syngoMR.pdf

syngo MR Operator Manual
Magnetic Resonance
Operator Manual
Version syngo MR 2006T
0.0
medical
Manufacturers note: 0.0
Products, that are bearing a CE mark fulfill the provisions of the

Council Directive 93/42/EEC of 14 June 1993 concerning med-
ical devices. 0.0
The CE mark applies exclusively to medical equipment and

products that are released under the relevant EU guidelines
mentioned above. 0.0
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0.0
0.0
0.0
0.0
0.0
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2005 Siemens AG
All rights reserved 0.0
Siemens AG
Wittelsbacherplatz 2
80333 Mnchen
Germany 0.0
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Contact Information:
Siemens AG, Medical Solutions
Magnetic Resonance
Henkestrae 127
91052 Erlangen
Germany 0.0
Telephone: +49 9131 84-0

www.SiemensMedical.com
DokuMR@med.siemens.de 0.0
Print No. MR-05000.621.04.01.24

Printed in Germany 0.0
AG 09.05 0.0
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syngo MR Summary of contents
Basics A
Security Package B
Managing and Adjusting the C

System
Patient Browser D
Patient Registration E
Examination F
Viewing G
3D Evaluation H
Storing and Data Exchange J
Neuro 3D K
Postprocessing Images L
syngo MR 2006T iii

Summary of contents syngo MR
Vessel View M
Composing N
Filming O
References P
Index
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iv Operator Manual
syngo MR Table of contents
A Basics
A.1 General Information
A.2 Basics for Beginners
A.3 Configuring the User Interface
A.4 Service Functions
B Security Package
B.1 Introduction
B.2 Information for Administrators
B.3 Information for Users
B.4 Information for Service Technicians
C Managing and Adjusting the System

C.1 System Manager
C.2 Adjusting the System
D Patient Browser
D.1 Introduction
D.2 Searching for and Displaying Patient Data
D.3 Transferring Data to other Applications
D.4 Correcting Data
D.5 Storing, Sending and Filming Data
D.6 Maintaining your Data
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syngo MR 2006T v
Table of contents syngo MR
D.7 Configuring the Patient Browser
D.8 Reporting
E Patient Registration
E.1 Introduction
E.2 Registering a New Patient
E.3 Registering a Known Patient
E.4 Configuring Patient Registration
F Examination
F.1 Introduction to the MR Examination
F.2 Loading the Scan Program
F.3 Measuring, Editing, and Managing Ref. Images
F.4 Positioning Slices
F.5 Adjusting Measurement Parameters
F.6 Performing a routine examination
F.7 Using a contrast agent
F.8 Positioning the Patient Table
F.9 Working with instruction areas
F.10 Inline Display
F.11 Patient instructions
F.12 Protocol and Pause Properties
F.13 Printing protocols
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vi Operator Manual
F.14 SAR and Stimulation Monitoring
F.15 Physiologically Controlled Scans
F.16 Organizing Scan Programs
F.17 Maestro Layout and Movie Display (Option)
F.18 Breast Biopsy
F.19 Automatic position correction
F.20 Quality measurement
G Viewing
G.1 Introduction
G.2 Loading and Displaying Images
G.3 Scrolling and Selecting Images
G.4 Processing Images
G.5 2D Evaluation
G.6 Position display
G.7 Saving and Documenting Images
G.8 Configuring the Viewing Task Card
H 3D Evaluation
H.1 Introduction
H.2 Transferring Images to 3D
H.3 Working in 3D
H.4 Multiplanar Reconstruction (MPR)
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syngo MR 2006T vii

H.5 Maximum and Minimum Intensity Projection
H.6 Reconstructing Surfaces (SSD)
H.7 Volume Rendering Technique (VRT)
H.8 Selecting and Processing Images
H.9 3D Editor
H.10 Fusion
H.11 Fly Through
H.12 Saving 3D Series and Images
H.13 Filming, Evaluating and Sending 3D Images
H.14 3D Configuration
J Storing and Data Exchange

J.1 Introduction
J.2 Storing Data on an External Medium
J.3 Sending Data via the Network
J.4 Exchanging Data via the Hard Disk
J.5 Automatic Storing and Sending
J.6 Checking Data Transfer
J.7 Configuring Data Transfer
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viii Operator Manual

K Neuro 3D
K.1 Introduction
K.2 Loading images
K.3 Changing the anatomical display
K.4 Displaying functional information
K.5 Neuro 3D Evaluation
K.6 Saving and filming images
L Postprocessing Images
L.1 Dynamic Analysis
L.2 Evaluating Images with Mean Curve
L.3 Image filtration and distortion correction
L.4 Viewing and Evaluating BOLD Images
L.5 Evaluating Perfusion-Weighted Images
L.6 Soft Tissue Evaluation MR
M Vessel View
M.1 Introduction
M.2 Loading and displaying images
M.3 Defining Vessels
M.4 Evaluating vessels
M.5 Saving and documenting evaluations
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syngo MR 2006T ix
N Composing
N.1 Introduction
N.2 Image selection and reconstruction
N.3 Viewing images
N.4 Evaluations
N.5 Saving and documenting images
O Filming
O.1 Introduction
O.2 Semi-automatic/Manual Filming
O.3 Viewing and Processing Film Sheets and Images
O.4 Changing Film Settings for a Film Job
O.5 Checking Film Jobs
O.6 Configuring Filming
P References
P.1 Scan Parameters
P.2 Text Annotations in Medical Images
Index
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x Operator Manual
syngo MR Special Information 0.0
This manual is part of the multi-volume operating instructions

for the magnetic resonance tomograph of the MAGNETOM
family. 0.0
0.0
N OT E
The magnetic resonance tomographs of the Magnetom
family are not devices with measuring functions. 0.0
Measured values obtained are for information only and

cannot be used as the sole basis for diagnosis. 0.0
0.0
syngo MR 2006T xi
Revision Info syngo MR
Changes to previous version 0.0
In comparison to the previous version new coils are used for the
MAGNETOMS Symphony and Trio. The corresponding coil
abbreviations are listed in Chapter Text Annotations in Medical
Images.
Page P.28 0.0
0.0
0.0
xii Operator Manual

syngo MR Revision Info
New coordinate system 0.0
The syngo MR software and its predecessor Numaris (includ-

ing Numaris 3.5) use different patient coordinate systems. 0.0
It is important to remember this when diagnosing MR images
acquired in Numaris under syngo MR . 0.0
If you have any questions about converting the different coordi-

nate systems, please contact your applications specialist. 0.0
0.0
syngo MR 2006T xiii

Coordinate system for Numaris 3 and

Numaris 3.5 (+FAL) 0.0
The slice positions are positive in the Feet, Anterior, and Left
directions as seen from the magnet isocenter. 0.0
MR images based on this patient-oriented coordinate system

are only converted when exporting them into a DICOM format.0.0
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xiv Operator Manual

syngo MR Revision Info
Coordinate system for syngo MR (DICOM

standard, +LPH) 0.0
The slice positions are positive in the Left, Posterior, and Head
directions as seen from the magnet isocenter. 0.0
0.0
syngo MR 2006T xv
The following overview shows how the direction of the slice

position changes as it moves from minus to plus. 0.0
0.0
Direction of slice position
Numaris 3 and Numaris 3.5 +FAL
syngo MR +LPH
If the slice position ascends, the slices move toward the positive
coordinates:
0.0
Numaris 3 and The transverse slice moves in the (F) direction of the feet.
Numaris 3.5 0.0 The coronal slice moves in the anterior (A) direction.
The sagittal slice moves in the left (L) direction.
syngo MR 0.0 The transverse slice moves in the (H) direction of the head.
The coronal slice moves in the posterior (P) direction.
The sagittal slice moves in the left (L) direction.
0.0
NOTE
Beginning with software version MRease VA12A, the
image text changes for the slice position. Instead of the sign
"+" or "-", directional abbreviations such as L, P or H, or R,
A or F are shown. 0.0
0.0
0.0
xvi Operator Manual

PART
A Basics A.0
A.1 General Information

Safety-related information .............................................. A.14
Warning messages .................................................... A.15
Software installation and network .............................. A.16
Virus protection .......................................................... A.17
A.2 Basics for Beginners

The application program ................................................ A.22
Mouse and keyboard ..................................................... A.23
The mouse ................................................................. A.23
The mouse pointer ..................................................... A.24
Using the mouse ........................................................ A.25
The keyboard ............................................................. A.27
Using the keyboard .................................................... A.28
Entering commands and data ...................................... A.216
Selecting objects ..................................................... A.216
Moving or copying objects ....................................... A.218
Changing the image display .................................... A.221
Entering text ............................................................ A.222
Windows ...................................................................... A.223
Layout of windows ................................................... A.223
Resizing and moving a window ............................... A.225
Switching between windows .................................... A.229
Dialog boxes ............................................................ A.230
Operating elements in boxes and on tab cards ....... A.232
Using tab cards ............................................................ A.236
Task cards ............................................................... A.237
Subtask cards .......................................................... A.240
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syngo MR 2006T A1
Contents Basics
Using menus ................................................................ A.241

Application-specific menus....................................... A.241
Dropdown menus of the menu bar ........................... A.243
Popup menus ........................................................... A.246
Status bar ..................................................................... A.247
Resource check ............................................................ A.248
Text information in medical images .............................. A.250
A.3 Configuring the User Interface

Calling up configuration windows ................................... A.32
Defining the regional settings ......................................... A.35
Configuring image text ................................................... A.37
Exiting a configuration window ..................................... A.312
A.4 Service Functions

Displaying the maintenance status ................................. A.42
Local service .................................................................. A.44
Remote service access .................................................. A.45
Logbook .......................................................................... A.47
Configuring the MR system ............................................ A.48
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A2 Operator Manual
CHAPTER
A.1 General Information A.1
This chapter contains general information about syngo MR. A.1
A.1
Operating system A.1 The program syngo MR uses the operating system Windows
XP. A.1
syngo MR is a registered trademark of Siemens AG.
A.1
C AU T I O N
Source of danger: Impermissible or faulty manipulations or
changes of the hardware or software can cause the system
to malfunction. A.1
Consequence: This can cause injury and/or damage to the

equipment. A.1
Remedy: You are therefore not permitted to open or remove

the cladding of the equipment, to install third-party software
or to connect the system to a network. A.1
Depending on the operating system there may be slight vari-

ations in the color display of dialog boxes and windows.
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syngo MR 2006T A.11

General Information Basics
Security in syngo MR A.1 Security in syngo MR" provides the whole functionality neces-
sary for the protection of patient data. A.1
Privileges allow an user to execute syngo MR functions, such

as sending data over network or invoking the patient registra-
tion.
Log on A.1 After you have switched on the computer and before you start
working you must log on as a user.
Page B.35, Logging on and off A.1
A.1
NOTE
When a user logs off, unsaved data are lost
irretrievably. A.1
Always check whether data still needs to be saved and save

any data you want to keep before you log off. A.1
Program start A.1 After log on the applications start automatically. A.1
0.0
A.12 Operator Manual

Basics General Information
Rebooting of main and During startup of your system the main console and the satellite
satellite consoles A.1 consoles are also automatically started up. If you reboot the
main console manually, make sure to reboot the satellite con-
soles as well.
A.1
System administration A.1 You find more information on security and system administra-
tion in Part B, Security Package.
A.1
Audit trail A.1 In a secure system, all actions on data are logged.
Page B.271, Audit trail and log files
A.1
Names and designations All names and data of patients and institutions that are used in
used A.1 this operator manual are entirely fictional. A.1
Any resemblance to names of existing people or organizations

past or present is entirely coincidental.
A.1
Configuration-dependent designations, such as names of

drives, network nodes, and databases, that are used in this
operator manual are usually not the same as the designations
to be found on a particular installation of the system in a partic-
ular hospital. A.1
0.0
syngo MR 2006T A.13

Safety-related information A.1
Safety instructions and other important information for cases

such instructions are part of general text are indicated as fol-
lows in this manual: A.1
A.1
WA R N I N G
Indicates potential dangers that could cause injury or death
in extreme cases. A.1
The syngo MR system was designed and built so that it can-

not cause death if used properly.
A.1
C AU T I O N
Indicates potential (direct) dangers that could cause minor
injury or damage to the system. A.1
A.1
N OT E
Notes regarding optimum use of the system and other
useful information. A.1
0.0

Warning messages A.1
The systems informs you about problems that have occurred by

displaying message dialog boxes. There are three categories of
messages: A.1
General Danger Warnings

(High Priority Error) A.1
This type of warning message informs the user about serious

problems that require your immediate intervention and
response (e.g., danger for patient and system). The danger
message remains on the screen until you confirm it.
A.1
Task Specific Warnings

(Error Message Type 1) A.1
This type of warning message is application and task card spe-

cific. The message occurs within the active workflow/task and
requires your decision, but not immediately. You can confirm the
message and continue work, but you can also switch to another
task card and confirm the message later.
A.1
Information Messages A.1
This type of message only provides additional information (e.g.,

about the result of a performed task). Just confirm the message
by clicking OK. A.1
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syngo MR 2006T A.15

Software installation and network A.1
The syngo MR platform is shipped with precautions regarding

data security and prevention of external access with bad intent.
No additional protection (firewall) is included. A.1
A.1
C AU T I O N
Source of danger: Impermissible or faulty manipulations/
changes of the software or connection of the system to a
network A.1
Consequence: Unauthorized access. A.1
Remedy: Make sure all necessary precautions with respect

to the existing level of security are considered when adding
a functionality or altering the shipped configuration. A.1
A.1
C AU T I O N
Source of danger: Reduced system performance due to
overload of the network environment. A.1
Consequence: Unexpected system behavior. A.1
Remedy: Only use syngo MR in a secure and load-

adapted network. A.1
0.0

Virus protection A.1
As a user of a networked PC you should be aware of the possi-

bility of an infection with computer viruses or other damaging
software. A.1
Prevention A.1 The focus lies on prevention of such an infection: A.1
All precautions have been taken to ensure data security and

to prevent access to your syngo MR system with negative
intent.
Data traffic through all unnecessary ports or "doors" is
blocked. Data exchange is restricted to defined paths only.
This includes the service interface and makes syngo MR
extremely secure.
Additional protection (such as a virus scanner, a local firewall,
etc.) is not installed. A.1
0.0
syngo MR 2006T A.17

Suitable topology A.1 A good and secure network architecture is able to reject most
attacks from viruses, worms etc. The network architects and IT
administrators of a hospital use a suitable topology with the best
protection of the medical devices connected. A.1
Medical devices shall always be connected within sub-net-

works that are separated from the rest of the office equip-
ment by a firewall PC.
Mail programs that may receive virus infected attachments or
browser software with connection to the Internet are a poten-
tial risk for all systems connected to the same subnet.
We recommend to prohibit this type of data transfer into the
subnets of medical devices.
As far as queries are concerned the system should only be
queryable from remote nodes.
0.0

CHAPTER
A.2 Basics for Beginners A.2
This chapter is addressed to beginners with experience using

computers and Windows XP. A.2
It is intended to enable you to use the applications and enter

data. A.2
You are first given a short overview of the user interface of the
program. After that, an explanation is given of how to operate
the computer using the mouse and keyboard. A.2
This chapter also explains the command and input elements on

the programs user interface. A.2
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syngo MR 2006T A.21

Basics for Beginners Basics
The application program A.2
After start up, the user interface of the program will appear on
your screen, with the Exam task card in the foreground.
The user interface is subdivided into the following areas: A.2
(1) Menu bar

(2) Image and workspace of the task cards
(3) Tabs of the task cards
(4) Tabs of the subtask cards
(5) Stack of subtask cards
(6) Status bar
0.0

Basics Basics for Beginners
Mouse and keyboard A.2
In order to execute commands on the computer or to input data

you can use the mouse and/or the keyboard.
A.2
The mouse A.2
A.2 Your mouse has three buttons. A.2
You can start actions of the program with the mouse buttons.
With the left button you select objects and start applications and
actions, with the right button you open popup menus and with
the center button you change the window values of images. A.2
With the mouse you can: A.2
Move the mouse pointer

Select and mark objects
Copy and move objects
Start applications and actions
Edit images
Call up menus
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syngo MR 2006T A.23

The mouse pointer A.2
A.2 The mouse pointer follows every movement of the mouse on

the screen.
A.2
A.2 If you have lost sight of the mouse pointer, simply move the
mouse.
Depending on the application which is currently active and the
action you want to perform the appearance of the mouse
pointer can change.
A.2
Cursor Position the mouse pointer in a field in which you want to

A.2 enter text.
The mouse pointer changes its shape and becomes a vertical
line. It is now a text cursor indicating where characters can be
typed in will appear. A.2
0.0

Using the mouse A.2
First place the mouse pointer on an object, for example an

image. You can then perform the following actions:
A.2
Single click A.2
Press a mouse button briefly and release it again. Do not move

the mouse while doing this. A.2
You select an object with the left mouse button,

with the right mouse button you call up popup menus.
A.2
Double-click A.2
Double-clicking means pressing the mouse button twice in

quick succession and then releasing the button again. A.2
Double-clicking is used to start programs (left mouse button),

for example, or for auto-windowing (center mouse button).
A.2
Dragging A.2
Press the mouse button and move the mouse while holding the
button down. With this action you can draw graphics, for exam-
ple (left mouse button), or set window levels (center mouse but-
ton). A.2
0.0
syngo MR 2006T A.25

Drag & drop A.2 Click an object with the left mouse button, move it while holding
the mouse button down and release the mouse button again. A.2
A.2
Calling up the With the key combination Shift + F10 and a single click of the
popup menu A.2 right mouse button you can call up a pop menu for the selected
object or active area of the screen (except Viewing).
Page A.25, Using the mouse A.2
0.0

The keyboard A.2
You use the keyboard to enter text and numbers. You can also
call up certain functions and start programs using key combina-
tions and the keys of the numeric keypad.
A.2
(1) Function keys

(2) Typewriter keyboard
(3) Cursor keypad
(4) Symbol keypad
0.0
syngo MR 2006T A.27

Using the keyboard A.2
Practically all commands can be performed using either the

mouse or the keyboard.
A.2
Entering text and The keys on the typewriter keyboard are normally used to enter
numbers A.2 text and numbers as well as commands.
A.2
Deleting characters A.2 Pressing the Backspace deletes the character in front of the
cursor; pressing the Del key deletes the character following the
cursor. If a text is marked you can use either of these keys to
delete it.
A.2
Moving the cursor A.2 With the cursor keys you can move the text cursor
within a text entry field. With the keys Home and End you move
the cursor to the first and last position within the text.
A.2
Calling up help A.2 Press the F1 key to call up the Online Help supplied with the
program.
A.2
Calling up task cards A.2 Press the function keys F6 to F8, to call up the individual task
cards.
Page A.237, Task cards A.2
0.0

Setting the keyboard The user interface of the Exam task card is divided into sepa-
focus A.2 rate areas, e.g. image area or program control. If you want to
operate the program quickly via the keyboard you can activate
the input and operation tools of the interface separately, one
after the other. By doing this, you are placing a focus on a spe-
cific object on the user interface to enable input via keyboard.A.2
For this purpose, press the Tab key on your keyboard to jump
forwards.
Or A.2
Press the keys Shift + Tab to jump backwards.

The keyboard focus jumps from object to object. A.2
Press the Tab key until you reach the object that you want to
operate via the keyboard.
The object which currently has the keyboard focus is marked.A.2
Buttons are marked with a broken line border.
A.2
List entries have a blue background.

A.2
Entries in the program card are marked with a broken line bor-
der.
A.2
Entries in the program card are marked with a broken line bor-
der and have a blue background. A.2
0.0
syngo MR 2006T A.29

Keyboard focus on the

image area A.2
The keyboard focus can only be placed on an entire image area

i.e. on all two or three image segments. The image area is then
surrounded by a fine white border. You can still see the input
focus (dotted blue border) in the image area, showing you
which image segment your entries apply to.
A.2
Paging through If the keyboard focus is on a card stack, you can also move indi-
card stacks A.2 vidual cards to the foreground via keyboard commands. A.2
Press keys Ctrl + or Ctrl + to jump to the left or to the

right.
If the card in the foreground is itself subdivided into cards, such
as the System parameter card, you can also move these cards
to the foreground via the keyboard. A.2
To do this, press the Shift + Ctrl keys + or the Shift + Ctrl

keys + to jump to the left or to the right.
The keyboard focus is then on the previously set input object
that is marked as such.
A.2
Jumping within objects A.2 You can move the keyboard focus using the tab key within
objects, e.g. program control or parameter cards. A.2
0.0

Starting applications and The symbol keypad of your system looks different from the
functions A.2 numeric keypad on a standard PC keyboard. These keys have
been assigned special functions on your system. The symbols
on each key help you to easily identify the respective functions.A.2
If your system is not equipped with the original Siemens key-
board, you can call up these functions and programs using
the corresponding keys on your standard numeric keypad.
Window Center - (Num. Num)

(Brightness -)
Window Center + (Num. /)

(Brightness +)
Window Width - (Num. *)

(Contrast -)
Window Width + (Num. -)

(Contrast +)
Auto Windowing (Num. 9)
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syngo MR 2006T A.211

Scroll study back (Num. 7)
Scroll study forward (Num. 8)
Scroll series back (Num. 4)
Scroll series forward (Num. 5)
Scroll image back (Num. 1)
Scroll image forward (Num. 2)
Correct image text (Num. 6)

(not supported by this SW Version)
0.0

Call up Patient Registration (Num. 0)
Call up Patient Browser (Num.)
Copy to Film Sheet (Num. Return)
Mark (Num. 3)
Send To Node 1 (Num. +)
0.0

Using shortcuts A.2 With the key combinations Ctrl or Alt or Windows plus another
key you can give commands to your computer very quickly. A.2
You can execute all functions by pressing the Alt key together
with the key of the letter underlined in the menu item or on the
button. In this way, you can operate the program without using
the mouse.
Here is a table of the most important key combinations: A.2
A.2
Alt + F4 Close Patient Browser

Alt + Tab Switch to another active Windows application
A.2
Ctrl + Tab Switch active task card / page through stack of cards
Ctrl + Shift + Switch active task card backwards / page through stack of
Tab cards backwards
Ctrl + C Copy
Ctrl + I Import data
Ctrl + P Expose film task
Ctrl + S Save (only 3D taskcard)
Ctrl + X Cut (only Filming taskcard)
Ctrl + V Paste
Ctrl + W Save window values
0.0

A.2
Windows Show start menu

Windows + D Minimize or restore all windows
Windows + E Open Windows Explorer
Windows + F Open search dialog
Windows + Ctrl + F Open search dialog for computer
Windows + F1 Show help
Windows + R Show run dialog
Windows + Pause Show system properties dialog
Windows + Shift + Undo minimize all windows
M
Windows + L Lock workstation
Windows + U Open utility manager
0.0

Entering commands and data A.2
You always have several options for entering commands or data

on the computer. You can use the mouse and/or the keyboard.
A.2
Selecting objects A.2
You can select an object (e.g. an image or a patient) by clicking

it with the left mouse button. A.2
Selected objects are marked. Images are given a border,

graphic objects such as ROIs (region of interest) are dis-
played with grab handles, icons and text (e.g. in list entries)
are highlighted (e.g. white on black).
Examples: A.2
The selected patient entry in the window of the Patient

Browser is displayed highlighted (left).
Resizing handles (small squares) are visible on the selected
border (right).
0.0

Selecting several objects A.2 You select an object with the mouse and then press the Ctrl or
the Shift key. A.2
With the Ctrl key you can select other individual objects. A.2
Press the Ctrl key and keep it pressed.

Click all the objects that you want to select.
Click a selected object a second time to deselect it again.
With the Shift key you can select entire blocks of objects. A.2
Press the Shift key and hold it pressed.

Click another object.
All the objects in between are selected as well.
A.2
Deselecting objects A.2 You can deselect selected objects by selecting another object
or by clicking the background with the mouse. A.2
0.0

Moving or copying objects A.2
You can move or copy objects from one application to another

(e.g. images) or from one location to another location on the
screen.
A.2
Drag & drop A.2 This means picking up an object, dragging it and dropping it
again. A.2
Click an object with the left mouse button, e.g. a series, and
hold the mouse button down.
Press the Ctrl key if you want to copy the object.
Drag the object to another location with the mouse (into an-
other task card or window).
Release the mouse button.
The object will be moved or copied to the new location.
Page A.25, Using the mouse A.2
0.0

Cut/copy & paste A.2 Another way of moving objects is via the cut & paste or copy
& paste functions. A.2
Select the object you want to move or copy.

Call up Edit > Cut or use the shortcut Ctrl + X if you want to
move the object (only Filming task card).
Or A.2
Call up Edit > Copy or use the shortcut Ctrl + C if you want
to copy the object.
0.0

The object is moved or copied to the Windows clipboard. It

remains there until you cut or copy another object that will then
replace the previous one. A.2
Click the new location.

Call up Edit > Paste or use the shortcut Ctrl + V to move or
copy the object to this new location.
Page A.214, Using shortcuts
Page A.241, Using menus
Double-clicking A.2 If you double-click on an object with the left mouse button, the
standard function of the associated function menu, which also
depends on the object type, is executed. You can transfer a
selected object to another application with a double click.
A.2
Menus A.2 You can also use the entries of the dropdown menus to pass
objects from one application to another. A.2
Select the object(s) you want to pass onto another task card.
Call up the relevant menu item.
Page A.241, Using menus
0.0

Changing the image display A.2
You can change the display of an image using the mouse: A.2
Setting window levels (windowing)

Changing the image size (zooming)
Moving the image (panning)
For windowing you use the center mouse button. For zooming
and panning you first switch the mouse to zoom/pan mode and
then use the left mouse button to change the image display.
Page G.415, Zooming and panning images
A.2
Move the mouse pointer onto the image, press the center or
left mouse button and hold it pressed. If you now move the
mouse you change the way the image is displayed.
The mouse cursor changes shape for zooming (left cursor) and
panning (right cursor). A.2
0.0

Entering text A.2
If you click a text entry field with the mouse, the mouse pointer
becomes a text cursor (vertical bar). A.2
Enter the text via the keyboard.
You can also enter text into a combo box.

Page A.233, Combo box
Selecting text A.2 You can mark text by moving the cursor across the text while
holding the left mouse button down. The text is displayed high-
lighted. A.2
Selecting words A.2 Double-click with the left mouse button while the cursor is
inside a word. The word is marked.
Deleting text A.2 Use the mouse to select text. Press the Del or the Back-
space key. The selected text is deleted.
0.0

Windows A.2
In the Windows XP operating system programs are displayed

in windows. When you start an application it is called up in a
window.
A.2
Layout of windows A.2
You will find the following graphic elements in a window: A.2
(1) Title bar

The title bar displays the name of the program you are cur-
rently working in.
(2) Title bar icon
Icon for opening a menu for window commands.
(3) Menu bar
This contains the functions of the program in dropdown
menus.
(4) Toolbar
This contains the icons for starting functions and programs.
(5) Workspace
Here you can execute the functions of the program.
(6) Window buttons
Buttons for controlling the window display.
Here you minimize, maximize or close the window.
0.0

A.2 (7) Scroll bar

If the content of the window is too large to be displayed,
scroll bars are displayed on the right and lower edge of the
window.
(8) Border
Place the mouse on the border to resize the window.
(9) Status bar
This displays the instructions and feedback from the cur-
rent program and contains the storage capacity icons.
(1)
(2) (6)
(3)
(4)
(5) (7)
(8)
(9)
0.0

Resizing and moving a window A.2
You can change the window display (window, full screen or

icon), the size of the window and the position of the window.
A.2
Changing the type of In the top right-hand corner of the title bar you will find three but-
window A.2 tons with which you can change the size and position of win-
dows. A.2
With these buttons you can change the active window as fol-
lows:
A.2
A.2 Click on the left-hand button with the left mouse button to
minimize the window.
A.2 Click the center button to toggle between full screen and win-
dow size. If you click the on button again you switch back to
the previous size.
A.2 Click on the right button to close the window and therefore
the application as well.
Or A.2
Click on the Windows title button and select the correspond-

ing entry in the menu.
Not all of these functions are available in all windows.
0.0

Resizing the window A.2 Move the mouse pointer onto the border of the window and its
appearance changes. Depending on where you place the
mouse pointer it can take on one of the following shapes: A.2
On the lower or upper edge it becomes a vertical double

arrow.
Now you can change the height of the window.
On the left or right edges it changes to a horizontal double
arrow.
Now you can change the width of the window.
On a corner of the border it becomes a diagonal double
arrow.
Now you can change the height and width of the window.
On the interior border line it becomes a broken double arrow
(if the window is subdivided).
You can change the height of the window sections.
Press the left mouse button and drag the border to the new
position while holding the mouse button down.
0.0

Changing the position of You can move the window to any position on the screen as long
the window A.2 as it is not maximized or minimized. A.2
Click the title bar and drag the window to the new position
holding the mouse button down.
0.0

Moving the content of the On the scroll bars you will find the arrow buttons and a scroll box
window A.2 with which you can move the content of the window. Depending
on whether the window is too short or too narrow to display its
content the scroll bar will appear on the right or below the win-
dow. A.2
Click an arrow button (1) with the left mouse button. The
screen content is shifted a small distance in the direction of
the arrow.
Click the scroll box (2) and drag it with the mouse. The
screen content is moved continuously in the corresponding
direction.
Click on any point on the scroll bar with the mouse. The
screen content is moved toward this point by a distance
which is proportional to the distance of this point from the
scroll box.
0.0

Switching between windows A.2
Frequently, several windows or tab cards are open at the same

time, for example, if you are looking for a patient using the
Patient Browser before you start an examination.
A.2
Active window A.2 The active window is in the foreground.

The title bar of the active window has a different color from that
of the inactive window. A.2
You can move objects (e.g. images) from an active window to

a window in the background (drag & drop) as long as both
windows are visible.
Switching windows A.2 If you want to switch from one window to another visible window
click on the corresponding window. A.2
It moves to the foreground, and the color of the title bar

changes. It is now the active window in which you can work. A.2
Example: Patient Browser and Patient Registration. A.2
0.0

Dialog boxes A.2
Dialog boxes are used to enter data or to select or confirm set-

tings. A.2
They are usually displayed after you have called up a function.A.2

Example A.2
In a dialog box you will find entry fields, selection lists, radio but-
tons or checkboxes to select options and buttons with which you
can accept or reject inputs. A.2
0.0

NOTE
A large window might be hiding smaller dialog or message
boxes.
In that case, move the large window until the small window
becomes visible. A.2
Example:
The Patient Browser box is open. The system starts
burning a CD in multi-session mode. The dialog box
Enter label is hidden by the Patient Browser.
0.0

Operating elements in boxes and on tab

cards A.2
Dialog boxes and tab cards contain various operating elements

you can use to enter data or make selections.
A.2
Radio buttons A.2
You can select options by clicking on them with the left mouse
button. Only one option can be selected at a time.
A.2
Check box A.2
Click inside the box using the left mouse button.

