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1. 05 08 2001 140 FACILITY COooOoOOOOOOOK KKK X Rational Imaging Installation Manual DATE INSTALLED BY VIDAR FILM DIGITIZER Hostname of workstation attached to Power available for it SCSI cable correct Large SCSI I connector on Vidar SCSI ID of Vidar digitizer Install vidar with power and scsi cable Use ACTIVE terminator Make sure that film guides are wide open during power up or else calibration wrong Set the SCSI ID of the Vidar system At boot prompt use probe scsi all to check the SCSI ID Boot with r to recognize new hardware Install the IST vidar package Run the script opt ISTri install install_vidar Reboot to make sure that the drivers are loaded correctly Add RIscan to the rilogin tool bar config is under the disk icon Restart rilogin from the workspace menu after quiting the current version Use RIscan to make sure that the scanner is working properly 05 08 2001 141 FACILITY OoOoOoOooooooo DODDO eR RRR NR K Rational Imaging Installation Manual DATE INSTALLED BY CANON CFS300 FILM DIGITIZER Hostname of scanner IP address of scanner Hostname of RIscanc SUN IP address of Riscanc SUN Rational Imaging license file RIscanc Facility cabled and power available ftp client on SUN cfsscan ftp passwd cfsscan Hostname of workstation to receive images Install the CFS300 scanner on the network and configure its IP par
2. 05 08 2001 35 Rational Imaging Installation Manual Is al nredtl Is al chO If there is any problems make sure that the probe scsi all at the OK prompt sees he devices Also make sure that the scsi cable is securely connected on both end This is important since the apunix wide to wide scsi cables have pins that are a bit more reccessed than the same type sun cables Failure to securely connect and tigthen the cable will cause intermittent connection problems D SOLARIS INSTALLATION Make sure that both the jukebox and tape drive s are recognized by the workstation If the drives were not on during the Solaris installation then reboot the computer using reboot r with the power on Also the ISTarc archive package should also be installed prior to the ISTjuke application Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTjuke from the list of packages on the tape as follows su pkgadd d dev rmt 0n J select the number for ISTjuke It may be required to run the install_juke process with imaging s environment cesh source home imaging cshre cd opt ISTri install install_juke The post installation script will run a program called apinstall Click on APunix HP DAT drivers and then click on Install Enter the license information when prompted to do so Repeat the installation for the
3. 05 08 2001 93 Rational Imaging Installation Manual 2 Backup of a remote system with no tape drive Log into the workstation with the tape drive and perform the archival of the remote workstation from here First obtain the disk configuration of the remote workstation by logging into it and running the df command rsh hostname df exit This program will list all of the disk partitions beginning with dev and the NFS mounted partitions beginning with a hostname When you have returned to the local workstation using exit use the following command to archive the disk partition dev rsd3a to the tape You must use the raw disk device For example if df lists dev sdOg as a disk partition then archive it by specifying dev rsd0g as the device This command is valid only if both the workstations are operating under SunOS version 4 1 3 If another version is being used verify the parameters using the Administrator s manual provided by SUN Replace thost with the name of the current host with the tape drive attached and replace rhost with the name of the remote host This command is shown on two lines due to limited space however it should only be typed on one line rsh rhost rdump Odsbfu 54000 6000 126 thost dev nrcht0 dev rsd3a Repeat the previous command for each of the disk partitions and then rewind the tape using the following commands mt f dev nrcht0 rew mt f dev nrcht0 off Label
4. The Canon CFS300 is capable of ESSENS i on a 3999 82 04 OD ae7 measuring optical densities throughout the diagnostic range Normal films have optical densities in the range of 0 to 2 5 Over exposed films require hot lamps to visualize the extended range of 2 5 to 3 5 The Canon digitizer is capable of digitizing intensities throughout this range 0 3 5 however the information content between 3 0 and 3 5 optical density units is questionable due to the extreme quantum limitations Low X Ray exposure results in high quantum mottle better known as noise It may be better to set the limits of the digitizer from 0 to 3 0 based on a set of test results we will describe in the following procedure 3402 145i op asi To measure the digitizer s linearity and range obtain a test film which has calibrated optical densities from 0 to 3 5 OD Set the scanner s optical density range from 0 to 3 5 and use the linear transformation table Digitize the test pattern with sufficient spatial resolution 175um or less and display the resultant image in RIview The image should look like the image at the right Change the mouse mode in RIview to text mode and select the intensity option Then drag out rectangles within each densitometric step on the image Make sure that the intensities are well within the step otherwise the standard deviation and mean measurements will be inaccurate You may need to change the window and level of the image t
5. 05 08 2001 107 Rational Imaging Installation Manual XXVIII Rebuild Server Emergency A OVERVIEW In the event of a system failure or hard disk crash it may be necessary to rebuild the archive database and its associated structure If the database is still accessible and only some of the tables are corrupted or are symptomatic of indexing errors refer to the previous secion If you proceed with this section we will assume that the disk directories have been completely destroyed and therefore a complete installation will be required To prepare a new system disk and reload the Rational Imaging system start with section B To load the current database onto a redundant server which has all the Informix database applications SE SQL INET start with section C Some combination of the two may be used to quickly set up a redundant server with the informix applications and then restore the database files from the archive tapes using section C The redundant server should have a tape drive attached to facilitate retrieving the information from the last archive tape B SYSTEM PREPARATION 1 Backup whatever is left of the current system Use the tape backup section of this manual to backup the partitions of the disk which still may be functioning If the disk is completely unresponsive and needs to be replaced then skip this step however keep the disk in case data retrieval becomes necessary Ze Repartition Use the instructions in
6. Then use the right mouse button to select the Black Level Test Click on the middle mouse button to lower the intensity until the black is Black but you can still see the 5 grey grid Perform this test in the ambient room light which will be used for reading exams This value is normally around 3000 to 5000 depending upon the monitor Use risetup on the server to add a monitor or edit a monitor and change the black level to that determined in the prior step Then confirm the operation of this setting by running a new Riview process displaying the SMPTE pattern The 5 patterns should be visible both in the white and in the dark box 100 and 0 percent Note each time the monitor black level is changed Riview must be run again to load the new value If the black level is too low the dark 5 value will not be easily visible If the black level is too high the image will not appear black and will look washed out Make sure that the SMPTE image is displayed with all of intensities Level of 1024 and Window of 101 This will ensure that you are seeing all of the available digital intensities Print the image to test the printer calibration F PRINTER CALIBRATION Create a print page with the SMPTE images and make sure that the window level settings on the print page have a level of 1024 and a window of 101 This print page should then display the entire range of digital intensities within the test pattern Print the print pa
7. C DETERMINING THE DATABASE ERRORS Use bcheck to determine if any database errors are present Log into the database server as imaging and change to the database partition cd db radold dbs Run bcheck an informix utility to test the integrity of the files bcheck bcheck imag example to check only image tables If any errors are present answer Y to deleting an index and remaking it After completion of this program run it again to make sure that the problems have been fixed If 05 08 2001 101 Rational Imaging Installation Manual successive operations do not reconstruct the indexes then their may be faulty data or duplicate keys to prevent indexes from being created D REMOVING DUPLICATE KEYS If the indexing problems result from duplicate keys in a file then the bcheck program will show the records that are in error You can use dbaccess to remove these records from the database and then run bcheck again to rebuild the indexes cd opt ISTri diag DropIndexes db radold Run the DelDupIndexes script to delete duplicate indexes from the contaminated database dbaccess db radold DelDupIndexes Once these duplicate records are deleted then the indexing should be corrected with bcheck as described in the previous section You will first need to reindex the file using CreateIndexes If there are any errors indexing the files then there are most likely some duplicate indexes still Use the errors
8. Use these commands to restore the necessary system files from the archive tape prior to restoring the database The following list is a partial list of files which should be restored however consult with our technical support hotline as this list may have changed slightly etc passwd etc group etc hosts etc exports etc printcap etc rec local etc services etc remote etc ttytab etc gettytab usr openwin etc NeWS paintroot ps opt ISTri entire directory opt informix entire directory export home imaging entire directory export home user entire directory for each user img print entire directory img templates entire directory img defaults entire directory db entire database directory Do not restore the image directory since these patient exams will not be recognized by the most current database backup which will be retrieved from the last patient archive tape When these directories and files have been retrieved the only remaining step is retrieve the databases from the archive tape that was initialized last This tape will have the most current backup of the database C RIBUILD RETRIEVE DATABASE FROM ARCHIVE TAPE Use the following procedure to restore the most current copy of the databases from the patient archive tape which was most recently initialized This tape will contain backups of the following databases rilogin radiology If you are using a redundant server make sure that t
9. 05 08 2001 72 Rational Imaging Installation Manual Sleep 30 MaxRetry 3 FilmMedium BLUE FILM OkFilmSizes BLANK 14INX17IN 8INX10IN D RIPRINTQ PRINTER ADDITION Use risetup to install a DICOM printer Option 8 The following options should be entered hostname Same as Alias alias name Enter a name which will appear in the RIview printer menu Printer Type 8 DICOM printer Printer Host 0 Not necessary Temp Dir img print Local Dir with a large amount of space is desired Width 1400 14 specified in 100 of an inch Height 1700 17 Resolution 150 Recommended will result in 7 5MB image file Printer may not support more than this Command Leave Blank Default JPEG 75 Does not effect printpage Print Pt Name 1 Print demographics on printpage E RUN AS BACKGROUND PROCESS The riprintq application should be started out of the inittab configuration file Enter the etc inittab file and include the following entry Make sure that the first 2 characters are unique and adjust them to make them unique r5 34 respawn su imaging c exec riprintq c opt ISTri etc riprintq_cfg After editing this file and adding the riprintq line issue the following command init Q Then make sure that riprintq is running as follows ps ef grep riprintq F TESTING Use RIview to send a clinical or SMPTE printpage to the printer Make sure that the printer alias is available in
10. Before Read begin processing 208 bytes Write file net andromeda img hl7msg rilinktmp 1 ORU Aug 1 10 11 55 2000 Done processing Before Read The previous lines show that Rilink received a 208 byte message on Aug 1 at 10 12 and wrote a message file for a ORU type message F RIDELIVERD T ROUBLESHOOTING Use this section to troubleshoot RIdeliverd To test Rideliverd it is best to turn it off and run it manually To do this change the respawn element in the inittab to off r8 34 respawn su imaging c exec rideliverd c opt ISTri etc rideliverd_cfg init Q ps ef grep rideliverd kill 9 rideliverd_pid With some messages in the img hl7msg_ directory set the verbose mode in opt ISTri etc rideliverd_cfg and run rideliverd manually edit opt ISTri etc rideliverd_cfg rideliverd c opt ISTri etc rideliverd_cfg Check the logfile specified in opt ISTri etc rideliverd_cfg to see what output may be useful Make sure that the debug level is set to 9 to make sure to get the most amount of information If the mapping is incorrect record the RIS vendor version number and get their HL7 specs so that new mapping files may be created G RIDISTRIBUTE PREFETCH CONFIGURATION Ridistribute is used to handle the prefetch capabilities due to its versatile distribute capabilities and the ability to configure it to retrieve to a specified set of hosts based on available disk capacity The first s
11. ccsccsscssscsscesscesscssecesscesecseesscesscsseenscessenseeeneessees 66 XVII RIQUERYD INSTALLATION ssssssssssisscsssssscesessssssieceestosesscasecesesetesencsuseds sossecsisesedesessesecscasebesesudssedsccssvadaseaeess 67 A FUNCTIONAL indi mise 67 B CONFIGURATION RAEE EE AS EEE EETA AEE ciao Boies Paso chicas EEE E EE 67 C INSTALEATION 53203 ois Ate A A a RU 68 D MUETIPEE DATABASES omic tit decode dadeceds tt dto do aae datado 68 E ERIM INSTALE TEST CLIENT iaa 69 F EFILM CONFIGURE DICOM STORAGE SCP u e ccccccscscessscsssccssscesscsccsscssscsssccssscessscsssescesscsssessssessscessessssessssecses 69 G EFILM CONFIGURE QUERY RETRIEVE cccsssssssssccssscenssseesceccsssseecssecensscensstencsseaessceecssscensscenesseaceasseesdenssaensessasnees 69 XIX RIPRINTQ INSTALLATION ocsssisssssssssscssisssssoscsossssessosasosssssescsssssossscsasossesvtssosssotssobasosesssesssauessenshsbesseeissecsoess 71 A TEIGENSING AE AAAA ad tele Ava buts bv ta td Ed ad id daa bats Nenad tata tea ea eat 71 B REQUIRED FILES REE id bee Doa Lo 71 C RIPRINTO CONBIGURATIONS sortea tit tit ede bs bat teta ida 71 D RIPRINTO PRINTERADDITION iaa 73 E RUNAS BACKGROUND PROCESS i iccsdvasdeveSoslenslocstunsdduataraders dali docs eese ineeie aane eese iii delia dis 73 F TESTING e e e a e ates aaah EEE EEA 73 G RESET QUEUE eee cesecces O A A Ada EE 74 H DELETE PRINTPAGES IN THE QUEUE ssscssccssssscssssscsssnscssessensensensensensensensensensenscssensonsensen
12. to Idle at which point the exam had been completely transferred The exam should not show up in the Local Exam tab in the patient selection window 4249104135 5001 sevre AM E _ Dees Appli 05 08 2001 70 Rational Imaging Installation Manual XIX Riprintg Installation RIprintq is a background process started out of inittab to allow the Rational Imaging applications to print to a DICOM print class provider laser camera It is controlled by a table in the database printqueue which contains entries for each printpage which needs to be printed Each application eg RIview will print a page to a known directory temporary storage such as img print and then create a timestamped entry in printqueue RIprintq will print these pages on a first come first served FIFO basis Since multiple workstations may be printing at the same time it will also try to keep the printpages for a particular exam together However if these printpages are being generated too slowly it will not tie up the printer waiting for other printpages for a particular exam A LICENSING Each riprintq process supports 1 printer Thus you must obtain licenses for each printer to be connected even if riprintq is used on the same workstation Contact Canon for these licenses and specify the number of printers to connect Also each riprintq application only supports one database Thus licenses must be ordered for each database support
13. 6 I O Port Yes Slots 144 Emulation Exabye 10e 10i 120 210 440 480 Native Enable Err Native Hander ID 0 LUN 0 Ing Native string Qualstar TLS 24144 1 51 Mode Parameter Element Add LCD Display Parity Abort Storage Order Mag Synchronous OFF Volume Tag Pad SPC B AIT DRIVE PREPARATION The following 2 sections are in regard to the new Qualstar AIT Jukebox The Sony AIT drives are no longer Single Ended SCSI Rather they are Differential Low Voltage devices and require a LVD SCSI card and some additional installation steps If you are configuring a DAT Jukebox with either HP or Sony DAT drives please skip the next 2 sections Before proceeding with the drive installation check the jumpers on the back of the drive s Failure to do this will result in probe scsi all command at the OK prompt to not see the drive s and the changer target Ids Recommended target ID s for the drives are 4 and 5 The changer should be 0 AIT2 switch settings should be all down except for S7 AIT1 switch settings should be 1 2 3 4 and 7 in up position and the rest in down position If probe scsi all returns a Sony tapedrive of type 300 instead of 500 the tapedrive is set to emulate an AIT1 drive rather than an AIT2 drive To correct this pull out the drive and correct the dip switches 05 08 2001 34 Rational Imaging Installation Manual C DIFFERENTIAL Low VOLTAGE SCSI CARD INSTALL NOTES The
14. In particular this system would have the Informix SE standard engine and the SQL standard query language interface present and licensed In addition the partition on the redundant server should include a db partition which is empty and ready for the database files in the event of an emergency It would also be important to have a tape drive attached to this system which could be used to load the database files from the recent archive tapes Keep the RIbuild applications present at all times on this system so that the rebuild operation would be very quick These files include the ribuild script and the add_pt_to_arc executable file These should be located in the home ist bin directory on the SunOS systems and in the opt ISTri bin directory of the Solaris systems 05 08 2001 110 Rational Imaging Installation Manual Operation of these scripts should be performed on a periodic basis to ensure proper operation The testing and operation of these scripts on a redundant server will not affect the operation of the Rational Imaging system since the database files are actually being used from the original server Remove the files from db after the test is complete 05 08 2001 111 Rational Imaging Installation Manual XXIX Installation Worksheet A SUMMARY Use the following worksheets to document the installation and lead you through the setup and testing Use the individual chapters to obtai
15. UPS recommended to facility Informix INET license Rational Imaging license file email Install Solaris ONLY img partition required DO NOT put db Install ISTdb723 using pkgadd Informix database Install ISTsat using pkgadd Rational Imaging components Install ISTri using pkgadd Rational Imaging applications Execute opt ISTri install install_informi x script Execute opt ISTri install install_sat script Add workstation to etc inet hosts on ALL workstations Add workstation to etc hosts equiv on ALL workstations Create etc defaultrouter with the correct IP address if necessary Add host to clinical and rilogin database on master rilogin server risetup Add image directory to database on master rilogin server risetup Add licenses on master rilogin server opt ISTri bin add_license lt license_file Check parameters in load_riconnect load_dicom expire_locks reset_modems Check parameters in etc inittab Specify redundant server opt ISTri bin ridundant configure Configure opt ISTri bin backup_radiology one needed for each database Edit etc services file to include all server ports Edit opt informix etc sqlhosts to include multiple servers Make sure software on this workstation is same version as Main Server Reboot Login as imaging Use dmesg to make sure that all monitors have correct resolution Check window layout background color main menu and rilogin loaded Save workspace under mai
16. WORKSTATION IS MULTIPLE DATABASE SERVER IN A NETWORK csccssscessecesseessscessecessecesecesecessecenseceseeenees 117 E WORKSTATION IS THE SATELLITE WORKSTATION sccsssccssscessecessccssscessecessecesecessecssecessecessecessecsaeeessecessecensecenees 119 F WORKSTATION IS A STAFF WORKSTATION RIDISPLAY scssscsscessesseeeceeseesseeeceesecssecseesseceseeseesseceseseeeseenseeeeaaes 121 G EXTRA IMAGE PARTITION DISK OTHER THAN IMG ccscessssessessceseescsseescesesssessessessessessessessceseseeeeeeeeeeeeeeeerees 123 H EXTRA SUN COLOR MONITOR S ccccccccsssesscssecsscesecssecsscesscssecsscesscssecsssesscesecsscessessecsseesscesscssseseeaes 124 L INSTALL DOME VIDEO ADAPTER WITH DATARAY MONITOR cscccssscessscessccestcessecessecessecesscessecensecesseceaseceaeeessecesseees 125 J CANON POSTSCRIPT PRINTER S ccc ccsccseccsscesscscccscesscceccsscesscseccsscesscsnscsscesscenscsecesscenscsssesscensonscesssees 127 K SEEMOR REFERRING WORKSTATION PRINTER S s sssssssssessessessescessesseseesseescseceecssessessessesecssenseseeeeseeseesseseseeeeeees 128 L REMOTE LOW BANDWIDTH WORKSTATION PRINTER S s csssesssesseescesseesceeseessecsseeseenseceeeeseeeseceseeseeeaeenseeseesaes 129 M FILM LASEREINK PRINTER iien h EER ti des 130 N VIRTUAERAD PRINTER coco iaa aaa 131 O DICOM PRINTER cocina it ii ti Saks db RE REIS 132 P GE CT amp MR SCANNERS 5X AND ABOVE USING ADVANTAGENET sssssssssessessesscecececcseese
17. and the image prefix eg move_files img prism img incoming Rlint prism The period at the end of Rlint prism is important The name between the periods must be the name of the scanner prism in this case Add the move_files_script routine to the crontab for imaging Use crontab e as imaging to add the new process and set it for 5 minute intervals as follows 0 5 10 15 20 25 30 35 40 45 50 55 opt ISTri bin move_files_script gt dev null 2 gt amp 1 Make sure that riupdate is running as a process and is configured to check the img incoming directory opt ISTri bin load_riconnect 05 08 2001 136 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY LUNAR MR SCANNERS Cabling completed Tranceiver needed Scanner engineer notified Ethernet card installed configured Ip address of scanner Hostname of scanner Is the scanner dicom 3 0 compliant RIlunar license required license file email Add hostname and IP address to etc inet hosts file on ALL workstations Add host to clinical and rilogin database risetup Ping the scanner from the workstation which will receive the images If DICOM 3 0 connection use DICOM scanner setup If not dicom 3 0 install ISTlunar package to retrieve images from the scanner Configure the opt ISTri bin rilunarl file for source and destination information Run Rllunar to test the transfer Make sure imag
18. c exec riupdate img incoming radiology r4 34 respawn opt ISTri bin ridicomd f p 104 t RI_DICOM img incoming r5 34 respawn su imaging c exec riupdate c opt ISTri etc adac_cfg img adac radiology r6 34 respawn opt ISTri bin ridicomd f p 105 t RI_DICOM img adac Check the following files to enable the redundant server This will enable the nightly backup of the database server to another sun workstation and facilitate tape backups of the database copy on each initialized tape First determine the redundant server If this is the same system then at least have ridundant and backup_radiology use a partition other than the normal db partition eg img db This will maintain a copy of the database and ensure the database integrity in the event of a catastrophy If only backup_ DATABASE exists in the opt ISTri bin directory then rename it to backup_radiology for the radiology database If multiple databases have been created unusual then each database has to have a backup_dbname associated with it usr openwin bin textedit opt ISTri bin ridundant usr openwin bin textedit opt ISTri bin backup_radiology Exit OpenWindows and reboot the computer exit select exit from the workspace menu reboot at the login prompt The Rational Imaging system should be prepared at this point Login using the account imaging which was created during the installation imaging at the login prompt Check the window layout the bac
19. even odd none Data_bits 8 7 8 Stop_bits 1 1 2 Media change disable Network address enter correct address On the Kodak printer the configuration parameters were as follows Com Port 2 Host protocol KCL Kodak Control Link Image data port id 1 Image parity even Com port parity none Data length 8 Baud rate 9600 Driver type RS232 05 08 2001 56 Rational Imaging Installation Manual C CONFIGURATION STEPS Aspect s Interpreter is a box that takes as input DICOM images through its RJ45 ethernet input port and converts the data into digital format used by non dicom medical laser printers The output ports of this box include a 37 pin data output named PRINTER a 9pin host control output called HOST CTRL and a SCSI II output port for scsi printer connections There is also a 9 pin input port called HAND CTRL which is used for connecting an optional keypad for setup and configuration Without the keypad a floppy install disk must be prepared and configured The interpreter must be configured to the facilities network The following instructions allow you to do this 1 Put the Aspect system floppy disk in a floppy drive of your PC 2 Run command from the Start Run menu on a PC 3 Type edit a system ini 4 Scroll down using the arrow keys until you reach the network section 5 Modify the IP address the Subnet mask and the Router 6 Save the file 7 Remove
20. 05 08 2001 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY GE MR SCANNERS SIGNA 4X Cabling completed Tranceiver needed Scanner engineer notified Ethernet card installed configured Ip address of scanner Hostname of scanner Add hostname and IP address to etc inet hosts file on ALL workstations Add host to clinical and rilogin database risetup Ping the scanner from the workstation which will receive the images Run RIport change source to scanner and see if patient s listed Try receiving CODD KKKKKL 0 134 05 08 2001 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY R DICOM SCANNERS Y AE TITLE DICOM Port default 104 MUST BE UNIQUE Y Cabling completed Y Tranceiver needed Y Scanner engineer notified Y Ethernet card installed configured v Ip address of scanner Y Hostname of scanner Y Give scanner engineer our info AE_TITLE RI_DICOM default Port 104 a Add hostname and IP address to etc inet hosts file on ALL workstations a Add host to clinical and rilogin database risetup a Ping the scanner from the workstation which will receive the images a Add hostname of scanner to etc hosts equiv on receiving workstations Q Remove any load_dicom from root s crontab no longer used Q Configure etc inittab 1 scanner per port make sure that r4 is unique 14 34 respawn sh c exec opt ISTri bin ridic
21. 131 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY DICOM PRINTER O Y Hostname Y Printer Manufacturer or DICOM PRINT SCP gateway Y Y o a Printer configured for Canon PACS Printer seen on network ping Enter correct configuration parameters in opt ISTri etc riprintq_cfg page 73 Put riprintq in etc inittab r5 34 respawn su imaging c exec riprintq c opt ISTri etc riprintq_cfg Initialize riprintq init Q Verify that riprintq is running ps ef grep riprintg Use risetup to enter a DICOM printer see page 73 Use riview to test the printer Oooo 132 05 08 2001 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY GE CT amp MR SCANNERS 5X AND ABOVE USING ADVANTAGENET Cabling completed Tranceiver needed Scanner engineer notified Ethernet card installed configured Ip address of scanner Hostname of scanner Add hostname and IP address to etc inet hosts file on ALL workstations Add host to clinical and rilogin database risetup Ping the scanner from the workstation which will receive the images Use setAdoption on scanner to establish a Advantagenet Sun client Run RIport change source to scanner and see if patient s listed Try receiving Make sure that riconnect and riupdate are running load_riconnect Try sending images from scanner Network button on console DODDODOxxxXxXxx U 133
22. Execute opt ISTri install install_informix script Execute opt ISTri install install_main script Add workstation to etc inet hosts on ALL workstations Add workstation to etc hosts equiv on ALL workstations Create etc defaultrouter with the correct IP address if necessary Add licenses opt ISTri bin add_license lt license_file Check parameters in expire_locks reset_modems Check parameters in etc inittab Specify redundant server opt ISTri bin ridundant configure Configure opt ISTri bin backup_radiology one needed for each database Check etc services and make sure that sqlexec is at port number 1525 first server Reboot Login as imaging Use dmesg to make sure that all monitors have correct resolution Make sure maintenance menu available and functions reboot halt etc Check window layout background color main menu and rilogin loaded 05 08 2001 113 Rational Imaging Installation Manual Save workspace under main workspace menu utilities Once the rilogin dbs database has been configured copy to db on redundant server Make sure that the ridundant server script works correctly Make sure that the backup_radiology server script works correctly Drag SMPTE image into Riport and display in Riview Calibrate monitor if required This should be done under normal lighting at the facility Oooooo 05 08 2001 114 FACILITY 0 820
23. INFORMIX SOFTWARE DDOD nxn nqnns Hostname recommend lowercase Server or Redundant Server Y N Informix SE license Informix SQL license Informix INET license Stop the Imaging Network and kill the SQL processes Install ISTdb723 using pkgadd Informix database Execute opt ISTri install install_informix script Modify the opt informix etc sqlhosts file This has a new format and is required on each workstation pacsl setlitcp pacs1 sqlexec Add the following line to each user s cshrc file use correct servername setenv INFORMIXSERVER pacs1 Convert any databases to the new format using dbexport dbimport This step must be done on ALL databases rilogin and radiology Upgrade the system to version 4 2 0 Informix 7 24 compliant Make sure to use the packages for 7 24 Modify the etc init d ri install file on the server to start sqlexecd with the name of the server opt Informix lib sqlexecd pacs1 amp Reboot the server or start the sqlexecd process manually 05 08 2001 152 AIT 34 backup system 93 Blast installation 76 PC Setup 77 Testing 77 boot procedure 99 calibration monitor 45 printer 47 SMPTE pattern 46 Canon digitizer configuration 48 installation 48 database backup 101 centralized 84 Change host 95 client server 84 configuration 89 copy exams between databases 25 create patient database 22 distributed 84 duplicate keys 102 errors 101 export 1
24. IP port number which the RIprintq application will listen and communicate on 7 Sleep Enter the number of seconds to wait before checking the printqueue table for new entries The default is 30 If pages have just been printed then the delay will be reduced to 0 seconds and will gradually increase to the specified setting as contiguous checks return no available print pages to print This way there will be minimal delay between successive pages 8 MaxRetry Enter the number of times to retry the print pages before giving up on it If the printer goes offline gets jammed or is just busy at the time this will allow riprintq to compensate RIprintq will wait Sleep seconds before attemting to retry an unsuccessful page 9 FilmMedium Enter the acceptable film medium for the printer The default is BLUE FILM 10 OkFilmSizes Enter the film size specifications DICOM which are acceptable to the printer These will override the requested printed size specified by the print page If the printer likes only blank film sizes use OkFilmSizes BLANK If multiple sizes are ok then enter both of them separated by a comma no spaces OkFilmSizes 1 LINX17IN 8INX10IN A typical configuration file to connect to an Agfa printer will be as follows The character is very important do not exclude it Database pacs1 db radiology Printer Agfa Host agfadicom Calling RI_PRINT Called ADVT Port 2104
25. Make sure that riqueued is running on the workstation ps ef grep riq If it is not edit the opt ISTri bin load_riconnect file to enable riqueued and execute this script RIqueued is required for the modem queueing Run Ricall Select an exam to display Click on Send via modem ON Oe PS Click on Phone Book under the send via modem popup 05 08 2001 76 Rational Imaging Installation Manual 7 Enter the correct information for the remote receive station You have now completed the setup involved in preparing for blast B INSTALLING HYPERTERM ON THE PC To receive images from the Sun workstation the remote computer must have a host communications package such as hyperterm which comes standard with Windows 95 Run hyperterm to create a Receive icon which the physicians can run to receive images as follows 1 Go to Start Programs Accessories Hyperterm 2 Run hyperterm exe 3 Enter a name for the new profile Receive Images 4 Enter the phone information however remember that this profile will not be dialing out it will just be receiving images al Click on cancel so that it does not dial Select Transfer Receive File and enter the correct destination for the images c images or d seemor images When you save this profile it will remember this information 7 Type ATZ in the hyperterm window and make sure that the modem responds
26. SCSI cables OK conversion required SCSI ID of Drive Shutdown system and install second SCSI card especially if on server Configure Tape Drives SCSI ID s Once installed run probe scsi all at boot prompt to check ID s Reboot using r to recognize new hardware attached Install ISTarc tape drive package Run install_arc to create drivers and licenses Reboot to load the new drivers Test the tape drive with a blank tape write then read using tar List tape sets and add new ones if necessary primary secondary research Add new tape drive in risetup 9 Make sure that the opt ISTri bin backup_radiology script works correctly Make sure tape drive alias appears in Ristore menu Test tape drive initialization on a blank tape If having trouble with the SCSI bus on an Ultra 5 or 10 disable the Ultrawide scsi adapter by putting scsi options 0x78 in kernal drv isp conf 05 08 2001 139 FACILITY W BLOBS NNR ROR SR ACN OOOOOOOODOOOOOOOOOOOOOOOODO DO Rational Imaging Installation Manual DATE INSTALLED BY JUKEBOX SECONDARY ARCHIVE Jukebox alias Jukebox hostname ApUnix DAT License ApUnix Changer License Individual research tape sets required Power sufficient for jukebox SCSI cables OK conversion required SCSI ID of Drive 1 SCSI ID of Drive 2 SCSI ID of Drive 3 SCSI ID of Drive 4 SCSI ID of Changer Jukebox Confirm that the system
