Us06-103 843 01 02 02 PDF
Us06-103 843 01 02 02 PDF
Us06-103 843 01 02 02 PDF
US
Configuration
System
Configuring DICOM
08647831
08647815
© Siemens AG 2004
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
Siemens Medical
Ultrasound
ejt DivisionSolutions
authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.
Copyright
Copyright © 2004 by Siemens Corporation. All rights reserved. No part of this publication
may be reproduced, transmitted, transcribed, stored in retrieval systems, or translated into
any language or computer language, in any form or by any means, electronic, mechanical,
magnetic, optical, chemical, manual, or otherwise, without the prior written permission of
Siemens Corporation. Siemens Corporation reserves the right to change its products and
services at any time. In addition, this manual is subject to change without notice. Siemens
Corporation welcomes customer input on corrections and suggestions for improvements
to this manual.Although Siemens Corporation has attempted to ensure accuracy through-
out this manual, Siemens Corporation assumes no liability for any errors or omissions, nor
for any damages resulting from the application or use of this information.
Trademarks
ACUSON, Sequoia, Cypress, AEGIS, Aspen, 128XP, XP, AcuNav, CV70, SONOLINE,
Adara, Antares, G20, G40, G50, G60S, Omnia and KinetDx are trademarks of Siemens
Corporation registered in the U.S. Patent and Trademark Office. CWS3000, DS3000,
WS3000, and WebPro are trademarks of Siemens Corporation.
Windows XP, 2000 and NT are registered trademarks of Microsoft Corporation. Internet
Explorer is a trademark of Microsoft Corporation. Netscape and Netscape Navigator are
registered trademarks of Netscape Communications Corporation. Java and the JavaScript
name are registered trademarks of Sun Microsystems, Inc. Adobe Acrobat is a registered
trademark of Adobe Systems, Inc.
Other products and brand names are trademarks of their respective owners.
Disclaimer
The service of equipment described herein is to be performed by qualified personnel who
are employed by Siemens or one of its affiliates or who are otherwise authorized by Sie-
mens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated
with or authorized by Siemens or one of its affiliates are directed to contact one of the
local offices of Siemens or one of its affiliates before attempting installation or service pro-
cedures.
License Agreement
All computer programs copyright 1990-2004 by Siemens Corporation or its suppliers. Pro-
grams are licensed under the following agreement:
Siemens or its suppliers retain(s) ownership of and title to any computer program supplied
with the equipment and to the trade secrets embodied in such computer programs. Sub-
ject to the Buyer’s acceptance and fulfillment of the obligations in this paragraph, Siemens
grants the Buyer a personal, non-transferable, perpetual, non-exclusive license to use any
computer program supplied with the Equipment that is necessary to operate the Equip-
ment solely on the medium in which such program is delivered for the purpose of operat-
ing the equipment in accordance with the instructions set forth in the operator’s manuals
supplied with the Equipment and for no other purpose whatsoever. Buyer may not
reverse-assemble, reverse-compile or otherwise reverse-engineer such computer pro-
grams nor may Buyer make a copy of such program or apply any techniques to derive the
trade secrets embodied therein. In the event of a failure by Buyer to comply with the terms
of this license, the license granted by this paragraph shall terminate. Further, because
unauthorized use of such computer programs will leave Siemens without an adequate
remedy at law, Buyer agrees that injunctive or other equitable relief will be appropriate to
restrain such use, threatened or actual. Buyer further agrees that (i) any of Siemens"s
suppliers of software is a direct and intended beneficiary of this end-user sublicense and
may enforce it directly against Buyer with respect to software supplied by such supplier,
and (ii) No supplier of Siemens shall be liable to buyer for any general, special, direct, indi-
rect, consequential, incidental or other damages arising out of the sublicense of the com-
puter programs supplied with the equipment.
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Time Required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
System Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Enabling DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Configuring the DICOM Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Setting Up the DICOM Configuration Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Configuring the Presets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Testing the DICOM Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Backup/Restore the System Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Ping Test Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Echo Test Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Server and Print Queues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Printer Configuration Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Storage Server Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
System Shutdown Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Language of Warning/Error Messages - DICOM Printer Devices . . . . . . . . . . . . . . . 31
Working Offline and Reconnecting to a Configured DICOM Device . . . . . . . . . . . . . 31
DICOM Trace Message Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
DICOM Network Capture Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Appendix A - Preparing the System for DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Naming Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Network Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
The instructions contained in this procedure describe how to load, configure, and test the
DICOM 3.0 Connectivity Option (also known as “DICOM Print / Store”), and the DICOM
Modality Worklist Option on the G20 system.
