Syngo - Plaza: Software Version VA20B and Higher Operator and Administrator Manual - Addendum
Syngo - Plaza: Software Version VA20B and Higher Operator and Administrator Manual - Addendum
Syngo - Plaza: Software Version VA20B and Higher Operator and Administrator Manual - Addendum
plaza
Software Version VA20B and higher
Operator and Administrator Manual - Addendum
www.siemens.com/healthcare
All product denominations and company names are trademarks or registered
trademarks of the corresponding companies.
Siemens reserves the right to modify the design and specifications contained herein
without prior notice.
Some of the specifications described herein may not be currently available in all
countries.
Please contact your local Siemens Sales representative for the most current information.
Caution: U.S. federal law restricts the herein described devices to sale by or on the order
of a physician.
Siemens AG
Medical Solutions
0123 Image and Knowledge Management
Henkestr. 127
DE-91052 Erlangen
Germany
Telephone: +49 9131 84-0
www.siemens.com/syngo-suite
Siemens AG Siemens AG
Wittelsbacherplatz 2 Healthcare Sector
DE-80333 Muenchen Henkestr. 127
Germany 91052 Erlangen
Germany
Telephone: +49 9131 84-0
www.siemens.com/healthcare
syngo.plaza
Table of Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Further Documentation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Signs and Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Intended Use of syngo.plaza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
The Program Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Edition Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
5 syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Getting Started with syngo MammoReport . . . . . . . . . . . . . . . . . . . . . . . . . 42
6 DICOM LTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Addendum 3
Table of Contents
A Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
B Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
4 syngo.plaza
1 1
Welcome
Introduction 1
This chapter introduces you to the contents of the syngo®.plaza Operator and
Administrator Manual - Addendum and explains how it is organized.
You also find a short overview of further documentation available, and you get
familiarized with the intended use of syngo.plaza.
Addendum 5
1 Introduction
This Manual
This syngo.plaza VA20B Addendum supplements both the Operator Manual
and the Administrator Manual of the version VA10A, which are still valid.
Please carefully read this syngo.plaza VA20B Addendum. In this document,
only functions that have been added or improved for the versions VA20A and
VA20B of syngo.plaza are described.
This Addendum thus substitutes the syngo.plaza VA20A Addendum.
Further Documentation
In the following list, you will find an overview of further documentation
related to syngo.plaza VA20B.
Release Note The syngo.plaza Release Note describes new and improved features, known
issues, and a lot of other useful information on the software version VA20B.
Please carefully read the Release Note, which is part of the syngo.plaza user
documentation. The Release Note supplements the Operator Manual.
Operator Manual The syngo.plaza VA10A Operator Manual helps you to quickly start working
with your syngo.plaza workplace. It familiarizes you with the most important
concepts and the basic operating elements of the syngo.plaza workplace.
We recommend reading the chapter “Safety Advisory” before you start
working with syngo.plaza VA20B.
The Operator Manual and the Administrator Manual of VA10A remain valid
and are supplemented by the Operator and Administrator Manual Addendum
of VA20B.
The additionally available application syngo MammoReport with its
functionalities and configuration options is described in the syngo
MammoReport Operator Manual.
Administrator Manual The syngo.plaza VA10A Administrator Manual provides you with step-by-step
instructions for setting up the user administration, the configuration, and the
administration of the system.
6 syngo.plaza
Introduction 1
The Operator Manual and the Administrator Manual of VA10A remain valid
and are supplemented by the Operator and Administrator Manual Addendum
of VA20B.
Online User The syngo.plaza Online User Documentation serves as an online reference
Documentation containing detailed step-by-step instructions for the user.
Online Help The syngo.plaza Online Help provides quick on-screen access to task-oriented
information about functions of syngo.plaza.
There are some separate online help modules used for parts of Embedded 3D,
for the DICOM SR Viewer, and for the MWL Scheduler.
Installation Manuals The syngo.plaza Installation Manuals lead you or your Siemens Service
personnel step-by-step through the installation procedures of your
syngo.plaza system.
Please contact your Siemens Service to obtain the latest versions.
Addendum 7
1 Introduction
8 syngo.plaza
Introduction 1
Warning WARNING indicates potential danger that could cause injury or death in
extreme cases.
Caution CAUTION indicates potential (direct) danger that could cause minor injury or
damage to the system.