27. be down for a long time or is being removed from the Rational Imaging system then delete this workstation from the database tables host in the rilogin database Also delete the image directories attached to this system This will prevent access while the system is being repaired Use set_active in the home ist admin directory to set the workstation as inactive 0 This will notify the other workstations that the system is out of commission for a while Complete the system shutdown as described in the following section Notify the other users that they may resume operation of the RI system Perform the instructions in the next few sections on shutting down the workstation Shutdown Instruction Use the following commands to perform system shutdown DO NOT DEVIATE FROM THESE INSTRUCTIONS OR HARD DISK ERRORS MAY RESULT 3 Logout if you are currently logged in as an RI user Log in as root and give the correct password If you do not know the password contact technical support Type sync lt enter gt to synchronize the disk and remove from memory any unwritten disk information Type shutdown h now to shut down the system immediately This will notify other workstations with beeps combined with a notice appearing in their main console that shutdown is eminent Reboot Instruction The workstation will automatically be rebooted when the power is restored to the workstation However if you do not cycle the power then you ma
28. calling party with appropriate TCP IP network commands Understand that this is a very brief description of networking which can become much more complex Consult with our professional installation staff and your system s administrator regarding this information C SOLARIS INSTALLATION This part of the installation will be pre installed or will be accomplished by your RI representative in the event of a system or hard disk failure Make sure to have all the hardware attached and powered up prior to loading the Solaris operating system Otherwise Unix may not recognize the tape drives Jukeboxes or Vidar scanners attached to the system and the following installations will fail If this hardware is added after the Solaris operating system has been added make sure to let Unix reconfigure for it by typing boot r at the boot prompt OK gt Many of the following instructions will be described in detail in the manuals provided by the various manufacturers of the system components Since the manufacturers may update these instructions from time to time we will refer you to those manuals for the most current instructions Boot from the Solaris system cdrom Insert the disk into the CD drive and enter boot cdrom from the boot prompt OK gt Follow the software installation instructions provided by SUN for the UNIX and Open Windows environment Use the following sections as guidance during this installation If you are usin
29. card with Odd parity 05 08 2001 130 FACILITY 0444 Z OO Rational Imaging Installation Manual DATE INSTALLED BY VIRTUALRAD PRINTER Printer Name same as Alias Directory Share Hostname Shared Directory for temporary reports net host img vr Create the new directory img vr on the share host Choose a system which has plenty of disk space Check to make sure that net img vr is shared Type share to see the current shares Setup Samba on the share host so that VirtualRad can see this shared directory See Samba whitepaper Configure the Dropbox Watcher on VirtualRad to watch this directory net host img vr Create a new printer in RIsetup with the following parameters Name VirtualRad This name can be site specific Alias VirtualRad Same as Name field Type 7 SeeMor Color PrintPage with Thumbnails Host Select host for shared directory Print Dir net host img vr Create img vr on host chmod 777 Width 850 Height 1100 DPI 80 Print Command Leave blank Jpeg Quality 50 Pt Info 1 Use riview to test the printer To automatically have all print pages sent to VirtualRad create a default service using dbaccess as follows Replace with the prt_key of the VirtualRad printer Prt_key can be obtained in risetup by listing the printers Echo Insert into services values 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 dbaccess radiology 05 08 2001
30. cardiology and add the new image directory net host img cardiology It is by convention that we use the name of the new database cardiology in this example as the subdirectory under img to separate the database image partition We could have used net host img radiology as a convention for all the radiology databases however most facilities will not use a multi database environment and thus the extra subdirectory would have needlessly extended the length of the image path Multi database Schematic Informix Server se sql inet db database partition rilogin dbs Login database controls access to both databases radiology dbs hostl image dir net hostl img Most common image dir image dir net host1 img2 host2 image dir net host2 img radiology teaching dbs host1 image dir net host1 img teaching host3 image dir net host3 img This dir is not in radiology B CREATING MULTIPLE SERVERS Multiple Informix servers are similar to having multiple databases There will be one or more databases supported on each server and each database will be independent of each other when multiple servers are used This is useful when the imaging databases are separated by critical communications lines and require independent operation eg A T1 line connecting 2 hospitals Rational Imaging allows 2 hospitals to have separate databases each with independent central archives and a group of workstations displaying the images In thi
31. data files If any errors occur which stop dbimport you probably need to remove all the indexes using DropIndexes Then do the dbexport dbimport and CreateIndexes cd img db opt ISTri diag DropIndexes db radold dbexport o img db db radold cd db mv radold dbs radold old dbimport I img db radold opt ISTri diag Createlndexes db radold 05 08 2001 103 Rational Imaging Installation Manual dbaccess radold lt lt EOF update statistics EOF cd radold dbs bcheck Run the previously described tests on the new database to ensure the integrity of the database If the database evaluation runs successfully and without error allow users to begin using the database again Remember to rename the database to allow all users to access 1t Also make sure that the permissions are set correctly mv radold dbs radiology dbs chmod R a rw db radiology dbs H OPTIMIZING DATABASE QUERIES When a database is exported and then imported the table statistics may be lost When this occurs the query time increases To resolve this enter dbaccess and run the update statistics command The following commands will also perform this from the commandline dbaccess radold lt lt EOF update statistics EOF l EXAMPLE PROCEDURE FOR MISSING DATABASE LINKS Relational databases such as our patient database rely on primary and foreign keys to relate information in separate tables For example a patient may hav
32. first thing to mention is that the new Sony AIT2 tapedrives are Low Voltage Differential LVD SCSI devices and unlike the Sony DAT drives which are Single Ended SCSI devices only one LVD can be properly connected to the SunSwift PCI SCSI card and even in this case the cable length from the Sun to the Juke shouldnot exceed 3ft Longer length cables or the presence of more than one drive will cause the reduction in SCSI transfer rate and the disabling of the wide SCSI mode during bootup by the Sun SCSI controller The only solution to this problem is to use an LVD SCSI controller instead of an SE type SCSI controller After talking to Qualstar we decided to try the new Antares Ultra2 Wide PCI LVD SCSI controller part p0068 A 6ft cable can be used with this controller Before proceeding with the card installation on the Jukebox side check and set the jumpers on the back of the drive s as well as on the front panel Failure to do this will result in probe scsi all command at the OK prompt to not see the drive s and the changer target Ids On the Antares card there are 3 switches which should be set so that the termination on the card side is enabled The default setting is for 1 and 3 to be in up position and for 2 to be in down position This is the correct setting for enabling termination on the Sun units running Solaris On the jukebox make sure that you have an appropriate multimode terminator A multimode terminator should be provided b
33. informix 101 NETWORK PRINTERS HOSTNAME ALIAS INTERNET QUEUE DIR ERROR LOG canon Canon PFI 194 3 55 16 home ist print home ist print queue canon_errs canon_ct Canon CT 194 3 55 21 home ist print home ist print2 queue canon_errs 2 TAPE DRIVES HOSTNAME DEVICE NAME BLOCKS CLEAN TIME sunrise dev nrcht0 DATI Sunrise 20 90000 cardiol dev nrchtO DATI Cardiol 20 90000 6000 ARCHIVE TAPE SET ARCHIVE NAME Type Secondary Secondary JonesExams Normal PATIENT DATABASES ae radiology DBHost db cardiol CardiolHost db 1 jones USERS USERNAME imaging smith jones ALIAS Imaging Dr Smith A K Jones M D UNIQUE ID 102 103 104 GROUP ID 100 imaging 100 100 HOME DIR net sunrise home imaging net sunrise home imaging net cardiol home jone TEMPLATE DIR net sunrise img templates net sunrise img templates net cardiol img tmplt DEFAULT DIR net sunrise img defaults net sunrise img defaults net cardiol img dflt PRINT DIR home ist print home ist print home ist print PASSWORD images on call transplant DATABASE ACCESS radiology radiology radiology cardiol 05 08 2001 Rational Imaging Installation Manual B DEFINITION OF WORKSHEET COMPONENTS 1 Host Information A network consists of multiple workstations communicating together over an ethernet backbone In order for these workstations to co exist on the same network they must follow rules for existence The following parameters are required for network compatibility
34. is default and is wrong Timeouts need to be checked XLP right need the following acknowledge wait timeout 180 seconds receive frame timeout 30 seconds MODALITY SETTINGS E TESTING The cemax directory contains test images test scripts and the filming applications required to send images to Kodak 3M or Dupont Laser Cameras Modify the camcap file 05 08 2001 81 Rational Imaging Installation Manual according to the instructions and then use filmer to test the camera link with the test images and scripts cd opt ISTri film filmer c camcap kodak fjob1 Then use RIview to print some images to img film Use filmer to see if these print successfully cd img film Is opt ISTri bin filmer c opt ISTri bin camcap img film R Ifilm Finally try rifilm to make sure that the images are printed and deleted opt ISTri bin rifilm img film 05 08 2001 82 Rational Imaging Installation Manual XXIl Operators Manual Installation Rational Imaging has a postscript manual which may be installed and viewed on the Rational Imaging workstations A SUNOS INSTALLATION Login as root since you will need superuser privileges to perform this step of the installation Retrieve the device drivers for SunOS from the apunix partition on the installation tape cd home mt f dev nrst0 fsf 11 skip to the correct tape partition tar xvf dev nrst0 B SOLARIS INSTALLATION Login as roo
35. new database and configure the hosts and image directories cd opt ISTri admin risetup 5 Add database access to rilogin Enter the database name the directory in the format hostname db and n if the database is not to be restricted all users can access the new database If you enter y to the restricted question then you will be prompted to select a user for access to the database You will need to run 5 add database for each user to is to have access to the restricted database Allocating hosts and image directories Use risetup to add hosts users and image directories to the new database as follows Remember to enter the new database name when prompted by risetup Also you must add imaging to the new database at least Add user to rilogin do this for all users who will use the database Add user to new_database Add the imaging user Add user to new_database do this for other users Add host to new_database Add the hosts which will need access Add imagedir to new database Add the image directories Add host to rilogin Add the hosts which will need access WARNING For hosts which share 2 or more databases the new image directories MUST NOT be in the other databases For example if net host img exists for 05 08 2001 22 Rational Imaging Installation Manual the database radiology then you must not use this for the new cardiology database Instead create a subdirectory under img called
36. one definition of the server is required and one line per remote workstation to allow query retrieve operation The client definitions define the Efilm AE_TITLE set up in the process manager for Storage SCP the hostname or IP address of the remote host and the port number that the images will be received under You will also need to define a directory where riqueryd can store temporary images during the transfer process This is because it will need to bring them over from one of our NFS mounted PACS workstations and then process and transfer them out to the Query Retrieve client Simply use unix to create and set the permissions on this directory mkdir img query chmod 777 img query Once you configure the two AE title lines one for the server and one for the remote client the client should be able to get the patient list It is recommended that you test this by running riqueryd from the commandline in verbose mode with the priority set high to test this capability This will help you troubleshoot any problems riqueryd c opt ISTri etc riqueryd_cfg d img query 5001 Once this process has been verified you can use the next section to automate the installation and operation of riqueryd This will maintain operation of the server even during reboots C INSTALLATION To set up the automated operation of riquery you need to add the following entry to the etc inittab file You will need to be root to make this entry The entr
37. our technical support staff to determine which scanners are network compatible with the Rational Imaging system The scanners supported by Rational Imaging as of this manual s printing are specified at the end of this chapter If your scanner does not appear on this list then contact our technical staff since this list will be updated as software interfaces are developed for these systems Since the performance of the system will be integrally dependent upon the network develop it conscientiously with careful attention to any future expansion Use duplicity wherever necessary to ensure network reliability since each workstation is dependent upon each other and especially dependent upon the database server to obtain patient demographic information 05 08 2001 Rational Imaging Installation Manual 3 Printer Canon s Paper Film Imager has been manufactured with the highest quality components to produce high resolution diagnostic hardcopy Even so the printer is susceptible to adverse environmental conditions and may require maintenance from time to time It is recommended procedure to print the SMPTE quality control pattern once each day dating the reverse side of the print to document any degradation or systematic artifacts Slight imperfections will be more visible on the uniform background squares of the SMPTE image than on noisy images containing randomly dispersed quantum mottle Pay close attention to Canon s recommendations for the
38. printer on the remote workstation using Ip Make sure that the remote workstation allows imaging to remote shell into it without a password Needs a rhosts file containing in the home imaging directory of the remote system Add the workstation host in risetup as type 5 Rational Imaging host Add printer to the database using risetup on the server as follows Name any Unique name eg HostPrinter no spaces allowed Alias name to appear in Menus no spaces allowed Type 6 Color JPEG compressed print pages HostKey HostKey of host Add host first in risetup PrintDir img print default location for temporary print pages Width 850 8 5 default Height 1100 11 default Resolution 80 so the print page will fit on HP printers PrintCmd opt ISTri print print_jpeg riHOST riIMGHOST riPATH riPTNAME JpegQual 75 Can be changed to 50 to improve speed PtInfo 1 This will print the patient information also Test printer using RIview The resolution can be increased from 80 but this increases network transfer time makes it rather large to view on the remote station and if the printpage is to be reprinted using imagetool the image will need to be resized first A dpi of 80 just fits on an HP print page A dpi of 160 can be used however the image should be reduced by 50 before printing using imagetool 05 08 2001 129 FACILITY ococooooooonveoooeoeeooeooKR KK KN Z Rational Imaging
39. regards to loading the Solaris operating system If this workstation is designated to be the redundant server backup for the server database then configure the db partition to have the same disk space as the server If this workstation is not going to be a redundant server then use the space allocated for the db partition towards the img partition Do not create a db partition unless this workstation is a main server or a redundant server C RATIONAL IMAGING INSTALLATION Use the following instructions to load the Rational Imaging packages from the installation disk Log in as root superuser Start Open Windows by entering the following command at the UNIX prompt usr openwin bin openwin noauth Open a commandtool to type in from the workspace menu under programs Insert the Rational Imaging install jaz disk into the Jaz drive and mount it using the correct SCSI ID of the Jaz drive If you do not know the SCSI ID use probe scsi at the boot prompt to determine the ID or any conflicts with other devices mkdir jaz J mount F ufs dev dsk c0t2d0s0 jazt for SCSI ID 2 Open the console and type the following commands at the UNIX prompt to add the ISTsat and ISTri packages and other additional packages that are required pkgadd d jaz sol2 pkg Select the numbers for ISTsat and ISTri packages in that order 1 ISTsat 2 ISTriJ These packages were designed to automatically install the selected components So
40. risetup add new tape drive add new jukebox associate the tape drive with a jukebox add available jukebox slots associate a tapeset with a jukebox drive Use the RIbox application to load the jukebox The jukebox can be configured as a Primary Secondary or Combined jukebox The combined setting is only recommended if there are 2 drives in the jukebox The initial and active tapesets will be assigned to be archived on separate drives If only 1 jukebox is desired then use an external tape drive for the Primary archive and take the tapes offsite as soon as they are full In RIbox click on the Queue Status button and then on Stop Queue Then click on Queue Status again to show the jukebox slots Once the slots are displayed click on the RECOMMENDATIONS button to have it configure and load the tapes This button will be used for normal operation The other functions are only to be used under abnormal conditions when the jukebox does not correctly recognize the state of the jukebox 05 08 2001 37 Rational Imaging Installation Manual G REMOVING EXISTING APUNIX DRIVERS If you are upgrading the APunix drivers or upgrading from DAT to AIT you will need remove the current drivers to perform a fresh install To do this use the following steps cd opt ISTri archive install uninstall dt uninstall ch unlink nredt0 unlink nredt1 unlink chO to 05 08 2001 38 Rational Imaging Installation Manual X Vidar Film Scanner
41. run the following script opt ISTri install install_main_ This script will install the informix licenses create the databases required for Rational Imaging and initialize the tables in these databases for initial operation The following commands will enter the passwords for the various accounts Enter the following commands and enter a password associated with each Do not use the root password for these accounts passwd imaging passwd informix If no password is desired on imaging then modify the etc default login file and change PASSREQ YES to PASSREQ NO Edit the etc shadow file and remove the password 66 99 information between the first and second colons for imaging Use the following command to license the executable applications from the ISTri package Replace license_file with the correct name and path of the true license file This file can be obtained from www IntuitiveSoftware com opt ISTri bin add_license lt license_file 05 08 2001 15 Rational Imaging Installation Manual Modify the CMD_LINE parameters in the following files usr openwin bin textedit opt ISTri bin expire_locks usr openwin bin textedit opt ISTri bin reset_modems usr openwin bin textedit etc inittab A sample of the inittab file is as follows r1 34 respawn su imaging c exec riconnect img incoming r3 34 respawn su imaging c exec riqueued gt gt amp opt ISTrifog inittab_riq log r2 34 respawn su imaging
42. systems administrator whenever you are adding additional workstations to the network An improperly configured workstation can confuse the network and halt the operation of ALL of the workstations on the network Not only network operations may be affected operational tasks requested of the workstations such as scanning may also not be able to be performed or will be very slow due to the network timeouts and CPU engaged in fixing this communication link Once you have determined the system parameters for this installation and they have been approved by Canon and your system s administrator the installation process can begin Before you begin make sure that you have the following materials 1 Sun Workstation to be installed CDROM drive Solaris CD DAT tape drive or Jaz drive SCSI cables Tools Rational Imaging installation tape or Jaz disk Rational Imaging installation manual Informix licenses INET for satellite INET amp SE amp ESQL for main and redundant server 10 Rational Imaging licenses 11 APunix licenses for DAT or JUKEBOX installations S ey eh 05 08 2001 17 Rational Imaging Installation Manual B SOLARIS INSTALLATION This part of the installation will be pre installed or will be accomplished by your RI representative in the event of a system or hard disk failure Install the hardware per the manufacturer s instruction manuals Follow the instructions for the Main database server page 14 with
43. that the device has been configured by Solaris dmesg grep cgsix replace cgsix with the name of the device if different cgsix0 at sbus0 SBus slot 2 0x0 SBus level 5 sparc ipl 9 cgsix0 is iommu f e0000000 sbus f e0001000 cgsix 2 0 cgsix0 screen 1152x900 single buffered 1M mappable rev 7 cgsixl at sbusO SBus slot 3 0x0 SBus level 5 sparc ipl 9 cgsix1 is iommu f e0000000 sbus f e0001000 cgsix 3 0 cgsix1 screen 1152x900 single buffered 1M mappable rev 11 If the video card is capable of higher resolutions than specified see the dual_head script in the hardware section of the jaz installation disk to help configure the resolution for the video card or contact the manufacturer of the video board The particular card listed above is a TurboGX card with only 1M of RAM so it can not display greater than 1152x900 resolution A TurboGXplus card however has 4M and can display 1280x1024 05 08 2001 44 Rational Imaging Installation Manual B CALIBRATION PROCEDURE The Rational Imaging system has parameters which can be configured to help standardize the display of images across the imaging network This means that the images should be displayed similarly on any monitor within the network In order to achieve this while using different monitors greyscale color hires hiluminance we have added configurable parameters to the database for each monitor If these parameters have not been set then default values
44. the RIview printers menu and that the resolution changes to 150 when this printer is selected If all is configured correctly a printpage should appear on the designated printer If not start debugging the errors 1 Is there a printpage in the img print directory If not maybe there is insufficient disk space 05 08 2001 73 Rational Imaging Installation Manual 2 Is the riprintq process running ps ef grep riprintq If not there may be a configuration problem Try starting it manually as described previously and check for errors Use the verbose mode v and you will see the results in the syslog error file riprintq v c opt ISTri etc riprintq_cfg 3 Does ritodicom add a correct header to the printpage file Create a file named info_file to check this application You will need to find the exam_key as the database exam number specified on the patient s demographic page in RIview The width and height should be correct if you are using 150dpi for 14x17 films You can get the image details from the printqueue table in radiology select from printqueue Database pacs1 db radiology ImgFile img print Rlimag OutFile img print Dicomlmage ExamKey 514 Width 2100 Height 2750 Depth 8 Number 1 Then run ritodicom as follows ritodicom c info_file If everything was configured correctly a new file img print DicomImage should be found in the img print directo
45. the cover of the Interpreter and insert the floppy disk 8 Turn on the Power and wait until you hear 2 consecutive beeps 9 Turn off the Power Remove the floppy and re install the cover 10 Follow the instructions in the Aspect manual to install the printer cables 11 Turn off the power on the Laser Camera 12 Plug in the network cable and turn on the power first to the aspect wait for the beeps then on the laser camera At this point there will be an active connection between the units 13 Install RiprintQ and begin testing 05 08 2001 57 Rational Imaging Installation Manual XVII RIS Connectivity Installation Rilink and Rideliverd are background processes used in the RIS connectivity package Rilink receives HL7 messages from RIS systems and writes each message into a specified directory on disk Rideliverd reads each message and determines how to handle it based on the type of message An ORU message is a report message containing a verified report and rideliverd will try to associate the report with a matching exam A ORM message or general order message is used to provide worklist scheduling information and also alter patient demographics If everything works correctly Rilink will receive and deposit the messages Rideliverd will read each message provide the functionality required and then delete each successfully handled message Thus the hl7msg directory should only provide temporary storage for messages being proc
46. to compress the image information This compression will increase the tape capacity by approximately a factor of 2 however the compressed tapes will be unreadable on standard DAT tape drives without compression If compatability with other existing DAT drives is important then use the dev nrht0 device driver Make sure to specify the non rewindable tape device driver specified by the n in dev nrht0 The new Sony DDS3 drive uses a device called dev nredt0 C SUPPORTED IMAGING SCANNERS 1 Import Images The following images are currently supported for import e General Electric s Signa 4x MR scanner A Data General ethernet adapter kit is required and is available through General Electric e General Electric s Genesis 5x MR scanner The MR scanner comes with an ethernet card sufficient for image transfer e Generel Electric s Genesis 5x CT scanner An additional SUN ethernet adapter kit is required and is available through General Electric Warning use of the gantry s network adapter may effect scanning e General Electric s Genesis 5x Independent Console The IC workstation comes with an ethernet card sufficient for image transfer e Siemens MR Magnetom Impact with a SUN host Image connectivity has been established however some of the header information is still missing making cross referencing impossible as of now e Lunar MR Scanner e Additional scanners using DICOM protocols will also be able to connect Check wit
47. 03 import 103 104 missing data pointers 103 multiple servers 23 patient 10 rebuild 108 RIbuild 109 server 12 software 3 Version 107 diagnostics 87 dicom scanners 135 DICOM Aspect Interpreter 56 Print Class 56 Query Retrieve 67 RIprintq installation 71 disk installation 54 partitions 14 108 Dome Monitor Rational Imaging Installation Manual XXX Index calibration 46 drag and drop 5 EFilm DICOM Test Client 69 Expired exam locks 92 93 Gateway workstation 138 hosts 8 Hyperterm 77 INFORMIX UPGRADE 152 inittab 16 installation 18 Installation Worksheet 112 interfile scanners 136 internet address 13 Jaz drive 18 Jukebox AIT Drive 34 installation 33 locked system 100 lunar mr scanners 137 memory 2 98 99 Monitor calibration 44 45 47 installation 44 mount Jaz disk 18 network reliability 85 printer calibration 47 Rational Imaging 4 version 26 87 redundant server 109 Redundant Server 98 110 requirements hardware 2 7 overview 1 software 3 Rideliverd 58 Rllink 58 RIprintq Delete Print Pages from Queue 74 installation 71 Reset Queue 74 RIS Rilink Rideliverd 58 SCSI ID 54 05 08 2001 153 Low Voltage Differential 35 Single Ended 35 server Change host 95 shutting off the system 98 99 100 SMPTE pattern 46 supported scanners 4 system crash 85 system halt 100 Tape Drives AIT 34 Archive 10 Device Drivers 4 technical suppo
48. 1000um mm 175um 2032 14in x 25 4cm inch x 1000um mm 350um 1016 B SOLARIS INSTALLATION Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTscanc from the list of packages on the tape as follows pkgadd d dev rmt 0n J select the number for ISTscanc Enter a password for cfsscan which was created during the package add Password cfsscan Reboot the computer to make sure that the modem is recognized and working properly If this host does not have INET and will be forwarding the images to another workstation use the following instructions If this workstation does have INET and will store the images locally in img incoming for riupdate to pick up then skip to the next section Configure the file opt ISTri bin ritransmit to send the images to another workstation Then copy opt ISTri bin riceive to the other RI workstation and configure it there to receive the images from ritransmit rep opt ISTri bin riceive remote_host opt ISTri bin rsh remote_host vi opt ISTri bin riceive Enter the ritransmit script name opt ISTri bin ritransmit into the transmit script in configuration popup of Riscanc RIscanc will require licensing via a file in opt ISTri bin if the informix inet application is not loaded on the system Since riscanc will not be able to attach to the server without inet it must
49. 286255 194813 62817 76 usr dev sd0a 189858 87830 83043 51 home dev sd3h 893574 502041 302176 62 images MEMORY DIAGNOSTICS PID TT STAT TIME COMMAND 05 08 2001 87 Rational Imaging Installation Manual 0 D 0 15 swapper 1 IW 0 00 sbin init 2 D 0 22 pagedaemon 55 S 1 37 portmap 60 IW 0 00 keyserv 69 0 10 in routed 75 0 12 biod 86 IW 0 00 syslogd 94 IW 0 00 usr lib sendmail bd q1h 106 1 1 19 nfsd 107 1 1 18 nfsd 108 IW 0 00 rpc mountd n 111 IW 0 00 rpc statd 112 IW 0 00 rpc lockd 118 IW 0 00 usr local bin rpc pcnfsd usr tmp 120 S 1 40 home informix lib sqlexecd 130 S 0 08 usr bin screenblank d 300 136 S 13 26 update 139 IW 0 00 cron 145 IW 0 00 inetd 149 IW 0 00 usr lib lpd 166 IW 0 00 RI_host home ist bin riconnect 338 IW 0 00 rpc rquotad 2085 co IW 0 00 csh csh 2139coIW 0 00 bin sh usr openwin bin openwin noauth 2141 coIW 0 00 usr openwin bin xinit usr openwin bin xnews 0 2142coS 19 15 usr openwin bin xnews 0 2149 co IW 0 00 sh usr openwin lib Xinitrc 2157 coIW 0 00 sv_xv_sel_svc 2158 co IW 0 00 vkbd nopopup 2159 co IW 0 00 dsdm 2163 co IW 0 25 olwm syncpid 2162 2164coIW 0 00 olwmslave 2171 coIW 0 23 RI_host home ist bin rilogin 2175coIW 0 32 home informix lib sqlexec imaging 5 00 UC2 2720coIW 0 07 RI_host home ist bin riview 4290coS 0 41 RI_host home ist bin riport 4291coS 2 57 home informix lib sqle
50. 5 hours of use The is equivalent to 90 000 minutes The database keeps track of the drive usage and will warn you automatically when it is time to clean the heads MBytes The approximate storage capacity of a tape in MBytes Since compression may be used and the compression factor will vary this number will only be an estimate Also the storage capacity will depend upon whether 60 meter or 90 meter tapes are used A compressed 90 meter tape should be able to conservatively hold 3 GBytes 3000 MBytes A 120 meter tape will hold 6 Gbytes A 125 meter tape DDS3 will hold 12Gbytes Each of these will hold approx 1 5x the native capacity when compressed Thus a DDS3 125 meter tape should hold approx 18Gbytes 6 Tape Archives The values entered into the table archive are used to define sets of tapes with a common base For example one tape set group of tapes may consist of all the primary patient archives for a facility and be labeled Initial Another tape set may be used for duplicity secondary backup and be called Active You may also create tape sets for individual purposes such as research projects or personal archives Tape Set The name of the archive as 1t will be physically labeled on the tape and written in the digital label at the beginning of the tape This name will be used to refer to the tape set in the RIstore program 7 Patient Databases The patient databases which control the demographic and image information f
51. 7 Adda Jukebox to the patient database Use this function to add a new jukebox to a selected Rational Imaging workstation 38 Associate a tape drive with a Jukebox in the patient database First define a new tape drive for a given host then use this function to associate that tape drive with a previously defined Jukebox Some Jukeboxes contain up to 6 drives 39 Add available slots to a Jukebox in the patient database During the initial Jukebox configuration this function must be run to define the number of available slots within the Jukebox DO NOT define more slots than physically available on the Jukebox 40 List Jukebox in patient database Use this function to list all of the defined Jukeboxes 41 Delete Jukebox in patient database Delete a selected jukebox from the selected patient database 42 Add Monitor to patient database Use this function to configure the monitors in an initial installation Use the defaults unless you have determined the actual black levels and gamma using the ricalibrate function 43 List Monitor in patient database List the defined monitors and their parameters in the selected patient database 44 Edit Monitor in patient database Edit the configuration parameters of a selected monitor 45 Delete Monitor in patient database Delete a selected monitor in the patient database 46 Add modem in patient database Specify the operational parameters of a modem attached to a Rational Imaging workstation 4
