1

This document should be used as a guide only to instruct on the Xmaru PACS. For further
assistance on this user’s manual or Xmaru PACS, contact your dealer.

The User Manual that comes with the product may not contain the most updated
information on the product.

2
R-USM-203

Version: Rev.2

Date: 2017-06-09

3
Please note that this information is for proper use and safety of the XmaruView V1. The following
symbols may indicate a hazardous situation in which, if not heeded, may result in serious injury or
even death to the user or others, or damage to the equipment.

Used to emphasize essential information.

Be sure to read this information to avoid incorrect operation.

Indicates warning and safety instructions. If not adhered to, it could

result in death or serious injury to the user or others.
WARNING

Indicates a hazardous situation which, if not heeded, may result in

minor or moderate injury to the user or others, or damage to the
CAUTION equipment.

Intended use:

XmaruView V1(Xmaru Chiroview or Xmaru Podview) software carries out the image processing and
administration of medical X-ray data which includes adjustment of window leveling, rotation, zoom,
and measurements. XmaruView V1(Xmaru Chiroview or Xmaru Podview) is not approved for
mammography and is meant to be used by qualified medical personnel only. XmaruView V1(Xmaru
Chiroview or Xmaru Podview) is complying with DICOM standards to assure optimum
communications between network systems.

Xmaru PACS receives, stores, searches and views the diagnostic image data from imaging modalities
in DICOM compliant. Xmaru PACS is capable of communicating with electronic medical records
systems, hospital information systems, and radiology information system via DICOM standard.

XmaruView V1(Xmaru Chiroview or Xmaru Podview) and Xmaru PACS can be packaged together or
offered as a standalone imaging solution to be installed in a PC for trained medical professionals.

4
 VATECH Dental Manufacturing Ltd.

Chancery House, St. Nicholas Way, Sutton, SM1 1JB, United

Kingdom

Tel : +44 208 652 1990, Fax : +44 208 652 1909

Rayence Co., Ltd.

14 Samsung 1-ro 1-gil, Hwaseong-si, Gyeonggi-do, Korea

www.rayence.com

Symbols Descriptions

Refer to instruction manual / booklet

Manufacturer

Date of manufacture

Serial number

Authorized representative in the European community.

5
 Table of Contents

1. Introduction to Xmaru PACS 9

1.1 What is Xmaru PACS? ............................................................................................................... 9

1.2 Copyrights ................................................................................................................................... 9

2. System Requirements of Xmaru PACS 10

2.1 System Requirements of Xmaru PACS ................................................................................. 10

2.2 Start / Terminate Xmaru PACS .............................................................................................. 11

2.2.1 Start the Xmaru PACS .......................................................................................................... 11

2.2.2 Terminate the Xmaru PACS................................................................................................. 12

3. Studylist 13

3.1 Studylist Screen Configuration.............................................................................................. 13

3.2 Main Tools ................................................................................................................................. 15

3.2.1 Edit Info .................................................................................................................................. 15

3.2.2 Delete ...................................................................................................................................... 16

3.2.3 History Manager : Administrator Only ............................................................................. 17

3.2.4 DICOM Send .......................................................................................................................... 18

3.2.5 Print ......................................................................................................................................... 20

3.2.6 Save As ................................................................................................................................... 24

3.2.7 Export ..................................................................................................................................... 26

3.2.8 Queue ...................................................................................................................................... 27

3.2.9 Import ..................................................................................................................................... 28

3.2.10 Open Study .......................................................................................................................... 28

4. Viewer 29

4.1 Viewer Screen Configuration ................................................................................................. 29

6
 4.2 Thumbnail View ....................................................................................................................... 30

4.3 Side Tool Bar ............................................................................................................................. 31

4.3.1 Layout ..................................................................................................................................... 31

4.3.2 Navigation.............................................................................................................................. 31

4.3.3 Image Controls ...................................................................................................................... 34

4.3.4 Tools ........................................................................................................................................ 36

4.3.5 Management ......................................................................................................................... 41

4.4 Image Information Synchronization .......................................Error! Bookmark not defined.

5. CD Viewer 43

Appendix

1. Stitching 47

1.1 Stitching Execution .................................................................................................................. 47

1.2 Image Stitching ........................................................................................................................ 50

7
Customer Notice
1. Rayence Co., Ltd. does not notify the user of the product's features and performance can be
improved.

