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JiveX Enterprise PACS Solutions

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Product Description Version 4.3

PACS and beyond

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Index

JiveX .............................................................................................................Page 3

PACS Server ...................................................................................................Page 5

Modality Gateways ..........................................................................................Page 8

Workflow Management ....................................................................................Page 10

JiveX DICOM Worklistbroker ................................................................................ Page 12

JiveX Mammo Screening Manager ....................................................................... Page 14

JiveX HL7 Gateway ............................................................................................ Page 16

JiveX Study Verification Manager .......................................................................... Page 17

JiveX Routing Scheduler ...................................................................................... Page 18

JiveX DICOM Mail Gateway .................................................................................. Page 19

JiveX DICOM Router ........................................................................................... 0

JiveX DICOM Import Gateway .............................................................................. Page 21

JiveX Presentation Manager ................................................................................ Page 22

Digital Archiving ..............................................................................................Page 24

JiveX Offline Storage Service ............................................................................... Page 26

JiveX Archive Manager ....................................................................................... Page 28

JiveX Archive Manager DR .................................................................................. Page 28

JiveX Archive Gateway ........................................................................................ Page 31

JiveX DICOM PACS Gateway ................................................................................ Page 32

Client Applications ...........................................................................................Page 33

JiveX Diagnostic ................................................................................................ Page 37

JiveX Diagnostic Mammo .................................................................................... Page 40

JiveX Mammo Report Manager* ......................................................................... Page 43

JiveX Demonstration .......................................................................................... Page 46

JiveX Quality Assurance ...................................................................................... Page 49

JiveX Review ..................................................................................................... Page 50

JiveX Review Web .............................................................................................. Page 52

JiveX DICOM Viewer ........................................................................................... Page 53

2

PACS and beyond

© VISUS Technology Transfer, Germany. All rights reserved. Errors and omissions excepted. JiveX® is an internationally registered brand name. All other product names are trademarks or brand names of their respective owners. developed by www.visus-tt.com

JiveX

The Modern Image Management System for All Fields of Medicine

In today’s era of DRGs and continuously mounting cost pressure,

there is a growing need to design PACS solutions as integrated com-

prehensive solutions, and they have to represent the entire image

management of a hospital or a group of hospitals. This is the only

way they can meet the aim of integrating all diagnostic activities

into a uniform patient record. This way they contribute to a reduc-

tion of reading times and patient stays, and help improve quality of

patient care through optimized communication.

JiveX makes it possible to realize integral solutions of this kind, still

taking into account the specific requirements of the respective fields

of medicine. The concept consists of making available all relevant

applications at each workplace of an organization, based on a uni-

fied platform of modern Web technologies. This platform takes on

all the logistics, from image acquisition to distribution of images and

reports including digital reading, to X-ray conferences and image

archiving.

Organizational units have become larger in today’s health sector.

Actors are no longer individual hospitals but, to a growing extent,

groups with increasingly challenging requirements regarding image

distribution and archiving. JiveX adopts this approach in the way of

an Enterprise PACS solution which integrates external clinical part-

ners – e.g. GP practices, hospitals, and specialized clinics – consis-

tently into a care giver’s workflow, with the parties involved profiting

from all benefits of fast communication of images and reports.

Modern image management in healthcare calls for legally compliant

management of data, integrated reading and reporting, and unified

processes. JiveX pursues this holistic approach consistently. The JiveX

portfolio of applications ranges from departmental PACS solutions

for various fields of medicine to cross-departmental Enterprise PACS

including teleradiology, and to complex, multi-site group solutions

with data center operations. In addition, JiveX offers solutions for GP

practices and for health care centres.

02/2009 EN - JiveX Version 4.3

3

JiveX Product Description - JiveX

PACS and beyond


JiveX is characterized by its particularly high speed, and lends itself

perfectly to integration in an existing system infrastructure thanks to

its flexible interfaces. The modular structure and the modern distri-

buted system architecture allow for free scaling and tailoring accor-

ding to individual requirements. The various server variants, extensi-

on modules, and workstations are configured to an individual image

management solution which meets your needs.

Thanks to total DICOM compliance, the system is independent from

large equipment manufacturers (such as Siemens, GE, Philips); in

addition, it runs on various operating systems – e.g. Windows, Apple

Mac OS X, Linux, and Sun Solaris, depending on the application

area. JiveX supports common standard hardware and facilitates

system maintenance through the single-point-of-administration

concept.


Important Note:

The following product description has a

modular structure like that of the JiveX

product. Based on the PACS server with

its various versions, it is possible to enlar-

ge the system by activating various exten-

sion modules.

Additional modules required are marked

“*” in the following.

4

JiveX Product Description - JiveX

PACS and beyond



PACS Server

Custom-tailored Communication and Crosslinking

JiveX can be connected smoothly to any image source. Via the

DICOM interface, CT, MRT, or digital X-ray can be linked; via the

video interface, integration of endoscopy or of analog ultrasound

devices is possible.

In this context, the JiveX Communication Server acts as the com-

munication hub: it provides all connections to the PACS, it en-

sures end-to-end work processes as well as safe and fast retrieval

of images and reports within the practitioner’s IT system, the HIS,

RIS, or other documentation systems.

Based on national and international standards, JiveX works in

conjunction with the systems of other leading manufacturers. Of

course it complies with the requirements of IHE specifications.

The JiveX Communication Server boosts an extreme scalability,

and is available in various versions catering for your individual

needs.

The JiveX PACS Server which fits Your Individual Needs

JiveX Communication Server

This is the standard version of the PACS Server. It is capable of

making available all relevant services required for smooth operati-

on of the PACS. For this purpose, it generates all connections and

combines the various modules into an individual image manage-

ment solution.

The integrated image database allows for the DICOM images of

various modalities to be managed online at any time. With the

suitable extension module, the desired long-term archiving

strategy can be realized. Just by connecting various JiveX Commu-

nication Servers, a flexible DICOM communication platform can

be created.

5

JiveX Product Description - PACS Server

PACS and beyond



This allows to realize, e.g., the networking of sites, focused load

separation, as well as campus-wide image management.

The JiveX System lends itself to perfect integration into an existing

system infrastructure thanks to its flexible interfaces, and can be

extended at any time due to its modular set-up.

JiveX TWIN Server

The JiveX TWIN Server is the highly available PACS server in the

JiveX family of products. It features all functions of the JiveX Com-

munication Server plus additional options for high availability. For

this purpose, two servers are installed which are independent from,

and synchronized with, each other. Depending on the available

hardware and network infrastructure as well as customer require-

ments, an individual high availability concept can be realized

based on the JiveX TWIN Server.

All extension modules for the PACS server need to be licensed for

one server only in the case of TWIN Server installations. The same

is true for services running on both servers.

JiveX Communication Server (Embedded Version)

The embedded version is a version of the JiveX Communication

Server with reduced functionality which is embedded in individual

independent modules and system components of JiveX. Examp-

les include the JiveX DICOM Worklist Broker, the JiveX DICOM

Router, as well as the various versions of the JiveX workplace

systems.

This JiveX Communication Server is laid out exactly in accordance

with the DICOM communication requirements of the respective

JiveX system.

JiveX Data Center Server

The JiveX Data Center Server is the key system component for long-

term archiving in the data center. This solution is the final brick in

the bridge between an inhouse PACS solution and the archiving

systems in a data center.

6


PACS and beyond



For this purpose, the JiveX Data Center Server communicates

directly with the JiveX Archive Gateway* which – on the part of the

customer - manages the connection with the PACS server via the

DICOM protocol. The JiveX Archive Gateway handles encryption,

compression, and caching of the DICOM data.

In the data centre, the JiveX Data Center Server creates the inter-

faces to a monitoring system (e.g. HP OpenView) and, wherever

required, to the billing systems. For long-term archiving, connec-

tions can be made to the archiving systems of the leading vendors.

The JiveX system can be easily integrated into an existing system

infrastructure thanks to its flexible interfaces.

This solution was laid out in a way that IT staff in the data center

can run it successfully with no DICOM know-how required.

It makes possible high-availability operation 24x7. It is fully

multiclient enabled and provides transaction safety which is in

accordance with the highest requirements in healthcare.

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PACS and beyond



Modality Gateways

JiveX – Independent and Flexible

JiveX Modality Gateways provide the link between the PACS and

the imaging devices (modalities). The JiveX system offers interfaces

for the most diverse image and video formats, enabling it to con-

nect almost any image source – be it digital or analog - with the

PACS.

