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PACS System Admin In-depth

PACS System Admin In-depth. Class instructor. Scott Questad PACS/RIS Specialist scott.questad@sectra.com. Class instructor. Leif Wallin PACS Support Specialist leif.wallin@sectra.com. Please introduce yourself …. Who are you Role/background Size of hospital /clinic. Introduction.

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PACS System Admin In-depth

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  1. PACS System Admin In-depth

  2. Class instructor Scott Questad PACS/RIS Specialist scott.questad@sectra.com

  3. Class instructor Leif Wallin PACS Support Specialist leif.wallin@sectra.com

  4. Pleaseintroduceyourself… • Whoareyou • Role/background • Size of hospital/clinic

  5. Introduction • Take notes in workbook • We give you the tools but you are responsible for using the tools • Take advantage of us – ask questions

  6. Logging into workstation • Each user will have a sheet next to workstation with ip address • We will show you how to use Remote Desktop to access your personal environment

  7. Course objectives • We will identify best practices for uncovering root causes as well as creating future-proof solutions. • File system management in Sectra PACS • Create and manage DICOM SCPs • Identify and fix some common archive issues • Setup and troubleshoot teleradiology

  8. Course segments 2 Management of log files 1 Where are the disks for which I am responsible? Hands-on 3 System/application/User files 5How to handle failed archive jobs 6 Teleradiology How to set it up and troubleshoot 4 Managing DICOM Servers

  9. Objectives Course Segment 1 • Awareness of architectures of different servers • Interrelation of server components • How I can be proactive in administering disk space 1 Where are the disks for which I am responsible?

  10. Disk Management • Different server, different disks • WISE • SHS • Imageserver • Different purpose for different disks • Operating System (C:) • Application (C:,D:) • Image store (I:, J:, K:, …) • Database (F:,G:,H) • Use your SectraGuard Monitoring login to monitor disk space.

  11. Learned from Segment 1 • Server differences and impact on administration • Introduction to issues that affect disk space • Proactive administration of disks 1 Where are the disks for which I am responsible?

  12. Objectives Course Segment 2 • Understand where log files are located • Understand administration of PACS logging • Differentiate between PACS core logging and SHS logging 2 Management of log files

  13. Management of logging levels • WISE server logging and MWL logging – command line:w_ping –L #w_config_mwlscp • DICOM SCP’s – DICOM Server Toolbox • SHS – Enterprise Manager

  14. Log File Management • Log folders – sized initially for PACS operation. • Specific Logging locations: • PACS Core logging:C:\Program Files\Sectra\{service}\log • SHS loggingStandard logs: C:\Program Files\Sectra\log • Additional Logging administered in Enterprise Manager

  15. Log File Management • When logging via Enterprise Manager create log destinations on your local workstation • Turn down DICOM Server log levels unless trouble-shooting • On core servers logs are stored in C:\program files\sectra\<service>\logs\saved • Use your Sectra Guard Monitoring account to respond to warnings before issues become critical

  16. Learned from Segment 2 2 Management of log files • Location of various log files • How to create SHS destinations and interests • How to clean up log files to gain disk space

  17. Objectives Course Segment 3 3 System/application/User files • Understand how administrative activity impacts disk use • Understand need to handle third-party applications • Understand how to avoid introducing problems through administrative actions

  18. System/Application/User Files • PACS is sized for PACS • SectraGuardMonitoring • User files should either be stored on a user workstation, or on a share • If installing several 3rd-party applications, an extra local drive should be added

  19. System/Application/User Files • When deciding on 3rd party apps, be aware of the data they generate, not just install size • A word about anti-virus software and updates • How do I know what is using my disk space? • Manual Effort • More 3rd party apps (e.g. windirstat)

  20. System/Application/User Files

  21. Learned from Segment 3 3 System/application/User files • Awareness of how administrative activity impacts disk use • How to proactively manage disk space • How to use tools to manage disk space

  22. Objectives Course Segment 4 • Learn to better manage short-term storage • Understanding stages of image import and how they affect disk space • Understand how to manage DICOM SCPs and base folders to best use disk space 4 Managing DICOM Servers