52. 7 List modem in patient database List the parameters of the available modems 48 Edit modem in patient database Edit the operational parameters of a selected modem 49 Delete modem in patient database Delete a selected modem from the patient database 50 Unlock expired exam in patient database Manually unlock all the exams where the lockdate aging has expired This function will be automatically accomplished nightly on the server using a cron job under imaging 05 08 2001 92 Rational Imaging Installation Manual 51 Associate a tapeset with a Jukebox drive in Radiology Select the tapesets which will be supported on a particular jukebox The primary and secondary tapesets should be archived on different drives 52 Edit tapeset support for a Jukebox in radiology Edit the tapesets associated with a selected jukebox 53 List jukebox support for tapesets in radiology List the tapesets which are supported on a selected jukebox 54 Delete jukebox tapeset support in radiology Delete the tapesets which are supported on a selected jukebox C PERFORM SYSTEM BACKUP The best way to ensure reliability and prevent against hardware malfunctions is to keep a current backup of each workstation This can be done easily using the tape drives provided for archival BE CAREFUL not to use a tape for backup which has been labeled as a patient archive tape Insert a BLANK TAPE into the appropriate tape drive and use the following instru
53. 8 2001 68 Rational Imaging Installation Manual Each database needs its own configuration file and its own port number E EFILM INSTALL TEST CLIENT To test the dicom query retrieve download the latest version of Efilm www efilm net and use this client to test the dicom transfer both ridicom and riqueryd Download the executable installation script and double click on it to install Efilm Accept the default locations and configurations To configure Efilm you must configure both the DICOM storage class to receive images and the DICOM query retrieve to search and request exams to be sent from RI to the Efilm station Set up the dicom storage class first and use Ridicom to test the transmission of an exam F EFILM CONFIGURE DICOM STORAGE SCP Bring up the Process Manager from the Efilm menu under the Start menu Click on the DICOM Server and select the settings button Lets configure the AE_TITLE and Port number to EFILM_SCP and port 4006 Click OK and answer Yes to restart processes You can now quit the process manager This will be started automatically each time you reboot a Now we can test Ridicom to send an exam to Efilm Bring up Ridicom and add a new destination The new destination should have Klute Purin the correct information Alias efilm Remote Update Monitor Running Host 64 249 104 194 Called AE ss Title EFILM_SCP Port 4006 Calling AE Title RI_DICOM Save the new destina
54. APunix changer device Reboot the computer to make sure that the new drivers are recognized and working properly E TESTING The following instructions will test whether the changer device driver is operating properly 1 Jukebox status Turn the jukebox ON insert a blank tape into slot 1 and enter the following command at the UNIX prompt change status The tape drive should respond with status information and should not report any errors 05 08 2001 36 Rational Imaging Installation Manual 2 Insert the tape into the drive Enter the following command at the UNIX prompt change 1 drivel 3 Move the tape from the drive to slot 2 To test the read write capabilities of the drive make sure that the write protect tab on the tape is in the OFF position and enter the following UNIX commands mt f dev nrcht0 off Make sure that the tape has ejected before giving the next command change drivel 2 4 Eject the tape change 2 door Use the eject button to remove the tape from the security door F CONFIGURATION Use the configuration button on RIlogin the disk icon to add RIbox to the list of available applications Use risetup to have the new jukebox recognized by the Rational Imaging system Log into the database server change to the opt ISTri admin directory and run risetup Then use the option to add the new jukebox Use the defaults whenever you have a question about the parameters cd opt ISTri admin_
55. ATION 6 ssiscssssscseteccsnsedsesnsedaiesesetaseveseceietesedesesetedsiedssedstesesedadeseseceiesesatetedesedsiesstedssetusedsiesesetssesesases 54 A UNIX PREPARATION a 54 B ADDING TO THE RATIONAL IMAGING SYSTEM ccsssscesssssccessssccessssesessesccessesccessesccessusecessesecessusecessusecessusesesseseeens 55 C TENGA ie 55 XVI ASPECT DICOM INTERPRETER INSTALLATION ccscssscssscsssssscssscsccssssssscsccssscsecsssssssssssssssenscess 56 A UPGRADING Sfrdicot traded cette ace titns bene tie dd dd dant iid ad e Ariat dedo 56 B KODAK CONFIG RARA METERS acacia ea 56 Es CONFIGURATION STERS ea tate Becks 57 XVII RIS CONNECTIVITY INSTALLATION sisisssscissssssesssesssessssssseseseiesscaossesesescsesssesssstesesesssetesesesesosbcasesesesebesesss 58 A LITE iaa 58 B RIENK CONFIGURATION inier dino did to dni dedicada diiniita and 58 C RIDELIVERD CONFIGURATION AN 59 D MESSAGE TESTING edi aude 61 E RILINK TROUBLE NG se 62 F RIDELVERD TROUBLESHOO NG iii ilie 63 G RIDISTRIBUTE P REFETCH CONFIGURATION sa fui 63 H STUDY CONTENT NOTIFICATION otto Cer Sadoveds da tucos Socotncs adosudhdodecoss dadocnds cacesede dadecatedodecads tadosucedecneatedosesetateceed 64 L RIDELIVER MANUAL RECONCILIATION c cccssssscsssssccesssscsesessccescscecsesscsessssscesesscsesesssecsessscessesssesessssessssseesessseesees 65 05 08 2001 2 Rational Imaging Installation Manual J DELETING OLD MESSAGES WORKLIST PREFETCH AND SCNEXAM
56. BUS video card ordered supports 1280x1024 Shutdown system and install the SBUS Turbo GXplus Video card Reboot using r to recognize the new video card and monitor Use dmesg to see the device name cgsix and check resolution of video cards If CDE copy usr dt config Xconfig amp usr dt config Xservers to etc dt config Add device name to login after openwin dev dev cgsix or add to etc dt config Xservers for Solaris 2 6 CDE LEFT and RIGHT can be added after cgsix to reposition The first device after openwin will be the console place console on left Login as imaging and make sure that the Solaris graphic appears on ALL monitors On Solaris 2 6 the Solaris banner will only appear on the console however once the system is up the background should appear on all the monitors and the mouse should be able to move to all the monitors in sequence Adjust the brightness and contrast of the monitor Usually set to max as long as text distortion is not observed Display SMPTE on new monitor and calibrate monitor if necessary to display b w range Use risetup to add the monitor calibration parameters 42 05 08 2001 124 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY INSTALL DOME VIDEO ADAPTER WITH DATARAY MONITOR Hostname Video Card Monitor and Model Version DOME card ordered specific for this monitor Correct cable available for single dual monitor s Correct drivers for video card an
57. DENSITT OD X SD X SD X SD 0 07 3994 5 1 6 3992 9 3996 1 0 12 3935 3 3 1 3932 2 3938 4 0 21 3826 2 1 8 3824 4 3828 0 31 3699 7 1 7 3698 3701 4 0 42 3565 9 1 8 3564 1 3567 7 0 51 3449 5 2 1 3447 4 3451 6 0 62 3319 2 2 2 3317 3321 4 0 75 3164 7 2 7 3162 3167 4 0 87 2996 8 3 5 2993 3 3000 3 0 98 2855 5 3 7 2851 8 2859 2 1 09 2720 8 4 6 2716 2 2725 4 1 21 2562 6 4 5 2558 1 2567 1 1 31 2427 4 5 2 2422 2 2432 6 1 45 2249 2 6 2 2243 2255 4 1 58 2092 7 7 6 2085 1 2100 3 1 7 1924 2 8 8 1915 4 1933 1 81 1789 4 11 7 1777 7 1801 1 1 92 1660 6 14 5 1646 1 1675 1 2 06 1484 5 20 1464 5 1504 5 2 2 1312 4 23 9 1288 5 1336 3 2 32 1171 5 32 3 1139 2 1203 8 2 42 1045 1 40 2 1004 9 1085 3 2 54 897 3 49 8 847 5 947 1 2 69 738 4 74 4 664 812 8 2 82 584 4 99 2 485 2 683 6 2 97 383 5 143 2 240 3 526 7 3 1 230 3 147 2 83 1 377 5 05 08 2001 52 Rational Imaging Installation Manual 3 23 122 7 123 2 0 5 245 9 3 41 63 9 91 5 27 6 155 4 3 57 37 7 70 8 33 1 108 5 Additional calibration may be required to obtain a linear result If this is necessary follow the instructions in the Canon installation manual It is our understanding that by entering the optical density and digital intensity for several points the system can calibrate itself to provide a linear result The exact calibration equations will be published in this section as soon as they are identified Caution make sure that your data is accurate otherwise the calibration procedure m
58. EE Die aaa e O Oe Te Nee ee NE ee TR es O Rational Imaging Installation Manual DATE INSTALLED BY WORKSTATION IS THE REDUNDANT DATABASE SERVER Location at facility diagram Network cabling and power completed Hostname of server IP address of server Hostname recommend lowercase IP address and SubNet MAC Address Default Router IP address Alias for host may be upper lower Root password Imaging password Serial number Host ID number 10 or 100 Mbit Ethernet Total RAM required Swap space required gt 2x RAM Software to install SBUS PCI cards video ethernet scsi SCSI IDs of Disk Drives UPS recommended to facility Computer grade modem line for support Number Informix SE license if purchased Informix SQL license if purchased Informix INET license Rational Imaging license file email Install Solaris partitions db and img required Install ISTdb723 using pkgadd Informix database Install ISTsat using pkgadd Rational Imaging components Install ISTri using pkgadd Rational Imaging applications Execute opt ISTri install install_informix script Execute opt ISTri install install_sat script Add workstation to etc inet hosts on ALL workstations Add workstation to etc hosts equiv on ALL workstations Create etc defaultrouter with the correct IP address if necessary Add host to clinical and rilogin database on master rilogin server risetup Add image dire
59. EENAA E NAE A EN A EEEN E AAE 26 B SCHEDULE UPGRADE DIME si detec T E E E A E E E TA E lang E T E A ke 26 C BACKUP DATABASE FICES li 26 D BACKUP APPLICATIONS a e E E e 26 E BACKUP OYSTEM E E E e NEA EI IRANA AEN e EN A OS 27 F BACKUP USER TEMPLATES AND DEFAULTS nha hd n aaa aaran 21 G INSTALE NEW VERSION oa 27 H DATABASE UPGRADES ii iii iii 28 Le CONFIGURATION o le ur de le du ela du e e de la lo e de el dr do e Il he ahd ohh ht hat 29 VE TESTING E AT ta cere AEAEE AREA AAEE AEAEE EAA NETA 29 VII TAPE BACKUP DEVICE AAA 30 A SOLARIS INSTALLATION e EEE LIN re uch cose 30 B TESTING a td dt dd tdt tt teta favs dude tdo to dt tt tt tdt 30 C CONFIGURATION RR 31 IX JUKEBOX INSTALLATION iiissssssssssssssissssssasessisssssessasstesssasssecssossesssssassobsecabscasevssssssasssuaseasssecssssesssbessbaeesseseses 33 A HARDWARE CONFIGURATION it tii tt tibia EE 33 B ATT DRIVE CREARA ON iio 34 05 08 2001 1 Rational Imaging Installation Manual C DIFFERENTIAL LOW VOLTAGE SCSI CARD INSTALL NOTES c cssssssssessessesscscececseeseseessessesseeseesenseseeeeeesesecsesenes 35 D SOLARIS INSTALLATION dede Stel pele sls ln e de ee le der tn oles ie her le ahs tt ole anoles lat ols ole oh LO 36 E TESTING a A TO a la CS 36 F CONFIGURATION aa 37 G REMOVING EXISTING APUNIX DRIVERS ii ie iaa aaiciss 38 X VIDAR FILM SCANNER INSTALLATION ic sssssssssssesosesesesoonsesesesasesesesesssesssesesesesesebesesnsesasesesedesenssebesesssncedness 39 A SUN
60. GFXconfig depth 8 res 1280x1024x76 10 If the video appears correct with colors click yes to accept the changes 11 Save and exit this configuration application 12 reboot the computer and confirm that the video graphics are correct 05 08 2001 43 Rational Imaging Installation Manual XIII Display Calibration A INSTALLATION Use the Sun manuals to install the SBUS video cards and the monitors to the Sun workstation Then install any additional drivers necessary to make the monitor work under OpenWindows The high resolution greyscale monitors running on the DOME card require special drivers provided by Dome Use the Dome manual to install these drivers as each video card requires a separate set of driver applications Reboot the system using the reboot r command so that the new devices are configured su reboot r or boot r at the boot prompt Edit the login file of each of the users imaging in particular home imaging login to add the second or third display The syntax is as follows OPENWINHOME bin openwin noauth dev dev cgsix0 left dev dev cgsix1 right The first device configured on this line will be considered the console device by OpenWindows If there are any problems getting the new monitor recognized by OpenWindows use the dmesg command to check the device name and the resolution of the display adapter If the device does not exist try the reboot r command again to make sure
61. Hostname The first is that each workstation must have a unique hostname This name will be used to send and retrieve information from the workstations We recommend that you use lowercase characters for the hostname since UNIX is case sensitive Also limit the hostname to as few characters as possible since long names consume space for each of the hosts and the NFS linked image directories Alias The name which will be displayed and used within the Rational Imaging system Uppercase letters may be used to distinguish components of the name Try to restrict the length of the alias as much as possible For example a workstation at Stan University in the department of radiology might be given a hostname of stan_rad and an alias of StanRadiol Internet address You must assign a unique internet address for workstations to exist simultaneously on a local area network If you are planning to install a wide area network and interact with other global networks then it is recommended to obtain registered internet addresses so that you will not conflict with other networks as they are attached Type The following types of workstations will use the Rational Imaging system and must be configured in the system tables of the database SUN RI Workstation GE Genesis MR GE Genesis CT GE 4x MR GE Genesis Independent Console DICOM Version 3 Interfile format Siemens Magnetom MR This information is added to the host table and must also be configu
62. ILITY OoOooooovcoovoooovooeoo KK KKK O Rational Imaging Installation Manual DATE INSTALLED BY EXTRA IMAGE PARTITION DISK OTHER THAN IMG Unix name syntax net hostname img2 SCSI chain terminated with ACTIVE terminator SCSI IL SCSI M Power available plug into UPS if available SCSI cable type scsi II U W conversion required SCSI IDs of Disk Drives Halt the system set the SCSI ID and attach the drive Reboot using boot r to make sure that the new drive is recognized Format and Create Unix filesystem on new disk make sure to extract defect list Fsck new disk to check for errors Mount the new disk and add to etc vfstab Change ownership and permission on partition u imaging g imaging a rwx Add export partition in etc dfs dfstab Type shareall to make the new dfstab file active Type share to make sure that all the partitions are shared db img img1 Reboot and make sure image directory available from other workstations If multiple databases exist syntax for directory is Mmet hostname img db_name If multiple databases exist and will use img create db_name dirs under img If multiple database directory used make sure a rwx permission Login to server and use risetup to add the new image directory 05 08 2001 123 FACILITY OO ocoooo lt x lt ITI Rational Imaging Installation Manual DATE INSTALLED BY EXTRA SUN COLOR MONITOR S S
63. INSTALLED BY BB RIS CONNECTIVITY Y Y o O oO Ooooo Hostname Port Number for HL7 messages from RIS Create temporary HL7 message directory on the server mkdir img hl7msg chmod 777 img hl7msg Put rilink in etc inittab r7 34 respawn su imaging c exec rilink d img hl7msg i 5000 n Copy the RIS config file to opt ISTri etc rideliverd_cfg see the available config files in opt ISTri etc examples Modify opt ISTri etc rideliverd_cfg to suite the facility s needs Put rideliverd in etc inittab r8 34 respawn su imaging c exec rideliverd c opt ISTri etc rideliverd_cfg Start the processes by reinitializing init init Q Verify that rilink is running ps ef grep rilink Verify that rideliverd is running ps ef grep rideliverd Try sending messages from the RIS system Test and see that RIdeliver can list reports that did not match an accession number and medical record number MRN 05 08 2001 145 FACILITY Rational Imaging Installation Manual DATE INSTALLED BY CC USER SETUP DODLDLDLDRKKSKSKSKSKSS D Username Password Unique User ID Group imaging Home directory export home username Defaults directory Templates directory Modify etc auto_home to add new user home directory Copy system defaults to user s defaults directory Copy system templates to user s templates directory Check permissions on default
64. ION ccsscessesscssecsscesscesscsscesscssecescesscesscsscescssecnseensesues 149 FF RATIONAL IMAGING UPGRADE VERSION 4 1 OR LATER cccccccsscsscssscsscesscssecsseenscsseessceseeaes 150 GG RATIONAL IMAGING UPGRADE PRIOR TO VERSION 4 1 cccccccccsccsscesecsscesscesecsscenscssecsscenseeaes 151 HH UPGRADE INFORMIX SOFTWARE 00 ccccccccsscsscssscsscesscesscsscesscssscsssensessecscesscssecsssessesssesssesessecnssenseeaes 152 DENS INDEX AAA AO 153 05 08 2001 4 Rational Imaging Installation Manual l Overview A SUMMARY This manual will discuss the current system requirements installation procedures and administrative functions for the Rational Imaging system Since the software comes pre installed on the RI workstations you should not need to consult the installation portion of the administrator s manual However it may be useful to review these sections to understand the complexity of the system and appreciate the careful planning involved in integrating the software and hardware components of the system DO NOT reinstall the database system Doing so will compromise the integrity of the patient archives backup tapes and will VOID the warranty If you need to add a user tape drive archive tape set or limit a user s access to a particular facilities images then read the sections of this manual which describe such functions The table of contents combined with the index should help you locate the desir
65. Installation Follow these instructions to install a Vidar XR12 film scanner on a Rational Imaging workstation running SunOS Make sure that the Vidar scanner is on during this installation A SUNOS INSTALLATION Login as root since you will need superuser privileges to perform this step of the installation Retrieve the device drivers for SunOS from the vidar partition on the installation tape cd home mt f dev nrst0 fsf 3 skip to the correct tape partition tar xvf dev nrst0 cd home vidar Perform the installation per the instructions in the README and installation files under the vidar directory Reboot the computer to make this driver active WARNING Use the instructions provided in the System Maintenance section page 98 regarding how to shutdown and reboot the UNIX workstation DO NOT simply power cycle the computer B SOLARIS INSTALLATION Make sure that the Vidar scanner is recognized by the workstation If the scanner was not on during the Solaris installation then reboot the computer using reboot r with the power on Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTvidar from the list of packages on the tape as follows pkgadd d dev rmt 0n J select the number for ISTvidar After installing the ISTvidar package run the script install_vidar opt ISTri install install_vi
66. Installation Manual DATE INSTALLED BY FILM LASERLINK PRINTER SparcStation compatible with Card Kodak 3M engineer notified Kodak 3M digital port purchased and installed Kodak 3M digital port configured to Cemax specs Cables extending from Sun to Kodak 3M Shutdown system Install LaserLink card in SCSI slot 0 bottom nearest processors Install cables to LaserLink card and to Kodak 3M Reboot with r to have system recognize new hardware Install ISTfilm package Change directory to opt ISTri film Check the README file for any system patches that need to be applied Install drivers opt ISTri film INSTALL Run opt ISTri film addcam in that directory to create camcap file Edit camcap and change DefFormat 1 on 1 Edit camcap and change MaxHSize and Max VSize 6000 under 1 on 1 Link camcap In s opt ISTri film camcap opt ISTri bin camcap Link filmer In s opt ISTri film filmer opt ISTri bin filmer Test printer with filmer filmer c camcap kodak fjob1 License rifilm for that workstation add_license lt licfile Start rifilm in the background using load_riconnect it will watch img film directory Check world r w permission on img film Create a new printer film printer in risetup on server Use RIview to send some images to the Cemax Laserlink net cemaxhost img film Make sure the images in img film are printed and deleted If problems persist try setting the Cemax
67. O NOT DEVIATE FROM THESE INSTRUCTIONS OR HARD DISK ERRORS MAY RESULT e Logout if you are currently logged in as an RI user e Log in as root and give the correct password If you do not know the password contact technical support e Type sync lt enter gt to synchronize the disk and remove from memory any unwritten disk information 05 08 2001 98 B 1 Rational Imaging Installation Manual Type shutdown h now shutdown y g0 i0 Solaris to shut down the system immediately This will notify other workstations with beeps combined with a notice appearing in their main console that shutdown is eminent SHUTDOWN ADD ON WORKSTATION Preparation for system shutdown In order to move a system or perform system maintenance it may become necessary to shutdown the workstation If you are shutting down the client workstation not the database server then the procedure is less complicated 2 Notify the other users that the workstation will be down and that the exams on that workstation will be inaccessible Remind them not to use any image disks associated with the system being repaired Use RI port to determine the exams located on this workstation Sort the exams by location Archive and remove all of the exams on the RI system if possible Or you can use Riport to move the exams to another workstation If the workstation is only going to be down for a few moments then this step may be skipped If the system will
68. OK 8 Type AT amp FIMOS0 1S7 45S11 50Y0 amp W0 followed by a return The modem should respond OK If it does not enter the string again This will program the modem for auto answer mode It also will store this setup in non volatile memory so that even if the modem is turned off it will still be in auto answer mode when it is turned back on 9 Select File Save to save the modem profile 10 Select File Exit to exit hyperterm 11 Find the new Receive Images icon and drag it onto the desktop for the physician 12 Now test the icon by double clicking on it Select cancel because you do not want it to dial Then press AT and make sure that the modem responds OK Also make sure that at the bottom of the hyperterm window it says CONNECTED C TESTING To test the blast installation and modem connectivity run the blast program and try to connect to the remote computer 1 Login as imaging 2 cd opt blast 3 blast 4 Select a profile Press enter to select a desired profile then use modify to change the phone number for a test facility If there is a local PC which can be used to receive images this will work very well since you can see the communication on both ends 05 08 2001 77 Rational Imaging Installation Manual Select Online Before dialing prepare the remote PC by loading hyperterm and typing AT to make sure that the modem is connected The modem must also be set up for auto answer b
69. OS INSTA A ON A ueenedave 39 B SOLARIS INSTALLATION Guida iii iii dic a e a aa ae ae eee e 39 C TESTING e e ae e e a a a a a a a a a e e el 40 D CONFIGURA TION 2 R n A A E E E a E E NE 40 XL MODEM INSTALLATION issssdescsasesecesnsedeiesesetasesasecsintesedeseseiedsedstedntetesedesetesesesetesndesetesedeiesesedssetusetsinbeseteseseseses 41 A MODEM SETUR Sa a e a a a a oe Peels a e a a a 41 B SOLARIS INSTALLATION ci iana aa naaa dt tt tdt dd tt tt 42 C TESTING O a A N A a a a A A OS 42 D CONFIGURATION 20 naceni a ia a a a tens Abus leas Mies bi E 42 XII RAPTOR VIDEO CARD INSTALLATION eesessescesccsescescesccscscescesessoscoscesesscscescesesscscesccsessescescesessescescesessessese 43 A SBN IN 1 4 E AAE EE SE oia 43 B NAAA Ni is E E a o 43 XII DISPLAY CALIBRATION AAA sirs tr sostra Sss Srs as s SSSss srin 44 A NN RN 44 B CALIBRATION PROCEDURE jesc eccdcatsecatves iii di di iii iii dile dia ia 45 C SMPTE PATTERN ezka iu de ue due ue ur du du de le dee nda e o e de a da le e a hee obs hee oe ot ol 46 D DOME MONITOR CALIBRATION A A taa Laa ca ata 46 E ALT MONITOR CABRA Ni eE 47 F PRINTER CALIBRATION ii sea bea 5 47 XIV CANON DIGITIZER AAA A 48 A SCANNER CONFIGURATION sles va deb vucbuvedeustecsucesvacsttueveneees 48 B SOLARIS INS TAELATION 5 cria ii inci bucal diri be value ii ici bose ia ib ii baca iia 49 C RISCANE SETUP hueu henna e e a aa e aa aa a a a aa a a a a 50 D CANON CESIOO CALBRATION E e e aiaass 51 XV DISK INSTALL
70. Rational Imaging Installation Manual Rational Imaging INSTALLATION Version 6 1 0 Copyright O 1993 2001 Intuitive Software Technology 30 Hackamore Lane Suite 6 Bell Canyon CA 91307 The material presented in this publication is copyright protected O 1993 2001 by Intuitive Software Technology and may not be reproduced in any form by any method for any purpose without the prior written consent of IST Information in this document is subject to change without notice Itis against the law to copy the software except in accordance with the terms of the licensing agreement 05 08 2001 1 Rational Imaging Installation Manual Table of Contents LO OVERVIE Woisssscssscesisssscosscsescssscoosccssesescdscssscsasccbesesssesessssastsasssestessesccbessotses obseescssasasasseassaastecsesses osssnasbecsadecbasensacssaseseees 1 A SUMMAR Corra tda lletra a a tee dtntdt tides te delle a8 1 B CEIC PE E E EE SOE OE E EET E AATE E EEE 1 C QUICK START iii dci is 1 II SYSTEM REQUIREMENT SS issscssccsissesesesssesssesssesessssnsesnseonsedesesnsesess ceded sonsesesesssesedesesesesesnsaseisesbedessdusesetesesedaseteseses 2 A HARDWARE CONFIGURATION nes 2 B SOFTWARE ENVIRONMENT nerede dni eee e a ia iii aid Ea 3 C SUPPORTED IMAGING SCANNERS dde da du su du due du oh e du e Ne oe aaa de 4 TI PLANNING YOUR PACS SYSTEM iissssssssssssssosssosssosssesossscsssotsscsasesssssesssosssotesosssesssesebetesssasesobessssseeesssetssasssoesses 6 A PREPARE SY
71. STEM WORKSHEET ccssscessscsssscsssscssscessscessscsssscssssessscessscsssscsessessssessscesscssscssssessssessscesscesssssessenssees 6 B DEFINICION OF WORKSHEET COMPONENTS III 8 IV AENA sossa soosse CoS r Soo SEE es SSSss s Ssss ospis 12 A SUMMARY ra ea e a e Sous uth ae edea hues e thes tea bs 12 B EIDIN DOAN BA INI OI IN AA NOIN AN E AA ARENE EEEN ohn he EEE EE E EEEN 12 Cs SOLARIS INSTALLATION A A A A A as 13 D RATIONAL IMAGING INSTALLATION aiii 14 V SATELLITE WORKSTATION gisssssssossssssssoossssssosssassssosssassscsssosssassssostssassoobesssaasebesessiasssosssessssssbssobsoasssosscossseses 17 A SUMMARY de toutes ie matt Ed Lita E Es ln a E E ESE e SES E ted 17 B SOLARIS INSTALLATION a 18 C RATIONAL IMAGING INSTALLATION ii vadeatteusSecsSuntdebiesadecndnasteettecstectaevele 18 D CONFIGURATION elos de de oh a due des e he he a e e e A de alah o 19 VI MUELTI DATABASE CONNECTIVIPY sisisssssssssssessssscscsassscsesesssssesssosssobesosssosesesesesetssasssosssstessssossotssasssosssessseses 22 A CREATING AI NEW DDA TABASES icc secahecs ducado cote von Suing dune dutta ica td tate duiva dave iva beta cates loth dua adi iii devas 22 B CREATING MUETIPEE SERVERS nl reee eee e 23 GC COPY EXAMS BETWEEN DATABASES dhadhah Socotacs dedito dada dada tdt title titi 25 VIL UPGRADING A WORKSTATION sssiscssssesasesesssesssesnsesesessscesssesssesasesasesesssesesesssesesesedeseseiesacedacesasessisesetesasessess 26 A SUMMAR Ye le e dE e Se EEEN
72. Tri install install_sat script Add workstation to etc inet hosts on ALL workstations Add workstation to etc hosts equiv on ALL workstations Create etc defaultrouter with the correct IP address if necessary Add host to clinical and rilogin database on master rilogin server risetup Add image directories to database on master rilogin server risetup Add licenses on master rilogin server opt ISTri bin add_license lt license_file Edit etc services file to include all server ports Copy from main server Edit opt informix etc sqlhosts to include multiple servers Copy from main server Make sure software on this workstation is same version as Main Server Remove rl r2 r3 from the etc inittab file This workstation will not be receiving images Make sure that the home imaging openwin menu file contains the following Imaging DEFAULT exec RIPROGDIR run_program ridisplay Reboot Login as imaging Check window layout background color main menu and ridisplay loaded Save workspace under main menu utilities when screen correct Check that Ridisplay exists in the main workspace menu Use dmesg to make sure that all monitors have correct resolution Make sure maintenance menu available and functions reboot halt etc 05 08 2001 121 Rational Imaging Installation Manual a Display SMPTE image in RIdisplay Calibrate monitor if required 05 08 2001 122 FAC
73. abase Add new database risetup Make sure software on this workstation is same version as Main Server Reboot Login as imaging Use dmesg to make sure that all monitors have correct resolution Check window layout background color main menu and rilogin loaded Save workspace under main workspace menu utilities Make sure maintenance menu available and functions reboot halt etc Make sure that the backup_DBNAME server script works correctly Configure etc inittab for new database name other than radiology Configure opt ISTri bin backup_DBNAME Configure opt ISTri bin expire_locks Configure opt ISTri bin reset_modems Drag SMPTE image into Riport and display in Riview Calibrate monitor if required This should be done under normal lighting at the facility 05 08 2001 118 FACILITY COODOOGOOOOOOOOOGoOOfoCHOoOoOoOO KKK KKK KKK KERR RR RRR RRS m Rational Imaging Installation Manual DATE INSTALLED BY WORKSTATION IS THE SATELLITE WORKSTATION Location at facility diagram Network cabling and power completed IP address and SubNet MAC Address Default Router IP address Hostname recommend lowercase Alias for host may be upper lower Root password Imaging password Serial number Host ID number 10 or 100 Mbit Ethernet Total RAM required Swap space required gt 2x RAM Software to install SBUS PCI cards video ethernet scsi SCSI IDs of Disk Drives
74. abase has been incorporated to provide optimal network efficiency standard query language SQL and maximal information integrity Consult the user s manual for information regarding the database structure and use extreme caution when interfacing your own applications with this database Any unauthorized modification of these database tables without the specific written consent of IST and Canon will void the watranty and may corrupt the integrity of the system 05 08 2001 Rational Imaging Installation Manual 4 Rational Imaging System The Rational Imaging system has been pre installed on your workstation and may be reinstalled from the disks provided by Canon Warning these applications have been keyed to your workstation s unique host ID and will not work on other workstations If the motherboard of the system is replaced or if system maintenance is required then contact your sales representative for a new authorization code 5 Tape Device Driver The tape device drivers dev nredt0 dev nrchtO or dev nrht0 have been developed to utilize the high speed components of the Hewlitt Packard DAT tape drive The normal SCSI device driver may be used with this drive dev nrst0 however you will notice considerable performance degradation especially when trying to retrieve exams near the end of the tape When the dev nrcht0 device driver is used the DAT drive will use a hardware lossless compression algorithm built into the DAT drive
75. ameters Add scanner hostname to etc inet hosts on ALL workstations Ping scanner from SUN workstation Telnet to the cfs300 to configure the rest of the parameters see Canon Digitizer section of this manual for details on these parameters User cfs300 Password canon300 Type diag at the prompt Install ISTscanc package on the Sun workstation Make sure that cfsscan user has been added to etc passwd and etc shadow Create passwd for cfsscan passwd cfsscan If images forwarded to another workstation complete the following 4 steps 1 Configure opt ISTri bin ritransmit to send images to remote workstation 2 Put opt ISTri bin ritransmit in transmit script of config popup 3 Copy opt ISTri bin riceive to remote receive workstation 4 Edit and configure opt ISTri bin riceive on the REMOTE receive workstation Try sending some images from the scanner should arrive in img scan Run Riscanc and see if images displayed Try saving images save to img incoming 05 08 2001 142 FACILITY Ooooo DODODOxxxx N Rational Imaging Installation Manual DATE INSTALLED BY MODEM ON WORKSTATION Hostname of workstation attached to Computer Grade Line NOT centrix phone number For support only teleradiology or both Modem type US Robotics recommended Configure modem switches and internal registers Install modem to serial port on workstation Install ISTmodem package Execute the script op
76. atabase to run the following query update sysistauth set hostname newhostname where hostname oldhostname Update the clinical database hosts table by using dbaccess on the radiology database to run the following query update host set hostname newhostname where hostname o dhostname Modify the NFS directory name in the imagedir table using risetup and option 22 Reboot the host which has the new name Update NISplus if necessary If the workstation was the server then modify all config files associated with the server including export home imaging cshre All hosts opt informix etc sqlhosts All hosts opt ISTri admin risetup Server opt ISTri etc rid_balance All hosts opt ISTri etc rid_archive dat All hosts opt ISTri etc rid_checkdb All hosts opt ISTri etc rid_move2bb All hosts opt ISTri etc rid_schedrm All hosts opt ISTri etc rid_thresharc All hosts opt ISTri etc rid_threshrm All hosts img ridistribute_balance Server img ridistribute_defaults Server img ridistribute_move2bb Server opt ISTri bin ridundant Server opt ISTri bin auto_archive dat Archive system opt ISTri bin reset_modems All hosts opt ISTri bin auto_remove All hosts opt ISTri etc riprintq_cfg DICOM print host riprintq 05 08 2001 149 FACILITY FF ocooooK KK Oooooo Ooooooov do Rational Imaging Installation Manual DATE INSTALLED BY RATIONAL IMAGING UPGRADE VERSION 4 1 OR LATER Main Server host