No matter whether you work with CT, MRT, digital X-Ray, angio-

graphy, nuclear medicine, ECG, or video endoscopy and photo-

graphy – with JiveX you can archive data from any type of medical

imaging.

Based on national and international standards, JiveX works in con-

junction with systems from other leading manufacturers. It goes

without saying that JiveX complies with IHE requirements.

Modality Gateways for the JiveX PACS Server

JiveX DICOM Modality Gateway

Via this interface, all devices which comply with the DICOM

standard are connected digitally within the network. This is how

the communication between the modality and the PACS typically

takes place. This gateway allows for image data to be sent direct-

ly, through the DICOM Storage Service, from the modality to the

JiveX Communication Server. Via the same route, image data can

be sent back.

The JiveX Communication Server* is indexing incoming DICOM

image data automatically. In addition, it is capable of processing

data entry fields, keeping a log of the modifications, as well as to

forward such data to other DICOM systems. Via the JiveX Study

Verification Manager*, all incoming image data can be reconciled

with, and attributed to, jobs from worklists.

JiveX Product Description - Device Interfaces

8

PACS and beyond



JiveX Product Description - Device Interfaces

JiveX ACR/NEMA2 Modality Gateway

Via this gateway, image data can be integrated directly from older

modalities which support the ACR/NEMA2 format and can export

images into a shared network folder. The transferred image data is

then migrated into the DICOM format and sent to the JiveX Com-

munication Server via the DICOM Storage Service. In order to op-

timize data consistency, this module allows for DICOM Worklist

queries.

The DICOM Worklist query is a key step towards quality assu-

rance. Via this worklist, the DICOM exams are linked with the

respective patient before import. This allows for permanent inte-

gration of the image data into the reporting processes, and for data

retrievability at any time. In addition, manual synchronization of

data is possible via the graphic user interface. Any modifications

of the data are logged in the DICOM files; they can be reproduced

and are absolutely transparent.

JiveX Analog Modality Gateway

The JiveX Analog Modality Gateway supports the acquisition of

image data via a frame grabber, scanner (TWAIN), or digital came-

ra (USB), as well as the conversion of various image formats into

the DICOM format by way of stills (single images). In order to at-

tribute data to a patient, the module queries the DICOM worklist.

As an alternative option, key patient and exam data can be entered

manually.

JiveX Analog Modality Gateway AV

The JiveX Analog Modality Gateway AV is the standard tool

for the acquisition and digitization of video signals and

video sequences. This module communicates with other IT

systems via standard protocols, which makes it possible to connect

it with systems from the JiveX family of products as well as other

PACS solutions. In addition, DVDs for documentation purposes

can be created directly, and the image and video data can be

exported into a directory.

The key application areas of the JiveX Analog Modality Gateway

AV are endoscopy, microscopy, sonography, and OR documenta-

tion.

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PACS and beyond



Workflow Management

JiveX – Open and Transparent

Key benefits of the JiveX system are the support for, and simplifica-

tion of, key work processes of all clinical departments which work

with the PACS solution. As an example, the flow of image data is

supported – from capture and reporting to generation of patient

CDs and image distribution.

For this purpose JiveX offers numerous options for automated data

processing and data communication. In addition, flexible inter-

faces and modules help to achieve ideal quality of data.

Workflow Modules for the JiveX PACS Server

JiveX DICOM Worklist Broker

Via the JiveX DICOM Worklist Broker, the integration of practitioner’s

computer systems, hospital information systems, and department

solutions (RIS, CIS, OR planning, functional diagnostics) into a

DICOM network is realized, and also worklist management.

For this purpose, the system supports all relevant data exchange

formats and interfaces*.

JiveX Mammo Screening Manager

This JiveX solution represents all processes for image management

in mammography screening. It consists of a management compo-

nent which has certified interfaces with the screening solutions

MaSc (KVWL) and MammaSoft (KVB) driven by German payor-

accredited physician organizations (KV), as well as an image data-

base for the cache. The system was designed specifically for com-

pliance with the demanding requirements regarding image logis-

tics in mammography screening.

JiveX HL7 Gateway

Via this gateway module, data communication with clinical infor-

mation systems is realized. Application areas include the commu-

nication of orders and reports, as well as the safeguarding of data

consistency.

JiveX Product Description - Workflow Management

10

PACS and beyond



JiveX Study Verification Manager

The JiveX Study Verification Manager offers the option of recon-

ciling incoming image studies in the PACS with orders from the

patient administration system. Orders can be accepted via the HL7

gateway and DICOM Worklist Protocol. This software module is a

key component for structured quality assurance.

JiveX DICOM Mail Gateway

The JiveX DICOM Mail Gateway enables the PACS server to send

and receive, as an e-mail, studies with images and reports in the

DICOM format. This system was developed specifically for smooth

and safe communication in non-time critical applications. Typi-

cal application scenarios are image transfer to referring physicians

and caregivers handling post-acute treatment.

JiveX DICOM Router

The JiveX DICOM Router is the optimal routing solution for auto-

mated and rule-based forwarding (Auto-Routing) of medical images

in a network. This system is perfectly suited for use in teleradiology,

and is flexible in its adaptability to individual requirements.

JiveX Routing Scheduler

The JiveX Routing Scheduler is used, in particular, in large telera-

diology networks. It allows for flexible, rule-based sending of data

and reports (routing) according to a service schedule, and for the

monitoring of work processes.

JiveX DICOM Import Gateway

With this software module, patient CDs and DVDs can be impor-

ted into the PACS with assured quality. For this purpose, a DICOM

Worklist can be queried, and reconciled with the DICOM data on

the CD/DVD.

JiveX Presentation Manager

The JiveX Presentation Manager allows to store and restore views

as well as steps in reporting (Capture and Continue). Furthermore,

this module can be used to prepare the presentation of images in

clinical demonstrations, in the OR, and during rounds. It facilitates

and accelerates the access to images and visualization to achieve

optimal support for the physician.

JiveX Product Description - Workflow Management

11

PACS and beyond



JiveX Product Description - JiveX DICOM Worklist Broker

JiveX DICOM Worklist BrokerDICOM Worklist Management for All Disciplines

Via the JiveX DICOM Worklist Broker, the integration of practitioner’s

computer systems, hospital information systems, and department

solutions (RIS, CIS, OR planning, functional diagnostics) into a

DICOM network is realized, and also worklist management.

For this purpose, the system supports all relevant data exchange

formats and interfaces*.

The JiveX DICOM Worklist Broker is capable of managing

data communication between various systems via a set of

different interfaces. The most frequent use is the conversion of

messages received by the HL7 Gateway or the file interfaces into

DICOM Worklist Protocol. Systems which are connected receive

information concerning archiving of image data including the

pertinent exam parameters.

For data exchange, the system supports, by default, various file

formats. Typical cases are text files (ASCII) in formats XML or CSV.

However, other formats can also be interpreted via a generic par-

ser (interfaces description). Exchange data is typically cached in

an agreed network directory. Furthermore, for worklist communi-

cation, the integrated patient database can be used. This way, the

DICOM Worklist management can mapped, in combination with

the JiveX HL7 Gateway*, with HL7 Order communication.

The JiveX DICOM Worklist Broker supports simultaneous com-

munication with several systems. As an example, orders from ra-

diology, cardiology, and functional diagnostics can be processed

simultaneously. Furthermore, several worklists from various infor-

mation systems can be merged. This function is used, e.g., in cases

where various departments or organizational units utilize the same

devices.

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PACS and beyond



JiveX Product Description - JiveX DICOM Worklist Broker

The JiveX DICOM Worklist Broker is available as an extension

module for the JiveX Communication Server and TWIN Server, or

as a stand-alone system with an integrated JiveX Communication

Server (embedded version). In addition, the workstation versions of

the JiveX workplace systems can be augmented by this service in

a constricted way. HL7 communication is not possible in this case

because the JiveX HL7 Gateway is not available for this purpose.

DICOM Services Supported:

DICOM Basic Modality Worklist Service

(SCP+SCU)

Operating Systems Supported

(Stand-Alone):

Windows 2k/XP

JiveX Modules Required:

JiveX Communication Server or

TWIN Server

JiveX HL7 Gateway if applicable

JiveX Study Verfication Manager

if applicable

13

PACS and beyond



JiveX Product Description - JiveX Mammo Screening Manager

JiveX Mammo Screening ManagerIntegrated Image Logistics for Mammography Screening

This JiveX solution represents all processes for image management

in mammography screening. It consists of a management compo-

nent which interfaces to mammography screening invitation and

management software. The system was designed specifically for

compliance with the demanding requirements regarding image

logistics in mammography screening.

