Introduction - BCF Technology

Introduction - BCF Technology
Introduction
Thank you for purchasing your Cuattro EQ Software.
This manual consists of both operating and service instruction. The Software manual provides operating instruction for
x-ray technicians, radiologists and other medical personnel trained in the use of x-ray equipment. The User Manual is not
designed as a replacement or substitute for certified training in the radiological or medical field. By reading this manual,
the operator should be qualified in the use of the system. The Cuattro Uno EQ Software is only to be used by licensed
practitioners in diagnostic and operative and post-operative procedures.
The Cuattro EQ Software can be used in a variety of diagnostic radiographic systems such as but not limited to: Mobile
stand or radiographic table with integrated x-ray tube mounting devices, All-In-One Cuattro Uno Products, or Cuattro
Slate digital radiographic products. Although many features of these portable systems were developed with radiographic
application in mind, operation is described in general terms to permit the use of those features in radiographic
application.
Cautions
1. Use of this manual may not be reproduced in any form without prior permission of Cuattro.
2. The information in this manual may be subject to change without prior notice.
3. Cuattro shall not be liable for malfunctions and damage received to hardware or software, resulting from installation,
relocation, remodeling, maintenance and repair done by anyone other than Cuattro supplied dealers or distributors.
4. Please read the Cuattro End User License Service Agreement, on the Order Summary for the Cuattro Master Support
Warranty Terms and Conditions before using the software.
5. Please read the Cuattro Master Support Warranty Terms and Conditions on the Order Summary for terms and service
and support of the Cuattro software before using the software.
6. For operating conditions of individual hardware components and specifications, please see the Cuattro Software User
Guide and Detection Manuals for assistance.
Safety
1. For safety it is highly recommended that all necessary x-ray safety gear and observations be used when taking
images. Lead apron, lead gloves, thyroid shield, and other x-ray preventative measures should be worn when taking
x-ray images.
2. It is the user’s responsibility to follow all state, local, and federal laws regarding x-ray safety and operational guidelines.
Cuattro, LLC
24/7 Cuattro Customer Support
3760 Rocky Mountain Avenue
imagingsupport@cuattro.com
Loveland CO 80538800.709.4515
970.775.2247www.cuattro.com
Cuattro Software User Manual – Equine
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Table of Contents
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
SECTION 1: OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 Login Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.2 Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.3 Adding a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1.4 Editing a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1.5 Acquire Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1.6 Capturing an Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.7 Reviewing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.7.1 Image Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.7.2 Crop Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.7.3Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.8 Operational Workflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.8.1E-series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.9Exporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.9.1Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.10Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.11Multi-Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.11.1 Image Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
SECTION 2: INTERNET AND RECEPTORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.1 Internet Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.1.1 Adding/Editing a Storage Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.2 Export Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.3 DICOM Spooling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.4 Image Change/Modification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.4.1 To Recover a Deleted Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.4.2 Creating and Customizing an E-series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.4.3. Adding/Editing a Breed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.4.4 Adding/Editing Consigners or Trainers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
2.4.5 Enable Multi-Species Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.4.6 Choosing Patient Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.4.7 Enable/Disable Login Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
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2.4.8 Adding/Editing a User (Veterinarian) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.4.9 Hiding (Deleting) a User . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.5Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.5.1 Quick Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.5.2Detailed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
2.5.3 AAHA Radiology Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.5.4 UI Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.6 Backup and Restore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.7 Database/Image Cleanup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.7.1 Default Rules for Auto Cleanup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.7.2 Changing Default Storage Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
2.7.3 Are Study Records Kept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
2.7.4 Manually Removing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SECTION 3: LICENSING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
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Cuattro Software User Manual – Equine
Section 1: Operation
1.1 Login Screen
1. Login by touching the user name from the drop box. Enter password. Figure 1.0
2. Touch LOG IN to login to the software.
3. First time user login is "Tech“ and the password "tech".
4. To set up other users go to Section 2.4.8 Adding, Editing a User.
1.2
Power Off – Shuts down the computer.
Help – Opens the Help menu.
Home Screen
Home screen shows current active study list, separated into 3 tabs; To Do,
Performed and Search. Figure 1.2
Key – Logs off current user.
Globe – View Cloud web access.
