First Introduced into Veterinary Market Digital XRay and PACs for All Creatures Great and Small

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First Introduced into Veterinary MarketDigital
X-Ray and PACs for All Creatures Great and Small
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AXON Workstation Workflow

• User Can Use DICOM data by entering patient
  demographic or study data and queries the DICOM
  image
• User can apply annotations and measurements to
  the image
• User may send the images to a DICOM or Windows
  printer
• User may create a Patient CD containing DICOM
  images and a DICOM viewer
• Interface may be used to send a report back to
  the Practice Management system Via Flat File
  Interface or Dicom Send.
• User may view the DICOM images using a Web Client

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Structure Overview
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Diagnostic Workstation
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AXON Diagnostic Workstation

• Two main screens
• Study Research
• images

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Study Research Screen
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Study Research Screen

• Top Main menu bar with tabs to change between
  screens
• 1 Search area for patient studies
• 2 Studies area
• 3 Series area
• 4 Thumbnail images area for the selected study

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Search Area

• Initially, main screen will display all studies
  of the current date
• There are several search possibilities
• User may fill any of the search fields
• Last name
• First name
• Patient ID
• Accession
• Study Date
• Date of birth

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Search Area

• By clicking on the other search button the user
  can choose from a pre-defined list of search
  criteria

all CR all CT all MR last 10 days last 30
days todays studies yesterdays studies CR
today CT today MR today US today all US CR
yesterday CT yesterday MR yesterday US yesterday
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Studies Area

• Studies which were found during a search are
  listed in the Studies area

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Patient CD

• A patient CD can be burned from the AXON Study
  Research screen. The CD contains
• DICOM images of the selected patient
• DICOM viewer for viewing images directly from CD
• Copies of the DICOM images in JPEG format which
  can be displayed with a web browser
• HTML web page for the JPEG images
• Auto-Start program which automatically starts the
  viewer after inserting the CD

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Patient CD

• Button for adding studies / series to patient CD
  project
• Button for opening Patient CD Menu
• Deletes marked studies / series from CD writing
  record
• Starts the Patient CD burning process
• Shows the content of the Patient CD project

clear burning items burn now display items
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Patient CD

• Button for adding studies / series to patient CD
  project
• Button for opening Patient CD Menu
• Deletes marked studies / series from CD writing
  record
• Starts the Patient CD burning process
• Shows the content of the Patient CD project

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Axon CD Viewer
JPEG
Customer Logo Address
DICOM Images
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Image Clipboard
Image Clipboard empty

• To place images on the Image Clipboard right
  click on the study and click place study on
  clipboard on pull-down menu
• Once images are in Image Clipboard, Images tab at
  top is enabled

Images in Image Clipboard
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Image Compare Mode Icon
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Archiving

• When the Archiving button is pressed, archiving
  starts and the progress is shown
• Concept of Archiving
• Set-up Basic archiving parameters are set.
  Set-up for Automatic Archiving can be executed
• Start By clicking the Archiving button, studies
  which have not been viewed for the longest time
  will be copied onto CD or DVD
• Security After burning an Archive disk the
  image data is checked bit by bit and the disk
  will only be released and the image data marked
  as archived only when there is 100 congruence

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Archiving

• Concept of Archiving (Contd.)
• Outsourcing If the on-line archive reaches its
  preset capacity limit, studies already archived
  will be deleted
• Reading In If an archived study is needed again
  it will be recovered from the archive disk and
  returned to on-line storage
• Status Archive status of a study is indicated
  in the appropriate column in the Studies menu
• A Archived
• O On-line

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Archiving

• Back-up Data on the Archive medium is
• NOT a back-up. An
  additional copy
• of the data should be made
• regularly. This is the
  responsibility
• of the operator

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Images Screen
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Images Screen

• Top Main menu bar with tabs to change between
  screens
• 5 Thumbnail view
• 6 Area for image display and modification
• 7 Image editing functions

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Images Screen

• The selected image has a blue border in thumbnail
  display and can be edited
• Several images can be selected by holding down
  the control key when clicking on images

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Image Orientation

• Image orientation is displayed in the top left
  corner of the image and is controlled by the
  rotate and invert buttons

Normal Orientation
90º Left and Right Rotation
Horizontal and Vertical Mirroring
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Image Display Functions

