JPI Healthcare Co., Ltd.

ExamVue Duo User Manual

608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

User Manual
Product: ExamVue Duo
Document Number JTD-ExamVueDuo-DHF11 (Rev.1)

Prepared Reviewed Approved

S
i
g
n

2021.08.24 2021.08.24 2021.08.24

JPI HEALTHCARE. CO., LTD.

Woolim e-Biz center #608, 28, Digital-ro 33gil, Guro-gu, Seoul, Republic of Korea, 08377
TEL: 82-2-2108-2580, FAX: 82-2-2108-1180
Homepage: www.jpi-korea.com
E-mail: [email protected]

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

Revision History

Revision Date Descriptions

0 2021-08-23 Initial Release

1 2021-08-24 Updated the graphic symbols

2 2021-10-05 Added appendix - How to use the demo version?

Added appendix - How to use the demo image in the

3 2021-10-06
ExamVue Duo?

Added Tools Item (Auto / ROI Window Level, QC)

4 2021-11-12
Added appendix - How to use E-mail?

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

Contents

1. Safety and Regulatory ................................................................................. 5

2. Introduction .................................................................................................. 6

3. Hardware Requirement ................................................................................ 6

4. Software Configuration ................................................................................ 8

5. Log-In Window ............................................................................................ 11

6. Worklist Window ........................................................................................ 12

6.1 Status Bar ......................................................................................................... 13

6.2 Search Menu ..................................................................................................... 14

6.3 Tools.................................................................................................................. 15

6.4 Patient Information Window ............................................................................ 16

6.5 Procedure Window ........................................................................................... 18

7. Exam Window ............................................................................................. 21

7.1 Patient List ........................................................................................................ 22

7.2 Study List .......................................................................................................... 22

7.3 Generator panel ................................................................................................ 22

7.4 Tool panel ......................................................................................................... 23

7.4.1 Layout Tools...................................................................................................... 29

7.4.2 Control Tools ..................................................................................................... 30

7.4.3 Annotation Tools............................................................................................... 37

7.4.4 Function Tools .................................................................................................. 47

8. StudyList Window ...................................................................................... 55

8.1 Search Menu ..................................................................................................... 55

8.2 Study List .......................................................................................................... 56

8.3 Thumbnail Window ........................................................................................... 56

8.4 Study Management Tools ................................................................................ 57

9. Settings Window ........................................................................................ 66

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

9.1 General .............................................................................................................. 66

9.2 Viewer................................................................................................................ 76

9.3 Network ............................................................................................................. 78

9.4 Utility ................................................................................................................. 83

Appendix 1 – Trouble shooting ...................................................................... 84

Appendix 2 – How to use Mouse (default) ..................................................... 89

Appendix 3 – Veterinary Tool ......................................................................... 90

Appendix 4 – Equine Tool ............................................................................. 102

Appendix 5 – How to use the demo version?.............................................. 106

Appendix 6 – How to use the demo image in the ExamVue Duo? ............ 109

Appendix 7 – How to use E-mail? ................................................................ 111

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

1. Safety and Regulatory

The following safety notices are used to emphasize certain safety instructions. Follow the
safety instructions in this manual along with warnings and cautions symbols. Ignoring such
warnings or cautions while handling the product may results injury or accident. It is important
for you to read and understand the contents of this manual before attempting to use the
product.

1.1 Symbols
Symbols Descriptions

Indicates a potentially hazardous situation which may cause minor

personal injury or property damage if the instructions are ignored.

Provides additions information that is helpful to you. It may

emphasize certain information regarding special tools or items to
check before operating the product.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

2. Introduction
ExamVue Duo is a software for the acquisition, processing, storage and viewing of digital x-
ray images and indicated for use in general radiography, specialist radiology including podiatry,
orthopedic, and other specialties, and in mobile applications. However, ExamVue Duo is not
intended for use in mammography.

3. Hardware Requirement
- PC Computer

Minimal and recommended Specification

Microsoft Windows 10 Professional 64 bits

Operating System
(Home will not work with the new versions)

Graphics Intel Integrated Graphic Card with DVI or HDMI

Intel Core i5-9400 (2.90GHz, up to 4.10GHz with Turbo Boost, 6

Processor
Cores, 9MB Cache) or equivalent

Recommended: 16GB DDR4 2666MHz UDIMM

Memory
Minimal: 8GB DDR4 2666MHz UDIMM

Optical Drive DVD+/-RW 16x (CD-R and DVD-R Media Only)

1st Hard Drive

- 1TB 7,200 RPM SATA or 512GB SSD Drive

Storage
2nd Hard Drive

- 1TB 7,200 RPM SATA

1st Ethernet
Intel Integrated 1Gbps
Network Adapter

2nd Ethernet Intel 1Gbps Ethernet I210-T1 Server Adapter or USB 3.0 1Gbps
Network Adapter adapter

24-inch monitor with minimal resolution of (1920 x 1080) 2MP with

Monitor
DVI or HDMI connector

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

- Laptop Computer

Minimal and recommended Specification

Microsoft Windows 10 Professional 64 bits

Operating System
(Home will not work with the new versions)

Graphics Intel Integrated Graphic Card

8th Generation Intel® Core™ i5-8265U Processor (4 Core,6MB

Processor
Cache,1.6GHz,15W) or equivalent

Recommended: 16GB DDR4 2666MHz UDIMM

Memory
Minimal: 8GB DDR4 2666MHz UDIMM

DVD+/-RW 16x (CD-R and DVD-R Media Only) or external

Optical Drive
DVD+/-RW 8X
1st Hard Drive

- 256GB SSD Drive

Storage 2nd Hard Drive

- 1TB 7,200 RPM SATA

- 1TB 7,200 RPM SATA

1st Ethernet
Intel Integrated 1Gbps
Network Adapter

Wi-Fi Network Wireless card with AC connection up to 867 Mbps for maximum
Integrated Adapter DR connection

USB 3.0 Wi-Fi USB wireless card with AC connection up to 867 Mbps for
Network Adapter maximum internet connection

14 or 15.6 screen with minimal resolution of 1600 x 900

Screen
Recommended (1920 x 1080) 2MP

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

4. Software Configuration
The program includes five windows, and the entire interface is designed for the touch screen
operation.

4.1 Log-In Window

Users need to log into the ExamVue Duo software to use with the right ID and Password.

4.2 Worklist Window

Worklist Window has some patient information and user can select them to exam.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

4.3 Exam Window

User can take X-ray images with registered patient information.