A cross or checkmark appears. The option is then selected. A.2
Click on the box again to deselect the option.

More than one option can be selected this way.
A.2
Selection list A.2
Click the arrow to the right of the selection list using the left
mouse button to open the selection menu.
Move the mouse pointer down the list.
The entries are highlighted one after the other. A.2
Click on the entry you want to select.
0.0

Entry field A.2
Here you can enter text or numbers. A.2
Click into the entry field with the mouse pointer. Then enter
the text at the text cursor.
Spin box A.2
In a spin box you can select values. A.2
Click one of the arrows with the left mouse button to increase
the set value (up) or decrease it (down), or enter a value in
the entry field.
Combo box A.2
This field is a combination of an entry field and a selection list.

You can either select entries from the list or type them in on the
keyboard. A.2
0.0

Slider A.2 With the slider you can set a value range. A.2
Drag the end boundaries of the slider with the mouse to

increase or decrease the value range.
Move the center mark of the slider to change the position of
the value range.
Double-click the center mark to cover the entire slider area.
Buttons for executing By clicking on a button you start an action. A dialog box con-
commands A.2 tains several buttons, for instance: A.2
A.2 All the settings in the window become valid and the window
is closed. In some dialog boxes OK triggers an action, for
example, filming.
A.2 Same as OK, except that the window is not closed.
A.2 The dialog box is exited without making any changes.
A.2 A help text about the dialog box is displayed.
0.0

Buttons for calling up You can start many functions in the program both via the menus
functions A.2 or via the icon buttons. A.2
You find icon buttons on the toolbars, on the subtask cards, or

in the control area of the task cards. They allow fast and intuitive
execution of functions quickly and intuitively, simply by clicking
on the buttons.
A.2
Dimmed fields and There are a number of functions which you can only execute if
buttons A.2 you have selected an image, for example, or loaded data into
the task card. Buttons and input fields are dimmed (shown gray
or shaded), if you cannot execute the function assigned to
them. A.2
Dimmed button, the function cannot be initiated.
The button is no longer dimmed, you can start the function.
The icon is active, for example, you can now draw a ROI on an
image.
Tool tips A.2
If you place the mouse cursor over an icon, a short text about
this function is displayed. The tool tip disappears again after a
few seconds.
0.0

Using tab cards A.2
Tab cards are arranged in stacks so that you can place them in
the foreground easily by clicking on a tab. When you activate a
tab card it is placed in the foreground. You can only start a func-
tion from an active tab card.
A.2
Activating a tab card A.2 Click a tab to activate a card.
The active tab card has a different background color than the
inactive tab cards. A.2
The settings and data that you have entered on the tab card
which was previously active are not changed when it moves into
the background. When you call up this tab card again you will
find all the data and settings unchanged. A.2
There are two types of tab cards: A.2
Task cards
Subtask cards
0.0

Task cards A.2
The arrangement of the task cards reflects routine operation in

the hospital or practice and their layout supports the examina-
tion procedure, for example: A.2
You can perform an examination in the Examination task

card.
You can view the results and process them in the Viewing
task card.
You edit your film sheet in Filming.
You postprocess images 3-dimensionally in 3D.
Calling up using the tabs A.2 Click on the tab (1) on the right-hand side of the screen to
activate a task card.
0.0

Calling up using the You can also switch to each task card using the function keys.A.2
function keys
Press the F5 key to switch to the Examination task card.
A.2
Press the F6 key to switch to the Viewing task card.

Press the F7 key to switch to the Filming task card.
Press the F8 key to switch to the 3D task card.
Switching to another You can switch to another task card. You simply select the
task card A.2 appropriate tab. A.2
0.0

Too many applications Your system can only handle a certain number of open task
active A.2 cards. If the permitted number is exceeded, the Too Many
Applications Active dialog box will be displayed. In this case,
please close one of the running applications. A.2
0.0

Subtask cards A.2
On task cards you will find smaller cards, called subtask cards.A.2
They are used for the following purposes: A.2
Tool boxes, e.g. for graphic evaluation

Setting parameters
Calling up functions and programs
0.0

Using menus A.2
In order to keep the screen clearer, actions are grouped

together in dropdown menus. A.2
Application-specific menus A.2
The menu bar changes with the task card that is currently active
or the window that is currently open. This way only the functions
are accessible which are relevant for the respective application.A.2
A.2
Patient Browser The menu bar of the Patient Browser window contains the fol-
menu bar A.2 lowing menu items: A.2
Viewing menu bar A.2 The menu bar of the Viewing task card contains the following
menu items: A.2
Filming menu bar A.2 The menu bar of the Filming task card contains the following
menu items: A.2
0.0

3D menu bar A.2 The menu bar of the 3D task card contains the following entries:A.2
A.2
Optional applications A.2 If there are any optional applications integrated in your system
or licensed for your system you call them up via the additional
menu entry Applications. A.2
0.0

Dropdown menus of the menu bar A.2
The menu bar consists of a row of dropdown menus. Via these

menus a series of functions and settings is accessible. A.2
Selecting a menu A.2 Click on a menu item in the menu bar with the left mouse but-
ton.
The dropdown menu is opened. The menu item is highlighted.A.2
Move the mouse pointer down the menu bar and each drop-
down menu opens and closes in turn.
Only the dropdown menu on which the mouse pointer is placed
remains open.
A.2
Closing the menu A.2 If you do not want to select a function, click the menu title
again or click on the background outside the dropdown
menu.
0.0

Selecting an action A.2
Move the mouse pointer down a dropdown menu.

The entries are highlighted one after the other. A.2
Stop at the action you want to execute.

Click on it with the left mouse button.
The action is started and the menu closed. A.2
Menu entries followed by an ellipses open dialog boxes

(e.g. Save As...).
Menu entries without an ellipses call up an action directly
(e.g. Close Patient).
Options A.2
Some menu items when clicked do not seem to perform any

action. However, if you look at the dropdown menu again you
will see that the menu item has a checkmark next to it. The
associated option is now active. A.2
Click the menu entry again to deactivate the option.
0.0

Submenu A.2 Some lines in the dropdown menu have a small arrow on the
right-hand side. If you move down to one of these arrows with
the mouse pointer a submenu is displayed. A.2
0.0

Popup menus A.2
Popup menus contain context-specific information. That means

a different popup menu will appear depending on the type of
object you have selected. These menus offer you actions that
can be performed on this object.
A.2
Calling up popup menus A.2 First select an object with the left mouse button.
Call up the popup menu by pressing the right mouse button
or with Shift + F10.
The menu belonging to the current object type is displayed.
A.2
Selecting an action A.2
Move the mouse pointer over the menu.

The entry on which the mouse pointer is placed will be high-
lighted. You can start the function with a single click (right or left
mouse button).
A.2
If you have not selected an object and click on the right

mouse button a context menu is also opened. This menu now
provides you with actions that are meaningful in the currently
active task card or window as long as nothing is selected.
0.0

Status bar A.2
The status bar at the bottom edge of the window shows you
messages and instructions and contains the storage capacity
icons. A.2
It is subdivided into three columns: A.2
Examination-specific information is displayed in the first col-

umn.
Warnings and messages appear in the second column.
If functions are being executed in the background, the appli-
cation will appear as an icon in the third column, next to the
storage capacity icons.
Action history A.2 Actions executed by the program are automatically logged
together with information about whether each step was suc-
cessfully terminated or whether an error occurred. You can
query a list of the last entries in the history at any time. A.2
Click on the task bar with the left mouse button to list the last
commands and program actions.
You can determine the number of entries in the log in the His-
tory Size dialog box that you call up by clicking the status bar
with the right mouse button.
0.0

Resource check A.2
Your system monitors the memory usage and the storage

capacity of the main database, the scheduler database and the
exchange board (virtual memory).
A.2
Main Database and

Scheduler A.2
By the storage capacity icon you can see how much space has
already been taken up in the local database. If the filled capacity
rises above a configurable limit (default 95%), the icon changes
color from green to red. A.2
If you move the mouse pointer to this icon, the percentage of

storage capacity already taken up is displayed. A.2
Archive the patient and examination data in time and delete

them in the Patient Browser to ensure that sufficient capac-
ity is always available.
Page J.21, Storing Data on an External Medium
0.0

Virtual Memory A.2
By the blinking storage capacity icon in the status bar you can
see that the virtual memory is already filled. A.2
The message Resource Monitor is displayed. A.2
A.2
C AU T I O N
Source of danger: Insufficient memory or disk space may
lead to an instable or blocking system. A.2
Consequence: System is not available in emergency

cases. A.2
Remedy: Do not ignore the storage capacity warning icons.A.2
0.0

Text information in medical images A.2
In medical images various information is displayed as image

text. This text information identifies the patient and documents
examination and image parameters. A.2
With the Image Text Editor you can define which text ele-
ments are to be displayed in the images.
Page A.37, Configuring image text
0.0

The image text is sorted by topic in the four corners of the

image. A.2
(1) Patient and examination data

(2) Orientation label
(3) System-specific information
(4) Scale bar
(5) Window values and image matrix
(6) Comment lines
(7) Examination and image parameters
(8) Orientation label
You will find an overview of all image text components in the

appendix.
Page P.21, Text Annotations in Medical Images A.2
0.0

A.2
NOTE
Note the following changes to image text if you are using the
former Numaris software version to process images
acquired with syngo MR: A.2
The image number is altered.

The sign for the slice position is reversed for the head-
feet and anterior-posterior directions.
The scan time TA and the contrast agent/flow time are
not displayed.
"FS" appears instead of the scan option; "OTHER"
appears instead of the image type.
The image matrix is displayed instead of the acquisition
matrix.
The echo time and inversion time display is modified
(TE:TE 15.0/##, TI: 50).
A.2
NOTE
The image text for the slice position has changed in
software versions MRease VA12A and higher. The
designations for direction L, P or H, and R, A or F are now
displayed instead of the signs "+" and "-". A.2
0.0

CHAPTER Configuring the User
A.3 Interface A.3
You can configure task cards, windows, and individual functions

of the program, i.e. adapt them to your requirements. A.3
To configure windows and task cards, first call up the

NUMARIS/4 - Configuration Panel where you will find icons
representing various applications. Then double-click on an icon
to open the corresponding configuration window. A.3
For example, you can define which buttons the toolbar of the
Patient Browser window contains.
A.3
Calling up the Call up Options > Configuration... to open the

Configuration Panel A.3 NUMARIS/4 - Configuration Panel.
0.0
syngo MR 2006T A.31

Configuring the User Interface Basics
Calling up configuration windows A.3
Configured program parts are represented by icons in the

NUMARIS/4 - Configuration Panel.
A.3
A.3 Double-click on the icon to display the configuration window

for the Patient Browser.
Chapter D.7, Configuring the Patient Browser

for the saving and network functions.
Chapter J.7, Configuring Data Transfer

for assignment of study-specific film layouts (not supported
by syngo MR).
Chapter O.6, Configuring Filming
A.3 Double-click on the icon to configure film layouts or create

new film layouts.
Chapter O.6, Configuring Filming
0.0

Basics Configuring the User Interface
A.3 Double-click on the icon to configure the Patient Registra-

tion.
Chapter E.4, Configuring Patient Registration
A.3 Double-click on the icon to configure the Viewing task card.

Chapter G.8, Configuring the Viewing Task Card
Double-click on this icon of the NUMARIS/4 - Configuration

Panel to configure the image text.
Page A.37, Configuring image text
Double-click on the icon to configure the Voice Output.

Chapter F.11, Patient instructions
A.3
Double-click on this icon to configure the Patient Search.

Page D.244, Configuring Patient Search
0.0
syngo MR 2006T A.33

Double-click on this icon to configure the 3D application.

Chapter H.14, 3D Configuration
Double-click on this icon to configure the screensaver set-

tings.
Page B.270, Use of the Screen Saver
Double-click on this icon to configure the Audit Trail settings.

Page B.275, Opening the configuration for audit trail
storing
0.0

Defining the regional settings A.3
Under Regional and Language Options, you can define the

language of the user interface and other settings, such as the
date format. A.3
A.3 Double-click on this icon.

The configuration for regional settings appears. A.3
The user interface for the regional settings is always in

English whatever language is set.
0.0
syngo MR 2006T A.35

Setting the language A.3 Select the language you require on the Regional Options
subtask card and confirm with OK.
The application is restarted with the new language. A.3
NOTE
A restart of the system is necessary to apply the change of
the language. A.3
A.3
Other regional settings A.3 You can make further settings on the other subtask cards. A.3
In particular, define the format for the Date and Time.

We recommend to select the short date style.
0.0

Configuring image text A.3
With the Image Text Editor you can define which text elements
will be displayed in the images. A.3
A.3 Double-click on this icon of the NUMARIS/4-Configuration

Panel.
The configuration editor Image Text Configuration is dis-
played. A.3
0.0
syngo MR 2006T A.37

Image type A.3 You can define individual settings for each modality. A.3
The default setting is used if no other setting is specified for

the displayed image.
Select the type of image you require from the selection list
A.3 View Name.
The setting for this text selection is displayed. A.3
0.0

Number of texts A.3 You can change the default text mode. A.3
Click on the required option button.

A.3 All Text
All available text information is displayed in the images.
No Text
No texts will be displayed in the images.
Customized Text
You can make a selection from the available texts.
NOTE
If you select the setting No Text,
no orientation marks or scale will be displayed either! A.3
0.0
syngo MR 2006T A.39

Text selection A.3 If you have selected the Customized Text option, you can put
together any text selection. A.3
Activate or deactivate the required checkboxes.

Or A.3
Click on Deselect All if you want to deselect all entries.

Or A.3
Click on Select All if you want to select all entries.

The text selection is displayed (depending on modality).
A.3
A.3
0.0

Emphasizing image If the Customized texts option is activated, you can emphasize
texts A.3 selected image texts. This can make sense if some texts would
be displayed too small in certain layouts (layout of 20 or 35
images). A.3
Mark the required image text.

The selected text is highlighted grey and button B is activated.A.3
Click on button B.
The marked image text is displayed in bold. A.3
You can de-emphasize the text again by selecting the bold

texts and clicking on button B again.
Depending on the configuration of your system it might not be

possible to display some texts.
NOTE
If orientation labels are deselected the patient name will not
be displayed. A.3
0.0

Exiting a configuration window A.3
As soon as you have changed settings in a configuration win-

dow, you can exit the configuration window with or without sav-
ing your changes.
A.3
A.3 Click on the OK button to save all your settings and exit the
configuration window.
A.3 Click on the Apply button to save your settings but leave the
window open.
Click on Vendor Default or Default Settings to restore the

original settings.
A.3 Click on Cancel to cancel configuration.

All settings are rejected and the window is closed. A.3
0.0

CHAPTER
A.4 Service Functions A.4
The system provides a range of service functions for mainte-

nance, checking, and configuring the system for authorized
users, i.e. system administrators. A.4
For technical reasons, the user interface of the service func-

tions is always in English independent of the national lan-
guage selected.
0.0
syngo MR 2006T A.41

Service Functions Basics
Displaying the maintenance status A.4
To ensure smooth operation, your system must be maintained

at certain intervals. A.4
The system contains a dialog box which shows you when your
system must be inspected again. A.4
Call up Options > Maintenance....

The Maintenance Status dialog box is displayed. A.4
On monochrome monitors, it might be difficult to see the

progress bar.
0.0

Basics Service Functions
The progress bar shows you when the next maintenance of

your system is due by means of a colored display. A.4
As long as the display is in the green range, you can close the
window again with OK. If the bar moves into the red range, you
can only close this window again after maintenance has been
performed. A.4
In that case, move the window to one side, finish off the exam-
ination, and contact Siemens Service.
For further information, please contact your Siemens Service
or your system administrator.
0.0
syngo MR 2006T A.43

Local service A.4
In addition to the user-specific configuration, there is a configu-

ration level for authorized users which is protected by a pass-
word. A.4
Select Options > Service > Local Service... to call up the

Authentication window.
Depending on the configuration access rights in your system

several service levels are available. A.4

0.0

Remote service access A.4
Your system can also be serviced by Siemens Service via

modem. A.4
In the Remote Service Access Control window, you can grant

access rights to service so that service personnel can perform
maintenance. A.4
Call up Options > Service > Remote Service... to display

the Remote Service Access Control dialog box.
0.0
syngo MR 2006T A.45

A.4
NOTE
As long as you have assigned full access rights to service,
i.e. maintenance is in progress, you cannot continue
working with your system. A.4
Select Limited Access or No Access and click OK or

Apply to continue.
When switched on, remote service access is only possible

from trusted systems (systems with which your syngo MR
system has exchanged proved certificates).
A.4
C AU T I O N
Source of danger: Terminating remote service without
consultation with the service engineers. A.4
Consequence: Terminating the remote service ends all

service processes and causes system malfunctions. A.4
Remedy: Always consult with a service engineer before
terminating remote service. A.4

0.0

Logbook A.4
Your system has a logbook that records all system and applica-
tion-relevant events, for example error messages. A.4
Call up Options > Service > Event Log... to display the

Event Log dialog box.
You can select the type and date of the messages that you want
to display. A.4

0.0
syngo MR 2006T A.47

Configuring the MR system A.4
As an authorized user or system administrator you can set

syngo MR to the exact configuration of your MAGNETOM. This
includes, for example, specifying the MAGNETOM type, the
optional system components and environmental conditions. A.4
Call up Options > Service > Local Service.
Enter a new password and click on the button OK in the
Authentication dialog window.
0.0

PART
B Security Package B.0
B.1 Introduction
Terms and definitions in security ............................... B.15
B.2 Information for Administrators

Configuration of the security system .............................. B.22
Preparatory steps .................................................... B.212
Workflow for the configuration of
the security system .................................................. B.216
Configuration of user accounts ................................ B.225
Configuration of groups and roles ........................... B.235
Access control ......................................................... B.244
Audit trail and log files .................................................. B.271
Opening the configuration for audit trail storing ....... B.275
Configuring the storage of the audit trail .................. B.277
Opening the Audit Trail Filter and Viewer ................ B.286
Defining events to be recorded in the audit trail ...... B.288
Viewing log files ....................................................... B.291
Storing and deleting log files ................................... B.294
What to do when the audit trail blocks
the system ............................................................... B.297
Secure transfer of data ................................................ B.299
B.3 Information for Users

User management and access control .......................... B.32
Logging on and off ..................................................... B.35
Emergency access....................................................... B.311
Failed log on ................................................................ B.312
Protecting data from unauthorized access ................... B.313
Service access ............................................................. B.315
Generating a service password for local access ..... B.317
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syngo MR 2006T B1
Contents Safety standards in syngo MR
Recorded user transactions (audit trail) ....................... B.320
B.4 Information for Service Technicians

Service access ............................................................... B.42
Local access .............................................................. B.43
Remote access .......................................................... B.45
Backup & restore ............................................................ B.47
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B2 Operator Manual
CHAPTER
B.1 Introduction B.1
Data and Function Based on diagnostic images and medical reports decisions are
Security B.1 made that affect the health of patients. Therefore, in modern
health care it is necessary to protect such sensitive documents
from unauthorized access and to record all actions on the
data. B.1
The Health Insurance Portability and Accountability Act

(HIPAA) is a legal requirement to ensure the privacy, integrity
and consistency of patient data in health care. B.1
In supporting HIPAA, syngo MR provides competent user man-

agement and highly configurable access control to implement
privacy, integrity and consistency of patient data in health care
which may be required by country specific regulatory. B.1
Access to functions as well as to data is only permitted to

authenticated and authorized users. Each user is identifiable
at all times.
Logon and action on data such as creation, read, update and
deletion are recorded in an audit trail. The audit trail can only
be viewed by authorized users.
syngo MR only accepts DICOM Query/Retrieve requests
from trusted hosts. Requests from unknown hosts are
rejected.
Communication during secured remote service sessions is
encrypted.
If the computer is unused for a specific period of time, the
screen is automatically locked.
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syngo MR 2006T B.11

Introduction Safety standards in syngo MR
B.1 B.1
NOTE
Security has to be set up on every workstation except for
satellite consoles, which take the security settings from
their main console. Therefore, you cannot configure the
security system on satellite consoles. B.1
Furthermore, if the computer is connected to a hospital

network, all partner workstations have to be set up for
security, otherwise a security gap will exist. B.1
Scope B.1 Security in syngo MR provides the infrastructure that is neces-

sary to protect patient data from unauthorized access. Only
persons who need to see certain data will have access to it, and
only persons with the necessary data access rights will be able
to modify data. B.1
The security system consists of the following parts: B.1
Authentication of users who are working on the system

Access protection to patient data with user specific permis-
sions
Protection for execution of application functionality with user-
specific privileges
Logging the access to patient data in an AuditTrail
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B.12 Operator Manual

Safety standards in syngo MR Introduction
Use Cases B.1 The following use cases show you some benefits of the syngo
MR user management and security system. B.1
To ensure high throughput of patients, two assistants work

on one system at the same time. While one assistant pre-
pares a patient for the next examination at the modality, the
other assistant sends the images from the previous examina-
tion to the store. The assistants can take over and log on
without a restart of the application or a significant delay being
caused due to a patient data unload.
A system can be shared between wards or hospitals, and
patient data is only visible to the staff of the ward/hospital
that has acquired the data.
A radiologist working in a radiology department of a hospital
can also have his or her own practice and use the hospitals
systems for examinations of own patients. For example,
depending on the current role (radiologist in hospital or
radiologist for private patients) he/she has access to a
wider or more restricted range of functions for post-process-
ing images.
The presence of a VIP patient in the hospital is kept confi-
dential. Data acquisition is carried out by the departmental
head and one assistant. The acquired images and even the
existence of the patients records is hidden from all other
users of the system.
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syngo MR 2006T B.13

Structure of the This documentation distinguishes between three types of

Documentation B.1 users. B.1
Information for Administrators

In this part of the documentation, administrators find all the
information they need to manage the security system, from
activating the security package, through managing users
and access control to configuring the audit trail.
Chapter B.2, Information for Administrators
Information for Users
This part of the documentation shows the user how to log on
and off, how to work efficiently and what to do when he/she
forgot the password. It also shows how to enable access to
a service technician (local and remote access).
Chapter B.3, Information for Users
Information for Service Technicians
Service technicians can enter the system locally or remotely.
This documentation part is restricted to the most common
service issues.
A special source of information aimed at service technicians
is available in the Service Software Online Help.
Chapter B.4, Information for Service Technicians
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Terms and definitions in security B.1
Access Rights B.1 In syngo MR security, rights protect the access to patient
health information (data) with group/user specific permissions.
B.1
Authentication B.1 Authentication of users who are working with syngo MR is the
underlying basis of all security measures. A user account is cre-
ated for every person who will be working with syngo MR. To
log on to the system, the user enters his/her user account and
password. By this, a user is identifiable.
B.1
Audit Trail B.1 On a secure system, all actions on data are logged. syngo uses
auditing to track which user account was used to access files or
other objects, as well as logon attempts, system shutdowns or
restarts, and similar events. B.1
Only authorized users can track auditing activity by viewing the

log files of the audit trail. B.1
The log files of the audit trail need to be stored on a regular

schedule.
B.1
Authorization B.1 Authorization means: B.1
Data Access: Only users who need access to certain patient

data can view it (for example, all medical personnel on
Ward A).
Functional Privileges: Only users with the necessary autho-
rization can modify the data (for example, only doctors would
have the right to change the work status).
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syngo MR 2006T B.15

Data Access and Groups B.1 The data access security check is based on groups and users:B.1
Users need to have access to patient data within their sphere
of influence (for example, their ward).
Users are assigned to groups that correspond with their
sphere of influence; these groups are allowed access to the
corresponding patient data.
It is easier to manage permissions for groups than for individ-
ual users.
Access to patient data is secured through the needed permis-
sions: In order to reduce complexity, only the following permis-
sion levels are implemented: B.1
NO ACCESS
FULL CONTROL
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Everyone (Group and syngo MR security makes use of the Everyone group and a
Role) B.1 Everyone role. B.1
The Everyone group is the default group for setting up

access to data. If the Everyone group is configured to have
access to all data within the hospital, all users will have
access to all data (regardless of any group or individual set-
tings).
It is therefore essential that the Everyone group is restricted
to patient data that everyone must have access to (for exam-
ple, emergency patients).
The Everyone role is the default level for granting privileges
to users. If all privileges are assigned to Everyone, the con-
figuration of other roles or individuals will not have any actual
effect.
It is therefore essential to limit the privileges of the Every-
one role to those that everyone must have.
All users potentially have full access to data and functions
because the default settings of the Everyone group and role
allow full access. The effective rights for a user depend on the
configuration of this group and role. B.1
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syngo MR 2006T B.17

B.1
NOTE
Because it is not possible to deny rights, the Everyone
group and role have but the user shall not, we recommend
to take special care when configuring the data access
permission and the functional privileges. B.1
You can follow two different strategies for the Everyone

setup: B.1
Following the Allow nothing strategy, you would withdraw

almost all rights from the Everyone group and role and then
set up the user groups and the roles. In this case, even com-
mon rights would have to be assigned to every group and
role.
Following the Common rights strategy, you would only with-
draw critical rights that are not needed by all users.
A useful procedure could be to set up the desired permis-
sions, and then check the effective permissions. When you
are finished, you can remove any unnecessary privileges
from the Everyone group. You must then re-check the effec-
tive permissions.
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Please take care not to configure No Access for all groups,

because then even fall-back data objects are can no longer
be accessed.
We recommend to allow Full Control, for example, for the
STANDARD patient group at the Everyone configuration
level. This would allow all users access to the standard
patients (for example, any patients who have not yet been
assigned to a ward).
Groups B.1 Groups are assigned to users which are members of a team or
a department. All members of a group receive the same data
access rights (permission, for example, to view or to process
data). B.1
Establishing groups helps to efficiently assign data access

rights to users and reduces the time needed for configuration.
B.1
Permissions B.1 Data access rights. The right to create, read, update, delete or
protect data is granted via permissions. The following permis-
sion levels are available: B.1
NO ACCESS
FULL CONTROL
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syngo MR 2006T B.19

Privileges B.1 The right to execute functions is granted via privileges. The
functional security check is based on roles and users: B.1
Users need to perform functions that correspond with their

role in the hospital, for example, nurse, physician, office
desk,
Privileges are managed by roles.
It is easier to manage privileges for roles than for individual
users.
Users are associated with roles and inherit the correspond-
ing privileges.
Roles B.1 Users having the same tasks are assigned a role (for example,
radiologists, administrators, or technicians). Then all users of a
role have the same right to execute functions, such as storing
data. B.1
Establishing roles helps to efficiently assign execution rights to

users and reduces the time needed for configuration. B.1
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Trusted Hosts B.1 Trusted hosts is a principle for a secure exchange of data
between systems in a network. The trusted host functionality
can be switched on in the Local Service Software. Switching
on has the following consequences: B.1
Basically, all trusted systems must have knowledge about

each other.
At your local workstation, all systems you trust must be set
up as such.
Received data is only accepted from trusted systems.
Data will only be sent to trusted systems.
Queries on data are only allowed from other trusted systems.
Your trusted zone must contain only network nodes with the
security system installed so that you can receive and send data
without worrying about data security. B.1
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syngo MR 2006T B.111

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CHAPTER Information for
B.2 Administrators B.2
Administrators tasks B.2 Once the syngo MR security system has been installed,
Administrators are responsible for establishing and maintaining
competent user management, and for ensuring that the system
remains secure. This includes the following main tasks: B.2
Creation and maintenance of user and group accounts and

role definitions
Definition of data access rights (permissions)
Assignment of functional privileges
Handling of the audit trail
Regularly backing up the audit trail
NOTE
User management has to be set up on every computer,
except for satellite consoles, which take the security
settings from their main console. B.2
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syngo MR 2006T B.21

Information for Administrators Safety standards in syngo MR
Configuration of the security

system B.2
Principles of the syngo MR Patient data is sensitive information that has to be protected
User Management B.2 from unauthorized access, modification, transfer or deletion.
B.2
User Authentication B.2 A user account has to be created for every person who will be
working with syngo MR. To log on to the system, the user
enters his/her user account and password.
B.2
User Authorization B.2 The syngo MR user management and security system pro-
vides a highly configurable access control and ensures that
users obtain access only to application functions and patient
data they are authorized to work with. B.2
The right to execute functions is granted via privileges.

The right to create, read, update, delete or protect data is
granted via permissions.
Permissions can be set on at the patient or the study level.
Series and instances inherit their permissions from the study
they belong to.
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Safety standards in syngo MR Information for Administrators
Example: Doctor Stern wants to send a study of the patient Mr.

Smith to the archive. To do so, he needs the permission to
access the study of Mr. Smith and he needs the privilege to
send data to the archive. B.2
B.2
Grouping of Users: Roles Setting up the access rights for each user individually would
and Groups B.2 take a long time and would inevitably lead to inconsistent rights
for similar users. B.2
Scenario: Every doctor in the hospital shall be allowed to invoke

the 3-D functions, but nurses shall not be allowed to do so. Also,
patient data shall only be visible in the ward where the patient
is being treated. B.2
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syngo MR 2006T B.23

As the scenario shows, users can be grouped under certain

aspects: B.2
According to his/her profession or duties, a user may have

assigned one or several roles, such as radiologist, nurse, or
administrator.
Roles can be assigned certain function execution rights
(= privileges), such as sending data, correcting data or set-
ting a work status. These rights extend to all users who
assume a certain role (or several roles). B.2
According to the department(s) a user belongs to, a user

may also be assigned to one or several groups, such as the
radiology department or a ward.
For groups, you can configure data access rights (= permis-
sions), which are granted to all group members. B.2
You can also set up permissions and privileges for each user
individually.
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Typically, a user belongs to at least one group and has at least

one role. A user can also be assigned to more than one group
or role. See ( Page B.244) for more information about access
control and how conflicting permissions and privileges are han-
dled if a user belongs to more than one group or role.
B.2
Special User Accounts B.2 The syngo MR security system knows the following special
user accounts: B.2
Administrator
By default, the security system is installed with a general
Administrator user account assigned to the groups Admin-
istrators and SecurityAdmins and having assigned a role
called SecurityAdmins. B.2
Use this system account only to set up user management.