The solution bundle includes an embedded JiveX Communication

Server which manages the entire system. It serves to generate all

links and integrates the various systems into one holistic image

management solution. The integrated image database allows for

the management of all images from the most diverse modalities.

The system enables a balanced and optimized flow of information

between the mammography systems, the screening software, the

PACS, and the mammography workstations.

DICOM Worklist Management for Mammography Screening

The JiveX Mammography Screening Manager carries out the

coordination of the DICOM worklist in a mammography unit. For

this purpose, it generates the DICOM worklist from the interface

information of the screening software and integrates that informa-

tion - wherever necessary - with the worklists of a local RIS or GP

IT system. This enables the best possible connection of mammo-

graphy systems which can query only a DICOM worklist.

Retransfer of admission parameters for documentation purposes

is carried out by the mammography system via the JiveX system

to the screening software. For this purpose, the relevant information

can be extracted either via the DICOM MPPS protocol or from

the DICOM image data, provided the modality produces pertinent

information.

14

PACS and beyond



JiveX Product Description - JiveX Mammo Screening Manager

Managing Image Logistics in a Group

The interface connector allows, via auto-routing, for automated

availability of all exams at the right time in the right mammogra-

phy unit and even at the right workstation. For this purpose, each

mammography unit requires a local JiveX Mammo Screening Ma-

nager. This is where images are cached temporarily for direct and

fast access. The system communicates – via DICOM protocol - di-

rectly with the mammography systems, PACS solutions, and work-

stations of that unit.

Data transmission between the mammography units is carried

out online, with optimized bandwidth and optional lossless image

compression. As an alternative, data transfer - e.g. for a mobile

mammography unit - can be effected through various removable

media, e.g. a USB hard disk or DVD.

The JiveX system supports the mammography systems and work-

stations of all approved vendors, providing a platform which is

completely vendor-neutral. This solution bundle is accompanied

by the JiveX Diagnostic Workstation Mammo, which is a comple-

tely integrated reading and reporting (via the Mammo Report Ma-

nager*) workstation for mammography. It goes without saying that

this system can also be integrated into Jivex PACS solutions.

The Jivex Mammo Screening Manager is available as an extension

module, for the JiveX Communication Server and TWIN Server, or


Server (Embedded Version).

Imortant Note:

Software interfaces descriptions are re-

quired to check availability or applicability

for your project or country.


DICOM Storage (SCP+SCU)

DICOM Basic Modality Worklist Service

(SCP+SCU)

DICOM MPPS (SCU)


(Stand-Alone):

Windows 2k/XP



or TWIN Server


if applicable


if applicable

15

PACS and beyond



JiveX Product Description - JiveX HL7 Gateway

JiveX HL7 GatewayIHE Compliant Interface to all leading Information Systems

Via this gateway module, data communication with clinical infor-

mation systems is realized. Application areas include the commu-

nication of orders and reports, as well as the safeguarding of data

consistency.

The JiveX HL7 Gateway allows receipt of patient, exam, and repor-

ting data for the optimization of the work processes. In conjunc-

tion with the JiveX DICOM Worklist Broker*, HL7 order messages

can be converted into a DICOM Worklist ready for retrieval. HL7

queries to a patient database, e.g. in the HIS, can be carried out,

too. The reconciling of orders with incoming image data is done

via the JiveX Study Verification Manager*.

The JiveX system is able to manage reports related to exams.

Typically, reports are received as copies from a documentation

system (RIS, CIS, etc.) and are then communicated together with

the image data. This communication of reports takes place via the

JiveX HL7 Gateway.

JiveX supports automated data reconciliation with the leading

information systems which manage the patient data, based on

the specifications of IHE (Integrating the Healthcare Enterprise).

Via the JiveX HL7 Gateway, change notifications are received. All

relevant IHE profiles – including Patient Merge and Patient Update

– are supported. All incoming messages are logged and entered in

the patient database of the PACS server. This way, this database is

available for subsequent work processes.

Important Note:

JiveX supports HL7 Version 2.x as a net-

work-based interface via TCP/IP as well as

via file import. Due to the multitude of indi-

vidual formulations in HL7 communication,

technical fine-tuning of work processes is

required, as well as an adaptation to other

systems. The JiveX HL7 Conformance State-

ment serves as a basis for this.



or TWIN Server


if applicable


if applicable

16

PACS and beyond



JiveX Product Description - JiveX Study Verification Manager

JiveX Study Verification ManagerStructured Quality Assurance for Your Image Management

The JiveX Study Verification Manager offers the option of recon-

ciling incoming image studies in the PACS with orders from the

patient administration system. Orders can be accepted via the HL7

Gateway and DICOM Worklist Protocol. This software module is a

key component for structured quality assurance.

Increasing digital support of all work processes in medical care

requires a high degree of integration and quality assurance. A mul-

titude of subsystems need to be reconciled with the central admi-

nistrative patient information. Obviously, this is also necessary for

digital image documentation.

The reconciliation of data of incoming imaging exams and perti-

nent orders can be handled in various ways: If a DICOM Worklist

exists, it can be queried for reconciliation purposes. Verification is

possible, too, based on HL7 Order messages received via the JiveX

HL7 Gateway*. Of course, it is possible to combine these options

in complex installations.

The verification process can be automated by the system or carried

out manually. For automated processes, error lists may be genera-

ted for unsuccessful matches.



TWIN Server

JiveX HL7 Gateway if applicable


if applicable

17

PACS and beyond



JiveX Product Description - JiveX Routing Scheduler

JiveX Routing SchedulerInformation Logistics for large Conglomerates

The JiveX Routing Scheduler is used, in particular, in large telera-

diology networks. It allows for flexible, rule-based sending of data

and reports (routing) according to a service schedule, and for the

monitoring of work processes.

You define a set of rules for DICOM reception nodes in a time slot,

using the integrated graphic service schedule with its web inter-

face. Image data coming in, e.g. via a JiveX DICOM Router*, are

then forwarded accordingly. All communication processes have

been optimized for data transfer at maximum possible speed. For

this purposes, highly compressed image data is sent in advance in

order to allow the recipient to access the image material rapidly.

This compression is lossy but of high quality (JPEG 2000). Subse-

quently, image data in lossless compression is sent.

In large caregiver conglomerates, distribution of exams takes place

in the shape of a star, via a central JiveX Communication Server

with the service schedule as a switchboard. Exams are transferred

per image. This limits the delay to one image only, and total trans-

fer time goes up insignificantly due to the switchboard.

The system supports automated dispatch and printing of reports.

If reporting based on image data is realized, e.g. on a JiveX Dia-

gnostic Workstation*, reports can be retransferred, via the central

Routing Scheduler, to the JiveX DICOM Router which had fed the

image data. This JiveX DICOM Router can subsequently print the

reports on a connected printer. In this closed JiveX infrastructure, a

consistency check of the telecommunications leg in line with the

German legislation of data protection is supported by the genera-

tion of testing protocols.



TWIN Server

JiveX DICOM Router if applicable

JiveX Diagnostic Workstation

if applicable

18

PACS and beyond



JiveX Product Description - JiveX DICOM Mail Gateway

JiveX DICOM Mail GatewayE-Mail-based Image Communication

The JiveX DICOM Mail Gateway enables the PACS server to send

and receive, as an encrypted email, studies with images and reports

in the DICOM format. This system was developed specifically for

smooth and safe communication in non-time critical applications.

Typical application scenarios are image transfer to referring physi-

cians and caregivers handling post-acute treatment.

The DICOM Mail Gateway is integrated seamlessly into the work-

flow. This makes possible efficient communication, causing no

extra efforts. Each authorized user can initiate, with one mouse

click, email dispatch of entire studies or single (key) images. Com-

mon image compression techniques are supported.

Incoming DICOM emails can be adopted in the patient context

of the image database. The optional Study Verification Manager*

assures in a robust way data consistency by placing attributes to

orders for third-party images from the leading system managing

the patient data. This makes it possible to locate, even after years,

third-party images used, e.g. as pre-exams for comparisons.