Addendum 9
1 Introduction
10 syngo.plaza
Introduction 1
Task cards
The main applications are set up as task cards, and are easily accessed using
the tabs at the edge of the screen.
Viewer ■ You can view images on the Viewer task card, and if necessary, edit them.
The Viewer offers a wide range of functions for displaying, viewing, and
evaluating images.
CD-R and Archive ■ Depending on your license, the CD-R, or Archive task card is shown. This
task card enables you to create patient media, start manual archiving, and
to manage the archive database.
Scanner ■ On the Scanner task card, you can digitize images, such as X-ray films or
reports. The digitized images can then be forwarded to other physicians,
for example, over the intranet or the Internet.
Filming ■ Finally, you can also output digital images on film with the Filming task
card.
Embedded 3D ■ On the 3D task card, 2D images are merged to form a volume. New views
and slices within a volume can then be generated and evaluations made.
Addendum 11
1 Introduction
Further modules
Patient List ■ The Patient List for selecting and managing the patient data can be
accessed from all of the task cards. The Patient List comes to the
foreground on application start-up.
MWL Scheduler ■ The MWL Scheduler enables you to schedule appointments for
examinations on each configured modality.
Report Viewer ■ You can display reports from the →RIS with the Report Viewer.
With the DICOM SR Viewer, you can display DICOM Structured Reports.
syngo MammoReport ■ You can load Mammography images directly from syngo.plaza to a syngo
(Option) MammoReport workplace. syngo MammoReport is an advanced system
for reading and reporting high-volume mammograms. The application
offers an optimized workflow, which is suitable for both screening and
diagnostics.
For more information, see the syngo MammoReport Operator Manual.
12 syngo.plaza
Introduction 1
Edition Notice
In this document, only functions that have been added or improved for the
versions VA20A and VA20B of syngo.plaza are described.
In this document, syngo.plaza software version VA20B is described.
For better readability, we refer to the user in the masculine form. syngo.plaza-
specific terms are capitalized. User interface terms used in the descriptions are
highlighted in bold.
Published by Siemens AG
Medical Solutions
Image and Knowledge Management
Henkestr. 127
91052 Erlangen, Germany
http://www.siemens.com/syngo-suite
Addendum 13
1 Introduction
14 syngo.plaza
2 2
Welcome
Addendum 15
2 Safety Advisory Addendum
Study data cannot be synchronized, when the data is locked, for example
during auto archiving, or reading in the Viewer. Changes made within this
CAUTION time frame are not synchronized and therefore cannot be immediately
displayed .
If a synchronization fails, it can be done manually by the administrator. After
a manual synchronization, changed and synchronized study components
will be in status nearline. These data must be dearchived once again.
Risk of incorrect diagnosis due to an incomplete study
◆ Please check the error logs and have your system synchronized manually
by your administrator, if necessary.
◆ Open your study from the Patient Jacket, where data in nearline and
online storage is indicated.
16 syngo.plaza
Safety Advisory Addendum 2
Addendum 17
2 Safety Advisory Addendum
RIS/HIS Integration
Study data cannot be synchronized, when the data is locked, for example
during auto archiving, or reading in the Viewer. Changes made within this
CAUTION time frame are not synchronized and therefore cannot be immediately
displayed .
If a synchronization fails, it can be done manually by the administrator. After
a manual synchronization, changed and synchronized study components
will be in status nearline. These data must be dearchived once again.
Risk of incorrect diagnosis due to an incomplete study
◆ Please check the error logs and have your system synchronized manually
by your administrator, if necessary.
◆ Open your study from the Patient Jacket, where data in nearline and
online storage is indicated.
18 syngo.plaza
Safety Advisory Addendum 2
When migrating legacy data, the Magic Compatibility Module (MCM) may
incorrectly map display information objects to image sets.
CAUTION Risk of incorrect diagnosis due to incomplete or faulty mapping of
legacy information
◆ Always check migrated data for consistency most carefully.
◆ In case of doubt, do not use the data for diagnosis.
When migrating legacy data, the Magic Compatibility Module (MCM) may
incorrectly map legacy ACRNEMA/DICOM database fields in SIENET Magic to
CAUTION the DICOM/syngo.plaza database scheme.
Risk of incorrect diagnosis due to incorrect or missing mapping of
legacy database fields
◆ Always check migrated data for consistency most carefully.
