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Cenova Image Analytics Server 3.0 Installation & Service Manual

Chapter 2: System Description

Page 16

MAN-05205 Revision 003

2.4.2 Data Flow with ImageChecker CAD (2D) for Synthesized 2D and

Biomarkers

The diagram below shows the flow of images to the server and results from the server.
Depending upon the needs of the facility, other pathways can be configured.

Note

When both conventional 2D mammography and synthesized 2D images are sent to the
Cenova server for a ComboHD study, the Cenova server will produce separate
ImageChecker CAD results for the conventional 2D mammography and synthesized 2D
images, respectively.

Note

When both conventional 2D mammography and Raw Projection images are sent to the
Cenova server for a Combo or ComboHD study, the Cenova server will produce one set
of Quantra results (2D or 3D) per Cenova configuration.

ImageChecker CAD (2D) for Synthesized 2D and Biomarkers

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Summary of Contents for Cenova C Series

Page 1: ......

Page 2: ......

Page 3: ...Cenova Image Analytics Server Installation and Service Manual For Software Version 3 0 Part Number MAN 05205 Revision 003 September 2019...

Page 4: ...sidiaries in the United States and or other countries All other trademarks registered trademarks and product names are the property of their respective owners This product may be protected by one or m...

Page 5: ...r to be updated with the current Cenova software Customers can be upgraded as long as Their system is covered by a Hologic warranty or service agreement Certain restrictions apply Their server hardwar...

Page 6: ...Cenova Image Analytics Server 3 0 Installation Service Manual vi MAN 05205 Revision 003...

Page 7: ...esized 2D and Biomarkers 16 2 4 3 Data Flow with ImageChecker 3D Calc CAD 17 2 4 4 Data Flow with DigitalNow HD 18 2 5 System Components 19 2 6 Control Panel Overview 20 2 6 1 Status Indicators 21 3 I...

Page 8: ...____91 5 1 Maintaining the Server 92 5 2 Reinstalling the Server Application 94 5 3 Recovering a Server 96 5 4 Replacing the Computer 99 6 Troubleshooting Procedures___________________________________...

Page 9: ...ications to assist radiologists in the analysis of digital mammography images DICOM Conventions DICOM Digital Imaging and Communications in Medicine is an international standard used for developing tr...

Page 10: ...page 1 describes the purpose of the manual and how it is organized general service policies and warnings and precautions System Description on page 9 describes the principal components and provides b...

Page 11: ...onents and direct you the local Field Engineer in the best course of action to repair the system Understanding Service Call Handling and Escalation The TAC representative who receives the incoming ser...

Page 12: ...rectly contact the TAC at sctechsupport hologic com In your e mail briefly describe the issue and provide the clinic name and location city state zip 1 3 Warnings and Precautions This manual uses the...

Page 13: ...death Always use the shutdown procedures before you Disassemble any components Remove a cover Disconnect or reconnect any cable Clean any component Environment Operate and store the computer in an en...

Page 14: ...ys grasp the plug or connector not the cord Do not place anything heavy on the cables step on them pull them bend them or bundle them Never cut or attempt to modify the cables Internal voltages Do not...

Page 15: ...f not installed in accordance with the procedures in this manual may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful int...

Page 16: ...tions for a period ending on the expiration date shown on their respective packages v licensed Software is warranted to operate in accordance with published specifications vi Services are warranted to...

Page 17: ...ge 9 2 System Description Overview on page 10 System Inputs and Outputs on page 11 Clinical Workflow on page 14 Data Flows on page 15 System Components on page 19 Control Panel Overview on page 20 Thi...

Page 18: ...ction software used to identify and mark regions of interest on Hologic 3D MammographyTM datasets Hologic Imaging Biomarkers comprising the following application Quantra application to calculate breas...

Page 19: ...d all necessary licenses for Hologic FFDMs need to be migrated to the Cenova 3 0 server Customers can also choose to leave the non Hologic FFDMs and licenses on the existing Cenova server Hologic 3D M...