2. Some of the features of products in some countries, languages and currencies may not be
available.

3. Rayence Co., Ltd., without the consent of the product is illegal reproduction and distribution.

Document Revision History

Document revision history information, and distributed a revised document, the revised date has

been recorded.

Version Date Writer Description

Rev.0 2014/7/22 K.S.Park Xmaru PACS 1.0.0 First release

Xmaru PACS 1.0.1to reflect the content according

Rev.1 2015/3/26 K.S.Park
to the update

Rev.2 2017/6/9 K.S.Park Manual composition update.

8
1. Introduction to Xmaru PACS

1.1 What is Xmaru PACS?

Xmaru PACS is a software program designed to provide image acquisition, processing and operational
management functions for Digital Radiography.
Xmaru PACS performs connects with Flat-Panel Detectors and Generator to acquire digital images.
The software also manages information on patients, tests and images through an internal database.
It also supports DICOM which allows excellent compatibility with other Radiography equipment and
network programs.
Xmaru PACS provides a streamlined process of multiple workflows. This optimizes any hospital
environment for digital radiography.

1.2 Copyrights

All software programs, files, data, manuals and other documents that are included in Xmaru PACS are
protected by the Copyrights Act and the Computer Program Protection Act of Republic of Korea.
More details on copyrights are included in product CD or in End User License Agreement that
appears when installing the product. Make sure to read it before using the product.

DICOM is the standard network protocol with regard to the digital

medical image communication issued in ACR/NEMA.

9
2. System Requirements of Xmaru PACS

2.1 System Requirements of Xmaru PACS

 The recommended system requirements for a proper execution of Xmaru PACS are as follows.
- CPU :Intel® Core™ i5 or higher
- Main memory(RAM) :4GB or higher
- Monitor Resolution :1920 x 1080
- Graphic Card
Intel Family :Intel GMA 950 or higher / Intel GMA X3500 or higher
Nvidia Family :Geforce FX5200 or higher
ATI Family :Radeon 9000 or higher
- Graphic Card memory :256MB or higher(No main memory sharing)

 The recommended hard disk capacity requirements are as follows.

- Memory occupancy of Xmaru PACS :approx. 1GB
- Cache Space :0 ~ 10240 MB (Optional)

 The operating systems supported by Xmaru PACS are as follows.

- Microsoft Windows 7(32bit / 64bit) Professional or higher
- Microsoft Windows 10(64bit) Professional or higher

 The programs required to execute Xmaru PACS are as follows.

- Microsoft .Net Framework 3.5 SP1 or higher
- VC++ redistribution package 2008 SP1

10
2.2 Start / Terminate Xmaru PACS

2.2.1 Start the Xmaru PACS

 Before running Xmaru PACS, check device or system if it works correctly.

 Double-click the Launch Xmaru PACS icon on the desktop and the Log-in window will pop
up.

< Figure 1 Log-in >

You should enter IP address of the Server in the first

of execution.

11
  If you enter your ID & Password correctly and then click the button on the right
Xmaru PACS will be started.

2.2.2 Terminate the Xmaru PACS

 Go to the top of the main screen and click the Exit button.

< Figure 2 System Menu >

< Figure 3 System Menu >

 Click YES and the program will be terminated.

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3. Studylist

3.1 Studylist Screen Configuration

①
②
③

< Figure 2 Studylist >

① Server Status, System Menu

 User account status

 Server status :Status Bar of Database and File server.

-Blue :Server connected.

- Red :Server disconnected.

 Log off

 Setting :Xmaru PACS Setup Configuration

 Minimize :Minimization of the program window

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 Exit :End the program

② Search

 Search by a variety of search conditions :Patient ID, Accession No., Body Part, Date, Physician,
Patient Name, Modality, Etc.

 Search by period :today, Yesterday, 7 Days, 6 Month, 1 Year & All

③ Main Tools

 Edit study information, Study delete

 History Manager, DICOM send, DICOM Print, Save as, Export, Queue, Import

 Open Study

④ Main List

 Displays the list of completed studies.