4.4 StudyList Window

All patient information stored in the database are displayed according to the search option.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

4.5 Settings Window

User can set settings of the features.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

5. Log-In Window
Once the program has been started you will be asked to log in. Depending on the login level
some features will be limited. Please just confirm the boxes the registered ID and PWD.

- Admin Privileges: Allow to access the Settings Window and delete images.

- Technologist Privileges: User operator but no access to Settings Window and can’t
delete images.

- ID: Input the operator ID

- PWD: Input the operator Password

- Login: Check the ID and PWD. if it’s available and entry to the Worklist Window.

If the information is not matched, the error window comes out.

- Minimize: Hide the program in the window task bar.

- Maximize: Show the log-in window with full screen window.

- Exit: Exit the program.

- Help: Shows some information related to your company and software.

⚫ The configuration option of the software requires special login details.

Please consult your system administrator.
⚫ The configuration of your system should only be changed by experienced
technicians. Improper alterations or other configurations may endanger the
health of the user and the patient.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6. Worklist Window
Through DICOM Worklist Server (MWL), you can take the patient information, integrated with
hospital system, or input the patient information manually.

⚫ To use MWL Server, you must register the MWL Server’s information in the
Settings Window.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.1 Status Bar

Display currently logged operator mode and connection status with the other devices.

① Account: Display the logged in account

② Detector ready: Display the ready status of the detector

③ Virtual keyboard: Show / Hide the Virtual keyboard

④ HDD Capacity: Display used space on HDD

⑤ DICOM Print: Display the connection status of the DICOM Print

⑥ PACS: Display the connection status of the PACS

⑦ MWL: Display the connection status of the Modality Worklist Server

⑧ Generator: Display the connection status of the generator

⑨ Detector: Display the connection status of the detector

⑩ Battery: Display the charging status of the detector’s battery

⑪ Wi-Fi: Display the signal status of the detector’s Wi-Fi

⑫ Queue: Display the data status of the PACS and DICOM Print

⑬ Remote: Open the remote software

⚫ You can set up a remote application (ex. TeamViewer) path from the
Settings window.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.2 Search Menu

You can search some study by some filter like ID, Name and Accession number.
Name Description
- MWL (Modality Worklist)
Search DB
: Query patient information manually from MWL

- Local (Local DB)

: You can search some patient information stored in the
databases

- ALL

: Search in MWL and Local DB

⚫ To use MWL Server, you must register the MWL

Server’s information in the Settings Window.

Study Date Select a search period

Patient ID Input the Patient ID

Patient Name Input the Patient’s Name

Sex Select in the Sex

Input the Birth Date (YYYY/MM/DD) or Choose from the calendar

Birth Date ⚫ Date format depends on the Settings of the Date
format in the Settings Window.

Expansion Search
Clicking the button will rise to the expanded search criteria and
search for some studies with details.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.3 Tools
Icon Name Description

Execute the Search button and shown the result data in

Search
the list

Clear Erase all information used in the search condition

New Display the Patient Information Window to create the new

Patient patient

Edit Edit registered Patient information

Delete registered Patient Information in the list, however

Delete
this feature allows only Admin privilege

Import Import the patient list using the CSV file format

Exam Move to the Exam Window to take X-ray Image

Move to the Exam Window and register Emergency data

Emergency
but you must select Anatomy and Projection to take X-ray

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.4 Patient Information Window

⚫ If the Virtual Keyboard settings is enabled, it will be displayed

automatically in the bottom place.

6.4.1 Patient Information Tools

Icon Name Description

Keyboard Show and hide the Virtual keyboard

Clear Clear and reset all data as initial status

Save the inputted all information and move to Worklist

Save
Window

Cancel Move to the Worklist Window

ID, FIRST NAME, SEX, DOB and ACC.NUMBER are

Emergency
written as emergency information

Next Move to the Procedure Window

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.4.2 Patient input menu

- *ID: Patient’s ID

- *NAME: Patient name (*First / Last Name)

- OWNER: Owner’s name (First / Last Name)

- *SEX: Patient’s sex (Male, Female, Other, Neutered, Spayed)

- *DOB: Select or Input patient’s birthday

- AGE: Patient’s age

- SPECIES: Patient's species (Canine, Feline, Exotics, Equine)

- BREED: Patient's breed

- CHIP NUMBER: Patient's chip number

- ACC.NUMBER: Patient’s Accession Number

- INSTITUTION: Select the Institution registered

- COMMENT: Input or select the user comment

- STUDY DESCRIPTION: Input the study description

⚫ If clicked the Search button with some name or ID in the ‘FIRST NAME’ or
‘PATIENT ID’, all patient information related will be displayed in the pop-up
window and you can select one. Then it will be filled out automatically in
the Patient Information Window.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.5 Procedure Window

You can plan each X-ray the examination positioning in the Procedure window.
The selection of organ structures is displayed in the left side and select some organ.

6.5.1 Pictogram
The illustration is divided into different sections (organ groups).

- HEAD

- RIGHT / LEFT UPPER EXTRIMITY

- TORSO

- PELVIS

- RIGHT / LEFT LOWER EXTRIMITY

By clicking on an organ group, e.g. skull, all standard projections of the selected organ
will be shown. Click on the examination to be performed to create a corresponding list
entry in the right Study List.

⚫ You can make new Anatomy and Projection in the separated Management
software. Please contact to the administrator if needed.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.5.2 Anatomy and Projection List

Select and the Anatomy and the Projection by clicking the illustration.

6.5.3 Preset List

Select the Preset data.

⚫ You can make new Preset list in the separated Management software.

Please contact to the administrator if needed.

6.5.4 Study List

Show the registered Study in the list and can adjust the list size by clicking the size
button.

[Size button] [count : 8] [count : 5] [count : 6]

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

6.5.5 Procedure Management Tools

Icon Name Description
Move to the previous Patient Information window without
Exit
saving all data inputted

Up Up to the selected image position in the Study list

Down Down to the selected image position in the Study list

Rest Remove all lists from a study list

Delete Delete the selected image in the Study list

Save Save and move to the Worklist Window

Exam Move to the Exam Window to take an image with X-ray

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

7. Exam Window
User can acquire the X-ray image from the detector.
The right side is the tools panel, and the left side of the screen is the study list. If the generator
is connected the generator panel will be shown as shown the below figure.

Below shows the acquired image in the image viewer.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

7.1 Patient List

Search patients that already registered to the database with search option.

7.2 Study List

Display the study ordered or searched in the list.

7.3 Generator panel

Control the generator settings such as kVp, mA, ms, mAs.

⚫ You can set up generator option in the separated Management software.