All transfer data is protected by the international state-of-the-

art encryption standard open PGP which fulfils the requirements

of the strict German legislation of data protection. Email adress

and encryption key management is handled by the JiveX Software.

It can be comfortably accessed through the graphical user inter-

faces (GUI).

The JiveX DICOM Mail Gateway is available as an extension



Server (Embedded Version). In addition, the workstation versions

of the JiveX workplace systems can be augmented by this service

in a constricted way.

Important Note:

The e-mail protocol enables, as a matter of

principle, fast and reliable transfer of data.

Depending on the network infrastructure

used, unexpected delays in transfer may

occur due to problems on the part of the

system. Therefore, we offer you, for appli-

cation in teleradiology and in accordance

with the German legislation of data protec-

tion, solutions optimized for transfer speed.

They operate on the basis of point-to-point

transfer, which makes optimal use of availa-

ble bandwidths.




(Stand-Alone):

Windows 2k/XP



TWIN Server

DICOM Mail Server

JiveX DICOM Mail Viewer

if applicable

19

PACS and beyond



JiveX Product Description - JiveX DICOM Router

JiveX DICOM RouterRule-based Forwarding of Image Data (Routing)

The JiveX DICOM Router is the optimal routing solution for auto-

mated and rule-based forwarding (auto-routing) of medical images

in a network. This system is perfectly suited for use in teleradiology,

and is flexible in its adaptability to individual requirements.

Forwarding rules can be entered in a very flexible rule base. Image

data can be transmitted, e.g. by modality, referring physician,

or current day of the week, to a specific recipient. All relevant

DICOM fields can be combined with each other in a nested man-

ner for rule definition. In addition, it is also possible to do a rule-

based, logged overwrite, ex ante, of individual DICOM fields.

This routing solution supports various network technologies based

on TCP/IP. Image data can be exchanged, e.g. directly via ISDN,

or via Internet/VPN using ADSL/SDSL. The router makes use of

the DICOM protocol, and includes a license for the JiveX DICOM

Modality Gateway* for connecting an imaging modality. As an op-

tion, the JiveX Analog Modality Gateway* allows to connect non-

DICOM devices.

The JiveX DICOM Router is a stand-alone system with an integra-

ted JiveX Communication Server (Embedded Version). Furthermo-

re, the routing functionality is part of the JiveX Communication

Server and TWIN Server; this allows creating highly complex

high-availability routing systems.




(Stand-Alone):

Windows 2k/XP

20

PACS and beyond



JiveX Product Description - JiveX DICOM Import Gateway

JiveX DICOM Import GatewayQuality Assured Data Import into Your PACS

With the JiveX DICOM Import Gateway (previously the JiveX

Patient CD Import Gateway), DICOM files can be imported into

the PACS with assured quality. Data can be read from patient CDs

and DVDs or from a directory. For this purpose, a DICOM Work-

list can be queried, and reconciled with the DICOM data to be

imported.

The DICOM Worklist query is a key step towards quality assu-

rance. Typically, a leading system managing patient data produces

a „third-party exam“ work order. Via this order, the DICOM ex-

ams are linked with the patient before import. This allows for per-

manent integration of the image data into the reporting processes

and for data retrievability at any time. In addition, manual syn-

chronization of data is possible via the graphic user interface. Any

modifications of the data are logged in the DICOM files, they can

be reproduced and are absolutely transparent.

The PACS configuration permits to decide whether the third-party

exams are supposed to be archived for the long term or whether

they should be kept available only temporarily. Various scenarios

are possible. Furthermore, the system can be adapted to individual

customer requirements.

This software module permits the import of all removable media

integrated into the operating system as drives. Typically, this will

be the case for USB sticks or removable disks. The usual use case is

patient CDs and DVDs. However, image data from a USB stick or

a removable disk can also be imported if used for, e.g. transport of

data. During import, media with a DICOM directory (DICOMDIR)

as well as media without one are supported.

The JiveX DICOM Import Gateway is available as an extension


as a stand-alone system to be connected with a third-party PACS.

Please note:

We recommend the use of an up-to-date

virus scanner.


DICOM Storage (SCU)

DICOM Basic Modality Worklist

Service (SCU)


(Stand-Alone):

Windows 2k/XP

21

PACS and beyond



JiveX Product Description - JiveX Presentation Manager

JiveX Presentation ManagerOn-Target Image Presentation and Information

The JiveX Presentation Manager allows storing and restoring views

as well as steps in reporting (Capture and Continue). Furthermore,

this module can be used to prepare the presentation of images in

clinical demonstrations, in the OR, and during rounds. It facilitates

and accelerates the access to images and visualization to achieve

optimal support for the physician.

The collaborative work processes in hospitals require maximum

levels of communication and reconciliation. Increasing infor-

mation overload forces staff to concentrate on the crucial bits of

information. For imaging-based diagnostics, this means making

available exam results, including image and report, available for

rapid and targeted retrieval. The image distribution technologies

common today are reaching their limits due to information density.

The JiveX Presentation Manager allows presenting relevant views

of an image report in new ways, and integrating it into the com-

munication processes.

In contrast with so-called volatile captures, which capture process

steps temporarily, the JiveX Presentation Manager allows for per-

manent archiving of these views, at any time and reproducible,

in the database. During reporting, any status regarding the exam

can be captured and archived similarly to bookmarks. In the exam

list, each view is represented clearly by a screenshot. When these

captures are retrieved from the list, JiveX automatically loads the

respective exam and continues with the process at exactly that

stage in the process. It goes without saying that the hanging proto-

cols are reproduced, too. A click of the mouse takes you directly

to the next view, which helps you navigate very rapidly through

large volumes of data. Besides the demonstration, a multitude of

further areas of application and work processes are supported. The

solution is also used, e.g., in the operating room. Extremely insig-

nificant effort is required for the preparation of image studies for

rapid, on-target presentation in the OR. The same is true for digital

rounds and for image distribution across the site.

22

PACS and beyond



JiveX Product Description - JiveX Presentation Manager

During the reporting process, the method supports the acquisition

of second opinions. The representation of a specific question can

be captured by a click of the mouse and archived in the central

database. The colleague can retrieve this view directly via the net-

work at any time at another workplace and communicate his opi-

nion to you. Key exam results can further be documented visually

in a targeted manner, or entered in a collection of cases for student

teaching.

The workplace system JiveX Diagnostic for primary reporting is

capable of archiving captures in the JiveX Presentation Manager

and to reload them. The same is true for JiveX Diagnostic Mammo

und JiveX Demonstration. The JiveX Review Client has only read

access to captures. This means that no views can be added, but

existing views can be loaded.



TWIN Server

Pertinent JiveX workplace systems

23

PACS and beyond



Digital Archiving

Your Flexible Archiving Concept with JiveX

The archiving concept is tailored to your individual needs. A PACS

or mini-PACS for a GP’s practice, as a campus-wide hospital solu-

tion or as a multi-client enabled system for your group of hospitals

– JiveX archives your image and video data efficiently regarding

effort and cost.

In this context, the data can always be saved online. In addition,

all exams are stored in compliance with legal requirements on a

secure media or in a tele archive. Top resilience is offered by the

JiveX TWIN Server. Modern image compression techniques make

optimal use of the respective storage capacities. This puts all pre-

exams directly at your disposal.

Archiving Modules for the JiveX PACS Server

JiveX Offline Storage Service

This software module allows connecting optical disc writers for the

creation of offline media. All image data of the PACS server can

be burned and archived, automatically and rule-based, to media

such as CD, DVD, or Blu-ray. In addition, this module enables

the creation of patient CDs (Image Report). As an option, the CD

writing process includes the JiveX DICOM CD Viewer for automa-

ted image and report presentation, as well as a representation for

Web browsers.

JiveX Archive Manager

The JiveX Archive Manager handles online storage (SAN, NAS)

as well as archiving in an HSM system on a layer underneath,

e.g. with a tape library. For this purpose, several volumes can be

managed and grouped according to function. The integrated

image database provides a good overview of the complete data

repository at any time.

JiveX Product Description - Digital Archiving

24

PACS and beyond



JiveX Archive Manager DR (Data Replication)

The JiveX Archive Manager DR version supports, in addition to

storage pooling in the SAN, NAS, or HSM by tape, data repli-

cation. Data replication can be configured in a flexible manner,

and runs completely independently from the storage technology

underneath. As an example, for online archiving various storage

locations in distributed NAS systems can be accessed. The inte-

grated status management shows you that location and as well the

archiving status at any time.