Settings and Administration – Settings access.
Battery Icon – Displays current tablet battery level.
Scroll – Moves the study list up or down.
Figure 1.0
Sort – Displays current study list sort. Touch on any column to
resort the list by date – time, species, breed or patient name.
To Do Tab – Displays open studies that have not been sent to
default archive.
Add Study – Adds a new study.
Add Study (Urgent) – Adds a new study bypassing non-critical
patient information. Complete patient form before exporting
study.
Refresh Worklist – Modality worklist server refresh.
DICOM Spooler – View the current DICOM sending process.
Radiation – Goes to Acquire screen.
Edit – Edit the information of the highlighted study.
Multi-Select – Touch to highlight and select multiple studies.
End – Touch to end a study and send to storage.
Delete – Touch to delete highlighted study.
Compare Study – Compare study via multi-select and the user can review two studies at the same
time. Also opens a single study.
Figure 1.2
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Performed – Displays studies that have been sent to archive. The user can not take new images from
a study on the Performed tab, as it has already been sent to storage for archiving.
Export History – Displays the server location of completed studies.
Info – Displays full patient information on study exports.
Search – Displays options for study searching.
Quick – An easy search for patients based on time (today, yesterday and last week).
Detailed – Search for studies based on detailed information patient name, patient ID and Vet).
1.3
Results – Quick or detailed searches.
Adding a Patient
1. From Home screen touch
.
2. Add New Study screen will appear. Enter the patient information. Figure 1.3
3. Touch
to search and input saved patient data.
4. Touch  to see other possible options.
5. Touch horse images to change the weight of the patient.
Smallest (0–250 kg)
Default (501–1000 kg)
Medium (251–500 kg)
Largest (1001 kg and above)
6. Touch SAVE to save patient information and return to Home screen OR
touch START to go to the Acquire screen to take images.
1.4
Editing a Patient
1. From Home screen, highlight a patient then touch EDIT
.
2. Edit Patient screen opens with patient information displayed.
Figure 1.3
3. Edit any fields by touching them.
4. Touch SAVE and return to the Home screen.
1.5
Acquire Screen
The Acquire screen is where the user acquires, manipulates and saves images.
1. Touch
from the Home screen to enter the Acquire screen.
Generator Tab – Displays information relating to the x-ray generator and current x-ray
status. Use
to expand the view. Figure 1.5
Generator Values – Displays the recommended technique. Touching  will move
the technique up or down.
NOTE: Values shown on the display will be recorded in the DICOM information when an
image is taken.
Figure 1.5
Status – Displays the current status of the machine.
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Cuattro Software User Manual – Equine
Ready – Ready to take an image. Status bar will be blue.
Idle – System is ready to take an image, but needs anatomy and view direction to continue. Status bar will be yellow.
Receptor Not Present – Digital receptor is not within wireless range or is not present. Status bar will be red.
Warning Triangle – Indicates an error in the system. Touch triangle icon to see error message.
NOTE: Contact Support for issues related to unresolved warning messages.
NOTE: User will not be able to take an image while the status bar is yellow or red.
Calibrate – Touch to perform a manual receptor offset calibration.
Reinitialize – Touch to reset receptor communications with the system.
View DICOM Tags – Displays DICOM tag information for currently displayed image.
Save Current as Default – Save current flip and rotation for the current image displayed as the new default for the
anatomy and view chosen.
Exposure Index (EI) – Displays the exposure level of the currently displayed image.
Anatomy Pickers – Anatomy pickers are shown in the corners of the Acquire screen as horse hoofs.
NOTE: Representational if the user was standing directly above the animal.
NOTE: To switch to upper equine anatomy (back, neck, spine) use Upper Anatomy button at the
bottom of the screen.
2. Choosing one of the anatomy pickers will open up available view choices for the user. Touch one of the anatomies and the choice will become green. Figure 1.5.1
3. Touch a beam direction from the nine view squares attached to the anatomy
picker.
NOTE: Some anatomies do not have anatomy specific beam directions and will show as sub categories on the anatomy pickers. For example; fetlock-flex lateral.
NOTE: Always be sure to choose an anatomy selection before choosing a view. Failure to do so will result in an Idle state and not allow the user to take an image.