Please contact to the administrator if needed.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

7.4 Tool panel

Icon Name Description

Display images according to the selected

Layout
layout

Cursor This is default mouse cursor state

Fit Image Fit an image to the size of the image viewer

Real Size Display the image in its actual size

The Viewer area extends to the thumbnail

Full Screen
area. So, you can see the larger image

CCW90 Rotate an image by 90 degrees

/ CW90 Counterclockwise / Clockwise

Rotate an image freely as 1 degree interval

Free Rotation using the slide bar or mouse drag in the Free
Rotation window

V Flip
Flip an image Vertically / Horizontally
/ H Flip

Panning Perform panning the image

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JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

Magnifying Magnify a local region of interest

Zoom Zoom in and out the entire image

Zoom in and out the region of the interest

ROI Zoom
(ROI) in the image

Invert Invert an image between black and white

Window Level Change the window level

Window Level
Reset the window level
Reset

Window Level
Change the window level automatically
Auto

ROI Window Change the window level of the region of

Level interest

Display various pixel values related to the line

Line Profile
when you draw a line

Histogram It shows the pixel values

Analyzes the pixel maximum, pixel minimum,

Ellipse/
standard deviation, median, and average
Rectangle
values in the drawn Ellipse / Rectangle ROI
ROI Analysis
area

Draw test notes on the image and use can

Text
resizable the text size

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JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

R / L Marker Add R / L Marker

You can add delete or modify frequently used

User Marker
marks as desired

Measure distance between two points on the

Ruler
image

Arrow Draw the arrow in the image

Measure the angle between three points over

Angle
an image

Rectangle /
Ellipse Crop an image of interest in the image
Cropping

This tool is used to find the angle where two

Cobb Angle
lines intersect

Line Draw a straight line

Delete
Delete selected annotation information
Annotation

Draw the line having the center point in the

Center Point
image

Expand Line Draw the expanded line in the image

Pencil
Draw the freely line in the image
(Free draw)

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JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

Annotation Shows or hides the annotation entered by the

Hide / Show user

Patient
Information Shows or hides the patient’s information
ON / OFF

Dot Draw the Dot in the image

Draw the black rectangle in the image and can

Black
change the size of the black rectangle after
Rectangle
drawing

Additional functions used in Veterinary Tools

Veterinary
(See Appendix for descriptions of each
Tools
Annotation)

Additional functions used in Equines Tools

(See Appendix for descriptions of each
Equine Tools Annotation)

NOTE) if you can’t find the Equine tools,

please contact to the administrator.

Creates a vertical or horizontal axis,

Axial Line depending on the direction, in which the
mouse pointer is moved

Vertical /
Displays the angle and Vertical / Horizontal
Horizontal
length of two points
Offset

Modify Enter the X-Ray condition in the acquired

Exposure image. The information entered can be found
Parameter in the DICOM Tag Viewer

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JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

Stitch the Two Image Selected and Add the

Stitching Stitched Image in Study and Thumbnail
Window (See Appendix for descriptions)

Length
Calibrate the length
Calibration

E-mail Send Send the selected image to E-mail

DICOM Send Transfer DICOM Images to PACS Server

DICOM Print Print the selected image to the DICOM printer

DICOM Display the DICOM tag information from the

Tag Viewer selected image

Save all annotation information in the selected

Save
image

Reset All Restore as original image

Paper Print Print out the viewing image to the paper print

Import an external DICOM image to add

File Import
information to the study list

Convert and export the selected images with

File Export various formats to the local drive, external
USB or CD/DVD equipment
Make the report of the selected image using
Report the report form and export to the report PDF
or Paper print device

Display the full screen image in the secondary

Dual Screen
monitor if user is using the dual monitor

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JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

QC Pattern Display the QC pattern.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
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08377, Republic of Korea

7.4.1 Layout Tools

⚫ Layout

Display images according to the selected

Layout
layout

[Layout: 1x1, 1x2, 2x1, Multi]

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08377, Republic of Korea

7.4.2 Control Tools

⚫ Fit Image

Fit Image Fit an image to the size of the image viewer

[Fit Image]

⚫ Real Size

Real Size Display the image in its actual size

[Original] [Real Size]

⚫ It depends on the monitor’s resolution specification and the pixel spacing of

the detector.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
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08377, Republic of Korea

⚫ Full Screen

The Viewer area extends to the thumbnail

Full Screen
area. So, you can see the larger image

[Full Screen]

⚫ CCW90 / CW90

CCW90 Rotate an image by 90 degrees

/ CW90 Counterclockwise / Clockwise

[CCW90] [CW90]

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
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Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

⚫ Free Rotation

Rotate an image freely as 1 degree interval

Free Rotation using the slide bar or mouse drag in the Free
Rotation window

[Free Rotation]

⚫ V / H Flip

V Flip
Flip an image Vertically / Horizontally
/ H Flip

[V Flip] [H Flip]

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08377, Republic of Korea

⚫ Panning

Panning Perform panning the image

[Before] [After]

1) Press and hold the left mouse button while dragging the image to the desired position.

⚫ Magnifying

Magnifying Magnify a local region of interest

[Magnifying]

⚫ To set up ROI Window Size, you can set the configuration in the Settings
Window.

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
608-ho,28, Digital-ro 33gil, Issued Date: 2021.10.06
Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

⚫ ROI Zoom

Zoom in and out the region of the interest

ROI Zoom
(ROI) in the image

[Original] [ROI Zoom]

⚫ Invert

Invert Invert an image between black and white

[Original] [Inverted Image]

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 JPI Healthcare Co., Ltd. ExamVue Duo User Manual
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Guro-gu, Seoul, Revision: 3
08377, Republic of Korea

⚫ Window Level

Window Level Change the window level

[Window Level]

⚫ ROI Window Level

ROI Window Change the window level of the region of

Level interest

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08377, Republic of Korea

⚫ Line Profile

Display various pixel values related to the line

Line Profile
when you draw a line

[Result Display] [Draw Line]

1) Draw a line in the desired area as shown in the picture below.

⚫ Histogram

Histogram It shows the pixel values

[Result Display]

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08377, Republic of Korea

⚫ Ellipse/ Rectangle ROI Analysis

Analyzes the pixel maximum, pixel minimum,

Ellipse/
standard deviation, median, and average
Rectangle
values in the drawn Ellipse / Rectangle ROI
ROI Analysis
area

[Ellipse Analysis] [Rectangle Analysis]

7.4.3 Annotation Tools

⚫ Text

Draw test notes on the image and use can

Text
resizable the text size

[Text Image]

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08377, Republic of Korea

⚫ R / L Marker

R / L Marker Add R / L Marker

[R Marker] [L Marker]

1) To adjust the size of the mark, you can do as follows.