77. ay introduce non linearities into the scanner which will alter the diagnostic content of the image The CCD components of the system have an inherently linear response throughout the spectrum of visible light Therefore additional calibration should not be required This procedure will document the linearity and range of the scanner however and will be a good reference if the quality of the images should degrade over time Make sure that you document the following parameters Optical Density Range set in scanner Image bits 16 should be selected Resolution 175um recommended Optical Density Values Measured with densitometer Intensity measurements mean and standard deviation measured with RIview 05 08 2001 53 Rational Imaging Installation Manual XV Disk Installation The following section will describe how to add an extra disk to the Rational Imaging workstation for image storage A UNIX PREPARATION In order to add a disk to an existing Unix workstation the SCSI ID must be set so that it will not conflict with the other devices To do this use the probe scsi command at the boot prompt to see the existing devices halt halt the workstation probe scsi Set the scsi id of the disk with jumpers if necessary to an unused value Disks are usually between 0 3 The tape devices are 4 5 The CDROM is 6 The boot disk is defaulted to SCSI target ID 3 The Jukebox changer is usually set to 0 Format the disk us
78. be able to obtain licenses in the opt ISTri bin rilicense file The file structure is the same as the licenses received from the IST website 05 08 2001 49 Rational Imaging Installation Manual Hostname Hostid ProgramName LicenseInfo Make sure to remove any unnecessary lines from this file C RISCANC SETUP RIscanc is the scanning application which will receive the digitized films associate them with a particular patient and then add them to the Rational Imaging patient database It was designed to work independently on a Solaris PC and then transmit the images to a Rational Imaging workstation over ethernet It can also be run on a Rational Imaging workstation and simply put the images into the img incoming directory to be loaded into database by riupdate Compression can be used to facilitate network transmission over low bandwidth networks ISDN or 256k Frame Relay The riscanc comes with default parameters however some of them will need to be changed for a particular facility Run riscanc and click on the config button to change these defaults Login as imaging riscanc config button In the config popup the following parameters need to be set Scanner hostname Enter the hostname of the canon digitizer Image dir img scan Select a directory where the images will be sent from the scanner Scan dir img incoming Select the directory where the images will be transmitted to when the transmit button is clicke
79. ctions to backup the workstation s disk partitions Perform this operation as superuser and while the workstation is not being used in the evening if possible The SUN manuals recommend operating in the single user environment for a complete backup however this will stop the access to any exams on the workstation during the backup This may therefore not be possible 1 Local backup on a system with a tape drive attached To perform backup of the system partions of your current workstation first determine the current disk configuration and partition information by entering the following command at the UNIX prompt df This program will list all of the disk partitions beginning with dev and the NFS mounted partitions beginning with a hostname Use the following command to archive the disk partition dev rsd3a to the tape You must use the raw disk device For example if df lists dev sd0g as a disk partition then archive it by specifying dev rsd0g as the device This command is valid for the SunOS version 4 1 3 if another version is being used verify the parameters using the Administrator s manual provided by SUN dump Odsbfu 54000 6000 126 dev nrcht0 dev rsd3a Repeat the previous command for each of the disk partitions and then rewind the tape using the following commands mt f dev nrcht0 rew mt f dev nrcht0 off Label the tape appropriately turn on the write protect feature and store in a safe place
80. ctory to database on master rilogin server risetup Add licenses on master rilogin server opt ISTri bin add_license lt license_file Check parameters in expire_locks reset_modems Check parameters in etc inittab Configure opt ISTri bin backup_radiology one needed for each database Check etc services and make sure that sqlexec is at port number 1525 first server Add sqlredun at port number 1526 redundant server to ALL servers etc services Modify etc init d ri install to add sqlredun after sqlexecd sqlexecd sqlredun 4 If SQL SE licenses purchased delete in opt informix and reload SQL SE INET Create opt informix etc sqlhosts to support the existing and new servers Copy opt informix etc sqlhosts to ALL servers specifying ALL servers 05 08 2001 115 OOOOOOOOOOODO Rational Imaging Installation Manual Run scripts to install SQL SE INET in that order scripts in opt informix Make sure software on this workstation is same version as Main Server Reboot Login as imaging Use dmesg to make sure that all monitors have correct resolution Make sure maintenance menu available and functions reboot halt etc Check window layout background color main menu and rilogin loaded Save workspace under main workspace menu utilities When the server s rilogin dbs database is configured copy to db on ridundant server Make sure that the backup_radiology server script works correctly Dra
81. cute opt ISTri install install_informix script Execute opt ISTri install install_main script Add workstation to etc inet hosts on ALL workstations Add workstation to etc hosts equiv on ALL workstations Create etc defaultrouter with the correct IP address if necessary Add host to clinical and rilogin database on master rilogin server risetup Add image directory to database on master rilogin server risetup Add licenses on master rilogin server opt ISTri bin add_license lt license_file Check parameters in expire_locks reset_modems Check parameters in etc inittab Specify redundant server opt ISTri bin ridundant configure Configure opt ISTri bin backup_radiology one needed for each database Add sqINAME at port number 152 unique number to ALL servers etc services Modify etc init d ri install to add sqINAME after sqlexecd sqlexecd sqINAME amp Create opt informix etc sqlhosts to support this new server 05 08 2001 117 OOOOOOODOOOOOOOOOOODOOOD Rational Imaging Installation Manual Make sure that etc services and opt informix etc sqlhosts contain ALL servers Copy opt informix etc sqlhosts to ALL workstations specifying ALL servers Copy etc services info to ALL workstations specifying ALL servers Make sure that home imaging cshrc has DBPATH for master rilogin server Make sure that profile has DBPATH for master rilogin server Login to host of master rilogin dat
82. d Transmit script Enter the name of the unix script which will then take the images compress them and send them to a Rational Imaging workstation If the workstation has riupdate running along with inet then this script is not necessary and can be left blank NOTE make sure to leave this field blank if riscanc is running with Informix Otherwise riupdate will not be able to recognize the images in the incoming directory Edit the etc hosts file and add the canon digitizer host Make sure that you can ping the digitizer when it is on su vi etc hosts add canon digitizer cfs300 ping cfs300 Configure the scan user cfsscan and the img directory admintool add cfsscan with a home imaging home directory mkdir img scan chown imaging img scan chgrp imaging img scan chmod a rwx img scan In s img scan home imaging img 05 08 2001 50 Rational Imaging Installation Manual Try to telnet to the workstation as cfsscan and change to the img directory If you can do this then the scanner will be able to deposit images there telnet rihostname login as cfsscan cd img If a transmit script is being used to send the images to a remote Rational Imaging workstation then make sure to edit the script and configure the parameters such as the hostname of the remote host and the directory to deposit the images Also you may need to add the Rational Imaging host to the etc hosts file D CANON CFS300 CALIBRATION
83. d home ist bin or opt ISTri bin e Insert the most current archive tape into the tape drive e Run the script ribuild When this program finishes you will be able access all of the archive information and the exams stored on tape The new system will still be able to use exams on other systems which were not affected However the exams on the database system were probably lost Use rimove to delete these exams and make sure to write the exams down so that they can be imported again from the scanner or retrieved from the primary tape If a redundant server was used to load the database information into the db partition then all the accounts on the Rational Imaging workstations must be configured to look at the new server Modify the cshre file in each account especially imaging to specify the new RILOGDB and DBPATH parameters Also the database information in rilogin will need to be changed to alter the location of the patient database s Use risetup to modify the database information to establish the new server location The profile file should also be updated if it exists on any of the Solaris workstations D REDUNDANT SERVER In large networks where the requirement of server uptime is critical it may be important to create a redundant server which could be quickly configured as the database server in the event of a server crash This system would contain the Rational Imaging and Informix applications found on the server system
84. d monitors s Change necessary jumpers on the video card per manufacturers recommendations for Sun workstations On a md2pci card jumper J4 should not be shorted put over only 1 pin Install the video card in any of the pci slots of the workstation Make sure that the gold contacts are firmly seated in the socket Q Reboot and reconfigure the workstation boot r Use dmesg to see the device name md and check resolution of video cards a Change the video mode for the monitor For the DataRay monitor the resolution must be set to 1200x1600 66Hz opt DOMEmd 2pci util video_mode d dev md2pci0 0 m F Similarly set dev md2pci0 1 The monitor may not sync properly until you reboot at the end of this install procedure o Backup and modify the file usr openwin server etc OWconfig to contain the following class XSCREENCONFIG name DOMEmd2pci0Config device dev md2pci0 0 res 1200x1600 66Hz monitor domegray vda board md2pci 2hd xqa class XSCREENCONFIG name DOMEmd2pcilConfig device dev md2pci0 1 res 1200x1600 66Hz monitor domegray vda board md2pci 2hd xqa class XSCREEN name DOMEmd2pci ddxHandler ddxDOMEmd2pci so 1 ddxInitFunc domeMd2pSunInit BS SOR RRA O O o If CDE copy usr dt config Xconfig amp usr dt config Xservers to etc dt config a Backup and modify etc dt config Xserv
85. dar Reboot the computer to make sure that the new drivers are recognized and working properly 05 08 2001 39 Rational Imaging Installation Manual C TESTING Use RIscan to test the operation of the new scanner D CONFIGURATION Use the configuration button on Rllogin the disk icon to add RIscan to the list of available applications Remember to use add_license to license the use of RIscan properly 05 08 2001 40 Rational Imaging Installation Manual XI Modem Installation Follow these instructions to install a modem on the Rational Imaging workstation This will provide an important means of support for the network A MODEM SETUP Rational Imaging currently supports US Robotics Sportster modems of 28 8 baud or greater The switches on these modems should be set as follows OFF OFF ON OFF OFF OFF OFF 8 ON oY EEN ade es ee Normal DTR Verbal results Enable result codes Do not suppress echo Enable auto answer Sends Carrier Detect Resets modem YO on power up Enables AT command set recognition To initialize the modem for software flow control connect it to any SUN or PC PC install modem and run terminal program SUN connect modem and run tip 38400 dev cua a Enter the following commands to the modem ATH modem should respond with OK AT amp F1A AT X0 amp A0 amp K0 AT S0 1 S11 50 S12 50 S13 1 S19 15 amp Wo AT 4H check configuration These commands
86. dio c Basic Networking d Direct XLib e OpenLook Include Files Inside OpenWindows folder f On line Manual Pages g Point to Point Protocol h Sun Fast Ethernet FastWide SCSI 1 System Accounting When this section has been completed UNIX Solaris should be installed on the workstation and root or superuser access will be available Log in at the workstation s login prompt as root and complete the rest of the installation The superuser account must be used to perform critical installations as normal user s do not have sufficient permission to access the critical system files You may perform the operations from the UNIX shell or log into Open Windows to perform the following installations Open Windows is recommended since you will be able to perform multiple functions at once in the graphical user environment D RATIONAL IMAGING INSTALLATION Use the following instructions to load the Rational Imaging packages from the installation tape Log in as root superuser Start Open Windows by entering the following command at the UNIX prompt usr openwin bin openwin noauth Open a commandtool to type in from the workspace menu under programs Insert the Rational Imaging install jaz disk into the Jaz drive and mount it using the correct SCSI 05 08 2001 14 Rational Imaging Installation Manual ID of the Jaz drive If you do not know the SCSI ID use probe scsi at the boot prompt to determine the ID or any conflicts
87. dir from users group by deflt_dir tmplt_dir dbaccess rilogin COONAN tar cpf img defaults tar net host img defaults net host img templates Q Stop all activity on the network Tell users not to send images or use the workstations Make sure that sqlexecd and riupdate are stopped Stop all archiving opt ISTri bin slay sqlexec Put a after the and before the su imaging riupdate in etc inittab init Q opt ISTri bin slay riupdate a Copy the upgrade directories to the img partition on the server a Apply the upgrade patches to the server IN ORDER ie Every patch from the current version to the new version MUST BE APPLIED to every workstation cd img ver_3 3 3 patch riupgrade a Apply the upgrade patches to EVERY workstation in the network Be careful to apply sparc upgrades to the sparc systems and intel upgrades to the intel systems Document which hosts have been upgraded below Document any errors observed telnet ri_host su cd net db_server img ver_3 3 3 patch riupgrade See any additional notes in the README file for the upgrades ver_3 3 3 README Remove the from the etc inittab file stopping riupdate then type init Q Reboot the server Reboot each workstation and then test the system and notify the staff Oooo Hostname Errors observed Ooooooovsdo 05 08 2001 151 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY HH UPGRADE
88. dsiessssisseduteteiebs eteseseseses 87 A SYSTEM A BI PEIO EAA AAN NA AANE a AEE a ht neh 87 B ACCESSING CHANGING DATABASE CONFIGURATION INFORMATION cecccsesccssscessscsssccssssessscessscsssscssssessssessceeses 89 C PERFORM SYSTEM BACKUP ds ceca 93 XXV CHANGE SERVER HOS Tissssssssssssssssssssssssosscssssassssosssassecsssestsesetesssssasscbassessasesasesssasssosssasesecsbssadsobsssotses esesss 95 A SUMMAR anana a to Sets telson delta dto Betina tefdders Dott ad e Elda lato tddi 95 B PROCEDURE aca 95 XXVI SYSTEM MAINTENANCE scsssssssssssssssscsssssasssassossesssssssssssssssssscssssessssosscosscasscasevesssssasssassssssssssssssssoasssoesenssseees 98 A SHUTDOWN DATABASE SERVER 580 das bt delet a e te tt o ld ts Sot bole Sots tab to 98 B SHUTDOWN ADD ON WORKSTATION aio 99 05 08 2001 3 Rational Imaging Installation Manual XXVII DATABASE ERRORS biisscscisciskacsnccasnetencssssosuvssncunsnesuecessursdasuassssenssavuacdesurscasnecdetenssosbaceedursssennssavesssoenecoeyes 101 A OVERVIEW is 322th tials ia oe ia 101 B PREVENTING USE OF THE DATABASE DURING ANALYSIS AND MAINTENANCE ccsscesscescesscessceseecsscesseseenscenseaees 101 C DETERMINING THE DATABASE ERRORG sccssscessscessecesscesstecessecesecesscessecessecessecesscecessecsecesseceaseceaecesecensaecessecensenes 101 D REMOVING DUPLICATE KEYS uri a A A A Aida 102 E MISSING DATA POINTERS ota iia 103 F EXPORTING THE DATA IN A DATABASE ccssccssscssccssscessceec
89. e RI hosts on the network usr openwin bin textedit etc hosts equiv The following modifications should be performed on the database server Change to the opt ISTri admin directory and use risetup add the host and image partition to the RI database cd opt ISTri admin_ home ist bin SunOS risetup Use add_host to enter the information for the new RI host Use add_dir to enter the information for the new image partition These directories are automounted and should be accessed as net new_hostname img Log in to EACH of the other RI workstations and complete the following Add the new hostname and internet address to the etc hosts file Add the new hostname to the etc hosts equiv file on each workstation Update the new users in the etc passwd file on each workstation This should complete the installation procedure for the new RI workstation You may now login as imaging on the new workstation and update the Rational Imaging environment imaging at the login prompt Modify the environment for Rational Imaging as follows 1 Close down any applications other than the console Help File manager 2 Enlarge the console window so error logs can easily be visualized and close the console to its iconic form 3 Select Properties from the workspace menu and adjust the background color using the custom selection A dark saturated hue is best for diagnostic imaging 4 Select imaging fr
90. e backup tapes to protect against theft fire or improper tape handling Archive one of the tape sets at another facility or take it off site as soon as possible These protocols should be followed with great diligence in order to protect your data 3 Network Crash If the network were to go down then communication to the scanners to the database server and between the other workstations would be limited The ability of the Rational Imaging system to recover from this event depends upon the length of time and the nature of the network problems 05 08 2001 85 Rational Imaging Installation Manual Since each of the workstations depend upon the database server for exam information if the connection to the server were to go down all of the workstations would be affected If however only one add on workstation were to be isolated from the network then that workstation would be inoperable and all of the images on that workstation s disk would be inaccessible Notify the other system users to avoid trying to access the images on that workstation since errors will result To avoid network problems use duplicity wherever possible If you are connecting three facilities A B and C with T1 lines between A and B and A and C then add an additional low speed line maybe ISDN between B and C in the event that one of the T1 lines goes down This will allow the network to function during the repair even though the performance will be sligh
91. e multiple exams so the exam table is related to the patient table by the pat_key In the patient table the pat_key field is called the primary key In the exam table the exam_key is the primary key and the pat_key is a foreign key relating the exam to a patient Without this link we would not be able to determine patient information for an exam If both exam and patient information were put in one table the table would not be flexible enough to allow multiple exams Therefore our entire database is dependent upon these links It is very important that we do not delete related records when there is a foreign key pointing at that data For example the exam contains a pointer to the imagedir table so that we will be able to locate the exam on a particular system and disk This foreign key is called dir_key If the record that dir_key points to from exam were deleted from imagedir then we could no longer find the exam on a disk The exam would be rendered invalid in a relational sense The upgrade ver_3 2 3 applies foreign and primary key integrity checks to prevent this from occurring in the future but always use caution when deleting items from the database using risetup or dbaccess The following is an example which occurred during an on site demonstration I have itemized the procedure we used to diagnose and fix the problem in an attempt to illustrate 05 08 2001 104 To Rational Imaging Installation Manual
92. ed B REQUIRED FILES The application and sample configuration files already exist on a Version 4 0 1 workstation RIprintq will not work with versions before this since the required table printqueue does not exist on Version 4 0 0 and before There are two files required for RIprintq operation The first is the application itself opt ISTri bin riprintq The second is the controlling configuration file for riprintq opt ISTri etc riprintq_cfg Enter the appropriate information into riprintq_cfg and then specify this file on the commandline The name of this file may be changed if multiple printers are supported from a particular workstation The following command will start 1t manually See the following section describing how to setup an inittab entry opt ISTri bin riprintq c opt ISTri etc riprintq_cfg C RIPRINTQ CONFIGURATION The configuration file riprintq_cfg contains the following information which must be specified 05 08 2001 71 Rational Imaging Installation Manual 1 Database Enter the database name in informix format server db radiology 2 Printer Enter the printer alias which appears on the RI view printpage 3 Host Enter the hostname of the DICOM print class provider 4 Calling Enter the calling AE_TITLE of the Rational Imaging Workstation The default is RI_PRINT 5 Called Enter the calling AE_TITLE as specified by the DICOM host manufacturer 6 Port Enter the TCP
93. ed In order to do this you will need to export all of the data into a set of datafiles import the data into a new database delete any duplicate entries or corrupt data and then reindex the database Use the following sections and the informix technical manuals to achieve this goal It will probably be best to remove all the indexes first then export and import the database then recreate all the indexes F EXPORTING THE DATA IN A DATABASE Informix provides a utility called dbexport which allows a user to export the database structure and record data into a set of files To perform this task use the following command mkdir img db cd db dbexport radold o img db This creates a directory called img db radiology exp which contains unl files with the data and a radiologyold sql file which contains the dbschema for the database G IMPORTING THE DATA AND CREATING A NEW DATABASE Informix provides a utility called dbimport which allows a user to import the database structure and record data into a new database Prior to performing the dbimport you should edit the file img db radold exp radold sql to make sure that the owner of each table and procedure is imaging and not root Change all values of root to imaging To create a new database use the following command cd img db dbimport radold i img db This creates a directory called img db radold dbs which contains the new database and the data from the
94. ed information quickly B GETTING HELP Due to the complexity of networked imaging systems consult our technical support staff when initially changing or adding new system information Information regarding the phone and fax numbers of your regional technical support office was included in this package on the card marked Technical Support Keep this card near each workstation for convenient access If you wish to report a problem please include your name position the name of your facility your fax and phone numbers and a description of the problem Please be as specific as possible in defining the symptoms of the problem A system log book has been provided to help you document any problems C Quick START Read chapters I through III for the basics of the Rational Imaging configuration and architecture Then follow the table of contents or index to locate the specific installation instructions for the workstation configuration server Main or client Satellite or other peripheral devices Consider the networking chapter and the redundant server section of the emergency chapter when designing your imaging network 05 08 2001 1 Rational Imaging Installation Manual ll System Requirements A HARDWARE CONFIGURATION 1 Workstation SUN SparcStation 2 or higher Due to the extensive computation involved in image processing a SparcStation 10 or above is recommended for efficient diagnostic interpretation where processing time
95. enance A SHUTDOWN DATABASE SERVER 1 Preparation for system shutdown In order to move the system or perform system maintenance it may become necessary to shutdown the system If you are shutting down the database server containing Informix SE and the database files no one will be able to use the RI system during the down time If maintenance is to be prolonged use the following procedure e Install the Informix SE and ESQL C on another workstation Redundant Server e Notify the other users not to use RZ until further notice e Archive and remove all of the exams on the RI system e Copy the RI database files to the other workstation Make sure that no users or programs are using the database files during this transfer e Change each user s environment variable RILOGDB to the new workstation s database directory new_workstation_name db rilogin e Notify the other users that they may resume operation of the RI system Remind them not to use any image disks associated with the system being repaired e Perform the instructions in the next few sections on shutting down the workstation Always archive all of the patients on the RI system before halting the database server This will minimize the loss of data should a disk malfunction occur during system startup Coordinate this effort with our technical support staff to prevent loss of data 2 Shutdown Instructions Use the following commands to perform system shutdown D
96. er HostKey HostKey of host Add host first in risetup PrintDir img print default location for temporary print pages Width 850 8 5 default Height 1100 11 default Resolution 160 so the print page will fit on HP printers PrintCmd opt ISTri print print2seemor riFILE riHOST JpegQual 50 Can be changed to 75 to improve quality PtInfo 1 This will print the patient information also Test printer using RIview 05 08 2001 128 FACILITY OO Oooo O DODDDx xxx FP Rational Imaging Installation Manual DATE INSTALLED BY REMOTE LOW BANDWIDTH WORKSTATION PRINTER S Hostname Unix printer name Printer alias name shown in Menus IP address Add Remote Workstation IP address to the etc hosts file on ALL systems Add the host using risetup to rilogin and all databases Ping the workstation to make sure that the system sees it on the network Add the opt ISTri bin riprint and opt ISTri print print_remote applications on the remote workstation This will decompress the JPEG print pages and print them using the standard lp process Configure the opt ISTri print print_remote application for the correct printer Create the printpage directory specified in print_remote Make sure that 1t has chmod 777 permissions and the owner and group are imaging Add the opt ISTri print print_jpeg application to the Canon RI workstations Add a printer on the remote workstation using admintool Test the
97. er may also be used as an imaging workstation for facilities with a low case load The Rational Imaging system will be pre installed by the manufacturer and will be configured on site by our professional installation staff The previous chapter provides guidance for determining your system configuration Once the system parameters have been defined and approved by Canon the installation process can begin B GENERAL INFORMATION Before you begin make sure that you have the following materials 1 Sun Workstation to be installed CDROM drive Solaris CD DAT tape drive or Jaz drive SCSI cables Tools Rational Imaging installation tape or jazz disk Rational Imaging installation manual Informix licenses INET for satellite INET amp SE amp ESQL for main and redundant server 10 Rational Imaging licenses 11 APunix licenses for DAT or JUKEBOX installations You will be prompted for information during the UNIX installation Use the following guidelines to help you complete this installation ee Oe en Hostname Give the workstation a name which will be unique to the network it is on This name may be personal or reflect the location of the system For example if the workstation is in Dr Joseph s office then joseph may be an appropriate name Or if it is the third workstation in the reading room diag3 may fit Or if the workstation is located in the MR department and use to display brain scans then perhaps mr_brain Since all
98. ers as specified in the following tables These tables must be updated when new hosts users or databases are added Users add all users who need access to each database Host add the hostname of each RI workstation Databases add database access Unix configuration Other than the etc services file used for configuring the informix sqlexecd process each of the following files must also be configured for each workstation etc hosts must contain ALL hosts in the network etc passwd use admintool to add all users to each workstation etc hosts equiv must contain all RI workstations etc services see previous section etc init d ri install see previous section Rational Imaging configuration The application licenses must be added to each of the rilogin databases 05 08 2001 24 Rational Imaging Installation Manual setenv RILOGDB server db rilogin add_license lt license_file The following files must also be checked to make sure that they are configured correctly Each will specify a database and other configuration parameters which may need to be modified in the multi database environment etc inittab opt ISTri bin reset_modems C Copy EXAMS BETWEEN DATABASES RIlocate can be used b copy exams from one database to the other database The two exams once separated will be treated independently e g print pages created after it has been copied will not be available in the other database This is useful
99. ers to contain the video drivers so that OpenWindows will know that multiple monitors exist as follows example for 1 Sun monitor and 2 DataRey monitors on 1 Dome card Sun amp 2 greyscale monitors on a single DOME card Use dmesg to confirm 0 Local local_uid console root usr openwin bin Xsun 0 nobanner dev dev fb0 dev dev md2pci0 0 dev dev md2pci0 1 Q Reboot the workstation reboot r The monitor should sync up at this point and display a DOME banner You should also see a DOME message appear before the Sun banner during boot If this message is not shown try the adapter in another PCI slot and confirm that it is seated properly a If the X Server is unable to start check the Xservers file for accuracy Check to see that drivers have been created in dev md2pci0 0 and mc2pci0 1 Check that the spelling and context is correct for these entries in Xservers and OWconfig 05 08 2001 125 Rational Imaging Installation Manual o Login as imaging and make sure that the Solaris graphic appears on ALL monitors On Solaris 2 6 the Solaris banner will only appear on the console however once the system is up the background should appear on all the monitors and the mouse should be able to move to all the monitors in sequence a Adjust the brightness and contrast of the monitor Usually set to max as long as text distortion blurring is not observed o Display SMPTE on new monitor and calibrate monitor if neces
100. es not contact our technical support hotline 05 08 2001 100 Rational Imaging Installation Manual XXVII Database Errors A OVERVIEW If the unix workstation is terminated improperly due to a power outage or other failure the database tables may become corrupted The degree of corruption will determine whether the database should be reloaded from the redundant server If only the indexing has been effected and the actual data is intact refer to this section If the following suggestions fail to resolve the database errors refer to the next section on rebuilding the database B PREVENTING USE OF THE DATABASE DURING ANALYSIS AND MAINTENANCE Stop all archiving image transfer and other database activities Then log into the database server reboot the server and then change to the database partition and rename the database You may wish to warn others that the PACS system will be down however it probably already is down if you are performing these procedures reboot ps ef grep sqlexecd list PID of process sqlexecd kill 9 PID kill process using PID opt ISTri bin slay sql kill all sql processes cd db mv radiology dbs radold dbs To backup the database in the event of mistakes use the following procedure It is probably wise to also backup the redundant server at this time as this is a critical resource cd db tar cvpf img radiology tar dbs This will copy all of the database files into the radiology tar file
101. es transferred to img incoming DA ARN eal 05 08 2001 137 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY U GATEWAY WORKSTATION LOW BANDWIDTH Y Cabling completed Y Tranceiver needed Y Scanner engineer notified Y Ethernet card installed configured v Ip address of gateway workstation Y Hostname of gateway workstation v Ip address of scanner s Y Hostname of scanner s Y RImovedem license required license file email Y RIdicomd license required license file email Y RlIprint license required if return printing enabled license file email a Install Solaris 7 a Install Printer using admintool and test using Ip HP 2100m Postscript This will only be present if remote printing is desired a Add packages ISTremote and ISTri a cd opt ISTri install and run install_remote a mkdir home imaging solregis touch home imaging solregis disable a Configure opt ISTri etc rimovedcm_cfg a Add ridicomd to etc inittab r1 34 respawn opt ISTri bin ridicomd f p 104 t RI_DICOM img incoming gt dev null a Add rimovedem to etc inittab 12 34 respawn su imaging exec rimovedem c opt ISTri etc rimovedem_cfg gt dev null a Add hostname and IP address to etc inet hosts file on ALL workstations a Add gateway host to clinical and rilogin database risetup a Ping the scanner from the workstation which will receive the images a Add the d
102. essed Rideliver is a third application in the RIS connectivity package which allows manual reconciliation of mis matched reports A LICENSING The following licenses are provided when the RIS Connectivity Package is ordered rilink rideliverd rideliver The following sections describe the installation and testing of each of these applications B RILINK CONFIGURATION Make sure that all 3 applications are version 5 1 0n or greater get_version opt ISTri bin rilink get_version opt ISTri bin rideliverd get_version opt ISTri bin rideliver Create directory for temporary storage of messages mkdir img hI7msg chmod 777 img hl7msg Rilink is a background process run out of the inittab Edit the etc inittab and enter the following line r7 34 respawn su imaging c exec rilink d img hl7msg i 5000 n The following options are specified by default 05 08 2001 58 Rational Imaging Installation Manual d directory Temporary message directory I port in Port number to receive messages on Get from RIS vendor n Do not provide ACK message for each received message The default mode is to provide an ACK message The following options are also available for troubleshooting o port out Output port number if the ACK is to be sent f logfile Specify logfile if run in verbose mode v Verbose output debugging information Make sure that the rilink process is running If it is not see the trouble