◆ Do not use images for diagnosis that indicate insufficient information
due to data loss.
When migrating legacy data with the Magic Compatibility Module (MCM),
Presentation States (PRs) and Structured Reports (SRs) may be lost.
CAUTION Risk of incorrect diagnosis due to missing PR and SR data
◆ Contact your Siemens Service representative, or your Migration
Engineer to plan an additional DICOM migration of these data.
After database upload, parallel work of SIENET Magic and syngo.plaza data
management may lead to inconsistent information.
CAUTION Risk of incorrect diagnosis due to missing information on syngo.plaza
◆ Make sure that SIENET Magic works in read-only mode after database
upload.
◆ Make sure that new procedures are never routed to syngo.plaza
manually, but only routed by database upload.
◆ Make sure that update information from RIS/HIS for SIENET Magic data
are routed and applied to syngo.plaza, for example, an update of the
header, or the database.
◆ Configure a short update interval (< 1h).
Addendum 19
2 Safety Advisory Addendum
Customization of syngo.plaza
When using the True-Size function in the Viewer, an incorrect setting of the
monitor resolution leads to an incorrect display of the image size.
CAUTION In this case, it might not be possible to realize that an image is not displayed
in its real physical size.
Risk of wrong diagnosis due to incorrect monitor resolution
◆ Carefully observe the instructions in the user instructions of the monitor
manufacturer. For setting the correct monitor resolution, enter the
recommended resolution in the syngo.plaza config file.
◆ Carefully verify the monitor settings of each reporting workplace.
◆ If more information is required, please contact your Siemens Service
representative.
20 syngo.plaza
Safety Advisory Addendum 2
Addendum 21
2 Safety Advisory Addendum
22 syngo.plaza
3 3
Welcome
Addendum 23
3 Additional Functions in the Patient List
24 syngo.plaza
Additional Functions in the Patient List 3
All Flagged Images Loads all flagged images of a selected patient/study/series into the Viewer.
Flag 1 Images Only Loads only images of a selected patient/study/series with Flag 1 into the
Viewer.
Flag 2 Images Only Loads only images of a selected patient/study/series with Flag 2 into the
Viewer.
syngo MammoReport Forwards and displays the selected mammography images in syngo
MammoReport.
Addendum 25
3 Additional Functions in the Patient List
26 syngo.plaza
4 4
Welcome
Addendum 27
4 Additional Functions in the Viewer
General Layout
With the version VA20B of syngo.plaza, the Viewer task card provides a new
section:
Layout Palette
Display Area
Findings Navigator
Configurable
Tool Palettes
Layout Navigator Via arrow keys or mouse click, you can assign a set of predefined layouts to
loaded images. These layouts are displayed in the Layout Navigator.
For more information, see “Working with Layouts for Mammography” on
page 29.
28 syngo.plaza
Additional Functions in the Viewer 4
Layout Navigator The Layout Navigator supports you in your daily work with the following
functionalities:
■ You can load and display mammography images within the Viewer.
To support the demands of a mammography diagnosis, images can be
displayed rapidly in the required laterality and viewing position.
■ You can use the set of layouts provided by the Layout Navigator. The
layouts can be assigned to the loaded images via arrow keys or mouse
click.
■ You can configure the set of layouts according to your needs.
■ Mammography images, which do not correspond to the layout of any
workflow step within the designated workflow, can be displayed in an
optional Waste Basket (→Waste Basket) workflow step. After activating
the Display Editor mode, you can assign the Waste Basket option to a
layout by selecting Add Waste Basket in the Save Display Protocol dialog
box. This setting ensures that you can view all loaded images.
■ You can configure the generation of Structured Reports for mammography
images at the end of an examination as the last step in a set of layouts.
■ You can manipulate images as usual with Viewer functionalities, such as
markings and annotations, digital magnifications, pan operations, True
Size, Same Size and Fit Breast to Screen.
For more information on configuration issues, see “Using and Modifying the
Layout Navigator” in the Online User Documentation.
Addendum 29
4 Additional Functions in the Viewer
When using the True-Size function in the Viewer, an incorrect setting of the
monitor resolution leads to an incorrect display of the image size.
CAUTION In this case, it might not be possible to realize that an image is not displayed
in its real physical size.