2) Click and hold the right bottom edge point in the Marker area using the left mouse
button.
3) Drag the marker size to resize it.

⚫ It’s the same way to resize the ‘R’, ‘L’ marker, User marker and Text size.

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⚫ User Marker

You can add delete or modify frequently used

User Marker
marks as desired

[Mark Image]
1) Click Mark button.
2) Enter the user maker and click Add button and then the use marker will be registered
and shown in the list.
3) Select the user marker.
4) Click Okay button.

⚫ Ruler

Measure distance between two points on the

Ruler
image

[Ruler]

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⚫ Arrow

Arrow Draw the arrow in the image

[Arrow]

⚫ Angle

Measure the angle between three points over

Angle
an image

[Angle]

⚫ When you complete drawing an angle, the value of the angle will be
calculated and displayed automatically.

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⚫ Rectangle / Ellipse Cropping

Rectangle /
Ellipse Crop an image of interest in the image
Cropping

[Rectangle Cropping] [Ellipse Cropping]

1) Click Crop button.

2) Locate the mouse cursor inside of the image.
3) Drag the mouse to the cropping area during pressing and holding the mouse left button.
4) Clik Save button or Double-clicking of the left button to save the cropped image.

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⚫ Cobb Angel

This tool is used to find the angle where two

Cobb Angle
lines intersect

[Cobb Angle]

1) Draw the first line.

2) Draw the second line.
3) The angle is automatically calculated and drawn.
4) You can change the area by moving the red dot or line at the end of the line.

⚫ Line

Line Draw a straight line

[Line]

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⚫ Center Point

Draw the line having the center point in the

Center Point
image

[Center Point]

⚫ Expand Line

Expand Line Draw the expanded line in the image

[Expand Line]

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⚫ Pencil (Free Draw)

Pencil
Draw the freely line in the image
(Free draw)

[Pencil]

⚫ Annotation Hide / Show

Annotation Shows or hides the annotation entered by the

Hide / Show user

[Show] [Hide]

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⚫ Patient Information ON / OFF

Patient
Information Shows or hides the patient’s information
ON / OFF

[ON] [OFF]

⚫ Dot

Dot Draw the Dot in the image

[Dot Image]

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⚫ Black Rectangle

Draw the black rectangle in the image and can

Black
change the size of the black rectangle after
Rectangle
drawing

[Black Rectangle Image]

⚫ Axial Line

Creates a vertical or horizontal axis,

Axial Line depending on the direction, in which the
mouse pointer is moved

[Axial Line]

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⚫ Vertical / Horizontal Offset

Vertical /
Displays the angle and Vertical / Horizontal
Horizontal
length of two points
Offset

[Vertical Offset] [Horizontal Offset]

7.4.4 Function Tools

⚫ Modify Exposure Parameter

Modify Enter the X-Ray condition in the acquired

Exposure image. The information entered can be found
Parameter in the DICOM Tag Viewer

[Exposure Parameter]

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⚫ Length Calibration

Length
Calibrate the length
Calibration

[Length Calibration Window]

1) Enter the actual length (mm) on Real and then click ok.

⚫ E-mail Send

E-mail Send Send the selected image to E-mail

[E-mail Send]

1) Click E-mail Send button. (The selected image is automatically attached.)

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2) Choose the address from the combo box or enter it yourself.

3) Click Send button.

⚫ Before working it, you must configure the E-mail Sever settings in the
Settings Window. (See Appendix for descriptions)

⚫ DICOM Send

DICOM Send Transfer DICOM Images to PACS Server

[DICOM Send]

4) Click DICOM Send button.

5) Select the PACS Server in the PACS Server list.
6) Click Send button.

⚫ Before working it, you must configure the PACS Sever settings in the
Settings Window.

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⚫ DICOM Print

DICOM Print Print the selected image to the DICOM printer

[DICOM Print]

⚫ DICOM Tag Viewer

DICOM Display the DICOM tag information from the

Tag Viewer selected image

[DICOM Tag Viewer]

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⚫ File Import

Import an external DICOM image to add

File Import
information to the study list

[File Import]

⚫ If you click the ‘New Patient’ option during importing, the new ID and
Name including in the DICOM tag will be created automatically.

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⚫ File Export

Convert and export the selected images with

File Export various formats to the local drive, external
USB or CD/DVD equipment

[Export Window]

Name Description
Device Select the export device with Local Disk, USB or CD/DVD

Set the image path for the image export. It allows only USB and
Path
Local Disk

Image Type Select the image type in the BMP, JPG, RAW and DICOM

- Burn Information: Save the patient information on the image

- Burn Annotation: Save the annotation information on the image

- Include the DICOM Viewer: It can allow only when selected

DICOM Image format
Option
- Include the Patient Information (CSV): Make the CSV file with
the selected patient info

- DICOM Compression type: Select the DICOM compression

type

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⚫ Report
Make the report of the selected image using the report
Report form and export to the report PDF, E-mail or Paper print
device

[Report Window]

Name Description
Patient Information Display the information of the selected study

Write some comments

Report Contents
(RECOMMADATION / FINDING / CONCLUSION)

Information /
Include patient Information / Annotations
Annotation

Layout Change the image layout (1x1, 1x2, 2x1, 2x2)

Create a PDF of the report and send it as an attachment to

E-mail
the E-mail

PRINT Print of the Paper Printer

SAVE PDF Save as a PDF file

CANCEL Exit the Report Window

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⚫ Dual Screen

Display the full screen image in the secondary

Dual Screen
monitor if user is using the dual monitor

[Dual Screen]

⚫ QC Pattern

QC Pattern Display the QC pattern.

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8. StudyList Window
StudyList Window allows you to retrieve past studies from the database and shows in the list.

8.1 Search Menu

You can search the past studies using the following conditions on the database.

Name Description
Patient ID Input a patient ID of study to search

Patient Name Input a patient name of study to search

Birth Date Input a patient’s birthday

Sex Select the Sex

User Study Date

Input or select a specific period of date to search
(From to To)

Ref.Physician Input the information of the referring physician

Study Description Input patient’s study description

Institution Input patient’s institution information

Owner Input patient’s owner name

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- Period search buttons: Search by Period.

8.2 Study List

All studies searched with entered condition are displayed in the study list.

