images of the selected patient.

② EXPOSURE : Change to study mode for reexamination of the selected studies.
③ MERGE : Merge different studies. For example, the case happens that the
different patient image is in the selected patient image folder or one patient’s
image is to merge after ER.
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A. First select the patient to merge.

B. Click the MERGE button (from the main menu).
C. It shows the above pop-up after that.
D. Select the patient to merge according to the option or the patient list.
E. Select the study list of the selected patient and then click the merge button.
F. It merges all Study list.
④ ANALYSIS : This function is displayed about the entire analysis of radiography
history as checking it at the s/w installation.
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As above, analysis window is displayed.

This content includes the entire information of the applicable year by month.
Press the “Total” after Selecting the applicable year

and the data of the applicable year is displayed.
And press the “Search” to display the data after setting date.
Follows the below to print out the analysis data.
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A. Press “Print Setup”
B. Press the red box and go to pre-view window
C. Press the printer icon to print out in pre-view window
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6-3-2. Study List

This shows the study list of the patient selected from the patient list. Patient
ID, study ID, accession number, study date & time, study description and so
on are displayed. If you choose one of them, the series and images appear.
Double clicking the item, you can check images included in the study
selected on the review screen.
The EDIT and DEL allow only company and supervisor user.
① EDIT
You can change the patient information as below. Check the account to
know who modified it.
② DEL
You can delete the selected patient information. In this case, also check the
account.
6-3-3. Thumbnail
This shows the thumbnail images of the selected study. Left-click to show
the pre-view image.
① Invert Sel.
A. Invert the selection of the image from the image list. Cancel the
selected image and choose the unselected image.
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B. With Inver Sel. Checked, if you select the patient list, study list
and series list, the basic image is displayed without yellow box.
C. If it does not work normally after opening images, check whether
or not the yellow box is on the image.
② The EDIT button is for changing the study information. Check the
account to know who modified it.
③ The ACCEPT activate the rejected image and accept the rejected
image in the software.
④ Image Sequence change: You can change the sequence of the image
by drag & drop.
Click after checking the message.
Note
This function works only at the same series so that you need to change the sequence
at the selected series after choosing one. You can also do on the thumbnail screen
when not expanding.
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6-3-4. Command Button
Send You can send images selected (with yellow box) from the image list to PACS
server selected on the right side. (Refer to PACS of configuration for setting
PACS server)
Print You can print out the selected image (with yellow box) form the image list.
File You can save the selected images in file.

Export
CD You can back up the selected images in CD/DVD with image viewer
Backu (so called CDPublisher)
p
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Backu You can back up the selected images in the folder.

p
Back up has two options to save or export the data from the console PC.
one is saved in selected drive without viewing S/W. Another is saved with
viewing S/W like “CD Write backup”. How to back up in CD-ROM.
a. Insert the empty CD to CDROM Drive
b. Select the backup path to CDROM Drive
c. Press “Backup start”
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d. Press “yes” as below
Restor It restores backup images.

e
The Restore function can work as DICOM import. You use this function when
you register DICOM files from other sources to the DR-console software.
25
6-4. Review
Under the REVIEW mode, you can use the EXPOSURE screen for examining in the
worklist and also REVIEW mode for checking and editing images in the browser.
[From WORKLIST/BROWSER to EXPOSER]
[REVIEW mode]
Note
The difference is whether or not it acquires additional images. In the case that study
mode is taken in the Review mode, it is to expose the acquired images again.
[Review Mode]
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[Exposure Mode]
6-4-1. Stand & Table

Select the equipments for studying under study mode.
6-4-2. Generator
You can manipulate by pushing the Generator button when the generator
integrated. You can change dosage and also AEC environment when AEC
supported.
Note
“The condition values displayed on the screen are shown in the support type of the
generator so that it does not display all condition values. “
27
6-4-3. Process
You can process displayed images by opening the Par file, applying the
parameter, and changing the details. For setting the parameter file, refer to
the 6-4-2.
Image Processing Parameter setting

You can save parameter files for image processing.
P/S/M/L buttons make it possible to select the
parameter file chosen in advance according to the
patient condition. If it is not set yet, it is displayed
as blank.
Note
You need to set for image processing. If the file is not in the
pre-set route, all execution buttons for the below
processing will get disabled.
Edge Enhancement adjustment