103. esseessceensccessensceesccesseceessecssecensecensesaseesaeeensaeeenaceesecens 103 G IMPORTING THE DATA AND CREATING A NEW DATABASE cssccssscessecesscestceseecessecessecesscesaeceseesseceseseceaeeenseceseees 103 H OPTIMIZING DATABASE QUERIES renion A caco 104 I EXAMPLE PROCEDURE FOR MISSING DATABASE LINKS c ccsssccssscessecesceseecessecessecessecesseceasecsaeesececesseceaseesaeeesseceseees 104 J DETERMINING THE DATABASE VERSION cssccsssccsssecesteeseeccecessecesscessscessecessecesseceascessecesecenseceasecsaeecesecensesensecenees 107 XXVII REBUILD SERVER EMERGENCY 00 cc csssssessessessessessessessessessesssssessessessessessessessessessessessssessoss 108 A OVERVIEW 62505 55 S25 icc cece cai cate as See ee neo e eo cet e db LE o dle Leslie e os Ee BoE oro 108 B SYSTEM PREPARATION AN 108 C RIBUILD RETRIEVE DATABASE FROM ARCHIVE TAPE ccsscesscsssesscesscsscssccesscssecsscessceascsscesseseecessessesseenssenseeaee 109 D IREDUNDANT SERVER Ss iaa 110 XXIX INSTALLATION WORKSHEET cccsssssssssssssesssssssssssessssssssessesssssessesssssessessessessessessessessessessessessessoss 112 A SOMMAR Yonen a A Ed E a a abcd eb ER is 112 B WORKSTATION IS THE MAIN DATABASE SERVER ssccssscessscessecessecsssecssecesecessecessecsascessecessecessecsaecessecesseceseeeaees 113 C WORKSTATION IS THE REDUNDANT DATABASE SERVER ssscsssscessseesseessecesecessecesseessecessecesseceaseceaseessecensecenseeenees 115 D
104. estination DICOM host to the etc hosts file Ping to make sure it lives a Send images from the Lunar scanner to make sure that ridicomd is putting them in img incoming Q Make sure that risenddcm is then moving these images over the low bandwidth network to the remote destination Q Set up printer per the Low Bandwidth Printer worksheet Functionality 1 Receive images from scanners over 100baseT and retransmit in the background over PPP 2 ISDN or low bandwidth Frame Relay Allow JPeg compressed printing to a low cost HP 2100m Postscript Printer The doctors can print to this from RIview The PrintPage will be compressed sent to this gateway decompressed and printed The PrintPages are on the order of 80KBytes for 80dpi printing This fits the monitor size and printer output well For higher quality use 160dpi and reduce the image by 50 in imagetool before printing the image RIview will still print the 160dpi image correctly The printpage will also be stored on this system for future printing under img PrintPages The Solaris file manager and imagetool can be used to select and print the images 05 08 2001 138 FACILITY pPDODODBDODOODOODODODODO Ke Ke KE KK KK lt Rational Imaging Installation Manual DATE INSTALLED BY TAPE DRIVE STANDALONE PRIMARY ARCHIVE Tape drive host Tape drive alias ApUnix DAT License Individual research tape sets required Power available for tape drive
105. eters per the instruction manual from the manufacturer Specify SCSI ID s for the tape drive s and the jukebox robotics which are not used by other devices on the workstation Use probe scsi at the boot prompt to determine the scsi ID s which are currently in use ID s between 4 and 6 are recommended Remember to jumper the HP drives Target 4 jump 2 Target 5 jump 2 amp 0 Set robotics handler as 6 A HARDWARE CONFIGURATION Use the following settings as examples for setting up the Qualstar Jukebox For more complete information see the Qualstar technical manuals Handler Busy Wait Door Open Abort Filter Days 120 Days Inventory Invalidate Sentry Power On Invalidate Source Drive No Source l O No Mechanic Model TLS 24144 4420 on AIT Juke BCR None I O Port A Mode Random Seq Drive D1 First Location A01 Last Lockation 4B13 Number of Cartridge 144 Power On Clear Yes Use Private Slot Yes I O Port Call Key 1 Min Export Yes Extended Not Ready Import Yes Import Scan Yes Slot Access Both Drive D1 Sony SDT 9000 Sony 500 AIT2 Drive D2 Sony SDT 9000 Sony 500 AIT2 Log all ON SCSI 05 08 2001 33 Rational Imaging Installation Manual Data Phase Single Different NO Disconnect ON Drive Bus D1 This Bus D2 This Bus Drive IDS D1 Random ID 4 D2 Random ID 5 DT access Ejected Element Drives 2 Fixed Slot
106. etrieve images AETITLE1 CANON_QR andromeda QueryRetrieve 5001 IST The other line that is required is a line which tells riquerd that the Efilm host has authorization to receive images and on what port This was configured in the previous efilm steps AE_TITLE2 EFILM_SCP efilm hostname EfilmSCP 104 IST This also supplies some security as every host which will have access to the database will have to have a line of authentication in this config file This will help provide HIPAA compliance for security issues To set this configuration go to Edit Properties window Click on the destinations tab then enter the following information and add the query retrieve server You probably want to make this entry the default selection AndromedaQR CANON_GR 64 249 104 195 5001 Server Property Sheet Click OK to accept these entries Now you can click on the button select Remote Exams and list the exams You may want to limit the list by entering B into the patient name tab to MMereomesar canonor e42 10419 oor sever HS list only the patient names that taa Update begin with B 8 App To transfer the exam select an interesting exam and click on the retrieve button RIqueryd will then send the selected exam to the EFILM_SCP or port 4006 on MOSIE the efilm client The efilm network queue will appear and the status should change from Pending to Active
107. following sections E RILINK TROUBLESHOOTING Use this section to step through the processes and test or troubleshoot the applications To test Rilink it is best to turn off rideliverd To do this change the respawn element in the inittab to off r8 34 respawn su imaging c exec rideliverd c opt ISTri etc rideliverd_cfg init Q ps ef grep rideliverd kill 9 rideliverd_pid Now send some messages from the RIS system Do they appear in the img hl7msg directory If not turn off rilink in the inittab similar to specified above only use the line for rilink and kill the rilink process If they do appear skip to the section on testing rideliverd Run rilink manually with the following options rilink d img hl7msg I1 5000 f img rilink log n v This will put Rilink in verbose mode and after you send a message see if there is any useful information in the logfile If no information is logged then rilink probably is not receiving any messages and maybe the port number is wrong You may see messages like the following during normal operation Incoming 5000 Outgoing 5001 New rilink process starting 20296 Before while Mon Jul 31 14 28 39 2000 before accept The previous lines show that Rilink is waiting for messages accept If messages should be recognized the following lines will be logged After accept 05 08 2001 62 Rational Imaging Installation Manual Tue Aug 1 10 11 54 2000
108. for each monitor The next step is to add the new monitor parameters to the Rational Imaging system Use the following procedure for each monitor within the system Login as imaging on the database server cd opt ISTri admin risetup 42 Add monitor in database host_key select the host_key for this workstation screen no 0 is the left most screen minimum black level use the intensity you identified with ricalibrate maximum black level accept default 65535 x bottom left x coordinate of screen relative to other monitors y bottom left y coordinate of screen relative to other monitors width width of display height height of display gamma Use 1 0 unless a densitometer has measured the linearity If these parameters are entered properly then RIview should be able to display all of the digital intensities within the SMPTE test pattern image or any diagnostic image 05 08 2001 45 Rational Imaging Installation Manual C SMPTE PATTERN Display the SMPTE Society of Motion Pictures and Television Engineers pattern to make sure that the entire range of digital intensities is visualized If this image is not on the system you can import it from the GE scanners camera or drag it from the installation jaz disk onto the drag n drop rectangle in the upper right corner of the RIport application e Login as imaging e Select RIview from the program bar e Click on Select Exam and select SMPTE or Came
109. g SMPTE image into Riport and display in Riview Calibrate monitor if required This should be done under normal lighting at the facility 05 08 2001 116 FACILITY 0 0 0 ey ee DEE ogee to eS BG AEG ENG ONS UN RE NN ge NE U Rational Imaging Installation Manual DATE INSTALLED BY WORKSTATION IS MULTIPLE DATABASE SERVER IN A NETWORK Location at facility diagram Network cabling and power completed IP address and SubNet MAC Address Default Router IP address Hostname recommend lowercase Alias for host may be upper lower Root password Imaging password Serial number Host ID number Hostname of redundant server IP address of redundant server Hostname of other servers IP address of other servers New Database name SQLexec port of other servers 1525 1526 SQLexec service name of other servers sqlexec sqlredun 10 or 100 Mbit Ethernet Total RAM required Swap space required gt 2x RAM Software to install SBUS PCI cards video ethernet scsi SCSI IDs of Disk Drives UPS recommended to facility Computer grade modem line for support Number Informix SE license Informix SQL license Informix INET license Rational Imaging license file email Install Solaris partitions db and img required Install ISTdb723 using pkgadd Informix database Install ISTmain using pkgadd Rational Imaging components Install ISTri using pkgadd Rational Imaging applications Exe
110. g an Ultra 5 or 10 the cdrom may not be recognized Use the following command at the boot prompt to boot the cdrom on these systems nvalias extcd pci 1f 0 pci 1 pci 1 SUNW isptwo 4 sd 6 0 f boot extcd Go through the format procedure to enter the following partition information Remember to label the disk in the partition menu AND in the format menu If you do not label the disk in the format menu then the partitioning will not be completed correctly 05 08 2001 13 Rational Imaging Installation Manual Format Partition Information Format the hard disk drive in the workstation The following recommendations are for a small outpatient facility with 1 RI workstation and 1 or 2 scanners Additional disk space can be added for larger facilities Contact technical support to customize the configuration for your particular facility Partition a 1 0 GByte hard disk as follows Database Server a 32MB UNIX root partition b 128MB Swap for 64MB RAM 256MB for 128 MB RAM c 1002MB Entire Disk d recommended 75MB opt Solaris packages amp Rational Imaging e 100MB db database files f recommended usr UNIX programs g 24MB export home user accounts hr emaining img image partition remainder of disk UNIX Software Selection Load the UNIX operating system using the graphical interface and make sure to add the following packages by customizing the End User System Support a 4 1 Heterogeneous b Au
111. g them based on their origin or image format the database will recognize these images and update the database The unix program which operates in the background daemon and which performs this function is riupdate Make sure to rename the images after copying so that the image transfer is complete before the images will be recognized by riupdate Use the following naming conventions for each image type Format Examples Image Type GEgen host GEgen mr1 1 GE Genesis 5x format GEsig GEsig 1 GEsig 2 GE Signa 4x format RIint RIint 1 RIint 2 Interfile format RIdicom RIdicom 1 RIdicom 2 DICOM format Smmag host exm ser img ima Smmag ct1 9995 3 24 ima Siemens MR image RIlunar RIlunar 1 Lunar MR image The images can also be put in a temporary directory under img incoming and then just rename the directory with the previous conventions Do not rename the directory until all the images within are completely transferred This will signal riupdate to load the images into the database 05 08 2001 Rational Imaging Installation Manual lll Planning Your PACS System A PREPARE SYSTEM WORKSHEET Installation of the Rational Imaging system is very complex in that it must be configured correctly to interact with the other existing workstations If this is the first RZ workstation in your facility the database server then it must be configured to interact with the scanners over the newly installed network Additionally system
112. ge to the available printers in the network on a regular basis to make sure that all of the intensities are visualized If the 5 contrast regions can not be seen or if any artifacts or streaks appear on the image call your service engineer to calibrate the film or paper printer If all of the monitors and printers are calibrated in this manner then the diagnostic images should appear similarly on each monitor and hardcopy throughout the network 05 08 2001 47 Rational Imaging Installation Manual XIV Canon Digitizer A SCANNER CONFIGURATION Use the Canon CFS300 scanner manual and the menu options of the scanner to set up the following defaults The bolded parameters will vary from facility to facility If you set up the IP address and hostname of the scanner and then save that you can telnet in and set these parameters using the diag application Telnet to the IP address use cfs300 as the username canon300 as the password and then type diag at the prompt KKKKKKKKKKKKKK SET UP INFORMATION KKKKKKKKKKKKK Interface Ttpe TCP TP LCD Contrast 1 8 6 Alarm OFF ON ON 35cm Width Pixel Size 175 30cm Width Pixel Size 175 28cm Width Pixel Size 175 25cm Width Pixel Size 175 20cm Width Pixel Size 175 18cm Width Pixel Size 175 Grayscale Depth 1 8 12bits 12 bits Data Output Transparency Density Density Grayscale Invers
113. h your sales representative for a current list of tested scanners Note check with our technical support staff before accepting scanner upgrades to make sure that the upgrades do not effect the ethernet interfaces 2 Export Images The following images are currently supported for export e General Electric s Signa 4x MR scanner e General Electric s Signa 5x MR scanner 05 08 2001 Rational Imaging Installation Manual e General Electric s Signa 5x CT scanner Note availability of export functions will be limited by DICOM compatability and each manufacturer s endorsement of this transfer capability Current liability issues may prohibit dual transfer capabilities 3 Drag and drop Import RI port supports the standard Open Windows convention of drag and drop If an image file has a known header then the file can be dragged over the sensitive rectangle on the RT port console and imported into the system Groups of images can also be imported in this fashion See chapter 5 in the user s manual for more information on the operations of this function The following images are currently supported for drag and drop import e General Electric s Genesis 5x MR CT and IC images e General Electric s Signa 4x MR images 4 Incoming Directory A directory called the incoming directory has been created to import images from foreign databases usually set up as img incoming By simply copying images into this directory and renamin
114. h user within the system This name is limited to 8 characters Lowercase letters are recommended Alias The alias used to refer to the user This name is the formal name which the Rational Imaging system will display For example smithj may be the username for the alias John H Smith M D Unique ID A unique user ID must be assigned to configure the UNIX user account properly This ID must be assigned in the etc passwd file on EACH workstation Group ID The group ID must also be assigned and should be given the same number as the imaging group Home Directory The home directory for the user s account Multiple users may share a home directory 1f given group permission or each may be given their own home directory Separate locations require slightly more effort to configure and maintain however this isolates the damage that an individual may due when changing his her personal preferences such as background color menu structure and other UNIX or Open Windows parameters Template Directory The template directory is the location defined to contain the load and print templates for the RI system Usually one location is used by all however in the case of multiple departments or facilities multiple template directories may be required to optimize each appropriately Default Directory The default directory is used to store each program s default parameters Preferences such as window location and startup features may be customi
115. hange the patient database selected The following operations may be performed on the selected patient database 2 Create user account This function will create user accounts in UNIX It will copy the imaging account setup into a new home directory Operate this function as root 3 Add user to rilogin This script will add new user information into the rilogin table 4 Add user to patient database Add a new user to each patient database 5 Add database access to rilogin This script will notify the login database rilogin that multiple databases exist It will allow the operator to enter new databases for restricted or unrestricted access This script will also designate user access for restricted databases 6 Add host to patient database This script will add a new Rational Imaging Workstation or scanner to the patient database 7 Add image directory to patient database This function will configure a new disk directory as an active image directory Make sure that this directory is unique among all the databases that have access to this host ie The cardiology and radiology databases can not both have the image dir net host img Make the directories specific to the database such as net host img cardiol and net host img radiol 8 Add printer to patient database This script will allow all users to access Canon PaperFilm Printers on the network 9 Add tape drive to patient database Add a tape drive for a
116. has Solaris 2 6 loaded The changer will not work with 2 7 Shutdown system and install second SCSI card especially if on server Use the Antares Low Voltage Differential card for AIT Jukeboxes Install the Antares drivers for Solaris 2 6 using pkgadd AIT jukebox only For AIT jukeboxes make sure that the terminator is a LVD terminator Configure Jukebox SCSI ID s and tape drives Configure Tape Drives SCSI ID s Once installed run probe scsi all at boot prompt to check ID s Reboot using r to recognize new hardware attached Install ISTjuke tape drive package Run install_juke to create drivers and licenses Reboot again to load the new drivers Test ability of jukebox to load tapes and drives change command Test each tape drive with a blank tape write then read using tar List tape sets and add new ones if necessary primary secondary research Add new tape drive s in risetup one for each drive in jukebox 9 Add new jukebox in risetup 37 Add new jukebox tape drive associations in risetup one for each drive 38 Add new jukebox slots in risetup 39 Add new tapesets supported on the jukebox in risetup 51 Make sure that the opt ISTri bin backup_radiology script works correctly Test archive Add Ribox Ristore to Rilogin toolbar If having trouble with the SCSI bus on an Ultra 5 or 10 disable the Ultrawide scsi adapter by putting scsi options 0x78 in kernal drv isp conf
117. he db directory exists and has space sufficient for the new database information Also make sure that it has appropriate user privileges for access by world Backup and remove any existing databases from this partition if their names will conflict with the database names being retrieved rilogin dbs and radiology dbs Contact your system administrator to perform this operation If multiple databases were used then you may need to insert the last tape from a tape set which archived those exams to restore and rebuild those patient databases If multiple 05 08 2001 109 Rational Imaging Installation Manual databases where used however they were located on different workstations this is highly probable then these databases were probably not affected by the crash and the restoration of the rilogin database should fix the problem If the rilogin database was on a system which did not crash then only the patient database on the faltering workstation has probably been affected Even so the following procedure will restore both the rilogin and patient databases so the other users should be notified not to use the system until this process is complete e Make sure that the applications add_pt_to_arc and ribuild exist in the IST binary directory home ist bin or opt ISTri bin If these files do not exist retrieve them from the Solaris installation cd using pkgadd e Change to the RI system home directory c
118. he next section and apply the SQL upgrade scripts dbaccess radiology upgrade_db Warning If the database has been moved out of the db partition to img for example then the database will need to updated manually using the upgrade_db script This script will apply the database upgrades described in the following section if the server is detected correctly This can be verified by watching for the commands UPGRADING PATIENT DATABASE radiology If these commands are seen on the server then the upgrade has been performed successfully provided no warnings or errors are issued The riupgrade script will also apply patches to the main software and update the pkginfo information for Rational Imaging It also stores new checksum information for each file and will allow the pkgchk procedure to verify the integrity of the packages pkginfo grep IST look for IST packages pkginfo 1 ISTri J list complete information pkgparam ISTri J list upgrade information pkgchk ISTmain check package integrity pkgchk ISTri These commands are very useful to check the Rational Imaging packages however if partial upgrades have been applied beta test inter version application upgrades the pkgchk may report some minor errors or discrepancies with the program checksums H DATABASE UPGRADES Many of the Rational Imaging upgrades slightly modify the architecture of the patient database in order to allow new features or optimi
119. he patient databases can be considered by themselves to be centralized since all of the information contained in the database tables is maintained on their individual workstations This architecture works fine for the patient demographic information and system information since it requires very little storage space and minimal effort to distribute the information to inquiring applications The result of this architecture is that any workstation on the network can obtain a list of patients exams series images or various archive information Also all of the workstations will receive the same updated information as exams are added or removed archived from the database tables This method of maintaining the PACS information optimizes the reliability and ease of operation since the knowledge of where the actual databases or images are located is transparent to the operator C DISTRIBUTED IMAGE DIRECTORIES A centralized database architecture is not appropriate for the image data however since the network traffic would be tremendously increased by images always coming from ONE workstation the server What makes the images different from the demographic exam information THEIR SIZE Each exam should be maintained on the workstation where the images will be reviewed In a multi facility scenario it would be inefficient and unthinkable to locate all of the images on one workstation since each time you wanted to review the case it would have
120. he queue directory is a directory where the UNIX print program will maintain a queue of print pages during printing This directory must also be specified in the etc printcap file Error Log The name of the error log file should also exist in the print queue directory This file will record an errors which occur with the printer disk space full printer turned off network down etc 5 Tape Drives Tape drives used for archiving and long term storage of exam information are physically attached to the RJ workstations via SCSI connections It is important for Rational Imaging to know where these devices are attached and various parameters specific to these devices This information will be added to the tape_drive table Hostname The hostname of the workstation that the tape drive is attached to 05 08 2001 Rational Imaging Installation Manual Device The device driver for the tape drive WARNING Use the non rewindable device driver as specified by the n in dev nrcht0 Name The alias for the tape drive which will be used by the Rational Imaging software Blocks The number of blocks which are written consecutively UNIX commonly uses 20 blocks however higher values may improve performance Since 20 is the default among UNIX workstations we recommend this value for compatibility Clean Time The number of minutes of use before the heads require cleaning Hewlett Packard recommends that the heads be cleaned every 2
121. he redundant server This will enable the nightly backup of the database server to another sun workstation and facilitate tape backups of the database copy on each initialized tape First determine the redundant server If this is the same system then at least have backup_radiology use a partition other than the normal db partition eg img db This will maintain a copy of the database and ensure the database integrity in the event of a catastrophy If only backup DATABASE exists in the opt ISTri bin directory then rename it to backup_radiology for the radiology database usr openwin bin textedit opt ISTri bin backup_radiology Exit OpenWindows and reboot the computer exit select exit from the workspace menu reboot at the login prompt The Rational Imaging system should be prepared at this point Login using the account imaging which was created during the installation imaging at the login prompt D CONFIGURATION The following modifications must also be performed to have the satellite workstation recognize the existing database and have the other RI workstations recognize the existence of the new workstation With the workstation on the network 1t may be necessary to use remote shell rsh to perform some of these steps on the other workstations If the new workstation has been installed with a newer version of Rational Imaging than the main server then you will either need to upgrade all of the existing wor
122. he server slay ri slay sql Backup the database tar cpf img db tar db dbs Rename the database cd db mv radiology dbs radiology old Disable the cronjobs other than fix_ERR_incoming by putting a FF in front of each line As imaging execute the following setenv EDITOR vi crontab e imaging Copy etc rc3 d S 1 6ri install to the new server Comment out the line in etc init d ri install that says opt informix lib sqlexecd amp by putting a in front of the line This will disable sqlexecd ON THE NEW SERVER a Oooo Oooo O O m Q Q Link the S16ri install to ri install as follows In etc rc3 d S16r1 install etc init d ri install mv opt informix to opt informixold mkdir opt infomix Set permissions chown informix opt informix chgrp imaging opt informix Copy the SE SQL and INET informix files from the CD to the new opt informix Use the correct version of informix dbaccess v will give current version License SQL cd opt informix installsql License SE installse License INET installnet Copy the database to the new server Login to the new server and run tar xpf net oldserver img db tar If a new informix version has been installed you will need to perform a dbexport and dbimport to reconcile the database with the new functionality Then apply update statistics in dbaccess Modify opt ISTri bin ridundant to point
123. heir databases in the future to 1 database it will make things easier 1 Informix configuration In order for Informix to communicate independently with each server the informix server process sqlexecd must be configured to run on separate ports on each server Thus Mercy uses port 1525 the default and StLuke uses 1526 This configuration is done to the opt informix etc sqlhosts file Each line of this file specifies an alias for the server usually just the hostname the ethernet protocol tcp the actual server hostname and the sqlexecd service name set up in the etc services file In the above example this file would look like the following The sqlhosts file on both mercyserv and stlukeserv would look like mercyserver tcp mercyserver sqlmercy stlukeserver tcp stlukeserver sqlstluke The etc services file on both mercyserv and stlukeserv would look like sqlmercy 1525 tcp Mercy s Server sqlstluke 1526 tcp Saint Luke s Server The etc init d ri install on mercyserv would have the line opt informix lib sqlexecd sqlmercy amp The etc init d ri install on stlukeserv would have the line opt informix lib sqlexecd sqlstluke amp Reboot the systems after these configurations have been made or kill and restart the sqlexecd process In multi server environments the rilogin database may be independent for each facility however both controlling login databases must have the same information for the databases hosts and us
124. however when exams need to be sent to other Rational Imaging systems for a second opinion It is also useful when one database has been used as an Emergency database in use when a T1 communications line has failed and then the staff wish to move the exams back into the working database once the T1 lines comes back up 05 08 2001 25 Rational Imaging Installation Manual VII Upgrading a Workstation A SUMMARY This section describes the procedures involved in upgrading the Rational Imaging software on a workstation Installation scripts have been created to automate this procedure however in some cases system configuration of new features may be required Make sure to read the README file associated with each upgrade version This file will specify the detailed upgrade procedures for each specific version Follow the upgrades in order and DO NOT SKIP any upgrades especially those that alter the database architecture You can determine the current Rational Imaging version by viewing the opt ISTri bin ri VERSION file B SCHEDULE UPGRADE TIME Notify the facility that you will be performing the upgrade This involves sending them a list of the new features and upgraded capabilities It will also allow you to schedule any downtime if this is required Generally 1f only the binary applications are being modified then each workstation can be upgraded independently Thus only that workstation being upgraded will be out of use during
125. idundant on new server change ridundant host Add ridundant to imaging s crontab on new server Remove ridundant from imaging s crontab on old server Modify backup_radiology on new server change ridundant host copy ridundant and backup_radiology to ALL hosts opt ISTri bin cd opt ISTri bin rcp ridundant hostname opt ISTri bin rcp backup_radiology hostname opt ISTri bin Modify auto_archive dat data files to point to correct database location Modify reset_modems to point to correct database location Copy reset_modems to ALL workstations cd opt ISTri bin rcp reset_modems hostname opt ISTri bin Use risetup to edit the database directory newhost db Option 20 Modify the etc hosts equiv to add all RI workstations on the server 05 08 2001 96 30 31 32 33 34 35 36 37 Rational Imaging Installation Manual Modify the rhosts to add all RI workstations on the server Remove server cronjobs from the Old server expire_locks ridundant su csh setenv EDITOR vi crontab e dd to delete unwanted lines wq to save quit Add server cronjobs to the New server expire_locks ridundant crontab e i to insert lines esc to stop insert wq Reboot all systems Test all systems RI view should be able to display images Test ridundant and backup_radiology Test archiving Resume operations 05 08 2001 97 Rational Imaging Installation Manual XXVI System Maint
126. ing the unix format command format select disk defects extract original defects quit partition enter the partition information Split up large disks label quit label Make sure that you label the disk again in the main menu format quit Create a new file system on the partition newfs dev rdsk c0t2d0s6 Controller 0 SCSI target 2 Drive 0 Partition 6 Make a new mount point for the image partition img2 img3 mkdir img2 mount F ufs dev dsk c0t2d0s6 img2 SCSI ID 2 Partition 6 chown imaging img2 chgrp imaging img2 chmod 777 img2 Add the following line to the etc vfstab file so the directory will be mounted at bootup 05 08 2001 54 Rational Imaging Installation Manual dev dsk cOt2d0s6 dev rdsk c0t2d0s6 img2 ufs 3 _ yes Export the filesystem so that other workstations can see it by adding the following line to the etc dfs dfstab file Run this command at the commandline or reboot the system to export this filesystem share F nfs o rw img2 B ADDING TO THE RATIONAL IMAGING SYSTEM Login to the database server and use risetup to add the new image directory login as imaging on the server cd opt ISTri admin risetup 7 Add image directory to database Use the convention net host imgdir database You can exclude the database portion if there is only 1 database net host imgdir C TESTING Login to another workstation and see if the image directory is available If the other di
127. ion No Yes No X Axis Flip No Yes No Y Axis Flip No Yes No LUT Type Linear SqRoot Hist Linear Scan Mode Single Multi Barcode Multi Film Max Density Value 3 200000 Min Density Value 0 000000 Data Byte Order LITTLE BIG LITTLE ENDIAN Data Compression NONE JPEG NONE File Format DICOM JPEG PGM PGM Network IP Address 192 1 1 2 Scanner Network Host Name cfs300 Subnet Mask 255 255 255 0 Default Route Addr 192 1 1 1 Ether Port Type AUI RJ45 RJ45 Target IP Address 192 1 1 3 Sun Data Transfer Protocol FTP Port No 21 FTP User Name cfsscan user on Sun FTP User Password cfsscan PGM File Extension pgm Lock File Extension 1ck Filname Body Length 24 FTP Put Directory Name img linked to img scan 05 08 2001 48 Rational Imaging Installation Manual Hard Disk Installed Yes Use Hard Disk Buffer Yes JPEG Chip Installed Yes JPEG Method Hardware JPEG Barcode Reader Installed Yes Use Barcode Reader No Serial Number SN100009 Scan Counter 2 2357 Barcode Study Number 200 The 175um pixel size specifies a 2032x2467 image This is what is required to meet ACR standards for primary interpretation If they are using the system for on call work it is preferable to reduce the matrix size to increase speed of transmission to the radiologist s home Do this by changing the pixel size parameter to 350 1016x1233 14in x 25 4cm inch x
