Mindray DICOM User manual

Digital Ultrasound Diagnostic
System
DICOM Quick Guide

Intellectual Property Statement
© 2009-2011 Shenzhen Mindray Bio-medical Electronics Co., Ltd.All Rights Reserved.

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Content
Content ................................................................................................................................1
1 Preset............................................................................................................................4
1.1 Local TCP/IP Preset................................................................................................................4
1.2 DICOM Local...........................................................................................................................5
1.3 DICOM Server.........................................................................................................................6
1.4 DICOM Service........................................................................................................................6
1.4.1 DICOM Storage Preset....................................................................................................7
1.4.2 DICOM Print Preset.........................................................................................................9
1.4.3 Worklist Preset............................................................................................................... 11
1.4.4 MPPS Preset .................................................................................................................13
1.4.5 Storage Commitment Preset..........................................................................................14
1.4.6 Query/Retrieve Preset ...................................................................................................15
2 Services ......................................................................................................................17
2.1 Verify Connectivity.................................................................................................................17
2.2 DICOM Storage.....................................................................................................................17
2.2.1 Send to DICOM Storage Manually.................................................................................17
2.2.2 Send to DICOM Storage Automatically..........................................................................19
2.2.3 Common Reasons of Failure and Troubleshooting.......................................................23
2.3 DICOM Print..........................................................................................................................24
2.3.1 Send to DICOM Print Manually......................................................................................24
2.3.2 Send to DICOM Print Automatically...............................................................................24
2.4 DICOM WorkList....................................................................................................................26
2.5 MPPS ....................................................................................................................................27
2.6 Storage Commitment.............................................................................................................28
2.7 Query/ Retrieve .....................................................................................................................28
2.8 Structured Report (SR)..........................................................................................................29
2.8.1 Attach SR When Storage Images..................................................................................29
2.8.2 Only Store SR................................................................................................................30
2.9 DICOM Media Storage and Review ......................................................................................30
2.9.1 DICOM Media Storage...................................................................................................31
2.9.2 DICOMDIR Review........................................................................................................31
2.10 Task Management.................................................................................................................31
3 Common Failures and Troubleshooting ...................................................................33
3.1 Common Failure: Service Verification Failed ........................................................................33
3.2 Common Failure: Server disconnects the ultrasound system during implementing
storage.............................................................................................................................................34
3.3 Common Failure: Network disconnected (shown by network icon) during
transmission ....................................................................................................................................34
3.4 Common failure: Worklist query succeeded, but no patient is shown...................................34
3.5 Common failure: Printing succeeded but the film is blank ....................................................35
3.6 Common Failure: Verification of connecting DICOM printer is succeed but printing is
failed 35
3.7 Common Failure: Printed image is too small ........................................................................35
3.8 Common Failure: MPPS message is not sent out correctly or not received by the
server36
3.9 Common Failure: Storage commitment is failed ...................................................................36

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3.10 Common Failure: Query is succeeded, but retrieve is failed, with the prompting that
the remote server is wrong..............................................................................................................36
3.11 Common Failure: Error messages in DICOM Task Management.........................................37
3.11.1 Association aborts..........................................................................................................37
3.11.2 Network error: Socket sending error..............................................................................38
3.12 Print Service Examples .........................................................................................................38
3.12.1 Example 1......................................................................................................................38
3.12.2 Example 2......................................................................................................................41

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Note: Before using DICOM, please read the electronic file DICOM
CONFORMANCE STATEMENT along with the device. At the same
time, please verify that the SCU services provided by ultrasound
machine can be supported by the SCP services provided by the
systems such like PACS/RIS/HIS and so on.
The chapter is confined to the preset, connection verification and DICOM services of the
DICOM-configured ultrasound machine, not including SCP configurations like
PACS/RIS/HIS.
The DICOM package is optional, so the description here is only applicable for the system
configured with the DICOM package.
This system supports the following DICOM functions:
 Verify Connectivity
 Storage
 DICOM Print
 DICOM Worklist
 MPPS（Modality Performed Procedure Step）
 Storage Commitment
 Q/R
 DICOM Medium Storage（DICOMDIR Review）
 DICOM Task Management
Workflows of DICOM Applications are briefly described as follows:
1. DICOM preset (local TCP/IP, local preset, server preset, and service preset).
2. Verify connectivity.
3. DICOM application (Image storage, Print, MPPS, Worklist, Storage Commitment,
DICOMDIR Review, Q/R and Task Management).
Abbreviation introduction:
The followings are the abbreviations in this chapter.
Abbreviation Description
DICOM Digital Imaging and Communications in
Medicine
AE Application Entity
MPPS Modality Performed Procedure Step
PDU Protocol Data Unit
SCU Service Class User (DICOM client)
SCP Service Class Provider (DICOM server)
SOP Service-Object Pair
SR Structured Report