You then have to create a separate user account for every
administrator and assign these user accounts both to the
groups Administrators and SecurityAdmins. From now on,
log on to the system only under your personal administrator
user name. B.2
By default, the system is delivered with a setup that allows all

administrators full access to the system as long as an admin-
istrator does not remove these settings, the system is acces-
sible for him. B.2
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syngo MR 2006T B.25

LocalServiceUser
This account usually is set up to have restricted access to
patient data, but full functional privileges for checking and
maintaining the system. B.2
To allow local service activities, an authorized user gets the

system to generate a temporary service password that auto-
matically expires after a configurable number of days. The
user then gives the password to the service technician, so
that the technician has access to the system under the
LocalServiceUser account. B.2
By default, this account is assigned both to the built-in group

and role called syngoServiceUsers. It also inherits rights
from the Everyone group and role (like all other accounts). B.2
In the default settings, the syngoServiceUsers group and
role have full access to all data. We therefore recommend
that you as administrator disable the rights for the syngoS-
erviceUsers group and role that are not essential for service
activities. B.2
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RemoteServiceUser
This account is used for remote service sessions. B.2
By default, the security system is installed with a Remote-

ServiceUser account assigned to the group syngoService-
Users and the role syngoServiceUsers. B.2
Depending on national and local regulations, remote access

to patient data is prohibited. Keep in mind that the Remote-
ServiceUserinherits the rights of the Everyone group and
role and the syngoServiceUsers group and role. It is there-
fore necessary that the data access rights for these groups
and roles do not allow the violation of remote data access.
B.2
Emergency Access
To ensure emergency access to the system at all times, you
should create at least one special user account for common
emergency logon. B.2
Typically, the emergency user account(s) are assigned to an

Emergency_Access group and assigned the Emergen-
cy_Access role, which are already built in by the security
configuration. B.2
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syngo MR 2006T B.27

Depending on national and local regulations and the hospi-

tals security policies, the administrator has to define the cor-
rect permissions and privileges of the emergency access.
For example, emergency access should not allow modifica-
tion, deletion or transfer of data. If this is in accordance with
the security policy, you may think about creating an emer-
gency account without password. B.2
To make this emergency logon information available for the

users, we suggest to give this information to the desk officer
or deposited in a safe place. Also, the users have to be
informed about the correct usage of this account and the
consequences of abuse.
B.2
Internal Users B.2 Internal user accounts are essential for the system. They con-
sist of built-in users of the Windows operating system and
syngo MR internal users. B.2
The symbol user with exclamation mark indicates internal

users. B.2
NOTE
Although it is possible to change the password of these
internal accounts, we strongly recommend not to modify
any of the internal users. B.2
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The internal user accounts are: B.2
BRAdmin: This account is used to back up and restore files

on the computer, regardless of any permissions that protect
those files. Further functions are very restricted.
DICOM_USER: Account for processes using DICOM ser-
vices.
Guest: Built-in Windows XP account, not to be deleted. For
syngo MR, this account is disabled.
HelpAssistant: Built-in Windows XP account for providing
remote desktop assistance. Usually, this account is disabled.
IUSR_nnn: Account to access the Internet Information Ser-
vices.
IWAM_nnn: Account for starting the Internet Information Ser-
vices from process applications.
meduser: Account created by syngo MR to keep system
services running.
PPP: Account created by syngo MR to enable point-to-point
communication used for remote service logon via modem.
SUPPORT_xxx: Built-in Windows XP account for the Help
and Support Service. Usually, this account is disabled.
HP ITO account: Account created by syngo when the Sys-
tem Management is enabled.
OPC_OP: Account created by syngo when the System Man-
agement is enabled.
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syngo MR 2006T B.29

DICOM Nodes B.2 For the security system, DICOM network nodes are treated as
virtual user accounts. They are not intended for local logon;
they are required for proper networking (transfer of data).
B.2
The network symbol indicates virtual DICOM users. B.2
For each DICOM service (AET) that is configured in the Local

Service Software, automatically a corresponding entry is cre-
ated in the special DICOM Nodes folder of the user manage-
ment. B.2
To set up the access rights for data being transferred from and
to the network workstation, you should put each DICOM node
into a user group and assign a role (this effectively assigns the
workstation a user group and role). The relationship between
user groups and patient groups define the permissions on the
data as well as the default patient group, the roles define the
functional privileges of the DICOM nodes. B.2
Example: You may want to configure the system so that the

workstation AET_HOP01 may query for data of VIP patients,
but the workstation AET_WARD12 has no access. The Patient
Groups configuration in the Data Access Permissions sec-
tion is the place to configure this. B.2
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Tracking of User Activities B.2 In syngo MR, the activities of a user are recorded in the audit
trail - including the users identity. According to national regula-
tions, it is not allowed to share user accounts. B.2
TIP
Recommend the users to use the Log In Different User
function to switch the user quickly at the workstation. B.2
B.2
Multistage Security Setup B.2 Security in syngo MR has a multistage security concept: B.2
(1) The user management is the essential basis of all other

security building blocks. It makes user logon mandatory
and ensures user authentication.
(2) The audit trail records all (the defined) actions involving
patient data.
(3) The function execution check ensures that only authorized
users perform actions.
(4) The data access check defines the rights to access patient
data (assembled in patient groups).
Despite of the mandatory user management, any combination
of the options mentioned above is possible. Useful combina-
tions of options are: 1., 1.+3., 1.+2.+3. for PACS or network,
1.+2.+3.+4. for full security management. B.2
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Preparatory steps B.2
The following preparatory steps will help you to set up the secu-
rity system from scratch. Depending on the options selected for
your security system, you do not have to perform all steps: B.2
Get a license for the security system.
Outline the intended user management system with the help
of a drawing similar to the one shown below.
As a basis, outline the intended daily workflow at the system.
For example, consider who can stand in as an acting physi-
cian and set up the necessary access rights accordingly. B.2
For basic user management you need user accounts and
groups. When using the functional check too, you also need
to think about the organization of roles. B.2
For data access check, define data security levels in accor-

dance with the security regulations of your hospital.
In the security configuration, you define patient groups and
assign them to users and groups. For example, Radiology
could be used for data that should only be visible to members
of the radiology department or VIP for patient data that
should only be visible to very few persons, such as the head
physician.
0.0

For each patient group you can later grant groups and
users the permission to have full control or no access to
data that is marked with that patient group. You can also
grant the right to modify the assigned patient group.
Whenever a real user or a virtual DICOM node user
creates new patient data on your system, a patient group
that defines the access rights to the data can be applied.
Registration of new patients or data received from a
DICOM node are the most common ways new data is cre-
ated.
If studies of a patient are already stored in the local data-
base, the existing patient group assignment is also used
for any additional studies.
After switching the data access check option of the secu-
rity system on, you will find all of your patient studies in the
STANDARD patient group.
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Develop a matrix that describes the permissions and privi-

leges of the groups, roles and special user accounts.
Verify this model before activating the security system. B.2
You are also responsible for establishing a proper procedure

for emergency access. Inform your users that they should
contact you or the system administrator in case of problems.
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B.2
CAUTION
Source of danger: Behavior of secured systems. B.2
Consequence: The hospital's security policy also affects

the behavior of the syngo MR system in certain cases (for
example, password requirements, enabled empty
passwords, or locking of an account after a specific number
of failed logins). B.2
Remedy: B.2
Establish a user model for your hospital and verify it

before the security system is activated.
Establish a proper procedure for emergency access.
Note that if you enable an empty password for the emer-
gency account, this is enabled for all other users as well.
Nevertheless, instruct the users to use good passwords.
Always back up your system before enabling the secu-
rity system and before any major changes.
Inform all your users about any changes and settings.
They should contact you or any other administrator
immediately in case of problems.
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Workflow for the configuration of the security

system B.2
B.2
NOTE
You have to set up the security system on every syngo MR
workstation in your hospital except for satellite consoles,
which take the security settings from their main console. B.2
B.2
NOTE
In any case, the security system should never be configured
during an acquisition B.2
Once the security system has been enabled, access to the

computer is possible only after the user has logged on and has
been authorized. This requires that the security system must be
configured immediately after its activation. At least, the follow-
ing must be done: B.2
Proceed as follows: B.2
Backup of the system.

Page B.47
Log on under the default Administrator account and open
the syngo MR Security Configuration console.
Page B.222
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Create user accounts for every user who will work with the
workstation. Do not forget to create at least one user account
that is intended to stand in as both an administrator and
security administrator.
Page B.225
Please check the personal administrator account(s) inten-
sively to make sure they work properly. After finishing and
testing the security configuration, we recommend to disable
the built-in Administrator or to set an individual password
for it.
Page B.41
Create the groups and roles of your user model. Add the cor-
responding users to those groups and roles. Do not forget to
assign the user account(s) intended as administrator both to
the groups and roles Administrators and SecurityAdmins.
Page B.235
Create patient groups to define the various data access
rights (= permissions). Assign them the desired user groups
and set up the default patient group. If necessary, you can
also set individual permissions at user level.
Page B.248
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Restrict the permissions of the Everyone group according

to your strategy.
Page B.15
For all roles, define the privileges for the function execution
rights. If necessary, you can also set individual privileges at
user level.
Page B.263
Restrict the privileges of the Everyone role according to
your strategy and check for effective privileges that are
inherited from the various roles assigned and from the
Everyone role.
Page B.15
Make sure that there is at least one full privileged user
account (fall-back user).
Configure the audit trail.
Page B.271
To avoid loss of configuration data, the system must be
backed up again.
Page B.47
After setup, you must check the security configuration on
your real-world workflow carefully.
We recommend to log on as any user type defined and to
check the execution of all functions for inconsistencies. B.2
Inform every user about their account, the emergency

account and any relevant passwords.
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Securing the System B.2 By activating the syngo MR security system, the customer ser-
vice technician turns your system into a system with high data
protection level. The service technician needs the appropriate
service key for service level 7. B.2
Normally, the security system is not activated during the system

installation. To secure your system, you will have to instruct a
service technician as to which security options you want to be
enabled. B.2
B.2
CAUTION
Source of danger: There is no undo! B.2
Consequence: After activating the security system, access

is limited to only the defined users. Once the security
system is activated, it is not possible to deactivate it
(instead, you would have to re-install the complete syngo
MR system on the computer from scratch). B.2
Remedy: Make sure you have read and completed all

preparatory steps. Back up your system before activating
the security system. B.2
Log on under a service account and choose the Options >

Service > Local Service menu item from any task card.
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After authorization, the Service Software window opens: B.2
In the Configuration section, go to the Security settings

page.
Select the Local security features that you want to activate:
0.0

User management Activates user management which is the basis for all other security options. When
activating any other security option, the user management will also be switched on
automatically.
Data access check Access to data is always provided in accordance with the current permissions. If this
check box is not selected, you cannot restrict any data access rights.
Functional check Access to functions is always provided in accordance with the privileges granted to a user
role. If this check box is not selected, you cannot restrict the use of functions.
Auditing Access to the system and configured actions are recorded in an audit trail.
If the workstation is connected to a network, select the

Enable trusted host functionality check box to establish a
secure system to your network partners and services.
Only trusted hosts will answer queries or allow data transfer. B.2
To enhance the security of the remote service access to your

computer, select the SSL encryption check box.
Selecting this option enables the secure HTTPS protocol, which
uses the SSL (Secure Socket Layer) protocol for authentication
and data encryption. B.2
To confirm, click Save and Finish in the status bar of the win-
dow.
End the service session and log off.
After a restart of the system, only authenticated and authorized
persons can use the workstation. B.2
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Opening the Security You need Administrator and SecurityAdmin rights to config-
Configuration Console B.2 ure the security system. B.2
Log on as administrator or as a user with administrative.

Page B.35
From any task card, choose the Options > Security Config-
uration menu item.
After authorization, the syngo MR Security Configuration
console is displayed. B.2
By clicking an item in the tree view on the left-hand side, you

display the various pages for set-up.
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B.2
TIP
Use the Show/Hide Console Tree icon if the tree view
does not appear after start-up. B.2
Security Configuration is intended for one security admin-

istrator only.
User Management for managing user, groups and roles with
the following sub-folders:
Users for creating and setting up user accounts
Internal Users for checking built-in and internal system
accounts
DICOM Nodes for checking those accounts that are auto-
matically created for all configured network partners
Groups for managing the user groups and the group
members
Roles for managing the roles and their owners
0.0

Security Management with:

Data Access Permissions for defining the access rights
to any data
Functional Privileges for defining the function execution
rights based on the users/roles view
On the right-hand side, you see the settings page that has been
selected on the left-hand side. B.2
B.2
TIP
The items to be recorded in the audit trail are configured in
the Audit Trail Viewer Console ( Page B.288) and
storing parameters are set up in the Audit Trail
Configuration dialog box ( Page B.277). B.2
0.0

Configuration of user accounts B.2
User Accounts B.2 For every user who will work with the system, create a user
account and assign a password. B.2
A user account that is no longer required, can be disabled or

deleted (for example, if the user quits). B.2
B.2
NOTE
Always work in the syngo MR Security Configuration,
never use the Microsoft Management Console (MMC) to
create or to manage user accounts. syngo MR expands the
Windows-related security system by a data security
management and distinguishes between groups and
roles. B.2
Note that the syngo MR security system only makes use of

some fundamental levels of security granted to users by the
Windows operating system. Moreover, the syngo MR security
system has its own security concept. B.2
0.0

Special User Accounts B.2 The security system comes with some default and some inter-
nal user accounts, and automatically generates DICOM Node
user accounts. B.2
Default users are delivered with the software and contain, for
example, the Administrator, the LocalServiceUser and the
RemoteServiceUser.
All internal users are essential for the system and indicated
as such. We strongly recommend not changing the pass-
words of these users.
DICOM nodes are required for remote network functions.
They are created as soon as you configure the DICOM ser-
vices (AET). You can only change the password and the
group assignment of these users.
For a detailed list of the internal user accounts see
Page B.22. B.2
0.0

Handling of Passwords B.2 The password of a user in syngo MR never expires, but the
users are allowed to change their passwords on their own
(depending on your security policy). B.2
You can assign a user a new password at any time. B.2
B.2
CAUTION
Source of danger: User access may be prevented due to
forgotten or unknown accounts or passwords, or wrong
setup (for example, in case of an emergency). B.2
Consequence: Inaccessible system. B.2
Remedy: Do not forget to define a general user account for

emergency access and assign it to a group and a role both
called "EmergencyAccess". B.2
Regardless as to whether you specify a password for the

emergency account or not, users shall be prohibited from
changing any passwords (especially for the emergency
account). B.2
The users shall contact you immediately in case of

problems. B.2
Creating a new User One basic task for configuration is the creation of the necessary
Account B.2 user accounts. A number of general user accounts come pre-
installed with the system. B.2
It is not possible to rename a user account. If you mistype it

here, delete the account and create a new one. B.2
0.0

B.2
NOTE
Misuse of the emergency account defeats the security
system! B.2
Patient data acquired and processed during emergency

access is logged in the audit trail as belonging to the
emergency account. As a result, the identity of the user
involved cannot subsequently be determined. The
ownership of any data recorded this way must be altered
and the data newly assigned. B.2
Ensure that all users have been properly informed about the
use of the emergency access account and the use of the
password. Misuse of the account is illegal! B.2
Open the syngo MR Security Configuration console.

Page B.222
B.2
In the tree on the left-hand side, open the User Manage-

ment folder.
0.0

Right-click the Users folder and choose New > User from
the context menu.
Or B.2
Select the Users folder and choose the Action > New >
User menu item.
The User tab card is displayed: B.2
Enter the desired user information.
0.0

Name Name of the user account (= logon name). Note, that the name has to be unique within
the system. The user name is not case sensitive. Only alphanumeric characters are
allowed.
Full name Information that helps to identify the user, for example, first, second name and title of the
user.
Description Further information about the user (for example, his/her department).
New Password The password that has to be entered by the user in order to log on to a workstation. The
password is case sensitive.
Confirm Password For validation purposes, the password has to be entered a second time.
According to the hospitals security policies, users in syngo may be allowed to change
passwords on their own.
Account is disabled If selected, the user account is set up but the user cannot log onto the system. You may
use this option, for example, for users who are off-site for some time.
Password never This option is selected by default and cannot be changed: The users password does not
expires expire regularly (for example, this setting is important for the EmergencyAccess account).
User cannot change If selected, the user cannot change the password on their own. For the
password EmergencyAccess, we strongly recommend to disable the change of password.
To store, click Apply and continue to create other user

accounts.
Or B.2
Click OK to store and close the dialog box.

After OK, the list of current users appears. B.2
0.0

Selecting a User Account To select a user account for editing: B.2
for Editing
B.2
Page B.222
On the left-hand side, open the User Management folder.
Click the Users folder.
All available user accounts are displayed on the right-hand side.
You can identify the users by the information in the Name, Full
Name and Description columns. B.2
To edit a user account, double-click the entry on the right-

hand side.
Modifying a User Account You can change the account properties or enable/disable an
and Passwords B.2 account. Also it is possible to change the password for normal
users and DICOM Nodes. B.2
B.2
NOTE
We strongly recommend not to change passwords of any
internal user accounts, otherwise important system
services may no longer work properly. B.2
0.0

It is not possible to rename an account, because if a user has

already worked with this account, some data objects may exist
with the data security level inherited from this user. To correct
mistakes, delete and create the account instead. B.2
Double-click the desired user account.

The User tab card is displayed with the current properties for
this user account. B.2
0.0

On the User tab card, you can change the Full Name and
the Description of the user account.
To change a password, type the desired password into the
New Password field and repeat it in the Confirm Password
field.
To disable/enable the account, select/clear the Account is
disabled check box.
To prevent users from changing their password, select the
User cannot change password check box.
The Member of tab card lists all groups (for data access) this
user is assigned to. B.2
The Owner of tab card lists all roles (for use cases or functional
privileges) this user owns. B.2
Click Apply to save the settings.

Or B.2
Click OK to save and close the dialog box.

To configure another account, you must close the dialog box.
This opens the list of all user accounts. B.2
0.0

Deleting a User Account B.2 You can delete user accounts that are no longer needed. B.2
B.2
NOTE
For reason of system integrity, it is not possible to delete
internal users, DICOM nodes, and special users. B.2
Right-click the desired user account and choose Delete from

the context menu.
Or B.2
Select the desired user account and choose the Action >
Delete menu item.
Confirm the security notice with Yes.
The user account is deleted. B.2
0.0

Configuration of groups and roles B.2
About Groups and Roles B.2 The syngo MR security system makes use of users, groups
and roles. B.2
Groups are used to configure the same data access rights for
a group of people (for example, everyone who works in a par-
ticular ward).
We recommend that you create a user group for every team
or department of your user model. Then you assign the user
accounts that belong to that group.
Roles are used to configure the same function execution
privileges for people with similar tasks (for example, physi-
cians, nurses, or assistants).
You then assign the user accounts that will own that role.
Built-in Groups and Roles B.2 By default, some general groups and roles are already
installed. They are created automatically when you install the
Windows operating system and syngo MR. These groups and
roles are named identically: B.2
Emergency_Access
SecurityAdmins
syngoServiceUsers
0.0

No Group Hierarchies B.2 Note that you cannot plan sub-groups (groups-in-groups), such
as Hospital for hospital-wide permissions and Neurology for
defining permissions for people working in the neurology
department of the hospital.
B.2
Configuration Levels B.2 The security configuration provides you two different ways to
assign group members and owners of roles. Which one you
prefer depends on your interest; it is often useful to switch
between both: B.2
Starting at the Users level easily provides a good overview

about the current memberships of the user and lets you eas-
ily pick the desired groups or roles for this user.
Starting at Groups or Roles level gives you a good overview
of which users have already been assigned to the group or
role under configuration.
Creating a new Group or Because groups and roles handled almost identically, their han-
Role B.2 dling is described here together. B.2
Take a look at your outline from the preparatory steps to create

the groups and roles. B.2
It is not possible to create groups in groups or sub-roles to set

up a hierarchy of rules and rights. B.2
0.0

To create a new group or role: B.2

Page B.222
On the left-hand side, open the User Management folder.
Right-click the Groups or the Roles folder and choose

New > Group or New > Role from the context menu.
Or B.2
Select the Groups or the Roles folder and choose the

Action > New menu item.
0.0

The Group respectively the Role tab card is displayed: B.2
Enter a Name and a Description that helps to identify the

group or role.
0.0

B.2
NOTE
The name has to be unique within the system. The name is
case sensitive. Special characters such as " / \\\\\\\\
[ ] : ; | = , + * ? < > are not allowed. B.2
Click Apply to save.

For group configuration, click the Members tab to add Users
to the group.
Or B.2
For role configuration, click the Owners tab to assign Users

the role.
All available user accounts are displayed on the right-hand side,
all already assigned users are placed on the left-hand side. B.2
0.0

This symbol indicates normal user accounts.

B.2
This symbol indicates internal users.

B.2
This symbol indicates accounts for DICOM nodes in the net-

work. To restrict the remote data access to your workstation,
you should also assign these nodes to groups and roles. B.2
0.0

At the Available list (on the right-hand side), double-click the

user, or select the user(s) you want to assign and click [ << ].
All already assigned users are listed in the Assigned list.
To resolve an assignment, select the user on the left-hand
side and click [ >> ] or double-click a user.
Click Apply to store.
Or B.2
Click OK when you are finished.

After OK, the group or role is stored and the list of groups or
roles appears. B.2
B.2
NOTE
Because you cannot rename groups or roles, you must
instead delete them and recreate them. B.2
0.0

Selecting a Group or Role To select a group or role for editing: B.2
for Editing
B.2
Page B.222
In the tree on the left-hand side, open the User Manage-
ment item.
Select the Groups or the Roles item.
All available groups or roles are listed on the right-hand side. B.2
Double-click an entry to edit it.
Adding or Removing Group To add or remove group members or role owners: B.2
Members or Role Owners B.2

Double-click the desired group or role in the tree on the right-
hand side.
The Group respectively the Role tab card is displayed. B.2
If desired, you can modify the Description.

On the Members or Owners tab card, use the add [ << ] and
remove [ >> ] buttons to update the users group or role.
Page B.236
0.0

Deleting a Group or Role B.2 To delete a group/role:

B.2
Right-click the desired group or role and choose Delete from

the context menu.
Or B.2
Select the desired group or role and choose the Action >
Delete menu item.
Confirm the security notice with OK.
The group account is deleted; all members lose the corre-
sponding privileges/rights. B.2
0.0

Access control B.2
Access control in syngo MR security system consist of permis-

sions (which users and user groups are allowed to access a
certain data set) and functional privileges (which user or roles
are allowed to execute a certain program module or function). B.2
B.2
NOTE
The different security levels applied to application functions
and patient data in the context of the clinical workflow are
normally defined in the hospitals security policy. B.2
Privileges B.2 A privilege is the right to use a specific syngo MR function, for
instance, sending data or invoking the Patient Registration.
B.2
Patient Group Patient group permissions regulate the access to data: B.2
Permissions
You define a list of patient groups according to the data secu-
B.2
rity policy of your hospital. For example, create a patient

group Radiology for data that should only be visible to
members of the radiology department, or VIP for patient
data that should only be visible to very few persons, such as
the head physician.
0.0

For each patient group, you can grant users and groups the
permission to access data that is assigned to this group. B.2
You can set permissions for the following types of access: B.2
No Access: The user will have absolutely no access to the

data of this patient group. B.2
Full Control: The user has access to the data, and can work
with it according to his/her role. In general, the user can: B.2
create data objects, like studies or series
read data, for example, load it into the Viewer
update or modify data, for example, draw annotations on
images or correct the patients name
delete data
execute changes to the security levels applying to certain
data, for example, to hide the data of VIP patients from
some doctors on the ward
Permissions can be set at the patient or study level. Series
and images inherit their permissions from the study they
belong to. B.2
0.0

A newly created patient entry or study is automatically

assigned a patient group. Basically, this is the one that has
been assigned as default to the user (or to the group the user
belongs to). To be more precise:
If a user registers a new patient, this patient is first
assigned to the default patient group.
If a user registers a new study of a known patient, the pre-
viously assigned patient groups are taken over.
If your system receives studies from a DICOM node and
the patient is not known at your system, the default patient
group of the DICOM node is assigned.
If your system receives studies of a known patient, the
previously assigned patient groups are taken over.
During Patient Registration and in the Patient Browser you
can modify the assignment of patient groups.
B.2
NOTE
To reduce your configuration efforts, define permissions on
group level and privileges on role level whenever possible.B.2
0.0

Example B.2 Example: Doctor Stern wants to send a study of the patient Mr.
Smith to the archive. To do so, he needs the permission to
access Mr. Smith study and he needs the privilege to send data
to the archive. B.2
B.2
Inheritance of Permissions The Everyone group is the top level of inheritance. The per-
and Privileges B.2 missions set for the Everyone group are transferred to all
groups of your security system. The same rule applies to the
Everyone role. B.2
Typically, a user belongs to at least one group and one role. But
you can also assign a user to more than one group or role. B.2
B.2
NOTE
Keep in mind that user rights are inherited. It is not possible
to assign someone function execution rights for a specific
group. B.2
0.0

The security system follows an inheritance strategy: Any right

granted on group or role level is inherited by all members. B.2
In the configuration user interface, this effect is indicated by the

display of Effective rights. B.2
It is not possible to deny rights that the user inherited from a

group or role.
It is possible to grant additional permissions and privileges
for single users. This way you expand the permissions and
privileges that have been defined for the group or role.
Because of the heredity rules, it is very important to check
and restrict the rights of the Everyone group and role.
The final decision as to whether a user will be granted an exe-
cution privilege or a permission depends on the inheritance
hierarchy of roles and groups to which the user belongs.
B.2
Managing Patient Groups Data Protections B.2
for Data Protection B.2

The permissions (data access rights) are configured on the
basis of patient groups. All data assigned to the same patient
group has the same protection attribute. B.2
0.0

You can create patient groups as desired according to your

security concept and workflow, but syngo MR delivers some
patient groups for data protection by default: B.2
The STANDARD patient group is a built-in group. It cannot

be deleted, because it is used as a fall-back protection for
otherwise unprotected data. The patient group is internally
assigned to any data object that has not been explicitly
assigned a protection (for example, a user without default
protection created a new patient entry). Also any data that
"loses" its patient group is also assigned to this group.
Any user concerned with the import of data from storage
disks should have Full Control access to the STANDARD
patient group.
The Emergency patient group can be used to protect data
from emergency acquisition.
The Service patient group is used to prohibit common
access to the internal Service Patient.
The LOST&FOUND patient group collects all studies that
had been assigned to unknown or to undefined patient
groups. Using this patient group, you can configure permis-
sion on this type of data. At least one user must have Full
Control access.
Whenever a user registers a new study, a default data security
level is applied to that data. You can configure the default data
security level either for groups or for individual users. B.2
0.0

Different views on the Data Access Permissions are available

(based on the same configuration data): B.2
The by User/Group View allows selecting a single user or

group and setting the rights on the various patient groups.
The by Patient Groups View allows selecting a single
patient group and setting the various user or group access
rights.
Special Configuration Issues B.2
Before modifying any security settings, it is important to take

some special configurations into consideration: B.2
Follow a strategy regarding the Everyone group. Check the

effective permissions. These are inherited from the various
groups, including the top level "Everyone" group.
Page B.15
We recommend to allow the administrator group or account
Full Control to the Lost&Found patient group.
Please ensure that at least one Administrator or user with
administrative rights has access to each patient group. (Do
not configure No Access for all patient groups.)
We recommend to allow the Everyone group Full Control
to the STANDARD patient group
0.0

Creating and Managing To create a new patient group for data protection: B.2
Patient Groups
B.2
Page B.222
In the tree on the left-hand side, open the Security Manage-
ment and the Data Access Permissions item.
Right-click the Patient Groups item and choose New >
Patient Group from the context menu.
Or B.2
Select the Patient Groups item and choose the Action >
New > Patient Group menu item.
0.0

The properties page for patient groups is displayed: B.2
Enter a Full name and a Description to identify the patient

group later easily.
Enter a text that describes the security level, for example:
used to control access to data of the radiology department.
0.0

To allow a service technician access to any patient data pro-

tected by this patient group, select the Grant read access
for syngoServiceUsers in service sessions check box.
Click Apply to save the settings.
Or B.2
Click OK to save and return to the list of existing patient

groups.
You are able to create additional patient groups only after click-
ing OK.
B.2
To delete a patient group: B.2
Right-click a patient group in the list and choose Delete from

the context menu.
The local database is checked for data objects that are
assigned to this patient group. If any are found, it is not possible
to delete this patient group. If it is allowed, a confirmation mes-
sage appears. B.2
Click Yes to confirm the deletion.
0.0

Opening the Data To access the setup of data permissions on patient groups: B.2
Permission Setup
B.2
Page B.222
ment and the Data Access Permissions item.
Click the by User/Groups item.
Or B.2
Click the by Patient Groups item.

It depends on your preferred workflow which view you choose
to work in. For configuration, it is quite common to switch
between both views to identify all dependencies and set up the
permissions accordingly. B.2
At the top of the configuration page, the selection list displays

the user/group respectively the patient group to be configured. B.2
In the by Users/Groups view, the table lists all available patient
groups and the permissions for the element selected at the top.B.2
In the by Patient Groups view, the table lists all users and
groups, and the permissions on the patient group selected at
the top of the page. B.2
0.0

Setting up Permissions in To set up the data access permissions for patient groups: B.2
the Users View

In the tree-view, click the by User/Groups item.
B.2
At the top of the dialog box, select the level you want to set
up for the available patient groups:
0.0

Everyone Shows the permissions for the special group Everyone. This is the top level for the rights
inheritance on all other groups and all users. This group is one reason that the effective
permissions often differ from the setup permission. The permissions in this group should
be the minimum permissions of all users.
Groups Shows the permissions at the group level. This allows you to set up group access rights
one after the other.
Users Shows the permissions at the user level. This allows you to set up individual access
rights. Note that users inherit their permissions from the Everyone group and from their
group memberships.
Select an item from the list according to the specified content

type (for example, a user group).
This symbol indicates that the list item represents a group. B.2
This symbol indicates that the list item represents a single user
account. B.2
This symbol indicates that the list item represents DICOM

Nodes (AETs for networked DICOM services, but handled like
users). B.2
0.0

After your selection, each table row represents a patient group.

The columns show the current permissions for the selected
user or group onto the patient groups.
Page B.251 B.2
B.2
NOTE
To modify an existing configuration or to reduce the amount
of displayed groups and users, you can select the List only
objects with permissions assigned check box. B.2
In the Permission column, double-click and select the

desired access rights for the corresponding patient group:
No Access Prohibits any access to the data stored in this patient group. The data will not be visible
to the user or group.
Full Control Allows all actions to the data assigned with this patient group: create, read, update,
delete, and execute change protection.
Check the Eff. Permission column to see which access

rights actually become valid.
The deviation may originate from a different configuration at
Everyone and normal user group level, or from a membership
in two or more different user groups, etc. B.2
0.0

To set the default data protection: B.2
Whenever a user of the group under configuration creates a

new data object, by default the set of data protections config-
ured here is applied to that data. B.2
In the by User/Groups page, select an item from the top list.