Page 20: ...S devices Depending upon the application the server can transmit results in one or more forms The table below shows output formats for each application Application CAD SR SC Image RTSS Printer MG Imag...

Page 21: ...s and PACS devices that do not support ImageChecker CAD 2D Mammography CAD SR objects but do support DICOM 6000 overlays Hologic s DICOM 6000 Interface solution can be used to convert the ImageChecker...

Page 22: ...eview Reviews the mammography images to get a preliminary sense of the patient s status Hologic Imaging Biomarkers Reviews and notes the Biomarker findings DigitalNow HD Compares prior digitized film...

Page 23: ...05 Revision 003 Page 15 2 4 Data Flows 2 4 1 Data Flow with ImageChecker CAD 2D and Biomarkers The diagram below shows the flow of images to the server and results from the server Depending upon the n...

Page 24: ...configured Note When both conventional 2D mammography and synthesized 2D images are sent to the Cenova server for a ComboHD study the Cenova server will produce separate ImageChecker CAD results for...

Page 25: ...scription MAN 05205 Revision 003 Page 17 2 4 3 Data Flow with ImageChecker 3D Calc CAD The diagram below shows the flow of images to the server and results from the server Depending upon the needs of...

Page 26: ...2 System Description Page 18 MAN 05205 Revision 003 2 4 4 Data Flow with DigitalNow HD The diagram below shows the flow of images to the server and results from the server Depending upon the needs of...

Page 27: ...f ancillary components including the software applications cables and manuals For more information see Unpacking the System on page 25 License Dongle The USB license dongle must be installed in a USB...

Page 28: ...ol Panel screen has fields or options used to configure the system Each server must be independently configured with its own Control Panel For further information on using the Control Panel see Config...

Page 29: ...sing system serial number AE title or port information Missing system serial number AE title or port information DICOM No missing DICOM source or destination All devices are mapped Recent C Echo or Pi...

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Page 31: ...g the Server Software on page 28 Install the Cenova server application software Configuring the System Settings on page 29 Enter the system serial number SCP SCU AE titles and SCP port Specify network...

Page 32: ...vice training Note The Windows sign in password is the same as the Cenova Control Panel password Access to the online Installation Report Digital Pre Installation Form At a minimum you will also need...

Page 33: ...is a list of items included with the system Cenova Server Application removable media Hologic OS Updates removable media Cenova System Updates removable media Cenova OS Base Image OS Recovery removabl...

Page 34: ...hipping container is level and stable then open the box and carefully remove the server from the wrapping To set up the server computer 1 Position computer Install the server in a secure area that is...

Page 35: ...ptop s IP address see Configuring the Laptop IP Settings on page 112 Note If your hardware does not support Gigabit Ethernet a crossover cable is required to connect directly to the service port NIC 2...

Page 36: ...og into Windows as Administrator 2 Load the Cenova Application Installation removable media 3 If the installer does not start automatically locate the installer executable file on the removable media...

Page 37: ...er AE titles and port Configuring DICOM Destination and Source Devices on page 34 Identify the DICOM devices workstations and PACS devices that will send images to the server Identify the DICOM device...

Page 38: ...Control screen To start up the Control Panel local desktop 1 Double click the Hologic Cenova Server Control icon The Log In screen appears Important If the Log In button does not appear in the Log In...

Page 39: ...To continue the configuration procedure use the menu options provided on the left side of the screen see next section Caution Do not open a second browser window pointed at the server IP address Altho...

Page 40: ...ult in an automatic restart of the DICOM and Processing services Note If DICOM 6000 Interface and the Cenova application are running on the same server make sure their respective local SCU and SCP AE...

Page 41: ...a silver Hologic label on the side of the server 3 Enter server SCP AE Title and Port The title must be 16 characters or fewer By default this is the host name of the computer followed by _SCP 4 Ente...

Page 42: ...f DICOM devices you can also use the DICOM screen to edit or delete the configurations This section provides information on the following Adding a New DICOM Destination Device on page 34 Configuring D...