Risk of wrong diagnosis due to incorrect monitor resolution
◆ Carefully observe the instructions in the user instructions of the monitor
manufacturer. For setting the correct monitor resolution, enter the
recommended resolution in the syngo.plaza config file.
◆ Carefully verify the monitor settings of each reporting workplace.
◆ If more information is required, please contact your Siemens Service
representative.
30 syngo.plaza
Additional Functions in the Viewer 4
Addendum 31
4 Additional Functions in the Viewer
When loading images, they are automatically displayed according to the best
matching predefined workflow available. If no predefined workflow exists,
the default workflow is chosen for image display.
Getting an Overview of ◆ To have an overview displayed, start the first workflow step with loading
Both Projections the required MG images.
In the Layout Navigator, the standard workflow steps are displayed.
The first workflow step is highlighted.
According to the predefined layout for an overview, the images are displayed
as follows:
32 syngo.plaza
Additional Functions in the Viewer 4
Comparing Both ◆ To compare the anterior-posterior projections, click the icon Next
Anterior-Posterior Workflow Step in the Layout Navigator:
Projections
According to the predefined layout for CC, the images are displayed as follows:
RCC LCC
Comparing Both Lateral ◆ To compare the lateral projections, click the icon Next Workflow Step in
Projections the Layout Navigator:
Addendum 33
4 Additional Functions in the Viewer
According to the predefined layout for MLO, the images are displayed as
follows:
RMLO LMLO
Generating a DICIOM ◆ To generate a DICOM Structured Report as last step of the workflow, click
Structured Report this icon in the Layout Navigator:
34 syngo.plaza
Additional Functions in the Viewer 4
In the CTR mode, you can measure the CTR by drawing four lines on the image,
in parallel to a center line, in order to delimit the heart and the thorax.
Starting CTR Calculation 1 Click the Cardio Thoracic Ratio icon on the tool palette:
The CTR mode is activated and a center line is displayed in the middle of
the image.
Addendum 35
4 Additional Functions in the Viewer
Drawing Measurement 2 To determine the transverse diameter of the heart, click the heart’s right
Lines and left edge.
Two vertical lines delimiting the heart are displayed in the image, in
parallel to the center line.
3 To determine the transverse diameter of the thorax, click the thorax’s right
and left edge.
Two vertical lines delimiting the thorax are displayed in the image, in
parallel to the center line.
Once the four lines have been drawn, the CTR value is calculated and displayed
as a text annotation centered at the bottom of the image.
The result is added to the Findings Navigator.
Adjusting the Center 4 To adjust the center line to the orientation of the image, click the center
Line line and rotate it until the required position is reached.
The four measurement lines are rotated as well. During rotation, the angle
of the centre line always determines the angle of the measurement lines.
Adjusting Measurement 5 To adjust a drawn measurement line to the anatomic structure, click the
Lines line and drag it to the required position.
The CTR value is recalculated and displayed centered at the bottom of the
image.
When saving the changes, all markings are saved as a Presentation State
(PR).
36 syngo.plaza
Additional Functions in the Viewer 4
Add Layout Opens the Workflow Step Dialog. You can insert a layout description and
add the layout to the Layout Navigator.
Anchor Study Anchors studies to the selected layout segment in the Viewer to avoid the
unintended swapping of images. All segments, which are belonging to the
anchored study, are anchored as well.
Drawing Ellipse Enables the annotation function for marking image areas with an ellipse.
DSA Opens the DSA (Digital Subtraction Angiography) control dialog box.
XA-multiframe images in stack mode are displayed optimized for
visualizing blood vessels in a bony tissue or in a dense soft-tissue
environment.
Addendum 37
4 Additional Functions in the Viewer
Fit Breast to Screen The breast is displayed as large as possible on the screen, maintaining the
image aspect ratio.
Modify Layout Enables you to change the layout and criteria of the selected set of layouts
in the Layout Navigator.
Next Patient / Toggles between the patient tabs in the Access Bar.
Previous Patient
Remove Layout Removes the selected layout from the Layout Navigator.
Same Size All Mammography images of the same patient are displayed in the same
relative physical size.
Save Image Order After rearranging images within a series in Stripe Mode, you can
permanently save the new image order.
38 syngo.plaza
Additional Functions in the Viewer 4
Show Hide CAD Shows and hides all Mammography CAD markers in the images.
Markers
True Size In this mode, all loaded Mammography images are displayed in their real
physical size.