You can configure the default protections for groups and users
here, so that it is possible to set up the default protection for
each user individually. B.2
Select the Default check box for those patient groups you
want to assign by default to the user or group.
Check the Eff. Default column to see which default protec-
tion attributes are actually become true.
Again, the deviation may originate from a different configuration
on user and group level, or from a membership in different user
groups, etc.
B.2
To save the protection, click Apply.

Or B.2
Click OK to save and close the page.
0.0

Setting up Permissions in To define a new set of default data protections for a group or
the Patient Groups View B.2 user: B.2
Display the by Patient Groups page.

Page B.251
From the Patient Groups list, select the patient group you
want to configure.
0.0

The table shows the permission configuration for this patient

group. Each line represents a user or a user group. B.2
B.2
TIP
To modify an existing configuration or to reduce the amount
of displayed groups and users, you can select the List only
objects with permissions assigned check box. B.2
Below the Patient Groups list, select the type of objects you
want to set up for the selected patient group:
Everyone Shows the permissions for the special group Everyone. This is the top level for the rights
inheritance on all other groups and all users. This group is one reason that the effective
permissions and the effective default differ from the permission set up for users or groups.
Groups Shows the permissions at the user group level. This allows you to set up group access
rights one after the other.
Users Shows the permissions at the user level, so that you can set up individual data access
rights.
0.0

After your selection, the table shows the permissions the vari-
ous users or user groups have for the selected patient group.
Each table row represents a single user or user group: B.2
This symbol indicates that the row belongs to a user group. B.2
This symbol indicates that the row represents a single user

account. B.2
This symbol indicates that the row belongs to an auto-gener-

ated user account for a DICOM AET service in the network.
B.2
In the Permission column, select the desired access rights: B.2
No Access Prohibits any access to the data stored in this patient group.
Full Control Allows all actions to the data stored in the patient group: create, read, update, delete, and
execute change protection.
Check the Eff. Permission column to see which access

rights are actually become valid.
The deviation may originate from a different configuration on
Everyone, user and group level, or from a membership in two or
more different user groups, etc. B.2
0.0

To set the default data protection: B.2
Whenever a user or group displayed in the permission table cre-

ates a new data object, by default the set of data protections
configured here is applied to that data. B.2
You can configure the default protections for groups and users
here, so that it is possible to specify a default protection for each
user individually. B.2
Select the check box Default for those user groups you want
to assign the selected patient group as default.
Check the Eff. Default column to see which default protec-
tion attributes are actually become true.
The deviation may originate from a different configuration on
user and group level, or from a membership in different user
groups, etc.
B.2
To save the protection settings, click Apply.

Or B.2
Click OK to save the settings and close the page.
0.0

Setting up the Privileges Privileges allow a user to execute syngo MR functions, such as
for a Role or a User B.2 sending data over network or invoking the patient registration. B.2
The privileges set for a role a user belongs to override the priv-
ileges explicitly set for the user. B.2
B.2
NOTE
For the emergency role and user, we strongly recommend
not to grant any functional privileges that allow deletion or
export of patient data. B.2

Page B.222
ment and the Functional Privileges items.
Select the by User/Role item.
0.0

The Privileges of... page is displayed, with the side tabs corre-
sponding to the various syngo MR modules installed at your
system: B.2
At the top of the dialog box, select the level of objects you
want to configure:
0.0

Everyone Shows the privileges at the Everyone level. This are the basic functional rights for all
roles and users.
Roles Shows the privileges at the role level. This allows you to set up privileges for all members
of a role.
User Shows the privileges at the user level. This allows you to set up the individual privileges.
B.2
Select the desired user or role from the Privileges of list.
This symbol indicates that the list item is a single user account.
B.2
This symbol indicates that the list item is an auto-generated

user account for a DICOM AET service in the network.
B.2
This symbol indicates that the list item is a role.

B.2
0.0

The explicit privileges for the selected item are marked in the
selection table. B.2
Every syngo MR application is represented by a separate side

tab, for example, PatBrowser for the Patient Browser. syngo
MR provides the tabs as described below, but during installation
at your modality site, further module tabs are added. B.2
B.2
NOTE
Please remember that the configuration of a user is also
influenced by the configuration of the role a user is
assigned. B.2
Click the application tab with the functions you want to allow
or restrict for users or roles.
0.0

B.2
NOTE
Use the double arrow at the bottom of the page to see
further application tabs. B.2
Select the check boxes on the page to set the privileges as

desired.
0.0

Archnet Archive allows to store data on storage disks or in the central network archive server.
Export allows to export data on disks or to the file system. Send allows to send data to
other network nodes. The Query/Retrieve functionality is not protected but restricted to
trusted hosts.
AuditTrail Archive allows to invoke the Audit Trail Archiving dialog box and the Audit Trail Archiving
Settings. Only users with this privilege are able to use the according menu items.
SetFilter allows to open the audit trail management and configure (filter) the events to be
logged in the audit trail. View allows to view logs. The privileges are intended for
administrators or experienced and instructed users. We recommend not to assign these
privileges to the emergency role or user.
Correct&Rearrange Correct allows to change any patient and study data. History allows to open a dialog box
for the history of changes on the data. Rearrange allows to drag data objects in the
Patient Browser.
Filming Expose allows to expose film tasks or single film sheets on a camera or to print them.
PatientBrowser Delete allows to delete data objects in the Patient Browser. ModifyPatientGroups allows
to change the patient group assigned to data (and change this way the permissions on
data access). SetStateComplete allows to set this work status on data objects.
SetStateRead allows to set this work status.SetStateVerified allows to set this work
status.
Patient InvokeRegistration allows to open the registration form and perform registration.
Registration
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SecuritySystem All these privileges are important for security administrators. BypassBlockedSystem
allows logging on to a system even if the security system is blocked. At least one
administrator must have this privilege. It is also useful to grant the AuditTrail - Archive
and the SetMode privilege. Configuration_Read allows access to the security
configuration for viewing only.Configuration_ReadWrite: With this privilege, you are
able to change and store the security configuration. You also need the Configuration
privilege to do so. DesktopAccess allows to access the desktop of the Windows
operating system with the help of short cutkeys (Windows key or CTRL +ESC).
EnableServiceAccount allows to create a temporary password for the service
technician ServiceUser. InteractiveLogin allows to log on to the system to have
desktop access. We recommend to set this privilege on Everyone level for all users.
SetMode allows a user to change the security system mode. This privilege is needed for
activating security options in the Local Service Software and for bypassing a blocked
system. At least one SecurityAdmin must have this right.
UserAutoStart AllUsers allows to automatically start processes or components for all users.
SecurityConfigurationConsole is an internal privilege.
A check mark indicates that this function is allowed to the role

or user selected on top of the page. B.2
An asterisk * indicates that the changed setup on this page or

item is not saved yet.
B.2
To save the settings, click Apply.

Or B.2
Click OK to save and close the page.
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Use of the Screen Saver B.2 Screen Saver B.2
You can configure a syngo MR screen saver. The screen saver

locks the workstation if there has been no mouse or keyboard
activity within a certain period. B.2
To unlock the workstation, the user has to enter the account

name and the password in the Computer locked dialog box,
which will automatically appear when the mouse is moved. B.2
The screen saver has the same effect as the Lock Computer
function. If a user logs on to a workstation again, he finds the
workstation exactly as he/she has left it. If another user logs on,
depending on the permissions, the data is closed (and unsaved
changes are lost).
B.2
Configuration B.2
The screen saver is automatically enabled during system instal-

lation. B.2
Use the Screen Saver configuration in the syngo MR - Config-

uration Panel to configure the inactivity period (time-out)
before activation. B.2
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Audit trail and log files B.2
Audit Trail and Log Files B.2 The syngo MR security system has an audit trail for recording
the following actions: B.2
All user activities on sensitive data

All logins (and unsuccessful login attempts)
System shut downs, system restarts and similar events
By reviewing the audit trail, all security relevant transactions can
be reconstructed. B.2
The audit trail consists of several log files, where only one log
file is open at any one time. A new log file is created whenever
the current log file is closed. This occurs, for example, at syngo
MR startup. A new log file is also created at system restart after
a power failure. B.2
As soon as a log file reaches a certain size, it is closed. Closing

the file automatically creates a new one.
B.2
Naming of Log Files B.2 To keep the files in the correct order, a number is appended to
the file name, which is incremented with each new file: B.2
file name = <host name>_<date of creation>_<Time of cre-

ation>_<incremented number> B.2
Example: csant42_2002-04-14_10-47-28_1.xml B.2
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Administration B.2 Authorized users (such as administrators) can set up the audit
trail and view, store and delete stored audit trail log files. The
files are protected against manual manipulation.
B.2
Configuration B.2 To configure the audit trail, you need to define general security
parameters, such as the trail's location and size, as well as any
transactions that are to be recorded. B.2
The setup of the audit trail consists of two different parts (and
two different configuration dialog boxes): B.2
Parameters for location, size and warning level as well as

storage parameters are set up in the Audit Trail Settings
dialog box.
Events to be recorded in the audit trail are specified in the
Audit Trail Management console.
Because the size of the audit trail increases by time, syngo MR
provides the Audit Trail Archiving dialog box to store log files
and to delete them subsequently. B.2
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B.2
NOTE
You have to store the audit trail at regular intervals. Failure
to do this will cause the audit trail to fill up the disk partition,
causing the system to block until the audit trail has been
stored and removed. B.2
Please ensure that stored audit files are kept according to

national and local regulations. B.2
B.2
NOTE
The system informs the users when the size of the audit trail
exceeds the specified warning levels. It issues low level and
high level warnings by displaying colored icons in the status
bar. Any user recognizing the warning should inform the
system administrator immediately for storing the audit trail.B.2
Additionally, the resource monitor keeps track of storage capac-

ity and memory size. B.2
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Time synchronization B.2 Time stamps for log file entries have to be consistent within all
log files in the audit trail. Therefore, time synchronization
between all system components is very important. B.2
If you use a network of syngo MR systems, you can establish

a special NTP (Network Time Protocol) that ensures a synchro-
nized time all over the network system. Ask the service techni-
cian to connect syngo MR to this. B.2
B.2
NOTE
You carry the responsibility for maintaining the time server.
Ensure that you set the correct time, otherwise your service
licence may become outdated. This is because the license
manager only accepts a jitter of 24 hours. When the service
licence becomes invalid, the system must be completely
reinstalled. B.2
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Opening the configuration for audit trail

storing B.2
A user needs the Audit Trail > Archive privilege to configure

the storing and settings of the audit trail. B.2
Log on as administrator.
Page B.35
From any task card, choose the Options > Configuration
menu item.
The Configuration Panel appears. B.2
Double-click the Audit Trail Configuration icon.

The Audit Trail Settings dialog box appears for a guided con-
figuration of the audit trail. Depending on the archive target
selection (on the second page) you are guided through. Config-
uration pages for non-selected storage options are omitted.
Nevertheless, all configuration pages are described in the fol-
lowing. B.2
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At full, the dialog box provides the following setting pages: B.2
Local Audit Trail Setup summarizes the current settings

and allows to start the guided configuration.
Select archive target for selecting the device or the location
where the audit trail is stored to. According to your selection
here you have to use the corresponding configuration tab
and the Audit Trail tab.
CD-R for setting up the CD write parameters (session type
and burn speed).
Network Share for defining the node and path for storing in
the network.
You need to know the user name and password of the person
intended to store the audit trail and the share name of the
network folder.
Audit Trail for setting up size and path parameters of the
audit trail, as well as warning levels.
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Configuring the storage of the audit trail B.2
To define the parameters for the storing of the audit trail and the
common properties: B.2
Open the Audit Trail Settings dialog box.

The Local Audit Trail Setup page appears. It summarizes the
current settings. B.2
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You can check the settings: B.2
B.2
Local Audit Trail This section displays the current settings for storing the logs of the audit trail.
Disk quota checks This section displays the warning levels.
Audit Trail archive This section displays the current storage settings.
target
Click the Setup button to start the configuration.

The Select Target page appears. On this page, you only select
the type of drive or the (computer) node for storing. B.2
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Select where the log files of the audit trail are to be stored:
CD-R drive Selects the CD-R writer of your system for storing the audit trail. After clicking Next, you
will be guided to the CD-R page to set up the parameters.
Network Share Defines that the audit trail is to be stored on a shared folder in the network. After clicking
Next, you will be guided to the Network Share page to set up the parameters.
B.2
B.2 Click the Next button to continue.

Or B.2
B.2 Click Back to return to the previous page.

B.2
Depending on your selection, the according page for entering

the storage parameters appears. B.2
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If you selected the CD-R option, the following page appears

for configuration:
0.0

Select the Session Type:
Single Session Specifies that a CD-R is written once and then closed. You cannot use it for further
storing.
Multi Session Specifies that you can store on a CD-R several times (until its capacity is full).
Finalize Select this check box to close a multi session CD-R.
B.2
Set up the drive and speed parameters.
Drive Letter Select the drive letter of the CD Recorder. Use the same drive letter as for storing
patient data on CD-R.
Burning Speed Select the speed the recorder is able to write data to CD-R. Example: Storing 200 MB
at 4x speed takes about 5 min.
Click Next to set up the common parameters of the audit trail.
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To set up the network You need the server share name (not letter) and path to set up
share for storing B.2 the Network Share option. We recommend to use the Win-
dows Explorer to check the connection. B.2
If you have enabled the Network Share option in the Select

archive target page, the following page appears for configura-
tion. B.2
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Enter the parameters:
User name Enter the user name for logging to the network shared folder. This user must be
allowed to write the audit trail log files at the network node. Note that this user name
can derive from the local user name that is allowed to start the audit trail storing (and
has to have at least the AuditTrail > Archive privilege).
Domain Enter either the workstation's domain or local computer name here.
Password Enter the password for the logon.
Share name Enter the server name and the path. Use the UNC convention to enter server name
and path (you cannot use drive letters).
Test Click the Test button to check if the folder is available in the network.
B.2
NOTE
The syntax for a share name is:
\\servername\sharename\[folder]: B.2
Example: \\deeparchive\archaudit_ws12\at2002 B.2
Make sure that the specified folder exists, and that it can be
written to. B.2
Click Next to set up the common parameters of the audit trail.
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To set up the common After clicking the Next button on any of the configuration
parameters of the pages of the Audit Trail Settings dialog box, you reach the
audit trail B.2 Audit Trail page.
B.2
Enter the parameters to set up the path and size of the audit
trail as well as the warning levels.
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B.2
AuditTrail Directory Enter the path for the folder in which the log files of the audit trail are stored. If the
path does not exist, the system creates it automatically. We recommend to use the
default path: %medhome%\log\Auditing. Keep in mind that the audit trail has to be
protected from normal users.
max. Size [KBytes] Enter or select the size of the audit trail. Default size is 1024 kBytes (=1 MByte).
When a log file reaches this size, it is closed, and a new log file is created.
Zipped Select this check box to have the audit trail automatically compressed in a ZIP file.
In the Disk quota checks area, specify the warning levels in

case the size of the audit trail uses too much of the hard
disks capacity.
Warning level % As soon as the given percentage of the hard disks capacity is reached, an orange
warning icon appears in the status bar. 70-75% may be useful values (70% is the
minimum value).
Quota limit % As soon as this percentage of the hard disks capacity is reached, a red warning icon
appears in the status bar and the Audit Trail Archiver opens. Storing should be started
immediately. If the current user has no privilege to store, there is a message box
which informs the user about the situation and gives a hint what to do. 80-85% may
be useful values (80% is the minimum value).
In addition to the disc space check, there is a cyclic check of the

security system state. A blocked system (even if no disc space
limit was exceeded) also forces the Audit Trail Archiver to be
popped up. For storing in a blocked system, the user needs the
Archive and the BypassBlockedSystem privileges. B.2
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B.2
NOTE
Inform the system users about what to do if audit trail
storing should be started. If the current user does not have
storage rights, the End Session dialog box calls the Log in
different user function to switch to a user account with
storage rights. B.2
Click Finish to finish the configuration.
Opening the Audit Trail Filter and Viewer B.2
Event recording and the audit trail viewer are configured in the
syngo MR - Audit Trail Management console. B.2
Only authorized users can handle the log files of the audit
trail. They need the AuditTrail > View and the AuditTrail >
SetFilter privilege to open and use the syngo MR - Audit
Trail Management console.
To open this management console, choose the Options >
Audit Trail > Viewing menu item from any task card.
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The syngo MR - Audit Trail Management console appears. B.2
With the Audit Filter folder, you can define the events to be
recorded. B.2
With the Audit Trail Viewer item, you can view the various log
files of the audit trail. B.2
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Defining events to be recorded in the audit

trail B.2
In syngo MR, applications generate audit events at internal

function points and transactions. As an administrator, you can
select for every application which audit events result in audit
trail entries. B.2
B.2
NOTE
Note that very detailed recording can slow down system
performance. B.2
Only authorized users can set up the events to be recorded in

the audit trail. They need the AuditTrail - SetFilter privilege. B.2
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B.2
CAUTION
Source of danger: The system blocks when the audit trail
is filled (too many records, or too much drive space
covered). B.2
Consequence: In this case, it is not possible to work with

the system. Emergency access is also not possible. B.2
Remedy: To prevent system blockage, someone must store
the log files and remove them from the audit trail on a
regular basis. B.2
When the audit trail blocks the system, proceed as

described in Page B.294. Note that then the
SecuritySystem > BypassBlockedSystem and the
AuditTrail > Archive privileges are needed. B.2
Open the syngo MR - Audit Trail Management console.

On the left-hand side, open the syngo MR and the Audit Fil-
ter folder.
0.0

The system displays sub-folders one for every application

audited. B.2
Click the desired application folder.

All Audit Events of that application are displayed on the right-
hand side. B.2
The actions to be recorded in the audit trail are marked. B.2
Select or clear the Audit Events as desired.

To save the settings, click Save.
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The changes come into effect immediately. B.2
B.2
TIP
Click the Reset button to clear your changes. B.2
B.2
Viewing log files B.2
It is possible to view the log files at any time. B.2
Only authorized users have access to the log files of the audit
trail. They need the AuditTrail - View privilege. B.2
Open the syngo MR - Audit Trail Management console.
In the tree on the left-hand side, click the Audit Trail Viewer
item.
0.0

The audit trail viewer is displayed on the right-hand side. B.2
You must close the current log file before you can view it:
Click the New Audit Trail button.
The current log file is closed and a new log file is created imme-
diately. B.2
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Browse through by using the Files to view fields and double-

click the log file (.xml or .xml.z) that you want to view.
The log files are formatted in XML. The contents of the selected
log file are displayed in the large area. The header gives gen-
eral information about the institution and log file itself. This is fol-
lowed by data recorded for every security-relevant transaction.
B.2
Filtering the Log Files for To further inspect a log file, you can apply different filters or
Viewing B.2 apply certain filter criteria. B.2
Choose the desired filters from the lists above the display
area. For example, you can filter by Action types, Function
Point IDs, Applications and Users.
In the Argument Filter criteria field, you can copy a param-
eter from the log file and initiate an exact match search.
To apply the filter, click the Refresh button.
The display area shows only the data records that meet the filter
criteria. B.2
To reset a filter, select All ... in the corresponding filter list

and click Refresh.
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Storing and deleting log files B.2
The audit trail storing method defines whether the log files are
stored to a remote shared disk or CD-R.
See Page B.277 for more information. B.2
You must close the current log file before you can store it and
you must have stored a log file before you can delete it. B.2
To store or to delete audit trail log files: B.2
Only authorized users are able to store or delete the log files of
the audit trail. They need the Audit Trail Archive and Audit-
Trail Delete privileges. B.2
From any task card, choose the Options > Audit Trail >
Archiving menu item.
0.0

The Audit Trail Archiving dialog box appears. All audit trail log
files of your system are listed showing their current archive and
importance status. A green icon at the bottom left indicates that
the security system is running properly: B.2
The icon of each file indicates the status:

B.2
These files are not stored.

B.2
These files are already stored.

B.2
These files are not stored but contain important information

about data manipulation (for example, deletions). B.2
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These files are stored and contain important information about

data manipulation (for example, deletions). The storage files
must be kept according to national and local regulations (for
example, 6 years).
B.2
You can delete files which are already stored. B.2
When storing to CD-R, insert a fresh CD-R, or a multi-ses-

sion CD-R from previous audit trail archiving.
For storing on network shares, the connection must be estab-
lished (use the Windows Explorer to check this).
Select the log files you want to store and click the Archive
button.
Multiple selections are possible. B.2
B.2
NOTE
Stored log files obtain the status archived and are marked
with the archived icons. B.2
The selected log files are saved to disk or to CD-R (as config-
ured). The system issues a message upon completion. B.2
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Deleting stored log files B.2 You can only delete log files that have been stored. B.2
Select the log file you want to delete and click the Delete but-
ton.
The log file is deleted from the disk partition containing the audit
trail. The list is automatically updated.
B.2
What to do when the audit trail blocks the

system B.2
B.2
CAUTION
Source of danger: The system blocks when the audit trail
is filled (too many records, or too much drive space
covered). B.2
Consequence: In this case, it is not possible to work with

the system. Emergency access is also not possible. B.2
Remedy: To prevent system blockage, someone must store
the log files and remove them from the audit trail on a
regular basis. Note that the archiver needs the AuditTrail >
Archive privilege. B.2
When the audit trail blocks the system, proceed as

described in Page B.294. Note that for operating a
blocked system, additionally the SecuritySystem >
BypassBlockedSystem privilege is needed. B.2
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A full audit trail blocks the entire system. Emergency access is

also not possible. You have to store the log files and empty the
audit trail before users can continue working. B.2
Only authorized users are able to store the log files of the
audit trail. They need the AuditTrail Archive privilege.
Open the Audit Trail Archiver dialog box.
Page B.275
The Audit Trail Archiver dialog box opens and lists all log files
of the audit trail with their current archive status. B.2
Store all log files and delete them from the audit trail.
Page B.294
Click the Restart button. This button is active only when the
system is blocked.
The system resumes operation. B.2
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Secure transfer of data B.2
During the site-specific configuration of the local system, a ser-

vice technician sets up the connection to network nodes, cen-
tral archives, DICOM service providers and DICOM service
users. B.2
To establish a secure system, all these network partners and

services have to be reliable. B.2
One policy is to establish a trusted sites zone. A trusted zone

contains network nodes you trust-nodes that you believe you
can receive data from or send data to without worrying about
the security of computer or data. B.2
To establish a trusted zone, you must assign nodes to this zone.

Then the syngo MR security features let the system: B.2
Transfer and receive data, knowing that the computer and

confidential patient information are safe.
Only accept DICOM Query/Retrieve requests from trusted
hosts or applications. Requests from unknown workstations
or applications are rejected.
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Security of Protocols B.2 For security reasons, syngo MR follows a restrictive policy con-
cerning ports and IP addresses. Data traffic through all unnec-
essary ports and addresses is blocked. Data exchange is
restricted to defined paths only. B.2
After installation all ports and addresses are blocked except

for a few basic services, such as ports for the DICOM ser-
vices.
By configuring DICOM network nodes in the Local Service
Software, the IP addresses become valid and the necessary
ports are unlocked.
If you need additional IP addresses for other reasons, you
should define them also as network nodes in the Local Ser-
vice Software to enable them.
0.0

Assigning Nodes to Your To establish a trusted zone, you must assign nodes to this
Trusted Zone B.2 zone. B.2
From any task card, choose the Options > Service > Local
Service menu item to open the Service Software window.
Navigate to the Configuration > Security > Settings page.
In the Security properties, select the Enable trusted host
functionality for your computer.
B.2
NOTE
This function must be enabled on all syngo MR
workstations with which you want to exchange data.
Additionally, it is also possible to communicate with
secured legacy systems (Secured by means of
restricted physical access). B.2
B.2
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0.0

CHAPTER
B.3 Information for Users B.3
Security System B.3 For security reasons, only authorized persons have access to
sensitive data, such as diagnostic images, results, or reports. B.3
syngo MR allows you to work only with the data and functions
that you have been authorized to use. All other patient data is
not visible to you and the prohibited functions are not avail-
able. B.3
B.3
NOTE
The audit trail logs all activities you perform on sensitive
data in an audit trail. This also includes your identity. B.3
Except for emergency access, you are only allowed to work
with a syngo MR workstation if you are logged into your
personal user account. B.3
The system administrator will notify you about your user

account and password. B.3
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syngo MR 2006T B.31

Information for Users Safety standards in syngo MR
User management and access

control B.3
User Accounts, The syngo MR user model ensures that every user is allowed
Permissions and to access only to the data he/she is authorized to work with
Privileges B.3 (data security) and to the functions he/she is authorized to use
(functional security). B.3
How are you integrated in the syngo MR user model? B.3
The administrator created a user account for you. To work

with syngo MR, you have to log on first (password pro-
tected).
Depending on your profession and duties, you are assigned
one or several roles, for example, nurse or doctor. Privi-
leges that are associated with your roles give you the right
to access specific syngo MR functions.
Depending on the departments and/or teams you work in,
you are assigned to one or several groups. The rights on
data are granted to all members of a group by permissions.
Members of the same group have access permissions to the
same data. Users with the same roles have the same privi-
leges for executing functions. The administrator can also set
up privileges and permissions for every user individually.
It is also possible to extend the data rights for someone
beyond a group, for example for a doctor who wants a sec-
ond opinion from a colleague on another ward.
Depending on your permissions, you can manually grant
access to data that you have created to members of a group
who would otherwise not be able to access this data.
0.0

Safety standards in syngo MR Information for Users
Example: If you want to send a study of the patient Mr. Smith to

the store, you need the privilege to send data to the archive and
you also need the permission to access the study of Mr. Smith.B.3
0.0
syngo MR 2006T B.33

B.3
TIP
The user configuration depends on the security regulations
of your hospital. For questions about your rights, ask the
system administrator. B.3
If you are asked to work temporarily in another department,

for example to take over from a sick colleague, the
administrator can temporarily assign you to this group. B.3
0.0

Logging on and off B.3
To log on to a workstation, type your user name and password.

After the system has authenticated you, you get access to the
syngo MR application. B.3
B.3
NOTE
Logging off or locking a workstation does not interrupt or
abort running or queued background jobs, such as filming
images. Every background job is protocolled under the
identity of the user who initiated it. B.3
The described functions are provided in the End Session dia-

log box. To open the dialog box, use the System > End Ses-
sion menu item or press CTRL+ALT+DEL: B.3
0.0
syngo MR 2006T B.35

Lock Computer B.3
Click the Lock Computer button to lock your computer.

If you have to leave your workstation unattended for a longer
period without quitting your session, you should lock the work-
station with this function. B.3
To unlock the workstation, you have to log on again.
0.0

If you are the person who locked the workstation, you will find
your session as you left it. B.3
If another user unlocks your computer and does not have the
appropriate access rights, a warning appears. Only after explicit
confirmation, any patient data is unloaded (without saving) and
the currently active application function is terminated. B.3
B.3
NOTE
If a screen saver has been enabled on your workstation, it
is automatically activated whenever there has been no
mouse or keyboard activity for a certain period. The screen
saver has the same effect as Lock Computer. B.3
0.0
syngo MR 2006T B.37

Log off user B.3
To log off, click the Log off [user name] button.

If you have finished your work, you can log off. This ends your
session at the computer. All patient data is closed. At a new log
on, syngo MR appears in a neutral state. B.3
B.3
NOTE
When a user logs off, unsaved data are lost
irretrievably. B.3
Therefore always check whether data still needs to be

saved and save any data you want to keep before you log
off. B.3
To ensure high throughput of patients, two assistants share

modality consoles. While one assistant prepares a patient for
the examination, the other assistant sends the images from the
previous examination to the archive. Both assistants have the
same privileges and permissions. B.3
The switch user function allows them to efficiently work together

at the same console. In this way, they can alternately use the
consoles without suffering delays or losing the work of the other
user. B.3
0.0

Log different user B.3
To switch the user at your workstation, click the Log in Dif-

ferent User button.
If you share the workstation with other users, you can hand over
the workstation quickly by using the switch user function. B.3
The current user is logged off. The workstation can only be

used by the new user after logging on. B.3
B.3
NOTE
If the new user has the same (or sufficient) access rights,
the current images are not unloaded. B.3
If the new user does not have the appropriate access rights,
all patient data is unloaded and the currently active
application function is terminated. Unsaved data will be lost. B.3
If a measurement or an image calculation of a previous user
is still running in the background, the current user cannot
start his measurement until the previous users
measurement or image calculation is finished. B.3
0.0
syngo MR 2006T B.39

Change Password B.3
To change your password, click the Change Password but-

ton.
Enter the old password for authentication, and type the new
password. Repeat the new password for verification.
The password is case sensitive. B.3
0.0

Emergency access B.3
The security policy influences the behavior in emergency

cases. Depending on the security configuration, you can log on
under the general emergency account in case of an emergency.
Ask your administrator. Account name and the necessary pass-
word are supplied by the administrator. B.3
Emergency access is very restricted. Typically, it does not allow

the modification, deletion or transfer of data. B.3
B.3
NOTE
Do not misuse the emergency access account to log on to
the system if you forget your password. B.3
Patient data acquired and processed during emergency

access must be corrected and rearranged later. As a
consequence, the data will be assigned to the user who
carries out the alteration. B.3
0.0

Failed log on B.3
You cannot change your account name, but you can change
your own password. Only administrators are allowed to change
user accounts. B.3
If you have been denied access to your workstation because

you have forgotten your user name or password proceed as fol-
lows: B.3
Ask your administrator for your current account name. The

account name is not case sensitive.
Make sure that the Caps Lock key is not accidentally set.
Bear in mind that passwords are case sensitive: W56Xrad
and w56xrad are not the same.
Re-enter your account name and password.
If this does not lead to success, ask your administrator to
give you a new password.
0.0

Protecting data from unauthorized

access B.3
Depending on your permissions, you can manually modify the

protections of data objects by using the Patient Groups. This
way, you can grant users access to data that they would other-
wise not have had. Similarly, you can deny users access to data
who had previously had it.
Page B.212 B.3
Imagine, the patient Mr. Smith is transferred from the intensive

care unit to the cardiology department. As a consequence, Mr.
Smith's data is no longer available to the staff of the intensive
care unit, but it becomes available to the staff of the cardiology
department. B.3
This is established by both removing the Patient Group inten-

sive care and assigning the Patient Group cardiology. B.3
B.3
NOTE
You can set data protections at patient or study level. Series
and images inherit protections from the patient or the study
they belong to. B.3
0.0

Select the patient or the study in the Patient Browser.

