NAOMI SYSTEM User Guide Ver.9.30.0

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NAOMI SYSTEM User Guide 308AR08002_1202

Thank you for purchasing Multi CCD Imaging Sensor Digital Radiography NAOMI.
Please read through this user guide carefully to ensure safe usage.

This user guide is for the following version of the NAOMI software.

Ver.9.30.0 or above

Check the software version on the included System Application / Driver CD-ROM or the
software version information located on the lower right corner of the NAOMI software window.
If your software is not corresponding to the software version above, contact RF Technical
Support Center.

- 1002
- 1004
- 1006
Multi CCD Imaging Sensor - 1102
Digital Radiography - 1104
- 1106

The images are not shown to scale in this User Guide. The exterior and specifications may vary and may be changed without a prior notice.

OSm_120206_Nao0_Cont
User Guide Index

1. Introduction
Precautions for Safe Use··································································Introduction 01
EMC (Electromagnetic Compatibility) Standards Description····················Introduction 06
Specifications / Performance (1002,1004,1006)·····································Introduction 09
Appearance / Dimensions (1002,1004,1006)·········································Introduction 10
Specifications / Performance (1102,1104,1106)······································Introduction 11
Appearance / Dimensions (1102,1104,1106)··········································Introduction 12
Packaged Items··············································································Introduction 13
Features························································································Introduction 14
Setup the NAOMI Sensor·································································Introduction 15

2. Installation
Installation Steps············································································· Installation 01
Install the NAOMI Driver (XP)······························································ Installation 02
Install the NAOMI Driver (Vista / Windows 7)············································ Installation 07
Install the NAOMI Imaging Software···················································· Installation 11
Copy the NAOMI Imaging Data··························································· Installation 16

3. Operation Check
Operation Check······································································Operation Check 01
1. Set up the NAOMI Sensor·····················································Operation Check 02
2. Confirm the Irradiation Area··················································Operation Check 03
3. Set the Calibration Scale······················································Operation Check 04
4. Set the X-Ray Exposure Factors············································Operation Check 04
5. Start the NAOMI Software····················································Operation Check 05
6. Capture the X-Ray Image of the Calibration Scale·····················Operation Check 05
7. Confirm if the Calibration is Necessary····································Operation Check 06
Ready to Use··········································································Operation Check 07

4. Software
NAOMI Software················································································ Software 01
A. Capture / Manipulation Mode··························································· Software 02
Menu Bar Icons············································································ Software 03
B. Patient Information Mode································································ Software 04
1. Before Capturing the X-Ray···························································· Software 05
2. How to Capture X-Ray Images························································· Software 08
3. Zoom In / Out on the X-Ray Images·················································· Software 15
4. Move the Image············································································ Software 16
5. Adjust the Brightness / Contrast······················································· Software 17
6. Adjust Gamma Setting··································································· Software 18
7. How to Adjust the X-Ray Images······················································ Software 19
8. How to Edit Patient Information or X-Ray Technique Records ················ Software 21
9. How to Add L or R Marking····························································· Software 22
10. How to Save the Adjusted Image ····················································· Software 23
11. How to Save as a Different File Format ············································· Software 24
12. How to Open the Saved Image ······················································· Software 25
13. How to Close the Selected Image····················································· Software 27
14. How to Print the Selected Image······················································ Software 28
15. How to Burn X-Ray Images on to a CD-ROM (windows XP)·················· Software 29
How to Burn X-Ray Images on to a CD-ROM (windows 7)····················· Software 32
16. How to Reverse Negative / Positive·················································· Software 35
17. How to Invert the Selected Image····················································· Software 36
18. How to Rotate the Selected Image···················································· Software 37
19. How to Turn On / Off the Enhancement············································· Software 38
20. How to Change the Display Mode on Screen······································ Software 39
21. How to Open / Close Annotation Menu·············································· Software 41
22. Annotation Menu··········································································· Software 42
Pan Window (Navigation Window)···················································· Software 43
A. Draw a Straight Line / Arrow / Polyline··········································· Software 44
B. Draw a Shape··········································································· Software 46
C. Draw a Curved Line / Shape························································ Software 48
D. Insert the Text or Note································································ Software 50
E. Measure the Length··································································· Software 51
F. Measure the Angle···································································· Software 52
G. Select the Annotation Object······················································· Software 53
23. How to Change the Setting····························································· Software 54
24. How to Close the NAOMI Software··················································· Software 59

5. Calibration / QAP (Quality Assurance Program)


Calibration / QAP (Quality Assurance Program)····························· Calibration / QAP 01
Positioning Calibration····························································· Calibration / QAP 02
Luminance Calibration····························································· Calibration / QAP 07

6. Trouble Shooting Guide

7. Customer Support
Safety Check
RF Technical Support
Technical Support Request Form
NAOMI Technique Indication Chart
Introduction
This section contains the important information on safe use, features and
setup instruction.

PURPOSE OF USE
This product holds the planate x-ray incident surface and captures the transmissive image, which the scintillator translated by
reacting to the radiation exposed from a medical x-ray generator and gone through a patient, with CCD cameras. The CCD
cameras convert each pixel of the image into an electric signal and exports to the externally-connected computer in order to
display the image onto the viewing monitor.
This product is also intended to store and maintain these captured images to help make the diagnosis and assist to provide
more smooth explanation to patients for their better understandings.

Precautions for Safe Use


NAOMI is designed at the full attention for safety measures to avoid any accidents with proper use.
It also complies with the following safety standards for medical devices.

● NAOMI-1000 Series (1002,1004,1006) ● NAOMI-1100 Series (1102,1104,1106)


IEC60601-1:1988+A1+A2 / EN60601-1:1990+A1+A2+A13 IEC60601-1:1988+A1+A2 / EN60601-1:1990+A1+A2+A13
IEC60601-1-1:2000 / EN60601-1-1:2001 IEC60601-1-1:2000 / EN60601-1-1:2001
IEC60601-1-2:2001+A1 / EN60601-1-2:2005 IEC60601-1-2:2007 / EN60601-1-2:2007
IEC60601-1-3:1994 / EN60601-1-3:1994 IEC60601-1-3:1994 / EN60601-1-3:1994
IEC60601-1-4:2000 / EN60601-1-4:1996+A1 IEC60601-1-4:2000 / EN60601-1-4:1996+A1

Be sure to read and understand the Precautions for Safe Use section thoroughly for proper and safe use.

An electric device may cause a fire or a fatal accident if it is not used properly.

Warning Labels
This user guide uses the following warning labels. Before reading the contents, fully understand the meaning of the label.

If a warning label and its contents were ignored, it could lead to a possibility of a fatal
accidents such as a fire or an electric shock, or severe injury to users or patients.

If a caution label and its contents were ignored, it could lead to a possibility of an accident
injuries of users or patients or damages to the surrondings.

Warning Sign Caution Sign Procedure Instruction Sign

Prohibition Sign

Introduction - 01
OSm_120206_Nao1_Intro
Precautions for Safe Use

Information on Handling

NAOMI must be operated by a medical doctor or medical personnel who is under


the supervision of a medical doctor.
Misusage by a patient may cause an electric shock.

Do not use along with self-contained or wearable medical device.


Do not use NAOMI with any self-contained medical devices such as pacemaker and self-
contained defibrillator, or wearable medical device such as electrocardiograph. It may cause
malfunctioning on these medical devices.

Do not use NAOMI close to where cell phones are in use.


It may cause malfunctioning or damages to the product.
Maintain the recommended distance by EMC Standards from such devices.

NAOMI should not be used adjacent to or stacked with other equipment.


It may cause malfunctioning or damages to the product.
If adjacent or stacked use is necessary, the NAOMI should be observed to verify normal operation
in the configuration in which it will be used.

Do not touch the power plug the DC jack or the USB port with wet hands.
It may cause an electric shock.

Do not put a finger into the DC jack or a the USB port.


It may cause a fire, an electric shock or a damages to the product.

In case of following damages…


- NAOMI is physically damaged.
- Smoke reeked up from NAOMI.
- NAOMI has unusual noise or odor.
- Water or liquid seeped into NAOMI.
- NAOMI was dropped
Take the following measures
1. Stop using NAOMI immediately.
2. Unplug the power cable, AC adapter and USB cable.
3. Contact RF Technical Support Center.

Use caution on loosing the image data.


NAOMI is programmed to automatically store the captured images into the computer hard drive.
However, if there was a power loss such as power outage during the capturing process, the image
cannot be automatically stored. Also, if the file name or storage location is incorrect it may cause
the image data loss. To avoid the data loss, read the “Software” or “Troubleshooting” section on
this user guide prior to use.

The measured value of length and angles on the NAOMI software is only for
reference.
Some error may be observed depending on the tube distance to NAOMI or thickness of subject.
Use the measured results only for reference.

Introduction - 02
Precautions for Safe Use

Information on Handling
Do not drop or give strong impact onto NAOMI.
It may cause a fire, an electric shock or damages to this product.

Do not directly stand on NAOMI.


It may damage this product and may cause injuries.

Do not dismantle or modify the product.


Do not open the case. It is dangerous to touch the internal components, and may cause
damages. If the product case is opened, the product warranty is voided regardless of the
remaining warranty term.

Avoid dust to be collected around the DC jack or the USB port.


It may cause a fire, an electric shock, or damages to this product.
Inspect and clean the area regularly.

Do not spray, pour or spill any liquid onto NAOMI, its AC adapter or its cables.
It may cause a fire, an electric shock or damages to this product.

Do not use any organic solvent or chlorine bleach on NAOMI.


It may damage this product.
To clean the product, wipe with a soft cloth damped with diluted mild detergent.

Do not use in any sterilizer such as Autoclave.


This product does not contain any materials or components, which require sterilization.
It is not necessary to sterilize this product.

To disinfect NAOMI, wipe with a soft cloth damped with disinfective ethyl alcohol.

Unplug the power cable from the power outlet if this product is not in use for a long
time.

Avoid transport or storage of this product in the following environment.


- Temperature: Lower than -5ºC(23ºF) or higher than 50ºC(122ºF)
- Humidity: Less than 20% RH or more than 80% RH
- Atmospheric pressure: Less than 75kPa or more than 106kPa

To dispose NAOMI, follow the waste disposal regulations in your local government
and prevent any environmental destruction.

Introduction - 03
Precautions for Safe Use

Information on Installation
Avoid installation of this product in the following environment.
- Temperature: Lower than 15ºC(59ºF) or higher than 35ºC(95ºF)
- Humidity: Less than 30% RH or more than 70% RH
- Atmospheric pressure: Less than 75kPa or more than 106kPa
- Places where water may splash
- Environment with a sudden and extreme temperature change or condensation
- Near heat generating units (stove, heater, etc.)
- Dusty area
- Places with strong vibration or unstable or sloping ground
- The place where gets direct sunlight
It may cause a fire, an electric shock or damages to this product.

Use the enclosed power cable, AC adapter and USB cable only.
It may cause a fire, an electric shock, damages or system failure if any other AC adapter or cables
were used.

Avoid damaging the cables.


- Avoid the cables being caught in between this product, the wall, shelves, or cabinets.
- Do not modify or damage the cables.
- Do not bend the cable forcibly. Do not place heavy items on the top of the cable.
- Avoid heating the cable or making the contact with heat generating device.
- Hold the jack or plug to unplug the cable and avoid pulling from the cable.
It may cause a fire, an electric shock, or damages to this product if the cables were damaged.
In case of damages on the cable, stop using this product immediately and contact RF technical
support center.

Keep the cables organized and untangled.


It may cause a fatal accident or serious injuries by being chocked by the cable.
It may also cause the fall of this product by tangled cables.

Connect the ground wire.


It may cause an electric shock if the ground cable is not connected.

Install any electronic devices (such as a computer) with


IEC-60601-1 standards within the patient premises
(as shown on the right).
NAOMI complies with IEC-60601-1 standards and can be used
within the patients premises. It may cause an injury such as an
electric shock to patients if a device without such standards is used.

Use any devices (such as a computer) with IEC60950 standards if it is installed


outside of the patients premises (as shown above).
If any device without such standards is used, it may cause an electric shock to patients by current
leaking into NAOMI. Use a different electric transformer if it is necessary.

Introduction - 04
Precautions for Safe Use

Information on Computers
Install a medical use computer only with
IEC- 60601-1 standards within the patient
premises (as shown on the right).
It may cause an injury such as an electric shock
to patients if a computer without such standards is
used.

Use any computer with IEC60950 standards if it is installed outside of the patients
premises (as shown above).
If any device without such standards is used, it may cause an electric shock to patients by current
leaking into NAOMI. Use a different electric transformer if it is necessary.
NAOMI complied with the safety inspection with the following computer.
DELL Latitude D520 Laptop Computer (Model No. PP17L)

Use one of the following operating systems:


Windows XP, Windows Vista, Windows 7 (32bit and 64bit)
Any operating system other than above may not be able to run the NAOMI software.
Even if the NAOMI software worked on other operating systems, it may cause malfunctioning or
damages.