Status Orb – The Status Orb will change from blue to green when an anatomy and view are chosen.
Touch
to exit the Acquire screen and return to the Home screen.
Image Navigation Bar – Displays current image number. Arrows on left and right navigate through a study.
Image Quality Alert (IQA) – Sends detailed information to support on current image displayed. Used for diagnostic purposes.
Review Tools – Tool bar at the bottom of the screen with image reviewing tools. See
Section 1.7 Reviewing Images for more information.
Figure 1.5.1
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1.6
Capturing an Image
Once an anatomy and view is selected and the status is [Ready] the user may take an x-ray image.
Once an image is taken the status bar will change to [Acquiring] with a % of the acquired image and the status orb will
change to red.
NOTE: The user will not be able to take another exposure until the status bar goes back to [Ready].
Once the image has been acquired it will be displayed on the screen.
NOTE: If Auto Crop or Auto Shutter is turned on a transparent box will appear on top of the image for adjustment of the
tool. Images will be auto saved if no adjustments are made. See Section 1.7 Reviewing Images for more information.
Image can be reviewed using the image review tools at the bottom of the screen. See Section 1.7 Reviewing Images for
more information.
1.7
Reviewing Images
Once an image has been taken it can be reviewed at any time through the Acquire screen.
1.7.1
Image Tools – Image review tools are located at the bottom of the Acquire screen.
Pan and Zoom – Default tool used to pan and zoom current image. Also opens up a tool
menu for other options.
NOTE: Multi-touch gestures are used for zooming in an image. Two finger pinch to zoom in. Two finger
push-out to zoom out.
Window Level – Adjust brightness and contrast.
NOTE: Up and down gestures for brightness control; left to right for contrast control.
or
Rotations – Two Rotate options; clockwise or counterclockwise 90 degrees.
or
Flips – Two Flip options; flip X-axis or Y-axis.
Invert colors – White to black and black to white.
Image reprocessing – Reprocess the image to the user’s preferences. Users choose from five defaults.
Show/Hide Tags – Displays DICOM overlays in the corners of the Acquire screen.
NOTE: ON by default.
Show/Hide Overlays – Displays the Acquire screen overlays on top of the image.
NOTE: ON by default.
Trash Can – Review rejected images. Rejected images will display a transparent X. Touch the X to
re-accept the rejected image. Touch new anatomy or view and touch SAVE to change the anatomy
and/or view.
Check Mark – Change the anatomy or view of an existing image.
1.7.2 Crop Tools
Options for cropping and re-enhancing images.
Crop and Re-enhance – Crops the image and then re-enhances it based on the remaining image area.
Use touch and drag to draw around the image as needed.
Manual Crop – Crops an image to remove non-diagnostic information. Touch and drag to draw a box
around image as needed.
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Cuattro Software User Manual – Equine
Manual Shutter – Hides unwanted diagnostic information. Touch and drag to draw a box around
image.
Polygonal Shutter – Similar to Manual Shutter. Touch once on the screen to create blue starting point.
Create a polygon by adding additional touches to the image. Close the polygon by touching back in
the blue starting point.
Undo All – Resets any cropped or shuttered images to the original image capture state.
1.7.3Tools
Ruler – Touch and hold to draw a line on an image. Places measurement on the screen in mm.
Protractor – Touch three times to place measuring angle on the screen. Second touch is the angle
vertice.
Annotations – Places a manual or custom annotation on the image.
COBB Angle – Touch and drag to create two lines. Touch a third time to display the angle between
them. Also places angle measurement text on the image.
Undo – Undoes the last change made to the image before a save.
Save – Save an image as currently displayed.
NOTE: Zoom and pan changes are not saved. Images are always displayed full screen when being
reviewed.
Delete – Rejects currently displayed image.
NOTE: Rejected image(s) are saved for 7 days after they are exported, after which time they are deleted.
Markers – Puts a quick left or right marker on an image.
NOTE: Save any image rotations or flips before placing a marker.
NOTE: After a marker or annotation is placed on an image the ability to flip or rotate an image will be
disabled.
E-series – Opens the E-series exam.
NOTE: See Section 1.8.1, E-series for more information.
End – Completes and sends the study to an external source for archiving and review.