 Change the header column location.

-You can change the order of Header Column with Drag & Drop.

⑤ Thumbnail List

 Display the list of thumbnails of studies selected from the Main list.

⑥ Reference List

 Display the list of patient’s past study selected from the Main list.

14
3.2 Main Tools

3.2.1 Edit Info

 Select a study you want to modify and click “Edit Info.”.

① After editing, press the "Modify" button.

< Figure 5 Edit Info >

15
3.2.2 Delete

① Select a patient you want to delete from the Study List and click “Delete”.

② The Delete Confirmation Dialog Box will be popped up.

< Figure 6 Study List >

 YES :Delete the selected study..

 NO :Cancel the Delete.

 Check Box :When deleting, Except for the images yet to be sent.

You should log in Administrator account for Study delete

16
3.2.3 History Manager: Administrator Only

 Search the study history.

< Figure 7 History Manager >

17
3.2.4 DICOM Send

 Send the selected study.

< Figure 3 Multi Send >

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 Storage Server

- Storage Server is registered in the list sent to select an item. (Multi selectable)

 Send Mode

- Selected Study :Send all images in selected study.

- Selected Image : Send the selected images.

< Figure 4 DICOM Send >

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3.2.5 Print

 DICOM Print

- Print the selected study to the DICOM Printer.

① ③

⑦ ⑧
②
⑨
< Figure 5 Printer Manager >

① Printer List :List of connected printers.

② Add :Add a printer.

Edit :Edit the printer information.

Delete :Delete the printer information.

Echo :Check the connection on the printer.

③ Print Information

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 MediaTypes :Select the Paper or Film Type.

Destination :Select the properties.

Magnification :Choose magnification properties.

Priority :Select a priority.

Orientation :Select the image orientation. (landscape, portrait)

Film Size :Select the size of the film.

Cropping :Select the crop option.

Trim :Turn On/Off trim function.

Resolution :Select the resolution.

True Size : Real size printing option.

④ Density

Max :Input the Maximum value.

Min : Input the Minimum value.

Border :Select the film border options.

Empty :Select the film margin color.

⑤ Overlay

Image Information :Including image information is printed.

Annotation :Including Annotation data is printed.

⑥ Print Mode

Selected Study :Print all images in selected study.

Selected Image :Print the selected image.

⑦ Print Layout :Select the layout.

⑧ Number of Copies: Select the number

⑨ Print & cancel

21
 Print registration is available to less than 20.

 Paper Print

- Selected item will be printed by Paper Print.

< Figure 6 Paper Print >

22
  Advance Print

⑤
②
④ ⑥ ⑦

③ ⑧

⑨
⑩
⑪ ⑫
< Figure 7 Advance Print >

① Patient Information

② Study List

③ Image List ( Thumbnail List )

④ Main Screen

⑤ Add Image &Remove Image

⑥ Preview

⑦ Select the Film Layout

⑧ Add Film, Remove Film, Reset

⑨ Option

- Select the Printer name and Film size, Orientation, Number of Copies

⑩ Previous Image, Next Image

⑪ Setting

23
 - Printer Setup configuration

⑫ Print & Cancel

<
Figure 8 Advance Print >

3.2.6 Save As

 Save the selected study as another image file.

24
 < Figure 9 Save As >

 Annotations :Include annotations.

 Image Information : Include image information.

 Current Display :Include current display.

25
3.2.7 Export

 Burn the selected study in aCD-ROM.(Viewer software included)

< Figure 10 Data Export >

※ Disk(Folder) : Save the study into a portable hard disk or user-defined path (Viewer included)

CD Viewer See the Chapter 10 CD Viewer.

26
3.2.8 Queue

 Show the transmission status of study.

③ ④ ⑤ ⑥

⑦
< Figure 11 Queue >

① It shows the number of all studies and images that are currently being transmitted.

② It shows the list currently being transmitted.

③ Refresh :Refresh and update the list.

④ Abort :Abort transmission of the selected study. (The study whose transmission has

already been started may not be canceled even if it is deleted from the list.)

⑤ Abort All : Abort all operations that are currently registered. (The study whose

transmission has already been started may not be canceled although it is

deleted from the list.)