Recommended computer environment is more than the following specifications.


CPU : Intel CORE 2 Duo 1GHz or higher (or equivalent)
Memory : 2GB or higher
Hard Disk Drive : 250 GB or more
Peripheral : USB 2.0 Port x 1
CD / DVD-ROM Drive x 1
Monitor : XGA Size (1024 x 768)

Make sure your computer or montor has set NOT to use the following settings under
Power Options.
- Turn off monitor
- Turn off hard disks
- System standby
- System hibernate
It may cause malfunctioning or slow down of the system.

Do not run other software on the same computer while NAOMI is running.

Quality Control
The label shown on the left is a certificate of Quality Control Test.“合格”indicates
a pass while“片山”indicates the name of the inspector. The date of manufacture is
shown in the middle of the label as “Year / Month / Date”. This label is found on the
back of the sensor.

Introduction - 05
EMC (Electromagnetic Compatibility) Standards Description

The followings are to provide the information of electromagnetic environment


based on IEC60601-1-2:2005 Clause 6.8.3.201 to the NAOMI users.

What is EMC (Electromagnetic Compatibility)?


It is an equipment and its performance, which provide an ability to tolerate and function satisfactory
(Immunity) without introducing electromagnetic disturbances (Emission) within the environment, which
the equipment or system exist.

ESSENTIAL PERFORMANCE
The NAOMI holds the planate x-ray incident surface and captures the transmissive image, which the
scintillator translated by reacting to the radiation exposed from a medical x-ray generator and gone
through a patient, with CCD cameras. The CCD cameras convert each pixel of the image into an
electric signal and exports to the externally-connected computer in order to display the image onto the
viewing monitor.
The NAOMI is also intended to store and maintain these captured images.

The medical electrical equipment, NAOMI needs special precautions regarding EMC
and needs to be installed and put into service according to the EMC information
provided in this technical description.

Portable and mobile RF communications equipment can affect medical electrical


equipment, NAOMI.

NAOMI should not be used adjacent to or stacked with other equipment.


If adjacent or stacked use is necessary, the NAOMI should be observed to verify normal operation in
the configuration in which it will be used.

For items listed below, do not use any items other than what was supplied as a part of
the NAOMI system.
If any items other than what was supplied as a part of the NAOMI system is used, it may exert a
harmful influence to other electrical devices. It may also receive a harmful influence from other
electrical devices and cause malfunctioning.

Maximum Cable
Item Name Sheilding Model {Manufacturer}
Length

MPU100-105
AC Adapter 2.0m N/A
{Sinpro Electronics CO., Ltd.}

LT-832+501+VCTF L..F 0.75/3C BLK 6FT


Power Cable 1.75m N/A
{Lian Dung Electric Wire Material Co., Ltd.}

USB2-AMBM-15
USB Cable 4.5m Complies
{Net Mechanism}

NOTE: NAOMI complies with EMC standards with the items supplied as a part of the system.

Introduction - 06
EMC (Electromagnetic Compatibility) Standards Description

Table 201 - Guidance and manufacturer's declaration - electromagnetic emissions -


for all EQUIPMENT and SYSTEMS (see 6.8.3.201a)3))
Guidance and manufacturer's declaration - electromagnetic emissions
The NAOMI is intended for use in the electromagnetic environment specified below.
The customer or the user of the NAOMI should assure that it is used in such an environment.

Electromagnetic environment -
Emissions test The NAOMI
guidance

RF emissions Group The NAOMI uses RF energy only for its internal function.
CISPR11 Therefore, its RF emissions are very low and are not likely to cause
any interference in nearby electronic equipment.
RF emissions Class B The NAOMI is suitable for use in all establishments, including
CISPR11 domestic establishments and those directly connected to the
public low-voltage power supply network that supplies buildings
Harmonic emissions Class A used for domestic purposes.
IEC61000-3-2
Voltage fluctuations/ Complies
flicker emissions
IEC61000-3-3

Table 202 - Guidance and manufacturer's declaration - electromagnetic immunity -


for all EQUIPMENT and SYSTEMS (see 6.8.3.201a) 6))
Guidance and manufacturer's declaration - electromagnetic immunity -
The NAOMI is intended for use in the electromagnetic environment specified blow.
The customer or the user of the NAOMI should assure that it is used in such an environment.
Electromagnetic environment -
Immunity test IEC 60601 test level Compliance level
guidance
Electrostatic discharge ±6 kV contact ±6 kV contact Floors should be wood, concrete or
(ESD) ±8 kV air ±8 kV air ceramic tile. If floors are covered with
IEC61000-4-2 synthetic material, the relative
humidity should be at least 30%
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be that of
transient/burst lines lines a typical commercial or hospital
IEC61000-4-4 ±1 kV for input/output ±1 kV for input/output environment.
lines lines
Surge ±1 kV line(s) to line(s) ±1 kV line(s) to line(s) Mains power quality should be that of
IEC61000-4-5 ±2 kV line(s) to earth ±2 kV line(s) to earth a typical commercial or hospital
environment.
Voltage dips, short <5% U T <5% U T Mains power quality should be that of
interruptions and voltage (>95% dip in U T ) (>95% dip in U T ) a typical commercial or hospital
variations on power environment. If the user of the
for 0.5 cycle for 0.5 cycle NAOMI requires continued operation
supply input lines
IEC61000-4-11 40% U T 40% U T during power mains interruptions, it is
recommended that the NAOMI be
(60% dip in U T ) (60% dip in U T ) powered from an uninterruptible
for 5 cycles for 5 cycles power supply or a battery.
70% U T 70% U T
(30% dip in U T ) (30% dip in U T )
for 25 cycles for 25 cycles
<5% U T <5% U T
(>95% dip in U T ) (>95% dip in U T )
for 5 sec for 5 sec
Power frequency 3 A/m 3 A/m Power frequency magnetic fields
(50/60Hz)magnetic field should be at levels characteristic of a
IEC61000-4-8 typical location in a typical
commercial or hospital environment.
NOTE U T is the a.c. mains voltage prior to application of the test level.

Introduction - 07
EMC (Electromagnetic Compatibility) Standards Description

Table 204 - Guidance and manufacturer's declaration - electromagnetic immunity -


for EQUIPMENT and SYSTEM that are not LIFE-SUPPORTING (see 6.8.3.201b))
Guidance and manufacturer's declaration - electromagnetic immunity
The NAOMI is intended for use in the electromagnetic environment specified below.
The customer or the use of the NAOMI should assure that it is used in such an environment.
IEC60601 Compliance
Immunity test Electromagnetic environment - guidance
test level level
Portable and mobile RF communications equipment should be used no
closer to any part of the NAOMI, including cables, than the
recommended separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3 Vrms
IEC61000-4-6 150kHz to 80MHz d = 1.2 P

Radiated RF 3 V/m 3 V/m d = 1.2 P 80~800MHz


IEC61000-4-3 80MHz to 2.5GHz
d = 2.3 P 800MHz~2.5GHz

where P is the maximum output power rating of the transmitter in


watts [W] according to the transmitter manufacturer and d is the
recommended separation distance in meters [m].
Field strengths from fixed RF transmitters, as determined by an
a)
electromagnetic site survey, should be less than the compliance level
b)
in each frequency range.
Interference may occur in the vicinity
of equipment marked with the following symbol:
NOTE 1. At 80 MHz and 800MHz, the higher frequency range applies.
NOTE 2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
a)
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
  electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
  measured field strength in the location is which the NAOMI is used exceeds the applicable RF compliance level above,
  the NAOMI should be observed to verify normal operation. If abnormal performance is observed, additional measures may be
  necessary, such as reorienting or relocating the NAOMI.
b)
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Table 206 - Recommended separation distances between portable and mobile RF communications equipment and
the EQUIPMENT or SYSTEM - for EQUIPMENT and SYSTEM that are not LIFE-SUPPORTING (see 6.8.3.201b))
Recommended separation distances between
portable and mobile RF communications equipment and the NAOMI
The NAOMI is in intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the NAOMI can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the NAOMI as recommended
below, according to the maximum output power of the communications equipment.
Rated maximum Separation distance according to frequency of transmitter m
output power of 150kHz~80MHz 80~800MHz 800MHz~2.5GHz
transmitter
W d = 1 . 2 P d = 1 .2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters [m] can
be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of
the transmitter in watts [W] according to the transmitter manufacturer.
NOTE 1. At 80 MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE 2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.

Introduction - 08
Specifications / Performance 1002, 1004, 1006

Multi CCD Multi CCD Multi CCD


Product Name Digital Radiography Digital Radiography Digital Radiography
NAOMI-1002 NAOMI-1004 NAOMI-1006
Sensor Structure CCD (Charge Coupled Devices)
Method Scintillator
352mm×432mm 264mm×324mm 216mm×264mm
Maximum Active Area
(13.8"×17") (10.4"×12.8") (8.5"×10.4")
6144×7872 4608×5904 3072×5904
Pixel Resolution
(48.37 Mega Pixels) (27.21Mega Pixels) (18.14 Mega Pixels)
Power Consumption AC Adapter, DC12V/8.33A
Voltage Rating DC12V
Amperage Rating 4A 2.5A 2A
AC Adapter Input AC100V~240V,47~63Hz
An ambient temperature: 15 ℃ to 35 ℃ (59゚F to 95゚F)
Environmental conditions for
An ambient humidity: 30% to 70% (without condensation)
Operation
Atmospheric pressure: 75kPa to 106kPa (750mB to 1060mB)
Protection class against electric
ClassⅡ
shock
Protection degree against
Type BF Equipment
electric shock
Protection degree of externals
IPX0
against water
Maximum X-ray Attenuation
Equivalent of irradiated surface 0.48mmAl
(Carbon Plate)
Data Output BMP / JPEG / PNG / DICOM / GIF
CCD Camera Type 1/4"CCD(RJ2414BB0PB) Ceramic DIP package(Manufacturered by SHARP)
CCD Pixel Pitch Horizontal 7.2μm x Vertical 5.6μm
Lens Fixed Focus Lens Focal Length 3.27mm F Value 1.43
Scintillator Type General Medical Device Appliances
  84 Scintillator
  for Radiography System / CSI 600
Luminance 93
MTF 185
Protective Film PET6μm
Fluorescent Film 140μm,68mg/cm2
Support 250μm
Total Thickness 406μm/600μm
An ambient temperature: -5 ℃ to 50 ℃ (23゚F to 122゚F)
Environmental conditions for
An ambient humidity: 20% to 80% (without condensation or frost)
transport and storage
Atmospheric pressure: 75kPa to 106kPa
Service Life 5 Years (Operated in accordance with the precaution for safe use.)
Dimension: W x D x H 474mm×589mm×62mm 444mm×494mm×62mm 365mm×372mm×62mm
Weight 7.5kg 5.0kg 3.5kg
IEC60601-1:1988+A1+A2 / EN60601-1:1990+A1+A2+A13
IEC60601-1-1:2000 / EN60601-1-1:2001
Complied Standards IEC60601-1-2:2001+A1 / EN60601-1-2:2005
IEC60601-1-3:1994 / EN60601-1-3:1994
IEC60601-1-4:2000 / EN60601-1-4:1996+A1
CB Compliance Certificate DE 2-013441

Introduction - 09
Appearance / Dimensions 1002, 1004, 1006

NAOMI-1002

589mm
(23.2")

62mm
(2.4")
474mm
(18.7")
7.5kg
(16.5lb)

NAOMI-1004

494mm
(19.4")

62mm
(2.4")
444mm
(17.5")
5.0kg
(11.0lb)

NAOMI-1006

372mm
(14.6")

62mm
(2.4")
365mm
(14.4")
3.5kg
(7.7lb)