NOTE: Once a study is ended it will be moved from the To Do tab to the Performed tab on the main
screen.
1.8
Operational Workflow
Take an Image  Manipulate Shutter or Crop  Image Reprocessing  Rotate and Flip  Save  Window Level 
Markers, Annotations, Ruler, etc. Save.
1.8.1E-series
1.Touch PLAY on the Acquire screen to open an E-series exam.
2. Touch body region from the picture to see a list of exams for that region. Figure 1.8.1
Figure 1.8.1
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5
3. Touch an exam from the list so it is highlighted. Figure 1.8.2
4. Touch SELECT to start that exam.
5. The user can begin taking images for the exam. Notice that the anatomy and view
selectors have been preset for the user. As the user takes images in the exam the
anatomy pickers will change based on the preset information.
NOTE: Auto shutter or crop options will display on the screen when the image is taken.
If the user does not adjust them, they will be saved as they are displayed on the screen.
E-series Mode – Contains different Control buttons at the bottom of
the Acquire screen.
or
Figure 1.8.2
Arrows – Navigate to the next or previous image in the exam.
Image number – Displays the number of images left to be taken in the exam.
Insert – Inserts a new anatomy and view into the existing exam. The user will have to manually select
the anatomy and view of the newly inserted image with the anatomy pickers.
Remove – Removes the existing image. Lists user options to keep, delete or cancel the image.
Stop – Stops the current E-series exam and returns the user back to manual selection mode.
NOTE: Every Cuattro system has two pre-loaded Keeneland® sale exams. These exams are included for Keeneland
Repository studies.
6.
Keeneland Sale Exam: 36 required images.
7. Keeneland Sale Exam (Training): 38 images for racing age horses, as well as protocols for Fasig-Tipton and OCALA.
1.9 Exporting
Exporting studies to a storage server is required for the proper use and function of the Cuattro machine.
NOTE: Please see Section 2.2 Adding/Editing a Storage Server for more information.
1. Touch
from Home screen (or Acquisition screen) to access the Send/End Study options.
DICOM Store – Lists currently saved DICOM server storage locations. Figure 1.9.1
DICOM Server – Default DICOM storage server. Exports images in DICOM format to
destination server.
NOTE: This option is usually pre-chosen for the user, as it will be the default location for
all images being archived. Please see Section 2.2 Export Settings for more information on
adding, editing or changing storage options.
View Station – Second server location or view station selection.
Figure 1.9.1
Telemedicine Server – Third server location or Telemedicine station selection.
NOTE: A hard drive, CD or media device is not considered a DICOM storage server. A DICOM storage server must be
selected for images to be ended and moved to the Performed tab. Failure to do so will result in performance issues. See
Section 2.2, Export Settings for more information.
DICOM Store Options – Allows user to burn in DICOM store overlays into the image for server export.
NOTE: DICOM store overlays include all measurement tools, markers and annotations.
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Cuattro Software User Manual – Equine
1.9.1Media
Printer – Exports the studies to a DICOM printer. Figure 1.9.1.
Media – Export to media device, CD, DVD, USB flash dive or hard drive.
Media Format – Export images as DICOM, JPEG, and TIFF.
Include DICOM Viewer – Check to include E-film light with DICOM image export.
Burn Overlays in Image for Media/Printer Export – DICOM and JPEG images have
DICOM store overlays burned in when exporting.
NOTE: Items selected on this screen need to appear in green highlight to be sent
to the selected location. Drop down selections may appear in white, but only items
highlighted in green will be sent to the specified location.
Figure 1.9.1
NOTE: If multiple studies are selected on the To Do or Performed tabs through the
multi-select tool, they can be exported to the same media device. If exported to the same device, the studies will be
placed in dated folders with images stored in sub-folders by patient last name. The DICOMDIR will contain all studies when
viewed in E-film.
2. Touch SEND/END to end a study.
3. Touch SEND if the study has already been sent to the Default DICOM storage server (from the Performed tab).
1.10Help
1. From the Main screen touch
.
2. To open the PDF version of the manual touch HELP FILE. This will open a PDF version of the Cuattro Software User
Manual – Equine. Figure 1.10
NOTE: If a window prompts for an Administrator password to continue; touch CANCEL.