Choose the Edit > Modify Patient Groups menu item.
All patient groups available are listed in the Patient Groups dia-
log box. The groups the selected patient or study is currently
applied to are marked. B.3
Select or clear the patient groups as desired. Note that the

STANDARD patient group is a fall-back patient group. You
should not change it.
Take care that you do not unintentionally withdraw your own
access permissions. B.3
The patient groups and the access permissions to them are

defined in the syngo MR Security Configuration console.
Most commonly, the names of the patient groups indicate the
protection level. B.3
Click the Users button to view and set up the access permis-
sions of individual users.
To confirm, click OK.
The dialog box closes. The new access permissions on data
take effect immediately. B.3
0.0

Service access B.3
In order to allow service activities, users with the according priv-

ilege must grant the service technician access to the computer.
The procedure differs for the local and remote service access.
B.3
Local access B.3 Usually, a user account with restricted rights is created for the
service technician for carrying out local service activities. B.3
To allow local service activities if no account is available, you

have to get the system to generate a temporary password for
the general LocalServiceUser account. This password expires
after a predefined number of days. Using this password, a ser-
vice technician can log on to the computer under the LocalSer-
viceUser user account. B.3
Usually the LocalServiceUser account is member of the syn-

goServiceUser group and role. This way, the service techni-
cian obtains permissions and privileges as determined by the
system administrator. B.3
0.0

Remote access B.3 Remote service access lets a service technician carry out
maintenance activities from a remote workstation. B.3
You start a remote service session and wait for the response
from the remote workstation. Depending on the required ser-
vice activities, you then grant the technician full or limited
access to your workstation. B.3
Full Access
Allows the service technician to take control of your worksta-
tion (which blocks it to you).
Limited Access
This mode provides access to all service functions that do
not interfere with regular patient operations.
Access to Patient Data
The service technician has no access to patient data from a
remote system. If he needs one, he will explicitly have to
request it.
Remote Application Access
No Access
Unexpected closing can cause inconsistent or inoperable sys-

tem. B.3
If you close a remote service session while the service techni-

cian is still working, all currently running service programs will
be terminated. This may result in an inconsistent or inoperable
system. B.3
The service technician will only be notified that the session is

going to be closed by you.
Ask the service technician before you close the session.
0.0

Generating a service password for local

access B.3
Usually, a user account with restricted rights is created for the

service technician for carrying out local service activities. B.3
If there is no personal account for the service technician avail-

able, you must get the system to generate a service password
for the general LocalServiceUser account when the service
technician needs access to your workstation. B.3
The password expires after a configurable number of days.

After that time, the password becomes invalid. You will need to
generate a new service password. B.3
As there is only one LocalServiceUser account, the system

holds just one service password at any one time. If you gener-
ate a new service password and an old one is still valid, the old
password gets overwritten. B.3
You need the EnableServiceAccess privilege to use the

Service User menu item. Otherwise you wont see it.
From any task card, choose the Options > Service > Ser-
vice User menu item.
0.0

The Set Password for the account 'LocalServiceUser' dialog

box is displayed. B.3
In the Comment field, enter the reason for a service access

and the name of the service technician.
Enter the expiry period in days.
Confirm with Apply to generate the password.
The generated password is displayed next to Assigned pass-
word. B.3
0.0

Note the password.

To end, click Close.
Keep the password confidential and pass it only to the ser-
vice technician.
B.3
NOTE
Transfer the password as securely as possible to the
service technician. Sending passwords via unencrypted e-
mail or mail is not secure! B.3
0.0

Recorded user transactions

(audit trail) B.3
Audit Trail B.3 The syngo MR security system supports tracking of the follow-
ing actions: B.3
All activities you perform on sensitive data is logged in an

audit trail, with your identity.
Unsuccessful login attempts are recorded, too.
B.3
NOTE
Important! You carry the responsibility for all transactions
that have been performed under your user account. B.3
In your own interest, lock the computer or log off when you
have finished work or when leaving the workstation
unattended for a longer period. B.3
The audit trail can be viewed by authorized personnel only. B.3
0.0

Audit Trail full? B.3 A full audit trail blocks the entire system. You cannot proceed
working. Emergency access is also not possible. B.3
When the storage space reaches the warning level, an yel-

low icon appears in the status bar of all task cards.
When the storage space reaches the quota limit, a red icon
appears in the status bar. Additionally, the system displays a
message when the audit trail exceeds a certain limit.
Clicking the red icon opens either a warning message box
if you dont have the storing privilege or the Audit Trail
Archiving dialog box provided you have the appropriate
privileges.
Do not ignore these warnings, inform your system administrator
immediately. B.3
0.0

0.0

CHAPTER Information for Service
B.4 Technicians B.4
Service Access Rights B.4 For any service activities to take place, you must ask a user or
the system administrator to allow local access to the worksta-
tion. B.4
Usually, a user account with restricted rights is created for

carrying out local service activities.
If there is no personal account for the service technician
available, you can only access syngo with the LocalService-
User account, which provides the service account rights.
The service account is not deleted when the password
expires. For subsequent service activities, it is merely neces-
sary to request a new password.
Audit Trail B.4 All system activities affecting sensitive data are recorded in the
audit trail for later review. Each local and remote service ses-
sion leads to an entry in the audit trail. B.4
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syngo MR 2006T B.41

Information for Service Technicians Safety standards in syngo MR
Service access B.4
Different Types of Access B.4 If service personnel needs access to patient data, or the config-
uration of the system has to be changed during a remote ser-
vice session, this has to be enabled by the local user first. B.4
Remote access to the syngo MR system for service purposes

is only possible from trusted systems (a system with a proved
certificate) There is only are very small number of systems set
up for remote access. B.4
Trusted systems are systems with a certificate from a root

CA which is in the server certificate trust list (client authenti-
cation).
The use of SSL and HTTPS are mandatory for this connec-
tion.
To add certificates, the standard mechanism of the operating
system is used.
Together with the syngo MR installation, the certificate of the
root CA of the RDIAG (remote service server) is delivered.
syngo MR generates a self signed certificate, therefore, the
RDIAG is not able to identify a syngo MR system via the cer-
tificate (no server authentication).
The RDIAG server connects to syngo MR via HTTPS.
0.0

Safety standards in syngo MR Information for Service Technicians
Local access B.4
Usually, a user account with restricted rights is created for car-

rying out local service activities. B.4
To log on to syngo MR for service activities when an individual

account is not available: B.4
Ask a user or the system administrator to generate a pass-

word for the service account.
The password expires after a predefined number of days. B.4
Log on to the computer under the default service account:

LocalServiceUser.
Enter the generated password and click OK.
To open the local service software, choose the Options >
Service > Local Service menu item from any task card.
The Service Software window appears. B.4
Enter both parts of the service key necessary for the desired
service level.
The service key decides with which service level the Service
Software will open. B.4
Enter the service password.
0.0
syngo MR 2006T B.43

The system will check the service password. If it is valid, the

service interface appears. Depending on security configuration,
the patient data access may be enabled. B.4
B.4
NOTE
The detailed view of the Resource Monitor is only
available after you have logged on to the Service
Software. B.4
0.0

Remote access B.4
Remote access to the syngo MR system for service purposes

is only possible from trusted systems. B.4
If the remote service access is configured to be based on

SSL encryption, remote access is only possible from hosts
believed to be trusted. Certificates are exchanged and
checked. The certificate for RDIAG server is stored locally.
The protocol used is HTTPS:\\
SSL may affect the performance of the connection.
If SSL is not used, the local system can configure to allow
remote access any remote server. The protocol used is
HTTP:\\
For remote service to take place, access must be enabled on
the local system by using the Remote Service Access Control
window. B.4
To start a remote service session: B.4
Phone or ask the user to allow you remote access in the

Remote Service Access Control window.
Start your remote service session.
0.0
syngo MR 2006T B.45

As long as you work without access to patient information, you

will only see anonymized patient information. B.4
To execute particular service and test functions (File&Image

Tools), you need access to patient information.
The Service Software will remind you to request this access: B.4
Enter your name and click the Request button.

The request appears in the Remote Service Access Control
window of the local system. The user concerned must explicitly
confirm it. This confirmation is logged into the audit trail. B.4
B.4
NOTE
Because the Remote Service Access Control may be
closed on the local system at the time, you should call the
local user to get the confirmation. B.4
0.0

Backup & restore B.4
To avoid the loss of configuration data, ask the service techni-

cian to back up the system. B.4
Backups and restores are done within the Service Software

package of syngo MR. B.4
Update/Upgrade B.4 An update is a patch within a version. A software upgrade

replaces a version with a newer one. B.4
B.4
NOTE
Do not forget to store the audit trail before software update
or upgrade. The audit trail has to be saved separately. The
backup and restore functionality under Local Service does
not store the audit trail. B.4
0.0
syngo MR 2006T B.47

0.0

PART Managing and Adjusting
C the System C.0
C.1 System Manager

Using the image control system and syngo MR ............. C.12
Shutting down the entire system ............................... C.13
Shutting down and rebooting the
image control system ................................................. C.15
Closing syngo MR and rebooting .............................. C.16
Forced shutdown/reboot ............................................ C.18
Handling applications ................................................ C.19
Locking the computer .............................................. C.111
Logging off ............................................................... C.112
Logging on a new user ............................................ C.113
Changing your password ......................................... C.114
Monitoring the image reconstruction system ............... C.115
Rebooting the image reconstruction system ........... C.116
Shutting down and rebooting components .............. C.117
Controlling the MR scanner ......................................... C.119
Rebooting the operating system .............................. C.121
Switching the Power Supply to Standby .................. C.121
Tools ............................................................................ C.124
Gathering diagnostic information ............................. C.125
Displaying changed files .......................................... C.126
Displaying system information ..................................... C.127
General system information ..................................... C.127
Information about the system .................................. C.129
Drive and database information ............................... C.130
Network information ................................................. C.133
Displaying patents ................................................... C.135
Updating the display ................................................ C.136
0.0
syngo MR 2006T C1
Contents Managing and Adjusting the System
C.2 Adjusting the System

Configuring automatic adjustment .................................. C.22
Adapting the adjustment volume ................................ C.27
Automatic sequence of adjustment steps ..................... C.219
Manual adjustment ....................................................... C.221
Optimizing the frequency ......................................... C.223
Transmitter adjustment ............................................ C.233
3D Shim ................................................................... C.239
Interactive shim ........................................................ C.248
Manual water suppression ....................................... C.256
Undoing changes ..................................................... C.263
Completing adjustment ............................................ C.263
Starting protocol adjustments manually ................... C.264
Changing the resonance frequency
after inline adjustment .............................................. C.265
Displaying adjustment results ....................................... C.270
Selecting Parameters for Display ............................. C.272
0.0
C2 Operator Manual
CHAPTER
C.1 System Manager C.1
Your MR system consists of various components: The main

component is the MR scanner located in the examination room.
Next to it are the image reconstruction system and the console
for operating syngo MR. As an option, you may also use a sat-
ellite console. C.1
These components comprise your MR system. The syngo MR

System Manager is a module that allows you to monitor, as
well as start and stop the individual components of the scan
system. C.1
0.0
syngo MR 2006T C.11

System Manager Managing and Adjusting the System
Using the image control system

and syngo MR C.1
You control and operate your MR system from the console

using the syngo MR program which runs on the Windows XP
operating system. The syngo MR program consists of different
applications, such as image processing or 3D. You may some-
times find that one or more applications no longer respond, i.e.
your commands are not accepted. If this happens, you may
close these applications separately without having to shut down
syngo MR or the operating system. C.1
Select System > Control from the main menu.

The System Manager dialog box opens. C.1
Click the Host card.
0.0
C.12 Operator Manual

Managing and Adjusting the System System Manager
Shutting down the entire system C.1
You can shut down the entire system at once (the console, the
MR scanner, and the image reconstruction system), for exam-
ple, at the end of the day or to disconnect the system from the
power supply for service work or reinitialization of the hardware
and software. C.1
Select System > End Session from the main menu.

The End Session dialog box opens. C.1
Click the Shutdown System button.

Or C.1
Click the Shutdown All button in the System Manager/

Host card.
0.0
syngo MR 2006T C.13

The Confirm Action dialog window opens. C.1
Click the Yes button.
Or click No to cancel the operation. The system does not shut

down.
Once you have closed down all programs and the operating
system, you have to switch off the components of the scan
system from the alarm box. That is the only way to ensure that
the image reconstruction system will start when you restart
the system.
see System Manual
0.0

Shutting down and rebooting the image

control system C.1
An error in the operating system or in syngo MR may mean that

you have to shut down the console only. The other components
of the system such as the MR scanner are not affected. C.1
Click the Reboot button in the System Manager.

Or C.1

Click the Restart System button.

syngo MR and the operating system are shut down and then
automatically rebooted. C.1
0.0
syngo MR 2006T C.15

Closing syngo MR and rebooting C.1
You may have to close syngo MR if it no longer responds. You

may then restart it automatically. C.1
Just click the Restart syngo MR button in the System Man-

ager.
Or C.1

Click the Restart Application button.
0.0

The program syngo MR and the operating system were shut

down. In case Auto-Login is active, all processes will be started
again. C.1
Without Auto-Login, the user has to register again prior to boot-

ing the system (e.g. as "user xy"). C.1
When the safety package is active, the user has to register

again prior to booting the system. C.1
0.0
syngo MR 2006T C.17

Forced shutdown/reboot C.1
If errors occur in the operating system or in the syngo MR appli-

cation, you may respond either by properly shutting down the
software or forcing the system to shut down. Following a forced
shutdown, the system will be operational again in a short time.C.1
Select the Forced Mode option in the system manager.
Click the Reboot button on the System Manager/Host card.
Or C.1
Click the Shutdown All button in the System Manager/Host

card.
Or C.1
Click the Restart syngo MR button in the System Manager/

Host card.
The system shuts down. C.1
C.1
C AU T I O N
After a forced system shut down, all unsaved data and
unfinished filming or storage jobs will be lost. All
background activities are forced to terminate. C.1
0.0

Handling applications C.1
syngo MR includes a series of applications that may be started

and closed individually. C.1
The syngo MR applications that run on your main console are

listed under Application Name in the System Manager. C.1
The status of each application is also displayed: C.1
running
The application is in progress.
not running
The application is not running.
undefined
The application status has not been received shortly after
starting the system manager.
not responding
It is not possible to communicate with this software compo-
nent.
unknown name
Certain components of the application are not available.
stop in progress
The application is being shut down.
startup in progress
The application is being started up.
0.0
syngo MR 2006T C.19

Stopping an application C.1 You may stop an individual application (e.g. the 3D module) to
save memory space. C.1
Select the application from the list.

Then click the Stop Application button.
Initially, the application shows the status stop in progress.

Then it changes to status not running.
The Activity Progress window shows you how far the selected
action has progressed. The progress bar allows you to monitor
the progress of actions that take a long time.
C.1
Starting an application C.1 You may explicitly start applications that you have stopped or
that do not start automatically. C.1

Click the Start Application button.
Initially, the application shows the status start up in

progress, and then running, once the application is running.
Restarting an application C.1 You can shut down and restart applications, e.g. if they are no
longer responding. C.1

Click the Restart Applications button.
0.0

Locking the computer C.1
If you have to leave the workstation for a short time, you can
protect the data on the computer from unauthorized access
without having to log off. C.1
This function is available only if the syngo security system is

activated on your system.

The End Session dialog box opens.
C.1
Click the Lock Computer button.
A login window opens. It hides the user interface of the pro-

gram. C.1
When you want to resume work on the workstation, you only

need to log on again. C.1
You will find detailed information about logging on and off in

syngo MR and about access rights in general in Part Safety
Standards.
0.0
syngo MR 2006T C.111

Logging off C.1
When you have finished working with the system, you must log
off. C.1

C.1
Click the [user name] Logoff button.
C.1
NOTE
When a user logs off, unsaved data are irretrievably
lost. C.1
Always check for unsaved data and save any data you want
to keep before logging off. C.1
A logoff window opens. Opened patient data are unloaded. It

hides the user interface of the program. C.1
Another user can now log onto the system. C.1

syngo MR and about access rights in general in the Safety
Standards part.
0.0

Logging on a new user C.1
A new user can log onto the system even if the current user has
not logged off. C.1


C.1
Click the Log on new user button.
A login window opens. It hides the user interface of the pro-

gram. C.1
Enter a new user name in the dialog box.

If you have the same user rights as the previous user, you can
work with the loaded data again. If you have fewer rights, the
data used by the previous user will be unloaded.
Standards part.
0.0

Changing your password C.1
You can change your password in an input dialog box. C.1


C.1
Click the Change Password button.
An input dialog box is displayed. C.1
Enter the old password in the first field for authentification.

Enter the new password in the next field. Repeat the new
password in the third input field for checking.
Upper and lower case letters are treated as different characters.C.1
Standards part.
0.0

Monitoring the image

reconstruction system C.1
The raw data supplied by the scan system are reconstructed by

the image reconstruction system. Like the image control sys-
tem, you can also close down and restart this system, for exam-
ple, if a fault occurs. C.1
Together with the MR Scanner the image processor can be

switched to standby.
Page C.121, Switching the Power Supply to Standby

Go to the Image Reconstr. System card.
0.0

Displaying the status of the The status bar of the system contains an icon indicating the sta-
image reconstruction tus of the image reconstruction system:
system C.1 C.1
Status: The image reconstruction system is ready.

C.1
If the image reconstruction system is not ready, the icon has a

red line through it. C.1
The image processor may be in the standby mode (not volt-

age supply).
Double-clicking on the icon opens a dialog box with an expla-
nation.
Rebooting the image reconstruction system C.1
In the event of a fault, you can shut down and reboot the entire
image reconstruction system.
C.1
Click the Reboot button.
The image reconstruction system will be shut down and reboo-

ted. It is not possible to operate it again until the status of the
monitored applications switches from not running to running.C.1
0.0

Shutting down and rebooting components C.1
The Component Control window of the Image Reconstr. Sys-

tem card shows which software components of the image
reconstruction system are running and what status they have.C.1
If a software error occurs during scanning or image reconstruc-
tion, you may restart the components of the image reconstruc-
tion system separately.
C.1
Restarting software If errors occur during image calculation, all software compo-
components C.1 nents running on the image reconstruction system, except the
Peripherie Server (peripheral server), will be shut down and
restarted.
C.1
Click the Restart Image Calculation button.
The Activity Progress window shows how long it will take to

shut down and restart the software components. C.1
The system is ready for scanning again once the components

of the image reconstruction system have restarted. C.1
The status of the Peripherie Server (peripheral server) com-

ponent must be running while the software components
restart.
0.0

Restarting the Peripherie The Peripherie Server (peripheral server) component estab-
Server (peripheral server) lishes the connection with the MR scanner and is restarted sep-
component C.1 arately.
C.1
Click the Restart Peripherie Server button.
The Peripherie Server (peripheral server) component is shut

down and restarted. C.1
The status of the image calculation components stays running.C.1

Shutting down and restarting the Peripherie Server (periph-
eral server) component of the image reconstruction compo-
nent takes longer than restarting the image calculation com-
ponents.
0.0

Controlling the MR scanner C.1
The computer system of the MR scanner also has an operating

system. You can display the current status of individual compo-
nents of the MR scanner and switch the power supply on and
off. C.1

Go to the MR Scanner card and click it in foreground.
0.0

Operating status of the All the components of the MR scanner are listed under Compo-
individual components C.1 nent Name. C.1
The current status of the components (ok or not ok) is shown

in the State column. C.1
OK Not OK
The list is updated automatically. The MR scanner is not
always online while it is rebooting. Therefore, it is not possible
to display the status of scanner components during booting.
During this time, the MR Scanner window shows the mes-
sage "The Scanner is not online".
Helium fill level C.1 C.1
The helium fill level is shown below the list on the MR Scanner
card. The display is in % (percentages).
C.1
Status of the MR scanner C.1 The status of the MR scanner is shown both on the
MR Scanner subtask card and on the status bar of the system.
C.1
Status: MR scanner is ready.

C.1
If the MR scanner is not online or is booting, the icon has a red

line through it. C.1
0.0

Rebooting the operating system C.1
If an error occurs in the operating system of the MR scanner

during operation, you can eliminate the error by shutting down
and rebooting the operating system.
C.1
Click the Reboot button.
Switching the Power Supply to Standby C.1
Switching the MR scanner If you do not intend to perform scans for a longer period of time
and image processor to or only want to process or evaluate images on the console, you
standby C.1 can save energy by switching off the voltage supply to the MR
Scanners and image processor.
C.1
Click the Stand By button.

Or C.1
Switch the scanner and image processor to standby via the

Alarm Box.
C.1
NOTE
After switch-over to standby, it is not possible to start a new
scan. C.1
0.0

If the image processor no longer contains jobs in the job list, it

is immediately switched to standby. Subsequently, the
MR Scanner is switched to standby as well. C.1
However, if the image processor still has jobs in the job list, it
may not be possible to immediately end these jobs. C.1
In this case, the dialog SystemManager - Scanner StandBy

appears: C.1
This dialog allows you to determine whether and how the image
processor should be shut down. C.1
0.0

C.1
Option Consequences
Proceed The image processor is shut down only after calculating the
current image processor jobs. This may take several
minutes. There is no associated loss in data. The dialog box
is closed and cannot be called up again.
Cancel Shut-down of the image processor is stopped.
End Now The image calculation in progress is ended immediately.
Data may be lost in this case.
Click the button for the desired option.

Shut-down of the image processor is displayed via various
status messages.
Switching the power If your MR scanner is in Stand By mode, you can switch on the
supply on again C.1 power supply again to resume scanning.
C.1
Click the System On button.
You can also switch the power supply of the MR scanner on

or off in the alarm box.
see System Manual
0.0

Tools C.1
The Tools card is used to acquire diagnostic information or

check important system files. C.1

Go to the Tools card.
0.0

Gathering diagnostic information C.1
If a software error occurs during scanning, it is recommended

to create a "MrSaveLog" file immediately. It contains valuable
diagnostic information.
C.1
Click the Save System Log-Files button.
The "MrSaveLog" file is created. It contains all diagnostic infor-

mation valid at the time the error occurred. It is stored in the
C:\MedCom\MriDiagnostic folder as a ZIP file. Siemens Service
will be able to use the ZIP file for subsequent analysis. C.1
The diagnostic information it contains can be used to help

locate the error.
0.0

Displaying changed files C.1
The most important system files are checked every time the
system boots.
C.1
Click the View Consistency Log button.
The "MrConsistency-Checker" checks the system files for

changes every time the system boots. The result is saved in a
log file. You can view the content of this file in the Sup-
port&Diagnostic Tools window by clicking the View Consis-
tency Log button. C.1
Never install additional software on the system. Installation

could replace existing system files and impair the scanning
capability of the system.
C.1
0.0

Displaying system information C.1
syngo MR also displays information about your scan system.

This includes information regarding memory capacity as well as
memory still available.
C.1
General system information C.1
General system information is required, e.g. when you contact

Siemens Service regarding problems. Problems can be solved
more quickly if you specify the serial number of the system and
the software version. C.1
Select Help > Info ... from the main menu.

The Info ... dialog window opens. C.1
Go to the General card.
0.0

(1)
(2)
(3)
(4)
(5)
(6)
(1) Product name

(2) Series number
(3) Software used
(4) Software version
(5) Software name
(6) Information about license holder; name, hospital or prac-
tice, and product identification number (product ID)
0.0

Information about the system C.1
The System card provides further information about your scan

system. Here, you will find information about hardware and soft-
ware options (e.g. cameras and printers) as well as the coils
currently available. C.1

Go to the System card.
0.0

Drive and database information C.1
The Disk/Database card displays the drives and hard disks

currently connected, including information about the capacity
and free space still available. It also displays how much space
is available in terms of images. C.1

Go to the Disk/Database card.
0.0

Displaying the drives C.1 The Disk list displays all physical (e.g. CD-ROM) and logical
(e.g. network drives) drives. The capacity and free space still
available is listed next to them. C.1
The following information about these drives is displayed: C.1
drive letter, e.g. diskette drive A

type of drive, e.g. CD-ROM
logical name of the hard disk
name of computer to which memory medium is connected
manufacturer of the memory medium
capacity of the memory medium (in MB)
free space available in MB
0.0

Displaying the databases C.1 The Database list contains all local databases that contain
header as well as pixel data. C.1
You are also told how many images can still be stored for each
matrix. C.1
The following information is displayed: C.1
Name of the database

Number of images 256 256 matrix images that can still be
stored
Number of images 512 512 matrix images that can still be
stored
Free space in the database partition for header data (in kB)
Free space in the pixel data partition (in kB)
0.0

Network information C.1
If your console or satellite console is connected to a network,

you may view network-specific information on the Network
card. C.1

Go to the Network card.
0.0

Updating the network If the dialog window has been open for a while, you may refresh
display C.1 the network information display.
C.1
Click the Refresh Network State button.
0.0

Displaying patents C.1
The Patents card lists all the patents used by syngo MR. C.1

Go to the Patents card.
0.0

Updating the display C.1
If the Info... dialog window has been open for a while, you may
refresh the data displayed.
C.1
Just click the Refresh button.
The button is only active if you have selected the System,

Disk/Database, or Network card.
0.0

CHAPTER
C.2 Adjusting the System C.2
To consistently obtain high-quality images, it is important to

adjust the scan protocol prior to each protocol. For this purpose,
individual settings are available which perform automatic
adjustments before each protocol. C.2
However, manual adjustment of the scan system is sometimes

required for special scanning methods such as spectroscopy. C.2
With shimming you compensate for inhomogeneities of the
magnetic field. C.2
An adjustment volume is defined for each protocol. Most adjust-

ments refer to this volume, which you may display during
graphic slice positioning. You may change it there or on the
System parameter card, as required.
Page C.27, Adapting the adjustment volume C.2
0.0
syngo MR 2006T C.21

Adjusting the System Managing and Adjusting the System
Configuring automatic adjustment C.2
Automatic adjustment of the system is performed prior to each

scan. In most cases, it is not necessary to change the settings
during routine operation. You can check these parameters, but
you should normally not modify them.
C.2
Opening a protocol C.2 It is only possible to view the parameters of a protocol if it is

open. C.2
Select a protocol in the program control.

Click the Open button or double-click the selected program.
The protocol opens and the specific parameters are displayed.
C.2
You may view and edit (if required) the automatic adjustment
parameters on the System parameter card. C.2
Go to the System parameter card.
C.2
NOTE
All system adjustment settings made on the System
parameter card only apply to the protocol currently open. C.2
0.0

Managing and Adjusting the System Adjusting the System
Settings on the Go to the Adjustments card.

Adjustments card C.2
(1) Select shim mode

(2) Perform adjustments with the body coil
(3) Change the resonance frequency
(4) Adjustment in silicone mode
(5) Changing the reference amplitude
(6) Geometry of the adjustment volume
0.0
syngo MR 2006T C.23

Setting shim mode C.2 For the 3D-shim, up to three settings are available per protocol
depending on the various scanning requirements: C.2
Tune-up; neither adjustment scans nor evaluations are nec-

essary. The system uses the values set during system tune-
up by Siemens Service. This setting is sufficient for normal
imaging protocols without special requirements.
Standard; Adjustment scanning and evaluation are per-
formed in standard mode. This mode is suitable for imaging
protocols with special requirements, for example, for fat sat-
uration or EPI.
Advanced; Adjustment scans and evaluation are performed
in advanced mode. This mode is mainly used for spectros-
copy protocols. Advanced mode is time consuming and is
only necessary for scans that place the greatest demands on
the homogeneity of the magnetic field.
Each protocol is preset to the mode required for optimum image

quality. C.2
Select a shim mode from the list.
It is also possible to use the manual interactive shimming

method, independent of this protocol setting.
Page C.248, Interactive shim C.2
0.0

Performing adjustments Normally, all adjustments are performed using the coil elements
with the body coil C.2 defined in each protocol and used during subsequent imaging.
You may also perform the adjustment measurements using the
body coil only. This method saves time, since it is not necessary
to make readjustments after changing the selection of coil ele-
ments. C.2
Click the Adjust with body coil option.

For spectroscopy protocols, it is not possible to perform
adjustments using the body coil.
Confirming or changing the After an inline adjustment, you may pause the system and
resonance frequency C.2 accept or change the resonant frequency. C.2
Click the Confirm freq. adjustment checkbox.

Page C.265, Changing the resonance frequency after
inline adjustment
0.0
syngo MR 2006T C.25

Adjustment in silicone The Assume Silicone option optimizes scanning for patients
mode C.2 with silicone implants. C.2
Click the Assume Silicone checkbox.
Changing the reference The TxRef/Ref display field shows a list of reference ampli-
amplitude C.2 tudes for the selected primary or secondary nucleus. C.2
Enter new values for the reference amplitude.

All manually modified values are marked with an exclamation
point ("!") and will be ignored during the next optimization. C.2
You can undo your manual settings at any time. C.2
Click the Reset button on the Transmitter/Receiver param-

eter card.
The automatically calculated values are now displayed again.C.2
0.0

Adapting the adjustment volume C.2
A localized volume, the adjustment volume, is defined for each

protocol for tuning the transmitter and receiver. The adjustment
volume defines the space in the magnet for which the parame-
ters will be optimized. It is determined automatically but may
also be adjusted manually.
C.2
Imaging protocols C.2 The default setting of the adjustment volume depends on the
slices and slabs. In most cases, an orthogonal cuboid com-
pletely encloses the slices or slabs to be measured.
C.2
Spectroscopy protocols C.2 Here, the adjustment volume is equivalent to the VOI.
C.2
C.2
NOTE
Protocols that do not require shim adjustment
measurements (e.g. tune-up mode) or water suppression
adjustment use a fixed adjustment volume in the form of a
large central cuboid.
This saves time since readjustment is not necessary after
slice positioning.
Of course, you may also manually adapt the adjustment
volume at any time. C.2
0.0
syngo MR 2006T C.27

Editing the adjustment During graphic slice positioning, you may display the adjust-
volume graphically C.2 ment volume as an additional graphic object in the reference
images. C.2
Click this button on the Position Toolbar.

The adjustment volume is shown as a green rectangle in each
reference image and may now be edited graphically. C.2
0.0

Adjustment volume To enlarge/minimize you must first select the adjustment vol-
selecting C.2 ume. C.2
Click the contour line of the adjustment volume.

The adjustment volume turns bright green. The center and
resizing handles are displayed. C.2
(1)
(2)
(3)
(1) Resizing handles/contour line

(2) Contour line
(3) Center for moving
0.0
syngo MR 2006T C.29

Moving the adjustment Place the mouse pointer on the center of the adjustment vol-
volume C.2 ume.
The mouse pointer changes shape. C.2
Press the left mouse button and drag the adjustment volume
to its new position.
Or C.2
Place the mouse pointer on a contour line or a handle, press

the Shift key and left mouse button, and drag the adjustment
volume to its new position.
0.0

Resizing the adjustment Click a contour line of the adjustment volume if the handles
volume C.2 of the adjustment volume are not yet visible.
Place the mouse pointer on one of the handles.
Press and hold the left mouse button while dragging the han-
dle in the desired direction.
The size of the adjustment volume is increased/decreased
symmetrically. C.2
The center of the adjustment volume remains unchanged.