Introduction - 10
Specifications / Performance 1102, 1104, 1106

Multi CCD Multi CCD Multi CCD


Product Name Digital Radiography Digital Radiography Digital Radiography
NAOMI-1102 NAOMI-1104 NAOMI-1106
Sensor Structure CCD (Charge Coupled Devices)
Method Scintillator
348mm×432mm 264mm×324mm 216mm×264mm
Maximum Active Area
(13.8"×17") (10.4"×12.8") (8.5"×10.4")
6144×7872 4608×5904 3072×5904
Pixel Resolution
(48.37 Mega Pixels) (27.21Mega Pixels) (18.14 Mega Pixels)
Power Consumption AC Adapter, DC12V/8.33A
Voltage Rating DC12V
Amperage Rating 4A 2.5A 2A
AC Adapter Input AC100V~240V,47~63Hz
An ambient temperature: 15 ℃ to 35 ℃ (59゚F to 95゚F)
Environmental conditions for
An ambient humidity: 30% to 70% (without condensation)
Operation
Atmospheric pressure: 75kPa to 106kPa (750mB to 1060mB)
Protection class against electric
ClassⅡ
shock
Protection degree against
Type BF Equipment
electric shock
Protection degree of externals
IPX0
against water
Maximum X-ray Attenuation
Equivalent of irradiated surface 0.95mmAl
(Carbon Plate)
Data Output BMP / JPEG / PNG / DICOM / GIF
CCD Camera Type 1/3"CCD(RJ2314CB0PB) Ceramic DIP package (Manufacturered by SHARP)
CCD Pixel Pitch Horizontal 9.6μm x Vertical 7.5μm
Lens Fixed Focus Lens Focal Length 3.27mm F Value 1.8
Scintillator Type   CSI 600
 
Luminance 93
MTF 185
Protective Film PET6μm
Fluorescent Film 140μm,68mg/cm2
Support 250μm
Total Thickness 406μm
An ambient temperature: -5 ℃ to 50 ℃ (23゚F to 122゚F)
Environmental conditions for
An ambient humidity: 20% to 80% (without condensation or frost)
transport and storage
Atmospheric pressure: 75kPa to 106kPa (750mB to 1060mB)
Service Life 5 Years (Operated in accordance with the precaution for safe use.)
Dimension: W x D x H 474mm×589mm×62mm 444mm×494mm×62mm 365mm×372mm×62mm
Weight 8.0kg 5.5kg 3.4kg
IEC60601-1:1988+A1+A2 / EN60601-1:1990+A1+A2+A13
IEC60601-1-1:2000 / EN60601-1-1:2001
Complied Standards IEC60601-1-2:2007 / EN60601-1-2:2007
IEC60601-1-3:1994 / EN60601-1-3:1994
IEC60601-1-4:2000 / EN60601-1-4:1996+A1
CB Compliance Certificate JPTUV-030432

Introduction - 11
Appearance / Dimensions 1102, 1104, 1106

NAOMI-1102

589mm

62mm

474mm

8.0kg
(17.6lb)

NAOMI-1104

494mm

62mm

444mm

5.5kg
(12.1lb)

NAOMI-1106

372mm

62mm

365mm

3.4kg
(7.5lb)

Introduction - 12
Packaged Items

Please make sure the following items are included in the package. If any
items are missing, please contact us.

Sensor (x1) Calibration Scale (x1) Scale Pins (x4)

AC Adapter (x1) Power Cable (x1) USB Cable (x1)


*with On/Off switch

NAOMI System CD-ROM (x1)

MT Promedt Consulting GmbH


Altenhofstr. 80, 66386 St. Ingbert Germany
www.mt-procons.com

Manufacturered by RF Co., Ltd Address : 3 Nakagosho, Nagano-shi, Nagano 380-0935 Japan


TEL : +81-26-225-7744 E-mail : os@rfsystemlab.com
FAX : +81-26-225-7747 URL : www.rfamerica.com

Introduction - 13
Features
Holes for the calibration
scale and the grid bracket.

Main Unit

NAOMI Serial Number

DC-In Jack:
Connect the AC Adapter Status Lamps
for power supply.

USB Port:
Connect the USB Cable.

Power Lamp (Green - Orange)


Stand-By Button
USB Lamp
Stand-By Lamp
Complete Lamp

Area Target for Irradiation


(NAOMI-1002)

8" x 10" / 20 x 25 cm Size Area


10" x 12" / 25 x 30 cm Size Area
14" x 17" / 35 x 43 cm Size Area

Introduction - 14
Set up the NAOMI Sensor
Place the sensor.
Plug in AC Adapter, Power Cable, and connect USB Cable.

14” x 17”

Conf irm the AC adapter


is powered on with the
illumination of indicator lamp.

AC Adapter
Power Switch
Indicator Lamp

10” x 12”

Secure the USB cable and the


power cable by using the clips
on the product referring to the
pictures above.

CHECK THE STATUS LAMPS ON THE SENSOR. They indicate proper cable connections.

When you connect Power Cable properly, Power When you connect USB Cable properly, USB Lamp
Lamp on the sensor lights up. on the sensor lights up.

If the NAOMI driver and/or software are not installed in your computer, refer to the
Installation Section (Installation- 03-10, for Driver Installation ; Installation-11-21, for Software
Installation).

Refer to the upright stand (or upright stand bracket) installation guide for the upright position
setting.

Make sure to turn off the photo timer, electricity bucky equipment, or any other
equipment close to the NAOMI unit. The strong magnetic field may cause the
malfunctioning on the image capturing process.

Introduction - 15
Installation

Follow the next three steps to install the NAOMI Driver and
Imaging Software.

STEP

1 Install the NAOMI Driver


(Page : Installation 03-10)

STEP

2 Install the NAOMI Imaging Software


(Page : Installation 11-15)

STEP

3 Copy the NAOMI Imaging Data


(Page : Installation 16-21)

Installation - 01
OSm_120123_Nao2_Inst
STEP

1 Install the NAOMI Driver


Prior to use the NAOMI sensor, the NAOMI driver must be installed to your
computer. Without installing the driver information to your computer, the NAOMI
sensor will not work properly.

RF has installed the driver already if you purchase a computer together with
NAOMI. In such case, you do not need to install the driver. Connect the USB
cable to the USB port with the “NAOMI” sticker on the back of the computer.

Confirm the NAOMI system is properly connected.


Follow the instruction below to set up the sensor to your computer.
(Refer to the “Set up the NAOMI Sensor” page for more details on the setup
process.)

14” x 17”

Conf irm the AC adapter


is powered on with the
illumination of indicator lamp.

AC Adapter
Power Switch
Indicator Lamp

10” x 12”

Secure the USB cable and the


power cable by using the clips
on the product referring to the
pictures above.

1. Place the NAOMI sensor on to the upright stand or x-ray table.


2. Connect the AC adapter to the power outlet and to the NAOMI sensor.
3. Connect the USB cable to the NAOMI sensor and to your computer.

Installation - 02
Install the NAOMI Driver (XP)

Windows XP

1. After connecting the USB cable to the


NAOMI sensor and the computer's USB
port, the message,
“Found New Hardware USB Device”,
appears on the right bottom corner of
the computer monitor.
Click on the message to star t the
installation process.

2. Af ter a few sec onds, “ Found New


Hardware Wizard” appears.
Insert NAOMI System CD-ROM to the
CD-ROM drive of the computer.

Installation - 03
Install the NAOMI Driver (XP)

3. The wizard asks “Can windows connect


to windows update to search for
software?”.
Select “No, not this time” and click
.

4. Select “Install from a list or specific


location [Advanced]” and click .

5. Select “Search for the best driver in


these locations.”
Check “Search removable media,” and
click .

Installation - 04
Install the NAOMI Driver (XP)

6. The wizard automatically starts the


installation process of the NAOMI driver.

7. If the Hardware Installation window is


displayed,
click .

The installation process continues.

8 . T h e N AO M I d r i ve r i n s t a l l at i o n i s
completed.

Click .

Installation - 05
Install the NAOMI Driver (XP)

9. After a few seconds, the message,


“ Fo u n d N ew H a r d wa r e. Yo u r n ew
hardware is installed and ready to use.”
appears on the right bottom of the
computer monitor.
The N AO MI dr iver is suc c essf ully
installed.

The driver installation process for Windows XP is completed.


Proceed to Install the NAOMI Imaging Software (Installation - 11).

Installation - 06
Install the NAOMI Driver (Vista / Windows 7)

Windows Vista / Windows 7

1. After connecting the USB cable to the


NAOMI sensor and the computer’s USB
port, the menu, “Found New Hardware,”
shows up on the middle of the desktop
menu.
Click “Locate and install driver software
(recommended)” to start the installation
process.

If the window “Found New Hardware” dose not
appear on the desktop, minimize other windows.
Or, click “Found New Hardware” on the task bar.

2. Click “Browse my computer for driver


software (advanced)”.

3. Insert NAOMI System CD-ROM to the


CD-ROM drive of the computer.

Installation - 07
Install the NAOMI Driver (Vista / Windows 7)

4. In order to locate the driver software,


click “Browse…”

5. “Browse For Folder” menu shows up.


Click “ ” next to “Computer ”, click
“ ” next to “DVD/CD-RW Drive (D:)”
and select “driver” folder. Then, click
.

6. Make sure that the search location is set


as “D:/driver”. Click .

Installation - 08
Install the NAOMI Driver (Vista / Windows 7)

7. Wait for the computer to search the driver


software.

8. When the Windows Security menu


shows up, click “ Install this driver
software anyway”.

9. The installation process continues.

Installation - 09
Install the NAOMI Driver (Vista / Windows 7)

10. The NAOMI dr iver installation is


completed.
Click .

11. After a few seconds, the message,


“ Devic e dr iver sof t ware installed
successfully” appears on the right
bottom of the computer screen.
The NAOMI driver has been installed
successfully.

The installation process for Windows Vista/Windows 7 is completed.


Proceed to Install the NAOMI Imaging Software (Installation - 11).

Installation - 10
STEP

2 Install the NAOMI Imaging Software


This process is to install the NAOMI software into a computer for the first time.

1. Insert NAOMI System CD-ROM into the


CD-ROM drive on your computer. After
a few seconds, the CD-ROM window
will automatically appear.

If the above window does not appear


automatically, double click the CD-
ROM drive from My Computer.

2. Double click the naomi.international


folder to open.

Installation - 11
Install the NAOMI Imaging Software

3. Double click Setup.exe to start the


installation process.
Windows Vista
When double-clicking on “Setup.exe” on a computer
with Windows Vista, “User Account Control” wizard
may show up, stating “An unidentified program wants
access to your computer.” Click “Allow: I trust this
program. I know where it’s from or I’ve used it before”
to start the installation.

4. The window NAOMI Setup (Runtime


Librar y) automatically opens. Click
“Install” to start the installation process.

When the Runtime Library window does not


automatically open up and the NAOMI Setup
Wizard opens as shown in the next step (Step. 5),
follow the manual and complete the installation
process of the NAOMI Setup Wizard. After the
wizard confirms the installation, go to the page
Installation - 14 to complete the installation of
the Runtime Library.

5. NAOMI Setup Wizard automatically


o p e ns. T h e w iz ar d w ill gui de yo u
through the steps to install NAOMI on
your computer.

Click .

Installation - 12
Install the NAOMI Imaging Software

6. Click unless you need to


change the folder to install NAOMI.

This manual shows you how to install


NAOMI to C:/Program Files/RF/NAOMI_II
(default setting).

Record the location that NAOMI is


installed in this process. You may need
to access the location later.

7. Click to start the installation.

8. Wait until the NAOMI software installation


is completed.


It may take few minutes to complete.

“Installation Complete” appears, after


the NAOMI Software has been installed
to your computer successfully.
Click to exit.
The NAOMI icon will be displayed on
the desktop.

Installation - 13
Install the NAOMI Imaging Software

In the following cases, the NAOMI software is not completely installed.


• NAOMI Setup window does not open and the NAOMI Setup wizard starts when double-
clicking on “Setup.exe” in the installation step 3, Page Installation - 03.
• The error message (Page Software - 01) opens when double-clicking on the NAOMI icon
on the desktop and the NAOMI software does not start.
Follow the process below to completely install the NAOMI software (Runtime Library).

Runtime Library Installation


Double click on the “vcredist_x86” folder
under NAOMI Software CD-ROM, and double
click on vcredist_x86 to start the installation
process for Runtime Library.

Privilege level on
Windows Vista / Windows 7

In order to set the correct compatibility for


NAOMI software to operate in Windows
Vista and Windows 7, the privilege level must
be set up with the following instructions.

Click “Start”, then select “Computer”.

Installation - 14
Install the NAOMI Imaging Software

1. Double-click on Local Disk (C:), then


Program Files. Double - click on RF
folder, then NAOMI_II folder. Inside of
NAOMI_II folder, right click on NAOMI_
II.exe file and then select “Properties”.

2. Click “Compatibility” tab on NAOMI_


II properties window. Check on “Run
this program as an administrator” under
Privilege Level.

Click “OK”.

3. When you open the NAOMI software in


the next time, the windows ask to either
allow or cancel accessing the software.

Click “Yes” (or “Allow”).

Installation - 15
STEP

3 Copy the NAOMI Imaging Data

Follow this instruction to copy the imaging data when RF customer support instructs to do so,
or the NAOMI software is installed on a computer for the first time.

In this process, you are to copy the NAOMI imaging data to your computer. The imaging
data controls the proper image capturing on the NAOMI sensor.