This is for highlighting the edge of the image
(separately with other parameters). As shown in the
below images, it is used to watch the detailed part
of the bone tissue.
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edge enhancement = 2 edge enhancement = 7
Contrast Enhancement adjustment

This is for highlighting the contrast of the image. It
is related to latitude. If highlighted too much, it
looks hard. As shown in the below images, C-spine’s
part is highlighted compared to the surrounding
tissue.
Contrast enhancement = 2 Contrast enhancement = 7
Latitude adjustment
As the value gets higher, the lower part of the image
is highlighted and the image gets thicker. It shows
more realistic image for the two-dimensional image.
Please refer to the below.
29
Top of image
Cross section of
image
Bottom of image
Latitude = 2 Latitude = 7
It executes image processing.
The modified Edge enhance, Contrast factor and

Image latitude of the parameters for image
processing are saved.
The saved parameters will process the same study

part.
You can go back to raw image that is
is not processed. In other words,
when displaying image data acquired from
the detector, the part shown by the shutter
is displayed as raw data if the shutter exists
in the review mode.
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6-4-4. Study
“A” Button this function moves to the next study automatically.

Also it is possible to select the view position by user in auto mode.
As following the window, use to add or modify the view sequence.
6-4-5. Re exposure
If a saved image is under X-ray exposure or mismatch position, you can do

re exposure x-ray using this button.
After clicked this button, the console software do wait until X-ray exposure.
If your system is integrated X-ray generator, the console viewer is changed
to exposure mode. Otherwise, the console viewer is not changed.
After acquisition of new image, you must select “accept” or not for new
image.
31
Note
“If you do accept new image, You must choose carefully because the system delete
old image.”
32
6-4-6. R, L, MARK, TEXT

You can input the annotations on the screen.
In the case of AP/PA/LAT, just click the LABEL to input on the screen. If you
want to make a new mark, push + button.
Checking Insert mark and pushing OK button just adds to the MARK list. But,
if you do the above process with Insert mark unchecked, it adds to the list
and also shows the mark in the image part.
“SELECT” button shows the mark of the list on the screen.
The following two photos are for adding Text and the process is the same
as MARK.
33
34
6-4-7. TOOLS ICON

Under the Review mode, you can edit images with Tools icon when the image is
displayed on the screen.
Layout 1 X 1 Displays the big image without any split.
The operator can select how to split. Basically 1X2, 2X1,

2X2 are included. If you select “Custom”, you can input
Layout Custom the layout as you want.
Input the row and column to add and push “Add”
button.
35
Changing the Window width/level initializes to the

WL Reset
original value of acquired image.
Initializes the image (cancelling ROI rectangle and

Image Reset
processing).
If you put your mouse pointer on the image and left

Panning click, you can move the image as the mouse pointer
moves.
If you put your mouse pointer on the image and left

Zoom In/Out click, you can zoom out by moving to the upper side
and zoom in by moving to the lower side.
36
It can magnify/make smaller any screen area. If you

move the mouse to the left upper side, pushing the
Shift key, the screen will get smaller. Moving to the
Magnify Glass
right upper side makes it larger.
If you move to the upper side, pushing the control key,
the image magnification ratio will get smaller. Moving
to the lower side makes it larger.
Fit Image It fits the image to the screen size.
It selects the area to store in the form of circle or in

ROI Ellipse
the oval form. The outside of the area looks black.
It selects the area to store in the rectangle. The outside

ROI Rectangle
of the area gets removed.
It prints the image selected with DICOM printer.(Only

Print DICOM printer)
Clicking the icon shows the below preview.
37
A. The frame will change with aspect ration according to the size of the film.
B. ‘You can check the present page/total page status.
C. When you cannot print in one screen, you can check the previous page
or next page.
D. If you change film orientation, film size, layout, and so on, the screen is
updated accordingly.
Save It saves the present image.
Save & Send It saves and sends the present images.
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In image acquisition mode, it displays the Worklist

screen after saving or sending the present images and
then finishing the study.
Here 4 modes are supported.