CAUTION The G20 system contains components that are sensitive to dam-
age by electrostatic discharge (ESD).
¹ Observe all ESD protective procedures and use ESD pro-
tective equipment including an ESD wrist strap when the
protective covers are removed from the system.
Time Required 0
System Preparation 0
1. Contact the network and printer administrators at the customer site and obtain the con-
nection parameters required for the ultrasound system to connect to the customer net-
work.
2. Record the connection parameters.
3. Refer to the latest qualified DICOM storage servers and printers.
Enabling DICOM 0
NOTE Load the DICOM 3.0 Key Disk before loading the DICOM Modality
Worklist Key Disk.
A feature key is provided with this kit to enable the DICOM feature. The following instruc-
tions provide steps to load the DICOM feature key:
1. Power on the system.
2. Confirm that the time display located in the upper right corner of the screen is correct.
(Adjust the time display, if necessary.)
3. Press F6 to display the Preset Main Menu - General screen.
4. Select Installation from Key Disk from the left pane of the Preset Main Menu - Op-
tions.
5. Press Set to display the installed options.
NOTE DICOM Modality Worklist will not display in the Options menu.
In the system, it is the DICOM protocols that allow ultrasound systems to transmit images
to a DICOM storage server and to DICOM printers.
The system DICOM conformance is specified in the DICOM Conformance Statement that
is available to the public at http://www.siemensmedical.com.
Click the above link, then do the following:
1. Select International from the drop-down box.
2. Select Services, then DICOM.
3. Select Ultrasound.
4. Select SONOLINE G20.
NOTE After DICOM devices are configured, they can be activated by us-
ing the Print/Store1, Print/Store2, and the Digital Store keys on the
control panel. See Configuring the Presets, for details.
Preparation
The following instructions describe how to set up the DICOM configuration screens.
1. On the Active Setup screen, use the drop-down lists to choose among the following for
editing: Host, Storage Server, Worklist Server, and Black and White Printer.
NOTE To configure a new device, click New located on the right side of
the list. A blank setup screen is displayed for data entry.
2. For each device (Host, Storage Server, Worklist Server, and Black and White Printer) to
be modified, click Edit to display the device’s configuration data for editing.
NOTE When the Host field on the Active Setup screen is modified, a dia-
log box announces the restart of the system. The restart requires
approximately three minutes to complete.
It is recommended that the configuration fields for all devices
(Host, Storage Server, Worklist Server, and Black and White Print-
er) be completed before performing the restart.
1. Using the Active Setup screen, click New located on the right side of the Host list to con-
figure a new host. The Host Setup screen displays.
NOTE For step 8: It is recommended that the DHCP not be used, because
it generally is not accepted in most medical fields.
8. If the dynamic host configuration protocol (DHCP) is used, select the DHCP check box.
If DHCP is not used, clear the DHCP check box.
1. Using the Active Setup screen, select New located on the right side of the Storage
Server list to configure a new storage server. The DICOM Storage Server Setup screen
is displayed.
NOTE The value for the Write Timeout in Seconds and Connect Timeout
in Seconds should remain set to 30; the value for Number of Times
to Retry Failed Store should remain 2; the value for Seconds Be-
tween Each Retry should remain 60; unless the customer specifies
another value.
4. Enter the Storage Server"s Alias, AE Title, IP address, and Port Number.
5. For Image Format, select Automatic.
NOTE This allows DICOM negotiation to select the appropriate image for-
mat, unless a specific image format is required by the site. If a spe-
cific image format is required, select Old Ultrasound or Secondary
Capture.
6. Click Ping to perform an internet protocol ping of the selected storage server device.
7. Click Echo to perform a DICOM network echo test similar to the ping test.
NOTE After the destination device is configured, the echo operation at-
tempts to verify that the selected storage server is capable of DI-
COM communications. Refer to Echo Test Failure in the
Troubleshooting section for more information.
8. Click OK to save the changes to the image format and the timeout data. The Active Set-
up screen is displayed.
1. Using the Active Setup screen, click New located on the right side of the Worklist Serv-
er list to configure a new worklist server. The Worklist Server Setup screen is displayed.
2. Enter the data as described in step 4 though step 8 below.
Use the Worklist Server Setup screen buttons as follows:
- OK - Saves new and/or edited data and returns the view to the Active Setup screen.
- Delete - Deletes the registration of the storage server displayed on the Worklist Serv-
er Setup screen.