JiveX Archive Gateway

The JiveX Archive Gateway allows to store all image data, automa-

tically and rule-based, in a remote tele archive. The JiveX Archive

Gateway handles the connection of the PACS Server to the JiveX

Data Center Server*.

JiveX DICOM PACS Gateway

The JiveX DICOM PACS Gateway permits to connect the JiveX

system to DICOM compliant third-party archiving systems. This

makes possible the import of data from third-party PACS solutions,

or connection of such solutions online as departmental solutions.

JiveX Educational Archive

With the JiveX Educational Archive, you can save - in an easy and

rapid manner - relevant and interesting cases in your daily routine,

for academic courses or as a reference collection with keywords.

For this purpose, an additional server is installed upon request.

The educational content is displayed via the MIRC implementation

(Medical Image Resource Center) of the RSNA.

JiveX Product Description - Digital Archiving

25

PACS and beyond



JiveX Product Description - JiveX Offline Storage Service

JiveX Offline Storage ServiceYour Audit-Proof Archive

This software module allows connecting optical disc writers for the

creation of offline media. All image data of the PACS server can

be burned and archived, automatically and rule-based, to media

such as CD, DVD, or Blu-ray. In addition, this module enables

the creation of patient CDs (Image Report). As an option, the CD

writing process includes the JiveX DICOM CD Viewer for automa-

ted image and report presentation, as well as a representation for

Web browsers.

The system supports various types of media. Besides CD, DVD,

and Blu-ray, the image data can be written to a removable

medium such as a USB stick removable disk, e.g. for transportation

purposes. In order to optimize the work processes, writers with

automatic labelling can be addressed.

Offline Media Archiving

The creation of archiving media, e.g. CD or DVD, takes place

automatically and rule-based in DICOM format. This process can

be managed via an administration console. All archived image

data is indexed with the unique media number in the image

database, and can be retrieved and played back at any time. As an

option, copies of all archive media can be created automatically

for reasons of maximum safety.

With this software, a filing cabinet for all image data can be

realized in accordance with the German Röntgenverordnung.

The created media are not proprietary, and are – as a matter of

principle - DICOM standard compliant. As an additional option,

the data can be compressed lossless using standard compression

technology (ZIP).

26

PACS and beyond



JiveX Product Description - JiveX Offline Storage Service

Image Report

The work orders for the creation of "Image Report" media can be

generated and managed from each JiveX workplace in the network

(physician’s room, admission, etc.). CDs, DVDs, USB sticks, or

removable hard disks can be used as media.

All media comply with the DICOM standard, and include a

DICOM directory (DICOMDIR).

The system supports various configurable layouts for the media. In

case report copies exist in the system, or in case key images are

marked, these will be written automatically onto the medium toge-

ther with the image data. In addition, the JiveX DICOM CD Viewer

is written to each medium, accessible from the CD / DVD directly

without any installation. For “older” PCs and any (non-Windows)

operating systems, a simple quick view is created, for presentation

in Web browsers. As an alternative, pure DICOM media with no

viewer can be created, too. Optionally, the JiveX Image Report

media content can be anonymized.

The JiveX Offline Storage Service is available as an extension

module for the JiveX Communication Server or TWIN Server. For

this purpose, there is also a version with limited functionality, for

the creation of Image Reports. Furthermore, the JiveX workplace

systems as workstation versions can be extended by this service.

JiveX Modules Required (if applicable):


TWIN Server

JiveX HL7 Gateway

27

PACS and beyond



JiveX Product Description - JiveX Archive Manager

JiveX Archive ManagerAlways Online Storage for Your PACS

The JiveX Archive Manager handles online storage (SAN, NAS)

as well as archiving in an HSM system on a layer underneath,

e.g. with a tape library. For this purpose, several volumes can be

managed and grouped according to function. The integrated

image database provides a good overview of the complete data

repository at any time.

A key task in storing large volumes of data is to support various

physical and logical drives (LUN) and to set up so-called storage

pools. This helps prepare for data migration processes, and works

around any limitations at the level of the operating system (e.g. the

2TB limit under Windows) regarding storage of image data. This

is the key functionality of the JiveX Archive Manager. It is capable

of distributing all image data of a PACS solution, upon receipt of

data, to various storage pools, and to design these pools according

to individual customer needs.

The logical and physical separation of large image data reposito-

ries can also make sense for organizational reasons. As an exa-

mple, the image data can be stored to different pools by modality

or by unit in the organization, in order to, e.g., keep departments

separate from each other. Data pools can also be separated accor-

ding to image formats to, decouple image distribution or to store

video sequences in a separate data pool, for example.

Separation of clients is supported as an additional area of ap-

plication. This allows, e.g., separating image data from curative

mammography from mammography screening data upon receipt

of data by the PACS.

Archive Manager DR (Data Replication)

The JiveX Archive Manager DR version supports, in addition to

storage pooling in the SAN, NAS, or HSM by tape, data repli-

cation. Data replication can be configured in a flexible manner,

and runs completely independently from the storage technology

underneath. As an example, for online archiving, various storage

28

PACS and beyond




locations in distributed NAS systems can be accessed. The inte-

grated status management shows you that location and as well the

archiving status at any time.

Increases in digitization and continuously rising volumes of data

require storage and archive resources which, in turn, are continuo-

usly renewed. While the extent of digitization goes up, the degree

of dependency on information technology and demand for high

availability solutions is mounting. The response to that are highly

available, audit-proof storage technologies as well as intelligent

applications which can handle these resources efficiently. With the

rule-based data replication by the JiveX Archive Manager DR, you

can increase data security and optimize processes.

In cases where, e.g., storage systems are available which differ in

quality and performance, you can distribute these as you require.

In a SAN, current image data can be stored for several months in a

high-availability, performant manner. Subsequently or simultane-

ously, they can be copied automatically, upon request redundant-

ly, to a NAS storage solution which is more economical.

The utilization of audit-proof storage systems with WORM tech-

nology (Write Once Read Many) provides a different scena-

rio. The respective storage sectors are configured by the storage

vendor, using a rule base and so-called policies. This allows defining

various lifecycle periods and safety mechanisms. In order to ensure

audit-proof processes, these are typically restricted to merely one

write cycle. These storage sectors require special treatment because

copies are the only way data can subsequently be modified. For

quality assurance purposes, however, direct modifications need to

be possible for a certain period following the exam.

The JiveX Archive Manager DR supports special system interfaces

(APIs) of market leading vendors of storage solutions. These include,

e.g., Hitachi and EMC2.

29

PACS and beyond






or TWIN Server

The JiveX Archive Manager DR allows reproducing modification

processes by way of the integrated rule base for separation of cli-

ent-related data pools.

Neither the JiveX Archive Manager nor the JiveX Archive Manager

DR is a substitute for SAN solutions or other intelligent storage

systems. Quite to the contrary, they complete the functionality of

such systems and make optimal use of their possibilities.

30

PACS and beyond



JiveX Product Description - JiveX Archive Gateway

JiveX Archive GatewayThe Connection with the Data Centre

The JiveX Archive Gateway allows to store all image data, automa-

tically and rule-based, in a remote tele archive of a strong service

provider. The JiveX Archive Gateway handles the connection of the

PACS Server to the JiveX Data Center Server*.

The JiveX Archive Gateway is capable of encrypting DICOM data

in accordance with the German legislation of data protection, and

to compress it lossless before it is outsourced to the long-term ar-

chive. A local image database enables caching in online storage

for fast access.

An administration console makes it possible to control archiving

in the network at the site of the JiveX Archive Gateway, enabling

a possible transparent access to the remote long-term archive. In

addition, the system can be ordered, by a connected RIS or PACS

via the DICOM interface, to reproduce (fetch) image data from the

long-term archive and to dispatch these.

The JiveX Archive Gateway is available as an extension module for

the JiveX Communication Server and TWIN Server, or as a stand-

alone system with an integrated JiveX Communication Server

(Embedded Version).


DICOM Query/Retrieve (SCP+SCU)


DICOM Storage Commitment (SCP+SCU)


(Stand-Alone):

Windows 2k/XP



or TWIN Server if applicable

JiveX Data Center Server

31

PACS and beyond



JiveX Product Description - JiveX DICOM PACS Gateway

JiveX DICOM PACS GatewayDICOM Communication with Third-Party PACS Solutions

The JiveX DICOM PACS Gateway permits to connect the JiveX

system to DICOM compliant third-party archiving systems. This

makes possible the import of data from third-party PACS solutions,

or connection of such solutions online as departmental solutions.