  23. DICOM Server Management • Logging and applications remain fairly static • Growth in a facility usually implies growth in modalities and, therefore, number of images • Exams keep getting bigger • It’s important that the PACS administrator understand how to manage DICOM servers

  24. DICOM Server Management • Image storage • SCP/SCU • in_dcm • Autofiler • All DICOM communication requires: • Host • Port • AE Title • Sectra PACS establishes storage location using the concept of base folders

  25. DICOM Server Management Prerequisite – Base Folder A base folder is required before a DICOM SCP can function. A base folder is a friendly name for a shared disk location. Base folders are created from the Windows command line with the command:w_basefolder

  26. DICOM Server Management EXAMPLE: To create a base folder called R3_MRon a server called “pacs2” in a folder with a share name of “folders$” you would use the command: C:\> w_basefolderNAME=R3_MRLOCATION=file:\\pacs2\folders$\R3_mr ID_STRING=R3_MR NOTE: the “file:” preceding the location is required!

  27. DICOM Server Management • A base folder can have a friendly name, for example “Room3_MRI” – although, the shorter, the better • Each base folder requires • NAME • LOCATION • ID_STRING (usually the same as NAME)

  28. Configuration: • PACS Infrastructure • DICOM Server Toolbox • Licenses DICOM Server Management

  29. DICOM Server Management

  30. DICOM Server Management – Autofiler • Autofiler must be administered effectively • Autofiler must be updated with each new DICOM SCP • Autofiler has two halves: • Auto archive • diskcheck

  31. Learned from Segment 4 • Understanding of image import process • Expertise in configuring DICOM servers • Understanding of how stages of image import affect disk space • Understanding need to keep autofiler in step with DICOM server management 4 Managing DICOM Servers

  32. Objectives Course Segment 5 5 How to handle failed archive jobs • What does archiving mean and how is it used within Sectra PACS • What are common reasons for archive job failure. • How do we troubleshoot and solve archive job failure.

  33. What does archiving mean • Archiving saves space • Slower storage media is cheaper • Exams get locked from editing • To access an archived exam it has to first be retrieved from archive media

  34. Archive Jobs alert from Sectra Monitoring

  35. Archive Jobs alert in Sectra Monitoring

  36. Common reasons for failed archive jobs • Network outage • Exam administration needed • Unsupported DICOM format • Troubleshooting • Look at the exam in IDS7 • Logfile C:\Program Files (x86)\sectra\ImageServer\log\ImageServer7831.<date>.txt • For XD archive there is also DICOM SCP log on archive host.

  37. Learned from Segment 5 5 How to handle failed archive jobs • What archiving means and how it is used within Sectra PACS • Common reasons that can cause archive jobs to fail • How to troubleshoot and clear failed archive jobs

  38. Objectives Course Segment 6 • What is teleradiology? • How do we configure teleradiology destinations • How can we troubleshoot teleradiology 6 Teleradiology How to set it up and troubleshoot

  39. Teleradiology • Send exams to DICOM receiver • Configured using command line tool w_config_telerad • IP, port and AET (Application Entity Title)

  40. Troubleshooting Teleradiology • dicom_echo • Tests the DICOM connectivity to a destination. • Requires IP, AET and port for the destination. • dicom_echo –v –c AET <IP> <port> • Log files • Receiving Telerad • C:\Program Files (x86)\sectra\ImageServerS\log\ctnstore.xxx.<date>.txt • Sending Telerad • C:\Program Files (x86)\sectra\WISE\log\ImageServer7832.<date>.txt

  41. Learned from Segment 6 6 Teleradiology How to set it up and troubleshoot • What teleradiology is. • How to configure teleradiology destinations • How to troubleshoot teleradiology

  42. Sectra Userweb www.userweb.sectra.com Sectra User Web provides personalized content including online helpdesk and support, documentation on Sectra products including the Sectra e-learning, project updates, discussion forums and more.

  43. Joinus for our Quick TipWebinar Our free 30 minute Quick Tip Webinar is a follow up to the Quick Tip section found in our Sectra Insider Monthly. The Sectra Insider Monthly is a 2-page newsletter sent out to all Sectra NA customers once a month.

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