① Save an image: It saves the present image.
Close Study ② Save and send an image :
It saves and sends the present image.
③ Save an image and send all images :
It saves the present images and sends all images
displayed in the thumbnail
④ Only send images : It sends all images displayed in
the thumbnail without storage.
In examination mode, it cancels to use images (not save

images) and gets ready for another.
In the Review mode, it displays the review screen.
Cancel
Reject function does not use the image without
deletion and the image is displayed with “Reject”
message.
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Mirror It changes right and left.
Flip It changes up and down.
Rotate CCW It rotates the image 90° counter clockwise.
Rotate CW It rotates the image 90° clockwise.
Rotate Free It rotates by user default.
It can create new merged image that do stitch 2- 4

images by method of manual or semi auto.
Whole Spine
Sometimes this function is called name “Stitching”.
40
1. The first step, select images to stitch in review mode.

.
2. The method of using Merge button(semi auto)

(ex. Using “X” marker on the images by merge button)
A. Select ZOOM ratio.
41
Click Viewing position B

D
Select zoom ratio
Click 1st point
Click 2nd point G
B. Select position.
C. Check a Set 1st point.
D. Click the left button of mouse on the stitching pointer in the upper
image.
E. Check a Set 2nd point.
F. Click the left button of mouse on the stitching pointer in the below
image.
G. Push the Merge button. After push the button, it is created new
stitched image.
H. Push the Save or Cancel.
I. After push the save button, you wait until display the processed
image. The processing time is different by PC performance.
J. This function is only support in the case of stitching of Two images.
If the counter of your select images is over 3 images, this merge
function is disable.
42
The image after push the Merge button.
After push the save button
3. The method of manual stitching

A. Select moving image. As selecting image, the selected image
number is active.
43
B. Move the image with clicking left mouse button.

C. If you cannot move at the exact point, you should move at the
near point by mouse. And you can move at the exact point by
using bellow option
D. Push the Save or Cancel.
4. Options button.
A. Left, Right, Up, Down : Move unit of 10 pixel selected image.

B. Other
i. Fine Tuning : Move unit of 1 pixel as push the Left, Right, U
p, Down.
ii. Fix Horizontally :
iii. Fix Vertical :
iv. Fix Image : Fixed image for check the stitched image after
moving image.
Note
“When stitching images, there are two methods to merge the image.
One is the raw images to use, another is the processed images to use .
44
6-4-8. TOOLS ICON in Review mode
Measurement Angle
Measurement Length
Invert(Pixel gray value)
New SET
Code Manger
DICOM Storage Sending Status
DICOM Printing Status
Default mode mouse
45
6-4-9. TOOLS Menu

Under the Review mode, you can use below functions by clicking the TOOLS
button.
Image Open You can watch DICOM files from outside, not DICOM files stored in
ZView.
You can use basic functions like watching images and window
width/level.
Tool  Histogram
The histogram means the line profile here. If you draw a straight line
on the image, you can see the distance and various values related to
the line as below.
46
 Measure Angle
You can measure the angle on the image.
 Measure Line
You can measure the line on the image.
 Invert
You can invert (negative) the pixel’s value for each image. You go
back to the original status by pushing again.
 Length Calibration
- This is for setting pixel spacing value of the detector at one’s
discretion.
47
- After x-raying, measure the pixel spacing value to compare with the
real value and then input the real number. This is the calibration for the
real distance when the real distance is different from that of the image
taken.
1. Select Menu-Tool-Length calibration.
2. Check the distance on the image or the real distance and draw the
line as long as the distance.
3. The screen as below will appear if you finish measuring the distance.
4. Measure displays the measured distance on the image.

5. Put the real distance in “Real”(Unit: mm).
6. Pixel Spacing value computed in Stand (selected Bucky) is displayed.
7. Reset disregards computed pixel spacing value and calls pixel spacing
value (original value when installed) saved in Aceview.ini file to display.
8. Save saves the present pixel spacing value and closes the screen.
9. “Cancel” cancels the present work and closes the screen.
Note
It is very useful to do this measurement when installing first. Generally, the

engineers do length calibration in installing.
Send Status It displays DICOM file transfer QUE being transmitted to Network
through DICOM storage service. The list will be deleted after
transmitting images is over.
If the program is closed with transmission not finished, the warning
sign appears to inform that QUE images remain and asks how to
process.
48
Print Status It displays DICOM file transfer QUE being transmitted to Network
through DICOM print service. The list will be deleted after transmitting
images is over. Other functions are similar to Send status.
Check Exposure It displays exposure count until now after initial installation.
Count
Configuration, Study Part & View Position will be explained later.
NES SET..
1) Examined Part
➢ Exam Type
According to the equipment type
(STAND/TABLE/UNIVERSAL), the body part embedded in the
equipment will be displayed
49
➢ Up
It moves the location of the body part selected from the list
to the upper side.
➢ Down
It moves the location of the body part selected from the list
to the lower side
➢ Body Part Name