Page 43: ...IP port used by the device s Store SCP Retry Interval min Set normally to a 10 minute default Retry Duration hr Set normally to a 24 hour default 4 Click Save to return to the DICOM screen The AE titl...

Page 44: ...ing the Default Source Device on page 39 to understand how the Default source works in conjunction with destination devices Even though you don t need to configure the Default source you must still id...

Page 45: ...of Case Timeout on page 38 Priority Set to Medium unless otherwise instructed by the TAC See Setting the Processing Priority for Each DICOM Input Device on page 38 3 Click Save to return to the DICOM...

Page 46: ...al depends on a number of factors including network latency image input rate system CPU and memory constraints You can adjust the Maximum Timeout value to optimize server throughput However adjusting...

Page 47: ...ge 39 Understanding the Default Source Device The Default source acts as an input for all unspecified source devices The Default is like a funnel for multiple anonymous source devices Multiple Devices...

Page 48: ...ICOM images you must map input output paths by pairing up the input device with one or more output devices for example Acquisition Workstation Server Review Workstation Acquisition Workstation Server...

Page 49: ...lect the result formats for the selected source see Result Formats on page 42 3 If you are configuring DigitalNow HD enter the image resolution for each destination device see Image Processing Options...

Page 50: ...format provides only Hologic Imaging Biomarker results SR CAD BM This format provides both ImageChecker CAD 2D and Biomarker results For conventional digital mammography images ImageChecker CAD 2D an...

Page 51: ...d This DICOM Digital Mammography X Ray MG Image For Presentation format provides DigitalNow HD images The DigitalNow HD results are updated copies of the DigitalNow images that are received as input p...

Page 52: ...__________________________ 2 Email the license dongle serial number and site information to sctechsupport hologic com 3 Confirm the TAC emailed the requested license file to you To install the license...

Page 53: ...f the site s image acquisition gantries These values should be available on the Hologic Digital Pre Installation Form Review the guidelines in Obtaining the Source Device IDs on page 46 to understand...

Page 54: ...ed to add the Device ID See Obtaining the Source Device IDs on page 46 below b In the Device ID field enter the device ID and click Apply The Effective Date column displays the bundle configuration da...

Page 55: ...st ID of the workstation The Selenia system populates its DICOM headers with the string H1KRHR hostid in the Device Serial Number tag 0018 1000 Selenia Dimensions Systems For each Selenia Dimensions s...

Page 56: ...ght characters are the hexadecimal output of running the hostid command on the acquisition workstation computer This is the host ID of the Sun workstation Siemens populates their DICOM headers with th...

Page 57: ...Status Icon Meaning The license bundle is valid and configured The license bundle is valid but not configured The license bundle is expired The Mfg Model drop down will be disabled seven days after yo...

Page 58: ...ense settings 1 Click Licensing The License Contents screen appears 2 In the Bundle ID column click the Bundle ID link The Bundle Features window appears Note The yellow star icon indicates a system w...

Page 59: ...s information on the following options Configuring Processing 2D CAD on page 51 Configuring Processing Tomo CAD on page 59 Configuring Processing Biomarkers on page 60 Configuring Processing 2D CAD Us...

Page 60: ...05205 Revision 003 b Select the appropriate settings for the ImageChecker CAD 2D application c Click Apply to confirm the settings For detailed information about the Processing 2D CAD screen see the f...

Page 61: ...CAD 2D and Hologic Imaging Biomarkers If the server cannot complete the processing within the specified time it stops processing the image and reports a failure and records it in the Mammography CAD...

Page 62: ...sables the Breast Geometry Breast outline including pectoral muscle outline of the pectoral muscle and nipple position Breast Sizing Breast bounding box specified by coordinates of the four corners Pe...

Page 63: ...s in a single CAD SR object This behavior is true whether or not the box is checked If the box is unchecked and the server receives one or more images with the same study instance UID after the timeou...