128. is critical High resolution fast refresh monitor Use of a smaller or lower quality monitors will degrade the image quality and could limit diagnostic perception SUN has a line of large screen monitors sufficient for MR CT or Ultrasound diagnosis Higher resolution 2K greyscale monitors are also available and may be required for mammography or ultra fine detail imaging 1GByte hard disk Images require a great deal of disk storage space The initial disk space may become limited as additional workstations or scanners are added to the system The database design allows additional disks to be added with very little effort Additional workstations can also be added and their disk space will become part of the available image disk space 64MBytes of RAM Although this is sufficient for most single processing tasks 64MBytes may limit the number of concurrent multi processing tasks such as multi exam displays background import export functions or display of exams requiring a great deal of memory such as Cardiac MRI Therefore 128MBytes of RAM is recommended 2 Network Copper or Fiber optic network supporting TCP IP protocols Routers may be used to restrict local network traffic or control Wide Area networks Consult your system administrator to optimize the network when image traffic reduces system performance and becomes prohibitive Network hardware for the scanners you wish to include in the network Talk with the scanner manufacturer or
129. is separated by characters then this value will allow you to specify sub positions If 0 then the entire field is used even though may be present eg If 2 is specified and the data contains this 1s a test then is will be used If O is specified then this is atest will be used CharOffset enter the character offset of the data in the field This is used to locate a time in a combined date time field eg If 10241988 10 34 is the data the a value of 9 would return 10 34 Format The following formats can be used to read and convert the data 0 No format change 1 Name format last first middle gt last first middle 2 Date Format yyyymmdd gt mm dd yyyy 3 Date Format yyyymmdd gt yyyy mm dd 4 Time Format hhmmss gt hh mm 5 Time Format hhmmss gt hh mm 6 Date Format mm dd yyyy gt mm dd yyyy 7 Date Format mm dd yyyy gt yyyy mm dd 05 08 2001 60 Rational Imaging Installation Manual 8 Time Format hh mm ss gt hh mm ss 9 Time Format hh mm ss gt hh mm RIdeliverd is a background process run out of the inittab Edit the etc inittab and enter the following line r8 34 respawn su imaging c exec rideliverd c opt ISTri etc rideliverd_cfg Make sure that the rideliverd process is running If it is not see the troubleshooting section ps ef grep rideliverd D MESSAGE TESTING Send the following message
130. ity to report any irregular behavior or problems that may be a result of the upgrade 05 08 2001 29 Rational Imaging Installation Manual VIII Tape Backup Device The following instructions will show how to install an archive tape drive onto a Rational Imaging workstation Make sure that you have the appropriate license information before proceeding with this installation A SOLARIS INSTALLATION Make sure that the tape drive is recognized by the workstation If the drive was not on during the Solaris installation then reboot the computer using reboot r with the power on the drive Obtain the appropriate DAT license information prior to installing this package Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTarc from the list of packages on the tape as follows suo pkgadd d dev rmt 0n J select the number for ISTare It may be required to run the install_juke process with imaging s environment csh source home imaging cshre cd opt ISTri install install_are The post installation script will run a program called apinstall Click on the Apunix HP DAT drivers and then click on Start Installation Enter the license information when prompted to do so Reboot the computer to make sure that the new drivers are recognized and working properly B TESTING The following ins
131. kground color and the main environment menu to make sure that the installation was successful Use the configuration button on Rllogin the disk icon to check the available applications 05 08 2001 16 Rational Imaging Installation Manual V Satellite Workstation A SUMMARY Additional workstations can easily be added to the Rational Imaging system These workstations will be able to perform all of the functions that the database server performs such as importing images reviewing diagnostic exams and archiving Configure each additional workstation are your needs required Do you need an additional tape drive for dual tape backup Do you need additional disk space for image storage Is this workstation going to be in a different facility These are questions which will influence the type of workstation purchased and the additional peripheral devices attached to the workstation We will assume for the purposes of this chapter that the workstation is only going to be used as an additional visualization workstation and that only additional disk space will be added for image storage Since the database server has already been installed and is operational we must configure this workstation to interact effectively with the existing network and with the existing patient database Use the worksheets described in chapter II to acquire the appropriate information for this installation Consult with our professional installation staff and your
132. kstations including the server to the current version or you will need to bring this workstation s applications down to the prior version The upgrade procedure is described in the next chapter To downgrade the current version copy all the files from the ISTri directory of the main server or another satellite station to the ISTri directory of this workstation rsh server_hostname 05 08 2001 19 Rational Imaging Installation Manual su tar cpf img istri tar opt ISTri rsh new_host suo tar xpf net server_hostname img istri tar Perform this step prior to any configuration because some of the files will need to be modified under this directory On the new workstation the etc hosts file must be updated with each of the hosts on the TM network On solaris systems the file is etc inet hosts You can either use vi and enter these manually or use textedit and copy and paste the values from those found in the etc hosts file on the server usr openwin bin textedit etc inet hosts You will also need to add the users to the etc passwd file and create their home directories on this system Make sure that all the Rational Imaging workstations have the same list of users and hosts Keep the userID groupID and IP addresses consistent Use the following commands to add users to a Solaris workstation admintool or useradd Modify the etc hosts equiv file to reflect all of th
133. m prefetch where exam_date lt today 7 delete from scnexam where inserted lt today 7 You can check these tables to make sure that they do not contain old messages select from worklist 05 08 2001 66 Rational Imaging Installation Manual XVIII Riqueryd Installation A FUNCTIONALITY RIqueryd provides the Rational Imaging system with DICOM Query Retrieve functionality What this means is that other image display systems can query our database get a list of patients currently on the system not in archive and transfer those exams for displaying within these remote systems This interface is very important in that it gives universal standard access to images stored within our database The query retrieve functionality is only available in Rational Imaging version 6 0 and above For prior versions please upgrade the Rational Imaging system software to version 6 0 before proceeding with the riqueryd configuration B CONFIGURATION There is one configuration required for riqueryd It is riqueryd_cfg normally and is located in opt ISTri etc However the filename and location are configurable We recommend that riqueryd be run on the image manager since the database operations can run more efficiently However it may also be preferable to use a clinical display workstation that is not being used to frequently There is some processing required to prepare the patient lists and images for DICOM transfer to these re
134. metimes depending upon which packages were selected the postinstall scripts in the packages will specify additional installation procedures Watch for these recommendations during installation The ISTsat package requires a script called install_sat and the ISTri package requires the operation of the licensing facilities After installing both of these packages run the script opt ISTri install install_sat This script will install the informix license for INET and install the user accounts and local environments 05 08 2001 18 Rational Imaging Installation Manual The following command will enter the passwords for the imaging account Do not use the root password for these accounts passwd imaging passwd informix If no password is desired on imaging then modify the etc default login file and change PASSREQ YES to PASSREQ NO Edit the etc shadow file and remove the password 66 99 information between the first and second colons for imaging Use the following command to license the executable applications from the ISTri package Replace license_file with the correct name and path of the true license file This file can be obtained from www IntuitiveSoftware com opt ISTri bin add_license lt license_file Modify the CMD_LINE parameters in the following files usr openwin bin textedit etc inittab usr openwin bin textedit opt ISTri bin reset_modems Check the following files to enable t
135. mote workstations The format of the configuration file riqueryd_cfg is as follows database pacs1 db radiology debug 0 idx 0 AETITLE1 ae title hostname comment port_number vendor AETITLE2 CANON_QR pacs1 QueryRetrieve 5001 IST AETITLE3 EFILM_SCP efilm host RemoteViewing 4006 Efilm Enter the correct database definition on the first line If you are uncertain as to the syntax make sure that riexamine can connect to it riexamine d pacs1 db radiology If this returns OK then the syntax is correct If problems occur the debug level can be set as high as 99 to enhance the verbosity of riqueryd Increase the debug level and then run riqueryd from the commandline not from inittab to see the associations occurring and any errors that may be generated If IDX is querying our database then the current version requires idx 1 to be set All other workstations should have this set to 0 The following lines in the configuration file define the AE titles and workstations that are allowed to connect to this server The first line is present to define the options The second line defines the actual server configuration For example riqueryd will be running on pacsl accepting requests for AE_TITLE CANON_QR on port number 5001 The rest of the information is to document the entry 05 08 2001 67 Rational Imaging Installation Manual The next lines give each workstation authorization to connect and retrieve images At least
136. n more detail regarding the individual steps In preparation for an installation make sure that all the checkmarks V have been filled in Then proceed with the installation and mark each item as it is completed Make copies of these pages for each item installed at the facility This will act not only as a guidance mechanism but also as installation documentation 05 08 2001 112 FACILITY e RO EEC E B E OSO nee SS NA A LOD Rational Imaging Installation Manual DATE INSTALLED BY WORKSTATION IS THE MAIN DATABASE SERVER Location at facility diagram Network cabling and power completed Hostname recommend lowercase IP address and SubNet MAC Address Default Router IP address Alias for host may be upper lower Root password Imaging password Serial number Host ID number Hostname of redundant server IP address of redundant server 10 or 100 Mbit Ethernet Total RAM required Swap space required gt 2x RAM Software to install SBUS PCI cards video ethernet scsi SCSI IDs of Disk Drives UPS recommended to facility Computer grade modem line for support Number Informix SE license Informix SQL license Informix INET license Rational Imaging license file email Install Solaris partitions db and img required Install ISTdb723 using pkgadd Informix database Install ISTmain using pkgadd Rational Imaging components Install ISTri using pkgadd Rational Imaging applications
137. n tape cd home mt f dev nrst0 fsf 10 skip to the correct tape partition tar xvf dev nrst0 cd home cemax Perform the installation per the instructions in the README and installation files under the cemax directory Reboot the computer to make this driver active WARNING Use the instructions provided in the System Maintenance section page 98 regarding how to shutdown and reboot the UNIX workstation DO NOT simply power cycle the computer B SOLARIS INSTALLATION Shutdown the system and install the LaserLink card Attach the cables to the laser camera with the help of the laser camera s service engineer Have the service engineer configure the digital board on the laser camera to Cemax s specifications 113 Reboot the workstation using r to have the workstation recognize the new hardware Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging disk and select the package ISTfilm from the list of packages on the tape as follows pkgadd d jaz sol2 sparc pkg select the number for ISTfilm Obtain a license for rifilm and install it on the server rsh server add_license lt rifilm_license_file 05 08 2001 79 Rational Imaging Installation Manual Read the opt ISTri film README file and make sure that all of the installation steps have been performed Depending on the Sun OS used there may be some patches to apply pri
138. n window has a new option to Reset the DICOM print queue also 05 08 2001 75 Rational Imaging Installation Manual XX Blast Installation Follow these instructions to install the blast package on the Rational Imaging workstation This will provide an important means of distributing images over serial modems The functionality added by this software allows RIcall to transmit the images directly to a remote PC using a modem without having to dial in to the system and download the images A BLAST SETUP First install the modem per the instructions in the previous section Then use the following commands to install the blast software under the opt blast directory 1 Log onto the workstation with the modem as root 2 Change to the blast directory on the jaz drive 3 Run the script install_blast This will install the blast software Install the blast software under opt blast and enter the serial number acquired from ProAmerica or IST 4 Modify the cshrc file in each users home directory eg home imaging to include the following setenv BLASTDIR opt blast setenv PATH PATH opt blast Add the modem entry in risetup using 1 cd opt ISTri admin 2 risetup 3 Select 46 Add modem in radiology Enter the information into the script Use the defaults to guide your responses Finally use RIcall to enter the remote computers information and complete the installation 1 Login as imaging 2
139. n workspace menu utilities Make sure maintenance menu available and functions reboot halt etc 05 08 2001 119 Rational Imaging Installation Manual Q Make sure that the backup_radiology server script works correctly a Drag SMPTE image into RIport and display in RIview Q Calibrate monitor if required This should be done under normal lighting at the facility 05 08 2001 120 FACILITY D Ooooooo DODLODLODLLELELELLE KK SSSSSSSSSSSSOSS5S5S TI Rational Imaging Installation Manual DATE INSTALLED BY WORKSTATION IS A STAFF WORKSTATION RIDISPLAY Location at facility diagram Network cabling and power completed IP address and SubNet MAC Address Default Router IP address Hostname recommend lowercase Alias for host may be upper lower Root password Imaging password Serial number Host ID number 10 or 100 Mbit Ethernet Total RAM required Swap space required gt 2x RAM Software to install ridisplay SBUS PCI cards video ethernet scsi SCSI IDs of Disk Drives Informix INET license Rational Imaging license file email ridisplay Install Solaris ONLY img partition required DO NOT create db Install ISTdb723 using pkgadd Informix database Install ISTsat using pkgadd Rational Imaging components Install ISTri using pkgadd Rational Imaging applications Execute opt ISTri install install_informix script Execute opt IS
140. name printenv RILOGDB Current RI Version cat opt ISTri bin r1 VERSION New Version s to be added Login as imaging on the server Change user to root su Check the database space df k It should have at least 20MB of avail space Make sure img is a shared directory Use the command share to verify Untar the latest upgrade ver_ into img upgrade or other NFS shared dir mkdir img upgrade cd img upgrade cp cdrom ist upgrades sparc ver_ tar Z img upgrade uncompress ver_ tar Z tar xpf ver_ tar rm ver_ tar cd ver_ Confirm opt ISTri bin riset on the INTEL systems is owned by root Confirm opt ISTri bin riset on the INTEL systems is mode 6711 Run riupgrade Review the img intall log file for errors Review the intel_host img install log for errors See any additional notes in the README file for the upgrades Hostname Errors observed USE THE FOLLOWING SPACE FOR UPGRADE NOTES 05 08 2001 150 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY GG RATIONAL IMAGING UPGRADE PRIOR TO VERSION 4 1 Server hostname Current RI Version cat opt ISTri bin r1VERSION New Version s Login as root on the server Backup the opt ISTri and db directories cd opt tar cpf img ist tar ISTri cd db tar cpf img db tar dbs a Backup the user templates and defaults found in risetup 11 echo select deflt_dir tmplt_
141. names are case sensitive in UNIX it is a general convention to keep these names and user names in lower case It is also best to keep these names short yet specific The RI database limits host names to 32 characters however much shorter names are recommended 8 12 characters 05 08 2001 12 Rational Imaging Installation Manual Internet Address Set up the network internet address for the workstation These values should be registered with internet and coordinated with your facilities systems administrator especially if wide area connectivity is being considered These addresses will probably be Class C addresses above 192 for the first numeric component of the address if less than 256 workstations will be connected within the local imaging network Routers can combine networks with different base addresses so this is not really a serious limitation The SUN administrator s manual describes how internet addressing should be assigned Each device on the network needs a unique address much like your home The post office knows where to deliver your mail depending on your street address city state and zip code The same is true for computers When your computer sends a command to mri_scanrl a system file called etc hosts will have the correct address for that device Your computer will then broadcast the address and the command over the network When the computer with that address mri_scanr1 sees the command it will answer the
142. nd the database server then access to the remote workstation s images would be impossible even though the images may reside on the remote disk drive Since the remote workstation would not be able to communicate with the database server obtain a list of patients it would not be able to find out where those images were located 1 Server Crash This dependence requires careful planning to minimize the chance of occurrence If the network server were to go down obviously it has catastrophic repercussions How do you rebuild the database and what happens to the archive information on ALL YOUR TAPES Don t panic yet each time you initialize a new archive tape the current login patient and archive databases are backed up at the beginning of that tape While this does take some of the tape space approx 10 20MBytes it is an inexpensive insurance policy 5 10cents tape to have in the event of a hard disk crash corrupting the database tables The databases can thus be rebuilt once the workstation has been repaired or it can be transferred to another workstation making that system the database server 2 Add on Workstation Crash Even if an addon workstation were to crash all of the exams on that system may be lost Using proper protocols for patient archival is one way to minimize the loss of image data Archive the exams on the primary tape as soon as possible Do not remove the exams from the scanner until they exist on tape Use duplicat
143. o see the steps clearly Changing these values does not affect the measurements as the measurements are obtained directly from the 16bit original image Once you release the mouse button the mean and standard deviation will be displayed automatically Use a densitometer usually found in the dark room to measure the optical densities of the steps Use a spreadsheet application to enter both the known optical densities measured with the densitometer and the measured digital intensity This should give you a linear curve 05 08 2001 51 Rational Imaging Installation Manual unless the system is out of calibration Also the standard deviation should increase with optical density At some point the standard deviation becomes greater than the expected anatomic contrast and thus will limit the resolving power of the system Perform a linear regression on the measured data The slope should be linear R gt 0 95 and should utilize the 12 bit dynamic range y intercept should be close to 4095 The results of our CFS300 calibration procedure are shown in the following graph This particular scanner demonstrated excellent linearity R 0 997 and used the entire dynamic range of the 12 bit data y intercept within 0 5 of the maximum intensity 4095 The regressions results were y 1245 6x 4075 5 The x intercept occurred at 3 27 OD DENSITOMETRIC CALIBRATION Lianne CERAI apne DIGITAL INTEESITT E A E 1 E E OPTICAL
144. om 05 08 2001 20 Rational Imaging Installation Manual the workspace menu and make sure that rilogin appears in the upper right corner of the screen 5 With rilogin present and the console closed on a dark background select Save Workspace from the workspace menu under utilities Each time you log in the workspace will return to this initial setup Use the configuration button on Rllogin the disk icon to check the available applications 05 08 2001 21 A Rational Imaging Installation Manual VI Multi Database Connectivity CREATING A NEw DATABASE Rational Imaging allows multiple databases to be configured to separate departments or to provide support for research referring access or teaching files 1 Creating a new patient database To create a new database for these purposes use the create_db sql script as follows If the database is on another server make sure that the server is setup for a multi server environment as described in the section Creating Multiple Servers su imaging cd opt ISTri install vi create_db sql change the name of the database from radiology to another name cd db or user another database partition for the new database dbaccess opt ISTri install create_db chmod R a rw new_db_name dbs Making the database available to all users Once the new database is created you will have to make the database available through the rilogin database Use risetup to add the
145. omd f p 104 t RL DICOM img incoming gt dev null Type init Q to have init reread the etc inittab file Use ps ef grep rid to make sure that the ridicomd is running Use debug mode if problems occur add v option after ridicomd in inittab Oo O 05 08 2001 135 FACILITY OO DODBDOxXKSSKSKSSSS 0 Rational Imaging Installation Manual DATE INSTALLED BY NUCLEAR MEDICINE SCANNERS INTERFILE FORMAT Cabling completed Tranceiver needed Scanner engineer notified Ethernet card installed configured Ip address of scanner Hostname of scanner Does the scanner support interfile format Can the scanner export interfile images into a predefined directory Add hostname and IP address to etc inet hosts file on ALL workstations Add host to clinical and rilogin database risetup Ping the scanner from the workstation which will receive the images Create a directory under img to receive the images This directory should be unique to the individual scanner ie each scanner MUST have a separate directory chmod a rwx img prism allow all users to access directory Configure the scanner to deposit interfile images into this directory eg For a Picker Prism scanner call the directory img prism Configure the opt ISTri bin move_files_script script to move and rename the images into the img incoming directory The move_files program needs the input dir the output dir
146. on before it is deleted 30 Delete printer from patient database Delete a printer which no longer needs to be accessed from the selected patient database 31 Delete tape drive from the patient database Delete a selected tape drive from the patient database 32 Delete archive tape set in patient database Delete an archive tape set from the selected patient database Make sure that their were no exams on the tape set or that the exams no longer need to be retrieved or logged 33 List all tables in the patient database This function will list all the current tables in the selected patient database Use this function to get the most current details on the architecture and fields of the patient database tables 34 List all tables in rilogin List all of the tables and their related fields in the login database This will present the most current architecture of this database structure 35 Activate Deactivate a host in the patient database Use this function to designate a host as inactive during maintenance This will notify all programs users that the exams and functions of the workstation will be inactive during this period Use this function to reactivate the host 36 Clear use flags in the patient database When the use flags have become ntaminated because of hardware problems use this function to clear all of the exams and show them as not in use 05 08 2001 91 Rational Imaging Installation Manual 3
147. onfigure riscn as a background process add the following statement to etc inittab r9 34 respawn su imaging c exec riscn c RIS_AE a PACS_AE rishost port server db radiology Then try adding exams or archiving them to see whether the SCN messages are being added to scnexam 05 08 2001 64 Rational Imaging Installation Manual select from scnexam After 60 seconds or so the messages should disappear from scnexam and be recognized by the RIS system If this is too quick you can turn off riscn change respawn to off in etc inittab then init Q Then when you add exams or delete them you will see the entries In version 6 1 0 Riscn can not disable any scanners that SCN messages are not needed or not wanted at the RIS system This may include exams from another facility or remote scanner To disable this scanner simply add the scanner host key into the disable_scn table using the following SQL command in dbaccess Insert into disable_scn select host_key from host where alias ScannerAlias Use the correct ScannerAlias which is already in the database This is the scanner name which appears in the patient list under the Scanner heading If the host is disabled all exams coming from this scanner will not generate SCN messages of any type l RIDELIVER MANUAL RECONCILIATION If the reports are not getting assigned to the exam and Riview can not see them then there is probabl
148. or to the INSTALL script After installing the ISTfilm package perform the following operations cd opt ISTri film INSTALL install drivers reboot r cd opt ISTri film mv camcap camcap old addcam to add a new laser camera In s opt ISTri film camcap opt ISTri bin camcap In s opt ISTri film filmer opt ISTri bin filmer After creating the camcap file edit it and set the following parameters Edit opt ISTri film camcap DefFormat 1 on 1 MaxHSize 6000 MaxVSize 6000 C CONFIGURATION Log in to the database server and use risetup to add a new printer called XRayFilm or Kodak cd home ist admin risetup add a new printer name Kodak this name must match the camcap file width 1400 height 1700 resolution 150 directory net cemax_host img film Save this configuration and RIview will then print film images to the selected directory There will be 2 files in the directory for each print page 1 Rlimag is the image file 2 RIfilm is the job control file Once RIview prints these images you can test filmer by typing opt ISTri bin filmer c opt ISTri bin camcap img film RIfilm If filmer runs without error then rifilm will operate correctly RIfilm is started automatically by load_riconnect when the licenses are added to the database server Since check_ri_daemons calls load_riconnect and runs as a cronjob rifilm will be loaded automatically when the system i
149. or a group of images Rational Imaging is usually configured with one database giving everyone access to the images within However the capability exists to create separate databases and limit the access to these databases to certain individuals This may be necessary where multiple facilities or departments are involved Name The name of the database as it was created on disk during installation If the physical directory is radiology dbs then the database name is radiology Directory The host and directory that the database is located in This should be entered in the following format hostname db_dir Restricted Whether the database is restricted If not restricted 0 then any user created in the users table will have access to that database If it is restricted 1 then an entry in the databases table must exist for each user that is allowed access User If restricted the user name or key from the users table who is allowed access The database entry must be created multiple times on restricted databases for each of the authorized users 05 08 2001 10 Rational Imaging Installation Manual 8 Users The user information is gathered and entered into the etc passwd file for UNIX access and into the users system table for the Rational Imaging system A Rational Imaging user must also have UNIX access however the reverse is not true Username An individual unique username must be assigned to eac
150. osition and adjust Rldeliver config and the opt ISTri etc rideliverd_cfg config file 3 ZRQ Message Storage Commit sent by Canon Connector This message will be present in the img hl7msg directory until it is actually replied to This will be N seconds after the message was sent as specified in the opt ISTri etc rideliverd config file 05 08 2001 61 Rational Imaging Installation Manual When it is successfully handled it will be deleted Check the canon connector to make sure that it received and processed the storage commit acknowledgement You can also check the rideliverd log logfile specified in the config file 4 EXM Message IDX request to display exam Check to make sure that an exam was launched appears as an Riview icon at the bottom of the screen on the specified workstation The command used to launch riview may have permission problems or maybe the unix user is not available on the remote workstation Test the current workstation server if the exam is not displayed You can test the command permission by executing the command manually replace server with the real server exam_key with the exam s database exam and radiology with the name of the database rsh username hostname riview server db rilogin exam_key 1 0 server db radiology amp Correct any permission problems If these messages were sent deliverd and produced the expected results then you will not need to review the
151. ou to keep This is a new script which will be put on upgraded systems in the future It was used during the upgrade to version 3 2 0 however I will probably rename the script chk_exmlist List the exam info for a bad exam Number 2 was bad at Sinai for example dbaccess radiology select from exam exam_key 2 pat_key 2 patient EXISTS exam_no 99999 n_series iL desc_key iL exm_desc EXISTS exam_date 08 05 1985 hosp_key 2H hospital EXISTS host_key F host EXISTS dir_key L imagedir 05 08 2001 105 Rational Imaging Installation Manual use_host Sal host EXISTS use_user 4 users EXISTS use_program 10 modality 1 archive_uk 0 print_uk 0 users 0 OK dictate_uk 0 users 0 OK review_uk 0 users 0 OK lock_uk 2 users EXISTS prepare_uk 3 users EXISTS transfer 0 refer_key 1 referring EXISTS history CAMERA exam_time 10 15 05 import_date 07 10 1997 import_time 17 51 17 age 24 age_mod lockdate 01 01 1900 10 Then look for links that do not exist by listing the other associated tables I have put the table in paren which the key points to select from users 1 riconnec riconnect 2 imaging Imaging 3 simms Ed Simms 4 amador Rich Amador 5 telerad tele select from imagedir dir_key 4 host_key 31 dirname net aopdemol img alias aopdemol 1 dir_ke
152. pe function and copy_db procedures may also fail and the redundant database will be compromised l CONFIGURATION The riupgrade script will automate most of the configuration required Check the README file to make sure that the configuration has been applied successfully or whether there is additional configuration required It is always wise to check the configurable files and make sure that they have not been altered The following list of files should be checked to make sure that the variables are set correctly database and server name vary from facility to facility etc inittab opt ISTri bin ridundant opt ISTri bin backup_radiology opt ISTri bin backup_otherdb if any other patient databases exist opt ISTri bin expire_locks opt ISTri bin reset_modems J TESTING If any errors occurred during the upgrade procedure report them immediately Partial upgrades may affect the integrity and operation of the imaging system After successfully upgrading the system Run all of the applications to ensure that they perform properly Especially test the ridundant script on the server to make sure that the redundant copy of the database is being updated correctly cd opt ISTri bin ridundant Watch for any errors from this script and make sure that the backup database on the redundant server is copied correctly Check to make sure that the disk space for the database partition under db is sufficient Notify the facil
153. plate directories tar cpf img config tar defaults templates This command will archive all the files in the img defaults and img templates directories into a file called img config tar G INSTALL NEW VERSION Use this section of the manual in addition to the README file associated with each version The README file will give last minute details which may require user intervention and post install configuration procedures Rational Imaging versions starting with 3 2 have automated scripts which apply most of the upgrades This section will describe this automated procedure The manual procedure prior to this version is described in detail in the README file associated with each version upgrades ver_x x x README These upgrades pertain to Solaris systems only SunOS systems should be upgraded to Solaris prior to upgrading the Rational Imaging software in the facility If this can not be done and the upgrade is required then use the README instructions to upgrade the system with the SunOS binaries Use the following instructions to upgrade the Rational Imaging packages from the installation disk Log in as root superuser usr openwin bin openwin noauth cd upgrades ver_x x x patch 05 08 2001 27 Rational Imaging Installation Manual riupgrade The riupgrade script will detect whether the system is a Main or a Satellite workstation and apply the appropriate upgrades For manual installations remember to use t