Addendum 39
4 Additional Functions in the Viewer
40 syngo.plaza
5 5
Welcome
syngo MammoReport 5
Addendum 41
5 syngo MammoReport
The selected images are forwarded, and loaded into syngo MammoReport.
42 syngo.plaza
6 6
Welcome
DICOM LTA 6
DICOM Archive Provider During a radiological workflow, all data has to be available on the short-term
storage (STS) for fast access. When the work is done, data will be transferred
from the STS to the LTS. This LTS can be a NAS/DAS system, or a DICOM Archive
Provider (DAP).
The syngo.plaza DAP provides DICOM Archive functionality for other PACS
systems to store, query, and retrieve data, for example, images, or Structured
Reports. Thus, syngo.plaza enables a single storage solution for multiple
vendors. Data can be de-archived without any loss or change of information.
DICOM Archive User In the case of a large hospital, it is possible that an isolated DICOM Archive
Provider is positioned decoupled from potentially multiple PACS front-end
solutions. syngo.plaza DICOM Archive User (DAU) functionality can be
deployed to provide radiological reporting functionality while archiving to the
neutral DICOM Storage or DICOM Archive Provider.
Addendum 43
6 DICOM LTA
44 syngo.plaza
7 7
Welcome
With the Magic Compatibility Module (MCM), you can make the transition of
data from SIENET Magic to syngo.plaza.
In the PB Settings dialog box, you can configure MCM-related archiving
procedures, if an MCM license is available.
Addendum 45
7 MCM Data Migration
When migrating legacy data, the Magic Compatibility Module (MCM) may
incorrectly map display information objects to image sets.
CAUTION Risk of incorrect diagnosis due to incomplete or faulty mapping of
legacy information
◆ Always check migrated data for consistency most carefully.
◆ In case of doubt, do not use the data for diagnosis.
After data transition, SIENET Magic data sets are accessible and displayed
within syngo.plaza. So you can apply the functions of syngo.plaza to SIENET
Magic data sets.
When migrating legacy data, the Magic Compatibility Module (MCM) may
incorrectly map legacy ACRNEMA/DICOM database fields in SIENET Magic to
CAUTION the DICOM/syngo.plaza database scheme.
Risk of incorrect diagnosis due to incorrect or missing mapping of
legacy database fields
◆ Always check migrated data for consistency most carefully.
◆ Do not use images for diagnosis that indicate insufficient information
due to data loss.
For further safety advice on data migration, see “Data Migration from SIENET
Magic” on page 19.
46 syngo.plaza
MCM Data Migration 7
Data Transition
For the transition of data from the SIENET Magic database to the syngo.plaza
database with MCM, several options are available.
During Data Transition ■ Patient data is imported from the SIENET Magic PDIR database to the
syngo.plaza database.
■ After the database upload, the STS of syngo.plaza does not contain
images.
■ Images from the LTS of SIENET Magic are nearline and have to be
prefetched either manually or RIS-triggered.
Via MCM, the images, that had been archived in the LTS by SIENET
MagicStore, can be accessed .
■ In a final step, the RIS is updated, including the database extraction and
the import into the RIS.
Addendum 47
7 MCM Data Migration
General Procedure Steps ■ The RIS is connected with both PACS systems in parallel.
■ Database information is uploaded to syngo.plaza and the RIS.
■ The STS (→STS) of syngo.plaza is filled with relevant images from the LTS
(→LTS) of SIENET Magic.
■ Some modalities point to syngo.plaza, or autoroute is activated.
Working with syngo.plaza can be started while SIENET Magic is still in use.
■ All modalities point to syngo.plaza. SIENET Magic is shut down.
During Data Transition ■ The transition is performed department-wise. Once, all studies from all
modalities of a department are transferred, the system is configured for
MCM use. All studies of this department are read in syngo.plaza while
studies of other departments are still read in SIENET Magic.
■ All studies on the LTS of SIENET Magic can be accessed via MCM, once they
have been uploaded to syngo.plaza.
■ Continuous so-called delta uploads to the database are necessary to
upload the patients and studies that have been modified, or received after
the initial database upload into syngo.plaza.
48 syngo.plaza
MCM Data Migration 7
General Procedure Steps ■ The RIS receives notifications from SIENET Magic and syngo.plaza.
■ The RIS launches studies in SIENET Magic and syngo.plaza.