C.2
To change the size of the adjustment volume asymmetrically,

i.e. increase/decrease its size in only one direction: C.2
Also press the Alt key while performing the steps described
above.
The center of the adjustment volume is moved accordingly. C.2
0.0

Rotating the adjustment The volume element may be rotated about its center point. The
volume C.2 rotational axis is now perpendicular to the reference image. C.2
Place the mouse pointer on the contour line of the adjust-
ment volume, but not on a handle.
Hold down the left mouse button and drag the contour line of
the volume element in the desired direction.
The adjustment volume may only be rotated about the center in
one spatial direction.
C.2
Tilting the adjustment The volume element can be tilted about an axis that runs paral-
volume C.2 lel to the reference image and through the center point. C.2
Press the Alt key and drag the contour line in the required
direction.
The tilting axis is perpendicular to the movement of the
mouse. C.2
0.0

Adjustment volume Free rotation of the adjustment volume is a combination of rota-

rotating freely C.2 tion and tilting and is supported in all three spatial directions. C.2
Click a contour line of the adjustment volume if the adjust-
ment volume handles are not yet visible.
Press the Ctrl key and drag a handle or a contour line.
Drag the adjustment volume tangentially towards the adjust-
ment volume to rotate it.
Or C.2
Perform a radial movement (radiating away from or toward

the center) to tilt the adjustment volume.
tangential movement radial movement
The rotational axis runs through the center of the volume ele-
ment and is perpendicular to the reference image. C.2
0.0

Adjustment volume To set the adjustment volume with millimeter precision, you may
set numerically C.2 also enter the parameters numerically. The respective input
fields are located on the Adjustment subtask card of the Sys-
tem parameter card.
C.2
To manually set the adjustment volume, first select an orien-

tation.
Or C.2
Enter an orientation in the Orientation dialog box.
The Position field displays the current position of the adjust-

ment volume. C.2
Enter a new position for the adjustment volume in the Posi-

tion dialog box.
Page F.523, Geometry parameter card
Enter the angle for rotating the adjustment volume in the

Rotation spin box.
Enter the edge length of the adjustment volume in the A >> P

(anterior/posterior) direction.
Enter the edge length of the adjustment volume in the F >> H

direction (feet/head).
0.0

Finally, enter a translation of the edge length of the adjust-

ment volume in the R >> L direction (right to left).
Applying the settings C.2 To apply the settings simply press the Return key after
numeric input.
Or C.2
Click the image area with the mouse to update the graphic
display.
Settings Click Reset to reactivate automatic calculation of the adjust-

the warning signal C.2 ment volume.
The exclamation points are now hidden. C.2
0.0

Adjustment parameter The System Transmitter/Receiver parameter card shows the

display in the protocol C.2 results of the last successful automatic adjustment. C.2
Click the tab of the System card to move it into foreground.

Click the Transmitter/Receiver card into foreground.
(1) (5)
(2)
(3)
(6)
(4)
(1) Display system frequency

(2) Display reference amplitude
(3) Display the correction factor for water suppression
(4) Amplitude of the RF pulses used in the protocol
(5) Receiver gain
(6) FFT scale factors of the individual images from each coil
element
0.0

The left side of the parameter card displays the values of the
last successful transmitter tuning: C.2
the MR system frequency under Frequency

the pulse amplitude calibration under Ref. amplitude
the factor for water suppression under Correction factor
All pulse amplitudes are calculated from the reference ampli-

tude and, if necessary, the correction factor. C.2
This parameter card also allows you to overwrite the automati-

cally corrected pulse amplitudes by entering new values.
C.2
The right side of the Transmitter/Receiver parameter card

shows the values for the receiver gain automatically calculated
by the system: C.2
the gain level of the receiver

the FFT scale factors for the individual images of each coil
element
Here too, you have the option of overwriting the automatically

calculated values by entering new values. C.2
0.0

Undoing changes C.2 All manually changed values and settings are marked by an
exclamation point ("!"). C.2
You can undo your manual settings at any time. C.2
Click the Reset button on the Transmitter/Receiver param-

eter card.
The automatically calculated values are now displayed again.C.2
0.0

Automatic sequence of adjustment

steps C.2
Special adjustments are performed automatically for each pro-

tocol. To avoid having to perform a complete adjustment each
time, the system checks the adjustment status and uses adjust-
ment results from a previously scanned protocol, if possible. C.2
The results can normally only be applied if the following param-
eters of the two protocols remain unchanged: C.2
the table position

the coil elements used
the shim mode (standard/advanced/tune-up)
the adjustment volume
Dependencies between When adjusting the system, the sequence of adjustment oper-
adjustments C.2 ations is important since some adjustments may invalidate the
results of previously performed adjustments. After 3D-shim, for
example, frequency adjustment is automatically performed
again because changing the magnetic field causes the system
frequency to change.
These dependencies are always taken into account by auto-
matic adjustments. C.2
0.0

Validity of the adjustment The adjustment parameters obtained after successful adjust-
parameters obtained C.2 ment may be used for further protocols. They become invalid in
the following cases: C.2
a new patient is registered

the parameters are invalidated explicitly
Page C.271, Rejecting all adjustment results
the coils on the patient table are changed
As already mentioned, dependency on the coil elements can be

avoided by selecting Adjust with body coil. The dependency
on the adjustment volume may be avoided via the shim mode
tune-up without water suppression.
Page C.23, Settings on the Adjustments card C.2
This reduces the number of adjustment steps and saves time.C.2
0.0

Manual adjustment C.2
Manual adjustments must only be performed by experienced

users and are mainly intended for test purposes, error analysis,
or for special applications such as spectroscopy. C.2
The following adjustment options are available: C.2
Optimizing the resonance frequency

3D shim and interactive shim
Tuning the transmitter
Optimizing water suppression
Interactive shimming may only be performed manually.

The number of adjustment options available depends on your
system.
C.2
NOTE
Manual adjustment of the system should only be performed
by experienced users and should not be performed during
routine operation. C.2
0.0

Opening a protocol C.2 Open the protocol that requires manual adjustment. C.2
Click the Open button in the program control or double-click

the entry.
The protocol-specific parameters are displayed on the parame-
ter cards.
C.2
The individual steps of manual adjustment are described

below. C.2
0.0

Optimizing the frequency C.2
When optimizing the frequency, you may determine the exact

proton resonant frequency. For this purpose, you may enter var-
ious parameters and accept the frequency calculated for the
scan system following adjustment. The results are first trans-
ferred from the time domain into the frequency domain via Fou-
rier transform. The resonance frequency of the water protons is
calculated from the peak position of the water.
C.2
Preparing for adjustment C.2 Select Options > Adjustments and go to the Frequency
card.
0.0

(1)
(6)
(2) (7)
(8)
(3) (9)
(10)
(4)
(11)
(5) (12)
(1) Numeric results

(2) Real part of the measurement signal in the time domain
(3) Imaginary part of the measurement signal in the time
domain
(4) Amplitude in the frequency domain
(5) Phase in the frequency domain
(6) Temporary transmit frequency
(7) Display of system transmit frequency
(8) Transmit amplitude
(9) Sequence and resolution
(10) Receiver gain
(11) Selection of the coil measurement signal for graphic dis-
play
(12) Specific display when entering frequency or amplitude
0.0

Certain parameters have to be entered prior to performing the

frequency adjustment.
C.2
Entering the frequency C.2 A different transmit frequency may be used for each iteration. C.2
You can enter a new transmitter frequency in the Frequency

(temp) input field.
You can also determine the frequency graphically and trans-
fer it to the input field.
Page C.230, Transferring the frequency
The frequency currently used is displayed in the field under-

neath for comparison. C.2
The temporary frequency that you may enter yourself is only

used for adjustment scans. The system frequency is used for
examinations.
0.0

Amplitude C.2
You can enter the transmit amplitude to be used for the scan.
Range display C.2 You can use the range display to verify whether your inputs for
the frequency and amplitude are correct. You have to correct
them if they are out of range. C.2
When you enter the amplitude, the labeling of the range dis-
play is modified accordingly. It will then show the amplitude
values.
0.0

Sequence and resolution C.2 The following options are available: C.2
Broadband not volume-selective (FID 400 Hz)

Narrowband not volume-selective (FID 10 Hz)
Narrowband volume-selective (STEAM 10 Hz)
If the frequency lies outside the narrowband standard range (no

resonance line in the spectrum), it is recommended to search a
wide frequency band first to limit the frequency. To subse-
quently adjust the transmit frequency, you will have to work with
a narrow frequency band. C.2
Following each non-volume-selective adjustment scan, it is

necessary to perform at least one volume-selective adjust-
ment.
Select a sequence and resolution from the list.
0.0

Selecting the gain C.2 You may set the receive gain to match the intensity of the mea-
sured signal. C.2
Click the Low button if the receive signal is strong.

Or C.2
Click the High button if the receive signal is weak.

If necessary, the system will adjust this setting automatically.
Starting to scan C.2 After you have entered all parameters, you can start the adjust-
ment. C.2
Click the Go button.
Canceling the
measurement C.2
Click the Abort button to cancel an adjustment scan in

progress.
0.0

Results display C.2 The results are displayed both numerically and graphically.
C.2
Numeric results C.2 The results are listed below the running numbers. The following
parameters are displayed: C.2
No.; running number of the measurement

Freq. [MHz]; transmit frequency in MHz
Ampl. [V]; transmit amplitude of the adjustment measure-
ment
Pos.; position of the largest "peak" of the amplitude in the
frequency domain (in units of the signal graph)
Diff [Hz]; Difference between the transmit frequency and the
calculated "better" frequency
C.freq. [MHz]; calculated, "better" frequency
A.; transmit frequency successfully adjusted (Yes/No)
0.0

Graphic results C.2 The results are displayed graphically in both the time and the
frequency domain. The maximum values of the raw data set are
displayed numerically in the graphics. C.2
If available, the "resonance peak" is highlighted.

C.2
Vertical marker C.2 A vertical marker is shown when you position the mouse pointer
inside the graphic display of the frequency domain. It indicates
the delta frequency of the calculated resonance frequency. If no
peak was detected during the adjustment, the absolute fre-
quency is indicated instead. C.2
The position of the resonance frequency is indicated by a

small line at the top of the graphic.
Transferring the You may select a frequency graphically by moving the vertical
frequency C.2 marker. C.2
Just left-click the line.

The frequency is entered in the Frequency (temp) field. C.2
0.0

Inverting the frequency A context menu is available when the mouse pointer is posi-
axis and zooming the tioned inside the graphic display of the frequency domain. C.2
graphic C.2
You can invert the default display of all frequency axes (from left
to right) or zoom into the detected peak. If no peak is available,
the program zooms into the center of the graphic. C.2
When you select a new patient, the default display of the fre-
quency axes is restored. Any zoom applied is reset when you
perform a new measurement.
0.0

Receive channel The receive channel is used to select the signals of the local
selecting C.2 coils. In addition to the receive channel (Ch.), the coil name
(Coil) and the connector (Con.) are displayed in the selection
list. C.2
The Combined entry is used to select the combined signal of

all coils selected.
Select the receive channel whose signal you want displayed.
Accepting the frequency After successful adjustment "Y" in the numeric result field), the
for the measurement frequency is automatically loaded in the scan system. This may
system C.2 require several iterations.
C.2
Manual acceptance You may correct the frequency manually if the system cannot
without successful detect the correct frequency, e.g. due to the proximity of the res-
adjustment C.2 onance signals.
C.2
Enter a value in the Frequency spin box.

Or C.2
Accept the frequency graphically using the vertical marker.
Click the Apply button in the Manual adjustments dialog

box.
This frequency is then used as the system frequency for subse-
quent scans. C.2
0.0

Transmitter adjustment C.2
Transmitter adjustment is used for calibration of the transmitter.

The reference amplitude is continuously varied until the spins
are rotated 180 (flip angle) by the RF pulse. Two echoes are
generated, one normal echo and one stimulated echo. The
magnitude and the phase relation of both echoes is directly
related to the targeted flip angle.
C.2
Preparing for adjustment C.2 Select Options > Adjustments and go to the Transmitter
card.
0.0

(1)
(2) (7)
(8)
(3)
(9)
(4)
(10)
(5) (11)
(6) (12)
(1) Displaying numeric results

(2) Normal echo (Echo 1) and stimulated echo (Echo 2)
(4) Imaginary part of the measurement signal in the time
domain
(5) Amplitude of the measurement signal in the frequency
domain
(6) Phase of the measurement signal in the frequency domain
(7) Enter the temporary reference amplitude
(8) System reference amplitude
(9) Start amplitude
(10) Receiver gain
play
(12) Range display
0.0

Transmitter calibration involves performing scans, each with a

slightly different reference amplitude.
C.2
Entering the amplitude C.2
For each scan, you can enter a new reference amplitude in

the Amplitude (temp) spin box.
For comparison, the amplitude currently used by the system is
displayed below. C.2
The temporary amplitude that you enter is only used for

adjustment scans. The system amplitude is used for exami-
nations.
Start amplitude C.2 The Start amplitude text field shows the amplitude value (spe-
cific parameter of the transmitter coil) used for the first iteration.C.2
0.0

Range display C.2 The range displayed shows the range available for the refer-
ence amplitude. If your entry is outside the range, you have to
correct it accordingly. C.2
Selecting the gain C.2 You can set the receiver gain depending on the signal intensity.
Page C.228, Selecting the gain
C.2
ment. C.2
Canceling the
measurement C.2

progress.
0.0

Results display C.2 The results are displayed both numerically and graphically.
C.2
Numeric results C.2 The results are listed below the running number of the iteration.
The following parameters are displayed: C.2
No.; running number of the adjustment measurement

Ch.; receive channel used to calculate the results
Amp.; transmitter amplitude of the adjustment scan
int1; integral data of the first echo
Ph1; phase of the first echo
int2; integral data of the second echo
Ph2; phase of the second echo
i2/i1; projection of the second echo on the first echo
Angle; measured flip angle
C. amp.; calculated "better amplitude"
A.; transmitter successfully adjusted (Yes/No)
0.0

Graphic results C.2 The following results are displayed graphically: C.2
Real and imaginary part of the echo in the time domain

Amplitude and phase of the respective echo in the frequency
domain
The graphics show the maximum value of each raw data set.
C.2
selecting C.2 coils.
C.2
Accepting the frequency After successful adjustment ("Y" in the numeric field), the
for the measurement amplitude is automatically transferred to the scan system.
system C.2
C.2
Manual acceptance Within a certain range, you can also enter a reference ampli-
without successful tude and manually transfer it to the system without adjustment
adjustment C.2 scanning. C.2
Click the Apply button.

The amplitude is used as the reference amplitude for the follow-
ing scans. C.2
0.0

3D Shim C.2
The 3D shim allows you to correct inhomogeneities of the mag-

netic field. C.2
Scanning is performed in two steps: C.2
(1) First, you generate a "field map" by accepting a 3D data

set. A "field map" is a three-dimensional description of the
magnetic field.
(2) Subsequently, the shim parameters are calculated.
After interactive shimming, you have to readjust the fre-

quency. The frequency is automatically adjusted by the sys-
tem if you do not do this yourself.
Preparing for adjustment C.2 Select Options > Adjustments and go to the 3D Shim card.
0.0

(1)
(7)
(5)
(8)
(2)
(9)
(6)
(10)
(3)
(4)
(11)

(2) Image area for display of the field map (64 images)
(3) Slider for windowing the images
(4) Switchover between magnitude and phase display
play
(7) Name of the field map (temporary and system)
(8) Mode selection for field map display (standard and
advanced)
(9) Receive gain
(10) Temporary shim parameter set
(11) System shim parameter set
0.0

Before you can perform the 3D shim, you first have to enter the
necessary parameters. The system suggests a default value.
C.2
Entering the transmit

amplitude C.2
You can enter the transmit amplitude for the adjustment.
C.2
Entering the shim The nine parameters are part of a parameter set that describes
parameters C.2 the field correction.
C.2
You can enter the transmit frequency for the measurement in

spin box A00.
You can enter the components of the linear gradients in spin

boxes A11, B11 and A10.
Depending on the configuration of your system, you can

enter the second order shimming currents in input fields A20,
A21, B21, A22 and B22.
These shim parameters are used for field map acquisition. C.2
0.0

Loading from tune up C.2 Alternatively, you can load the parameters from the last system
tune up as temporary parameters. C.2
Click the Load Tune Up button.
Or C.2
Loading system Load the parameters currently used by the system as tempo-
parameters C.2 rary parameters. C.2
Click the Load System button.

The system parameters are loaded.
C.2
Mode selection C.2 The shim mode used to perform the adjustment is defined with
the protocol.
Page C.24, Setting shim mode C.2
The active button shows you which mode is active (tune-up,

standard, or advanced).
C.2
Switch modes by clicking the inactive button.
0.0

Selecting the gain C.2 You can set the receiver gain to match the intensity of the mea-
sured signal (low/high).
C.2
ment. The scan takes approximately 20 seconds.
C.2
Click the Measure button.

Or C.2

progress.
0.0

Displaying the field map C.2 The field map is displayed in the image area of the dialog box.
images are shown with a maximum resolution of
64 64 pixels. C.2
Field map, magnitude display Field map, phase display
The tomographic images are displayed row by row. C.2
0.0

Windowing images C.2 If the window values of the images are not optimally set, you
may readjust them manually using the two sliders in the bottom
right-hand corner of the image area. C.2
Move the vertical slider to adjust the contrast.

Move the horizontal slider to adjust the width.
Selecting magnitude or You may display the images as magnitude or phase images.
phase image C.2 C.2
Click the Magnitude button to display magnitude images.

Or C.2
Click the Phase button to display phase images.
Selecting the receive The receive channel is used to select the signals of the local
channel C.2 coils. In addition to the receive channel (Ch.), the coil name
list. C.2

all coils selected.
0.0

Shim parameters After scanning has been completed and the results are dis-
calculating C.2 played, you may calculate the new shim parameters.
C.2
Click the Calculate button to start the calculation.

The parameters are recalculated and may be used as a basis
for the next field-map scan. They are displayed in the list of
numeric results.
C.2

A00; transmit frequency
A11, B11, A10; linear gradients
A20, A21, B21, A22, B22; second order shim currents
C.2
NOTE
The three-dimensional field-map scan always shows the
entire homogeneity volume of the magnet independent of
the adjustment volume.
The adjustment volume is taken into consideration and the
field homogeneity is optimized during the calculation of the
shim parameters. For this reason, changing the adjustment
volume also results in different shim parameter settings for
the same field map. C.2
0.0

Accepting the field map The temporary field map (valid locally for the adjustment) may
for the scan system C.2 be applied to the scan system.
C.2
Click the Apply button in the upper section of the dialog box.
Manual acceptance of the After you have calculated the new parameters with Calculate,
calculated parameters C.2 you may apply them directly to the scan system as temporary
parameters. At the same time the Field Map is transferred to the
scan system.
C.2
Click the Apply button in the lower part of the dialog box.
Manual acceptance You can also enter shim parameters and apply them to the scan
without successful system without performing a scan or calculation. C.2
adjustment C.2
Click the Apply button in the lower part of the dialog box.
The parameters will be applied to the scan system. C.2
0.0

Interactive shim C.2
Similar to 3D shim adjustment, interactive shimming compen-

sates for inhomogeneities of the magnetic field. You can enter
the shim parameters and monitor the measurement of the MR
signal on the screen in real time. If you enter new parameters,
the changes are reflected in the results of the following MR sig-
nal measurement. You may continue shimming the magnetic
field until it meets your requirements. C.2
After interactive shimming, you have to readjust the fre-

quency. The frequency is automatically adjusted by the sys-
tem if you do not do this yourself.
Preparing for adjustment C.2 Select Options > Adjustments from the menu and go to the
Interactive shim card.
0.0

(1)
(2) (7)
(8)
(3) (9)
(10)
(4)
(5)
(6)
(11)
(12)
(1) Numeric results

(2) Display of best shim Result
(3) Amplitude of the measurement signal in the time domain
domain
(8) Physiological parameters
play
(10) Temporary shim parameters and shim parameters cur-
rently used by the system
(11) Sensitivity when changing shim parameters
(12) Range display for entering the amplitude or the shim
parameters
0.0

As soon as you go to the Interactive Shim card, the start

parameters are displayed.
C.2
Physio selection C.2 For the adjustment scan, you may apply physiological measure-
ment parameters from the relevant parameter card of the proto-
col.
C.2
Change the selection by clicking the inactive button.
Entering the transmit

amplitude C.2
You can enter the transmit amplitude for the adjustment.
Entering the shim The nine parameters are part of a parameter set that describes
parameters C.2 the field correction.
C.2
You can enter the transmit frequency for scanning in input

field A00.
You can enter the components of the linear gradients in the

A11, B11, and A10 input fields.
Depending on the configuration of your system, you can

enter the second order shimming currents in input fields A20,
A21, B21, A22 and B22.
0.0

Using the plus and minus Instead of entering shim parameters numerically, you can
buttons increase or decrease their values using the plus or minus but-
C.2 ton. C.2
The Sensitivity slider allows you to define the increments for

value adjustments.
Fine tuning of shim Shimming normally begins with significant changes to the
parameters C.2 parameter values and concludes with very small adjustments
using the plus and minus buttons. C.2
Set the slider to high to change the shim parameters in

larger increments.
Set the slider to low to change the shim parameters in small
increments.
Range display C.2 The range display indicates at what interval you can change the
transmit amplitude or shim parameters. C.2
0.0

Starting to scan C.2
Start the adjustment by clicking the Measure button.

The measurement is performed continuously using the current
parameters. You can terminate continuous scanning with the
Stop button.
C.2
Display of When the measurement is complete, the results for each mea-
results C.2 surement are displayed numerically and graphically. C.2
The following parameters are displayed numerically: C.2

Rec. gain; gain setting used
FWHM (Hz), (Full Width Half Maximum)
Width of the received pulse (frequency domain) at half mag-
nitude.
Int |P|; integral of the amplitude in the time domain
T2*; transverse relaxation time
Tendency; indicates whether the parameter changes result
in shim improvement (+++) or degradation (---).
0.0

The following results are displayed graphically: C.2
The amplitude in the time domain

the real part of the measurement signal in the time domain
The amplitude of the measurement signal in the frequency
domain (Fourier-transformed measurement signal)
the phase of the measurement signal in the frequency
domain
list. C.2

all coils selected.
Changing parameters C.2 Once the measurement results are displayed, you can make
changes while the measurement is in progress. The Tendency
column provides valuable information. C.2
Change the parameters so that the full width at half maxi-

mum (FWHM) decreases and T2* increases.
In the numeric display, the line with the highest T2* value is
marked Best Shim.
0.0

Undoing changes C.2 To undo the last change to the parameters:

C.2
Click the Undo button.
Loading stored You can load the system parameters currently stored in the
parameters C.2 measurement system as temporary shim parameters and use
them, for example, as start parameters. C.2
Click the Load System button.
Loading from tune up C.2 As an alternative, you can also load parameters from the last
system tune-up as temporary parameters. C.2
Click the Load Tune Up button.
0.0

Loading best shim The "best" shim parameters obtained in the current scan may
parameters C.2 be imported as temporary shim parameters. They are then
used for the next adjustment scan. C.2
This is especially useful if you have moved away from the most
optimal values while varying parameters. The most optimal
shim parameters are determined based on the maximum trans-
verse relaxation time (T2*). C.2
Click the Best Shim button.
Deleting the best shim You may delete the "best" shim parameters obtained in the cur-
parameter C.2 rent scan, making them invalid. The corresponding display is
deleted. C.2
Click the Reset Best button.
Applying parameters to You can transfer the optimal shim parameters for the measure-
the scan system C.2 ment to the measurement system.
C.2

They will be used in the next examination.
C.2
Stopping the To stop the measurement: C.2
measurement C.2
Click the Stop button.
0.0

Manual water suppression C.2
There are special RF pulses that are used for water suppres-
sion during scans. With this adjustment, you determine a cor-
rection factor for the transmitter amplitude for these RF pulses.
Within the adjustment volume, the flip angles are set for optimal
suppression of the water signal.
C.2
Preparing for adjustment C.2 Select Options > Adjustments and go to the Water suppr.
card.
0.0

(1)
(12)
(2) (11)
(10)
(3)
(9)
(4) (8)
(5) (7)
(6)

(2) Amplitude of the measurement signal in the time domain
(3) Phase of the measurement signal in the time domain
domain
(6) Select signal graphs
(7) Range display for the correction factor and the transmitter
increment
play
(9) Receiver gain
(10) Transmitter increment
(11) Display of the system correction factor
(12) Input field for the temporary correction factor
0.0

Certain parameters have to be entered prior to the measure-

ment and checked after each measurement.
C.2
Entering the correction For the first iteration, the system suggests an amplitude correc-
factor C.2 tion factor of 1.0 which you may edit. C.2
You can enter a correction factor in the Corr. factor (temp)

spin box.
For comparison, the correction factor currently used by the sys-
tem is displayed below.
C.2
Entering the transmitter You can enter an increment to determine the correction factor.
increment (delta transmit A number of test measurements are performed followed by
amplitude) C.2 eleven adjustment measurements. The adjustment measure-
ments cover the range of the correction factor entered minus
five increments up to the correction factor entered plus five
increments. C.2
You can enter an increment in the Delta transmitter spin

box.
0.0

Selecting the gain C.2 You can set the receiver gain depending on the signal intensity.
C.2
ment. C.2

The scan takes several seconds.
C.2
Canceling the
measurement C.2

progress.
Repeat the measurements using different parameters until the

system has optimized the correction factor. C.2
A will "Y" appear in the numeric field following successful

adjustment.
0.0

Results display C.2 The measurement results are displayed both numerically and
graphically.
C.2

CorrFac.; correction factor of the adjustment scan
Signal (CorrFac - Delta); signal strength for measurement
with correction factor minus transmitter increment
Signal (CorrFac); signal strength for scan with correction
factor
Signal (CorrFac + Delta); signal strength for scan with cor-
rection factor plus transmitter increment
NewCorrFac; calculated "better" correction factor
0.0

Graphic results C.2 The following results are displayed graphically: C.2
The real and imaginary part of the measuring signal in the

time domain.
The amplitude and phase of the measuring signal in the fre-
quency domain.
Three different signal graphs are available for display.
C.2
Click the CorrFac-Delta. button to display the signal graph of

the "correction factor minus increment" measurement.
Or C.2
Click the CorrFac button to display the signal graph of the

measurement with the correction factor.
Or C.2
Click the CorrFac + Delta button to display the signal graph

of the "correction factor plus increment" measurement.
0.0

Selecting the receive The receive channel is used to select the signals of the local
channel C.2 coils. In addition to the receive channel (Ch.), the coil name
list. C.2

all coils selected.
Accepting the correction After successful adjustment, the correction factor is automati-
factor C.2 cally loaded into the measurement system.
C.2
Manual acceptance Within a certain range, you can enter a correction factor and
without successful manually accept it without adjustment measurement.
adjustment C.2 C.2
The correction factor is used for the following measurements. C.2
0.0

Undoing changes C.2
You have performed all adjustments and now want to undo the
settings. C.2
A Reset button is available for this purpose on every card

(except 3D Shim). C.2
Click Reset.
The parameters displayed when the dialog box was opened are
re-loaded. C.2
System parameters that were changed during the adjustment

cannot be restored to their initial settings before the adjust-
ment.
Completing adjustment C.2
Exit the adjustment platform with the Close button. C.2
Click the Close button.

The dialog box closes. C.2
0.0

Starting protocol adjustments manually C.2
All adjustments planned in the selected protocol may be manu-

ally started without starting the following protocol. C.2
Open the protocol first.

Select Options > Adjustments.
Go to the Viewing card.
Then click the Adjust All button.
The adjustments are performed. C.2
If an error occurs during scanning, the adjustment will be

aborted and an error message is displayed.
Aborting adjustment C.2 You can cancel a scan in progress at any time.
C.2
Click the Abort button.
0.0

Changing the resonance frequency after

inline adjustment C.2
Inline adjustment is performed automatically before each

scan. C.2
You can pause the system after an inline adjustment to confirm

or change the calculated resonance frequency. C.2
Settings on the Go to the Adjustments card.

Adjustments card C.2
Click the Confirm freq. adjustment option.

Page C.23, Settings on the Adjustments card
As soon as you click the card Adjustments followed by the

option Freq. Adjust, the dialog box Confirm Frequency Spec-
trum is shown after each inline adjustment. You may correct the
resonant frequency or accept it without changes. C.2
0.0

(1)
(2)
(3)
(4)
(5)
(1) Amplitude in the adjustment scan

(2) Temporary frequency
(3) Display of the system frequency
(4) Selection of the receive channel
(5) Range display for entering the frequency
0.0

Graphic display of the The graphic display of the last frequency scan is displayed. C.2
adjustment scan C.2
You can modify the frequency graphically by moving the vertical

marker. Place the mouse pointer in the graphic display of the
frequency domain. A vertical marker is displayed. C.2
Click on the line.