27
 ⑥ Retry :Retry transmission.

⑦ Close : Close the Study Queue window.

3.2.9 Import

 Import the external images.

- Select Folder :Retrieve images from the selected folder.

- Select File :Retrieve the selected image.

- DICOM DIR : Retrieve the DICOM directory image.

3.2.10 Open Study

 Open the selected study.

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4. Viewer

4.1 Viewer Screen Configuration

① ③
②
④
⑤

⑦
⑥

< Figure 12 Viewer Screen >

① User account, Server status, Log-Off, Minimize, Exit button

② Study Selection, Close study

③ Close entire study, Call the Studylist, Hide thumbnail list icon, Hide the side tool bar

④ Thumbnail View

⑤ Title Bar

29
 ⑥ Main Screen

⑦ Side Tool Bar

4.2 Thumbnail View

 After selecting the image, Click the right button and then Pop-up list is displayed.

- Clone Image : Clone the selected image

- Delete Image : Delete the selected image

- Re-Download : Re-download the selected image

30
4.3 Side Tool Bar

4.3.1 Layout

 Study Layout

- Set the study layout

 Image Layout

- Set the image layout

4.3.2 Navigation

 Previous Page

- Move to the previous page.

 Next Page

- Move to the next page.

 Image View

- Display the images to the image view mode.

 Cine View

- Display the images to the Cine view mode.

31
※ Extend Button :Extension tool window.

 Previous Image

- Go to the previous image.

 Next Image

- Go to the next image.

※ Tool Bar Edit

① Click the Edit button to the extension tool window.

② Display the currently registered button in yellow.

32
③ Select the button you want to register and Click “Apply”

④ Register the selected button to the tool bar

33
4.3.3 Image Controls

 Select

- Default Cursor
- Select Functional button, Maker, Annotation, Cropping area etc.

 Panning

- Move the center of the selected image.

 Zoom

- Resize the image.

 ROI Zoom

- The selected ROI region is displayed as size of Main Screen.

 Magnify

- Display the Magnify Glass.

- Hold the “Shift” key and move the mouse to adjust magnification.

- Hold the “Ctrl” key and move the mouse to adjust the size of the magnifying area.

 Auto Fit

34
 - Resize an image according to the size of the Main Screen.

 CW 90º

- Rotate an image by 90 degrees clockwise.

 CCW 90º

- Rotate an image by 90 degrees counterclockwise.

 Horizontal Flip

- Flip an image horizontally.

 Vertical Flip

- Flip an image vertically.

※ Extend Button : Extension Tool Bar

 Real Size

- Display images on the monitor pixel resolution.

 ROI Windowing

- The window value in ROI region is applied to whole screen.

 Invert

- Invert an image between black and white.

 Compare View

- Display the image comparison window.

 Scout Image

- Display the Scout image.

 Cross Reference

- Display the related area image.

35
4.3.4 Tools

 Length

- Measure the distance between two points.

 Angle

- Measure the angle.

 ROI – Rectangle

- Set the rectangular ROI.

 ROI – Ellipse

- Set the circular ROI.

 Arrow

- Enter the arrow.

 Marker –L

- Enter the Marker – Left

 Marker –R

- Enter the Marker – Right

36
 Marker –Text

- Enter the user-specific text.

Hold the control point and move the mouse to adjust the size of
the marker.

Marker is resizable by drag the point at the right-bottom corner.

 Delete Annotation

- The selected Annotation is deleted.

※ Extend Button : Extension Tool Bar

 Note

- Writing Comment.

 Overlay (Show & Hide )

- Select either Show or Hide for Main Screen Overlay Text.

 Annotation

- Select either Show or Hide for Main Screen Annotation.

 Rectangle

37
 - Insert the Rectangle Annotation.

 Circle

- Insert the Circle Annotation.

 Black Rectangle

- Insert the Black Rectangle Annotation.

 Line

- Insert the Line Annotation.

 Delete All Annotation

- All annotations of the image displayed on the screen are deleted.

 Acetabular Angle

- Measure the angle of the both Acetabular.

 Cobb’s Angle

- Measure the Cobb’s angle.

 Rectal Shutter

- Using the rectal shutter.