In the case that the RIS is unable to operate with two PACS systems
simultaneously, only one PACS system can use the RIS work list for image
call-up.
Important Information ■ Patient and study updates should always be performed on the RIS.
on the RIS
■ If a third party RIS is used, the RIS may be unable to support notifications
that are sent by syngo.plaza. Additionally, the RIS may not use internal
syngo identifiers. In this case, the notifications from syngo.plaza to the RIS
may be turned off.
■ If a RIS integration is missing, all patient modifications have to be
performed manually in SIENET Magic.
By configuration of the database upload tool, the patient information from
SIENET Magic overrules the patient information of syngo.plaza.
Addendum 49
7 MCM Data Migration
50 syngo.plaza
8 8
Welcome
Administration and
Configuration 8
Addendum 51
8 Administration and Configuration
The syngo.plaza configuration tools are restricted for appropriate use only
by qualified and trained personnel.
52 syngo.plaza
Administration and Configuration 8
Addendum 53
8 Administration and Configuration
54 syngo.plaza
Administration and Configuration 8
General Settings In the General tab card, you can also set:
– Autoload Next Patient
When an examination is closed in the Viewer, the next examination is
loaded automatically from the Patient List.
Addendum 55
8 Administration and Configuration
Calling the Function ◆ Open the Viewer Settings dialog box, and click the Image Text tab card.
56 syngo.plaza
Administration and Configuration 8
3 If images are currently displayed in the Viewer, you can check the effects
of any changes on these images by clicking the Preview button.
The image texts are shown in accordance with the recent settings.
4 Click OK to accept the changes.
The selected font settings are applied.
Addendum 57
8 Administration and Configuration
Calling the Function ◆ Open the Viewer Settings dialog box, and click the Spine Labeling tab
card.
Labeling Associated ◆ To also display the assigned spine label in the associated images, select the
Images Show projections in Spine Labeling mode check box.
Labeling Exact Slices ◆ In case of projected labeling, select the Label only exact slices in axial
plane check box, if required.
58 syngo.plaza
Administration and Configuration 8
Creating Spine Labeling 1 Add a spine label to the workstep by double-clicking the desired label in
Worksteps the Spine Labels field.
The label is added to the Define Worksteps field.
2 Enter a new name for the defined worksteps in the Workflow Name field,
and click Save.
The worksteps can be assigned to images in the Spine Labeling mode.
Addendum 59
8 Administration and Configuration
Calling the Function ◆ Open the Viewer Settings dialog box, and click the Corner Menu tab card.
Configuring the Context 1 Click the Context Menu option button, and select the requested function
Menu from the selection list.
2 Click to add the function to the context menu.
-OR-
Click to remove the function from the context menu.
3 Click OK to confirm.
The selected functions are provided in the context menu of the Viewer.
60 syngo.plaza
Administration and Configuration 8
If your RIS already supports image call-up with prior settings, then you do
not need to configure this in the PACS.
Calling the Function ◆ Open the Viewer Settings dialog box, and click the Priors Loading tab
card.
Addendum 61
8 Administration and Configuration
Activating a Priors To enable the loading of studies as priors in relation to the current study, you
Group can activate a configured prior group with certain criteria.
1 Select the required prior group from the Configured Priors Groups
selection list.
The criteria of the selected prior group is displayed in the Prior Group
Details list.
2 Click OK to activate the selected prior group.
Defining a New Priors You can define new prior groups with specific criteria.
Group
1 Click the Create New button, and insert the desired name for a prior group
in the Configured Priors Groups selection list.
2 Select the required criteria in the Modality, DICOM Body Part, DICOM
Study Description, RIS Procedure Description and RIS Body Part fields.
3 Click the Add button.
The defined criteria for a prior group is displayed in the Prior Group Details
list.
4 Click the Save button to assign the prior group criteria to the prior group,
which is displayed in the Configured Priors Groups selection list.
Defining DICOM Body You can define DICOM body parts and RIS body parts as criteria for a prior
Parts and RIS Body Parts group.
1 On the Prior Settings Configuration tab card, click next to the DICOM
Body Part or the RIS Body Part selection list.
The Add DICOM Body Part... or the Add RIS Body Part... dialog box opens.
2 Insert the required body part in the Enter new DICOM Body Part or Enter
new RIS Body Part field, and click .