8.3 Thumbnail Window

Shows all images of the selected study

Thumbnail Symbol Table

Symbol Description

Rejected Image

Printed out DICOM Image to the DICOM Printer successfully

Sent DICOM Image to the PACS System successfully

Thumbnail Window Button Table

Icon Name Description

E-mail
Send the selected image to E-mail
Send

DICOM
Send the selected image to DICOM
Send

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Edit Edit the registered information in the Thumbnail window

Delete Delete selected image in the thumbnail window

Expand /
Expand / Reduce the study list
Reduce

8.4 Study Management Tools

Icon Name Description

The image moves to the selected patient between the two

Merge
patients

Edit Edit the patient information

Delete the selected patient from the list. Allow deletion of

Delete
administrative accounts only
Convert and export the selected images with various
Export formats to the local drive, external USB or CD/DVD
equipment

Import an external DICOM image to add information to the

Import
study list

Make the report of the selected image using the report

Report form and export to the report PDF, E-mail or Paper print
device

Compare Compare selected images in the Image Viewer

DICOM Print Print the selected image to the DICOM printer

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PACS Transfer DICOM Images to PACS Server

Restore deleted image to selected ID

Restore
Allow only managed account recovery

Exam Move to the Exam Window to take X-ray Image

⚫ Merge

Merge Move to the selected images at between two patients

[Merge Window]

1) The Source contains the selection from the Study list in the Study Window.

⚫ Merge Window does not appear unless selected.

2) Select an image to merge from the Source List.

3) Search for Target using Search Menu.

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4) Select a target from the Target List.

5) Click the MERGE button.

⚫ Import

Import an external DICOM image to add information to the

Import
study list

[Import Window]

⚫ If the New Patient option is selected, it is added as a new item.

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⚫ Export
Convert and export the selected images with various
Export formats to the local drive, external USB or CD/DVD
equipment

[Export Window]

Name Description
Device Select the export device with Local Disk, USB or CD/DVD

Set the image path for the image export. It allows only USB and
Path
Local Disk

Image Type Select the image type in the BMP, JPG, RAW and DICOM

- Burn Information: Save the patient information on the image

- Burn Annotation: Save the annotation information on the image

- Include the DICOM Viewer: It can allow only when selected

DICOM Image format
Option
- Include the Patient Information (CSV): Make the CSV file with
the selected patient info

- DICOM Compression type: Select the DICOM compression

type

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⚫ Report
Make the report of the selected image using the report
Report form and export to the report PDF, E-mail or Paper print
device

[Report Window]

Name Description
Patient Information Display the information of the selected study

Write some comments

Report Contents
(RECOMMADATION / FINDING / CONCLUSION)

Information /
Include patient Information / Annotations
Annotation

Layout Change the image layout (1x1, 1x2, 2x1, 2x2)

Create a PDF of the report and send it as an attachment to

E-mail
the E-mail

PRINT Print of the Paper Printer

SAVE PDF Save as a PDF file

CANCEL Exit the Report Window

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⚫ Compare

Compare Compare selected images in the Image Viewer

[Compare Window]

Name Description
ADD Adds the selected image from the Thumbnail List

REMOVE Remove the selected image

VIEWER Move to the Image Viewer

CANCEL Exit the Compare window

[Image Viewer]

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⚫ DICOM Print

DICOM Print Print the selected image to the DICOM printer

[DICOM Print Window]

Name Description
Print Name Name of DICOM Print Server to be used

Medium Type Type of medium on which the print job will be printed

Film Size Size of printed materials

Copies Number of copies to print

Orientation Type of image orientation (Portrait, Landscape)

⚫ Before working it, you must configure the DICOM Print settings in the Settings
Window.

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⚫ PACS

PACS Transfer DICOM Images to PACS Server

[DICOM Send Window]

1) Select PACS from the PACS list.

(If the Select All is checked, it is sent to all registered servers.)
2) Click the SEND button.

⚫ Before working it, you must configure the PACS Sever settings in the Settings
Window.

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⚫ Restore

Restore Restore deleted image to selected ID

[Restore Window]

1) Search for deleted items using Search Menu.

2) Select the item to be restored from the Deleted List.
3) Click the Restore button.

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9. Settings Window
Administrator privileges are required to access the Settings window. If you cannot find the
Settings Window menu in the top main menu, contact your administrator.
You can also save and apply the changed settings in the Settings window by clicking the Apply
button and restarting the software.

9.1 General
9.1.1 System

[Setting – General – System]

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Name Description
Software Information Display Software Name

Version Display Software Version

Serial Number Display Software Serial Number

Date Format Change the Date Format

Allow to start software position, but dual monitor need to

Console Start Position
configure in the system

Auto Log off Time Select the Auto log off time

Select the language

Language DICOM Character Set

Korean ISO IR6 \ ISO2022 IR 149

Chinese ISO IR6 \ GB18030

Japanese ISO 2022 IR 13 \ ISO 2022 IR 87

Display language Default UISI IR 100

Thai ISO 2022 IR 166

UTF-8 ISO IR 192

⚫ If this item is not correctly changed, some

tag value of DICOM header will be not
correctly contained.

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9.1.2 Institution

[Setting – General – Institution]

Name Description
Name Institution name

Address Address of the institution

Department Department name of the institution

Tel Telephone number of the institution

Logo Set the logo and it will be displayed in the Report form

Physician Input the information of the referring physician

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9.1.3 Account
Configures the account of the ExamVue Duo users and currently registered information
is available on the list.

[Setting – General – Account]

Name Description
ID ID information

Password Password information

Repeat Same information as password

Role Role information (Admin or Technologist)

Add Add a new user account

Edit Edit an existing user account

Delete Delete an existing user account

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9.1.4 Display
Allow information to be displayed on the upper left, lower left, upper right, and right sides
of the image, and you can select Skin.

[Setting – General – Display]

Name Description
ALL Disable Hide all information when displayed an image in the viewer

Display Information
Choosing the font size for information display
Font Size

Skin Color Choose one of skins in Gray Dark, Navy and White

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9.1.5 Backup
Backup and restore the database file.

[Setting – General – Backup]

⚫ Backup Database
Name Description

Database Path Set the file path

Backup Backup the database file

Restore the database file that backed up

Restore ⚫ If the feature will be performed, the old

database file has the patient, and the image
information will be replaced or updated.

If ‘Enable Auto backup’ is checked, automatic backup is

performed during the setting condition. Available units to be
entered are Day/Week/Month

To do, please click OK button in the Backup window below

Enable Auto backup

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⚫ Local Storage
User can save the JPG image automatically in the specified storage path during acquiring
the image from the detector. And, during saving the image, user can set the options like
the ‘Burn Annotation’ and ‘Burn patient Information’.