- Cancel - Cancels the editing of the data, restores the original data, and returns to the
Active Setup screen
3. If the desired worklist server already exists, do the following:
- Using the Active Setup screen, select the Modality Worklist Server from the list of
Worklist Servers.
- Select Edit to display the Worklist Server and its configuration data for editing, as de-
scribed in the following steps.
6. Select Echo to perform a DICOM network echo test similar to the ping test.
NOTE After the destination device is configured, the echo operation at-
tempts to verify that the selected storage server is capable of DI-
COM communications. Refer to Echo Test Failure in the
Troubleshooting section for more information.
1. Using the Active Setup screen, select New on the right side of the Printer list (Color or
Black and White) to configure a new DICOM printer. The DICOM Printer Setup screen
is displayed.
NOTE The values for Number of Times to Retry Failed Print should re-
main set to 2 and the Seconds Between Each Retry should remain
set to 60, unless the customer specifies another value.
The value for the Write Timeout in Seconds and Connect Timeout
in Seconds should remain set to 30, unless the customer specifies
another value.
4. Enter the DICOM Printer"s Alias, AE Title, IP address, and Port Number.
NOTE The available choices include 1x1, 1x2, 2x2, 2x3, 3x2, 3x3, 3x5, 4x5,
4x6, and 5x6 (choices are listed by row/column).
7. For Copies, enter a default number for the number of copies to be produced by each
print request.
8. For Medium Type, select paper, clear film, blue film, transparency, or current as appro-
priate.
NOTE If values are not specified for Max. Density and Min. Density, use
the following default values: Min. Density: 20; Max. Density: 299.
9. For Max. Density, enter a printer-specific value for the density of black between 1 and
349. If no value is specified, use 299 as the starting default value.
10. For Min. Density, enter a printer-specific value for the density of white between 1 and
349. If no value is specified, use 20 as the starting default value.
11. For Border Density, select Black or White to define the color of the border that will be
printed around and between all images.
12. For Trim, select Yes or No to specify whether a trim box should be printed around each
image.
13. For Film Size, select the appropriate film size from the following listing, as well as ac-
cording to the specific printer the customer is using.
8in x 10in, 8.5in x 11in, 10in x 12in, 10in x 14in, 11in x 14in, 11in x 17in, 14in x 14in, 14in
x 17in, 24cm x 24cm, 24cm x 30cm, A3, or A4.
14. For Print Priority, select the appropriate value for the priority assigned to the print job:
high, medium, or low.
15. For Film Destination, select magazine, processor, or current (default value: current).
16. For Magnification, select the type of interpolation that the printer uses to magnify or de-
crease the size of an image to fit it in the allocated area on the film; the choices include
replicate, bilinear, cubic, and none (default value: cubic).
17. For Smoothing Type, enter alphanumeric characters to define the type of interpolation
to be used for cubic magnification.
18. For Empty Image, select Black or White to define the color of the border printed around
an image location that does not contain an image.
19. For Polarity, select Normal to print a black image as black; select Reverse to print a
black image as white and a white image as black (as a photographic negative).
20. For Configuration: If required, enter a printer-specific string that must be sent to the
printer as entered.
21. Click Ping to perform an internet protocol ping of the selected printer.
22. Click Echo to perform a DICOM network echo test similar to the ping test.
NOTE After the destination device is configured, the echo operation at-
tempts to verify that the selected storage server is capable of DI-
COM communications. Refer to Echo Test Failure in the
Troubleshooting section for more information.
23. Click OK to save the new or edited data and to return to the Active Setup screen.
24. On the Active Setup screen, select either Print When Page is Full or Print at End of
Exam for each printer to designate when printing is to be performed by that printer.
25. Click OK. The Save dialog box is displayed.
26. Click Yes to accept the configuration and exit from the DICOM configuration screens.
NOTE The system will reboot at this time. Please wait for the system to
restart (approximately three minutes).
27. After the message box “System is rebooting, please wait....” disappears, power off the
system, wait 15 seconds, then power on the system.
Once DICOM has been configured, the control panel Print/Store keys are assigned
according to customer preferences and the system DICOM configuration.
To assign the Print/Store keys:
1. Press F6 to display the Preset Main Menu - General screen.
2. Select Customize Keys from the left-hand side of the screen.
3. Press Set on the control panel to display the Preset Main Menu - Customize Keys
screen.