Prior to use the NAOMI sensor, the NAOMI imaging data must be copied to your computer.
The NAOMI sensor cannot capture digital images properly without copying the imaging data.

If you change the software location in the installation process, open the NAOMI
folder and follow the process from #6.

It is not necessary to copy the imaging data when the NAOMI software is re-
installed, as the data remains stored in the map folder.

1. Click Start and go to My Computer.

2. Double click Local Disk (C:) on My


Computer.

Installation - 16
Copy the NAOMI Imaging Data

The window may show "These files


are hidden."
Click "Show the contents of this
folder".

3. Double click Program Files to open.

The window may show "These files


are hidden."
Click "Show the contents of this
folder".

Installation - 17
Copy the NAOMI Imaging Data

4. Double click the RF folder to open.

5. Double click the NAOMI folder (or


NAOMI_ II folder) to open.

6. Double click the map folder to open.

Installation - 18
Copy the NAOMI Imaging Data

If there are any files in this folder,


delete all files.
The map folder must not contain any
files before proceeding to the next
step if you are to use NAOMI with
your computer for the first time. This
is where the new files are copied to in
the next step.

7. I n s e r t N AO M I S y s t e m C D - RO M ,
which come with the sensor you are
currently trying to set up with, into your
computer's CD-ROM drive. The window
automatically appears in a few seconds.
Then, open map folder. You will find the
three files.

If the above window does not


appear automatically, double click
the CD-ROM drive on My Computer.

Installation - 19
Copy the NAOMI Imaging Data

8. There are three files in the map folder in


the CD-ROM. Use the mouse to select
all three files.


All three files must be selected.

9. Copy all three files.


(Or, you may copy the files by right-
clicking on the mouse and select “Copy”.)

10. Paste three files on the map folder


(C:\Program Files\RF\NAOMI\map).
(Or, you may paste the files by right-
clicking on the mouse and select
“Paste”. Or click and drag the files into
the map folder.)

Installation - 20
Copy the NAOMI Imaging Data

11. It starts copying the deta.

12. After the copying process is completed,


confirm there are three files in the
map folder.


Right click on each copied file and select
proper ties. Conf irm the “ Read- only“
checkbox is unchecked. If the copied files
are set as “Read-only”, the calibration / QAP
data cannot be updated. Thus, it causes
the NAOMI software to shut down when
the calibration process is executed. These
files need to be set as _NOT_ “Read-only”
files. (For calibration / QAP, refer to the QAP
(Quality Assurance Program) section.)

Close “map” window to finish.

If the NAOMI system or software does not work or an image does not appear
after capturing, please go through this chapter again. Make sure you have
followed every step properly on the installation process. If the problem remains
unsolved, contact RF Technical Support.

Copying the NAOMI imaging data has been finished.


The installation has been completed.

Installation - 21
Operation Check
Before you start using the NAOMI system, follow the instruction in this
chapter to check the sensor for its functionality.

Prior to the shipment, the system has been tested and calibrated for both positioning and luminance for
immediate use upon its arrival. However, in rare cases, calibration (QAP (Quality Assurance Program)) may be
required to be processed. (Calibration is the process to correct misalignment and contrast unevenness on each
CCD sensor in NAOMI. Refer to Calibration (QAP (Quality Assurance Program)) section for details.)
If there is a problem during the operation, refer to Troubleshooting Guide section or contact RF Technical
Support.

This section includes...


STEP

1 Set up the NAOMI sensor

STEP

2 Confirm the irradiation area

STEP

3 Set the calibration scale

STEP

4 Set the x-ray exposure factors

STEP

5 Start the NAOMI software

STEP

6 Capture the x-ray image of the calibration scale

STEP

7 Confirm if calibration is necessary

Operation Check - 01
OSm_120123_Nao3_OpCheck
STEP

1 Set up the NAOMI Sensor


Place the sensor.
Plug in AC Adapter, Power Cable, and connect USB Cable.

CHECK THE STATUS LAMPS


ON THE SENSOR.
They indicate proper cable connections.

Confirm the status


lamps are on.
Power Cable
USB Cable

14” x 17”

Conf irm the AC adapter


is powered on with the
illumination of indicator lamp.

AC Adapter
Power Switch
Indicator Lamp

10” x 12”

Secure the USB cable and the


power cable by using the clips
on the product referring to the
pictures above.

If the NAOMI software and/or driver are not installed in your computer, refer to
the Installation section (Driver: Installation 03-10, Software: Installation 11-15).

Refer to the upright stand (or upright stand bracket) installation guide for the
upright position setting.

Make sure to turn off the photo timer, electric bucky equipment, or
any other equipment close to the NAOMI unit. The strong magnetic
field may cause the malfunctioning on the image capturing process.

Operation Check - 02
STEP

2 Confirm the Irradiation Area


Set the irradiation area larger than the sensor's imaging area.

Irradiation Area

Raise the x-ray tube to approximately 150cm (60 inch) or longer tube distance in order to set
the irradiation area wide enough to cover the entire sensor.

INCORRECT CORRECT
The irradiation area is not The ir radiat i on area is
covering the entire sensor. covering the entire sensor.

If your irradiation area cannot cover the entire sensor, contact RF Technical Support.

Operation Check - 03
STEP

3 Set the Calibration Scale


Set Calibration Scale on the NAOMI sensor securely with Scale Pins.

Handle the calibration scale with care to avoid any injuries or


crease on the scale.

Align to the Left

Calibration Scale

Scale Pin

Place Calibration Scale on the sensor with


the NAOMI and RF SYTEM lab's logos
facing up. Secure Calibration Scale with
Scale Pins.

NAOMI Sensor
Align Calibration Scale to the far left side
of the NAOMI sensor, so that the NAOMI
sensor detects Calibration Scale properly.
STEP

4 Set the X-Ray Exposure Factors


Set the x-ray machine to the following technique*:

Tube Distance 150cm - 180cm / 60" - 72" (as far as possible)


Tube Voltage 68kvp
Irradiation Strength 5mAs
•Recommended Tube Current : 100mA
•Recommended Exposure Time : 1/20 sec. (0.05sec. / 6 pulse)
The above equals to 5mAs.
*The technique value may vary depending on the x-ray machine or its tube distance.

Operation Check - 04
STEP

5 Start the NAOMI Software

1. Double click the NAOMI icon on the desktop.



If the NAOMI imaging software has not been
previously installed, refer to Software Installation
section (Installation 11 - 21).

2. The software starts automatically.



When the software recognizes the NAOMI sensor
connection properly, it shows its model name of
the NAOMI sensor. When it does not recognize the
connection, it displays “NAOMI (Not connected)”.
Refer to Troubleshooting - 05 for details.

STEP

6 Capture the X-Ray Image of the Calibration Scale


1. Click the camera icon to prepare the software and
the sensor for the exposure.
2. Type in ID.
Click Single.


Refer to "How to Capture X-Ray Images"
(Software 08-11).

3. The message "Please irradiate X-ray" appears to


indicate that it is ready for the irradiation.

Irradiate x-ray before the time runs out.


The sof t ware star ts counting down the
The image of the c alibration sc ale will be
remaining once the message appears on the
screen. It alerts when the time is running out. downloaded and displayed on the screen.
It alerts 10 seconds remaining, 5 seconds
remaining and when it is timed out.

Operation Check - 05
STEP

7 Confirm if Calibration is Necessary


After the image is displayed, confirm if calibration is necessary, by comparing the image
on the screen with three example images below. If the calibration process seems to be
needed, refer to the Calibration section.
There is at least one area on the displayed image that...

The dots are overlapping with each other in at least one area of the image.
If your image is...
Each dot is aligned with each other.

Each block of dots is even in contrast.

(Proceed to page Calibration / QAP 01-11.)


Enlarged View

The image contrast is not even.

If your image is...


Each dot is aligned with each other.

Each block of dots is even in contrast.

Enlarged View (Proceed to page Calibration / QAP 07-11.)

The image does not have any overlapped dots or uneven contrast.

If your image is...


Each dot is aligned with each other.

Each block of dots is even in contrast.

Your sensor is ready to use.


Enlarged View
(Proceed to next page.)

Operation Check - 06
Ready to Use
If the displayed image looks like in the previous page, your sensor is ready to use.
Remove the calibration scale prior to start using the sensor.

REMOVE CALIBRATION SCALE.

Handle the calibration scale with care to avoid any injuries or crease on
the scale.

Store the calibration scale and the scale pins where they are quickly available.
They are necessary for the calibration process.

Now it is ready to use. Be sure to read the “ Before Capturing


X-Ray...” section in the software chapter (Software -05).

Operation Check - 07
NAOMI Software
Start the NAOMI software.
D ouble c lic k the N AO MI ic on on the
desktop to start the NAOMI software.

If there is no NAOMI icon on the desktop,


install the N AOMI sof t ware. Refer to
Software Installation section (Installation 11
- 15).

If the following error message pops up when


double clicking on the NAOMI icon, the software
installation has not completed (the par t of
NAOMI Software, Runtime Library is not installed).
Go back to the installation page to complete the
installation (Page Installation - 14).

When the three error messages (below) appear just


after you double click on the NAOMI software icon
to start it up, you do not have a calibration map data
(imaging data) copied in a proper folder. Go back to
Page Installation 16 - 21 to copy the imaging data
into the right location on your computer.

NAOMI software contains two different management modes.


A Capture / Manipulation Mode (Refer to Software - 02 - 03)
B Patient Information Mode (Refer to Software - 04)

Software - 01
OSm_120123_Nao4_Soft
Capture / Manipulation Mode

Click the image screen area to change to Capture / Manipulation Mode.

Menu Bar Overlay: Image Screen Overlay:


Refer to Menu Bar Icons. Patient Data Image Data
(Page : Software-03) Technique

1cm

Patient Data Menu Orange Frame Software Version


shows the patient 's indicates the image is
information of the selected. Ruler in Centimeter.
selected image. Each scale is 1cm.

Histogram Window Overlay:


shows the data of the selected image. Image Data Information
The bar under the graph shows
width and level of the adjustment setting. Fit, Mag: 100X-------------- Magnification Scale
W: 1083 L : 3315----------- Image Data
(Width = Contrast) (Level = Brightness)

DFOV: 48.4 x 57.9--------- Display Field of View

By pressing F11 key on the keyboard, display


or hide Overlay Information (green imprints;
Patient's Data, Irradiation Technique, and Image
Data Information) on the image screen area.

Software - 02
Menu Bar Icons (in Capture / Manipulation Mode)

Capture Icon : Prepare the sensor and the computer for the x-ray irradiation and
for a digital x-ray image capture.
Open Icon : Open the saved image.
Save As Icon : Save the selected image as a different file format.
Update Icon : Update (Save) the change of the adjustment in brightness, contrast,
and gamma correction.
Close Icon : Close the selected image from the computer monitor.
Print Icon : Print out the selected image.
CD Burning Icon : Prepare the image data and the viewer software program to be
burned on a blank CD-ROM/DVD-ROM.
Negative/Positive Change Over Icon : Reverse negative and positive.
Reflection Icon (Horizontal) : Invert the selected image horizontally.
Reflection Icon (Vertical) : Invert the selected image vertically.
Rotation Icon (Clockwise) : Rotate the selected image in clockwise by every 90 degrees.
Rotation Icon (Counterclockwise) : Rotate the selected image in counterclockwise by every 90 degrees.
Enhancement Icon : Turn On/Off the enhancement on the selected image.
Single Window Icon : Display one image.
Double Window Icon (Vertical) : Display two images vertically.
Double Window Icon (Horizontal) : Display two images horizontally.
Quarter Window Icon : Display up to four images on one window.
3x3 Window Icon : Display up to nine images on one window.
4x4 Window Icon : Display up to sixteen images on one window.
Annotation Icon : Open the annotation menu.
Setup Icon : Open the setup menu to change the NAOMI system's configuration.
Exit Icon : Close the NAOMI software.

Software - 03
Patient Information Mode

Click the Patient Data Menu area to switch to Patient Information Mode.

Menu Bar in Patient Information


Mode

Patient
Data Menu
Area

Image Screen Area

By pressing F11 key on the keyboard, display


or hide the Overlay Infomation (Green imprints;
Patient's Data, Irradiation Technique, and Image
Data Information) on the image screen area.

Click on Image Screen Area to go back to the Capture / Manipulation mode.

Software - 04
Before Capturing the X-Ray

This section explains the preparation steps in order to use the software
more effectively. Please refer to the following instruction to set up your
software before using the NAOMI system.

A Check the file saving location.


This is to check where the captured images are automatically saved into, so that the
x-ray images can be managed easily (refer to Software - 06 for details).

Change the file saving location.


B
C
This is to change where the captured images are automatically saved. If you already
have a filing structure in the computer system you would like to use, you may select a
folder in your computer to maintain the image files effectively (refer to Software - 07 for
details).