154. print tmp for space a Login to server and add printer to database using risetup 8 Script to add a Canon printer V bin sh Little script to setup printers for solaris 2 5 1 and 2 6 echo Printer host name c read PRTHOST echo Printer queue name xjprint print_700 800 c read QUEUE echo Printer name in unix c read PRINTER lpsystem t bsd PRTHOST lpadmin p PRINTER s SPRTHOSTISQUEUE lpadmin p PRINTER I any 05 08 2001 127 FACILITY m DOD SSS A Rational Imaging Installation Manual DATE INSTALLED BY SEEMOR REFERRING WORKSTATION PRINTER S Hostname Printer alias name shown in Menus IP address Add Seemor Workstation IP address to the etc hosts file on ALL systems Ping the workstation to make sure that the system sees it on the network Add WarFTP to the SeeMor workstation Configure to allow a user imaging access to the c seemor images and c seemor print directories Make sure that imaging has a password assigned or ftp will not work Test the ftp client by ftping from a Sun into the workstation cd to c seemor print and depositing test files If there are any permission errors reconfigure the WarFTP correctly Add the workstation host in risetup as type 6 Referring SeeMor host Add printer to the database using risetup on the server as follows Name any name no spaces allowed Alias name to appear in Menus no spaces allowed Type 3 SeeMor B W print
155. ra to display the test pattern e Select the Window Level mouse mode on the toolbar e Double click over the image to set the intensity to L1024 W101 e Click on the View mouse mode and check the intensity ranges in the image With RIview displaying the image through these window level settings all of the digital intensities in the image should be visualized A good test of this is the 5 square patterns in the 0 intensity and 100 intensity squares You should be able to see these 5 regions on ALL monitors The range of intensities and the visualized contrast between each 10 step should be similar in the white and black regions You may want to create a copy of this window and move it to the other monitors so that you can check the calibration of all the monitors on the workstation If the 5 pattern in the black region can not be visualized under typical lighting conditions used for primary interpretation with dimmed lights then the minimum intensity is set too low Go back into risetup and edit the monitors that can not display both the white and black 5 contrast patterns Increase the minimum intensity until both can be visualized D DOME MONITOR CALIBRATION The following 2 sections have been added thanks to Bill Harris from Canon Check to see if the SMPTE or CAMERA images is listed in the patient list of Riview If it is not drag it from the Cdrom under images to the drag n drop rectangle of Riport This will load it into
156. rage commit Leave enough time to make sure that riupdate has processed the images 600 is recommended 05 08 2001 59 NoFileSleep PrefetchExamLimit Rational Imaging Installation Manual Enter the time to wait if there are no files in the directory to process This is usually set to 60 seconds However if IDX wants faster response time to Exam Display messages this may be set to 5 seconds Enter the total number of exams starting with the most recent to retrieve when a prefetch message is sent PrefetchExamA geLimit Enter the number of months to go back from the current date DefaultModality Field for retrieving exams If this is set to 24 then only the last 2 years worth of exams will be retrieved If this parameter is not set then 7 years is assumed 84 Enter the modality to enter in the worklist table if the modality is not specified in the message Usually 34 RG is used This will then fill the modality for Riscanc with RG Each field statement determines the mapping of each parameter in the HL7 message Each RIS vendor may have different configuration parameters The following organization is specified after the Field parameter FieldName name of the parameter syntax must not be changed SegmentName name of the HL7 segment OBX OBR PID FieldPosition position in the segment begins with 0 1 2 where 0 is the segment name such as ORC SubFieldPosition If the field
157. rchive retrieve purposes to a Rational Imaging workstation 05 08 2001 89 Rational Imaging Installation Manual 10 Add archive tape set to patient database Initialize a new archive tape set in a selected patient database This will allow the storage of exams on specific tape sets for research or personal needs 11 List users in rilogin and the selected patient database List the configuration parameters for each user in the login database and the selected patient database 12 List database access in rilogin List the available databases and the restricted access parameters 13 List hosts in patient database List all available hosts and the configuration parameters in the selected database 14 List image directories in patient database List all of the image partitions configured for the Rational Imaging workstations 15 List printers in selected patient database List the available Canon PaperFilm printers 16 List tape drives in patient database List the tape drives which will be available for archival retrieval by RIstore 17 List archive tape sets in patient database List all the tape sets available to RIstore which have been created in the selected patient database 18 Edit users in rilogin Modify the configuration parameters for a selected user in the login database 19 Edit user in patient database Modify the parameters for a user in the selected patient database 20 Edit database access in rilogin Change
158. rectories are currently exported to this workstation then it may take some time to be recognized Is net newdiskhostimg2 05 08 2001 55 Rational Imaging Installation Manual XVI Aspect DICOM Interpreter Installation Aspect Electronics manufacturers a DICOM Print Class SCP black box which will receive DICOM print pages and print them to older non DICOM laser cameras Kodak 3M etc Check with Aspect for a list of supported cameras This section is added to help install the Aspect interpreter If problems occur please consult the Aspect installation manual A UPGRADING The interpreter must be at version 3 05 or greater If it is not please contact Aspect Electronics to have them email the latest revision to you You will receive an Interp zip file which you simply put on the configuration floppy in the root directory before configuration We have added Version 3 05 Interp zip to the Aspect directory on the IST Installation CDROM B KODAK CONFIG PARAMETERS The Kodak laser camera requires a dedicated digital interface on their laser printer to provide the connection with the interpreter The aspect installation floppy must be edited to prepare for certain printers The following parameters may be used to setup for a Kodak laser camera AE_ Title Laser Max rows 4800 Max columns 4096 Top margin 10 Digital_parity even even odd none Control KCL M952 P831 SPCI KCL Baud rate 9600 1200 2400 9600 Parity_bit none
159. rectory on the new server mkdir opt informix chown informix opt informix chgrp imaging opt informix Install SQL SE INET informix applications from CD into opt informix 10 License SQL cd opt informix installesq 05 08 2001 95 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Rational Imaging Installation Manual License SE cd opt informix installse License INET cd opt informix installnet Copy the databases to the new server cd db tar xpf net oldservername img dbBackup tar If a different version of Informix was loaded on the server you will need to perform the following commands Delete the radiology old once the database has been tested Perform these steps as imaging cd db mkdir img db dbexport o img db db radiology mv radiology dbs radiology old dbimport i img db radiology dbaccess radiology lt lt EOF update statistics EOF Modify each user s cshre file to point RILOGDB to the correct server Modify each user s select_db to specify correct servers Perform the last 2 steps on ALL workstations for ALL users Copy etc init d ri install on old server to the new server Comment out the line which loads sqlexecd in ri install on the OLD server Make sure that you comment the if and fi statements also if f opt informix lib sqlexecd then opt informix lib sqlexecd amp Hi Modify r
160. red in the etc hosts file of each workstation 2 Image Directories The Rational Imaging system uses a distributed architecture for storing images This allows you to add additional disk drives to any of the RI workstations and then add the new configuration parameters into the system table image_dir NFS links are used to transparently access the images no matter where they are located The following information is therefore required to configure these directories Physical directory The physical location on a selected workstation which you have created to store the images Do not use the database or UNIX operating system partitions as image directories or you may crash the database or UNIX if you run out of disk space while importing images 05 08 2001 Rational Imaging Installation Manual Host Linked Directory The directory structure defined on each workstation to allow you to NES link these directories By convention the workstation hostname follows net to allow network automounting eg net hostname img_partition database exam This will allow the images to be accessed from any workstation In a single database environment or where separate partitions are used for each databases images the database element of the path can be ignored Alias The alias for the image directory This is a brief name by which you will refer to the directory We recommend a brief acronym for the hostname and maybe a disk number if mul
161. rt 1 users 11 version 26 version 87 Vidar installation 39 Video Cards Raptor 43 worksheet 6 worksheets Blast 144 Canon Film Digitizer 142 Canon printers 127 CEMAX card 130 Change Hostname 149 DICOM Printer 132 145 Rational Imaging Installation Manual DICOM scanners 135 Gateway workstation 138 GE 4x Signa MR scanners 134 GE scanners 133 Greyscale Monitors 125 INFORMIX UPGRADE 152 Interfile Scanners 136 Jukebox 140 Low Bandwidth printer 129 Lunar MR scanners 137 main server 113 Modem 143 Move Database Server 147 multiple servers 117 new image partition 123 ridundant server 115 satellite workstation 119 SeeMor printer 128 staff workstation 121 Sun monitor 124 Tape Drives 139 Upgrade procedure 150 151 User Setup 146 Vidar film digitizer 141 VirtualRad Printer 131 Workstation main server 12 satellite 17 upgrade 26 05 08 2001
162. ry You can use DicomDump to make sure that the header is correct 4 Does riprintd correctly print the file Use the following syntax riprintd c ADVT p t RI_LPRINT v dicomhost 104 img print Dicomlmage This application is run in verbose mode so that the errors can be detected Try different calling c and called t AE_TITLES to see if the authentification is correct Try setting the filmsize and medium parameters and see if the dicom image will print them If it does then include the acceptable parameters in the riprintq_cfg file riprintd a 14INX17IN b BLUE FILM c ADVT p t RILPRINT v dicomhost 104 img print Dicomlmage G RESET QUEUE RIprintq has a commandline option to reset the queue change the n_retry of all items to 0 This will allow pages which had errors to be printed The commandline option is riprintq c opt ISTri etc riprintq_cfg r The maintenance menu under the OpenWindows main window has a new option to Reset the DICOM print queue also H DELETE PRINTPAGES IN THE QUEUE RIprintq has a commandline option to delete items in the queue It will delete the printpages destined for the configured printer in opt ISTri etc riprintq_cfg It will also remove the printpages from the img print directory The commandline option is 05 08 2001 74 Rational Imaging Installation Manual riprintq c opt ISTri etc riprintq_cfg d The maintenance menu under the OpenWindows mai
163. s and confirm the results 1 ORM Message Scheduled Event Check to make sure that there is an entry in the radiology worklist table Select from worklist Use RIscanc to see if the worklist item is available for Scheduled backfill Make sure that all elements are available Also check to see that an entry was added to the prefetch table Select from prefetch Ridistribute can be configured to retrieve these exams the night before the exam is scheduled to be acquired See the last section of this chapter to configure ridistribute for prefetch 2 ORU Message Report Event Check to make sure that there is a report available for the associated exam Load the exam in Riview and then click the Report button The report should be able to be viewed If the report is not associated with the exam not in the img exam_key reports directory then check the reportqueue manual reconciliation table in radiology Select from reportqueue If the report was sent here help up due to a mismatch use RIdeliver to list the report and match it to a correct exam You should be able to view the report in RIdeliver If you can not adjust the config setting for Report Segment 5 It should be 5 but some RIS vendors put the report in 4 MedFax If this still can not produce a viewable report then edit the actual message file and look in the OBX segment for the report It should be quite visible Determine the field p
164. s and templates Add user to UNIX admintool on ALL workstations You can use the following shell command to add users also This is convenient if you have multiple users and many workstations Create a shell script with a line for each user Then simply execute the shell script on each system as root Note Each user MUST have a unique uid so change 102 to a number NOT in the etc passwd file useradd c Imaging d home imaging g imaging u 102 s bin csh imaging If admintool or the shell script did not make the user s home directory create it now and change the owner to user and group to imaging Copy default home files login cshrc select_db to new user s directory from home imaging Make sure they maintain the users owner and group permissions Make sure that select_db and cshrc show correct database and redundant server Check ownership and permission on user s home directory and contents Log into main server and add user to patient and rilogin database risetup 05 08 2001 146 FACILITY Rational Imaging Installation Manual DATE INSTALLED BY DD MOVE DATABASE TO NEW SERVER BON ARR SSN Old Server Name New Server Name Workstations to update All RI workstations Users to update cshrc imaging Reason for change ON THE OLD SERVER Oooo O O O Notify the facility to stop using the system especially archiving Stop all RI and SQL processes on t
165. s licensed If it is not check rifilm manually to make sure that there are no errors reported rifilm img film Also check load_riconnect and make sure that the rifilm loading section is not commented out 05 08 2001 80 Rational Imaging Installation Manual D KODAK CONFIGURATION The following configurations were provided by Kodak for their Laser Camera If problems persist with these settings try using Odd parity as this has been found to work on some cameras 1 3 96 CEMAX tech support BASED ON ERROR MESSAGES PROBLEMS 1 Bill Atkinson from CEMAX provided this configuration email bill cemax com 800 898 5688 camera port parameters may be wrong control errors channel config using KCL config is Q host protocol type 1 command port ID 3 enable aux keypad NO page prealloc NO image data param line timer 5 i g t S X mage parity 1 EVEN 6 10 98 Amir found ODD parity works at lewood ransfer mode 1 PARTIAL ync mode 2 LP upgraded with NOT FIXED RESOLUTION VARIABLI command port config stop bit 1 parity 0 data length 8 9600 baud driver type 422 receive frame timeout 30 start timer 2 In Eal acq wait timer 180 start timeout counter 65535 acq wait timeout counter 3 max rejects counter 3 Call corporate office to get config for CEMAX modality right protocol RS422 449 RS232
166. s scenario however physicians must choose the correct database to access their exams In addition some users may not be given access to a particular database while others may have full access If the communications line is severed between the two hospitals they will continue to operate independently however the physicians at hospital A database A will not be able to access images from hospital B database B Hospital A Mercy Hospital B Saint Luke Database A Mercy Database B StLuke Server mercyserver Server stlukeserver Informix sqlexec sqlmercy port 1525 Informix sqlexec sqlstluke port 1526 host rri host stlukel imagedir net rrl img imagedir net stluke1 img Archives Primary Secondary Archives SL_Primary SL_Secondary In the above example physicians working on rrl can log into Mercy to look at Mercy s exams or they can log into StLuke and access Saint Luke s exams Similarly physicians 05 08 2001 23 Rational Imaging Installation Manual at Saint Lukes working on stlukel can log into StLuke to access their exams or log into Mercy to access Mercy s exams In addition RIlocate can be used to copy exams from one database to the other database The normal ethernet conventions requiring unique IP addresses and subnets must be adhered to in these Wide Area Networks The separate names for the archive sets Primary and SL_Primary are not required however if the facilities should decide to centralize t
167. sary to display b w range a Use risetup to add the monitor calibration parameters 42 05 08 2001 126 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY J CANON POSTSCRIPT PRINTER S Hostname Print Queue name eg xjprint specific to printer Note CLBP should use xjdirect if lt 32MB of Ram on printer 460 requires xjdirect print queue name Printername if different than hostname Printer alias name shown in Menus IP address Network cabling and power available Add printer IP address and hostname to the etc hosts file on ALL systems Configure printer press Menu when asked during powerup Hostname IP address TCP IP The hostname of this printer must be unique The hostname on the printer must equal the value in the etc hosts table and the hostname used in configuring the printer below Q Ping the printer to make sure that the system sees it on the network a Add printer to all_hosts using the following commands Replace the hostname and printername parameters with the actual hostname and printername from above Ipsystem t bsd hostname Ipadmin p printername s hostname xjprint replace the xjprint with print_700 800 if needed Ipadmin p printername T any I PS omit T any on Sol 2 5 1 accept printername enable printername SK DL KSSS a Test printer with lp d printername home imaging login a Make sure that var spool lp tmp has been redirected to img
168. scesseeeeeeeeeeeeeeeeneees 133 Q GEMR SCANNERS SIGNA 4X je aO G ETE EE TEA teats cath dra 134 R DICOM SCANNERS ci ia aa 135 S NUCLEAR MEDICINE SCANNERS INTERFILE FORMAT 0 cccccccccsssssscesecsscesscssecsseescsseesseeseeaes 136 T LUNAR MR SCANNERS ccccccccccsscsscesscesscesccsscesecesecsseesecssscsscesscesscsscessessecsscenscssecsscesscesecsssessceaecnsceseeaee 137 U GATEWAY WORKSTATION LOW BANDWIDTH ccccccccsscsscesscsecsscesscesecsscessessecsssescsseesssensesaes 138 V TAPE DRIVE STANDALONE PRIMARY ARCHIVE sssssssssessesscesesscesesesessecessessessesseesesscssessesesseseeceeeeeseeseseeseeees 139 W JUKEBOX SECONDARY ARCHIVE iaa 140 X VIDAR FILM CIA IN 141 Y CANON CFS300 FILM DIGITIZER cccccesccssccsscesscsescsecesscenscsscesscenscsscesscenscnscessceusesscesscenscsscesscensonees 142 Z MODEM ON WORKSTATION ranea e a AE EEE EEE EA E A E A E a aaa 143 AA BLAST REQUIRED TO SEND IMAGES TO PC SIMAC S cccccccsssssscsscesscesecsscesseesecsscesscssecscesscssscsssessessecnssensesaes 144 BB RIS CONNECTIVITY 00 c ccc ccccccccscssscsscescssecsccsscssecscesscssscscessessecsscensesaecsscesscesecssesseesscsssenssesecsssenseeues 145 CCE USER SETUP 02 5 23 03 02 A a estes ecole esis listed 146 DD MOVE DATABASE TO NEW SERVER ccccccsccseccsscenscseccsscenscsscesscensossccsscensossccsscensosscesscensonsccsscensonses 147 EE CHANGE HOSTNAME OF RATIONAL IMAGING WORKSTAT
169. security and accountability require the creation of user accounts which will prevent unauthorized access to both the workstation and the Rational Imaging system This will take some planning and our staff has been trained to guide you in this preliminary effort Once the system has been installed it will require minimal effort unless new users are required or an additional workstation or scanner is added The information described in this chapter will be configured during the installation Consult with our technical staff the service engineers of the various imaging equipment and your own systems administrator to coordinate the network addressing and user configuration The following worksheet has been prepared to demonstrate a typical configuration and help you understand the various components involved Actual worksheets will be made available during the installation for you to fill in the desired information 05 08 2001 Rational Imaging Installation Manual EXAMPLE INSTALLATION WORKSHEET SUN OR SCANNER HOST INFORMATION HOSTNAME ALIAS INTERNET TYPE cardiol Cardiology 194 3 55 18 SUN ctl_sj CTI SJ 194 3 55 20 GE Genesis 5x CT SUN IMAGE DIRECTORIES PHYSICAL DIR HOST LINKED DIR ALIAS HOST img net sunrise img Sunrise 1 sunrise img2 disk 2 net cardiol img2 Cardiol 2 cardiol UNIX ACCESS GROUPS ae imaging 100
170. sensonsensensessensenssnssnssnsonees 74 XX BLAST INSTALLATION ssissssssissssssssosssssssssosssosssoissossensssssosssosesosasessssootssssootesasscosesasosssasssosssesasssssssssoasssoasesssseees 76 A BEAST SE DUP 0 testes tutto dete tt E beset amp hotel SES ES A E Et be bee tt dao 76 B INSTALLING HA YPERTERMONTEE PC diia 77 C TESTING noei ii in ned Svea bea did ind iia tii 77 XXI LASERCAMERA FILM INSTALLATION esessescescesessescescescssescescesoscescescesesoescescesescescesoesessescescesessessese 79 A SUNOS ANSTA A Nati 79 B SOLARIS INSTALLATION se ieee este A Sea tae dai a ec tee ie ia aaa 79 C CONFIGURATION uun A ol se a a O 80 D KODAK CONFIGURATION shud ta hh nahn tatoo tte tada naaa na a 81 E BLESS N ON AA EE A 81 XXI OPERATORS MANUAL INSTALLATION ccccccsssssssssccsssssscssscscssscssscssssssscsccssscsescsscsssssscesssescssscnsees 83 A SUNOS NS TALLA TON ii ai id tato litros batea hacia c es 83 B SOLARIS INSTALLA AN aiii 83 C CONFIGURATION 2 A aa e ATENE 83 XXIII NETWORK ARCHITECTURE e sescescccescesccscscescesccscscescesesccscescesesocscesceseeocscescesescescescesessescescesessescescesessessese 84 A CLIENT SERVERRELA TON a a A a in 84 B CENTRATIZED DATABASE nania diia cu bo sates a a iii iia 84 C DISTRIBUTED IMAGE DIRECTORIES AAA A oa E 84 D NETWORK DEPENDENCY AND RA AA aE EE E EE eeter 85 XXIV ADMINISTRATIVE TASKS icscssssscssasssesessscsesevesecesesesesesssutesiessteiasesesebestesnsesesesatesetese
171. shooting section ps ef grep rilink C RIDELIVERD CONFIGURATION Configure the rideliverd config file There are several default files for each RIS vendor in the opt ISTri etc Copy the closest one to a new config file as follows IDX assumed cd opt ISTri etc cp rideliverd_idx_cfg rideliverd_cfg Modify the opt ISTri etc rideliverd_cfg file to suit the facility s needs The following parameters are available Correct Y Specifies that the demographics should be corrected to match the RIS information If N the the demographics on the PACS will not be altered by Rideliverd DBalias Specify the database alias found in the rilogin databases table Outfile Specify the name of the logfile RISDir Specify the name of the temporary hl7msg_ directory net host img hl7msg Make sure that you specify the NFS format so that RIdeliver can be run from ANY host to reconcile the messages Verbose Specify a number between 0 and 9 0 is the least verbose and 9 the most The messages will be put to the Outfile Errors will also be generated in the syslog WriteHdr Y For reports include the HL7 message demographics in the header of the report If the report already has a demographic header you may set this to N HostOut Enter the hostname of the host to send Storage Commit messages to PortOut Enter the port number to send the storage commit messages to StorCmtDelay Enter the number of seconds to delay before sending the sto
172. t f dev nrcht0 off The proper operation of these commands is imperative if the Rational Imaging archiving applications are to function properly C CONFIGURATION Use risetup to have the new tape drive recognized by the Rational Imaging system Log into the database server change to the opt ISTri admin directory and run risetup Then use the option to add a new tape drive Use the defaults whenever you have a question about the parameters cd opt ISTri admin_ risetup add new tape drive The tape space parameter is the maximum Mbytes on a single tape Use the following table for the correct parameter for DDS2 tape drives Model 1533A Length Compressed MBytes 60m 2600 05 08 2001 31 Rational Imaging Installation Manual 90m 3000 120m 6000 125m 18000 The archive applications will automatically detect the end of media so entering too large a value will not affect the reliability it will only make the tape space gauge inaccurate Entering too small a number will cause the archiving mechanism to stop prior to the end of the tape and thus some tape capacity will be wasted 05 08 2001 32 Rational Imaging Installation Manual IX Jukebox Installation Follow these instructions to install a jukebox on a Rational Imaging workstation running SunOS Make sure that you have the license information for the jukebox drivers prior to installing these drivers Install and configure the tape drives and jukebox param
173. t since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTman from the list of packages on the tape as follows pkgadd d dev rmt OnW select the number for ISTman_ C CONFIGURATION The manuals may be displayed by double clicking on them from the file manager 05 08 2001 83 Rational Imaging Installation Manual XXill Network Architecture A CLIENT SERVER RELATIONSHIPS The Rational Imaging PACS system maintains an enhanced form of client server relationships Since the login database is used to control access to the various patient databases this database could be considered a SERVER in the natural sense since each of the workstations depends upon it for information However in the Rational Imaging environment there may be many servers Each workstation that maintains a patient database can be considered a server Normally there will be one patient database for an outpatient radiology practice However it may be advantageous to have several patient databases one for each of the departments or facilities involved in a Wide Area Network architecture Since there are advantages and disadvantages to both approaches consult with our technical representatives during the planning stages of the Rational Imaging installation to determine which scenario would best suit your facility B CENTRALIZED DATABASE The login database and each of t
174. t ISTri install install_modem Set the line speed of the modem using tip tip 38400 dev cua a quit with Setup modem parameters using tip see modem setup for setup string Or use new application opt ISTri bin risetmodem If for teleradiography add user telerad on ALL workstations with same UID Set password on telerad account Try telnetting to telerad on this workstation should be able to login Try connecting from a remote workstation to this computer imaging or telerad Download some images to make sure that the modem flow control is functioning 05 08 2001 143 Rational Imaging Installation Manual FACILITY DATE INSTALLED BY AA BLAST REQUIRED TO SEND IMAGES TO PC s MAC s Hostname of workstation to use to send images Blast license Modem currently installed and functioning Run script install_blast Configure each user s cshrc file in their home directory add BLAST vars Use risetup to add a modem Configure RIcall to add the phone numbers of the remote modems Make sure riqueued running on host modem queue application load_riconnect Install Hyperterm on the remote PC and configure it for Zmodem and receive dir Load hypterterm and type AT to get it connected to the MODEM Try sending some images from RIcall on the Sun to Hyperterm on the PC DODODODO xxx 05 08 2001 144 FACILITY Rational Imaging Installation Manual DATE
175. tep is to create a ridistribute configuration file for prefetch on the server opt ISTri etc rid_prefetch This should already be present any only require customization The elements of this file are as follows include net server img ridistribute_defaults LockFile opt ISTri etc rid_prefetch Ick SelDest All Process Prefetch 05 08 2001 63 Rational Imaging Installation Manual The SelDest command may be altered to specify only certain hosts such as All Diag or All BitBucket The include statement must point to the ridistribute_defaults for the system disk configuration Once this config file is created simply add a entry to imaging s crontab to run ridistribute and prefetch the exams based on the specified criteria by Total Number or by most current in months Ridistribute will add the exams to the jukequeue table which are scheduled for the next day You can run ridistribute manually ridistribute c rid_prefetch and then run Ribox to see if any exams have been added to the queue To edit the crontab entry for imaging login as imaging and edit the crontab using vi with the following statements remember to use vi editing syntax Setenv EDITOR vi Crontab e The entry in the crontab for prefetch is 0 23 exec csh c opt ISTri bin ridistribute c opt ISTri etc rid_prefetch This will activate the prefetch process at 11 00pm 23 00 the night before The query used to acti
176. the database access and restrict or unrestrict a selected database 21 Edit host in patient database Modify the host information in the selected patient database 22 Edit image directory in patient database Change the name or alias of an image directory configured for the Rational Imaging workstations 23 Edit printer in patient database Modify the printer information in the selected database 24 Edit tape drive in patient database Change the parameters of the tape drives configured for archival retrieval 05 08 2001 90 Rational Imaging Installation Manual 25 Edit archive tape set in patient database Modify the parameters of selected tape set in a patient database 26 Delete user in rilogin Delete a user from rilogin This will restrict the use of the Rational Imaging system for former employees DO NOT delete a user from the patient database since many operational workflow flags have been linked to their user accounts You can remove the user accounts from the UNIX workstations however 27 Delete database access in login database Delete access to a particular database for all or individual users 28 Delete host in patient database Delete a non functional host from the patient database MAKE SURE that there are no exams on the host before it is deleted 29 Delete image directory in selected patient database Remove an image directory from a specified host MAKE SURE that there are not exams on the image partiti
177. the earlier chapters to reformat the disk and load the UNIX operating system How you partition the drive will depend upon whether this will be the database server or another client workstation 3 Retrieve System Backup Use the system backup performed prior to the disk crash to restore the system parameters and user directories The following commands may be used to extract information from the multiple dump files stored on your system archive tape This procedure should be performed by our professional installation staff so as not to contaminate the new operating system with corrupt or inappropriate files Insert the most recent system archive tape into the tape drive attached to the system If there is not tape drive attached relocate one from another workstation for the purposes of this procedure setenv TAPE dev nrcht0 set the tape device for all subseqent commands Make sure to use the non rewinding device otherwise the tape drive will not treat the multiple tape files as separate partition files mt rew Rewind the system tape to the beginning of the tape 05 08 2001 108 Rational Imaging Installation Manual mt fsf n Skip n number of partition files till you get to the one you desire restore I Enter the restore command in interactive mode you will be able to select the directories and individual files you want to restore in this program Consult with the Administrator s guide for more information regarding this program
178. the resolution of database problems Each database problem is slightly different however and this should only be used as an example diagnose this problem I proceeded as follows run bcheck on the databases and look for errors cd db radiology dbs bcheck cd db rilogin dbs bcheck check database permissions ls 1 db radiology dbs db rilogin dbs more chmod R atrw db radiology dbs db rilogin dbs check databases and users links to databases in rilogin current_db should point to an active database dbaccess rilogin select from databases select from users Check partition space especially img and root df ak Check print jobs and scanned images and remove ls img scan ls img print tmp printername Check the database integrity All images are linked to series all series are linked to exams all exams are linked to patients cd opt ISTri diag check_db_integrity Since the symptoms were in loading exams I suspected that the examlist may have been incorrect So I deleted the examlist and tried to rebuild PEs dbaccess radiology delete from examlist NOT FROM exam execute procedure all_exmlst 0 REBUILD EXAMLIST ERRORS occurred Can not insert NULL into examtext This suggests that one of the exam links to other tables is bad Run a script to identify some bad exams cd opt ISTri diag check_upgrade if this is not here then this script is a tool on the jaz disk I have included a copy for y
179. the system Or you can use Riport to get the CAMERA exam from a GE scanner Set all of the monitors to their factory defaults On the Sun monitors use the reset button On the portrait monitors you will need to adjust them to 60foot lamberts Open the File Manager on the portrait monitor and Drag the DOMEcalib file from the DOME directory to the opt directory on the Sun Attach the Suction cup to the dome video card Click on the DOME calib application and place the suction cup in the center of the 05 08 2001 46 Rational Imaging Installation Manual white box on the screen and click OK Next choose the White Level Test Here is where you need to set the white level to 60 foot lamberts You will need to adjust the contrast and brightness to achive the correct value Once you reach the correct value check the black level It should be 0 23 foot lamberts Click on the next button and the calibration procedure will check the range of intensities and calibrate the video card for this particular monitor Do this for all greyscale monitors E ALL MONITOR CALIBRATION Open up a command tool and type ricalibrate Expand the window to cover the screen and use the right mouse button to select White Line Pattern This will test the electron gun alignment You should see sharp clear lines with no color at the edges Use the RGB alignment buttons to optimize the sharpness You should not see any red or blue tint at the edges of the lines