5. Click Save.
8. Press Set on the control panel to display the Preset Main Menu - Storage screen.
Perform the following steps to test the DICOM features loaded on the system. Use the
information in the section entitled Troubleshooting to resolve operational problems. See
Configuring the Presets for information on configuring the preset values.
NOTE Please keep in mind that, at some sites, customers may not have
both DICOM Storage Server(s) and DICOM Printer(s).
1. Power on the system and verify that the system initializes without displaying error mes-
sages.
2. Press F6 to display the Preset Main Menu - General screen.
3. Select the Customize Keys menu item to display the Preset Main Menu - Customize
Keys screen.
4. In the Print/Store 1 key group, select DICOM B/W Printer.
5. In the Digital Store key group, select Hard Drive.
6. Click Save to save the new values.
7. Select the Storage menu item to display the Preset Main Menu - Storage screen.
8. In the Storage Device area: select HD, then select the Autostore to DICOM check box.
9. Click Save to save the new values.
10. Select the DICOM menu item to display the Active Setup screen.
11. Select Print at End of Exam for both the Color Printer and the Black and White Printer.
12. Click OK.
13. Click Yes to save the new values.
14. Press New Patient to display the New Patient Data screen.
20. From the DIMAQ image Screen, click Close Study; then, click Yes. The patient study
should be sent to both the DICOM Storage Server and the DICOM Printer.
NOTE If either Print at End of Exam (see step 12) or Autostore to DICOM
(see step 9) are selected, close the study in order for DICOM activ-
ity to proceed.
21. Select the DICOM screen, then select the DICOM Store Queue tab to verify that the
study is in the storage queue.
22. Select the DICOM Printer Queue tab, and verify that the study is in the printer queue.
23. Wait until the DICOM Store Queue screen is cleared; then, verify that the test study has
been transferred.
24. Wait until the DICOM Print Queue screen is cleared; then, verify that the test study has
been printed.
25. From the Preset Main Menu screen, select the Storage menu item; then, clear both
the Autostore to DICOM and Autostore to Network check boxes.
31. Create a new patient file and assign a fictitious patient name and patient ID.
32. Click OK.
33. Select a transducer.
34. Use the control panel Print/Store key, and the Digital/Store key to generate static im-
ages.
35. Press Review.
36. From the DIMAQ Image screen, click Close Study.
37. Click Yes.
38. From the DIMAQ Image screen, click Study Screen to display the study screen.
39. In the DICOM Store area of the Study Screen, click Store; the patient study should
now be sent to the DICOM Storage Server.
46. Select the DICOM Store Queue tab to display the DICOM Store Queue screen. Verify
that the study is in the queue.
50. Click the Worklist button to display the Worklist Search screen.
NOTE The system is operating normally if the search returns with either
a patient list or with no match.
Please see the “Storing and Retrieving System Presets and QuickSets” section of this
manual to backup and restore the system presets.
Troubleshooting 0
1. Verify that all physical network connections are intact; check the LED 1.
2. Ask the network administrator to verify all of the connection parameters.
3. After verifying the connection parameters with the network administrator, use the fol-
lowing procedures to verify that those parameters were correctly entered into the ultra-
sound system.
- Configuring the DICOM Option
- Troubleshooting
CAUTION All systems are delivered with the network parameters of media
type and duplex mode configured as Hardware Default.
¹ This configuration can cause intermittent DICOM fail-
ures
NOTE In some hospitals, the ping function is disabled due to network se-
curity concerns.
The software does not currently use the value entered for the Ping and Echo Timeout
field; the echo test uses the value entered in the Connect Timeout (seconds) field. This
problem can cause the echo test to fail.
Use the following information to modify the behavior of server or print queues.
Fig. 20: Delete Job and Refresh Queue Buttons (DICOM Print Queue Window)
If the job is being transmitted to a DICOM device by the DIMAQ-IP, the attempt to delete it
from a queue can fail. To remedy this problem, do the following:
1. Wait two to three minutes.
2. Click Refresh Queue.
Modifying the configuration parameters of the printer (copies, orientation, trim, etc.) after
print jobs are already present in DICOM Print Queue has no effect on those existing print
jobs. Jobs present in the DICOM Print Queue will use the printer configuration parameters
that are active when the job was created.
Designating a new active printer, after a job arrives in the DICOM Print Queue, will cause
the job to go to the new printer, but the job will still use the configuration parameters that
were active when the job was created for the previous printer.
To avoid these problems, wait for all queued print jobs to print before modifying the printer
configuration parameters or before designating a new active printer. Alternatively, delete
all print jobs existing in the DICOM Print Queue, before modifying printer configuration
parameters or before designating a new active printer, then print the canceled jobs after
performing the modifications.