Input the institution information.


C
The institution or office name, department name, or office address can be saved with the
acquired x-ray image data (refer to Software - 58).

Register a DICOM printer settings.


D
C
If printing images by a DICOM printer* through a LAN connection, register a DICOM
printer settings (refer to Softwara - 58 and Software - 28).
*Printer devices to print DICOM format image files onto a particular paper or film. Dry Imager Printer
is one example.

Software - 05
Before Capturing the X-Ray...
The image is automatically saved in the folder, which is selected in Setup
Menu. Prior to use, it is necessary to set the location for the captured
images to be automatically stored.

A. To check the folder's location

1. Click the Setup icon.

2. Setup Menu is displayed.

Select the General tab.

Check under "File". The folder's location


is displayed next to the "Folder" button.

The folder's location: where the image


is automatically stored.

File format type.

The recommended file type is DICOM, because all patient information is stored with the
image, and there is more pixel capacity on the image compared to other file types.

The default location for images to be stored automatically, is set as "C:\Documents and
Settings\Administrator\My Documents\NAOMI data"*
(To access this folder, go to My Computer, Local Disk C Drive, Documents and Settings,
Administrator, My Documnets, and then NAOMI data.)

*This is only applicable to the NAOMI software, when it was installed to the default location
during the installation process. If the NAOMI software was installed in a different location, the
above does not apply.

Software - 06
Before Capturing the X-Ray...

B. To change the folder's location

1. Click the "Folder" button.

2. The open window appears.


Select the folder, where you wish to save
images.


I would like to save images into "My
X-Rays" folder, which I have created in
My Documents.
Step 1 Select My Documents
Step 2 Select My X-Rays folder.
Step 3 Click Open.

3. The selected folder's name will be


displayed.

Click Apply and OK.

Software - 07
How to Capture X-Ray Images

Capture Mode

1. Click the Camera icon on the menu


bar. “Select / Register ID” menu shows up.
Type in ID, or select from the list by
clicking the arrow next to ID.
The folder will be named the same as ID, and
created in the location you have selected in Setup
Menu. ID can be anything such as a carte number,
a patient's name or a social security number.
[Sub ID]
T h i s i s o pt i o n a l. Yo u m ay wa nt to t y p e i n
information other than the one you put in the main
ID number. When you enter “Sub ID”, the captured
images will be saved under the Sub ID folder in
the main ID folder.


(1) (Main) ID : Patient Name
Sub ID : Name of Symptom
Do not use a comma(,), when you type in the (2) (Main) ID : Carte Number
Sub ID : Date of Visiting
patient information. (3) (Main) ID : Client (or Company) Name
Sub ID : Patient Name
Example
Smith,Mike (comma)
The Capture button (Single and Series buttons)
Smith_Mike (underscore) does not become available without the ID
Smith-Mike (hyphen) number.
Smith Mike (space)
[Accession]
This is an accession number of the image.
Leave it blank, then the software issue an
accession number automatically.

[Patient Name and Gender]


Type in a patient name and/or select a gender
if necessary.
The information will be imprinted on the
image.

Software - 08
How to Capture X-Ray Images

[Birth Date & Age]


When you type in the date of birth, the age
will be automatically calculated.

[Check in]
Click this button to update the patient information.

[File Name]
If the file name field is left blank, the image is
named with the date and time at capturing.

If the file name is left the same for the next x-ray,
the message, “WARNING: The filename you have
entered already exists. Continuing will erase the
current file. Do you want to proceed?”will appear.
By selecting “Yes” on this message, the previous
captured image will be overwritten by the image to
be captured next.

[Sensor Area]
Select the collimated sensor area size.

[Anatomy and Position]


Select the anatomy and position from
the list if necessary. When selected, the
information will be imprinted on the image.

When selected, the anatomy will be added to the


file name.

The file name of the image you captured at 11:00 on July


19, 2011 will be following:
without the anatomy information
The list of the Anatomy and Position information can 2011_07_19_110000.dcm
be customized. Double Click directly on “Anatomy” or with the anatomy information
“Position”, the list will open as a text data. Add and/or 2011_07_19_110000_CSPINE.dcm (by selecting
delete the item(s) as necessary. “CSPINE” under [Anatomy]).

Software - 09
How to Capture X-Ray Images

[Tech. Indication]
Click on the check box of “Exposure in
mAs”, when the x-ray machine provides you
the x-ray factor in mAs, not mA and sec.
separately. They are a recording purpose,
saved as the image data and shown as
Overlay information (refer to Software - 02
and Software - 55 for Overlay).

2 . Click “ Single” or “ Ser ies” to st ar t


capturing an image.
“Single”: Capture one image.
“Series”: Capture the series of x-ray
images for the displayed patient. Each
time the capturing completes, this menu
window will be displayed with the same
patient information

Capture but tons (“Single” and “Series”)
become available when you input the ID.
Without typing the ID, they are not available..

3. When you click “Single” or “Series”


button, the message, "Please irradiate
x-ray" appears.

Irradiate x-ray before the time runs


out.

The software starts counting down the remaining time


once the message appears on the screen. It alerts when
the time is running out. It alerts 10 seconds remaining, 5
seconds remaining and when it is timed out.

Software - 10
How to Capture X-Ray Images

4. Once you shoot the x-ray, the image will


be automatically downloaded.

5. The x-ray image will be displayed.

Software - 11
How to Capture X-Ray Images

with
Multi-Sensor Mode* (Two or More Sensors)

* NAOMI sensors need to be set for the multi-sensor mode usage (using two or more
sensors with one computer). It has to be instructed prior to the shipment of the sensors from
the RF manufacturing site for this usage. If you need to use the existing multiple sensors
with one computer under Multi-Sensor Mode, please contact RF Co., Ltd. for modifications.

1. Make sure to connect more than two


NAOMI sensors to one computer.
Then, double click on NAOMI Icon
on the desktop, to start the NAOMI
Software.

2. When the software opens, confirm the


toolbar shows Multi Sensor Mode.

3. Click the Camera icon on the menu bar,


to capture x-rays.

4. Select the number of the sensor you


will be capturing an x-ray with. When
selecting “Auto”, the NAOMI sensor
detects the x-ray automatically.

Software - 12
How to Capture X-Ray Images

5. Type in the patient information, such as


ID, patient name, gender, birth date,
sensor area, anatomy, position, and/or
technique settings. Then, click “Single”
or “Series” to capture x-ray(s).
Refer to Page “Software - 08 to 11”
for details.


When selecting “Auto” in Multi-Sensor Mode,
in the process No.4, NAOMI sensor, which
you are not taking the x-ray with, sometimes
detects x-rays by accident due to the scattered
radiation. In such case, select the sensor that
you are working on.

Software - 13
How to Capture X-Ray Images

with
Stand-By Button

Stand-By Button

1. Press X-Ray Capture Button on the


NAOMI sensor.

The NAOMI foot switch can
activate the sensor as well.

[Option]

2. The message, "Please irradiate X-ray"


appears.

Irradiate x-ray before the time runs out.

The software starts counting down the remaining once


the message appears on the screen. It alerts when the
time is running out. It alerts 10 seconds remaining, 5
seconds remaining and when it is timed out.

3. The x-ray image will be automatically


downloaded and displayed on the
screen.


When taking X-ray with X-Ray Capture Button,
the image will be saved with the last ID and
patient information you have used last time.

Software - 14
Zoom In / Out on the X-Ray Images

Zoom In
Select the image.
Press the scroll button and drag DOWN to zoom in.
Press Down

Scroll Wheel

Zoom In

You can zoom in by pressing key ( key + key for laptop) on the keyboard.
You can go back to x100 view by double-clicking the right button.

Zoom Out
Select the image.
Press the scroll button and drag UP to zoom out.

Press Down

Scroll Wheel

Zoom Out

You can zoom out by pressing key ( key + key for laptop) on the
keyboard. You can go back to x100 view by double-clicking the right button.

While holding the scroll button down, the cursor changes to Magnifying Glass Pointer. While
the cursor becomes pointer, you can zoom in and out the image.

CURSOR Magnifying Glass CURSOR


Pointer
Press Down Release

Software - 15
4 Move the Image
Select the image.
Move the Image Click LEFT and drag the mouse to move the image.

To display the image at the center, double click on the right button on the mouse.

Up

Click and Drag

Left Right

Down

Once the left button is clicked, the cursor changes to 4 Directional Pointer until the left button is
released. While the cursor becomes 4 Directional Pointer, you can move the image.

CURSOR 4 Directional CURSOR


Pointer
Click Release

Software - 16
5 Adjust the Brightness / Contrast
Select the image.
Brightness / Contrast Click RIGHT and drag the mouse to adjust brightness
and contrast.

Brightness Brightness
Up

Brightness Up

Brightness
Down
Click and Drag

*The number and the histogram of level changes as you


change the brightness.
Contrast Contrast
Up Down

Contrast
Up

Brightness Down

Contrast Contrast
Down
*The number and the histogram of width changes as you
change the contrast.

Once the right button is clicked, the cursor changes to Image Adjustment Pointer until the right
button is released.

CURSOR Image Adjustment CURSOR


Pointer
Click Release

Software - 17
6 Adjust Gamma Setting
Select the image.
Gamma-Correction Scroll the wheel UP or DOWN to adjust the gamma-
setting of the image

Darker

Scroll up Darker
Scroll down Brighter

Brighter

*The curve of the histogram


changes to indicate gamma-
correction adjustment.

Software - 18
7 How to Adjust the X-Ray Images

One-Click Image Adjustment

Original (Original Adjustment)

Click "Original" to go back to the


adjustment setting, which has been
previously saved on the image file.

(Refer to Software - 23)

Auto (Automatic Adjustment)

Click "Auto" under Histogram.


It automatically optimizes the brightness,
contrast, and gamma-correction of the
selected image.

Reset (Resetting Adjustment)

Once clicking on "Reset", the adjustment


setting will return to the raw data image
(Originally captured image).

Software - 19
How to Adjust the X-Ray Images

Preset Function

Opt 1 (Customized Adjustment )

1. Click "Opt 1" (Option 1), "Opt 2" (Option


2), or "Opt 3" (Option 3) button.

2. Change the brightness and contrast


by right-clicking the mouse and/or the
gamma-correction by scrolling the scroll
wheel.

3. Click "Save Opt (option)" button to


save the adjustment you have made to
the displayed image.

OPTION 1 Once you save the adjustment setting to


the option button, you can recall the same
adjustment condition by clicking the same
option button for any displayed images.

You can save the adjustment condition


focusing more for abdomen on Option 1,
OPTION 2
chest on Option 2, and spine on Option 3.

Software - 20
8 How to Edit Patient Information or X-Ray Technique Records
DICOM Edit Mode allows you to edit the patient information (ID or name),
and the x-ray technique records such as kVp, mAs, or body position or
anatomy information.

1. Click on “Edit” to enable the DICOM Edit


Mode.

This is only available when the image is saved
as the DICOM file format.

2. Edit where you wish to change the


information.

3. Click “Update” to save the changes.



When you mistyped the patient ID and have
edited the ID, the saving location for the saved
image needs to be changed as well. Refer to
Troubleshooting -07 for details.

Software - 21
9 How to Add L or R Marking

1. Click on “L / R” button.

2. “L/R Marking” window shows up. Click


the position where you want to add L or R
Click to switch to L, to R, to no mark.

3. Click “OK” to add a mark.



The change in L or R marking will be saved
automatically without clicking “Update Icon”
on Menu Bar. However, click “Update
Icon” to save the change in brightness or
contrast.

To Remove the Imprinted Mark from the Image File... Click on “L/R” button, and select
the same mark with the one
imprinted on the image at the
same position. This overwrites
the same mark and remove it off.
Be careful that this overwrites
the same mark in a black color.
Thus, the black mark appears
if the imprinted mark was on
the white area of the image and
cannot be deleted.

Software - 22
10 How to Save the Adjusted Image
Once you find out the appropriate image adjustment
level for your clinical application, save it for the future Update Icon
review. DICOM image can save its adjustment setting.

You can update the original data by clicking


"Update Icon" on Menu Bar as well. It saves
the changes in the contrast, brightness, and
gamma-correction.

Use caution to update your data. If the image


data is saved in other than DICOM file format, the
original image data will be erased and overwritten
with the adjusted image data. If the image data
is saved as DICOM file format, the original data
is stored with the adjusted data, so it will not be
overwritten.

To display the image with the saved adjustment


level, c lic k on “ O r iginal ” but ton under t he
histogram (refer to Software - 19).

Software - 23
11 How to Save as a Different File Format

Save As Icon

1. Select the image you wish to save as a


different file format. And click on “Sare
As lcon’’.


The selected image is highlighted in orange.

2. "Save a File" window appears.


