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2.3. Data Flows 

 

 

Cenova™ Image Analytics Server 2.4 User Guide – MAN-03998 Rev 001 

11

 

2.3.3.

 

Hologic Imaging Biomarkers Data Flow 

The figure below shows the data flows among the various devices for the Quantra 
application. 

Image Acquisition Device(s) 

1, 2, 3:

 FFDM systems can be configured to send digital mammography x-ray images to 

any device that conforms to the DICOM standard. The FFDM device sends two types of 
images, For Processing images to the Cenova server, and For Presentation images to the 
diagnostic review workstation(s) and PACS. 

Cenova Server 

4, 5:

 The Cenova server sends Hologic Imaging Biomarker results (DICOM SR objects 

or DICOM SC images) to one or more diagnostic review workstation(s) and/or PACS 
devices simultaneously. 

m

 

Note: 

Because of the complex nature of DICOM SR objects, it is likely that only the 

Hologic SecurView DX workstation will display Biomarker SR objects in the near term. It is 
for this reason that the Cenova server can be configured instead to send Biomarker results as 
DICOM Secondary Capture images. 

Diagnostic Review Workstation(s) and PACS 

1, 4, 7:

 The review workstation(s) are configured to receive the For Presentation images 

and Biomarker results, which are then reviewed by the radiologist. 

6, 7:

 As an option, the PACS can be configured to send: 

 

For Processing images to Cenova (6), which processes the images and distributes the 
Biomarker results according to its configuration, and/or 

 

Biomarker results and/or For Presentation images to the review workstations (7). 

 

Hologic Imaging Biomarkers Data Flow 

Summary of Contents for Cenova

Page 1: ...b r e a s t i m a g i n g s o l u t i o n s Cenova Image Analytics Server User Guide Software Version 2 4 MAN 03998 rev 001 ...

Page 2: ......

Page 3: ...Cenova Image Analytics Server 2 4 User Guide MAN 03998 Rev 001 ...

Page 4: ... respective owners Hologic Inc 35 Crosby Drive Bedford MA 01730 1401 USA Tel 1 781 999 7300 Sales 1 781 999 7453 Fax 1 781 280 0668 Hologic N V EU Representative Leuvensesteenweg 250A 1800 Vilvoorde Belgium Tel 32 2 711 4680 Fax 32 2 725 2087 For more information about Hologic products and services visit www Hologic com MergeCOM 3 Advanced Integrator s Tool Kit is a product of Merge Healthcare ii ...

Page 5: ...1 3 Input Ports and Application Licenses 6 2 2 Results from Cenova 7 2 3 Data Flows 8 2 3 1 ImageChecker CAD Data Flow 8 2 3 2 ImageChecker CAD with DICOM 6000 Data Flow 10 2 3 3 Hologic Imaging Biomarkers Data Flow 11 2 3 4 DigitalNow HD Data Flow 12 Chapter 3 System Operation 13 3 1 Clinical Workflow 13 3 2 Sending Images to the Server 14 3 3 Server Startup and Shutdown 15 3 3 1 Shutting Down th...

Page 6: ...iv Cenova Image Analytics Server 2 4 User Guide MAN 03998 Rev 001 ...

Page 7: ...breast imaging center The server also may be used for research related activities The server can be located in any non patient environment provided it is connected to the mammography network Once configured little direct interaction with the server is necessary Any interaction is through a user friendly web browser interface DICOM Conventions DICOM Digital Imaging and Communications in Medicine is...

Page 8: ...bsite Training The Hologic Member Center provides online training materials for Cenova applications The Hologic Applications team is available to train your staff should you feel they need additional training To purchase additional onsite training contact your Hologic Account Manager Manuals Hologic provides the following manuals for the Cenova server and its applications Cenova Image Analytics Se...

Page 9: ... contact your service representative m CAUTION Always shut down the computer according to the procedures provided in this manual Improper system shutdown can cause loss of data or damage to the computer operating system m Important Observe the following instructions provided either to ensure correct results and optimal performance or to clarify limitations of the device For proper system operation...

Page 10: ...request assistance Before cleaning the server always shut down the server according to the procedures in this manual and disconnect the power cord to prevent electrical shock Never use alcohol benzene thinner or other flammable cleaning agents m CAUTION This product contains no user serviceable parts To prevent damage to the server Maintain equipment in a well ventilated air conditioned environmen...

Page 11: ...sses two dimensional digital mammography images originating from Full Field Digital Mammography FFDM image acquisition systems Cenova supports inputs from FFDM devices manufactured by Hologic Inc Bedford MA GE Healthcare Waukesha WI and Siemens AG Munich Germany Digital Breast Tomosynthesis Systems Cenova processes C View 2D images originating from Hologic Selenia Dimensions systems Film Digitizin...

Page 12: ... 3 Input Ports and Application Licenses Each device that produces digital mammography image files maps to an input port on the Cenova server The DICOM header for each image object includes an identifier e g a serial number that indicates the device from which the image originated For each Cenova server sites can support Up to four licenses for any or all of the 2D software applications plus a sing...