180. the tape appropriately turn on the write protect feature and store in a safe place 05 08 2001 94 A Rational Imaging Installation Manual XXV Change Server Host SUMMARY If the server was installed as a system that becomes used heavily it may be necessary to move the server host to another machine that is less active Try to choose a system that is not used for image review or at least only light review so that memory limitations do not cause problems Also try not choose a system which is serving images as the disk access for the database will be restricted Optimally a dedicated server is best to improve memory and disk access for the database Remember the database tries to retain its indexes in RAM so if other applications are constantly moving the database info into swap space then the efficiency of the server will be cut dramatically B 1 2 3 4 5 6 7 8 9 PROCEDURE Schedule at least 1 hour to perform the conversion Make sure that no images are being transferred to the workstations Kill all ri and sql processes on the server su Jopt ISTri bin slay ri Jopt ISTri bin slay sql Backup the radiology and rilogin databases cd db tar cpf img dbBackup tar dbs Rename the radiology database mv radiology dbs radiology old mv rilogin dbs rilogin old Log in to the new server Rename the new server s informix directory cd opt mv informix infold Make a new informix di
181. the upgrade However if the database architecture is being upgraded during the specific upgrade then ALL the workstations must be upgraded and the entire system will be down until the work is complete C BACKUP DATABASE FILES Use the following instructions to backup the database files Log in as root superuser cd db tar cpf img db tar dbs This command will archive all the database tables into a file called img db tar D BACKUP APPLICATIONS Use the following instructions to backup the Rational Imaging application files Log in as root superuser cd opt J tar cpf img ist tar ISTri This command will archive all the applications into a file called img ist tar 05 08 2001 26 Rational Imaging Installation Manual E BACKUP SYSTEM FILES If you are upgrading from SunOS to Solaris then you should backup the system files under etc Otherwise skip this section Log in as root superuser cd tar cpf img system tar etc This command will archive most of the OS system files into an archive called img system tar F BACKUP USER TEMPLATES AND DEFAULTS It is also usually a good idea to backup all of the user configurations and templates Use the following instructions backup the Rational Imaging template files Log in as imaging cd opt ISTri admin_ risetup 11 List users in rilogin and radiology locate the template default directories Log in as root superuser cd Amg the root of the tem
182. tion Now select an exam MR or CT preferably select the efilm destination and click on transmit images Ridicom should process the images send them and then report Transfer Complete on the status bar You can now click on Efilm on the desktop of your PC and then click on the button to select the exam It should be listed under the Local Exams tab G EFILM CONFIGURE QUERY RETRIEVE You can now proceed to testing the Query Retrieve capabilities The first thing to do is to setup a Query Retrieve server inside of Efilm The following image shows the parameters required to setup this server It requires a description which will appear on the Patient Select window and the detailed parameters of the query retrieve server RIqueryd should be configured on the Sun workstation usually the database server to allow these queries as described previously RIqueryd requires 2 lines in its config file to allow the query retrieve to work for the host The first line is to allow the efilm host to get a list of patients and identify the Query Retrieve AE_TITLE CANON_QR The second line tells RIqueryd where to send the patient list and the images This was set up previously as the storage class SCP EFILM_SCP The following line 05 08 2001 69 Rational Imaging Installation Manual should be in the opt ISTri etc riqueryd_cfg file to allow this host to get a patient list and r
183. tiple image directories are attached to a particular system Hostname The hostname of the workstation that is physically linked to the disk 3 Unix Access Groups Unix assigns group names and unique group IDs to individual s who share a similar function For example since all of the users of the Rational Imaging system have one function in common imaging they will be assigned to this group Therefore first the group must be created in the etc group file and then each user must be configured as a member of this group in the etc passwd file The main purpose of the UNIX group is to give consistent security and file access to a group of users As a member of the imaging group you will be given read and write permission to access any of the files created within the Rational Imaging system images exam demographics etc Group name The name of the group defined in the etc group file Group ID The unique number assigned to this group 4 Network Printers The Canon printer is a network device much like the RZ workstations It must follow the rules for configuring network workstations as described above Hostname The hostname should be defined as a unique name consisting of as few characters as reasonable possible to describe the workstation Alias The alias will be used to refer to the workstation within the RI system Internet address The internet address is the unique network address for the printer Queue Directory T
184. tly decreased You may also purchase a third T1 line between B and C however the cost of doing so for insurance purposes may be prohibitive compared to ISDN 05 08 2001 86 Rational Imaging Installation Manual XXIV Administrative Tasks A SYSTEM DIAGNOSTICS To list the current Rational Imaging version applied to the workstation enter the following command more opt ISTri bin riVERSION We have included a diagnostic utility to print the current machine status to the Paper Film Imager Please run this program and include its output with your letter To operate the program enter the following command at the UNIX console opt ISTri bin richeck RIcheck reports the following system parameters e current date e username e hostname e hostid e RI programs and version numbers e disk partitions and usage e memory diagnostics e environment variables An example output file is shown below richeck dat Rational Imaging Diagnostic Utility v1 1 Fri May 20 14 35 23 PDT 1994 imaging console May 19 06 13 tech ttya May 20 14 35 Hostname RI_host Host ID 12345abc PROGRAM VERSIONS rimove Version 3 23e riport Version 3 9E ristore Version 2 26W riview Version 1 98U ridesign Version 1 0P rilogin Version 1 0L riconnect Version 1 0H DISK DIAGNOSTICS Filesystem kbytes used avail capacity Mounted on dev sd3a 10911 4135 5685 42 dev sd3g
185. to come across the network to your workstation This would not only tie up the network it would also overwhelm the database server resulting in very poor performance An alternative to this approach is to locate the images in the 05 08 2001 84 Rational Imaging Installation Manual facility where they were acquired or where the images will eventually be read Therefore the images only need to traverse the network twice once during import into the PACS system onto the RI workstation and once during archiving and auto removal usually during the night to minimize daytime network traffic This distributed approach to image storage is efficient and versatile since anyone can access the images no matter what workstation they are at If a second opinion is required a physician at the other facility could simply select the patient and the images would be retrieved across the network for their review The physician will only notice a slight delay since the images are coming across the network and not from their local disk drive These simplistic database techniques provide intuitive access to any exams within the imaging system while maintaining performance of the mission critical components of the network D NETWORK DEPENDENCY AND RELIABILITY Due to the centralized and distributed components of the PACS system there is a high dependence on network and workstation reliability If the network were to go down between a remote workstation a
186. to identify them and ListDupIndexes to verify their existence CreateIndexes db radold cd db radold dbs bcheck If the Createlndexes reports errors then use check_integrity to remove any unlinked exams opt ISTri bin check_integrity db radold fix DropIndexes db radold CreateIndexes db radold If problems persist it may be necessary to export and re import the database to flush out any problems cd db mkdir img db dbexport o img db radold mv radold dbs radold old dbimport i img db radold dbaccess radold lt lt EOF update statistics EOF If this resolves the problems then remove the radold old directory and its contents cd db rm rf db radold old rm rf img db exp If the Createlndexes reports NO errors and bcheck runs clean then rename the database to radiology and reboot the system DO NOT rename the database until the indexes have been applied or riupdate may try to load images and will add more non unique keys cd db mv radold dbs radiology dbs chown R imaging dbs 05 08 2001 102 Rational Imaging Installation Manual chgrp R imaging dbs chmod R a rw dbs chmod a rwx dbs reboot E MISSING DATA POINTERS In the event that some of the data rows have become corrupted it may be necessary to rebuild the database from the redundant copy However 1f only a few rows are affecting the indexes then these can be removed successfully and the database regenerat
187. to log in as telerad and make sure that Rlaccess is activated appropriately If there are no patients or database errors then make sure the cshrc has the appropriate references to the database server D CONFIGURATION Add a additional users as necessary to access the database remotely The on call accounts should be configured similarly to the telerad account 05 08 2001 42 A Rational Imaging Installation Manual XII Raptor Video Card Installation SUMMARY This section has been added to supplement the installation instructions provided by Raptor This video card offers a better solution for graphics display on Ultra 5 workstations with 1 monitor It removes the hidden line erase artifacts that are present on the Sun m64 chip It does have problems with 2 monitors however as the cursor appears on both monitors So only use this card on single head units B INSTALLATION Use the following instructions to install and configure the raptor video card in an Ultra 5 1 2 A LON RS Power down the computer and insert the raptor card Reboot with r to reconfigure the drivers Insert the raptor CD change to cdrom cdrom0 and run the script install_all as root Halt the computer At the OK prompt enter setenv pcib probe list 1 3 At the OK prompt enter reset While the system reboots change the monitor cable to the raptor card video out Run OpenWindows In a commandtool enter
188. to the new redundant host Modify opt ISTri bin backup_radiology to point to the new redundant host Add the ridundant expire_locks and other SERVER cronjobs that were in the prior server to the new server setenv EDITOR vi crontab e imaging These should run as imaging not root Use risetup to edit the new database location newserver db This is option 20 Rename the database cd db mv radiology old radiology dbs Reboot the new server ON ALL WORKSTATIONS a Modify the RILOGDB environment variable in each user s cshrc file Point this variable at the new database server 05 08 2001 147 Rational Imaging Installation Manual Q Copy ridundant and backup_radiology from opt ISTri bin on the new server to ALL hosts rep opt ISTri bin ridundant rihost opt ISTri bin Q Reboot each workstation including the old server as it is now just a workstation 05 08 2001 148 FACILITY Rational Imaging Installation Manual DATE INSTALLED BY EE CHANGE HOSTNAME OF RATIONAL IMAGING WORKSTATION BRON Oooo Old Hostname New Hostname Workstations to update All RI hosts Reason for change Change the hostname in etc hosts on ALL workstations etc hostname hme0 or etc hostname leO 100 to 10baseT etc auto_home Execute hostname newhostname as root Update licenses by logging into the database server and using dbaccess on the rilogin d
189. tructions will test whether you can obtain the status of the tape drive rewind the tape drive and read and write information to the tape drive If your drive was installed in the secondary tape position then use dev nrcht1 in place of dev nrcht0 for all the commands below 05 08 2001 30 Rational Imaging Installation Manual 1 Tape status Turn the tape drive ON insert a blank tape into the tape drive and enter the following command at the UNIX prompt mt f dev nrcht0 stat The tape drive should respond with status information and should not report any errors Ze Rewind the tape Enter the following command at the UNIX prompt mt f dev nrcht0 rew The tape drive should not report any errors You can obtain the status of the tape again and the file no should be set to 0 3 Write some information to the tape To test the read write capabilities of the drive make sure that the write protect tab on the tape is in the OFF position and enter the following UNIX commands tar cvf dev nrcht0 etc hosts The tape drive should respond by archiving the hosts file and displaying the filename when it has archived it Rewind the tape and list the tapes directory by using the following command to ensure that the write process was successful mt f dev nrcht0 rew tar tvf dev nrcht0 4 Eject the tape To eject the tape you can either press the button on the front of the tape drive or enter the following UNIX commands m
190. use and storage procedures of the paper used for diagnostic hardcopy Preliminary research has demonstrated that poor quality paper or over exposure to humidity may produce visible artifacts and non uniformity 4 Tape Drive HP DDS2 or Sony DDS3 DAT archive tape drive Dual tape drives are highly recommended to minimize the likelihood of data loss due to dirty heads or tape malfunction Follow the protocols developed for dual tape set archival specified in the User s Manual The DDS2 capacity is 4GB Native on 120m tapes The DDS3 capacity is 12GB native on 125m tapes Both drives achieve approx 1 5 compression on medical images Use only high quality verified data cartridges for your primary archives which have been recommended by the tape drive manufacturer Since these archive tapes are a minimal expense approx 5 cents per patient it is not worth it to take chances with low quality tapes B SOFTWARE ENVIRONMENT 1 UNIX Operating System SunOS 4 1 3 or 4 1 4 UNIX operating system Solaris 1 x Solaris 2 versions now available Solaris 2 5 recommended 2 Open Windows Graphical Interface Open Windows Version 3 0 3 1 The graphical workspace provided by SUN has been optimized during installation to provide the highest quality diagnostic environment It can be changed to suit a particular user s preference using the functions described in Sun s Deskset applications manual 3 Informix Database Software This commercial dat
191. vate the items in the prefetch table is Select from prefetch where exam_date lt today 1 H STUDY CONTENT NOTIFICATION IDX and possibly other RIS vendors are requesting exam status information from our PACS The want to know whether the exam is on our system whether it has been archived or not or maybe the exam has been deleted and is no longer available This is done through DICOM Study Content Notification Each time a new exam is imported into our PACS an entry is made in the scnexam table with the exam_key exam Instance UID and other exam specific information On a regular basis usually every minute riscn checks this table and will deliver the messages to the RIS vendor s port When successfully sent the message will be deleted The following notification events are currently logged and forwarded in riscn Status Description 1 New exam imported into PACS 2 Exam archived and removed Only available if retrieved 3 Exam retrieved from jukebox and now available again 4 Tape removed from jukebox exams only available via phone request 5 Tape inserted back into jukebox exams may be retrieved 6 Exam Deleted before archiving No longer available on the PACS If riscn is not configured then the messages will be logged in examscn and they will be deleted after 7 days from the time of insertion see Deleting Old Messages Also Version 6 0 0 of Rational Imaging is REQUIRED for this functionality To c
192. will actually be able to query the RIS system for the report and this storage mechanism will become unnecessary WARNING It is also very important to only accept verified signed reports from the RIS Let them know that we have no ability to update the reports if they have not been signed and thus we may archive inaccurate information if the report has not been signed The RIS vendors we have dealt with so far have been able to only send reports when they are complete and verified Also educate the staff technologists as to the importance of accurate MRN and accession number information 05 08 2001 65 Rational Imaging Installation Manual J DELETING OLD MESSAGES WORKLIST PREFETCH AND SCNEXAM On Canon PACS databases without RIS connectivity the SCN Study Content Notification messages would build up and not be distributed Even on systems with Rilink and Rideliverd enabled there needs to be a way to delete the old worklist items and prefetch entries from these tables This is handled in a stored procedure called unlock_expired The normal purpose of this routine was to unlock exams whose locks had expired Since it does this once a day in the cronjob expire_locks on the server it makes a good place to put other periodic cleanup routines Unlock_expired as it is distributed will use the following SQL commands to delete entries in these tables delete from worklist where study_date lt today 14 delete fro
193. will be used The first step is to determine the lowest black level where a 5 difference in contrast can be visualized Each monitor even of the same manufacturer has a different Black Level below which no image information will be seen Turn off the lights set the lights to normal viewing conditions ricalibrate amp run the ricalibrate program Use the mouse to stretch the ricalibrate window to cover most of the screen area Drag it by the corners Then click on the right mouse button over the ricalibrate window and select Black Level Test This will display a medium gray window with a cross hatch image in the center Use the left and middle mouse buttons to adjust the cross hatch intensity till it is just visible This will generally be a number between 2500 and 10000 depending upon the monitor The value displayed up in the upper left portion of ricalibrate 1s the number to use for the minimum black level when configuring the monitor parameters If this value is set too low then low image intensities will not bee seen properly And if the value is set too high then the image will appear too bright and washed out Click on the left mouse to decrease the intensity until the pattern disappears Then click on the right mouse button several times until the pattern can be seen fairly well You can run ricalibrate on both monitors at the same time to make sure that the cross hatch pattern appears similarly on both monitors Record the intensity
194. will prepare the modem for SUN communications and will save these instructions in the modems non volatile memory Thus when the modem is turned off and then back on the modem will be initialized correctly You can also run the application opt ISTri bin risetmodem to initialize the modem parameters This will program the modem and save the configuration so that it will reset to the correct settings after each call and after recycling the power 05 08 2001 41 Rational Imaging Installation Manual B SOLARIS INSTALLATION Login as root since you will need superuser privileges to perform this step of the installation Insert the Solaris Rational Imaging tape and select the package ISTmodem from the list of packages on the tape as follows pkgadd d dev rmt 0n J select the number for ISTmodem_ After installing the ISTmodem package perform the following operations opt ISTri install install_modem cd opt ISTri admin risetup add user telerad to rilogin add user telerad to radiology passwd telerad Reboot the computer to make sure that the modem is recognized and working properly C TESTING Use tip to test the ability to dial out with the modem tip 38400 dev cua a at atdt1 222 333 4444 test the connection with a know service to exit tip Use another computer and modem to test the dial in capabilities The new modem should allow you to dial in and login from another workstation Try
195. with other devices mkdir jaz mount F ufs dev dsk c0t2d0s0 jaz for SCSI ID 2 Open the console and type the following commands at the UNIX prompt to add the ISTdb ISTmain and ISTri packages and other additional packages that are required pkgadd d jaz sol2 pkg Select the numbers for ISTdb ISTmain and ISTri packages in that order 1 ISTdb723 2 ISTmain 3 ISTriJ These packages were designed to automatically install the selected components Sometimes depending upon which packages were selected the postinstall scripts in the packages will specify additional installation procedures Watch the screen for any recommendations The ISTdb723 package requires the execution of install_informix The ISTmain package requires a script called install_main and the ISTri package requires the operation of the licensing facilities After installing ISTdb ISTmain and ISTri run the following script opt ISTri install install_informix This script installs the Informix database software Make sure that no errors occur during installation You may with to run dbaccess to ensure that the software is installed correctly If any errors did occur correct them by removing the package pkgrm ISTdb723 reinstalling the package pkgadd d img sol2 pkg and executing opt ISTri install install_Informix You do not need to reload all the other packages After ensuring that Informix has been loaded successfully
196. xec imaging 5 00 UC2 4292 a IW 0 00 csh csh 4300a S 0 00 bin sh richeck 4319a R 0 00 ps ax 2170 p0 IW 0 00 cmdtool Wp 0 566 Ws 896 233 WP 3 833 Wi C 2172p0IW 0 00 bin csh csh SWAP DIAGNOSTICS 313 582 files 296 352 inodes 57 138 processes 43372 66636 swap ENVIRONMENT VARIABLES DBPATH RI_host home ist HOME home tech INFORMIXDIR home informix LOGNAME tech OPENWINHOME usr openwin PATH home tech usr openwin bin xview usr openwin bin usr bin usr ucb etc usr etc RI_host home ist bin home informix bin PWD RI_host home ist bin RILOGDB RI_host homedist rilogin RIPROGDIR RI_host home ist bin SHELL bin csh SQLEXEC home informix lib sqlexec USER tech DIAGNOSIS COMPLETE 05 08 2001 88 Rational Imaging Installation Manual B ACCESSING CHANGING DATABASE CONFIGURATION INFORMATION This section will describe the script files which have been created for your convenience to add list or modify the various database system parameters These scripts are driven by a major menu system called risetup These files are located in the home ist admin opt ISTri admin for Solaris directory Change to this directory on the database server run risetup and select the desired command from the menu cd home ist admin Solaris 1 cd opt ISTri admin Solaris 2 risetup 1 Change current database This function will c
197. y typing ATSO 1 in hyperterm if it is not already enabled See the SeeMor instructions for more information on PC Hyperterm or Microsoft s instruction booklet or you may use any PC communications package which supports zmodem Most communications packages support reliable zmodem transmission Select Connect This will dial the remote PC You will see the modem connect but you will not get a login like you will with a Sun computer To test an actually connection dial a Sun workstation and go through the login process under Terminal You can use Ctrl K twice to exit from the Terminal mode and Ctrl A to exit from the menus of blast Once the modem has connected to the PC you can type Ctrl K twice to exit from the terminal mode and then press F for Filetransfer and S for Send Enter a filename to send to the PC for testing purposes If the file sends correctly then the blast install process has been completed successfully If there are any problems refer to the blast documentation for further assistance 05 08 2001 78 Rational Imaging Installation Manual XXI LaserCamera film Installation Follow these instructions to install a Cemax LaserLink card on a Rational Imaging workstation A SUNOS INSTALLATION Login as root since you will need superuser privileges to perform this step of the installation Retrieve the device drivers for SunOS from the cemax partition on the installatio
198. y 3 host_key 9 dirname net aopdemo2 img data alias Demo2 Notice that dir_key of 1 from the exam does not exist in the imagedir table This is causing the problem Check to make sure that these exams do exist under img or img2 img3 or on another system and assign the correct dir_key to the exams 11 Update the exams in error update exam set dir _key 4 where dir key 1 12 Rebuild the patient list delete from examlist execute procedure all _exmlst 0 If there are errors repeat steps from step 8 13 Set exams so that no exam is in use this is probably the case This does not need to be done except in this case where the case was marked in use and then RIview bombed because it could not locate the patient update exam set use_host use_user use_program 0 0 0 14 Make sure that the problems have disappeared It turned out that 25 of the exams had pointers dir_key to a directory which did not exist The way this occurs is if someone goes into risetup and deletes an image directory Then 05 08 2001 106 Rational Imaging Installation Manual all the exams pointing to this directory are invalid This causes problems with creating the patient list among other things WORD OF CAUTION Be VERY careful when deleting items in the database if there are links to that item it causes major problems J DETERMINING THE DATABASE VERSION Use dbaccess v on the server to determine the current database version
199. y Qualstar and it should have a writing on it saying LVD SE The single ended Sun or other terminators will not work The correct instalation steps for the Antares card are as follows 1 Install the card in an empy PCI slot 2 Boot up the system login as root insert the included floppy and type volcheck to tell the system volume manager to look for the floppy 3 Use the included floppy disk to install the basic drivers for the card but instead of following the steps in the install guide which is incorrect simply copy the floppy contents into a newly made directory then go to the floppy floppy0 Solaris 2 6 and use pkgadd d ANTRglm2 so126 to install the driver package 4 Now you can use the standard procedure to install the juke package and enter the appropriate licenses and serial numbers obtained from apunix Please note that the the existing Sony DAT drivers as well as the existing changer drivers work fine with the new AIT1 and AIT2 drives and even though Apunix has a driver named Sonyait in their website this is the same SonyDAT driver with only a new name Please be aware that as of now Solaris 7 does not see the changer driver and thus the juke systems should have Solaris 2 6 on them 5 Reboot the system with reconfigure option r 6 After the system comes up make sure that the apunix drivers nredt0 nredtl and ch0 are symbollically linked to the correct AIT devices by the following commands cd dev Is al nredt0
200. y a problem with the exam accession number and MRN match Exams which do not match EXACTLY will be put in the table reportqueue The application rideliver can then be run to manually match the report with the correct exam RIdeliver has a top panel which lists the reports in reportqueue It shows report information such as Name ID Sex DOB Accession Exam Date The bottom panel is the PACS normal patient selection window It has tabs and search elements which will allow the user to locate the correct exam for a selected report If you simply select a report RIdeliver will attempt to locate possible matches MRN or Accession or Name matches This will make it easier to find the mismatch and deliver the report To do this simply select the correct exam and then click deliver You can also view the report to check for additional information by clicking view And if no match is found or the exam has already been archived then you may delete the report by clicking delete The current RIS report delivery mechanism requires that the exam not be archived until the report has been matched Generally speaking if exams are aged for 3 days before archival and removing then the report needs to get back to the PACS in this time and any manual reconciliation required must be performed before the exam is removed to tape In the future when more RIS vendors support bidirectional HL7 requests for reports then Riview
201. y also enter boot at the 05 08 2001 99 Rational Imaging Installation Manual OK prompt or b at the gt prompt to restart the system Refer to SUN s administrator guide for additional information regarding boot procedures 4 Halt in the event of system lockup On occasion it becomes necessary to HALT the system when it becomes locked up USE THIS ONLY AS A LAST RESORT Since this procedure does not synchronize the disks properly it is only suggested in the event that the system will respond to any other commands First try to wait for 10 15 minutes to see if the system will resume normally sometimes it gets confused and takes time to reset and continue operation Then try to kill off the programs which may be locking up the system by logging in from a remote workstation Contact technical support for information regarding these procedures Finally when all else fails use the following keystrokes to halt the system lt STOP gt A Press A while the STOP function key or L1 on some keyboards is being depressed following commands to perform system shutdown Reboot the system by typing reboot 5 Reset the workstation as ACTIVE Use the risetup script in the home ist admin directory to set the workstation as active 1 Select the active menu option from the displayed menu cd home ist admin Solaris 1 cd opt ISTri admin Solaris 2 risetup Make sure that the system responds properly and if it do
202. y for riqueryd should look similar to r8 34 respawn su imaging c exec opt ISTri bin riqueryd q c opt ISTri etc riqueryd_cfg d img query 5001 gt gt amp opt ISTri log riqueryd_log This line needs to be entered as one line It can not be broken up into two lines Make this change as follows su vi etc inittab init Q The init Q is necessary to tell init to reread the config file and process the new changes This is all that is required to install riqueryd You may want to confirm the operation of the riqueryd process by using ps ef grep riqueryd to list the operating processes D MULTIPLE DATABASES In the event that the facility has multiple databases and they want the ability to query retrieve from each of these databases just set up riqueryd with 2 separate configuration files and run them on 2 or more port numbers The following lines in etc inittab would allow Efilm for example to query from 2 separate databases Just modify riqueryd_rad_cfg to point to the radiology database and riqueryd_card_cfg to point to the cardiology database r8 34 respawn su imaging c exec opt ISTri bin riqueryd q c opt ISTri etc riqueryd_rad_cftg d img query 5001 gt gt amp opt ISTri log riqueryd_log r9 34 respawn su imaging c exec opt ISTri bin riqueryd q c opt ISTri etc riqueryd_card_cfg d img query 5002 gt gt amp opt ISTri log riqueryd2_log 05 0
203. ze previous functions These upgrades require the operation of dbaccess to run a SQL script called upgrade_db sql This script will automatically apply all of the database upgrades required If riupgrade was used in the previous section then it automatically detected the server and applied the appropriate database upgrades You can skip to the next section if riupgrade successfully detected the SERVER and applied the dbaccess script to the patient databases The following instructions are for manual upgrades only or where riupgrade failed to detect the server Log in as imaging cd ver_x x x on the upgrade disk Is db dbs list patient databases radiology dbaccess db radiology upgrade_db dbaccess db other_db upgrade_db Perform the last step for all the patient databases DO NOT perform upgrade_db on the rilogin database This is a system database and not a patient database 05 08 2001 28 Rational Imaging Installation Manual Dbaccess alters the permissions of the database files so to make sure that everyone has read write permission issue the following command cd db chmod R a rw radiology dbs chmod R a rw other_db dbs chmod R a rw rilogin dbs Issue the last command for each of the patient databases and for the rilogin database These commands are very important as the database archive may not function properly if read write permissions are not set correctly The initialize ta
204. zed for each of the programs If everyone shares a common default directory then a common interface is maintained For those who wish to customize their own interface assign a new default directory and copy the files from the current default directory to the new directory Print Directory The print directory is used to store the temporary files created during the print process Each print page consumes approx 7 24 MBytes of disk space so use a directory with sufficient space if you are printing multiple print pages for each exam Do not use directory partitions which will corrupt the database or UNIX operating system if they become full with these temporary files usr databasedir After successful printing the images are removed Do not use a NFS linked directory otherwise additional network traffic will result Password The personal password for the user This should be changed on a regular basis to maintain system security Always change a password if other people know your current password Database Access Duplicate information already entered in the image databases table described above 05 08 2001 11 Rational Imaging Installation Manual IV Database Server A SUMMARY The database server is a mandatory component of the Rational Imaging system and will maintain the patient information for the current images within the system and an archive database for locating exams on the various tape archive sets The serv
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