Type in the file name.
Select the file type, BPP (bit per pixel), Sub Type
(compression type) and QFacter (recommended
as 2) as you need.


You can save as:
DICOM, BMP(bitmap), JPEG, PNG, GIF

3. Click to save the selected


images with the selected file format.

Software - 24
12 How to Open the Saved Image

Open Icon

1. Click the Open icon.


You may check the automatic file storage
location on the Setup Menu (refer to page
Software - 06).

2. "Open" window appears.


Select the ID folder, then the file you
wish to open.

You can select multiple images by holding
ctrl key and directly clicking on the file
names. Do not select any annotation file (.ann)
when trying to open multiple images at once.

The following files can be opened with NAOMI
software: DICOM, BMP(bitmap), JPEG, PNG,
GIF

3. Click to open the saved images.

Software - 25
How to Open the Saved Image

How to fix the open folder location with Windows 7


On Windows 7, Open Folder will direct you to the folder you opened last time, not into
the saving location. To have Open Folder to direct you to the saving location folder, the
computer setting has to be changed.

1. Go to Control Panel.
2. Click on Appearance and Personalization. And click on Folder Options.
3. On General Tab, under “Navigation Pane”, Click on “Show all folders” (refer the figure
below).
4. If the saving location has already been saved, it has to be set again to make the change
effective.
(a) Open the NAOMI software.
(b) Go to Setup Menu.
(c) Change the saving loc ation to a
temporary place (any place is OK).
(d) Click on Apply and OK to close the
Setup menu.
(e) Click on Open icon on the top and
open any files.
You have to open something once to
make the change effecvtive.
(f) Go to the Setup menu again, and
change the saving location to the
location which you want.
(g) Click on Apply and OK to close the
Setup menu.

Then, the Open Folder will direct you to the


folder you have set as the saving location all
the time.

Software - 26
13 How to Close the Selected Image

Close Icon

1. Select the image you wish to close.


Click the Close icon.


The selected image is highlighted in orange.

2. The selected image is now closed.


To reopen the file, refer to "How to Open the
Saved Image" (Page: Software - 25-26).

Software - 27
14 How to Print the Selected Image

※ DICOM Printer needs to be set up prior to


use. Refer Software-58 for detail.
Print Icon

1. Select the image you wish to print.


Click the Print icon.

The selected image is highlighted in orange.

2. The Print window appears. Select a


corresponding option, depending on a
printer in use.
DICOM printer selection
Select a DICOM Printer when multiple DICOM printers
are connected.
Information (Patient Information)
• All: It prints all of the client information.
• w/o Client Info: It prints the information
other than the client's information. (The client
information includes client's ID, client's name and
gender.)
• None: It does not print any information. It only
prints the image you have selected.
Position
Select of the position where the patient information is
to be printed whether on top-left, top-right, bottom-left,
or bottom-right. Available for both a DICOM and normal
printer.
Film size
Select a printing film size with a DICOM printer which has
a capability to print multiple film sizes.
Print mode
• Fullscale: It prints with an actual size no matter
which film size or paper size is selected.
• Center:Print the selected image at a center
position on a film or paper.
• Split:Print the selected image on two film or
paper in half by half.
Print range
• Print Screen: Print multiple images as displayed
o n t h e m a i n s c r e e n ( p r i nt f o u r i m a g e s w h e n
displaying four images by clicking Quarter Window
icon (refer to Page Software-39)).
*Print Size will not be effected when you select Print Screen.

Print orientation
Select the orientation for printing as portrait or landscape.

Click .

3. The Print window appears. Select the


printer you wish to use. Click .

Software - 28
15 How to Burn X-Ray Images on to a CD-ROM

CD Burn Icon
(Windows XP)
Click on the CD icon.

1. Display the image(s) you would like


to burn on the CD-ROM. Make sure
the image is selected (shown with the
orange frame), then, click on CD icon.

Orange frame shows you the


image you have selected.

2. The software automatically prepare


the selected image(s) together with the
NAOMI.app folder (viewer software
program).

3. Insert a blank CD or DVD. These files are


ready to be burned onto a blank CD. Click
“Write these files to CD” to burn a CD.

T hi s fo l d e r c o nt ains t h e N AO M I V I E W ER
software program.

The image file you have selected.

Software - 29
How to burn x-ray images on to a CD-ROM (Windows XP)

4. To burn multiple images, you select


more than one images you want to burn
on CD. Make sure that images you want
to have on CD are selected and with the
orange frame.

Press and hold Ctrl key then select two or


more images to have multiple selection.

5. If you selec t t wo images like t his


instruction shows you, the both files will
be ready to be burned on a CD with the
NAOMI.app folder that contains NAOMI
VIEWER software program.

6. When a blank CD is inserted, Writing


Wizard appears on your screen. Type in
the CD name as you wish.
Then click Next.

When CD Writing Wizard does not appear


automatically, click on “Write these files to CD”
in the CD drive window.

Software - 30
How to burn x-ray images on to a CD-ROM (Windows XP)

7. Follow the wizard by clicking “Next”.


Once the writing process finishes, the
CD or DVD is ejected automatically from
your computer.

Software - 31
How to burn x-ray images on to a CD-ROM (Windows 7)

CD Burn Icon
( Windows 7 )
Click on the CD icon.

1. Display the image(s) you would like


to burn on the CD-ROM. Make sure
the image is selected (shown with the
orange frame), then, click on CD icon.

Orange frame shows you the


image you have selected.

2. The software automatically prepare


the selected image(s) together with the
NAOMI.app folder (viewer software
program).

3. Insert a blank CD or DVD. These files are


ready to be burned onto a blank CD. Click
“Write these files to CD” to burn a CD.

T hi s fo l d e r c o nt ains t h e N AO M I V I E W ER
software program.

The image file you have selected.

Software - 32
How to burn x-ray images on to a CD-ROM (Windows 7)

4. To burn multiple images, you select


more than one images you want to burn
on CD. Make sure that images you want
to have on CD are selected and with the
orange frame.

Press and hold Ctrl key then select two or


more images to have multiple selection.

5. If you selec t t wo images like t his


instruction shows you, the both files will
be ready to be burned on a CD with the
NAOMI.app folder that contains NAOMI
VIEWER software program.

The image files you have selected.

6. When a blank CD is inserted, Writing


Wizard appears on your screen. Type in
the CD name as you wish.
Then click Next.

When CD Writing Wizard does not appear


automatically, click on “Write these files to CD”
in the CD drive window.

Software - 33
How to burn x-ray images on to a CD-ROM (Windows 7)

7. Follow the wizard by clicking “Next”.


Once the writing process finishes, the
CD or DVD is ejected automatically from
your computer.

Software - 34
16 How to Reverse Negative / Positive

Negative / Positive Change Over Icon

1. Select the image you wish to reverse


negative / positive.
Click the Negative / Positive Change
Over icon.


The selected image is highlighted in orange.

2. Each time you click the Negative /


Positive Change Over icon, it switches
between Negative and Positive on the
image.

Negative

Positive

Software - 35
17 How to Invert the Selected Image

Reflection Icon (Horizontal)

1. Select the image you wish to change its


direction.
Click the Reflection icon (Horizontal).


The selected image is highlighted in orange.

2. Each time you click the Reflection icon


(Horizontal), it switches its direction
horizontally.

To change vertically, press the Reflection icon


(vertical) .

Software - 36
18 How to Rotate the Selected Image

Rotation Icon (Clockwise)

1. Select the image you wish to rotate in


clockwise direction.
Click the Rotation icon (Clockwise).


The selected image is highlighted in
orange.

2. Each time you click the Rotation icon (Clockwise), it rotates the image clockwise in every 90 degrees.

Clockwise
Every 90
degrees

The image can be rotated counterclockwise by pressing Rotation Icon (counterclockwise) .

Software - 37
19 How to Turn On/Off the Enhancement

Enhancement Icon

1. Select the image you wish to change its


sharpness.
Click the Enhancement icon.


The selected image is highlighted in orange.
Normal : Standard Sharpness (Unsharp Mask)
MSE : Multi-Scale Enhancement
(Recommended)
(Refer to page Software -55 for the enhancement
setting.)

2. Each time you click the Enhancement


icon, it changes the sharpness of the
selected image.


The sharpness level is adjustable in Setup
Menu.
Refer to "How to Change the Setting" (Page:
Software - 52).


You can activate the sharpness function for
every image you capture by changing the
settings.
Refer to 3 Effect on Page Software - 55 for
details.

Software - 38
20 How to Change the Display Mode on Screen

Display Window Icon

1. Click the Single Window icon.



If you wish to display multiple images at the
same time on the screen, refer to
2 images : Double Window
4 images : Quarter Window
9 images : 3 x 3 Window
16 images : 4 x 4 Window
Press the Single Window icon to return to the
single window from the multiple image display.

[ 2 x 1 Horizontal ]
2. Click two Images together Window to
display (Vertical) appears.


The selected image is highlighted in
orange.
You may capture or open new images. A new
image appears in the top left window, and
other images are moved by one block.
Double click an image to display in single
window.

[ 1 x 2 Horizontal ]

To display two images horizontally, press the


Double Window icon (horizontal).

Software - 39
How to Change the Display Mode on Screen

[2x2]
3. Click Quarter Windows lcon to display 4
images together.
You may display up to 4 images.


The selected image is highlighted in
orange.
You may capture or open new images. A
new image appears in the top left window,
and other images are moved by one block.
Double click an image to display in single
window.

[3x3]
To display 3x3 or 4x4, press 3x3 Window icon
or 4x4 Window icon.

To display the desired images in a different view,


select them by pressing ctrl key on the
keyboard. then click on double window icon
or quarter window icon to display.

[4x4]

Software - 40
21 How to Open / Close Annotation Menu

Annotation Icon

To Open
Click icon.

The annotation window has functions to insert text,


shapes, and lines or to measure the specific areas on the
x-ray images.

The annotation window opens.


Click icon to open the image file you wish to put the
annotation.

To Close
Click icon.

The annotation window closes.


Annotations will not be saved automatically.

To save annotations, click on ( ) to save the


annotations. It is saved as “.ann” file format. To view the
annotations on the image, open the image by ( ).

To save annotated image in a different format to view in


a viewer software, click ( ) to save. By saving in a
different format (ex. JPEG), the annotated image can be
display in a viewer software.

The window goes back to the main screen.

Software - 41
22 Annotation Menu

Annotation Menu Window Annotation bar

Annotation Menu Window


1 2

A B C D F 3 4

5 6

7 8

Pan Window
10 11

12

Main Window

Annotation Menu Icon


13 14

A: Open Icon : To open the image file. 15 16


(Software-41)

B: Save Icon : Save the annotated image

C:
Overwrite Icon: Overwrite the annotation
on the originally saved image.
D: Print Icon : Print the annotated image

E : Close Icon : To close the annotation menu.


(Software-41)

Annotation Bar Icon

1 Selection Pointer 2 Line Annotation 3 Rectangle Annotation


4 Ellipse Annotation 5 Polyline Annotation 6 Polygon Annotation
7 Curve Annotation 8 Closed Curve Annotation 9 Pointer Annotation
10 Plain Annotation 11 Rich Text Annotation 12 Text Pointer Annotation
13 Ruler Annotation 14 Polyruler Annotation 15 Protractor Annotation
16 Cross Product Annotation

Software - 42
Pan Window (Navigation Window)
The pan window is the navigation window, which shows where the main window is
focusing on the displayed image. It helps to avoid the orientation especially when
the displayed image is highly magnified.

Navigate
Click and drag the blue frame on the pan window
to navigate through the displayed image.
As the blue frame is moved in the pan window, the
image on the main window changes the displaying
area correspondingly.

Zoom In / Out
Press for zoom in or for zoom out.

The blue frame becomes smaller when the


image is zoomed in. Click on the main window (displayed image) to zoom in/out.
The blue frame becomes larger when the
image is zoomed out.

This Section Explains How to...


Draw a Straight Line / Arrow / Polyline Draw a Shape
Draw a Curved Line / Shape Insert the Text or Note
Measure the Length Measure the Angle
Select the Annotation Object

Software - 43
A Draw a Straight Line / Arrow / Polyline

Straight Line
Click icon.
The cursor changes to

Click left button on the mouse and drag to draw a


straight line.

Hold shift key to draw a straight line in 45 degrees angle.


Release the left mouse button to complete the line.

Arrow
Click icon.
The cursor changes to

Click and drag to draw an arrow.


The starting point becomes the pointed end of the
drawn arrow.

Release the left mouse button to complete the arrow.

Hold shift key to draw an arrow in 45 degrees.

Software - 44
Draw a Straight Line / Arrow / Polyline

Polyline
The polyline is an array of points with a sequence of
joined lines.

Click icon.
The cursor changes to

Click and drag to draw the first line.