- The shutter can be rotate by drag the point at the middle of top side

38
 Polygon Shutter

- Using the polygon shutter.

- If you double-click the mouse to complete the polygon shutter.

 Center Point

- Display the center point between two dots.

 Cross Angle

- Measure the cross angle.

 Line Segment

- Enter the Segment Line.

 Free Draw

- Drawing the Free line.

 Dot

- Enter the Dot.

 Stitching

- Stitch two or three images into one.

 Predefine Text

39
- The predefined text is entered.

- Go to System Menu > Setting > General > Display > Pre-Defined Text if you want to

editthe predefine text.

40
4.3.5 Management

 Save As

- Save the selected image under a different file name.

 Print

- Print the selected image to the DICOM Printer.

 Send

- Send the selected image or current study.

 Reset All

- The image is restored to state of primary processed image.

- Rotation, Flip, Window Width, Window Center and All annotations reset.

 DICOM Header View

- Display the DICOM header information for the selected image.

※ Extend Button : Extension Tool Bar

 Adv Print

- Execute the Advance Print window.

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 Paper Print

- Print the selected image.

 Modify Exposure Parameter

- Modify exposure parameter of selected image.

 Report

- Make the study report.

 Non-DICOM Import

- Non-DICOM File Import.

 Image Comments

- - Insert the Image Comments.

42
5. CD Viewer
 Automatically runs viewer when you insert the CD.

(If you do not automatically, click the CDViewer shortcut icon.)

< Figure 19 13CD Viewer >

43
① ② ③ ④

< Figure 140 CD Viewer >

① View Image :Image review.

② Minimize :Window minimized.

③ Close Study :Close the study list.

④ Exit :Exit the CD Viewer.

⑤ Study List :Displays studylist included on the CD.

44
① ② ③

< Figure 151 CD Viewer >

① Main Tool Bar

- Open Study List

- Next / Previous Study Open

- Image Layout

- Select, Invert Image, Reset

- Zoom Image, Panning, Magnify, Fit

- Rotate / Flip Image

45
- Length, Angle, Rectangle / Circle ROI

- Delete Annotation, Delete All Annotation

- Export Image, Copy Clipboard

② Main Screen

③ Thumbnail List

46
Appendix

1. Stitching

 This is the function to stitching the two or three images.

The composite image is added to existing or new Series.

1.1 Stitching Execution

 Stitching function buttons will be activated when you choose the two or three images.

< Figure 162 Stitching Button Activation >

47
②
③

< Figure 23 Stitching Dialog >

① Main screen
- Display the selected images.
② Study Information
- Patient ID, Name, Sex, age, Study description, Study date, Study time.

③ Tools

- Select, Panning, Zoom, Invert

- CCW 90’ CW 90’ Rotation, Horizontal, Vertical Flip

- Reset

48
④ BodyPart & View position Setting
- Select the BodyPart and View Position information of result image.

[BodyPart]

[View Position]

⑤ Stitching Function
- Insert Stitching Point
:Point in the image composite input on the screen.
- Delete Stitching Point
:Composite image input point to delete it.
- Select All image
:Select all the images are displayed.
- Swap Image
:Swap the images.
- Stitching
:If all images are entered in the stitch, stitching button is activated.
Composite images for based on stitching points.
- Close
:Close stitching function.

49
1.2 Image Stitching

 Adjusts image by using tools.(Panning, Zoom, Invert, Rotation, Flip, etc.)

 Select the Body Part, View Position of Compositing image.

< Figure 174 Stitching Tools >

50
 < Figure 25 18Insert Stitching Point >

 After clicking “Insert Stitching Point” button, enter the compositing point.

※ When you click the “Delete Stitching Point” button, delete the compositing point.

 When you click the “Stitch” button, the preview window will pop up.

51
 < Figure 26 19Image Stitching Preview >

 Image Stitching Preview

- Save: Save the composite image.

- Cancel: Cancel the image stitched.

52
 < Figure 2720 Select Series >

 Select Series

- Select a series after adding, click the “OK” button, you will be saved. “Cancel” to cancel
if you press the compositing.

53
< Figure 28 21Image Stitching Complete >

54
1

55