This is not required to establish a connection with support.
1.11Multi-Exam
1. Touch MULTI-SELECT from the Main screen to be able to select more than one
study at a time.
2. Highlight two studies from either the To Do or Performed list.
Figure 1.10
NOTE: The studies must both be on the To Do or Performed list. You can not select one from one list and the one from
another to compare. If you use Search, you can open a closed and in progress study in order to get it into same list.
NOTE: You can not select more than two patients for study compare.
3.
Touch COMPARE STUDY to open a viewing window with both studies.
If only one study is selected when the compare study is selected it will open the same study twice. This may be
beneficial to do a side-by-side comparison for the same study, as only one image can be displayed in the acquire
screen at a time.
The Study Compare screen will be split top and bottom. Figure 1.11
4. Touch IMAGE NAVIGATORS on each study section to change the current image displayed.
The active window will have a white highlight box around it. Tools or navigations will only be applied to the active
window.
NOTE: Tablet will need to be in portrait orientation.
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1.11.1 Image Tools
Some image tools will be available for manipulation.
Flips – Flips the image over the X or Y axis.
Rotate – Rotates the image clockwise or counterclockwise.
Undo – Undoes last image change since a save.
Invert – Inverts selected image. Whites become black; black becomes white.
Pan-Zoom – Pan and zoom on selected image.
Window/Level – Change brightness and contrast.
NOTE: Any modifications made to the images will not be saved while in this mode.
All changes will disappear once the user exits this mode.
Figure 1.11
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Cuattro Software User Manual – Equine
Section 2: Internet and Receptors
2.1
Internet Connection
1. At the bottom of the [Home] screen, touch WIRELESS ICON
.
2. A new window will appear showing all available wireless connections in the area.
3. Touch your network from the list so it is highlighted. Figure 2.1
4.Touch JOIN to connect to the network. If applicable, enter the password for your network.
Once the network is connected it will show as connected on the screen, under
wireless status dialogue box.
NOTE: If you are joining an ad hoc or hidden network contact Cuattro Customer
Support for assistance.
2.1.1
Adding/Editing a Storage Server
1. From the Main screen touch
.
Figure 2.1
2. Touch DICOM/NETWORK option from the drop-down menu at top of the screen.
3. Touch DICOM STORAGE SERVER. Figure 2.1.1
NOTE: Telemedicine Storage Servers and View Station servers will use this same
configuration and can be configured exactly the same way using their respective
menus.
4. To add a new server touch + or to edit an existing server touch ABC.
5. Enter the required fields.
Description – General name of the server for reference.
AE-Title, HOST IP, and Port – Required by the server provider.
NOTE: Please contact Cuattro Technical Support for assistance when attempting to
connect to Cuattro View Cloud Services.
Figure 2.1.1
Compression Type – Image compression type. Call your Telemedicine provider for compression type.
NOTE: .90 Lossy compression is the application default. Not all DICOM servers can accept this format type. Please consult
Cuattro Technical Support for specifics on image compression.
Client AE Title – Name of the computer sending the images.
NOTE: Not required for all servers. Consult Cuattro Customer Support for further information on this setting.
6. When complete touch VERIFY to confirm the system is able to send information to the new server. A message
"Verification Successful" will appear if the settings are correct. If the message "Verification Fails" appears, contact
Cuattro Customer Support for assistance.
7.Touch SAVE to save the new server.
NOTE: You must be connected to the internet in order to verify a server.
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9
2.2
Export Settings
1. From Main screen touch
.
2. Touch DICOM/NETWORK option from the drop-down menu at the top of the screen.
3.Touch DEFAULT EXPORT.
Default Servers – DICOM, View Station, Telemedicine, printers, and media can all have
a default location populated by touching END. Touch the configured device from the
drop down menu. Figure 2.2
NOTE: Choosing a Default DICOM server is REQUIRED in order to successfully end a
study. Choosing a server here will allow studies to be moved from the To Do tab to the
Performed tab. The Default storage server also has connections to Image Cleanup and
database configurations. Please see the Section 2.7: Database/Image Cleanup for more
details or consult technical support for more information about the Default DICOM
storage server.