The new body part is displayed in the list.
3 Click OK.
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Administration and Configuration 8
Important Preconditions If you use syngo.plaza as a DAP or in conjunction with a HIS/RIS, the following
important preconditions must be fulfilled to ensure a correct assignment of
data in the archive:
■ A patient is uniquely identified by the combination of:
– Patient ID
– Patient Name
Two different patients must not have the same combination of these
relevant patient attributes.
■ A study is uniquely identified by its Study Instance UID.
Two different studies must not have the same UID.
■ A study with a certain UID must not be associated with two or more
different patients.
It is possible that one or more studies have the same Accession Number.
■ A study component is uniquely identified by its Study Instance UID +
Modality + PPS ID.
Two different study components must not have the same combination of
these relevant attributes.
■ A series is uniquely identified by its Series Instance UID.
Two different series must not have the same UID.
A series with a certain UID must not be associated with two or more
different studies.
■ A SOP instance is uniquely identified by its SOP Instance UID.
Two different instances must not have the same UID. Two data objects with
the same SOP Instance UID are considered to be identical.
Addendum 63
8 Administration and Configuration
Calling the Function ◆ Open the PB Settings dialog box and click the Advanced Settings tab
card.
Configuring the ◆ To define the archiving method used, select the required item:
Archiving Method NAS (Network Attached Storage), provided a NAS Store license is available,
External Writer (DAS), or DICOM LTA (user) if you use syngo.plaza as
DICOM Archive Provider (DAP).
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Administration and Configuration 8
On the Advanced Settings tab card of the PB Settings dialog box, you can set
the required parameters.
1 Under Archive, select Auto Archiving.
2 Under Storage Commitment, select Enable Storage Commitment
Provider.
Addendum 65
8 Administration and Configuration
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Administration and Configuration 8
6 Under Temp Store SCP, which is a cache storage for the data pulled from
the DAP, enter the required parameters:
– AET
Name by which the temporary storage server can be identified on
every other computer in the DICOM environment.
– Port Number
Port number of the temporary storage server.
– Temp Extraction folder Path
Specification of the folder into which retrieved data is to be extracted.
To have the entry field filled automatically, you can use the Browse
button to search for the folder.
Addendum 67
8 Administration and Configuration
Calling the Function ◆ Open the PB Settings dialog box and click the Advanced Settings tab
card.
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Administration and Configuration 8
Setting MCM Procedures You can define the following settings in the MCM field of the Advanced
Settings tab card:
■ Re-Archive Magic Store data to LTS
■ Copy organ_name from Magic store data
Addendum 69
8 Administration and Configuration
Opening the Settings ◆ Click the Settings icon in the Patient List.
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Administration and Configuration 8
Other Options In the Other Options group box of the General tab card, you can also set:
– Keep Patient Browser Open
The Patient List remains open when an examination is loaded.
– Show Patient Browser in Configured Monitor
If selected, the Patient List is displayed in the configured monitor.
– Display OEM Messages
If the checkbox is selected, an error message is displayed in case of a
failure, for example, the RIS queries the syngo.plaza database and the
requested data is not available.
– Use Logged in user name for locking series/study
If the checkbox is selected, the user name is displayed for locked
series/study in the Patient List instead of the workplace name.
Report Options In the Report Options group box of the Advanced Settings tab card, you can
also set:
– Auto Get Report on receipt of new exam
When receiving new examinations, the reports are retrieved
automatically from the RIS.
– Auto Get Report on RIS Report Status Change
When the status of reports are changed in the RIS, the reports are
retrieved automatically.
Network Names In the Network Names group box of the Network Partners tab card, you can
also set:
– Migration Mode
If selected, all migration procedures from an archive to syngo.plaza LTS
do not reduce the amount of allowed archive procedures.
Addendum 71
8 Administration and Configuration
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Administration and Configuration 8
Studies not to be You can exclude studies from being archived by specifying the appropriate
Archived parameters.
◆ Make the required settings:
– excluded by “number of images”
If this checkbox is selected, data, that is specified in the Rules for
exclusion by the number of images dialog box, is excluded from
archiving.
By clicking you can define the rules for exclusion. For each
Modality, an Image Limit can be set. Studies of the selected modality,
which exceed the image limit, are not archived.