Click again to create another line.

Repeat until the desired number of points and lines are


achieved.

Double click to complete.

Software - 45
B Draw a Shape

Rectangle
Click icon
The cursor changes to

Click and drag to draw a rectangle.

Hold shift key to draw a square.

Release the left mouse button to complete.

Ellipse
Click icon.
The cursor changes to

Click and drag to draw an ellipse.

Hold shift key to draw a circle.

Release the left mouse button to complete.

Software - 46
Draw a Shape

Polygon
The polygon is an array of points with the vertices of
a polygon.

Click icon.
The cursor changes to

Click and drag to draw the first line.

Click again to create another line.

Repeat until the desired number of points and lines are


achieved.

Double click to close the shape you have drawn.

Software - 47
C Draw a Curved Line / Shape

Curved Line
Click icon.
The cursor changed to

Click and drag to draw the first line.

Click again to create first curving point and drag to


change the degree of curve.

Repeat until the desired number of points and lines are


achieved.

Double click to complete.

Software - 48
Draw a Curved Line / Shape

Curved Shape
Click icon.
The cursor changed to

Click and drag to draw the first line.

Click again to create first curving point and drag to


change the degree of curve.

Repeat until the desired number of points and lines are


achieved.

Double click to close the shape you have drawn.

Software - 49
D Insert the Text or Note

Plain / Rich Text


Click for Plain Text or for Rich Text.

The cursor changes to

Click and drag to create the text box.


The text box appears on the screen. Type the note in
the text box.

Text Pointer
Click icon.
The cursor changes to

Click and drag to create the text box. Once the text
box is drawn, drag the cursor to create the pointer to
desired location.

The text box with an arrow appears on the screen.


Type the note in the text box.

Software - 50
E Measure the Length

Ruler
Click to measure.
The cursor changes to

Click and drag to draw the desired ruler.

The length appears on the screen.

The length unit can be changed on the ruler property. To


open the property, right click the image screen and select
Ruler Property.
Select Ruler to open the ruler property.

Software - 51
F Measure the Angle

Protracter
Click icon.

The cursor changes to

Click and drag to draw an first line.

This line becomes an anchor.

Click again and move the cursor to create the desired


degree of angle.

Click again to complete.

Software - 52
G Select the Annotation Object

To Select
Click icon.
Place the cursor over the object.

The cursor changes to


Click on the object to select.

To Move
Place the cursor over the selected object. The cursor

changes to
Click and drag to move the object location.

To Resize
The selected object shows a white small dot on each
corner or each end of the line.

Place the cursor over the white dot.

The cursor changes to


Click and drag to resize the object.

To Rotate
The selected object shows two green circles. One
green circle is to show the center of the object. The
other green circle is to show the anchor point of the
rotation.
Place the cursor over the green circle. (Anchor point)
The cursor changes to
Click and drag to rotate the object.

Software - 53
23 How to Change the Setting

Setup Icon

Click the Setup icon.

General Tab
1 Folder
You can change the location of folder to
save images.
Click "Folder" to select the saving
location.
The image will be automatically saved
in the selected folder.
1

Folder's name Refer to "Before Capturing the X-Ray..." on
page Software - 05.

2 File Type
DICOM DICOM Format (standard)
DICOM DICOM Format (compressed)
Bitmap BMP Format
JPEG JPEG Format
GIF GIF Format
PNG PNG Format (for Mac. user)
Small JPEG JPEG Format (compressed)

2 This is to set the default file format, which the


captured images are automatically stored as.
By selecting multiple file format types, the
software will save the images as selected file
formats.

Software - 54
How to Change the Setting

3 Effect (Enhancement)
This is for Enhancement Function. You
can activate / deactivate by clicking
icon on the main menu.

3 At capturing
" Yes": automatic ally activate the
e n h a n c e m e n t f u n c t i o n f o r eve r y
captured image. (Default Setting)
"No": deactivate the enhancement
function at the time of capturing.

Effect
The selected image is highlighted in
orange.
Normal : Standard Sharpness(Unsharp Mask)
MSE : Multi-Scale Enhancement
(Recommended,default)

Smooth - Strong
The level of the enhancement. Select
the Enhancement effect level (1 to 10),
and click OK. “1” is the minimum, “10” is
the maximum level of the enhancement
function.

4 Display
The orientation of the displayed image.
You may change the orientation of the
captured image to be displayed on the
NAOMI software.

Overlay
4 By clicking each check box on Patient,
Image, Institute, Ruler and User can
select the information to be displayed
on the image.

Exposure unit
The exposure can be entered in mAs or
uAs by checking on the check box.

Software - 55
How to Change the Setting

5 Other

]Tech Chart
Yes: To activate the exposure technique
chart menu when capturing x-ray images.
The Tech. Chart button appears on the
Select / Register ID menu.
No: To deactivate the exposure technique
chart menu when capturing x-ray images.
It hides the Tech. Chart button on the
Select/Register ID menu.
Image scale 1:1
Yes: To display the x-ray image in actual
5 size (full - sc ale). Enter the D PI value
corresponding to your monitor’s resolution
(ex. from 85 to 86 DPI for a 19-inch monitor).
When you are using RF High-Contrast
Monochrome Monitor, check on the check
box of “RF monitor”.
No: To display the x-ray image in the fit-
to-window size.
Irradiate timeout
The timeout period after the message,
“Please irradiate x-ray” appears, can be
selected from 30 seconds to 5 minutes.
Patient Info
NAOMI: The patient information list is created
and opened from the NAOMI software.
External file: The patient information list is
created by a different software (i.e. Electronic
Medical Record), and imported into the NAOMI
software.

DICOM Edit Mode


It enables to revise the patient information
a n d x- r a y t e c h n i q u e r e c o r d s a f t e r
capturing the image. Refer to Software -
21 for details.
Trimming Image
This allows to cut off the collimation area
(where the x-ray is not exposing) from the
image you are capuring. Only effective when
capturing an x-ray image. This cannot erase
off the collimation area after taking the image.
The value refers a difference of a brightness
and darkness. Default setting is 100.

Software - 56
How to Change the Setting

Sensor 1 Tab

1 Display
The orientation of the displayed image.
You may change the orientation of the
captured image to be displayed on the
NAOMI software.
1
Clockwise
To display the captured image by rotating 0,
90, 180, 270 degrees.
Direction
To display the captured image from different
directions as following.

Example PA AP

Irradiation Area

Calibration Tab

Calibration is only for maintenance. Refer


to the QAP (Calibration) section in User's
Guide.

Software - 57
2 Sensor sensitivity
This is only for maintenance.
The default sensitivity is 500.

Printer Setting Tab

1 Printer Type
1 Normal Printer--Select "normal".
DICOM Printer--Select "DICOM SCP".
2 DICOM SCP Setting
Only available when "DICOM SCP" is
3 selected. Enter your DICOM printer's
information.
3 NAOMI Setting
Only available when "DICOM SCP" is
selected.
2
DICOM printer settings can be registered up
to 3 printers’ information.

General Equipment Tab

1 Institution Information
Enter your of fice information. This
1 information will be saved with the
images as the institution information,
2 when the images are captured.
2 Manufacturer information
It shows the manufacturer's information.

Software - 58
24 How to Close the NAOMI Software

Exit Icon

1. Before you close the NAOMI Software,


save the necessary files.

Refer to "How to Save the Adjusted Image"
(Page: Software - 20).

2. Click icon.

Software - 59
Calibration / QAP (Quality Assurance Program)

QAP (Quality Assurance Program) is the process to correct misalignment and


contrast unevenness on each CCD sensor in NAOMI.
There are two calibration processes: Positioning Calibration and Luminance
Calibration.

To align each CCD sensor in NAOMI by using the calibration scale.


(QAP-02 - 06)

To adjust each CCD sensor's contrast (brightness level) to create


even contrast level on the NAOMI sensor. (QAP-07-11)

Both Positioning and Luminance Calibration have been performed prior to the shipment
for immediate use. However, in rare cases, there is a possibility of needs to process
calibration.

Follow the calibration process when....


You have reinstalled the software to your computer.
The NAOMI sensor received strong shock. and
There are misalignment in images. (QAP - 02 - 06) (QAP - 07-11)

There are uneven contrast in images.


(QAP - 07- 11)
RF SYSTEM lab. recommends running a calibration every 12 months for maintenance
purpose.

If Positioning Calibration is required, Luminance Calibration must be performed after


Positioning Calibration is completed.
Please refer to "Confirm the Necessary Calibration Process" to check which calibration
process your NAOMI sensor needs.

In this chapter, it explains the following processes.


1: Positioning Calibration (QAP-02-06)
2: Luminance Calibration (QAP-07-11)

Calibration / QAP - 01
OSm_120123_Nao5_QAP
Positioning Calibration
This calibration process is to correct the position of each CCD in the NAOMI sensor.
This process must be performed if your image seems similar to on page : Operation Check-06.

Calibration Scale is required to perform Positioning Calibration.

Set Calibration Scale on the NAOMI sensor securely with Scale Pins.

DO NOT HOLD CALIBRATION SCALE BY EDGES. Calibration Scale


contains very sharp edges, and it may cause serious injuries. Handle
Calibration Scale with special care. In the case of the injuries caused by
Calibaration Scale, RF would not assume any responsibility.

Align to the Left

Calibration Scale

Scale Pin

Place Calibration Scale on the sensor with


the NAOMI and RF SYTEM lab's logos
facing up. Secure Calibration Scale with
Scale Pins.

NAOMI Sensor Align Calibration Scale to the far left side


of the NAOMI sensor, so that the NAOMI
sensor detects Calibration Scale properly.

68kVp, 5mAs
(Tube Distance: approx. 150cm(60”) )

Recommended Tube Current : 100 mA


Recommended Exposure Time : 1/20 sec (0.05sec / 6 pulse)
The above equals to 5mAs.
*For any question, contact support center.
*When you cannot change the tube distance to 150cm, set the distance
at farthest. X-ray factor may need to be adjusted at a different distance
(ex.50kvp at 1m distance).

Calibration / QAP - 02
Positioning Calibration

1. Click the Setup icon to open Setup


Window.

2. “Setup Menu” window appears.

3. Click the Calibration tab.

Now, proceed to
Preparation Check (QAP-04-05)

Calibration / QAP - 03
Preparation Check

1. Select Position.

Click .


Confirm there are no check marks on
“Anime” and “Advanced”.
They are for the factory inspections only.

2 . The message, " St ar t c alibration -


Preparation check" appears.

Click .


Before proceeding further, confirm that
Calibration Scale is set on the NAOMI
sensor and secured with Scale Pins.
*Refer to page: Operation Check - 04,
to set Calibration Scale.

3. The message, "Please irradiate X-ray"


appears to indicate the software and the
sensor is ready for irradiation.
Irradiate x-ray before the time runs
out.

The software starts counting down the


If the software starts reading data without irradiation, remaining once the message appears
or it does not read data at all after irradiation, refer to on the screen. It alerts when the time is
Question 1 of the Capturing X-Ray Image section in running out. when 10 seconds remaining, 5
Troubleshooting Guide. seconds remaining and when it is timed out.

Calibration / QAP - 04
4. Once x-ray is irradiated, Preparation
Ch e c k fo r Po sit i o nin g C alib r at i o n
automatically starts.


The processing time is displayed at the
bottom of the window.

If an error message appears, refer to


the Calibration section in Troubleshooting
Guide.

5 . Af ter the Preparation Check for


Positioning Calibration is completed, the
message
"Start calibration - Positioning " appears.

Click .

Now Preparation Check is completed.

Proceed to Positioning Calibration (QAP- 04- 05).

Calibration / QAP - 05
Positioning Calibration

1. Positioning Calibration star ts


automatically.


The processing time is displayed at the
bottom of the window.

2. After Positioning Calibration is completed,


the message, "Completed" appears.

Click .


If the N AO MI sof t ware f reezes or
crashes (closes by itself) before this
message appears on the screen, check
if the map data is set on "Read - Only ".
(Refer to Installation - 21 for details)

3. Remove Calibration Scale from the


NAOMI sensor.


Handle the calibration scale with care
to avoid any injuries or crease on the
scale.

Now, proceed to Luminance Calibration.

Calibration / QAP - 06
Luminance Calibration
Luminance Calibration is necessary to adjust the brightness level on each CCD in the NAOMI sensor.
This will unify brightness level and create the image evenly adjusted. This process must be performed
if you have completed Positioning Calibration or your image is similar to or on page :
Operation Check-06.

REMOVE CALIBRATION SCALE.


Calibration Scale is used only for Positioning Calibration.
Calibration Scale must be removed before the Luminance Calibration process.

Handle the calibration scale with care to avoid any injuries or crease on
the scale.

Now, it is ready for Luminance Calibration.

