Installation Guide

This guide covers the complete workflow for medical image acquisition and viewing using the PACS module, including basic troubleshooting steps.

Image Acquisition Workflow

Step 1: Pre-Installation Setup

1. Verify System Requirements

   • Ensure PC meets minimum requirements (8GB RAM, i5/i7 12th Gen+ processor)
   • Confirm available disk space for image storage

2. Network Configuration

   • Set up Windows PC on the same network as the imaging machine
   • Assign static IP to the Windows PC
   • Verify connectivity:

     ping [machine_ip]

   • ECHO must succeed. If it does not work, get in touch with Machine Engineer.

3. Firewall & Antivirus Setup

   • Add PACS applications to Windows Firewall exceptions
   • Add PACS applications to Antivirus exception lists

Step 2: Enable PACS for the Lab

Enable PACS for the lab. From support dashboard.

Step 3: Installation

1. Install Dicom Receiver App

   • Download Dicom Receiver application
   • Configure port settings and network parameters
   • Create windows service NSSM install pacs_receiver

2. Install Orthanc App

   • Download Orthanc DICOM server
   • Install and configure with appropriate storage settings
   • Set up DICOM association parameters

3. Install PACS Client App

   • Download and install the PACS Client application
   • Modify required settings in C:\livehealth\common_config.json
   • Create windows service NSSM install pacs_client

Downloadable files can be found here : https://drive.google.com/drive/u/0/folders/16m7_tLDH_vHv85FaHSiV7rrqUkfQZScR

Step 4: Machine Configuration

1. RIS Configuration

   • Provide AE Title to the Lab Team
   • Provide Port Number for DICOM communication
   • Provide IP Address for network connectivity

2. Worklist Configuration

   • Configure RIS/worklist settings on the imaging machine
   • Test worklist functionality

3. Storage Configuration

   • Configure storage/ image sending parameters
   • Test image transmission to PACS

Step 5: Testing

1. Connectivity Testing

   • Ping test from Windows PC to imaging machine
   • ECHO test from imaging machine to Windows PC
   • Capture screenshots of successful tests

2. DICOM Association Testing

   • Test DICOM association between machine and PACS
   • Verify image transmission capabilities
   • Check image quality and metadata integrity

Basic Troubleshooting Guide

Network Connectivity Issues

Problem: Cannot ping imaging machine from Windows PC

• Verify both devices are on the same network
• Check IP address assignments
• Verify network cables and Wi-Fi connections
• Check if machine firewall is blocking ping requests

Problem: Image transmission fails

• Verify DICOM port is open and accessible
• Check firewall settings for DICOM communication
• Verify AE Title configuration on both ends
• Test DICOM association manually

Image Issues

Problem: Images not loading in viewer

• Verify image storage in Orthanc
• Check database connectivity
• Restart PACS services

Performance Issues

Problem: Slow image loading times

• Check available RAM (minimum 8GB, recommended 16GB)
• Verify network bandwidth (match scan size recommendations)
• Optimize Orthanc storage settings

Problem: Application crashes or freezes

• Check system resource usage
• Verify database connectivity
• Update to latest application version
• Check for application logs and error messages

Problem: Image sequencing does not work

• Check system resource usage
• Check if system is meeting minimum system requirements
• Check internet bandwidth, ensure it is sufficient
• Update to latest application version

Cloud Sync Issues

Problem: Cloud synchronization fails

• Verify internet connectivity
• Check cloud service status
• Verify sync credentials and permissions
• Restart sync services

This workflow guide should help users successfully navigate the PACS module for image acquisition, viewing, and basic troubleshooting. For advanced issues, please contact the technical support team.