• Several settings may be applied to selected
  images or to the complete series
• Examples of functions which may be applied to the
  entire series are
• Window width center
• Zoom

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Window and Level

• Hold SHIFT left mouse button over image

WIDTH
CENTER
CENTER
WIDTH
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Zoom Pan

• To zoom an image use the slider to increase the
  zoom factor
• Click the 11 button to display images in full
  resolution
• The fitted view button resizes the image to fit
  the image window

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Magnifying Glass

• Clicking the magnifying glass button activates
  the magnifying glass
• Moving the mouse over the image when activated
  magnifies the area of the image

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Pan Window

• If an image is displayed at full resolution and
  the image area cant display the full image, a
  pan window can be opened by right clicking in the
  image area and selecting the pan window from the
  menu

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Triple Mouse Click Window/Level, Magnification
and Pan

• Hold Left Mouse Button Down
• Click Once Right Mouse Button W/L
• Click Twice - Full Magnification
• Click Three times Pan Image

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Changing the Image Matrix

• To chane the image matrix, click on the
  appropriate button or use the edit fields to
  adjust the number of columns and rows
• Maximum matrix of 5x5 is supported

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Compare Mode

• In the compare mode images from different series
  can be displayed for comparison next to each
  other
• Compare mode is activated by right clicking in
  the image area and changing the compare mode
  status from the menu
• Any number of studies can be compared
• A series may be exchanged by dragging and
  dropping an image from a different series into
  one of the containers

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Annotation and Measurement

• By clicking on the Annotation tab at the top
  right of the Images screen, a menu bar is
  displayed for Annotation and Measurement on the
  image
• Check boxes at the bottom of the menu allow you
  to turn on
• Display patient information
• Display user annotations Text Box
• Display ruler Angle Measurements

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Printing

• AXON supports both DICOM Printing to a medical
  imager and Windows printing to a paper printer
• Right clicking in the image area and selecting
  print image on the menu brings up a print menu
  which allows you to select and configure a printer

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Hardware Configurations

• Combo Server with Workstations (5)

AXON File Based Archive Firebird Database DICOM
Server Flat File Interface DICOM SCP/SCU
Services Diagnostic Workstation Worklist
Editor Burn Engine Dicom Print
NETWORK
Diagnostic Workstation Worklist Editor Burn Engine
Diagnostic Workstation Worklist Editor Burn Engine
Diagnostic Workstation Worklist Editor Burn Engine
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Hardware Configurations

• Combo Server with Web Viewer

AXON File Based Archive Firebird Database DICOM
Server Flat File Interface DICOM SCP/SCU
services Diagnostic Workstation Worklist
Editor Burn Engine Web Viewer Server Dicom Print
NETWORK
Internet Explorer Axon Web Server
Internet Explorer
Internet Explorer
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FCR XL-1 FCR AXON Package
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FCR XC-1 FCR AXON Package
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FCR AXON Combo Workstation

• Software
• FCR AXON Communications Server
• FCR AXON Diagnostic Viewer
• FCR AXON Patient CD Burner
• FCR AXON Archive
• FCR AXON Worklist Editor
• FCR AXON Dicom Print

• Hardware
• Dell Precision 390 Mini Tower
• Intel Core 2, 2.13GHz Dual Core Processor
• 1 GB, 533 MHz, DDR2 SDRAM
• 4x250 GB SATA Drives RAID 5
• 16X DVD/- RW
• Dell Ultrasharp 2007FP 20 or 24 2 MP Flat Panel
  Display

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FCR AXON Viewer Workstation

• Software
• FCR AXON Diagnostic Viewer
• FCR Patient CD Burner
• Dicom Worklist Editor

• Hardware
• Dell Precision 390 Mini Tower
• Intel Core 2, 1.86GHz Dual Core Processor
• 1 GB, 533 MHz, DDR2 SDRAM
• 80 GB SATA Drive
• 16X DVD/- RW
• Dell Ultrasharp 2007FP 20 or 24 2 MP Flat Panel
  Display

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FCR AXON Optional Software
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Axon Web Server
JPEG Image Display with Limited Features
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AXON Futures / Works in Progress

• Web Viewer Filtering Capability By Physician
  and Etc.
• Documents File Third Tab
• Ability to Read and Apply Axon Viewer to
  Competitive Dicom CDs

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