Page 13: ...ng Biomarkers For ImageChecker CAD and Hologic Imaging Biomarkers this format is for workstations that do not support Mammography CAD SR RTSS The Radiotherapy Structure Set format was developed specifically to display ImageChecker CAD results on certain GE review workstations Printer This format provides ImageChecker CAD results for the case processed views normally the four screening views MG Ima...

Page 14: ... will produce separate ImageChecker CAD results for the conventional 2D mammography and C View 2D images respectively Image Acquisition System s 1 2 3 FFDM systems can be configured to send digital mammography x ray images to any device that conforms to the DICOM standard The FFDM device sends two types of images For Processing images to the Cenova server and For Presentation images to the diagnos...

Page 15: ...2 3 Data Flows Cenova Image Analytics Server 2 4 User Guide MAN 03998 Rev 001 9 ImageChecker CAD Data Flow ...

Page 16: ...nova server and For Presentation images to the diagnostic review workstation s PACS and DICOM 6000 Interface Cenova Server 5 The Cenova server sends CAD results in DICOM Mammography CAD SR format to the DICOM 6000 Interface No images need be forwarded DICOM 6000 Interface 6 The DICOM 6000 Interface sends the images with DICOM 6000 CAD results overlays to the diagnostic workstation for review and t...

Page 17: ...diagnostic review workstation s and or PACS devices simultaneously m Note Because of the complex nature of DICOM SR objects it is likely that only the Hologic SecurView DX workstation will display Biomarker SR objects in the near term It is for this reason that the Cenova server can be configured instead to send Biomarker results as DICOM Secondary Capture images Diagnostic Review Workstation s an...

Page 18: ...ses the images and sends new DigitalNow HD For Presentation images to a PACS device 3 As an option the server can also send the images directly to one or more diagnostic review workstation s Diagnostic Review Workstation s and PACS 4 The PACS is configured to send the For Presentation DigitalNow HD images to one or more review workstation s The radiologist can then review the images 5 Depending up...

Page 19: ... follow the guidelines of your workstation vendor Radiologists typically review mammography images using a protocol similar to the sequence shown in the following table For this step The radiologist Preliminary Review Reviews the mammography images to get a preliminary sense of the patient s status DigitalNow HD Compares prior digitized film images to the new mammography images Hologic Imaging Bio...

Page 20: ...sing the same study instance UID At the review workstation two sets of results will be seen distinguishable by the date and time they were produced by the server Server Assigns Images Received After Timeout Elapses to a New Case To reduce the possibility of multiple results Hologic recommends that images for each patient examination be sent from the image acquisition system together at the close o...

Page 21: ...______________________________ 3 3 1 Shutting Down the Server You might need to shut down the Cenova server if you are going to move the computer or if you know the power is going out for a period of time m Important If you shut down the server from a remote location be aware that In order to switch the server back on you will need to have physical access to the server To shut down the server 1 Us...

Page 22: ...estart the Cenova server if results are not transferring Often restarting the server clears any errors In some cases your service representative will ask you to restart the server To restart the server 1 Using a computer that is on the same network as the Cenova server open a web browser 2 Type the IP address for the Cenova server in the address box and press Enter You do not need to type http or ...

Page 23: ...unique numeric or alphanumeric code that identifies a medical device through distribution and use UDI information is displayed in the About screen of the Cenova application To access UDI information in Cenova 1 Launch the Cenova application and log in see 3 3 Server Startup and Shutdown The About screen appears 2 On the About screen click More Information UDI information is displayed on the subseq...

Page 24: ...es Search for a study using data such as patient information date processed etc Export Biomarker results Delete cases Review details for a study When you select the Case Manager option from the Cenova control panel a screen similar to the following appears By default the cases appear in reverse chronological order newest first The records are arranged in rows and columns Each row shows one case Cl...

Page 25: ...own list For some columns you can exclude a search criterion by using the Not box To clear selected search criteria click Clear Filters To export Biomarker results m Note Biomarker results are not available for cases that contain only C View 2D images e g TomoHD You can collect Biomarker results and export the results to a csv file which can be opened using a spreadsheet application To use this fe...

Page 26: ...ration 20 Cenova Image Analytics Server 2 4 User Guide MAN 03998 Rev 001 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 image ...

Page 27: ...1 models supported 5 G GE Healthcare 5 H Hologic film scanning systems 5 Selenia systems 5 Hologic Imaging Biomarkers 7 13 I ImageChecker CAD 7 clinical workflow 13 with DICOM 6000 10 inputs to Cenova 5 6 M Mammography CAD SC 7 8 Mammography CAD SR 7 8 P PACS 5 7 11 12 in system data flow 8 12 ports input 6 precautions Cenova 3 4 printer 7 printout 8 Q Quantra 11 R resources 2 restarting the serve...

Page 28: ...Index 22 Cenova Image Analytics Server 2 4 User Guide MAN 03998 Rev 001 ...

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Page 30: ...lth prenatal health gynecologic health Molecular Diagnostics North America Latin America 35 Crosby Drive Bedford MA 01730 1401 USA Europe Everest Cross Point Leuvensesteenweg 250A 1800 Vilvoorde Belgium Asia Pacific 7th Floor Biotech Centre 2 No 11 Science Park West Avenue Hong Kong Science Park Shatin New Territories Hong Kong Australia New Zealand Suite 402 Level 4 2 Lyon Park Road Macquarie Par...

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