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1 Preset
1.1 Local TCP/IP Preset
To open the Local TCP/IP screen:
1. Press <F10> key to show the Setup menu. Move the cursor onto [Network Preset] to
show the submenu.
2. Navigate to select [Local TCP/IP] to open the screen, you can preset the parameters,
as shown in the Figure below:
Figure 1 TCP/IP Preset Screen
Local TCP/IP preset items are described as follows:
Name Description
Station name Name of the ultrasound system.
Station
Location Location or department where the system is placed.
DHCP/Static
DHCP, Static: select between DHCP and Static; if DHCP is selected,
IP address will be automatically obtained from DNS server; if Static is
selected (Static refers to static IP address), you need to enter IP
address subsequently.
IPAddress IP address of the system.
Subnet Mask Used to preset different network segment.
Gateway Used to preset the gateway.

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Note：IP address can‘t be the same as other IP of LAN, otherwise it will affect DICOM
performance.
1.2 DICOM Local
1. Press <F10> to enter into Setup menu, and select [Network Preset] -> [DICOM Local].
2. After entering into DICOM Local preset screen, you can preset the parameters, as
shown in the Figure below:
Figure 2 DICOM Local Preset Screen
The main parameters of DICOM Local are described as below:
Name Description
AE Title Application Entity title.
Port DICOM communication port, 2345 is default.
PDU Maximum PDU data package size, ranging from 16384 to 65536; if
the value is less than 16384 or greater than 65536, the system
automatically sets it to the value 32768.
File Name
System default can’t be set. The user can review log content in
D:\Product name\Log\DcmLog. Product Name means the specific
product name such as DC7 and so on.
Log Lever Set the log type.
In the above screen, please enter AE Title, Port, and PDU according to the actual situation,
and then click [OK] to exit the screen.
Tip:
AE Title should be the same with the SCU AE Title preset in the server
(PACS/RIS/HIS), for example, if the AE Title of the server preset in the print
server is Printer, and the AE Title of the accepted SCU is preset as Machine, then
in the figure above, the AE Title of Local should be Machine, and the AE Title of
storage server should be Printer.

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1.3 DICOM Server
The DICOM Server screen is used to add or delete DICOM servers, or set IP address for
the DICOM server.
To open the DICOM Server screen:
1. Press <F10> key to show the Setup menu. Move the cursor onto the [Network Preset]
item to show the submenu.
2. Navigate to select [DICOM Server] to open the screen, as shown in the Figure below.
Figure 3 DICOM Server Preset Screen
The main parameters of DICOM Server are described as below:
Name Description
Device Name of the device supporting DICOM services.
IPAddress IP address of the server.
Ping Check whether IPAddress can connect normally or not.
Add Click to add server (s) to the Device List.
Delete Click to delete the selected server (s) in the device list.
Tip:
The device name can be entered to your preference, but IP address must be the
actual IP address of the server.
If the currently entered name has already existed, the system will show a tip: “The
server name exists!” Click [OK] to enter another name.
1.4 DICOM Service
The DICOM Service screen is used to set attributes of Storage, Print, Worklist, MPPS,
Q/R and Storage Commitment.
To open the DICOM Service screen:

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1. Press <F10> key to show the Setup menu. Move the cursor onto the [Network Preset]
item to show the submenu.
2. Navigate to select [DICOM Service] to open the screen.
After DICOM is installed and DICOM Worklist, MPPS, DICOM Structured Reporting and
Query/Retrieve are optionally configured, there will be related screen for presetting.
1.4.1 DICOM Storage Preset
Figure 4 DICOM Storage Preset Screen
The main parameters of DICOM Storage are described as below:
Name Description
Devices After you set the server (s) in DICOM Server screen, the name (s)
will appear in the drop-down list, select the name of the storage
server.
Service name Default is xxx-Storage, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of the
storage server.
Port DICOM communication port, 104 is default. Here, the port should
be consistent with that of the storage server port.
Maximum
Retries 0－9 times are optional, the default is 3, if the DICOM storage task
that is sent to this server is failed, the task will be retried
automatically, the retry times is set here.
Interval Time 5－1800 seconds, 15 seconds is default. (Reserved)

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（Sec）
Timeout（Sec）
Refers to the amount of time after which the system will stop trying
to establish a connection to the service.
Value: 5-60s, in increments of 5s, and 15 is default.
Cine Zoom
Mode Original, 640*480 are optional, the default is Original.
Compression
Mode
Uncompressed(The image is uncompressed)，RLE(The image is
lossless compressed)，JPEG(Please refer to the information of
provider to confirm whether SCP can support JPGE compression. If
not, please don’t select it) are optional, the default is
Uncompressed.
Compression
Ratio
High, Middle and Low, three kinds of Compression Ratio are
optional. Compression Ratio is in inverse proportion to image
quality.
Color Mode
Three options are available, Color means the images sent from
system to server will be coded by 24bit, Mixed means the images
sent from system to server will be coded by 8bit or 24 bit depends
on whether the images themselves are captured in color imaging
mode or colorize switch is in “on” state or not, if they do so, will be
coded by 24bit, else 8bit. Gray means the images sent from system
to server will be coded by 8bit.The images will contain DICOM tags
window center (0028, 1050) and window width (0028, 1051) if they
are coded by 8bit. The default is Color.
Allow
Multiframe If SCP supports this function, then select it.
Max Framerate 25,30,35, Full are available, user-changeable
Enable
Structured
Reporting
Select it when Structured Reporting is needed to send. You can
send the SR alone if the exams have no images.
Add Add the DICOM service to the service list.
Cancel Click to cancel parameter preset.
Update Select an item in the service list, change the parameters in the
above area, and click [Update] to update the item in the service list.
Delete Click to delete the selected service in the service list.
Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see “Y”
in the Default column.
Exit Click to exit the screen.
Tip:
JPEG is one of the storage types, but not all SCPs can support it. Please refer to
the electronic file DICOM CONFORMANCE STATEMENT to check whether SCP
supports this function.
AE Title and Port must be consistent with those of server.
Click the item in Service List to modify the parameters and click [Update] to update
them.

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You can click [Delete] to delete the item in Service List.
1.4.2 DICOM Print Preset
Figure 5 DICOM Storage Preset Screen
The main parameters of DICOM Print are described as below:
Name Description
Devices After you set the server (s) in DICOM Server screen, the name (s)
will appear in the drop-down list, select the name of the print
server.
Service name Default is xxx-Print, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of the
print server.
Port DICOM communication port, 104 is default. Here, the port should
be consistent with that of the print server port.
Maximum
Retries 0－9 times are optional, the default is 3. if the DICOM storage task
that is sent to this server is failed, the task will be retried
automatically, the retry times is set here.
Interval Time
（Sec）5－1800 seconds, 15 seconds is default. (Reserved)
Timeout（Sec）
Refers to timeout during association establishment.
Value: 5-60s, in increments of 5s, and 15 is default.
Copies Refer to copies of printed files. You can select among 1 through 5,