It displays the name of the body part selected from the list
or it can input the new body part to add.
➢ ADD
It adds new body part items to the list through input window
➢ Delete
It deletes the item of the body part selected from the list.
➢ Edit
It changes the name of the body part selected from the list.
2) View Position
➢ View Position
It displays all view positions corresponding to the body part
selected from Study type list
➢ Up
It moves the location of the view position selected from the
list to the upper side.
➢ Down
It moves the location of the view position selected from the
list to the lower side.
➢ Marker
50
You can select whether you display laterality on the image or

not, and the contents/position/font size of the items to display.
➢ Label
You can select whether you display View Position on the image
or not, and the contents/position/font size of the items to
display.
➢ Annotation
You can select whether you display Patient Direction on the
image or not, and the contents/position/font size of the items
to display.
➢ Flip Horz
You can select whether you automatically apply Mirror
function (The right part and left part of the image are inverted)
or not.
➢ Flip Vert
You can select whether you automatically apply Flip function
(The upper part and lower part of the image are inverted) or
not.
➢ SID
You can select the x-raying distance (The distance between the
tube and the detector).
➢ Cross
This is for processing the cross line when using Trixell’s
detector.
➢ Rotate
In the case that the detector top’s position does not match
according to the Bucky’s configuration, you can rotate after
image acquisition. You can also rotate partially on examined
51
part & View position screen. You can choose 0, 90, 180, and
270. The default value is 0.
➢ View Position Name

It displays the name of View position selected from the list.
➢ Description
It displays the description of View position selected.
➢ Patient Orientation
You can select Patient Orientation in DICOM format.
➢ View Code Sequence

You can select View position in DICOM format.
➢ None RIS Code

You can input original hospital code to integrate with Worklist.
➢ WW
You can select the window width value to apply in displaying
images.
➢ WL
You can select the window level value to apply in displaying
images.
➢ Add
You can add newly created view position items to the list.
➢ Delete
You can delete view position items selected from the list.
➢ Edit
You can modify the contents of view position items selected
from the list.
52
3) Image Parameter
➢ Patient Size
You can select the patient size.
➢ Shutter
You can select the size of the part to save from images.
➢ X-Ray Parameters
You can set the condition for x-raying from the Generator.
1. kVp
2. mA
3. mAs
4. Focal Spot : Large / Small
5. Mode : mA/ms, mAs, AEC
➢ Enhance Parameters
You can set values for image processing.
- Par : Selects Parameter files for image processing.
Code Manager It matches View position items with RIS code.
① Code : It shows all inputted RIS codes.

A. Add : Registers inputted codes.
B. Edit : Edits selected codes.
C. Del. : Deletes selected codes.
53
② Item : It shows all view positions matching with RIS codes.

selected.
A. Up : Gets the sequence of the selected item upper.
B. Down : Gets the sequence of the selected item lower.
C. Add : Adds items selected from View position to Item.
D. Delete : Deletes items selected from Item.
③ Del. All Code : It deletes all RIS codes.
④ Load : It inputs RIS codes through Excel file.
A. The file created in Microsoft Office Excel 2003 is readable.
B. Tab name should be “Code” and RIS code should be
inputted in the second column.
⑤ OK : It closes Code Manager.
Change It changes the operator.

Operator
Refresh image It gets new standard image (Offset Image).
Refresh offset It saves the present standard image (Offset Image) with different name.
About It displays the program version and software serial number.
54
6-4-10. Pop-up Menu

Under the Review mode or Exposure mode, if you right click on the image, the
pop-up menu appears as follows.
Shutter size
You can apply each shutter size.
application
Custom
If you want to add the shutter size, use the above Edit tool.
The unit is inch here.
Delete Image You can delete the present image.
55
Processing This is the shortcut that you can do image processing with originally
set parameters again without going to the process tab when images
look different from saved ones due to the initialization or other
reasons in processing images.
56
6-5.Configuration
This is for setting the whole system.
You can set various networking services, system, and data format.
6-5-1. Default Setting

It sets the user list, hospital name, and date.
Operator List You can create the operator list.