Communication takes place, with no exceptions, via the DICOM

Standard. All image data which is forwarded by the JiveX DICOM

PACS Gateway to a different system is indexed ex ante, and can

be researched via the integrated image database. The image data

itself is stored only temporarily in the JiveX system, and retrieved

on demand from the third-party system via DICOM protocol.

In this context, the JiveX Communication Server can serve also

for temporary storage. This means that image data can be cached

for a defined period of time. In addition, a leading departmental

system (RIS, CIS, etc.) can place an order via the DICOM interface

for pre-fetching.DICOM Services Supported:

DICOM Query/Retrieve (SCP+SCU)


DICOM Storage Commitment (SCP+SCU)

JiveX Modules Supported:


TWIN Server

32

PACS and beyond



Client Applications

Individuality and Efficiency

The JiveX systems sport a modular system architecture and can be

extended, in the network, by various platform-independent work-

place systems. JiveX supports, for respective areas of application,

several operating systems. The Communication Server, which is

the switchboard of the JiveX Systems, manages the image database

centrally and makes it available to the workplace systems.

Depending on the concept for the network, access to images from

the workplace can take place suited to particular needs directly

from the server (on-demand) or rule-based via automatic auto-

routing/pre-fetching. In addition, the server makes available, via

the DICOM Query/Retrieve protocol, a standard interface which

allows for seamless integration of common third-party systems into

the network at any time.

Workstation or ClientWorkplace systems are differentiated according to workstation

and client. Both systems offer benefits depending on the area of

application and available network topology.

Client Application

Most workplaces are used as a normal JiveX Client application.

This application accesses directly the PACS Server in order to load

image data (on-demand). A prerequisite for this is sufficient net-

work capacity which should suit demand. For common applica-

tion scenarios, standard networks are absolutely sufficient. Even

reporting and X-ray demonstration takes place in a highly perfor-

mant manner via a usual network.

Workstation Application

A JiveX workstation disposes of an embedded JiveX Communica-

tion Server with an integrated image database and independent

DICOM communication services. This is how that workplace can

be operated even without PACS Server, with extension options

for proprietary additional services. Via the integrated server, pre-

JiveX Product Description - Workplace Systems

33

PACS and beyond




fetching or auto-routing directly to the workplace is possible. In

addition, on-demand access to a central PACS server or a remote

server can be realized via a WAN (Wide Area Network) connection.

JiveX Workplace Systems

JiveX Diagnostic

The independent reporting software JiveX Diagnostic was

designed for all imaging modalities based on the DICOM standard.

It sports a broad spectrum of image processing options, including

multiplanar reconstruction. In conjunction with the integrated

workflow management, it provides rapid image reporting and top

work efficiency in radiology, cardology endoscopy, sonography,

and further areas in imaging.

JiveX Diagnostic Mammo

The independent reporting software JiveX Diagnostic Mammo was

developed specifically for curative mammography and mammo-

graphy screening. The highly specialized hanging and reading pro-

tocols meet the most challenging requirements for smooth work

processes. As an option, the system disposes of the JiveX Mammo

Report Manager which is a fully integrated module for reporting.

The optional JiveX Mammo Report Manager is an extension

module for JiveX Diagnostic Mammo. This software allows you

to manage the entire reporting process for screening – from

primary reporting to the consensus conference, with a connection to

the mammography information system via the IHE reporting work-

flow interfaces. Furthermore, supervision is supported. Seamless

integration of the reporting editor with partly automated documen-

tation provides highest work efficiency and security.

34

PACS and beyond



JiveX Demonstration

As a special workplace for clinical demonstration and image

representation, JiveX Demonstration was laid out with functions

for preparing and realizing presentations. The moderation mode

provides you, on an additional managing monitor, with all relevant

exam and reporting information in a clear manner. For image rep-

resentation in the operating room and for digital rounds, too, JiveX

Demonstration is the ideal solution.

JiveX Quality Assurance

The JiveX Quality Assurance Client enables direct access to the

image database to allow for post-hoc correction of erroneously

entered information. This process includes audit-proof logging of

all modifications.

JiveX Review

This workplace system allows for interactive image viewing at

each networked workplace. The transfer of image data takes place

in a highly performant manner. The special JiveX transfer protocol

transfers the image data, depending on the use scenario, in various

qualities on-demand from the PACS Server to the workplace.

JiveX Review Web

This workplace system for image and report distribution allows for

easy and extremely rapid retrieval of images and reports via a Web

browser. For this purpose, all image data is prepared automatical-

ly. This means that greyscale and contrast settings can be prepared

automatically, supported by standard parameters, or manually by

the radiology staff.

JiveX DICOM Viewer

The JiveX DICOM Viewer is the image viewing software for

DICOM files. It is capable of loading and displaying DICOM files

from a file directory or a removable medium (CD, DVD, USB stick,

etc.). System handling is extremely easy, and sports a multitude

of image processing functions. The JiveX DICOM CD Viewer ver-

sion was produced specifically for the display of DICOM image

files from patient CDs. It is capable, as an additional function, of

displaying available report texts, and thereby provides the direct

relation between image and report.


35

PACS and beyond



The version JiveX DICOM Mail Viewer allows for the retrieval of

DICOM e-mails, and can be coupled directly with the DICOM

e-mail system. This makes it particularly suitable for referring

physicians, as it enables easy and safe receipt of exams inclu-

ding image and report. The integrated image processing offers the

usual functions regarding measuring, enlarging, and contrasting of

image data.


36

PACS and beyond



JiveX Product Description - JiveX Diagnostic

JiveX DiagnosticThe Multi-functional Reporting Software for All Imaging Modalities

The independent reporting software JiveX Diagnostic was designed

for all imaging modalities based on the DICOM standard. It sports

a broad spectrum of image processing options, including multipla-

nar reconstruction.

In conjunction with the integrated workflow management, it pro-

vides rapid image reporting and top work efficiency in radiology,

cardiology, endoscopy, sonography, and further imaging fields.

The system has been optimized for efficient and secure reporting,

e.g. for CT, MRT, X-ray, angiography, sonography, and nuclear

medicine, based on the DICOM standard. Highly specialized

hanging and reading protocols for all imaging methods allow

for automated preparation, compilation, and display of images

including selected pre-exams. The system is used for standard

reporting as well as for teleradiology and other telemedical appli-

cations. For this purposes, it disposes of all required certificates and

approvals.

JiveX Diagnostic is available in a Client and a Workstation version.

The client always works directly via the network (on demand) with

the image database of a JiveX PACS Server. In addition, the work-

station includes a local integrated image database and various

extension options.

Diagnostic

37

PACS and beyond




Overview – FunctionsRapid navigation and clear overview Unrestricted image research and configurable worklists

Rapid loading of images (Pre-Loading)

Workflow-optimized management via mouse, keyboard, and keypad

Ergonomic multi-monitor layout

Display of report texts and status information

Overview representation (Thumbnails)

Tile mode with free image layout (2x2, 3x3, etc.)

Stack mode for scrolling and mouse-wheel support

Cine mode

Volatile Captures for work progress interruption

Optional Capture and Continue with Presentation Manager*

Process-optimized hanging protocols Automated preparation and compilation of image data Automated loading of selected pre-exams Automated monitor and display layout Function and full screen display Comparative presentation with image synchronization Easy creation of hanging protocols Linking of various hanging protocols for reading protocols

Comprehensive image processing functions Real-time greyscale windowing (Window/Level) Labelling (text, arrows, shapes, polygons, etc.) Measurements (angle, distance, density, statistics, etc.) Rotation, mirroring, inversion Freehand zoom, magnification glass, ROI zoom, 1:1

Multiplanar reconstruction MPR with maximum/minimum intensity projection, average (MIP/

MINIP/AVG) Axial, Oblique, and Double Oblique Function

38

PACS and beyond




Input and Output Options File export (JPEG, TIFF, BMP, DICOM, AVI, etc.) Printing on paper to local and network printer Creation of patient CDs via Offline Storage Service* Display of patient CDs Entry of brief reports based on standard templates

(teleradiology)

Programming interfaces Bidirectionally integrated radiology RIS/PACS workplace

incl. Single-Sign-On 3D Volume Rendering and Advanced Visualization (Voxar 3D) Bidirectionally integrated cardiology CIS/PACS workplace

incl. Single-Sign-On Cardiology analysis software (PieMedical, TomTec, etc.) Planning tools for orthopaedics and surgery (MediCAD,

Localite, etc.) EPR and HIS interfaces Speech recognition software connector Open integration interface for further systems

Display supportJiveX Diagnostic supports greyscale and colour displays of the leading vendors. The performance depends on the selected type and graphic adapter. 1 Control display 2 Reporting display 1 Post-processing display


Client: JiveX Communication Server or

TWIN Server


(Stand-Alone):

Windows 2k/XP/Vista

Mac OS X

Linux

39

PACS and beyond



JiveX Product Description - JiveX Diagnostic Mammo

JiveX Diagnostic MammoSpecialized Reporting Software for Mammography

The independent reporting software JiveX Diagnostic Client Mammo

was developed specifically for curative mammography and mam-

mography screening. The highly specialized hanging and reading

protocols meet the most challenging requirements for smooth work

processes. As an option, the system disposes of the JiveX Mammo

Report Manager which is a fully integrated module for reporting.