Calibration / QAP - 07
1. Click the Setup icon to open Setup
Window.

2. “Setup Menu” window appears.

3. Click the Calibration tab.

Calibration / QAP - 08
4. Select Luminance.

Click .


Confirm there are no check marks on
“Anime” and “Advanced”.
They are for the purpose of shipment
inspections only.

5. The message, "Star t Calibration -


Brightness" appears.


Before proc eeding fur ther, please
confirm that the Calibration Scale has
been removed from the NAOMI sensor.

Click .

Calibration / QAP - 09
6. The message, "Please irradiate X-ray"
appears to indicate that the software and
NAOMI sensor is ready for exposure.

Irradiate x-ray before the time runs


out.

If the software starts reading data without irradiation, The software starts counting down the
or it does not read data at all after irradiation, refer to remaining once the message appears
Question1 of the Capturing X-Ray Image section in on the screen. It alerts when the time is
Troubleshooting Guide. running out. It alerts 10 seconds remaining,
5 seconds remaining and when it is timed
out.

7. The sof t ware automatic ally st ar ts


calibrating each CCD sensor to adjust
the brightness level.

If there is any error message on


the screen, refer to the Calibration
Section in Troubleshooting Guide.

Calibration / QAP - 10
8. Once Luminance Calibration is
successfully completed, the message,
"Completed" appears.

Click .

If the N AO MI sof t ware f reezes or
crashes (closes by itself) before this
message appears on the screen, check
if the map data is set on "Read - Only ".
(Refer to Installation - 21 for details)

9. Click to save and close the


Setup Menu.


O K must b e s e l e c te d to s ave t h e
adjustment made by this calibration
process.

Now, the calibration process has been completed.


It is ready for capturing x-ray images.

Calibration / QAP - 11
Troubleshooting Guide Index

Setup / Installation
The NAOMI sensor does not work.······································································· 02
I cannot install the software to my computer.··························································· 02
Installation Wizard does not come up.··································································· 03
I want to uninstall the software.············································································ 03
I want to reinstall the software.············································································· 03
I want to install the software to my second computer.··············································· 03
I cannot install the driver for the NAOMI sensor.······················································ 04
I cannot find the map data folder.·········································································· 04

Capturing X-Ray Images


It starts reading the data without the irradiation.······················································· 05
It takes longer than 1 minute for images to come up to the screen.······························ 06
It does not start reading the data after the irradiation.··············································· 06
The message "Please irradiate X-ray" appears twice.··············································· 06
DICOM Edit Mode - When you input a wrong ID number··········································· 07
Do you have the CD-ROM icon on the top?···························································· 07

Calibration / QAP (Quality Assurance Program)


I got the error message during Positioning Calibration.············································· 09
I got the error message, during Luminance Calibration.············································· 12

Open / Save
I cannot save images.························································································ 14
I cannot open the saved images.·········································································· 14
I don't know where to find the save image.····························································· 14

Crash
The NAOMI software crashes (closes by itself).······················································· 15

Troubleshooting - 01
OSm_120123_Nao6_Trouble
Setup / Installation

Is the Power Lamp on?

Is the USB Lamp on?

Check the title bar of the NAOMI Software


(Refer to Capturing X-Ray images Question , C, on page Trouble Shooting 05).

Windows XP / Vista / Windows 7

Troubleshooting - 02
Setup / Installation

Troubleshooting - 03
Setup / Installation

Is there any “unknown device” or


“NAOMI Driver for High Grade (old)

(Page Installation - 16)

Troubleshooting - 04
Capturing X-Ray Images

Is the Power Lamp on?

Is the USB Lamp on?

Your sensor type Display


14"x17" "NAOMI TYPE-NL (14"x17")"
11"x14" "NAOMI TYPE-NS (11"x14")"
8"x10" "NAOMI TYPE-SS (8"x10")"
Two or more NAOMI sensors connected "Multi Sensor Mode"

★ USB is not recognized "NAOMI (not connected)"

★ Does the title bar show "NAOMI (not connected)"?


Check the conntctions. Unplug the power cable and USB cable, and plug them back
again after a minute. Then, restart the NAOMI software. Unplugging and plugging the
cables do not solve the problem, check out if the computer recognizes the NAOMI
driver properly (Refer to Setup / Installation, Question 7, on Pege Troubleshooting-04).
If still the software says "Not connected", try using a different power source.

Refer to Question 7 on Setup / Installation Troubleshooting Guide. (Pege Troubleshooting-04)

Troubleshooting - 05
Capturing X-Ray Images

Is the Power Lamp on?

Is the USB Lamp on?

Troubleshooting - 06
Capturing X-Ray Images

5 I took an x-ray image with a wrong ID number/name.

Have you changed the DICOM information?


Even you change the ID number/name in DICOM Edit Mode, it does not
change the folder name; thus, you need to transfer the image file to the
right location for your future review. Go to the saving location, and to
the folder with the wrong ID number/name. Copy the image file you
captured with the wrong ID, and create a new folder with a right ID,
then copy the image file there. You will be able to find the image data
file under the right ID folder, next time you search for the image.

Refer to Software -21 to edit the wrong ID information to correct ID,


first. Then, follow the above instruction to transfer the image file to
the right saving location for your future review.

5 Do you have the CD-ROM icon on the top?

CD Burn Icon

If you do not have the CD-ROM icon on the


top, follow below to enable the CD icon on
your software.

1. Click on the area where you see the


histogram graph on the left.

Click this area.

Troubleshooting - 07
Capturing X-Ray Images

2. Press “Ctrl” and “F12” keys together, on


your keyboard. Then, you will see the
software becomes “MAINTENANCE
MODE”.
Shows you it is on MAINTENANCE MODE.

Click this area.

Advanced Tab Setup Icon


3. Click on the area you see the image
(Blue area on above). Then, all the
icons displayed again. Click on the
SETUP icon to go into the Setup Menu.
Then, go to Advanced Tab. You will find
the contents of “Burn CD”. Check on
“Enabled”. Once you click Apply and
OK, you will see the CD icon on top.

Check on Enabled under “Burn CD”.


Click Apply and OK to apply the change.

I f y o u c a n n o t b u r n t h e C D l i ke t h i s
instruction shows, Please access to C:/
Program Files/RF/NAOMI_II/, and make
sure that you have the “CD image” folder
in the porgram If not, please uninstall and
reinstall the software.

Troubleshooting - 08
Calibration / QAP (Quality Assurance Program)

Troubleshooting - 09
Calibration / QAP (Quality Assurance Program)

Troubleshooting - 10
Calibration

Troubleshooting - 11
Calibration

Troubleshooting - 12
Calibration

Troubleshooting - 13
Open / Save Images

Troubleshooting - 14
Crash

Installation 16-21

Troubleshooting - 15
Safety Check

For Long-Term Use


Wipe off dirt with a soft, dry cloth. If the dirt is heavy, squeeze a wet
towel well and wipe off the dirt. You may use alcohol but do not use any
other cleaning substance.

Regular Check
Please check the followings for each three months for your safety.
1. Any screws are not loose.
2. No cracks or fracture on the main unit.
3. The DC-in Jack and USB ports have not become loose.
4. Power Lamp illuminates in green when the AC Adapter is connected.
5. USB Lamp illuminates in red when the USB cable is connected.

OSm_120118_Nao7_Info
RF Technical Support Center

Contact the RF Technical Support Center if you have any inquiries about
the product. Call us or fax your inquries. Technical experts will contact
you and answer your questions.

How to contact RF Technical Support Center?

By Phone: 1-800-759-9557 from USA


1-866-742-5610 from Canada
1-800-151-319 from Australia
+81-26-225-7744 from other countries

By Fax: 1-800-799-9895 from USA


Copy the Request Form on
the next page and fax it to us. 1-866-742-5611 from Canada
You may upload the images
for your inquiries or questions.
1-800-151-320 from Australia
+81-26-225-7747 from other countries

By E-mail: os@rfsystemlab.com

By Website: www.rfsystemlab.com
Technical Support Request Form
When you have troubles with the product, or when you cannot acquire the proper
images, please let us know the following information.

Your information Date

Purchase Date Year Month Date Address

Office Name

TEL
Doctor's Name
FAX
Serial No Emal:

Description of the trouble


What trouble do you have? Setup/Installation Calibration Image Other

Since when have you had


From Today / Day(s) Ago
the problem?

Frequency of the problem Times

Irradiation Setting - If the trouble is about Calibration or Image, provide us the following information.
Tube Distance Feet Inches / m cm

Tube Voltage kVp Tube Current mA

Irradiation Time Second(s) / Pulse


Irradiation Condition mAs
X-Ray Irradiator
Manufacturer Name

Type of Irradiator

*Please circle one from A to E, when the trouble is regarding to the image quality.
Contrast ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Brightness ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Sharpness ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Dynamic Range ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

The Part of Focus ( A. Bone B. Abdomen C. Chest D. Extremeties )

Bone ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Abdomen ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Lung Field ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Cranial Bone ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Extrimeties ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Comment

FAX : 1-800-799-9895 (from US) 1-866-742-5611 (from Canada)


1-800-151-320 (from AUS) +81-26-225-7747 (from other countries)
Technical Support Request Form
When you have troubles with the product, or when you cannot acquire the proper
images, please let us know the following information.

Your information Date

Purchase Date Year Month Date Address

Office Name

TEL
Doctor's Name
FAX
Serial No Emal:

Description of the trouble


What trouble do you have? Setup/Installation Calibration Image Other

Since when have you had


From Today / Day(s) Ago
the problem?

Frequency of the problem Times

Irradiation Setting - If the trouble is about Calibration or Image, provide us the following information.
Tube Distance Feet Inches / m cm

Tube Voltage kVp Tube Current mA

Irradiation Time Second(s) / Pulse


Irradiation Condition mAs
X-Ray Irradiator
Manufacturer Name

Type of Irradiator

*Please circle one from A to E, when the trouble is regarding to the image quality.
Contrast ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Brightness ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Sharpness ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Dynamic Range ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

The Part of Focus ( A. Bone B. Abdomen C. Chest D. Extremeties )

Bone ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Abdomen ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Lung Field ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Cranial Bone ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Extrimeties ( A. Very Good B. Good C. Fair D. Poor E. Very Poor )

Comment

FAX : 1-800-799-9895 (from US) 1-866-742-5611 (from Canada)


1-800-151-320 (from AUS) +81-26-225-7747 (from other countries)
NAOMI
NAOMI Technique
High Grade Indication
Technique Chart Chart
Indication

This technique chart is based on the sensor sensitivity, 500.


By doubling the sensor sensitivity, it is possible to reduce the value of mAs by a half or the value of KV by 10%.
The high exposure setting may cause the particial saturation on the imagery data, which exceeded the limit of CCD sensitivity.
It is possible to increase the sensor sensitivity to the maximum, however it may increase the noise saturation on the image.

■Thorax (setting at 100cm (39-inch) of the tube distance)


Indication of kVp and mAs setting
inch 39 35 31 28 24 20
Tube Distance
cm 100 90 80 70 60 50
mAs 5 4 3 2 2 1
Indication of kVp setting
Thickness cm 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Grid- 50 53 56 59 62 65 68 71 74 77 80 80 80 80 80
kVp
Grid+ 70 73 76 79 82 85 88 91 94 97 100 100 100 100 100
mAs 2 2 2 2 2 2 2 2 2 3 3 4 5 6 7
※ Area: Follow the settings on ”Grid+”

( setting at 200cm (78-inch) of the tube distance)


Indication of kVp and mAs setting
Thickness cm 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Grid- 70 73 76 79 82 85 88 91 94 97 100 100 100 100 100
kVp
Grid+ 90 93 96 99 102 105 108 111 114 117 120 120 120 120 120
mAs 2 2 2 2 2 2 2 2 2 3 3 4 5 6 7
※ Area: Follow the settings on ”Grid+”

■Extremities ・ Bone ・ abdomen ( setting at 100cm (39-inch) of the tube distance)


Indication of kVp and mAs setting
Thickness cm 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
kVp 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80
Grid-
mAs 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
kVp 60 60 60 60 60 60 60 60 60 65 70 75 80 85 90
Grid+
mAs 2 8 14 20 26 32 38 44 50 50 50 50 50 50 50
※ Area: Follow the settings on ”Grid+”

NOTE:
* Adjust mAs setting, depending on the tube distance. With half tube distance, mAs setting will be 1/4.
For example…
inch 39.4 34.4 31.5 27.6 23.6 19.7 Grid = +10~20kvp 
Tube Distance
cm 100 90 80 70 60 50 or mAs x 2 or more
mAs 20 16 13 10 7 5

* When using a Grid, increase the kVp as shown.


* When you select Grid Icon,the recommended irradiation condition will be set accordingly by the software

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