Name Description
Save path Path where images acquired from the detector are stored

File Format JPG format only is available

Burn Annotation Save the annotation information in the JPG image

Burn Patient
Save the patient information in the JPG image
Information

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9.1.6 Options

[Setting – General – Option]

⚫ E-mail
Name Description

Burn Information Add patient information to the E-mail attachment image

Burn Annotation Add patient annotation to the E-mail attachment image

E-mail Address Frequently used E-mail address

Add Add the inputted E-mail address

Edit Edit the registered E-mail address

Delete Delete the registered E-mail address

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⚫ General
Name Description
Enable / Disable the virtual keyboard

If a user click the virtual icon, the virtual key board will be
displayed as below
On-Screen keyboard

→
Show or Hide the Exam Positioning guide

Suggested Technique When moving to the Exam window, the examination guide will
be displayed according to the option
Show or Hide the Reject window.

Reject Password When you attempt to run the reject function, a pop-up window
will pop up and prompt you to enter your password

When you enter an ID on the Add Patient screen, the ID you

previously entered is displayed below

Patient ID Auto Fill

Enable or Disable the Launch at Start up.

Launch at Start up If enabled, ExamVue Duo starts automatically after booting

the Windows system

Default Species Species selected by default when adding patients

Secondary Monitor Enable or disable the secondary monitor

Remote Service Path Remote program path

Close Study to Change Select the screen that changes when you close the Study
the Window (WorkList, StudyList)

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⚫ Examination
Name Description
Annotation Auto Save Save Annotation automatically

Auto Cropping Enable the auto cropping function while Exam mode

Enable the auto Masking function while Exam mode

Auto Masking ⚫ Auto Masking is available only if Auto Cropping
is enabled.

Exposure Index The Exposure Index will show up on the image

Automatically register Anatomy during Emergency and

Emergency-Auto
navigate to the Exam window (The default value for
Anatomy Registration
anatomical values is Default Species)

Grid Line Suppression It can remove the gird line in the image

[Original] [Auto Cropping] [Auto Cropping & Auto Masking]

[Original] [Gid Line Suppression Image]

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⚫ Auto Delete
Name Description
You can automatically delete data. Choose one of two options

Auto Delete - Delete by Space

- Delete by Period

9.2 Viewer

[Setting – Viewer – Header Column]

9.2.1 Header Column

You can select and move to the position in the header column for the Worklist and
StudyList Window.

Name Description
Up Up to the selected header column

Down Down to the selected header column

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9.2.2 Annotation
User can set Viewer option and Font option.

[Setting – Viewer – Annotation]

⚫ Viewer Option
Name Description
Magnify Zoom Set the Magnify zoom ratio

Zoom Window Size Set the magnify zoom window size

Mouse Left click Default Action for Mouse Left

Mouse Middle click Default Action for Mouse Middle

Mouse Right click Default Action for Mouse Right

Mouse Wheel Scroll Default Action for Mouse Wheel Scroll

⚫ Font Option
User can set the color in the annotation features.

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9.3 Network
9.3.1 Configuration
Configures the network information.

[Setting – Network – Configuration]

Name Description
Enter name of the local pc which will be displayed on the
AE Title
Network

IP Enter IPv4 Address of the PC

Enter the Port number, it should be configured in accordance

Port
with the linked server

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9.3.2 MWL (Modality Worklist Server)

Configures the network information of the server storing the Modality Worklist.

[Setting – Network – MWL]

⚫ MWL Option
Name Description
MWL Server (Default) Enable or Disable the MWL feature

File Server Enable or Disable the File Server feature

Enable Auto Refresh Refresh the querying time automatically

Query Modify Type Select the modality type of the imaging equipment

Select the tag to match the code matching at the below table

- Requested Procedure ID
Procedure Tag
- Requested Procedure Description
Selection
- Scheduled Procedure Step Description

- Scheduled Procedure Step ID

Specific Character Set Select the Specific Character Set

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⚫ MWL Server
Name Description
AE Title AE Title for MWL

IP IP for MWL

Port Port for MWL

Add Add new MWL Server information in the list

Edit Edit the registered MWL Server

Check the connection between the installed PC and the MWL

Echo
Server

Delete Delete the selected MWL Server in the list

9.3.3 PACS
Configures the network information of the PACS Server, which stores the images files.

[Setting – Network – PACS]

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⚫ PACS Setting
Name Description
Enable Auto Send when a When you close an exam study, DICOM images are
Closing Study automatically sent

Set the DICOM Send Dialog and send DICOM Images

Show DICOM Send Dialog
manually if it has been set

Change SOP Instance UID

Change the SOP Instance UID number
when resending to PACS

Separated Series Number Select the series number type

Transfer Syntax is a set of encoding rules able to

Transfer Syntax
unambiguously represent one or more Abstract Syntaxes

⚫ PACS Server
Register PACS Server Information and select one or more PACS Server in the list.
Name Description
AE Title AE Title for PACS

IP IP for PACS

Port Port for PACS

Bit Conversion Bit conversion of DICOM files

Add Add new PACS Server information in the list

Edit Edit the registered PACS Server

Check the connection between the installed PC and the

Echo
PACS Server

Delete Delete the selected PACS Server in the list

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9.3.4 DICOM Print

Configures the connection information of the Printer and select one Server in the list.

[Setting – Network – Printer]

⚫ Printer Option
Name Description
Size Choose the film size you typically use

Orientation Select the direction of film

Medium type Type of medium on which the print job will be printed

Trim Select the trim

Film Destination Select the destination of film

Print Mode Select the Print Mode

Number of Copy Sets the number of outputs

Name Enter the name of the Print

AE Title Enter the AE title of the DICOM Print

IP Enter the IP number of the DICOM Print

Port Enter the Port number of the DICOM Print

Time out Set the time out

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⚫ Layout
Allow the location to show Patient Information in the image.

9.4 Utility

[Setting – Utility – Statistic]

Name Description
Period Today, 1 Week, 1 Month, ALL, From To

Search Search all information in accordance with the search criteria

Clear Clears all retrieved results

Print out the result as the Report format and can save the
Export
PDF format

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Appendix 1 – Trouble shooting

1. Can’t log-in to the software

If below error message appeared check DB server is running.

2. USB Dongle key Error

ExamVue Duo needs USB dongle key to run.

If the below error message appeared, please check if USB dongle key was inserted to
the USB Port.

3. Can’t connect to the detector or can’t acquire the image from

the detector

- Check the power of the detector

- Check the LAN Cable between the detector and PC.

- Check IP number on the Network settings

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For the IP number, please refer to the detector user guide manual by the
manufacturer

4. Display mismatched pixel data after acquiring the image

[Mismatched pixel data]

- Check the configuration of the detector in the management .exe

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5. Can’t send the Image to the PACS Server

A. If below error message appeared.

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B. You should check AE Title and IP address.