Figure 2.2
Chosen Selection Boxes – Server, Telemedicine, View Station, Media and Printer:
Options to have the selection pre-chosen and highlighted (in green) for export when
touching END. Figure 2.2.1
Media Type – Media types for export. DICOM, JPEG and TIFF. Figure 2.2.2
Figure 2.2.1
Figure 2.2.2
2.3
DICOM Spooling
As Images are sent out to storage, the DICOM spooler icon will change to:
Green Spinning – Items are currently being sent to storage. Do not Power down the machine while this is happening.
Yellow – Error with Internet connection, unable to send studies currently in the spooler.
Red – Error with send.
On the Main screen, touch
. Studies sent to storage will appear in the list as they are exported.
Single Line – Study currently being sent.
Dotted Line – Study queued for sending.
X – Study failed to send to location.
2.4 Image Changes/Modifications
Change/modify an image acquired with the wrong anatomy or view which results in improper labeling.
1. From the Acquire screen touch IMAGE TOOLS.
2.Touch
.
3. Touch the body region in the corner.
4. Touch the correct anatomy and/or view.
5.Touch SAVE.
The image will be reassigned the correct anatomy and/or view and will re-enhance using the correct settings.
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Cuattro Software User Manual – Equine
2.4.1
To Recover a Deleted Image
1. From the Acquire screen, touch IMAGE TOOLS.
2.Touch
.
3. When Trash Can is highlighted in green it will display all images taken, even deleted ones.
4. Deleted images will appear with an X overlay.
5.Touch
on the tool bar to accept the image. The X overlay will be removed and the image will be accepted into
the study.
NOTE: Images marked with an X overlay will not be exported when a study is ended.
NOTE: Close Trash Can (un-highlighted in green) when study review is complete, so as not to see all deleted images. The
Trash Can will remain ON throughout all studies being taken until it is shut OFF.
2.4.2
Creating and Customizing an E-series
1. From the Home Screen touch
.
2.Touch ACQUISITION from the drop down menu.
3.Touch E-SERIES. Figure 2.4.2
4. Touch + to create a new E-series.
5. Enter name, and DICOM Code (If known, if not leave Blank). Figure 2.4.2.1
6. Touch body region from the picture.
7. Touch an anatomy and view to add.
8. Touch + next to the Anatomy and View name to add more. This will always create a
duplicate anatomy and view of the one selected. Choose a different view, anatomy
or body region if needed.
9. Use the up and down arrows
to reorder the series images.
Figure 2.4.2
10.Touch MORE at the top.
Figure 2.4.2.1
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11
11. Touch a body region to assign this E-series to when selecting it from Acquire
screen. Figure 2.4.2.2
12. Touch a species to assign to the E-series.
NOTE: E-series are species specific. If the E-series is not assigned to a species it will not
show for that particular species on the acquire screen when that species is chosen in
the Add Patient screen.
13.Touch SAVE when complete to finish the custom series.
NOTE: E-series may be edited by touching ABC from the list.
Figure 2.4.2.2
NOTE: Keenland Sales, and Keenland Sales (Training Exams) have limited editing
capabilities. Anatomies and views can not be added, removed or edited from these
series as they are specific to the repository. (Required) Figure 2.4.2.3 However, the
order of shots in the exam can be changed.
2.4.3
Adding/Editing a Breed
1. When entering patient information from the Add/Edit patient screen, touch BREED drop down menu. Figure 2.4.3
2. Touch + to add a new breed.
Figure 2.4.2.3
Figure 2.4.3
3. Enter the new breed name and touch SAVE.
4. This will add the custom breed to the list for future use.
2.4.4
Adding/Editing Consignors and Trainers
Entering patient information from the add/edit patient screen, touch either
consignor or trainer drop-down menus. Figure 2.4.4
1. Touch + to add a new consignor and/or trainer.
Figure 2.4.4
2. Enter the new name and touch SAVE. This will add the user to the list for future use.
2.4.5
Enable Multi-Species Mode
1. From the Home screen touch
.
2. Touch ADMIN from the drop-down menu.
3.Touch VET SPECIFIC INFO.