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or directly enter the numeral.
Settings The system supports RGB (color printing) and MONOCHROME2 (black and white printing). Please select the type the printer
supports.
Film Orientation Select between LANDSCAPE and PORTRAIT.
Priority High、Middle、Low
Film Size Select film size among the selections listed in the drop down list.
Display Format Specify quantity of printed files, e.g. STANDARD\2, 3 indicates 6
images are printed for each page.
Media Type Specify print medium: Paper, Clear Film, Blue Film; select Blue
Film or Clear Film for black and white printing; select Paper for
color printing.
Destination Specify where the file is exposed: MAGAZINE (stored in the
magazine), or, PROCESSOR (exposed in the processor).
Min Density Enter the minimum density of the film. The default is 0.
Max Density Enter the maximum density of the film. The default is 300.
Magnification
Type
Select how the printer magnifies an image to fit the film.
Replicate: interpolated pixels belong to duplicate of adjacent
pixels);
Bilinear: interpolated pixels are generated from bilinear
interpolations between adjacent pixels;
Cubic: interpolated pixels are generated from cubic interpolations
between adjacent pixels;
None: without interpolation.
Trim Specify whether you want a trim box to be printed around each
image on the film: Yes or No.
Configuration
Info Enter configuration information in the field.
Add Add the DICOM service to the service list.
Delete Click to delete the selected service in the service list.
Cancel Click to cancel parameter preset
Update Select an item in the service list, change the parameters in the
above area, and click [Update] to update the item in the service
list.。
Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see “Y”
in the Default column.
Exit Click to exit the screen.
Tips:
The parameters preset should be meet the requirements of printer, for instances:

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1. If the printer cannot support the [Film Size] of 8IN*10IN, please modify it that the
printer can support.
2. It will implement color printing when [Settings] is set as RGB, black and white printing
when it is set as MONOCHROME2.
3. For [Media Type], select Blue Film or Clear Film for black and white printing; select
Paper for color printing.
4. Other parameters can use defaulted values. If there are special requirements for
printer, please modify it.
1.4.3 Worklist Preset
Figure 6 DICOM Worklist Preset Screen
The main parameters of DICOM Worklist are described as below:
Name Description
Devices After you set the server (s) in DICOM Server screen, the name (s) will appear in the drop-down list, select the name of the Worklist
server.
Service name Default is xxx-Worklist, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of the
Worklist server.
Port DICOM communication port, 104 is default. Here, the port should be
consistent with that of the Worklist server port.
Maximum
Retries 0－9 times are optional, the default is 3. (Reserved)
Interval Time 5－1800 seconds, 15 seconds is default. (Reserved)

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（Sec）
Timeout
（Sec）5-60s, in increments of 5s, and 15 is default. Timeout is the overtime
of connectingAssociation.
Scheduled
Station AE
Title
To set the AE Title of the scheduled station is optional. If the
Scheduled Station of the Worklist server is the ultrasound system,
then AE Title here, AE Title of the scheduled station should be the
consistent with the one set in the ultrasound system.
Add Click it to add the Worklist service to the service list.
Cancel Click to cancel parameter preset.
Update Select an item in the service list, change the parameters in the above
area, and click [Update] to update the item in the service list.
Delete Click to delete the selected service in the service list.
Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see “Y”
in the Default column.
Exit Click to exit the setup screen.
Tip:
In terms of “Scheduled Station AE Title”, if you set this item in the Worklist server, then
“Scheduled StationAE Title” configured here should be consistent with the one set in the
server. For example, when you set “Scheduled Station AE Title” in the Worklist server as
“Mindray” (this means you assigned the scheduled exam to “Mindray”), then both
“Scheduled StationAE Title” and “AE Title” in the ultrasound system configuration should
be “Mindray”.

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1.4.4 MPPS Preset
Figure 7 DICOM MPPS Preset Screen
The main parameters of DICOM MPPS are described as below:
Name Description
Devices After you set the server (s) in DICOM Server screen, the name (s) will
appear in the drop-down list, select the name of the MPPS server.
Service name Default is xxx-Worklist, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of the MPPS
server.
Port DICOM communication port, 104 is default. Here, the port should be
consistent with that of the MPPS server port.
Maximum
Retries 0－9 times are optional, the default is 3. (Reserved)
Interval Time
（Sec）5－1800 seconds, 15 seconds is default. (Reserved)
Timeout（Sec）
5-60s, in increments of 5s, and 15 is default. After user sending MPPS
for 15 seconds, the connection will be closed.
Add Add the DICOM service to the service list.
Cancel Click to cancel parameter preset.
Update Select an item in the service list, change the parameters in the above
area, and click [Update] to update the item in the service list.
Delete Click to delete the selected service in the service list.