 Add: Adds new operators. Input the name of the new operator
at the bottom of the window and then click “Add”.
 Modify: Changes the selected operator information.
 Delete: Deletes the selected operator.
 Delete All : Deletes all registered operators.
Information You can input the hospital name.
Date Format You can select the date format.
Modality You can select equipments to connect.

- Stand : Stand only type
- Table : Table only type
- Full : Stand + Table type
57
6-5-2. Storage Setting

You can select image storage route and backup route, and set the automatic
deletion function.
Image Save Path You can select the route to save images. Here storage route means
the path for saving processed images as well as raw images
acquired from the detector.
DICOM Save - You can select the type of the modality when saving images in
Option DICOM format.
- You can select the bit number of the image.
Image Auto Delete You can select whether you use the automatic image deletion function
or not and conditions.
Delete by Space: Deletes if the space is less than the set percentage.
Delete by Date: Deletes older images than the selected date from x-ray
day.
Note
If the disk is full, you cannot x-ray and save images. Therefore, we
recommend the partial setting. Once set, it deletes automatically so that
you need to manage backup schedule in advance.
58
Database It provides functions for managing database.

- Compress : compress database.
- Backup : Backup database.
- Restore : Restore database.
6-5-3. Annotation Management

You can select the information to display on the image.
 Patient Information : Patient ID, name, sex, date of birth

 Acquisition date & time : Study date, operator name
 Hospital Information : Hospital name
 X-Ray Parameters : X-Ray exposure conditions (kV, mAs, Time)
 Anatomical Information : Laterality & View Position.
 Series Information : Series No, Image No, Acquisition No.
Full Displays all information on the image.
None Does not display any information on the image.
Custom Displays information that the operator selects at discretion.
59
6-5-4. Worklist Item Management

You can select the item to display in the worklist.
Select the item to add from the Worklist All Item and push “>” button. For
changing the sequence, use the up and down buttons.
60
6-5-5. DICOM MWL(Modality Worklist Server Setting )
You can set the server’s environment and client’s environment for using
DICOM Modality Worklist service.
Server You can set the server’s environment, providing DICOM Modality
Worklist service.
 AE Title
 IP
 Port
Test You can check the server works normally.
61
6-5-6. DICOM Storage

This is to set the server’s environments for DICOM transmission.
List ① Name : Displays the server name. The same name as Server
AE will be displayed.
② Server AE : Displays the server’s AE title.
③ Server IP : Displays the server IP.
④ Server Port : Displays the server port.
⑤ Client AE : Displays client’s AE title.
⑥ Client Port : Displays client port.
Insert It adds new PACS server (DICOM Storage SCP).
62
Delete It deletes the setting of the server selected.
Modify It changes the setting of the server selected.
Select You can select the setting of the server to access to among various
server settings. If you want to select with the mouse, the check box
will change into “checked” after the message “connected” appears
from the bottom.
6-5-7. DICOM Print

You can set the server’s environment for DICOM Print.
List  Name : Displays the laser printer name. The same name as
Server AE will be displayed.
 Laser Imager AE : Displays the laser printer’s AE title.
 Laser Imager IP : Displays the laser printer IP.
 Laser Imager Port : Display the laser printer port.
 Host AE : Displays host’s AE title
63
 Print Model : Displays the print model.
Insert You can add new printer’s setting.
Delete You can delete the setting of the printer selected.
Modify You can change the setting of the printer selected.
Select You can select the setting of the printer to access to among
various server settings.
Print Setting You can set the film and printer.
 Medium Type : Selects the type of film.

 Film Orientation : Selects the direction of film.
 Film Size : Selects the size of film.
 Smoothing : Selects the process type of printer.
 Boarder Density : Selects the boarder density of film.
 Min Density : Selects the minimum density area of film.
 Max Density : Selects the maximum density area of film.
Overlay You can choose the information to be displayed with images on

information film.
64
Appendix I : Simple Workflow Appendix I : Simple

Workflow
65
Appendix 2 : Exposure Index

This indicates Overlay Text, DI(Deviation Index) and EI(Exposure Index) for
acquired images as below picture.
Overlay Text
1. Run Setup.exe from Zview installed folder(C:\ZView).