C. Check network status to PACS server.

6. Can’t print out the image to the DICOM Print

- Check the power of the DICOM Printer

- Check the LAN Cable between the DICOM Printer and PC

- Check all information in the Settings window’s DICOM Printer menu

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7. Can’t query the Patient information from Modality Worklist

Server

[Error message]

- Check the physical connection like the LAN cable

- Check the AE Title, IP address and port number in the Settings Window. Please
move to the MWL menu and check all settings.

- Restart the software

8. Can’t save the image

- Please check if the image storage folder user did define

- Check the authority of the folder if it’s possible to write.

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Appendix 2 – How to use Mouse (default)

User can make mouse setting in the Settings window.
Please move to the annotation menu and check the mouse setting for the right, left and
heel button.

So, user can control the image according to the mouse settings.
◼ Left button
◼ Right button
◼ Wheel button
◼ Right button and drag

If you need to adjust the window level, please press and hold the mouse button user set

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Appendix 3 – Veterinary Tool

- Axial angle

Measure an angle between lines, each line drawn along the center of the 4 points specified.
Axis Angle measurement can be used to identify an angle of crossed line.
1) Mark a first point on an arbitrary location of the target of interest.
2) Mark a second point on an arbitrary location of the target of interest.
3) Mark a third point on an arbitrary location of the target of interest.
4) Mark a fourth point on an arbitrary location of the target of interest forming an axis line.
5) Mark a first point on an arbitrary location of the target of interest.
6) Mark a second point on an arbitrary location of the target of interest.
7) Mark a third point on an arbitrary location of the target of interest forming an axis line.

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- Clock face

Superimpose a clock faced feature on the image. Clock Face measurement can be used
to diagnose an anatomical positioning of a canine heart.
1) Mark a point on the top margin of the canine heart.
2) Mark a point on the center of the canine heart forming a clock face.

<Default>

<Lat View>

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- Cross angle

Measure an angle between lines crossed. Each line is drawn along the 2 points specified.
Cross Angle measurement can be used to identify an angle of crossed lines.
1) Mark a first point on an arbitrary location on the target of interest.
2) Mark a second point on an arbitrary location on the target of interest forming a line.
3) Mark a first point on an arbitrary location on the target of interest.
4) Mark a second point on an arbitrary location on the target of interest forming a cross
line.

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- Liver size

Liver size is one of the important standards used to establish differential diagnoses for
dogs and cats with suspected hepatic diseases. (i.e., hepatomegaly for hepatic congestion,
inflam-matory and infiltrative disease, hepatic neoplasia or micro-hepatia for hepatic
cirrhosis or portosystemic shunt)
1) Mark a point on the left margin of T11 of the vertebral at the level of the center of the
endplate.
2) Mark a point on the right margin of T11 of the vertebral at the level of the center of the
endplate.
3) Mark a point on the most cranial point of the diaphragm.
4) Mark a point on the caudal vena cava to the apex of the caudal hepatic border.

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- Middle angle

Measure an angle between a line specified and a line formed from a center point of a line
specific to an arbitrary point. Middle Angle measurement can be used to identify an angle
of interest.
1) Mark a first point on an arbitrary location of the target of interest.
2) Mark a second point on an arbitrary location of the target of interest forming a line.
3) Mark a third point on an arbitrary location of the target of interest drawn from the pivot
point forming an angle.

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- Norberg angle

Norberg Angle is used in assessing hip laxity and in detecting hip dysplasia.
(The default Norberg Angle is 105 degrees)
1) Mark a first point on the outline of the femoral head.
2) Mark a second point on the center of the femoral head forming a circle.
3) Mark a point forming a line connecting the center of the femoral head to the cranial
rim of acetabulum.
4) Mark a first point on the outline of the femoral head.
5) Mark a second point on the center of the femoral head forming a circle.
6) Mark a point forming a line connecting the center of the femoral head to the cranial
rim of acetabulum.

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- Percent coverage

Measure the percent of femoral head covered by the size of cranial rim of acetabulum.
PC is an indication of the support provided by the acetabulum to oppose the force
transmitted from the femur.
1) Mark a first point on the medial surface of the femoral head.
2) Mark a second point on the center of the femoral head forming a circle.
3) Mark a third point on the cranial acetabular rim.

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- Spine label

The spine labeling tool is to name the vertebrae. Starting at the top of the C-spine to
bottom of CY-Spine (Tail)
1) Spine Label window will be displayed. Select the start label.
2) Mark the spine label at the location of the target of interest. (Repeat)
3) Mouse R-click will finish the Spine labeling.

<Spine Label window>

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- TPA (Tibial Plateau Angle)

The TPA is characterized as the angle between a line tangential to the central articular
surface or intersecting the cranial and caudal landmarks of the medial tibial plateau and a
line perpendicular to the mechanical long axis of the tibia, which is measured from a
standard lateral radiographic image of the tibia.
1) Mark a point on the center of the talus.
2) Mark a point on the center of the intercondylar eminences.
3) Mark a point on the cranial top of the tibial plateau.
4) Mark a point on the cranial inside of the tibial plateau.

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- Vertical Discrepancy

Measure the length discrepancy from the points specified. Vertical Discrepancy
measurement can be used to identify a vertical tilt between two points.
1) Mark a first point on an arbitrary location of the target of interest.
2) Mark a second point on an arbitrary location of the target of interest forming a tilting
line.

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- VHS (Vertebral Heart Score)

Measure Vertebral Heart Score and the length of average vertebrae from T4 to T8. VHS
measurement can be used to diagnose canine cardiomegaly and to describe a
progressive change in heart size.
1) Click on Caranial Edge of T4.
2) Click on Caranial Edge of T5.
3) Click on Caranial Edge of T6.
4) Click on Caranial Edge of T7. (Mouse R-click to go for long axis directly)
5) Click on Caranial Edge of T8. (Mouse R-click to go for long axis directly)
6) Click on Caranial Edge of T9. (Mouse R-click to go for long axis directly)
7) Click on Caranial Edge of T10.
8) Mark a point on the top margin of the canine heart.
9) Mark a point on the bottom margin of the canine heart forming a long axis.
10) Mark a point on the left margin of the canine heart.
11) Mark a point on the right margin of the canine heart forming a short axis.