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Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see “Y” in
the Default column.
Exit Click to exit the preset screen.
Tip: You should set MPPS as default server when you use it.
1.4.5 Storage Commitment Preset
Figure 8 Storage Commitment Preset Screen
The main parameters of storage commitment are described as below:
Name Description
Devices After you set the server (s) in DICOM Server Preset screen, the name (s) will appear in the drop-down list, select the name of the
server.
Service name Default is xxx-SC, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of
the storage commitment server.
Port DICOM communication port, 104 is default. Here, the port should
be consistent with that of the storage commitment server port.
Maximum Retries
0－9 times are optional, the default is 3. (Reserved)
Interval Time 5－1800 seconds, 15 seconds is default. (Reserved)

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Timeout Value: 5-60s, in increments of 5s, and 15 is default. After user
sending storage commitment for 15 seconds, the connection is
closed.
Associated
Storage Service
The associated storage server is preset before storage
commitment, only after the exam is sent out, can storage
commitment be created.
Add Add the DICOM service to the service list.
Cancel Click to cancel parameter preset.
Update Select an item in the service list, change the parameters in the above area, and click [Update] to update the item in the service
list.
Delete Click to delete the selected service in the service list.
Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see
“Y” in the Default column.
Exit Click to exit the setup screen.
Tips:
You should set storage commitment as default server when you use it.
1.4.6 Query/Retrieve Preset
Figure 9 Query/Retrieve Preset Screen

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The main parameters of
Query/Retrieve are described as below:
Name Description
Devices After you set the server (s) in DICOM Server Preset screen, the name
(s) will appear in the drop-down list, select the name of the storage
commitment server.
Service
name Default is xxx-SC, user-changeable.
AE Title Application Entity title, here, it should be consistent with that of the
storage commitment server.
Port DICOM communication port, 104 is default. Here, the port should be
consistent with that of the storage commitment server port.
Maximum
Retries 0－9 times are optional, the default is 3. (Reserved)
Interval
Time 5－1800 seconds, 15 seconds is default. (Reserved)
Timeout Value: 5-60s, in increments of 5s, and 15 is default.After user sending
storage commitment for 15 seconds, the connection is closed.
Add Add the DICOM service to the service list.
Cancel Click to cancel parameter preset.
Update Select an item in the service list, change the parameters in the above
area, and click [Update] to update the item in the service list.
Delete Click to delete the selected service in the service list.
Verify Click to verify if the two DICOM application entities are normally
connected.
Default Select an item in the service list, click [Default] and you can see “Y” in
the Default column.
Exit Click to exit the preset screen.

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2 Services
2.1 Verify Connectivity
If you want to verify connectivity (it is not a must), you can click [Verify] button on Storage,
Print or Worklist, MPPS, Storage Commitment and Query/Retrieve pages respectively. If
the verification succeeded, the system prompts “xxx Verify Succeed”. Otherwise, it
prompts “xxx Verify Failed”, which means the connection is wrong. Please reconfirm it.
Tip:
Not all the SCPs can support verification; please consult SCP belongings to confirm
whether SCP can support this service. If not, the verification won’t pass.
2.2 DICOM Storage
DICOM Storage is used to send images (and SR) to DICOM storage server for remote
storage. The entrances of storage include:
Patient information management (iStation)
Review status (Review)
Real time/Freeze status (auto workflow)
Thumbnail area in main screen
DICOM storage supports:
Single file transfer
Exam transfer
Batch transfer
Static image and Cine file
Batch transfer means multiple exam records can be selected and sent for storage with
one DICOM task for each exam. Multiple files in one exam will be sent in one DICOM
connection.
The auto send function can be triggered by:
Ending the exam (send to default storage service)
Saving an image by pressing the user-defined save key (image is sent to the
default DICOM storage server as well as saved).
Associated operation: send image (cine) to DICOM storage when saving image
(cine).
2.2.1 Send to DICOM Storage Manually
Take “send to DICOM storage” in iStation page as an example, the operations are:
1. Configure the storage server according to the above descriptions about service
preset.

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2. Press <iStation> on the control panel to enter the patient information management
page.
3. Select one or more exam records (that contain images. If not, the system will prompt)
in exam list, or select one or more images in an exam, as shown in Figure 10 iStation
Screen.
Figure 10 iStation Screen
4. Click [Send To] to pop up the [Send To] dialog box, select the remote DICOM Server,
click [OK] to send, as shown in Figure 11.
Figure 11 DICOM Send To Screen