4.Touch MULTI-SPECIES mode and touch SAVE. Figure 2.4.5
5. Application will prompt for a Restart.
6. After the application restarts, users will be able to select other species when
adding a patient. Figure 2.4.5.1
Figure 2.4.5
NOTE: If a species is not in the list, contact technical support for assistance in
choosing a new species. Go to the Species and Breed settings page (Settings 
Acquisition  Species and Breeds) for a full list of supported species and breeds.
Figure 2.4.5.1
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Cuattro Software User Manual – Equine
2.4.6
Choosing Patient Defaults
1. From the Home screen touch
.
2. Touch ADMIN from the drop-down menu.
3. Touch VET SPECIFIC INFO.
4. Touch a Default Species (Multi-Species mode only), otherwise equine will be the
only default to choose. Figure 2.4.6
5. Touch a Default Weight Category.
Figure 2.4.6
6. Touch a Default Breed.
NOTE: Default settings will be displayed on the Add Patient screen.
2.4.7
Enable/Disable Login Screen
To enable more than one user on the system with log in abilities.
1. From the Home screen touch
.
2. Touch ADMIN from the drop-down menu.
3.Touch VET SPECIFIC INFO.
4. "Authorization Enabled" must be checked to enable the Login screen.
2.4.8
Adding/Editing a User (Veterinarian)
1. From the Home screen touch
.
2. Touch ADMIN from the drop-down menu.
3.Touch USER. Figure 2.4.8
4.
Touch + to add a new user.
5. Enter the required name and touch authorization options for the user. Figure
2.4.8.1
NOTE: The name entered here is how the name will be displayed on DICOM Tag when
exporting (Last Name, First Name).
6.Touch CAN LOGIN to create a user name and password for the new user.
NOTE: User name is not case sensitive when logging in; password is case sensitive.
Figure 2.4.8
NOTE: A user does not need to have a login if they will not be physically taking images
(reading physicians, referring vets, etc.).
7.Touch SAVE when complete to return to the User list.
8. To edit a user touch ABC from the User list.
Figure 2.4.8.1
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13
2.4.9
Hiding (Deleting) a User
The Cuattro system does not allow the deletion of a user, if that user has logged in and taken images. If the user has not
taken images they can be deleted using
.
1. If a user has taken images, touch ABC for the selected user.
2.Touch HIDE, touch SAVE.
3. The user will now display with a blue circle next to the name indicating they are no longer active.
4.Touch
to hide all inactive users.
NOTE: Users marked as hidden (inactive) will not show when adding or editing patients.
2.5Reporting
1. From the Home screen touch
.
2.Touch ADMIN from the drop down menu.
3.Touch REPORTING.
2.5.1
Quick Tab
Users can generate reports and study metrics from pre-configured reports.
1. Touch a pre-configured report and touch RUN REPORT.
2. Export the report to USB flash drive or other media device.
NOTE: Report will be formatted as a Microsoft® Excel spreadsheet on export with the report information.
2.5.2.Detailed
1. Search database for specific information based on user defined criteria.
2. Export the report to USB flash drive or other media device.
NOTE: Report will be formatted as a Microsoft Excel spreadsheet on export with the report information.
2.5.3
AAHA Radiology Reporting
AAHA Radiology Reports require at least one user to be entered and logged into the
system for an accurate report. If no users are entered all information will display, “Site
Admin” as the user who performed all exams. Figure 2.5.3
NOTE: See Section 2.4.8 Adding/Editing a User for more information.
2.5.4
Figure 2.5.3
UI Settings
1. From the Home screen touch
.
2.Touch ADMIN from the drop-down menu.
3.Touch UI SETTINGS.
4. Language – Change the application language. Figure 2.5.4
Currently supported languages:
English (USA) – Imperial standard
English (GB) – Metric/SI Standard
SpanishPortuguese
Dutch
French
German
14
Figure 2.5.4
Cuattro Software User Manual – Equine
Window Level Speed – Responsiveness of the window level tool.
Overlay Font Size – How large text appears on the acquire screen (DICOM Tag
Markers, annotations, markers).
Measurement Line Color and Size – Change the color and size of measurements.
Figure 2.5.4.1
Web Browser Orientation – View Cloud Web orientation.