The newly selected frequency is transferred to the Frequency
(temp) field. C.2
If no adjustment graphic is available, you will have to generate

the data for graphic display by performing manual frequency
adjustment. C.2
0.0

Before manual frequency adjustment, you first have to enter a

few parameters.
C.2
Entering the frequency C.2 C.2
You can enter a new transmitter frequency in the Frequency

(temp) input field.
The frequency currently used is displayed in the field under-

neath for comparison. C.2
The temporary frequency that you may enter yourself is only

used for adjustment scans. The system frequency is used for
examinations.
0.0

Range display C.2 Use the range display to verify the accuracy of the selected fre-
quency. If it is out of range, correct it accordingly. C.2
list. C.2

all coils selected.
Starting the measurement C.2 After you have corrected the resonance frequency, you may
start scanning. C.2
Click the Continue button.
Canceling the You may stop the examination if you are not satisfied with the
measurement C.2 frequency spectrum. C.2
Click the Cancel button.
0.0

Displaying adjustment results C.2
The Show card in the Manual adjustments dialog box displays

the results of all the adjustments performed. It provides an over-
view of the current status of your scan system. C.2
Use the selection buttons to define the information to be dis-

played.
Displaying all adjustment Select Options > Adjustments.

parameters
Go to the Show card.
C.2
0.0

NOTE
This list is usually provided for diagnostic purposes
handled by Siemens Service. C.2
Updating the display of You can update the scan results displayed on the card after
parameters C.2 each adjustment.
C.2
Just click the Update Information button.
Rejecting all adjustment If you want to reject all the adjustments already performed:
results C.2 C.2
Click the Invalidate All button.
The system is now in an unadjusted state. C.2
0.0

Selecting Parameters for Display

C.2
Detail of information for the You can define the scope of the information to be displayed. All
parameters displayed C.2 of the important parameters are displayed in "customer"
mode. C.2
Adjustment vector C.2 Select the parameter sets you want to display. C.2
The following parameter sets may be selected: C.2
System (SYS): Adjustment parameters applicable to the

system.
Temporary (ADJ): Parameters acquired via the current
adjustment process.
Last used (LOADED): Adjustment parameters used in the
last scan.
Saved: All saved adjustment parameters.
0.0

Adjustment type C.2 Specify the adjustment types to be displayed. C.2
The relevant adjustment parameters are displayed with the

selected adjustment type. C.2
0.0

0.0

PART
D Patient Browser D.0
D.1 Introduction
Databases and drives .................................................... D.12
Data levels ..................................................................... D.14
Calling up the Patient Browser ....................................... D.16
The Patient Browser window ......................................... D.17
Customizing the Patient Browser window ............... D.110
Image stamps .............................................................. D.116
D.2 Searching for and Displaying Patient Data

Displaying information levels ......................................... D.22
Scrolling through and selecting patient data .................. D.26
Filtering data ................................................................ D.211
Using standard filters ............................................... D.211
Creating a user-defined filter ................................... D.213
Sorting data .................................................................. D.219
Sorting patients ........................................................ D.220
Sorting examinations ............................................... D.221
Sorting series ........................................................... D.222
Sorting images ......................................................... D.223
Printing out a data list .................................................. D.228
Reading data from storing media ................................. D.231
Searching for and importing data in the network ......... D.234
Searching for data ................................................... D.236
Search Selected ...................................................... D.241
Importing data .......................................................... D.242
Configuring Patient Search ...................................... D.244
Calling up additional information about a patient ......... D.246
0.0
syngo MR 2006T D1
Contents Patient Browser
D.3 Transferring Data to other Applications

Registering the patient again .......................................... D.32
Viewing and processing images ..................................... D.33
Splitting mosaic images into single images .................... D.37
Processing images in 3D .............................................. D.310
Private applications ...................................................... D.312
D.4 Correcting Data

Correcting patient or examination data .......................... D.42
Moving data .................................................................. D.410
Displaying a history of changes .................................... D.414
D.5 Storing, Sending and Filming Data

Storing data on an external medium .............................. D.52
Sending data via the network ......................................... D.53
Printing patient data from data media ............................ D.55
Exporting images to the file system ................................ D.56
Filming ............................................................................ D.57
D.6 Maintaining your Data

Defining the work status ................................................. D.62
Marking examination data .............................................. D.66
Procedure tracking with MPPS ....................................... D.68
Editing the performance documentation .................... D.68
Displaying actions, billing ......................................... D.612
Sending and concluding a report ............................. D.613
Closing the performance report without saving ........ D.615
Deleting data ................................................................ D.616
0.0
D2 Operator Manual
Patient Browser Contents
D.7 Configuring the Patient Browser

General settings ............................................................. D.72
Toolbar ...................................................................... D.73
Work status ................................................................ D.74
Delete confirmation .................................................... D.75
Hierarchical view in the navigation and content area ..... D.76
List entries ............................................................... D.710
Hiding data levels .................................................... D.713
List display / image stamp display ........................... D.714
Single View of the content area ................................... D.715
Configuring user-defined applications .......................... D.718
D.8 Reporting
Basics ............................................................................ D.83
Layout ........................................................................ D.84
Creating a report ............................................................ D.86
Editing a report............................................................... D.87
Opening a report ........................................................ D.88
Navigating in the report ........................................... D.810
Editing a report ........................................................ D.812
Saving a report ........................................................ D.822
Printing a report ........................................................... D.824
Opening the print preview ........................................ D.824
Close the print preview ............................................ D.826
Starting to print ........................................................ D.827
Sending a report .......................................................... D.829
0.0
syngo MR 2006T D3
Contents Patient Browser
Configuration settings for the report ............................. D.831

Opening a configuration ........................................... D.832
Enter general settings .............................................. D.833
Create and edit diagnostic encoding schemes ........ D.836
Save and close configuration settings...................... D.842
0.0
D4 Operator Manual
CHAPTER
D.1 Introduction D.1
The Patient Browser supports you with administration of the

patient and examination data that are stored in the databases
of your system. D.1
With the Patient Browser you can search for data in a fast and
uncomplicated way and then process that data in the browser
or in the task cards.
D.1
When to access data with To examine a patient who has already been examined once
the Patient Browser D.1 before with your system.
To view the images of a patient from earlier examinations in
order to compare them with current results.
To comment or postprocess images after an examination.
To correct incorrect information for a patient stored in your
system.
To save patient and examination data or to send them to
another location in your hospital via the network.
To expose images of a patient onto film for reporting or doc-
umentation purposes.
Security-Privileges D.1 When Security is activated, you can correct, rearrange and set
work states only if you are authorized to do so.
Page B.268, PatientBrowser D.1
0.0
syngo MR 2006T D.11

Introduction Patient Browser
Databases and drives D.1
In the Patient Browser you access patient and examination

data that are stored in the various databases of your system or
on external data media such as CDs.
D.1
Scheduler D.1
The scheduler contains the data of all preregistered patients.

This database gives you an overview of all patients who have
been preregistered for examination. Here you can search for a
patient to register him or her for an examination.
The scheduler can be updated with data from an HIS/RIS sys-
tem either automatically or manually if the system is connected
to one. D.1
Local database D.1
The local database is the area of your system in which the

patient data and results of current examinations are stored.
If the data volume in the local database increases, the access
times become longer and examinations are slowed down.
Therefore you should regularly move data from your local
database to storage media.
0.0
D.12 Operator Manual

Patient Browser Introduction
Connected drives D.1
One ore more CD drives are connected to your system. The

icons with the drive names provide a quick way of accessing
these archiving media. As soon as an examination has been
completed and evaluated you should save the examination data
and then delete it from the local database. D.1
0.0
syngo MR 2006T D.13

Data levels D.1
In the databases and on the external data media, the patient

and examination data are structured hierarchically. This struc-
ture helps you find examination results quickly. D.1
The display of the data levels depends on the configuration.
(1) Database
(2) Patient
(3) Study
(4) Series
(5) Instances
Depending on the database, the work status of each data-
base entry is displayed as an abbreviation. You will find infor-
mation about the processing status on
Page D.62, Defining the work status
0.0

Patient D.1 The examination data of different patients are stored by the
names of the patients in your database.
D.1
Study / Procedure D.1 A study is an examination which is conducted to find answers to

a particular question, usually as a result of a referral. A study
consists of one or more series. In the Scheduler, the planned
Procedure is stored at this level.
D.1
Series / Procedure Step D.1 All the images of a measurement or of an image-processing

operation are designated to a series. In the Scheduler, the Pro-
cedure Steps for the examination are listed at this level. D.1
Procedure Steps are not displayed for patients preregistered

locally (i.e. at this workstation).
Instances D.1
D.1 On the lowest data level, the Instance Level, the individual
images are stored and depending on the modality, the data sets
from which images can be generated (e.g. raw data). All entries
on the Instance Level are generally referred to as images.
In the Scheduler, you will find the individual Action Items for
the Procedure Step in question at this point. D.1
Action Items are not displayed for patients preregistered

locally (i.e. at this workstation).
0.0
syngo MR 2006T D.15

Calling up the Patient Browser D.1
You can call up the Patient Browser window either from the
main menu or by using the symbol keypad.
D.1
Main menu D.1
D.1 Call up the Patient Browser in the main menu by selecting

the entry Patient > Browser....
Or D.1
Symbol keypad D.1
Press the Browser key on the symbol keypad (Num.).
D.1
NOTE
If a dialog box is open and active the button Patient
Browser might not function. D.1
Click into the image area to deactivate the dialog box, or

close the dialog box.
D.1
NOTE
If you call up the Patient Browser on the satellite console,
it will not be updated automatically. D.1
To update it, select View > Refresh.
0.0

The Patient Browser window D.1
When you call up the Patient Browser, the Patient Browser

window is displayed and placed in the foreground. D.1
The window is subdivided into various processing areas and

therefore provides you with access to your data in a clearly laid
out manner. D.1
(1) Menu and tool bar

(2) Navigation area
(3) Information area
(4) Content area
(5) Status bar
0.0
syngo MR 2006T D.17

Tool bar D.1 You can work on the data you have selected using the menus
or the icon buttons on the tool bar. D.1
In Browser Configuration you can define which buttons the

tool bar contains.
Page D.72, General settings
You can hide the toolbar by deselecting View > Toolbar.
Navigation area D.1 The lower data levels for the selected databases, patients,
examinations, and series are displayed graphically in the navi-
gation area. D.1
Using the mouse you can select patient, study, series or image
data in order to edit it or to transfer it to other applications. Every
selection you make in the navigation area is automatically
shown in the content area.
D.1
Information area D.1 In the information area you can see brief information about the
patient and study selected. When the navigation area is hidden,
you can also see which database is open and which data level
is displayed.
Page D.112, Showing and hiding window sections D.1
0.0

Content area D.1 In the content area you will see a list of the studies or proce-
dures for the patient selected in the navigation area. If you
select the lower data levels, you can see which series or proce-
dure steps are stored for a study and which images or action
items are stored for a series or procedure step. D.1
In Browser Configuration you can define which information

is to be displayed for each entry.
Page D.72, General settings
In the content area you can also select patient and examination
data for further processing. D.1
You can toggle between a list display or image stamp display.

Page D.113, Display of lists and image stamps in the con-
tent area
0.0
syngo MR 2006T D.19

Customizing the Patient Browser window D.1
You can alter the display of the Patient Browser window and in
this way optimize it for your way of working. For example, you
can have a certain area enlarged in order to view as much data
as possible at one time.
D.1
Changing the window You can enlarge, reduce, and pan the Patient Browser window
size D.1 on your screen as you require.
Page A.225, Resizing and moving a window D.1
0.0

Enlarging and reducing the You can change the height of the navigation and content areas
navigation and content with respect to one another using the mouse. The larger you
areas D.1 make the navigation area the smaller the content area will
become and vice versa. D.1
D.1 Move the mouse cursor to the border of the navigation area.
The cursor changes shape to a small vertical double arrow. D.1
Drag the line down to enlarge the navigation area and reduce
the content area.
Or D.1
Drag the line up to reduce the navigation area and enlarge

the content area.
In the image stamp display, the content area can only be
enlarged or reduced in steps so that image stamps are not cut
off.
Page D.113, Display of lists and image stamps in the con-
tent area
0.0
syngo MR 2006T D.111

Showing and hiding You can have the tool bar, navigation area, and information area
window sections D.1 either displayed or not, in order to create more room in the
Patient Browser window. D.1
D.1 Click on View > Toolbar to hide or show the tool bar.
Click on View > Info Area to hide or show the information
area.
Click on View > Tree to hide or show the data structure in the
navigation area.
If the data structure is not displayed, the data level set in the
configuration is displayed in the content area. In the navigation
area, you can see which database these entries belong to.
Page D.715, Single View of the content area D.1
When switching to tree/single view, the previous selection will

not be retained.
In order to switch between the databases in the navigation
area you must first display the tree structure.
0.0

Display of lists and image If you have selected a study or series in the navigation area, all
stamps in the content areaD.1 the associated series and images are displayed in the content
area. With the View menu you can toggle between a list or
image stamp display.
D.1
Click on View > Image Stamps to have series and images

displayed as image stamps (menu entry has a checkmark) or
as a list in the content area (no checkmark next to menu
entry).
In Browser Configuration you can define what information
the list entries and the image stamps contain.
Page D.76, Hierarchical view in the navigation and con-
tent area
0.0

Showing and hiding You can have individual databases and drives either displayed
databases and drives D.1 or not in the navigation area depending on whether you need
them for your work. D.1
Call up View > Source to open a submenu.

Select the databases and drives that you want to be dis-
played as an icon in the navigation area.
The names of the submenu entries depend on the configura-

tion of your system.
0.0

Customizing the table in The list display of patient and examination data in the content
the content area D.1 area consists of a table. You can alter the preset column widths
for each column. D.1
Click on the header of the table in the content area with the
mouse cursor.
Drag the right column boundary to the right to enlarge the
column.
0.0

Image stamps D.1
If View > Image Stamps is activated, all data objects are dis-
played as image stamps on the image/data level. D.1
D.1 Data objects include series or images of a patient and data sets
from which images can be generated (e.g. raw data, 3D
objects) as well as curves (e.g. ECG curves) and texts. D.1
If you click on an image stamp with the mouse the object will be
selected.
Double-click or drag & drop loads the data into the task card
that is at the top of the stack of cards, e.g. the Viewing card.
D.1
Data objects D.1 This is a selection of possible data objects. (The range of pos-
sible objects is continuously expanded with each software ver-
sion.) D.1
Symbol D.1 Object D.1 Description D.1
Image An image is directly displayed smaller.
Raw data The raw data on which the calculation of

images is based is represented symboli-
cally.
Report Parameters, images and results of an
examination and comments are stored in
the study report.
Result Results of an evaluation of image data
(e.g., curves).
0.0

Symbol D.1 Object D.1 Description D.1
Fusion Contains the coordinates for the alignment

Registration of two image data sets.
Matrix
Fly Path Contains the coordinates of the three-
dimensional Fly path created and stored
during a Fly Through session.
3D Object Edi- 3D objects of a volume data set created
tor Object with the 3D Object Editor.
Radiotherapy Data of radiotherapy objects like Struct-

Object Sets or Plan.
Broken Image Image has been destroyed, e.g., loading of

the image has been interrupted.
Black Image Black images are special images contain-

ing graphics, tables, histograms or reports.
Loading image Image is currently loading.
Waveforms Data of a curve, e.g. ECG curves and other

physiological data.
D.1
0.0

0.0

CHAPTER Searching for and
D.2 Displaying Patient Data D.2
In the Patient Browser window you can view all the patient and
examination data stored in the databases of your system and
on external archiving media. D.2
You can search for patient data to examine a patient again or to

review, film, or save his or her images. D.2
You can search for patient data in the Patient Browser by nav-
igating through the data levels of the window by mouse click or
using the keyboard. D.2
You can speed up your search by sorting the data displayed,

e.g. alphabetically by the last name of the patient, or by filtering
the data displayed and only viewing a certain subset. D.2
0.0
syngo MR 2006T D.21

Searching for and Displaying Patient Data Patient Browser
Displaying information levels D.2
When searching for patient and examination data you move

through the navigation area with the mouse or you select Open
Subtree in the View menu to open lower data levels.
D.2
Displaying a data tree D.2
D.2 Click on the icon of a patient entry in the navigation area of

the Patient Browser window to view that patients data lev-
els.
Only the first subobject is displayed down to its lowest level. D.2
In the content area you can see a list of all studies that are avail-
able for that patient. D.2
Click on another patient to hide the first patients data tree

and view the information levels of the other patient instead.
0.0

Patient Browser Searching for and Displaying Patient Data
Opening a data tree D.2
Select an entry in the navigation area.
Select the menu entry View > Open Subtree to view all the
entries of lower data levels (open up the data tree com-
pletely).
Or D.2
D.2 Click on this button on the toolbar.
Or D.2
Call up the popup menu with the right mouse button (or Shift
+ F10) and click on Open Subtree.
The function Open Subtree is especially useful if you have
selected several patients simultaneously.
If you select the icon for a database or drive the Open Sub-
tree menu item and the button remain dimmed. At this level
you cannot open the data tree.
Closing a subtree D.2 Call up View > Close Subtree in the main menu or Close
Subtree in the popup menu to close the lower information
levels again.
0.0
syngo MR 2006T D.23

Updating the scheduler D.2 If your system is connected to an HIS/RIS system, the sched-
uler is automatically updated at regular intervals with informa-
tion from the registration depending on the service configura-
tion. You can also start this updating operation manually. In this
way you can ensure that you are always working with the latest
data. D.2
Select View > Update Worklist to update the scheduler.

Or D.2
Click on the icon for the scheduler to update it and then open
it.
Depending on the configuration, the Worklist Time Range
window is displayed in which you can limit the time frame for
your query.
Page E.33, Defining the worklist time range
In the Patient Browser, all patients who are preregistered for
examination on your system are now displayed.
D.2
Clearing the scheduler D.2 You have the possibility to delete data from the Scheduler. D.2
Call up Edit > Clear Scheduler in the menu of the Patient

Browser.
Page D.623, Clear Scheduler
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Updating the display Changes and additions to database entries that you make on
of the databases D.2 your workstation or are made via the network are automatically
displayed in the Patient Browser window. You can initiate this
updating manually, too, if the automatic process is delayed.
D.2
Call up View > Refresh to update the display of the naviga-

tion and content areas.
Or D.2
Click on this button.
NOTE
If you are working on a satellite console, you must update
the database with Refresh key. D.2
0.0
syngo MR 2006T D.25

Scrolling through and selecting

patient data D.2
You can search for a patients examination data in the data-

bases in order to process it further. D.2
After you have called up the Patient Browser window for the
first time the local database will open. All the patients stored in
it are listed in the navigation and content area. D.2
The data levels of the first patient are displayed in the naviga-
tion area. D.2
If you call up the Patient Browser again later, it appears in

the display last set.
0.0

Now select a database in the navigation area and search for the
patient you require. You then open the lower levels of informa-
tion until you have found the data you are looking for of the
patient concerned. D.2
0.0
syngo MR 2006T D.27

Example D.2 For example, to select certain images of a patient for process-
ing you can open the information levels patient, study, and
series one after the other until the images you require are listed
or displayed (as image stamps) in the content area. D.2
D.2 Click on the icon for the database in which the patient is
stored in the navigation area.
If necessary, scroll through the list of patients using the scroll
bar until you have found the patient you require.
You will find the patient you are looking for even faster if you
press the key for the first letter of the patient's name on the
keyboard. The selection then jumps to the first patient entry
with this initial letter.
D.2 Click on the patient you are looking for in the navigation area
to view the information levels stored for this patient as icons.
All the studies of this patient are displayed in the content
area.
D.2 Click on a study in the navigation area to select it and to view
all the associated series.
Click on a series in the navigation area to select it and to

obtain an overview of all the images contained in it in the
content area.
D.2 Click on an image in the content area to select it.
0.0

Depending on whether you have clicked on View > Image

Stamps or not, the series and images are displayed as image
stamps or listed in the content area.
Page D.110, Customizing the Patient Browser window
Data selection with the Using the keyboard you can reach various data entries in the
keyboard D.2 Patient Browser very quickly. The key assignment for the
selection options in the active area (navigation or content area)
is summarized in the following table. D.2
D.2
Key Selection Key Selection

Home First entry End Last entry
Page up First visible entry Page down Last visible entry
Entry one Entry one
line up (same line down (same
level) level)
Entry left (level Entry right (level
up in navigation down in
area) navigation area)
Tab Toggle between Letter 1st entry with the
or the navigation appropriate
Shift + Tab and content area starting letter
When you press and hold the Ctrl key and click the data input
with the mouse, you are selecting the inputs exclusively. How-
ever, when you press the Shift key and click data inputs with
the mouse, you are selecting the inputs inclusively (standard
Windows functionality).
0.0
syngo MR 2006T D.29

Multiple selection D.2 You can also select several patients at once, for example, to
save their data, or you can select several images of one patient
in order to review them. D.2
Mark the patient entries or examination data you require in

the navigation or content area with the mouse keeping the
Ctrl key pressed.
Page A.217, Selecting several objects
Or D.2
Select the first entry you require in the navigation or content

area. Hold the Shift key pressed and extend your selection
using the keyboard.
Page D.29, Data selection with the keyboard
The images are transferred to the task card in the same order
in which they were selected.
Multi-select is only possible on one data level in the tree dis-
play. Data selected must belong to the same entry at the next
highest data level (e.g. several series of one study but not
several series of different studies).
0.0

Filtering data D.2
If the volume of data in the navigation and content areas is very

large, you can simplify the search for patient data by filtering the
data. You then only view a certain selection of patients, studies,
series, and images.
D.2
Using standard filters D.2
When filtering your data you can use filter criteria that are
offered by default by your system. These are available to you on
the menu bar or with the buttons on the toolbar. D.2
In Browser Configuration, you can add standard filters to or

remove them from the menu bar or toolbar.
Page D.18, Tool bar
Filter menu D.2
Select one of the filtering criteria in the Filter menu of the

Patient Browser.
These default filters evaluate the status or marking of data on
all data levels.
Page D.62, Defining the work status
Page D.66, Marking examination data
D.2
Or D.2
0.0

Filters on the toolbar D.2
Call up a standard filter using the toolbar.
In Browser Configuration (Options > Configure Browser)

you can configure the contents of the toolbar.
Page D.73, Toolbar
Depending on the filtering criteria selected these data are now
displayed:
D.2
Not Archived
Only the data which have not been saved are displayed.
Not Printed
Only the data which have not yet been printed are displayed.
Not Sent
Only the data which have not yet been sent in the network are
displayed.
Not Marked
Only the data which are not marked are displayed.
Marked
Only marked data are displayed.
0.0

Deactivating the filter D.2 A filter remains active until you replace it by another filter. D.2
The status bar shows you which filter is currently in use.

If you exit the Patient Browser and call it up again later on,
the last filter that has been selected is still active.
D.2 Call up Filter > Off or click on the icon button to have all the
data displayed again (unfiltered).
Creating a user-defined filter D.2
Using the Patient Browser you can also create your own filter
criteria in order to filter the database according to a combination
of target items. D.2
If you keep self-defined filters general, you can use them more
frequently to have a certain subset of the data displayed in a
quick and uncomplicated manner. D.2
If you define very specific filters, you can search for patient and
examination data in a direct and time-saving way. D.2
0.0

Creating a filter D.2 Call up Options > Filter Settings....

The Filter Specification dialog box is displayed with input
fields for the filter name and five filtering criteria. D.2
Enter a suitable name in the Filter Name field by which your

filter is to be known.
0.0

D.2 Select one of the filtering criteria offered in the selection list.
Depending on which criteria you select, input fields combined
with and, or or From ... to appear or the criteria has no addi-
tional input field.
D.2
Enter target items in the input field combined with or of

which at least one must be fulfilled.
Enter target items in the input fields combined with and that
must all be fulfilled.
In the input fields combined with From - to enter the range

in which the data you are searching for must be contained.
0.0

Example of a user- The following user-defined filter was created to find a particular
defined filter D.2 series of a thorax examination in a database. D.2
This filter only selects marked series that have already been
completed, filmed, and archived and that were acquired with a
slice position between 0 and 100. D.2
0.0

Saving a filter D.2
Click on OK to save the filter. You will return to the Patient

Browser window.
Or D.2
Click on Cancel to return to the Patient Browser window

without saving the new filter.
Using user-defined filters D.2 User-defined filters are placed in the Filter menu as additional
menu entries. D.2
D.2 Call up, for example, Filter > Thorax-Series-Marked, to fil-

ter all data to your criteria.
0.0

Removing user-defined When you no longer require a user-defined filter, you can
filters D.2 remove it from the Filter menu again to keep the menu clear. D.2
Call up the Filter dialog box and select the filter you want to
delete in the selection list next to Filter Name.
Click on Delete to remove the filter from the list.
If necessary, select further filters from the selection list and

remove them in the same way.
D.2 Then click on OK to confirm deletion of the filter.
You return to the Patient Browser window. D.2
Or D.2
D.2 Click on Cancel to keep all filters as they were.
0.0

Sorting data D.2
You can sort the data displayed in the Patient Browser by var-
ious criteria. This enables you to output the data in a certain
sequence and makes it easier to find certain patient and exam-
ination data. D.2
Depending on the selected data level, different sorting criteria

will be active in the Sort menu. D.2
You can define your own sort schemes with up to three sort lev-
els for sorting the images. D.2
The selected sort criteria or sort scheme is marked by a check-

mark next to the menu item. The checkmark remains until you
select another criteria. D.2
You can reverse the sorting order for each selected sort criteria.D.2
0.0

Sorting patients D.2
You may sort the list of patients in the local database or sched-
uler. D.2
Select the Local database or the Scheduler.

D.2 Select a sort criteria under Sort in the menu.
Patient Name
The patients will be displayed in alphabetical order from
A to Z.
DB Date and Time
The patients will be displayed in order of registration starting
with the most recent patient.
Work Status (filmed, archived, sent)
You may select a work status. The patients will then be
sorted by progress in this work step, starting with the patient
who has progressed furthest.
Page D.62
You can reverse the sort order. D.2
Select Sort > Reverse Order.
0.0

Sorting examinations D.2
You can sort the list of examinations of a patient in the local

database. D.2
Select a Patient from the Local database.

D.2 Select a sort criteria from the Sort menu.
Study Description
The examinations will be displayed in alphabetical order by
name from A to Z.
Study Date and Time
The examinations will be displayed by time created starting
with the most recent examination.
Work Status (filmed, archived, sent, work sequence)
You may select a work status. The examinations will then be
sorted by progress in this work step, starting with the exam-
ination that has progressed furthest.
Page D.62
In case the selected sort order cannot be applied, the follow-

ing default order is automatically used:
Patient Name
Study Description
Series Number
Instance Number
0.0

Sorting series D.2
You can sort the list of series of an examination. D.2
Select a Patient and an Examination from the Local data-

base.
Series Number
The series will be sorted by their series number and dis-
played starting with the smallest.
Series Description
The series will be displayed in alphabetical order by name
from A to Z.
Series Date and Time
The series will be displayed by time created starting with the
most recent series.
Modality
Work Status (filmed, archived, sent, work sequence)
You may select a work status. The series will then be sorted
by progress in this work step, starting with the series that has
progressed furthest.
Page D.62
0.0

Sorting images D.2
You can sort the list of images of a series. D.2
Select a Patient, an Examination, and a Series from the

Local database.
Instance Number
The images of a series are numbered on creation. This num-
bering is determined by the orientation and position of the
images.
Instance Date and Time
The images will be displayed by time created starting with
the most recent series.
Slice Position
The images will be sorted by their main orientation (tra - cor
- sag) and by slice position within the main orientation.
Modality Specific Data
Page D.224, MR-specific sort criteria
Work Status (filmed, archived, sent)
You may select a work status. The images will then be sorted
by progress in this work step, starting with the image that has
progressed furthest.
Page D.62
Multiple
Page D.226, Multiple sorting
0.0

Sorting in the You can also sort in the content area. D.2
content area D.2

Example: Sorting the images by slice position: D.2
D.2 Click on the Slice Position line in the content area.
D.2 The images are sorted and displayed in ascending order by

slice position. You can recognize the direction by the triangle. D.2
Click on the slice position line again.
D.2 The sort order will be reversed.
D.2
MR-specific sort criteria D.2 MR images and data may also be sorted by further sorting cri-
teria and schemes. D.2
Selecting a sort criteria from the menu under Sort > Modal-
ity Specific Data > ....
D.2 Anatomical
Multiple standard sort scheme for localizer and anatomical
examinations.
Page F.316, Using a Siemens sort scheme
Triggered
Multiple Siemens sort scheme for triggered examinations.
Chronological
Multiple Siemens sort scheme for sorting by time of creation
of the images.
0.0

Instance Oriented
Multiple Siemens sort scheme for sorting by image number.
Echo Time (TE)
Series that have been acquired with multiple echo protocols,
contain images based on different contrasts (e.g. T2 images,
proton density images). You can use sorting to separate
these images by echo time.
Repetition Time (TR)
The images of a series are sorted by TR.
Inversion Time (TI)
The images of a series are sorted by TI.
Trigger Time (TT)
The images of a series are sorted by TT.
0.0

Multiple sorting D.2 You can define a separate sort scheme with up to three levels
for sorting within a series. You define a sort criteria for each of
the three levels. D.2
The images are first ordered by the sort criteria of the first level.
The sort criteria of the second level is used if images are iden-
tical by the first sort criteria. The sort criteria of the third level is
only used if images are identical by the first and second sort cri-
teria.
D.2
Select Sort > Multiple.

The Image Display Order dialog box opens. D.2
The following sort criteria are available: D.2
Main orientation (MO)

MR Slice position (SP)
Trigger time (TT)
Acquisition time (TA)
Echo time (TE)
Image number (NR)
B_Value (BV)
0.0

D.2 Select a criteria for the first level.
D.2 Select a criteria for the second level.
D.2 If necessary, select a criteria for the third level.
Example: Sorting of the images of a multi-slice protocol by slice

position and image number. D.2
0.0

Printing out a data list D.2
If your system is connected to a printer, you can print out exam-

ination data in the form of a list. On printing out, the information
displayed in the content area is displayed. D.2
Display the required patient and examination data in the con-

tent area.
Page D.26, Scrolling through and selecting patient data
To print out the content area, you can work both in the tree
display and in the single display.
Page D.112, Showing and hiding window sections
You can even print data lists of you have already stored the
patient data, for example, for archiving or transfer to a local
data medium.
Page D.55, Printing patient data from data media
Displaying the print Call up Patient > Print Preview... to have the printout dis-
preview D.2 played in a preview.
Click on Close window to close the print preview again.
0.0

Printing out a list D.2 Call up Patient > Print List to print out the data listed in the
content area.
In a list of patients, the content and date of creation of the list is
stated in the header of the printout. For all other data levels, the
content of the information area is also printed. D.2
This list is always printed out in English.
0.0

Changing printer You can change the printer settings (e.g. page margins) in the
settings D.2 Windows NT/Windows XP print dialog. D.2
Call up Patient > Print... and make the required settings in

the dialog box shown.
D.2 Click on OK to apply the new settings.
0.0

Reading data from storing media D.2
You can import patient and examination data archived or

exported onto a data medium in DICOM format into your sys-
tem (into the local database) if a drive has been installed and
configured appropriately. D.2
With the current program version, you can only import

DICOM data.
Single images in DICOM format can also be imported by the
file system.
Chapter J.4, Exchanging Data via the Hard Disk
D.2 Click on the icon of a data medium in the navigation area to

display all the patient data stored there.
Data media D.2 Depending on the drive setting of your system, you can read
data from the following media: D.2
MOD (magneto optical disk) 3.5" and 5.25"

3.5" diskettes
CD or CD-R
Page J.26, Storing data on CD
0.0

Changing data media D.2 Call up Transfer > Eject from... and select the appropriate
drive from the list which is then displayed.
D.2 Remove the data medium from the drive and insert the new
medium into the corresponding drive.
Or D.2
Call up Transfer > Eject From <drive name>, or press the

eject button on the CD drive and change the medium.
Page J.22, Inserting and ejecting data media
MODs that are written by other systems should only be
inserted with write-protection. Maxpotics MODs written in SPI
format should be inserted only write protected.
D.2
Showing/hiding data With View > Source, you can hide or display archiving media
sources D.2 individually in the navigation area.
Page D.114, Showing and hiding databases and drives D.2
0.0

Selecting data D.2 You search and select patient and examination data from
archive media by clicking through the data levels in the naviga-
tion area. D.2
You can speed up your search by filtering and/or sorting the

data.
Page D.211, Filtering data
Page D.219, Sorting data
Importing data D.2 You can import the patient and examination data selected in the
archive medium into the local database, e.g. to evaluate it, to
send it through the network, or to store it on another data
medium. D.2
Call up Transfer > Import to import the selected data from

the data medium or network node into your local database.
Or D.2
D.2 Click on the icon button on the toolbar.
0.0

Searching for and importing data in

the network D.2
With Search and Search Selected, you can retrieve patient

and examination data from workstations and long-term archives
that are working with other DICOM program systems or older
syngo MR program versions and are therefore not displayed in
the navigation area. D.2
You can import the required data into your local database via
the network and work on your workstation in the usual way, e.g.
loading the data into the Viewing task card for evaluation. D.2
You can retrieve patient and examination data only from work-
stations that are set up as a network node and support the
Search function.
Calling up standard You can perform your data search in the Search window. There
patient search D.2 you enter the search criteria, start the search, and select the
data to import. D.2
Call up Patient > Search... in the main menu.