Page 64: ...s are based on all images that have the same study instance UID This was the default behavior in previous Cenova versions If the scenario described above is run with the box checked then the server wo...

Page 65: ...ng views LCC Left Cranio Caudal LMLO Left Medio Lateral Oblique RCC Right Cranio Caudal RMLO Right Medio Lateral Oblique If the site is set up to print ImageChecker CAD 2D results the content layout a...

Page 66: ...00 Small 800 x 960 Window Center Window Width Specify the brightness window center and contrast window width of the SC CAD montage image Note The default values for the window center width and overlay...

Page 67: ...with clinical staff when you install the application Once established you can adjust the settings as needed To set ImageChecker 3D Calc Tomo CAD options 1 Consult with the site clinical staff to dete...

Page 68: ...cation Once established you can adjust the settings as needed Note Biomarker applications are not performed on Raw Synthesized 2D images Note The BACS software application is no longer available To se...

Page 69: ...DigitalNow HD screen to specify processing settings for the DigitalNow HD application The settings must be determined through consultation with clinical staff when you install the application Once es...

Page 70: ...ate settings for the DigitalNow HD application 4 Click Apply to confirm the settings 5 Set the image size image resolution for the MG Images in m for each source destination device combination if you...

Page 71: ...ion that can apply them Review the documentation provided by the vendor to see if the site s workstation make model and version has this capability The four VOI LUT selections are intended for Normal...

Page 72: ...crons It utilizes the routing capabilities of the Cenova server to determine the resolution of the output images DigitalNow HD applies a specific output resolution for each combination of image source...

Page 73: ...nnect service at every site When you install the Cenova software the Hologic Connect service is automatically installed To configure this service first make sure the Default gateway and DNS server set...

Page 74: ...dispatch service calls 3 Click Apply to save the settings Configuring Hologic Connect Setup 1 Click Control from the Hologic Connect option to display the following screen 2 Select Cenova from the Mod...

Page 75: ...wards those requests to other servers If the site requires a proxy server for Internet access you will need to configure a proxy server for the Hologic Connect service on the Cenova server Consult the...

Page 76: ...use network firewall services 3 Enter proxy server settings Enter the appropriate IP Address Port User Name and Password for the customer s proxy server 4 Click Apply to save the settings The server...

Page 77: ...gs available by restarting the server 2 Run the Self Test Navigate to the Administration Self Test screen and run the Self Test see Running the Self Test on page 81 3 Verify image transmission Use the...

Page 78: ...nectivity 10 Verify sign date and fax or e mail the License File Verification Report Field Engineers should either Fax the report to the fax number listed on the License File Verification Report E mai...

Page 79: ...72 Starting and Stopping DICOM and Processing Services on page 75 Backing Up and Restoring the Server Settings on page 77 Configuring a Redundant Server on page 79 Managing Disk Space on page 80 Upda...

Page 80: ...istration System Control screen to shut down or restart the server You must shut down the Cenova server when you need to disassemble components or disconnect a cable see General Precautions on page 5...

Page 81: ...ure logs you out of your current session and halts the server by performing a Windows shutdown of the complete system Important You cannot power up the Cenova server remotely so take precaution when u...

Page 82: ...Installation Service Manual Chapter 4 Administrative Functions Page 74 MAN 05205 Revision 003 3 Click OK This feature logs you out of your current session and restarts the server by performing a Windo...

Page 83: ...p the Processing service alone the DICOM service will continue to accept images If both services are stopped and you start the Processing service alone the DICOM service will start automatically since...

Page 84: ...Cenova Image Analytics Server 3 0 Installation Service Manual Chapter 4 Administrative Functions Page 76 MAN 05205 Revision 003 3 When ready restart the services by clicking the Start buttons...

Page 85: ...he information in Configuring a Redundant Server on page 79 Note A backup can be restored only to the same Cenova software version You have the option to download the system settings to removable medi...

Page 86: ...ndows staging area ready for you to initiate the burn process Open Windows Explorer and navigate to the CD DVD RW drive Right click the CD DVD RW drive then select Burn to disc To restore the Control...