– excluded by DICOM tag values
If this checkbox is selected, all data, that is specified with a set of rules
in the Exclusion based on DICOM tag values dialog box, is excluded
from archiving.
By clicking you can define a List of Archive Exception Rules
based on DICOM tag values via Add, Modify, or Remove.
Each exclusion rule can contain several DICOM Tags, Conditions and
Values.
To exclude an AET from archiving, you can select Ignore AET for Archiving
on the Network Partners tab card of the PB Settings dialog box.
For more information, see “Defining Network Partners” in the Administrator
Manual.
MTS Settings ◆ Select the MTS settings checkbox to archive the DICOM data as →MTS
files.
Addendum 73
8 Administration and Configuration
Calling the Function ◆ Open the General Settings dialog box, and click the General tab card.
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Administration and Configuration 8
Configuring a Browser You can use a patient browser other than the Patient List.
1 Click the Configure Browser... button on the General tab card.
The Configure Browser dialog box opens.
Configuring the Plaza You can set a folder as the recycle bin, where unlinked files are moved to, for
Recycle Bin example, due to instance overwriting.
◆ Click Browse..., and select the required folder.
To delete the content of the recycle bin:
◆ Click the Clear Recycle Bin button.
Addendum 75
8 Administration and Configuration
Calling the Function ◆ Open the General Settings dialog box, and click the MammoReport tab
card.
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Administration and Configuration 8
Addendum 77
8 Administration and Configuration
Calling the Function ◆ Open the RIS Settings dialog box, and click the RIS Settings tab card.
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Administration and Configuration 8
PIX Query Settings If the PIX Query check box is selected in the Events to be received from the
RIS field, you can set further communication details of →PIXinformation in a
RIS over an OPENLink server.
These settings are predefined and do not have to be changed.
If required in an exceptional case, you can use the configured values of the
OPENLink software to change the following entries:
■ Connection Name for PIX messages
■ Source Application for PIX messages
■ Destination Application for PIX messages
Addendum 79
8 Administration and Configuration
80 syngo.plaza
A1
Welcome
Glossary 1
D DAP. DICOM Archive Provider. syngo.plaza is used as DICOM Archive for other
PACS systems.
DAU. DICOM Archive User. syngo.plaza is used as DICOM Archive for long-term
storage (LTS) of DICOM Composite Objects (DCOs), such as images and
Structured Reports.
DCO. DICOM Composite Objects are, for example, images, waveforms, or
Structured reports.
DICOM. Digital Imaging and Communications in Medicine: An international
standard for communication over imaging networks in hospitals; it enables
medical data to be exchanged.
The DICOM Standard is under continuous maintenance, the current official
version is available at http://dicom.nema.org.
DSA. Digital Subtraction Angiography is a type of fluoroscopy technique used
in interventional radiology to clearly visualize blood vessels in a bony or dense
soft tissue environment. Images are produced using contrast medium by
subtracting a 'pre-contrast image' or the mask from later images, once the
contrast medium has been introduced into a structure.
Addendum 81
A Glossary
82 syngo.plaza
Glossary A
Abbreviation Modality
XA X-ray angiography
XC X-ray cardiology
M MTS. Mid-Term Storage. Custom file format that enables the joining together
of data files without compressing them. Thus, a specific DICOM file can be
read instantly, instead of extracting the MTS file to a temporary location
before accessing the data.
S Same Size. In this mode, all loaded images of the same patient are displayed
in the same relative physical size, for example, two objects of the same real
physical size appear in the same size in the Viewer.
SR. Structured Reports. Structured Reports (SR) are documents with a defined
structure used for reporting results or evidence. They provide the basis for
exchanging reporting data, e.g. DICOM data, from various applications in a
common, standardized format.
STS. Short-Term Storage. STS bases on storage technologies and connections,
which allow for a quick access to the image data. Usually a RAID system
connected with the archiving server is used as an STS.
Addendum 83
A Glossary
84 syngo.plaza
B 2
Welcome
Index 2
Addendum 85
B Index
R
Recycle Bin
Clearing 75
Configuring 75
RIS/HIS integration (safety
advice) 18
86 syngo.plaza
Global Business Unit
Siemens AG
Medical Solutions
Image and Knowledge Management
Henkestr. 127
DE-91052 Erlangen
Germany
Telephone: +49 9131 84-0
www.siemens.com/syngo-suite
www.siemens.com/healthcare