2. Insert 45 as Sensitivity value. (Differ from actual sensitivity of the Detector
depends on the detector, X-Ray, Environment and etc.)
3. Insert as below on Aceview.ini file

1) Insert average value of the background around the hand after acquiring
hand image.
66
[Cor]
Thresh=3000
4. Insert default value of TargetEI. (Reference value when TargetEI of ViewPosition
does not exist)
[SYSTEM]
TargetEI=0
5. Insert TargetEI per each ViewPosition at New Set window as below.
Note
Each patient and anatomical examination should be defined by using target exposer value (Target EI) for the
detector in use.
Determination of the Target EI value is important to ensure the correct use of the device and optimize the
radiation dose per examination for proper treatment and it is necessary for evaluation of image quality.
Exposure Index
EI(Exposure Index) is used to describe the relative speed and sensitivity of a digital
receptor for exposed X-Ray.
Ideally, this is used to provide optimal image for particular examination in the terms of
to take proper quality image for operator and low dose for the patients.
Acquisition method based on IEC 61267 and its results shows as below graph.
67
EI is calculated based on the result graph according to IEC6249-1.
Deviation Index
DI provides a feedback to operator such as 0 when appropriate expose performs to
receptor, negative when underexposure and positive when overexposure.
+1 of DI value represents 25% more overexposure than target exposure of the detector,
and -1 value represents 20% less underexposure than target. The range of DI values that
are allowed for routine clinical procedure requires further investigation.
The rage might be more narrower in the examination that uses Automatic Exposure
Control and Manual Parameter Settings. DI value of +3 and -3 represents two times
more and less than each target exposure.
DI = 10 × Log10 ( EI / Target EI)
Overlay Text
Overlay Text is displayed according to the below formula or setting when setting is
completely done.
Exposure Index Evaluation unit based on DI value is as below.
Overlay Text Range
over 3.0 < DI≤10.0
normal -3.0≤DI≤3
under -10.0≤DI < -3
The range of the unit above can be adjusted as below.

[SYSTEM]
MaxDI=3.0
MinDI=-3.0
68

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ZView

Manual Version : 2.10.1

3-1. Workstation .................................................................................................................... 5

3-2. Monitor ........................................................................................................................... 5

4. Installation & Delete software ................................................................................................. 6

5-1. Worklist ........................................................................................................................... 7

5-3. Review ............................................................................................................................. 9

5-4. Config ............................................................................................................................ 10

6. Operation ZView ..........................................................................................................................11

6-1. Login .............................................................................................................................. 11

6-2. Worklist ......................................................................................................................... 12

6-2-5. Inner Storage ............................................................................................................................................... 14

6-4. Review ........................................................................................................................... 26

6-4-1. Stand & Table ............................................................................................................................................. 27

6-4-3. Process ............................................................................................................................................................ 28

6-4-5. Re exposure .................................................................................................................................................. 31

6-4-6. R, L, MARK, TEXT ........................................................................................................................................ 33

6-5. Configuration ............................................................................................................... 57

6-5-4. Worklist Item Management .................................................................................................................. 60

6-5-5. DICOM MWL(Modality Worklist Server Setting ) ....................................................................... 61

Appendix I : Simple Workflow Appendix I : Simple Workflow.........................................65

4. Installation & Delete software

The program starts.

6-2-1. Main Menu

6-2-2. Search option

6-2-5. Inner Storage

6-2-6. Manual Input

A. ADD : Add the inputted study information to the study list.

③ OK : Add the inputted study information to the Study list.

6-3-1. Main Menu

① OPEN : Open all images of the selected patient.

A. First select the patient to merge.

As above, analysis window is displayed.

Press the “Total” after Selecting the applicable year

Follows the below to print out the analysis data.

A. Press “Print Setup”

B. Press the red box and go to pre-view window

C. Press the printer icon to print out in pre-view window

6-3-2. Study List

6-3-4. Command Button

File You can save the selected images in file.

Backu You can back up the selected images in the folder.

d. Press “yes” as below

Restor It restores backup images.

[From WORKLIST/BROWSER to EXPOSER]

6-4-1. Stand & Table

Image Processing Parameter setting

Edge Enhancement adjustment

edge enhancement = 2 edge enhancement = 7

Contrast Enhancement adjustment

Contrast enhancement = 2 Contrast enhancement = 7

Please refer to the below.

It executes image processing.

The modified Edge enhance, Contrast factor and

The saved parameters will process the same study

“A” Button this function moves to the next study automatically.

If a saved image is under X-ray exposure or mismatch position, you can do

6-4-6. R, L, MARK, TEXT

6-4-7. TOOLS ICON

Layout 1 X 1 Displays the big image without any split.