Or D.2
Click the Search button in the toolbar of the Patient Browser

to display the Patient Search window.
0.0

(1)
(2)
(3)
(4)
(5)
(6)
(1) Input fields for search criteria

(2) Search details area
(3) Information area
(4) Series details list
(5) Buttons
(6) Status bar
0.0

Searching for data D.2
You search for the patients, studies or series you want to import
into your local database by entering patient, study or series
details in the input fields of the Patient Search dialog. D.2
Network node D.2
D.2 Select the network node on which the data searched for are
located.
Patient details D.2
Enter the last name, ID and date of birth of the patient you are
searching for.
The following characters are not permitted: ^ = \
The search distinguishes between upper and lower case!
Enter the characters correctly.
If you only know part of the name or the patient ID, you can
also use the character * as wildcard.
Page E.35, Wildcards for patient name and ID
0.0

Select Any from the dropdown list if you do not want the sex
to be considered for the search.
Select the Sex from the dropdown list.
Examination details D.2
Enter the study date or a time range.

D.2 When you select an item from the dropdown list the corre-
sponding study date range is automatically entered.
Enter the study ID.

Select a modality from dropdown list.
The items of this list are configurable.
0.0

Study details D.2
Enter the study details or select them from the dropdown

lists.
The items of the dropdown list for the Referring Physician
are configurable.
Page E.42, Defining entries in the selection list
Series details D.2
Enter the series details or select a body part and a perform-

ing physician from the dropdown list.
If you only use series details the search may be retarded.
The items of the dropdown lists are configurable.
Page E.42, Defining entries in the selection list
0.0

Start Search D.2 After having entered patient, study or series details you can
start the search. D.2
D.2 Click on the Search button to start the search.

The Search button changes to Stop Search which you can
use for aborting the query at any time (e.g. when the required
data have already been found).
Search result D.2 All patients and studies found are displayed in the information
area. D.2
Click a study if you want to have the corresponding series

displayed.
The series are displayed in the series details list. D.2
0.0

D.2
N OT E
If the Patient ID is not unique, studies may be listed which
do not belong to the patient selected and displayed in the
information area. D.2
Image List D.2 With Image List you obtain a list of the instances of a series, in
case you want to explicitly import special instances. D.2
Select the study.

Click the Image List button.
A list of images is displayed. D.2
0.0

Search Selected D.2
Search Selected is used when the Patient Browser or any

other syngo MR application is activated and patient, study,
series, or images have already been selected and you wish to
search further studies, series, or objects referring to the patient
previously selected. D.2
Click on the Search Selected icon in the toolbar of the

Patient Browser.
Or D.2
Call up Patient > Search Selected in the main menu.

The Search dialog window appears. The window is identical
with that of the standard search. In contrast to the standard
search you do not have to enter Patient Name, Patient ID, Date
of Birth and Sex. Data are entered automatically in the corre-
sponding input fields. D.2
Enter additional search criteria: examination, study and

series details.
D.2 Click the Search button.
The results are displayed in the result area.
Page D.239, Search result
0.0

Importing data D.2
After you have found the required study, series, or images,

transfer them to your workstation for further processing. D.2
Starting importing data D.2 Select one or more patients, studies or series from the infor-
mation or search output area of the Search dialog.
Or D.2
Select the images from the Image Search Results dialog

window.
Click the Import button.

Or D.2
In case you selected only one patient, study or series, dou-

ble-click it.
The selected data are copied from the network node to your
workstation and displayed in the navigation and content area of
the Patient Browser. D.2
If the selected objects exceed a certain limit a warning mes-

sage appears.
Click the Import Stop key if you want to cancel the import.
0.0

Checking data Just as for archiving or exporting you can view import pro-
transmission D.2 cesses. D.2
Call up Transfer > Local Job Status or Transfer > Network

Job Status.
Chapter J.6, Checking Data Transfer
Restarting search D.2
D.2 Click Clear if you want all entries to be cleared, stop the cur-
rent search and start a new one.
All input fields, the information area and the result output list are
cleared.
D.2
Closing Patient Search D.2 You have two possibilities to close the Search window. D.2
D.2 Click the Close button.

If you have triggered a patient search it is not canceled.
Search parameters and search results are not lost and are
available when the dialog window is called up the next time. If
you are in the process of importing data, importing continues
in the background.
Or D.2
D.2 Click the Cancel button.

If you have triggered a patient search it is now canceled. If
you are in the process of importing data, importing continues
in the background.
0.0

Configuring Patient Search D.2
You can adapt the user interface of the Search dialog window
to your method of working. The dropdown lists of the search cri-
teria Modality and Body Part are configurable. D.2
Call up the Numaris 4 Configuration Panel by activating

Options > Configuration in the main menu.
D.2 Double-click the Patient Search icon.
The Query & Retrieve Configuration window appears. D.2
0.0

D.2 Select or deselect the desired items by clicking or deselect-

ing the corresponding check box.
D.2 Click OK to save the settings.
Or D.2
D.2 Click Cancel to close the dialog without saving the settings.
0.0

Calling up additional information

about a patient D.2
If your hospital has an intranet, you can call up information

about a patient from other departments in your hospital using a
EPR Web browser for which syngo MR provides an interface.
This applies to data that has been entered in an HIS or similar
information system. D.2
The additional information about the patient (e.g. concerning

allergies, implants, preliminary examinations) might bear rele-
vance to the pending examination or evaluation of more recent
examination results. D.2
Use the EPR Web browser (EPR = Electronic Patient Record)

to call up the data. D.2
At any one time the EPR Web browser only displays the EPR
for one patient. You can view but not import the data of the
patient with the EPR Web browser.
The first time you launch the EPR Web browser you must log
on (see the operating instructions of your EPR Web browser).
The syngo MR interface must be individually adapted to the
EPR Web browser by your system administrator.
0.0

Calling up the EPR Web To display the electronic report for a particular patient, select a
browser D.2 patient (or a study, series, instances) from the Patient Browser
or in another task card. D.2
D.2 Call up Patient > Retrieve EPR in the main menu to display
the EPR Web browser.
Or
D.2
D.2 Click on Retrieve EPR in the toolbar.
The EPR Web browser starts up and the information available

for the selected patient is displayed.
D.2
If you click with the mouse outside the EPR Web browser, the
window is placed in the background.
0.0

Placing the EPR Web You can call up the Web browser with the same patient data
browser in the again.
foreground D.2
Call up Patient > Show EPR in the main menu.
Or
D.2
Click on Show EPR in the toolbar.
The EPR Web browser is again displayed with the same con-
tents.
D.2
Closing the EPR Web Call up File > Close to close the EPR Web browser.
browser D.2
The EPR Web browser is closed. D.2
D.2
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CHAPTER Transferring Data to other
D.3 Applications D.3
You have found the patient and examination data you require in
the Patient Browser window and would now like to make use
of this data in another application. D.3
You would like to examine the patient again.

You would like to view and possibly review the patients
stored images.
You would like to process and evaluate images three-dimen-
sionally for special diagnostic problems.
You would like to process patient and examination data in
other application programs that you have set.
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syngo MR 2006T D.31

Transferring Data to other Applications Patient Browser
Registering the patient again D.3
Before you can examine a patient stored in the local database

or in one of the archive media again, you must register this
patient for a new examination.
D.3
D.3 Click on the required patient entry in the navigation or con-

tent area of the Patient Browser.
Or D.3
Select one or more studies of the patient that you want to

perform or repeat.
Call up the patient registration with Patient > Register.

Or D.3

Or D.3
D.3 Press the Patient Register key on the symbol keypad

(Num 0).
Or D.3
Drag the selected data into the open Patient Registration

window (drag & drop).
In the Patient Registration window you can check the patient

data and correct it if necessary. You can add to the examination
data and register the patient whom you can then examine right
away.
Chapter E.3, Registering a Known Patient D.3
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Patient Browser Transferring Data to other Applications
Viewing and processing images D.3
With the Patient Browser you can transfer the images of one
or more patients from the local database to the Viewing task
card for viewing and editing. D.3
Depending on which data level you are in, you can transfer the
following image material to the Viewing card: D.3
All images of one or more patients

All images of one or more studies
All images of one or more series
One image or more than one image
For transferring images to the Viewing task card you can either
use the menu bar or the toolbar or you simply double-click the
images or drag & drop them onto the Viewing task card with
the mouse. D.3
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syngo MR 2006T D.33

All images of a patient, Select the patient, study, or series in the navigation or con-
study or series D.3 tent area of the Patient Browser.
Call up Patient > Load to Viewing or click on the button on
the toolbar to transfer the associated images to the Viewing
task card.
Or D.3
Click the Viewing card to the top of the stack.

Then double-click on the required data object. Or select the
data using the keyboard and press the Return key.
Using multiple selection in the navigation or content area you
transfer the images of more than one patient, study, or series
to the Viewing task card.
Page D.210, Multiple selection
One or more than one Click the Viewing card to the top of the stack.
image of a patient
Double-click on the data icon of the image that you want to
D.3
transfer in the content area of the Patient Browser. Or select

the image using the keyboard and press the Return key.
Or D.3
Select more than one image in the content area and transfer
it to the Viewing card with Patient > Load to Viewing or the
Load to Viewing button on the toolbar.
Page D.210, Multiple selection
0.0

Drag & drop D.3 In addition to the methods described above you can also trans-
fer images to the Viewing task card by drag & drop. In this way
you can determine in which segment the first of your selected
images is to be displayed. D.3
Reduce and/or move the Patient Browser window so that

you can see the image area of the Viewing task card.
Drag the selected images to the desired segment on the
Viewing task card.
0.0
syngo MR 2006T D.35

If the task card is not in the foreground you can also drag the
images from the Browser onto the corresponding tab. The
task card moves into the foreground and the images are
loaded into the image area.
Closed after Loading D.3
If you have selected the Closed after Loading setting in the

Options menu, the Patient Browser window is closed after
transfer of the images.
Call up Patient > Closed after Loading to activate this func-
tion.
If the option is not checked, the Patient Browser remains open

in the foreground even after you have loaded images into the
Viewing card. To process images you can always switch man-
ually to the Viewing task card. D.3
Click on the Close button in the top right corner of the

Patient Browser.
In the Viewing task card you can view and edit the transferred
images.
Part G D.3
0.0

Splitting mosaic images into single

images D.3
Some postprocessing functions, e.g. 3D, cannot use mosaic

images. So in special cases it may be necessary to split them
up into single images again.
Page L.410, Loading mosaic images
D.3
Select Patient > Browser.
Splitting a mosaic image D.3 Select one mosaic image from the Patient Browser.
Select Applications > Mosaic > Split to one Series.
The images of the selected mosaic image are saved in a new
series under the same study. D.3
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syngo MR 2006T D.37

Splitting several mosaic Select two or more mosaic images or all mosaic images in
images D.3 the Patient Browser.
Select Applications > Mosaic > Split to one Series.
The images of all selected mosaic images are saved in a new
series under the same study D.3
Or D.3
Select Applications > Mosaic > Split to one Series per

Mosaic.
A new series is created with the split images for each mosaic
image selected.
D.3
NOTE
Due to safety standards splitting of the images may take
some time. This process runs in the background and is
accomplished even if the current user logs off or if the user
changes. D.3
0.0

Canceling splitting of Select Applications > Mosaic > Abort Splitting process....
mosaic images D.3
D.3
NOTE
To cancel a running spiltting process when the user
changes is only possible if the different user disposes of the
corresponding access rights. D.3
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syngo MR 2006T D.39

Processing images in 3D D.3
As the result of an examination you obtain images of a certain

volume which are stored in your local database. You can com-
bine the two-dimensional slices of a suitable series to form a
three-dimensional representation of the region of interest and
you can process and evaluate it in the 3D task card. D.3
Select a patient or one or more of his or her studies, series

or images (at least 4) in the navigation or content area of the
Patient Browser.
D.3 Call up Applications > 3D > MPR or click on the icon button
to start image processing as multiplanar reconstruction
(MPR).
Or D.3
Call up Applications > 3D > MIP or click on the icon button

to start maximum intensity projection (MIP).
Or D.3
Call up Applications > 3D > MinIP to start minimum inten-

sity projection (MinIP).
Or D.3
Call up Applications > 3D > SSD or click on the icon button

to start surface shaded display (SSD).
Or D.3
Call up Applications > 3D > VRT to start the volume render-

ing technique as the image processing.
0.0

If you have selected more than one suitable series or an espe-

cially large series, the Series List dialog box is displayed. As
soon as you have decided on a series there, you can perform
three-dimensional image processing on the 3D task card.
Chapter H.2, Transferring Images to 3D D.3
0.0

Private applications D.3
Only research customers are allowed to use the selection of

syngo programmed user-defined applications in the Private
Applications menu. D.3
D.3
0.0

CHAPTER
D.4 Correcting Data D.4
Every now and then it is necessary to correct patient data or to

add information about the study data, series and instances of a
patient. D.4
You can use the Patient Browser to search for this patient in
the database and then call up a dialog box in which you can pro-
cess the data. D.4
The data of the Service Patient cannot be altered. The same

applies to data that have been imported via an HIS / RIS sys-
tem or which are linked with such a system.
Whether and what changes can be made to data linked with
MPPS depends on the working status.
Page D.68, Procedure tracking with MPPS
History of changes D.4 Every time you change the data of a patient or examination, this
is recorded in a history of changes on your system. The correc-
tion list is maintained for each object level. You can view the his-
tory of changes for an entry in the local database at any time
in order to see what changes have been made to it. D.4
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syngo MR 2006T D.41

Correcting Data Patient Browser
Correcting patient or examination

data D.4
You can correct or add to the personal data of a patient or infor-

mation about that patients studies in the local database. D.4
If you want to change stored data or data from another worksta-

tion, you must first import it into the local database. However,
the original data remain unchanged.
Page D.231, Reading data from storing media D.4
D.4
NOTE
As long as you have not generated all the Position Display
images of a patients examinations, you must not change
the respective patient and examination data. D.4
Otherwise the reference of the scanned images gets lost

and it is not possible to use the Position Display in the
Viewing task card. D.4
0.0

Patient Browser Correcting Data
Close the patient in all task cards (Patient > Close Patient).
When Security is activated, you can correct data only if you

are authorized to do so.
Select the patient, study, series or images that you want to
correct in the navigation or content area of the Patient
Browser.
Call up Edit > Correct.
Or D.4
D.4 Click on the icon button on the toolbar to open the Correct
dialog box.
You cannot correct data that was delete-protected with Edit >
Protect. You must first remove the delete protection with
Edit > Remove Protection.
Data that are used by other applications or are being pro-
cessed on another console cannot be corrected, either. The
corresponding entries in the Correct dialog box are then
dimmed.
0.0
syngo MR 2006T D.43

0.0

Selected patient D.4 On the title bar of the Correct window, you can see which
patient and data you have selected. D.4
Content display D.4 In the first line of the window of the header line, the number of
studies, series, and images which are selected for correction is
displayed.
D.4
Entering data D.4 In the input and selection fields of the Correct window you can
see the information that has been stored for the selected patient
or selected study or series so far.
D.4
Correct or add to the selected data.

Depending on the data level in which you want to correct
data, some fields of the Correct window might be dimmed.
When you enter very long comments in the Comment input
field only the first part of the text is displayed in the Viewing
task depending on the selected layout. A third or fourth com-
ment line is not displayed, either.
Multiple values are represented by an asterisk and cannot be
changed (except instance level).
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syngo MR 2006T D.45

Updating a current If you have called up the Correct window from the examination
examination D.4 card, you can incorporate the changes in the current examina-
tion. D.4
D.4 Select the checkbox Update data acquisition.
Signing for changes D.4
Enter your name under Modifiers name or select your

name from the selection list.
This will indicate who made the changes to the patient and
examination data for further reference. If your name is not yet in
the selection list, it will now be placed in the list automatically.D.4
If you do not specify a name, the name with which you logged
onto the system is taken as the modifier.
In case Security is activated this box displays your user name
and you cannot make any changes.
0.0

Saving changes D.4
Click on OK to save the new data and place the changes in

the history of changes.
The system first checks whether the predefined data are correct
and the date of birth entered is consistent with the specified
age. After that, the changed data are accepted into the system.D.4
Or D.4
Click on Cancel to reject the corrections. The data remain

unchanged and no entry is placed in the history of changes.
0.0
syngo MR 2006T D.47

One patient stored in the A patient whose name was spelled incorrectly during an exam-
database twice D.4 ination or who was once registered as an emergency patient is
stored in the database twice. D.4
As soon as you save the corrected patient name, the dialog box
asks you whether you want to merge the examination data of
the two patient entries or not. D.4
D.4 Click on OK to store all the selected data under the corrected
patient name.
D.4 Click on Cancel to cancel correction of the data.

No changes will be made. D.4
0.0

Changing external data D.4 If you change patient and examination data that you have pre-
viously imported into your local database (e.g. from another
archiving medium) or that was imported into your system (e.g.
via HIS/RIS), the Losing External References message box is
displayed. D.4
Click on Continue to save the changed data in your local

database.
If you then transfer the corrected data back to its original loca-
tion, it is stored in addition to the original data. D.4
Or D.4
Click on Cancel to cancel the process.
0.0
syngo MR 2006T D.49

Moving data D.4
The images of a patient are grouped together by examination

and series into hierarchical groups. If you find that the structure
is not correct, you can regroup the examinations and series by
moving them. D.4
If you move external data imported into your local database

and then transfer them back to their original location in a dif-
ferent combination, they will be stored in addition to the orig-
inal data.
Page D.49, Changing external data
When Security is activated, you can rearrange data only if you
are authorized to do so.
D.4
C AU T I O N
Source of danger: Correcting/rearranging objects with
references. D.4
Consequence: References may be lost. D.4
Remedy: Rearrange the entire hierarchical group

containing all objects with references in order to maintain
the references. D.4
0.0

Restrictions D.4 The data of the Service Patient, the Quality Assurance Patient,
and the Test Patient cannot be moved. The same applies to
data imported via an HIS/RIS system or linked with such a sys-
tem. D.4
You can only group together examination data that were

acquired by the same examination method with the same
patient position. D.4
You cannot move data that are already opened in another appli-
cation (e.g. the Viewing card) or are delete-protected with
Edit > Protect. D.4
You can only move studies into other studies or patient entries,
series into other series or studies, images into other series. D.4
For example, you can move images from one series into
another series or all images of one series into another study.
For example, you cannot move the images of a study into an
individual series of another study.
If you want to move linked external objects, select this func-

tion with multiple selection because otherwise the reference
to the unselected objects will be lost.
0.0

Drag & drop or cut You can move data either with the mouse (drag & drop) or using
& paste D.4 the Edit menu (cut & paste). D.4
If you accidentally cut and move data by drag & drop, you can
cancel the operation at any time with the Esc key.
Select the study or studies, series, images, or the one image

that you want to move.
Drag the selected data to the target position and release the
mouse button.
Or D.4
D.4 Call up Edit > Cut or click on the icon button on the toolbar.
Click on the target position.
D.4 Call up Edit > Paste or click on the icon button on the toolbar.
The Rearrange dialog box will be displayed. D.4
0.0

Just like when correcting patient and examination data, moving

data is also recorded in the history of changes.
Page D.414, Displaying a history of changes D.4
Enter your name in the Rearrange dialog box or select it

from the selection list.
If you do not specify a name, the name with which you logged
onto the system is taken as the modifier.
In case Security is activated this box displays your user name
and you cannot make any changes.
D.4 Click on OK to confirm your entry.
The data are moved and the changes are recorded in the his-
tory of changes together with your name. D.4
Or D.4
D.4 Click on Cancel to cancel the move.
0.0

Displaying a history of changes D.4
The correction list is a sort of log of your local database that is

created separately for each data level. Here you can always see
what changes and additions have been made to the data of
patient and to the information about the patient's examinations.
D.4
When Security is activated, you can open the History dialog

only if you are authorized to do so.
Select the patient, study, series or image stored in the local
database whose history of changes you want to view.
Call up Edit > History to display the Correct & Rearrange
History window with a chronological list of changes.
Or D.4
In the Correct & Rearrange History window you cannot

make changes yourself. All entries are made by your system.
0.0

Depending on the data level of the selected data different infor-

mation is listed in the Correct & Rearrange History window:D.4
Title
Here you can see the data record to which the logged
changes belong.
Attribute
This column lists the corrected entries.
Original Setting and Corrected Setting
These two columns show you the corrected entry before and
after the change.
Date & Time
This column of the table shows you the date and time of the
change.
Modifiers Name
In the last column in the table you can see who has made the
corrections.
0.0

D.4 If an object has been moved, the entry is marked ">" under
Attribute in window Correct & Rearrange History.
Depending on how many levels have changed when you
change an object, up to four lines of texts can be inserted into
the table.
Click on OK to close the history display again.
0.0

CHAPTER Storing, Sending and
D.5 Filming Data D.5
To backup data and to reduce the amount of data stored in the

local database you should store patient and examination data
at regular intervals. For storing you can equip your system with
a CD recorder, or connect the system to a central archive via
the network. D.5
If your system is connected to the central data network of your

hospital, you can transfer the examination data via this network
to another location in your hospital organization. You can use
this facility, for example, if you want to have examination results
evaluated at another work station or store them centrally. D.5
To process or otherwise use images with other applications,

you export them into the file system. D.5
Finally you can use the Patient Browser to film images for doc-
umentation or reporting. D.5
Select the required patient and examination data in the naviga-

tion area or content area of the Patient Browser window. After
that start storing, sending, or filming with the appropriate menu
item or by using the toolbar. D.5
0.0
syngo MR 2006T D.51

Storing, Sending and Filming Data Patient Browser
Storing data on an external medium D.5
Your system is equipped with a CD recorder for writing data to

CD. A CD drive is available for reading data.
D.5
Inserting CD D.5 Press the eject button on the CD drive.

Place the CD-R into the drawer.
Press the eject button on the drive again.
Storing data on CD D.5 Select the data that you want to archive in the navigation or
content area of the Patient Browser.
Call up Transfer > Export To....
Select the data medium you require in the Export To dialog
box.
D.5 Click on Export to save the data on the selected data
medium.
The actual procedure for storage to CD-R, recording a CD-R,

starts automatically or can be triggered manually.
Page J.210, Automatic start of the write operation
Page J.211, Starting writing manually D.5
0.0

Patient Browser Storing, Sending and Filming Data
Sending data via the network D.5
If your system is connected to a network, you can send patient

and examination data to other workstations via the network with
the Send To... function.
Page J.33, Sending data D.5
Select the patient, study, series or the images in the naviga-

tion area or content area.
Standard address D.5
D.5 Press the Send To Node 1 key on the symbol keypad.
Or
D.5
Call up Transfer > Send To Node 1 or Transfer > Send To

Node 2 to send the data to one of the preconfigured
addresses in the network.
Or D.5
D.5 Click on one of the two icon buttons on the toolbar.
The data are sent to the selected address. D.5
0.0
syngo MR 2006T D.53

Selecting a destination D.5 Call up Transfer > Send To....

Or D.5
D.5 Click on the appropriate button on the toolbar instead.
Select the network address(es) you require in the Send To

dialog box.
D.5 Click on Send to send the selected data to the required
address(es).
0.0

Printing patient data from data

media D.5
If a printer is connected to your system and you have stored

your patient data on local media (e.g. CD-R), you can print out
the data directly from there.
D.5
Select a drive in the navigation area.

Select the patient data you want to print out.
Showing print preview D.5 To show the data in the print preview, select Patient > Print
Preview.
Printing out the data list D.5 To print out the data list, select Patient > Print List.
The content and date of creation of the list appears in the
header of the list of patients. For all other data levels the con-
tent of the information area is also printed out.
The list is always printed in English.
Changing printer settings D.5 To change any printer settings, select Patient > Print... and
make your settings in the dialog box that opens.
Click OK to confirm your changes.
0.0
syngo MR 2006T D.55

Exporting images to the file

system D.5
If you want to process images with other programs, you can

export them to a defined directory on your system hard disk in
certain image formats (Export To Off-line).
Page J.42, Exporting images to the file system
D.5
Select the images for export.

Call up Transfer > Export to Off-line....
Select the required directory in the Export to Off-line dialog
box.
Select the required image format (DICOM, TIFF, bitmap, or
JPEG).
D.5 Click on OK to save the selected images as individual files.
0.0

Filming D.5
You can use the Patient Browser to send single images or all
images of one or more patients, studies or series to the Filming
task card.
D.5
Transferring images to Select the data in the navigation or content area.

Filming D.5
Call up Patient > Copy to Film Sheet or click on the icon

button.
Or D.5
Press the Copy to Film Sheet key on the symbol keypad.
Or
D.5
Click the Filming card to the top of the stack and double-click
on the entries that you want to film in the Patient Browser.
Or D.5
Drag the selection to the Filming task card with the mouse
(drag & drop).
Just like loading the images into the Viewing task card you can
determine in which segment of the film sheet the images are to
appear.
Page D.35, Drag & drop D.5
0.0
syngo MR 2006T D.57

With one of the above commands, all the selected images are
transferred to the Filming task card. Depending on whether
Auto Expose has been activated there, the images are
exposed on film immediately, as soon as a film sheet is full, or
they are first collected in a film job.
Chapter O.2, Semi-automatic/Manual Filming
D.5
Film preview D.5 Call up Patient > Film Preview to view a preview showing
how the images will be filmed or printed.
Or D.5
D.5 Click on the Film Preview icon button on the toolbar.
0.0

Exposing images on film D.5 You can expose or print a patients images that you have col-
lected in a film job from the Patient Browser. To do that you do
not have to switch to the Filming task card first. D.5
Call up Patient > Expose Film Task to transfer all images in

the film job to the camera or printer.
Or D.5

If you have transferred more than one patients images to the
Filming task card so that more than one film job exists, a dia-
log box is displayed. In this dialog box you can select the film
job you wish to expose on film or print on paper.
Page O.211, Exposing current patient
You cannot expose multiframe images directly from the
Patient Browser. You must first load them into the Viewing
task card.
Page G.713, Filming/printing images
0.0
syngo MR 2006T D.59

Film Task Status D.5 You can obtain an overview of all film jobs that have already
been sent to a camera or printer and, for example, change the
sequence in which they are to be processed.
Page O.53, Viewing and manipulating film jobs
D.5
Call up Patient > Film Task Status to display the Film Task
Status dialog box with a list of all pending film jobs.
Or D.5
0.0

CHAPTER
D.6 Maintaining your Data D.6
If you maintain your data collection regularly you can keep your
data management clear and access times to the databases
short. This is an important contribution to the efficiency of daily
examinations. D.6
You can obtain information about the work status of patient

and examination data and can edit it. In this way you can
record the processing stage that a patients images are at.
You can mark important examination data so that you will find
it more easily later on.
You can delete patient or examination data that has already
been stored from the local database.
0.0
syngo MR 2006T D.61

Maintaining your Data Patient Browser
Defining the work status D.6
The work status indicates the processing stage of patient and

examination data. This status is indicated as an abbreviation in
every list entry in the content area. Except read and verified
all work states will be set by the system. D.6
Via the work status, you can define, for example, precondi-
tions for storing and sending data.
Chapter J.7, Configuring Data Transfer
When Security is activated, you can define the work status

only if you are authorized to do so.
Abbreviations The abbreviation consists of seven parts: D.6
(e.g. com/p/a/s/e/r/h)
com/p/a/s/e/r/H - the first part provides information about the
D.6
progress of the study and whether the results have been

checked by the physician:
The study has been completed (com/...).
The images have already been read (rea/...).
The images and examination data have already been veri-
fied (ver/...).
com/p/a/s/e/H - the second part states whether
all (P/..),
a part of (.../p/...), or
no (.../ /...)
images of this patient, study, or series have been printed or
exposed on film.
0.0

Patient Browser Maintaining your Data
com/p/a/s/e/r/H the third component shows the following

status:
(.../A/...) Data have been archived completely

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syngo MR Operator Manual

Products, that are bearing a CE mark fulfill the provisions of the

The CE mark applies exclusively to medical equipment and

Telephone: +49 9131 84-0

Print No. MR-05000.621.04.01.24

Managing and Adjusting the C

Storing and Data Exchange J

syngo MR 2006T iii

A.2 Basics for Beginners

A.3 Configuring the User Interface

A.4 Service Functions

B.2 Information for Administrators

B.3 Information for Users

B.4 Information for Service Technicians

C Managing and Adjusting the System

C.2 Adjusting the System

D.2 Searching for and Displaying Patient Data

D.3 Transferring Data to other Applications

D.4 Correcting Data

D.5 Storing, Sending and Filming Data

D.6 Maintaining your Data

D.7 Configuring the Patient Browser

E.2 Registering a New Patient

E.3 Registering a Known Patient

E.4 Configuring Patient Registration

F.2 Loading the Scan Program

F.3 Measuring, Editing, and Managing Ref. Images

F.4 Positioning Slices

F.5 Adjusting Measurement Parameters

F.6 Performing a routine examination

F.7 Using a contrast agent

F.8 Positioning the Patient Table

F.9 Working with instruction areas

F.10 Inline Display

F.11 Patient instructions

F.12 Protocol and Pause Properties

F.13 Printing protocols

F.14 SAR and Stimulation Monitoring

F.15 Physiologically Controlled Scans

F.16 Organizing Scan Programs

F.17 Maestro Layout and Movie Display (Option)

F.18 Breast Biopsy

F.19 Automatic position correction

F.20 Quality measurement

G.2 Loading and Displaying Images

G.3 Scrolling and Selecting Images

G.4 Processing Images

G.6 Position display

G.7 Saving and Documenting Images

G.8 Configuring the Viewing Task Card

H.2 Transferring Images to 3D

H.4 Multiplanar Reconstruction (MPR)

syngo MR 2006T vii

H.5 Maximum and Minimum Intensity Projection

H.6 Reconstructing Surfaces (SSD)

H.7 Volume Rendering Technique (VRT)

H.8 Selecting and Processing Images

H.11 Fly Through