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- VLAS(Vertebral Left Atrial Size)

Measure Vertebral Left Atrial Score. VLAS is a highly re-producible measurement that has
a moderate positive correlation with echocardiographic measurements of LA size. Thus,
the VLAS provide a quantitative measurement of LA size that can be determine from right
or lateral thoracic radiographs.
1) Mark the first point at the center of the most ventral aspect of the carina (bifurcation of
the left and right mainstem bronchi).
2) Mark the second point at the most caudal aspect of the left atrium where it inter-sects
with the dorsal border of the caudal vena cava.
3) Mark the third point at the cranial edge of T4.
4) Mark the fourth point at the parallel to the vertebral canal.
5) Please Enter VLAS(Vertebral Left Atrial Score)

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Appendix 4 – Equine Tool

- DP hoof

Measure the joint angle and lateromedial deviation on the DP View. Joint angle and
Lateromedial deviation is important factors which determine forces affecting tendons and
ligaments.
1) Mark a point on the center margin of the fetlock bone P1.
2) Mark a point on the center margin of the pastern bone P2.
3) Mark a point on the center margin of the coffin bone P3.
4) Mark a point on the top left margin of the coffin bone P3.
5) Mark a point on the top right margin of the coffin bone P3.
6) Mark a point on the left margin of the ground surface.
7) Mark a point on the right margin of the ground surface.

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- Lateral hoof

Measure the hoof wall angle, P3 angle and so forth on the Lateral View.
(Dorsal hoof wall angle, Parietal surface angle, Heel angle, P3 angle, Dorsal hoof wall
thickness, Sole depth)
1) Mark a point on the top margin of the hoof wall.
2) Mark a point on the bottom left corner margine of the hoof wall.
3) Mark a point on the bottom margine of the heel.
4) Mark a point on the top margine of the heel.
5) Mark a point on the top margin of the coffin bone P3.
6) Mark a point on the bottom left corner margine of the coffin bone P3.

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- Hoof pastern axis

Measure the HPA from straight line running from the center of the fetlock, through the
pastern, continuing straight from the coronet to the ground surface.
1) Mark the first point at the left side of the fetlock.
2) Mark the second point at the right side of the fetlock.
3) Mark the third point at the left side of the pastern.
4) Mark the fourth point at the right side of the pastern.
5) Mark the third point on a hoof wall.

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- Sinkage distance

Measure the length discrepancy from the points specified. Sinkage Distance
measurement can be used to identify a vertical tilt between Coronary band and Extensor
process.
1) Mark a first point on a Coronary band.
2) Mark a second point on a Extensor process.

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Appendix 5 – How to use the demo version?

1. Run ‘Management’ icon on the desktop

⚫ You can also run the “ Management.exe” software into “ C:\ExamVue

Duo\Management” folder

2. Input the ID and PWD to log into the main program and click “Login” button

(ID = admin, PWD = admin)

[Log-In Window]

[Main Window]

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3. Go to the “Hardware > Detector” tab in the left side men

4. Select Detector type as Virtual

5. Click the “Apply” button

6. Click the “Exit” button to close “Management” program

7. Run “ExamVue Duo” icon on the Desktop

8. Check the license file

The popup below appears because the license has not been issued yet

[License Error Message Window]

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9. If the license file is NOT activated like 8) message above, please copy the
“License.dat” file and send to JPI Healthcare’s administrator

10. Get the issued "License.dat" file from JPI Healthcare and overwrite the file into the
"C:\ExamVue Duo" folder

11. Run “ExamVue Duo” icon on the desktop.

If you run ExamVue Duo and the login window appears as below, the license has
been successfully applied

[Log-in Window]

⚫ Please notice that the period to use the demo version is limited for 15 days.

⚫ If you need to expand the demo version, please contact to JPI Healthcare’s
administrator

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Appendix 6 – How to use the demo image in the ExamVue

Duo?
User can set display their own demo image using the management s/w and display it in
the ExamVue Duo s/w. Before setting the instruction below, please prepare the demo
images.
1. Run ‘Management’ icon on the desktop

⚫ You can also run the “ Management.exe” software into “ C:\ExamVue

Duo\Management” folder

2. Move to the Anatomy menu in the left side

3. Select the Body part & Projection that want to be added new demo image, the
positioning guide image or X-ray reference image

4. Move to “C:\ExamVue Duo\Images\DemoImages\ folder” and select one of the

species to add the demo images
5. Copy the demo image
6. Make the INI file having the same name with the added demo image as shown the
below figure

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7. Open the created INI file and set the values according to the added demo image

In particularly, below is more importantly.

- IsProcessing = 0 // use the raw image (.raw)
- IsProcessing = 1 // use the processed DCIOM image (.dcm)
8. Click the browser button in the ‘Demo Raw Reference Image’ and link the demo image

9. Click the browser button in ‘Image Processing Parameter’ and set the parameter file

If processed DICOM image is used, you don’t need to set the parameter file

10. Close the Management.exe

11. Run ExamVue Duo
12. Register the new patient and set the Body part and the Projection in the Study
Information
13. Move to the Exam window

14. Click the Radiation button

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Appendix 7 – How to use E-mail?

User can send the acquired image as JPEG format using the feature of E-mail in the
software. However, please make sure to remember that User must set up an some settings
in the E-mail server menu in the advance like the below direction.

1. Server Setting
1) Click Server Settings button

2) Enter or select the server information of the Email you’re using in the menu

Below is some example for the Google email.

⚫ In the case of Google, mail delivery may fail due to security concerns. To resolve this, try
the following methods.

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① Users must log in to Google on user’s PC from Explorer, Chrome etc.

② If you can’t send mail again despite the above way, try the following methods.

③ Click this button(①)

④ Click “Account”(②)

⑤ Click “Security”(③)

⑥ Scroll to “Less secure app access”(④)

⑦ Click “Turn on access(not recommended)”(⑤)

⑧ Click this button(⑥) -> Done(⑦)

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And E-Mail has some features like below.

- Send: Send an E-mail

- To Address: E-mail recipient

- Address book: Select the recipient's E-mail address

- Attachment: Attached file list

- File explorer: Select a file to send by E-mail

- Subject: Enter the title of the E-mail

- Server Setting: Server settings for E-mail

- Exit: End of the program

2. To address
1) Select one of the email addresses entered in fig (③), Multiple choice available.

2) Users can directly input it. Email addresses are separated using “;”
Ex) [email protected]; [email protected]

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3. File attachment
1) The file selected by the user is automatically attached and shown. In addition, the
user can attach the file using the file explorer.
2) File can be attached using “drag and drop” and buttons.
3) You can delete unwanted files from the text box, file names are separated using “;”
Ex) Test1.jpg; Test2.jpg; Test3.jpg

4. Send E-mail
1) Click the button fig (①)

2) When mail transfer is complete, the program is turned off.

3) If the mail transfer fails, a message box appears. The server settings or email
address is incorrect.

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