Changing the designated storage server, when jobs are present in the DICOM Store
Queue, can cause long storage delays. Allow all store jobs in the queue to transfer, before
designating a new storage server. Alternatively, delete all store jobs existing in the DICOM
Store Queue, before designating a new storage server, then store the canceled jobs after
designating a new server.
Verify that a study has been properly archived by performing one of the following actions:
• On the DIMAQ Study screen, record the number of images or clips present in the study
to be verified; compare this number of images or clips recorded with the number report-
ed by the study that was archived on the storage server. If the number of images or clips
is identical, the study in question was completely archived to the storage server.
• A system configured to AutoStore to DICOM in the storage presets, will list studies in
the DICOM Store Queue. Verify that the study appears when a study is begun; when
the study is completed and archived to the storage server, it will disappear from the DI-
COM Store Queue, thus verifying that it has been archived.
• A system that is not configured to AutoStore to DICOM in the storage presets will not
automatically send the images to DICOM when studies are closed. Select Close Study
from the DIMAQ Image screen. Then, go to the DIMAQ Study screen and click DICOM
Store. Verify that the selected study appears in the DICOM Store Queue; when the
study is completed and archived to the storage server, it will disappear from the DICOM
Store Queue, thus verifying that it has been archived.
The system shut-down cycle may take longer than expected when the following conditions
are present:
• The system is powered off
• A patient study is open
• The Autostore to CD function is enabled
• No CD exists in the CD-R/RW drive or the loaded CD is full
During the shutdown cycle, the system closes the open study but does not autostore the
study to CD. Please wait until the system completely shuts down (approximately 7.5 min-
utes, maximum). After powering on the system, you can store (export) the affected patient
study to CD. When transferring patient studies when the ultrasound system is shut down:
• During the system shut-down cycle (approximately 7.5 minutes), the system recogniz-
es remaining patient studies in the queue and continues transferring the files to the DI-
COM printer or storage device.
• After changing the DICOM Active Setup configuration, reselect the queue-cleared stud-
ies and transfer them to the required DICOM device.
Warning or error messages received from a connected and configured DICOM printer
device are displayed in the language supported by the DICOM device; they are not avail-
able in the language used on the ultrasound system.
The display sequence of received images and clips on a DICOM device may not match
the display sequence of the same images and clips displayed on the ultrasound system
under the following conditions:
• If you acquire patient studies offline
• If you then reconnect the system to the DICOM network, and send these patient stud-
ies to the configured DICOM device
In such a case, the images and clips may not display on the DICOM device in the
sequence in which they were acquired by the ultrasound system.
DICOM trace messages are logged to the c:\siemens\logs directory of the hard disk
drive (HDD) located on the DIMAQ-IP; these files are named according to the format:
DICOMAsyncServices[DateTime].txt.
Use the following instructions to capture network packets for the purpose of troubleshoot-
ing DICOM connectivity problems.
In certain cases, it is useful to analyze the network communication between the system
and the DICOM host. Using the capture mode allows the Ultrasound system to act as a
network “sniffer” to enable analysis of the communications.
The system saves the network data to a capture file that can be analyzed using the Merge
DPM program. The capture file is then copied to a CD-R disc to facilitate e-mail or courier
transfer to Technical Support for analysis.
Naming Requirements 0
• Each Application Entity Title (AE Title) must be unique among all of the AE Titles that
communicate over the network.
• AE Titles must not contain blank spaces of the following punctuation marks and special
characters: “, &, #, @, !, /, \, (, ), *, %, $, +, =, ?, <, or >.
• Non-ASCII characters, such as “umlaut” (German), are not allowed.
NOTE AE Titles may contain dashes(-) and underscores (_), and any oth-
er numeric or alpha character, in either upper case or lower case;
if possible, use all upper case characters in AE Titles to avoid con-
fusion.
• The Alias name used in the DICOM configuration cannot exceed 32 characters in
length. The AE Title names cannot exceed 16 characters. The host name and the work
group names cannot exceed 15 characters in length.
Network Speed 0
Ask the facility’s network administrator which of the following options is appropriate and
circle that option:
• 10 Mbps (half duplex)
• 10 Mbps (full duplex)
• 100 Mbps (half duplex)
• 100 Mbps (full duplex)
The device vendor may also have the network speed.
NOTE The Ping and Echo tools will not work unless this speed is correct.