Page 87: ...Cenova server refer to the DICOM 6000 Interface Installation Service Manual to install and configure DICOM 6000 Interface on the redundant server Keep the following points in mind when configuring a...

Page 88: ...hreshold limit must be between10 1500 GB Set a higher value to decrease the number of old cases stored on the hard drive The Amount to Free setting controls how much disk space is cleared when the Cle...

Page 89: ...taining and installing license files see Configuring Licensing on page 44 4 7 Running the Self Test When you run the software Self Test the Cenova server sends itself test images checks the entire pro...

Page 90: ...ocessing and Tomosynthesis Detect Calc functions expect to see the result as OK if the feature is licensed and enabled or No Licensed Disabled if the feature is not licensed or is disabled in the conf...

Page 91: ...e licensed application DICOM Output OK The server has successfully generated DICOM SR output and sent it to a DICOM receiver on the server Note The Tomosynthesis Detect Calc Self Test runs the algorit...

Page 92: ...the local Windows account and the Active Directory account specified in the Domain Name field Select this option if you wish to log into the Cenova Control Panel using your Active Directory credentia...

Page 93: ...a such as patient information date processed etc Export Biomarker results Delete cases Review details for a study Review case alerts When you select the Case Manager option from the Cenova Control Pan...

Page 94: ...values containing the characters you typed To remove the filter click Filter and click NoFilter in the drop down list For some columns you can exclude a search criterion by using the Not box To clear...

Page 95: ...d click the check box next to the case Then click Delete To review details for a study Click to expand the case and review the Images and Output Jobs details Click to view additional details for each...

Page 96: ...ing boxes click NoFilter Contains When you click Contains only the specific patient information you type in will be displayed You can sort the results of this search by clicking the column heading Pat...

Page 97: ...ed cases That is a case that has gone through application processing and has been routed to a PACS workstation or both COMPLETED_WITH_ERROR This setting will display the completed cases that contain e...

Page 98: ...ect the appropriate algorithm DigitalNowHD MAMMO and TOMO Selecting one of these algorithms returns a list of entries containing the selected criterion Select the Not box to narrow a search by excludi...

Page 99: ...rvice Procedures Maintaining the Server on page 92 Reinstalling the Server Application on page 94 Recovering a Server on page 96 Replacing the Computer on page 99 This chapter provides procedures for...

Page 100: ...ior of computer 2 Run Self Test and verify all licensed configured features pass 3 Use Case Manager to check if the site has experienced any recent case failures a Connect to Cenova server and log int...

Page 101: ...Server 3 0 Installation Service Manual Chapter 5 Service Procedures MAN 05205 Revision 003 Page 93 6 Send a case from the AWS Verify the case is received processed and results are sent to the configur...

Page 102: ...aining the settings Use the following procedures to reinstall the Cenova server application Back Up the Configuration Settings Uninstall the Server Software Install the Server Software Restore the Con...

Page 103: ...gs on page 77 then step through all configuration screens to verify the settings are correct 2 Restart the Hologic Connect service see Configuring the Hologic Connect Service on page 65 3 Run the Self...

Page 104: ...ettings backup file to use 2 You can download the system settings to removable media or a share drive Whatever you decide you must ensure that the removable media or file is stored in a secure locatio...

Page 105: ...64 for Windows 7 9 Navigate to the drive and double click SystemUpdater exe The Hologic OS Updates window appears 10 Click Start The Hologic OS Updates installer copies files to disk and updates syste...

Page 106: ...Backing Up and Restoring the Server Settings on page 77 then step through all configuration screens to verify the settings are correct 2 Restart the Hologic Connect service see Configuring the Hologi...

Page 107: ...system To replace the server computer 1 Record network identifiers On the server that is being replaced record the current settings for the server s host name DNS server IP address subnet mask and def...

Page 108: ...software see Installing the Server Software on page 28 6 Restore server Control Panel settings see Backing Up and Restoring the Server Settings on page 77 7 Verify system operation see Completing the...