The system has been optimized for efficient and secure reporting

for mammography, but it also offers all options of JiveX Diagnostic.

Highly specialized hanging protocols allow for automated prepa-

ration, compilation, and display of images including selected pre-

exams.

JiveX Diagnostic Mammo supports all computed radiography and

direct radiography systems for digital mammography, as well as

ultrasound and MRT based on the DICOM standard. With this

system, you manage the entire work process – be it in curative

mammography or screening.

The optional JiveX Mammo Report Manager* is an extension

module for JiveX Diagnostic Mammo. This software allows you to

manage the entire reporting process for screening – from primary

reporting to the consensus conference, with IHE compliant con-

nectors to mammography information systems. Seamless integra-

tion of the reporting editor with partly automated documentation

provides highest work efficiency and security.

In conjunction with the JiveX Mammo Screening Manager* this

software helps you achieve a highly integrated and smooth scree-

ning workflow. The pre-loading function offers optimal loading

speed which can be realized only with this combination. The JiveX

PACS solutions round off the system for mammography.

Mammo

40

PACS and beyond




JiveX Diagnostic Mammo is available in a Client and a Worksta-

tion version. The client always works directly via the network (on

demand) with the image database of a JiveX PACS Server. In addi-

tion, the workstation disposes of an integrated image database and

various extension options.

Overview – FunctionsThe system complies with guidelines provided by FDA,

EUREF, PAS 1054, and relevant norms of the German DIN, for

image representation. In addition, the system meets the IHE

integration profiles for mammography. For your daily routi-

ne, it offers you – besides typical characteristics of a reporting

workstation – many special features for digital mammography.

Rapid navigation and clear overview Unrestricted image research and configurable worklists Rapid loading of images through automatic pre-loading

(<1 sec) Workflow-optimized navigation via mouse, keyboard,

and keypad Ergonommic multi-monitor layout Display of report texts and status information Volatile Captures for work progress interruption Optional Capture and Continue with Presentation Manager*

Process-optimized hanging protocols Special hanging protocols to automate routine work processes

for rapid and efficient reporting Synchronous image processing (zoom, greyscale windowing,

etc.) Automated preparation and compilation of image data Automatically optimized preset of images independently

from the device manufacturer (mirroring, sorting, etc.) Automated loading of selected pre-exams Automated monitor and display layout Auto-Shutter with contour detection Function and full screen display Easy creation of hanging protocols Linking of various hanging protocols for reading protocols

41

PACS and beyond




Comprehensive image processing functions Real-time greyscale windowing (Window/Level) Labelling (text, arrows, shapes, polygons, etc.) Measurements (angle, distance, density, statistics, etc.) Automatic measuring of mamilla distance Rotation, mirroring, inversion Fully adjustable enlargements, magnification, ROI zoom, 1:1 Quadrant zoom with representation 1:1

Input and output options File export (JPEG, TIFF, BMP, DICOM, AVI, etc.) Printing on paper to local and network printer Optional creation of patient CDs via Offline Storage Service* Display of patient CDs Entry of brief reports based on standard templates Optional report management with Mammo Report Manager*

Programming interfaces Bidirectionally integrated RIS/PACS workplace

incl. Single-Sign-On Speech recognition software connector Full DICOM support for all approved mammography systems Connection of computer-aided detection (CAD) systems Open integration interface for further systems

Display supportJiveX Diagnostic Mammo supports greyscale displays of the leading vendors. The performance depends on the selected type and graphics adapter. 1 Control display 2 Reporting display 1 Post-processing display


Client: JiveX Communication Server

or TWIN Server


(Stand-Alone):

Windows 2k/XP/Vista

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PACS and beyond



JiveX Product Description - JiveX Mammo Report Manager

JiveX Mammo Report ManagerThe Integrated Report Management for JiveX Diagnostic Mammo

The JiveX Mammo Report Manager is an extension module

for JiveX Communication Diagnostic Mammo*. This software

allows you to manage the entire reporting process for screening

– from primary reporting to the consensus conference, with IHE

compliant connectors to mammography information systems. Fur-

thermore, supervision is supported. Seamless integration of the

reporting editor with partly automated documentation provides

highest work efficiency and security.

Flexible worklists allow for efficient processing of exams to be

reported. The direct integration into JiveX Diagnostic Mammo

permits extremely rapid switching between exams. In addition,

secure and rapid report documentation is made possible within

a uniform and clear user guidance. In this context, automated

import of measurements directly into the structured report is pos-

sible.

In conjunction with the JiveX Mammo Screening Manager*, this

software helps you achieve a highly integrated and smooth scree-

ning workflow. The pre-loading function offers optimal loading

speed which can be realized only with this combination. The JiveX

PACS solutions round off the system for mammography.

Mammo Report Manager

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PACS and beyond




Overview – FunctionsThe system complies with IHE Report Workflow. For your daily

routine, it offers you many special features for digital mammo-

graphy.

Efficient process management Reporting process independent from MaSc or MammaSoft,

from primary reporting to the consensus conference Flexible order and work lists Organization of various report statuses Rapid loading of images through automatic pre-loading

(<1 sec) and quick switching to the next exam Workflow-optimized navigation via mouse, keyboard, and

keypad Ergonomic multi-monitor layout Clearly arranged display of patient data, patient history,

and structured reports Reporting process according to IHE Report Workflow

Integrated report editor Structured documentation Classification according to BI-RADS Integrated report documentation in JiveX Diagnostic Mammo

including management of hanging protocols Automated import of measurements, sectors, and projections

from the image Automated measuring of mamilla distance and import into

the report Fast report entry via keypad / numeric pad Creation of reading protocols from a list of hanging protocols Support of various localisation schemes (standard, time,

MLO, CC) Automated screen and display layout

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PACS and beyond




Consensus conference Preparation of consensus conference Documentation of the consensus conference and participants Report documentation including size and recommendation

for diagnostic testing Show/hide of previous reports and annotations in the image

for comparison

Programming interfaces IHE compliant data transfer to mammography information

systems Integrated screening workplace


JiveX Diagnostic Mammo

45

PACS and beyond



JiveX Product Description - JiveX Demonstration

JiveX DemonstrationImage Presentation in the X-ray Demo, in the OR, and during the Digital Ward Round

As a specialized workplace for clinical demonstration and image

representation, JiveX Demonstration was laid out with functions

for preparing and realizing presentations. The moderation mode

provides you, on an additional managing monitor, with all relevant

exam and reporting information in a clear manner. For image rep-

resentation in the operating room and for digital ward rounds, too,

JiveX Demonstration is the ideal solution.

The system has been optimized for the high data throughput of

clinical demonstrations, and for the specific requirements in the OR

and on rounds. Individual demonstration lists and specific hanging

protocols for all imaging techniques allow for efficient and secure

preparation and presentation. For this purpose, all preceding work

steps and key images from reporting, as well as pre-exams, are

imported. Combined with the JiveX Presentation Manager*

you can freeze entire processing phases and retrieve them at

another workplace, or make them available to your colleagues.

The system can be used, besides demonstration, also for standard

reporting. For this purpose, it disposes of all functionalities of

JiveX Diagnostic, and of all certificates and approvals which are

required.

JiveX Demonstration is available in a Client and a Workstation

version. The client always works directly via the network (on

demand) with the image database of a JiveX PACS Server. In addi-

tion, the workstation disposes of an integrated image database and

various extension options.