NOTE: Application runs at 270° rotation. Slate 6 runs at 90° rotation. For web browsing
set at 0° or 180° for proper display.
» Portrait view= 90° or 270°
» Landscape =0° or 180°
2.6
Figure 2.5.4.1
Backup and Restore
1. From the Home screen touch
.
2.Touch ADMIN from the drop-down menu.
3.Touch BACKUP AND RESTORE.
4. Choose action type from the menu. Figure 2.6
Backup Settings Only – Saves settings only, no images or patient information to an
external media device (CD or USB drive).
Backup Complete – Saves all settings, images and patient records to an external
media device (USB flash or Hard drive. CD’s are not large enough to contain more
than a few studies for a complete backup).
Depending on the hardware and amount of images on the system, this can take
several hours to complete a backup. The user will not be able to take images during
this process. Cuattro recommends a 500 GB hard drive with USB 3.0 for maximum
transfer rate.
Figure 2.6
Restore Settings – Restores settings from a media device. Figure 2.6.1
Restore Complete. – Restores all settings, images and patient data.
NOTE: Depending on the amount of data to transfer over this can take several hours
to complete. The user will not be able to take images during this process.
2.7
Database/Image Cleanup
2.7.1 Default Rules for Auto Cleanup
Figure 2.6.1
Cuattro System defaults are set to automatically remove images and studies to make
space for more images. Users will receive a prompt when the hard drive is 85% full, when trying to create a patient. At 95% full the user will no longer be able to create
a new patient or take any new images on existing patients, until older studies or
images are deleted. Figure 2.7.1
Customers with an external USB hard drive may Auto Archive images to a hard drive.
Studies that have been successfully exported to the Default Storage server can be
sent to the Auto Archive, extending the hard drive capacity of the Cuattro system.
As long as the same external hard drive is plugged into the Cuattro system, archived
studies and images will be accessible from the Performed tab.
Figure 2.7.1
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15
NOTE: In Order for a study to be marked for deletion it has to be successfully sent to the default DICOM storage server. See
Section 2.1 Internet Connection for more information.
NOTE: Studies will be removed on a first in, first out bases, if the Cuattro system reaches its maximum storage capacity. This will
differ based on the computer hardware memory requirements.
2.7.2
Changing Default Storage Settings
1. From the Home screen touch
.
.2.Touch ADMIN from the drop-down menu.
3. Touch DATABASE/IMAGE CLEANUP.
4. Choose a Default Storage Server.
5. Choose Cleanup mode type.
Above Preferred Drive Space – When the system reaches 85% capacity the system will start removing the oldest studies first.
Always – The system will always clean itself after a certain period of time regardless of the space used.
Automatically Archived – Used in conjunction with [Always] selection for Cleanup Mode. Automatically remove studies after a
certain time frame has past, if and only if the study has been sent successfully to the storage server.
2.7.3 Are Study Records Kept
Check On by Default – When a study is removed automatically, it does not delete the
patient record information (Name, birth date, weight). Figure 2.7.3
Check Off – Remove the records along with the studies when auto cleanup is used.
Figure 2.7.3
2.7.4 Manually Removing Images
The user can manually remove images by touching DELETE from the Home screen on a selected patient, on either the
To Do or Performed tab.
The user can also use the same function on the Database/Image Cleanup settings page by touching CLEANUP
DATABASE/IMAGES.
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Cuattro Software User Manual – Equine
Section 3: Licensing
3.1Licensing
Cuattro software license is limited as per the Cuatto Master Warranty Terms and
Conditions. As such, the software license may expire.
1. When logging into the system a message box will appear with a warning of when
the license will set to expire, up to 30 days before expiration. The message will
continue to appear consecutively until the license expires. Figure 3.1
Please contact Cuattro Customer Support by email, phone or support chat to
acquire a new license. Cuattro Customer Support will provide instruction on how
to update the license.
Figure 3.1
NOTE: It is highly recommended to have your system connected to the internet
before attempting to install a new license.
2.Touch YES to proceeded to the registration page. Figure 3.1.1
NOTE: A support representative may ask you for a serial number or Dongle serial
number for reference. This is listed at the top of the registration page (16 Digits, 0–9,
A–F, Hexadecimal).
Figure 3.1.1
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17
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