Page 109: ...ures Sending and Receiving Results on page 102 Reviewing License Dongle Messages on page 106 Reviewing Log Files on page 107 DICOM Troubleshooting on page 108 Printer Troubleshooting on page 109 This...

Page 110: ...mmography CAD SR Review the Edit DICOM Mappings window on the DICOM page Case Manager indicates server halted input Images sent to server at too high a rate Contact the TAC and review the image input...

Page 111: ...t Connection refused by receiver Receiver not responding or intermittent Internet firewall is blocking traffic Incorrect Network Interface Controller NIC 1 setting Check the Cenova server to make sure...

Page 112: ...ettings too short see Setting the Maximum End of Case Timeout on page 38 Ensure that images are being sent per case and not per image Contact the TAC and review the DICOM source Max Timeout sec settin...

Page 113: ...X Ray Image For Presentation Quantra 2D results are displayed when Quantra 3D results are expected or vice versa Both conventional digital mammography images and Raw Projection images are sent to the...

Page 114: ...Contents page displays dates and status messages while the Processing page displays various check box options depending on the type of dongle inserted in the USB port Expired License An expired Image...

Page 115: ...stalled in different directories Use WordPad to view these log files as this program can separate the individual line entries C Program Files x86 Hologic Cenova Server Log R2CADServer log date log The...

Page 116: ...that the images are not magnified or spot views and are not For Presentation Verify that they are digital mammogram images If you see input error messages about DICOM attributes 0018 700A or 0018 1000...

Page 117: ...by selecting Start Printers and Faxes Ensure that the printer is listed and enabled and that the correct printer is selected as the default 4 Check that the cables related to the printer are plugged...

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Page 119: ...Procedures Configuring the Laptop IP Settings on page 112 Configuring an HTTPS Port on page 113 Configuring a Printer on page 114 Adding a Cenova Server to a Domain on page 116 Bypassing the Proxy Se...

Page 120: ...kip steps 2 4 2 Configure the IP address of the laptop computer 3 From the laptop desktop right click Network and select Properties The Network and Sharing Center window appears 4 Click the Local Area...

Page 121: ...ll need first to assign or import that certificate Then you will open a port for HTTPS communications manually see next section Important The server must have Internet Information Services IIS install...

Page 122: ...crosoft Windows installations Note that the check box is disabled as the Cenova server does not support this printer You can delete this printer by selecting Start Control Panel Printers and Faxes Rig...

Page 123: ...e Hostname or IP address field enter the site s printer IP address and click Next Note Obtain the printer IP address from the site s IT administrator 6 Enter the printer name or use the default and cl...

Page 124: ...main policies Consult with the site s IT administrator before attempting to add a Cenova server to a domain The following list is a set of precautions and exceptions that you should provide to the sit...

Page 125: ...Internet Options setting is configured to use a proxy server on the Cenova server and the Bypass proxy server for local addresses check box is unchecked To enable the Bypass proxy server for local ad...

Page 126: ......

Page 127: ...ic Connect 65 of ImageChecker 3D Calc CAD 59 of ImageChecker CAD 2D 51 of input from Default source device 39 of input from DICOM source devices 36 of input output path mappings 40 of output to DICOM...

Page 128: ...DigitalNow HD 64 ImageChecker 3D Calc CAD 10 clinical workflow 14 configuring 59 data flow 17 ImageChecker CAD 2D 10 12 clinical workflow 14 data flow 15 operating points 53 processing options 51 Imag...

Page 129: ...rver 69 79 replacing computer 99 hard drive 99 resolution image CAD SC images 57 DigitalNow HD 64 restarting CAD and DICOM services 32 Processing and DICOM services 75 server 72 RightSize 54 RTSSSee R...

Page 130: ...er 3 0 Installation Service Manual Index Page 122 MAN 05205 Revision 003 W warnings 4 window center and width CAD SC images 57 DigitalNow HD images 64 workstations review 36 40 applying VOI LUTs 63 br...

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