Demo

46

PACS and beyond




Overview – FunctionsFor your daily routine the system offers you – besides the typical

characteristics of a reporting workstation – many special features

for clinical demonstration and presentation.

Rapid navigation and clear overview Special moderation view on the managing monitor Unrestricted image research and configurable

demonstration lists Rapid loading of images (Pre-Loading) Workflow-optimized management via mouse, keyboard,

and keypad Ergonomic multi-monitor layout Display of report texts and status information Overview representation (Thumbnails) Tile mode with free image layout (2x2, 3x3, etc.) Stack mode for scrolling and mouse-wheel support Cine mode Volatile Captures for work progress interruption Optional Capture and Continue with Presentation Manager*

Process-optimized hanging protocols Special hanging protocols for efficient preparation and rapid

presentation Import of preceding work steps and key images from reporting Automated preparation and compilation of image data Automated loading of selected pre-exams Automated monitor and display layout Optimized full-screen display for maximum use of presentation

area Easy creation of hanging protocols Linking of various hanging protocols to reading protocols

Comprehensive image processing functions Real-time greyscale windowing (Window/Level) Labelling (text, arrows, shapes, polygons, etc.) Measurements (angle, distance, density, statistics, etc.) Rotation, mirroring, inversion Freehand zoom, magnification, ROI zoom

47

PACS and beyond




Multiplanar reconstruction MPR with Maximum/Minimum intensity projection, average Axial, Oblique, and Double Oblique Function

Programming interfaces Bidirectionally integrated radiology RIS/PACS workplace

incl. Single-Sign-On 3D Volume Rendering and Advanced Visualization (Voxar 3D) Bidirectionally integrated cardiology CIS/PACS workplace

incl. Single-Sign-On Cardiology analysis software (PieMedical, TomTec, etc.) Planning tools for orthopaedics and surgery (MediCAD,

Localite, etc.) EPR and HIS interfaces Speech recognition software connector Open integration interface for further systems

Display supportUse of identical resolution for reporting displays and beamers is recommended. 1 Control display 2 Reporting display 2 Beamers 1 Post-processing display



or TWIN Server


(Stand-Alone):

Windows 2k/XP/Vista

Mac OS X

Linux

48

PACS and beyond



JiveX Product Description - JiveX Quality Assurance QA

JiveX Quality Assurance QAThe Workplace for Quality Assurance and Workflow Control

The JiveX Quality Assurance Client enables direct access to the

image database to allow for post-hoc correction of erroneously

entered information. This process includes audit-proof logging of

all modifications.

In addition, the QA Client is used as an admin workplace for the

Study Verification Manager*. This allows for manual reconciliation

of orders with exam data from an administrative system (RIS).

Overview – FunctionsQuality Assurance Logged modification of data relevant for quality matters,

based on DICOM in accordance with IHE Audit-proof logging of all modifications in DICOM headers Merging and separating of exams Cut & paste of image studies to correct erroneous associations Admin workplace for the Study Verification Manager*

Display support 1 Control/viewing display

QA



or TWIN Server


(Stand-Alone):

Windows 2k/XP/Vista

Mac OS X

Linux

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PACS and beyond



JiveX Product Description - JiveX Review

JiveX ReviewThe standard Workplace for Image Viewing and Web-based Image Distribution

This workplace system allows for interactive image viewing at

each networked workplace. The transfer of image data takes place

in a highly performant manner. The special JiveX transfer protocol

transfers the image data, depending on the use scenario, in various

qualities on-demand from the PACS Server to the workplace.

The system offers a multitude of universal image processing

functions. This includes, in particular, freehand zoom, magnifica-

tion, greyscale windowing (DICOM Window/Level), and measu-

ring functions.

Overview – FunctionsRapid navigation and clear overview Unrestricted image research and configurable worklists Rapid image transfer Easy, intuitive navigation via mouse and keyboard Display of report texts and status information Overview representation (Thumbnails) Tile mode with free image layout (2x2, 3x3, etc.) Stack mode for scrolling and mouse-wheel support Cine mode

Standard hanging protocols Automated arrangement of image data Automated monitor and display layout Function and full screen display

Review

50

PACS and beyond



JiveX Product Description - JiveX Review

Input and Output Options File export (JPEG, TIFF, BMP, DICOM, AVI, etc.) Printing on paper to local and network printer Creation of patient CDs via Offline Storage Service* Display of patient CDs

Programming interfaces Integrated workplace with HIS/EMR incl. Single-Sign-On Software distribution via a Web browser (Java Webstart)

or other options




or TWIN Server


(Stand-Alone):

Windows 2k/XP/Vista

Mac OS X

Linux

51

PACS and beyond



JiveX Product Description - JiveX Review Web

JiveX Review WebHTML-Based Image and Report Distribution

This workplace system for image and report distribution allows for

easy and extremely rapid retrieval of images and reports via a Web

browser. For this purpose, all image data is prepared automatically.

This means that greyscale and contrast settings can be prepared

automatically, supported by standard parameters, or manually by

the radiology staff.

This application is made available via Web browser which can

be integrated into an intranet upon request. The Web browser

does not need to meet any special requirements. This way, JiveX

Review Web offers an image distribution platform in addition to

JiveX Review which works in a highly performant and resource

saving manner, in particular also on terminal server and thin clients.



or TWIN Server

Operating Systems Supported:

Windows 2k/XP/Vista

Mac OS X

Linux

Review Web

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PACS and beyond



JiveX Product Description - JiveX DICOM Viewer

JiveX DICOM ViewerThe basic Image Viewer for DICOM Files

The JiveX DICOM Viewer is the image viewing software for

DICOM files. It is capable of loading and displaying DICOM files

from a file directory or a removable medium (CD, DVD, USB stick,

etc.). System handling is extremely easy, and sports a multitude of

image processing functions.

JiveX DICOM CD ViewerThe DICOM Image Viewer for Patient CDs

The JiveX DICOM CD Viewer version was produced specifically

for the display of DICOM image files from patient CDs. It is capab-

le, as an additional function, of displaying available report texts,

and thereby provides the direct relation between image and report.

This software is burned, upon request, on removable media

(patient CDs, DVDs, etc.) in conjunction with the DICOM image

data by the JiveX Offline Storage Service*. In this case, it is only

permissible to use the software for viewing of the respective remo-

vable medium.

JiveX DICOM Mail ViewerThe integrated Mail Client and Image Viewer for DICOM Emails

This version of the JiveX DICOM Viewer allows for the retrieval

of DICOM emails, and can be coupled directly with the DICOM

email system. This makes it particularly suitable for referring

physicians, as it enables easy and safe receipt of exams inclu-

ding image and report. The integrated image processing offers the

usual functions regarding measuring, zooming, and window leve-

ling of image data.

Please note:

The viewer is also available in a version

with limited functionality, as a free Personal

Edition for non-commercial use, for down-

load on the VISUS website. This version is

explicitly not a medical product, and may

not be used for reporting purposes or in the

context of medical care for patients.

DICOM Viewer

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PACS and beyond



JiveX Product Description - JiveX DICOM Viewer

Overview – FunctionsRapid navigation and clear overview Easy, intuitive navigation via mouse and keyboard Display of report texts (only CD and Mail Viewer) Overview representation (Thumbnails) Tile mode with free image layout (2x2, 3x3, etc.) Stack mode for scrolling with mouse-wheel support Cine mode

Optimized Image Display Automated usage of display space Automated monitor and display layout Function and full screen display

Comprehensive image processing functions Real-time greyscale windowing (Window/Level) Measurements (angle, distance, density, statistics, etc.) Rotation, mirroring, inversion Freehand zoom, magnification, ROI zoom, 1:1

Input and Output Options Receipt of DICOM Emails (Mail Viewer only) File export (JPEG, TIFF, BMP, DICOM, AVI, etc.) Printing on paper to local and network printer Display of patient CDs


Operating Systems Supported:

Windows 2k/XP/Vista

Mac OS X

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PACS and beyond



* respective extension module is required.

System requirements and functionality according to current product

specification, DICOM and HL7 Conformance Statements, IHE Integration

Statement, as well as Platform Product Clearance Policy.

We will be glad to advise you in selecting appropriate hardware, and

suggest use of systems certified by JiveX (JiveX Certified System).

For further information, please visit http://www.visus-tt.com.

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