Basic Image Review (BIR) Connectathon Tests

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1 Basic Image eview (BI) Connectathon Tests General Instructions The tests in this document are applicable to two different IHE actors: 1) An Image Display actor in the Basic Image eview (BI) Integration Profile. This actor has specific functional requirements for its viewer application, but no performance requirements. It performs all tests in this document prefaced by BI_. It should skip tests with PDI_. At the Connectathon, these tests are run on a hardware/software platform provided by the Image Display vendor. 2) A Portable Media Creator (PMC) actor that supports the Basic Viewer option in the Portable Data for Imaging (PDI) Integration Profile encodes a Basic Viewer application on the PDI media it creates. This Basic Viewer has all of the functional requirements of the BI Image Display actor; these requirements are applicable in two different hardware/software environments (see next section). It also has performance requirements tied to a specific hardware platform. It performs all tests in this document prefaced by PDI_ and those with BI_. At the Connectathon, these tests are run on controlled hardware/software platforms provided by the Connectathon Managers using the PDI media created by the Portable Media Creator. For the evaluator (connectathon monitor): When testing a BI/Image Display, the test image set used within these tests are query/retrievable from the Connectathon Central Archive, and also stored on a PDI CD. The BI/Image Display should pre-load these prior to evaluation beginning. When these tests are run for a PDI/Portable Media Creator supporting the Basic Viewer (ie the viewer is encoded on PDI media), we want the PMC to create media containing the test image set, if possible. If the system can only create media with its own images, the evaluator may not be able to perform all functions. Use a single-button mouse, or, on a multi-button mouse, perform all tests with left mouse button only. The PC on which tests are run is not on the network. During the evaluation, step-by-step results are recorded in this document. Afterwards, the results of each test are recorded in the Connectathon webtool. In order to pass a test, each step within the test must be marked P. 1

2 Complete this Summary: Vendor: System (or product) Name: Evaluated by: Date of evaluation: Basic Viewer on PDI media? Yes / No If yes, circle media type: CD / DVD / USB and complete the section below. Document the Test Environment PDI Portable Media Creator with Basic Viewer ption There are 2 different hardware/software environments required to be supported the Basic Viewer on PDI media. If you are testing a viewer on PDI media,indicate below which is used for the test results recorded in this document. eference: AD TF-1: Environment 1: Windows XP Home / 512 Mb ne x86 (Intel or AMD) processor (specify): S: Windows XP Home Edition Environment 2: Windows Vista Home Basic / 1024 Mb ne x86 (Intel or AMD) processor: specify S: Vista Home Basic Edition 512 MB (for XP) Memory: 1024 MB (for Vista) Single monitor 1024x768 in 24-GB color Single button mouse (or use left mouse button only) CD/DVD drive Consumer-grade printer (specify): Single monitor 1024x768 in 24-GB color Single button mouse (or use left mouse button only) CD/DVD drive Consumer-grade printer (specify): 2

3 : PDI_Basic_Viewer_General_qmts Summary This test applies to Portable Media Creators in the PDI Integration Profile that support the Basic Viewer ption. There are general requirements for the Basic Viewer in addition to the functional requirements of the application itself TF eference AD TF-1: , , , Test Setup The PDI Media with the Basic Viewer is inserted into the drive. The test computer is not on the network (ensures requirement that the network is not needed for download of software, licensing, or registration, or any other information via the Internet or local area network). For one test step, two monitors are needed. This could be the combination of a laptop screen and an external monitor. Test Action Expected esults P/F Evaluator s Comments 00 Insert PDI media into drive. The test computer is disconnected from the The Viewer works under normal user privileges (does not require admin privileges). 02 network. The Viewer automatically launches when the media is inserted (because the S on the test machine allows this, and it has not been disabled by the user). 05 The Viewer operates directly from the PDI media; it does not require software installation on the local PC. 10 The Viewer does not require install of, or permission to install, applications, frameworks (such as Java or.net versions other than 2.0), libraries (such as DLLs or ActiveX controls), device or graphics drivers, or software other than those shipped with the basic operating system. 12 When the Viewer launches, there is no disclaimer or other notice to the effect that either the images on the media or the application itself is not for diagnostic or clinical use; the 3

4 15 If a report is present on the media, select and display it 18 Adjust the display resolution to 1280x1024. pen the Basic Viewer. 20 Attach a 2 nd monitor and adjust display settings to use both. Adjust one to 1024x768 and the other to 1208x1024. pen the Basic Viewer. 25 With the media in the drive and the display application started, exit the display application. Browse the CD/DVD drive to find the VIEWE.BAT or Action Expected esults P/F Evaluator s Comments user is not required to agree to such conditions before proceeding to use the application. (However, the application may present a disclaimer indicating that the provider of the media has no control over the display hardware, the state of display calibration, ir other aspects of the viewing environment that may affect the suitability of the displayed images for diagnostic use). The report correctly displays without any additional preinstalled software beyond any in the S requirements (eg does not require a PDF viewer or specific fonts). The application takes advantage of the size of the primary monitor; when larger than the minimum 1024x768, then the large size is used (rather than displaying a fixed 1024x768 window). The application tolerates the presence of two monitors of different resolutions, but is not required to be able make use of both monitors. VIEWE.BAT or VIEWE.EXE exists in the root directory of the media. The user is able to manually start the Viewer using this file. VIEWE.EXE file in the root directory. 30 Start the Viewer application. Verify: The application provides immediate feedback to the user when it is invoked (eg dialog box or splash screen presented, cursor change ) If the application takes more than 5 seconds to launch, an indication of relative progress is presented to the user. The user is provided with an option of immediately terminating. The viewer automatically provides a display or listing 4

5 35 Close the application using the ordinary window decoration for this purpose. 40 With the media in the drive, attempt to quickly execute two instances if the viewer application. (This step is attempting to replicate the scenario where the user tries to start the viewer; it doesn t immediately start, and the user tries to launch it again.) 45 Start the Viewer application. emove the media from the drive; then close the Viewer application. 50 Browse to the root directory of the media. pen the file named VIEWE.PDF. (Note that the minimum requirements for the viewer do not include a PDF reader, nor is it required to be provided on the media.) 55 Action Expected esults P/F Evaluator s Comments of the media contents (eg patients/studies/series) without requiring further user action. The user is able to close the Viewer by clicking on the X in the upper right corner of the viewer window. nly one instance of the Viewer is started. The user is able to successfully close the application even if the media has been removed from the drive. The Viewer may automatically terminate, or allow the user to manually close it. The media contains a VIEWE.PDF file in the root directory. The manual documents the use of the Viewer application. 5

6 : PDI_Basic_Viewer_Performance Summary This test applies to Portable Media Creators in the PDI Integration Profile that support the Basic Viewer ption. It verifies that performance requirements are met or exceeded as detailed in ITI TF-1: Table Note that that the Hardware/Software Platform for this test is different than that used for the other tests in this document. See eference Platform below. TF eference AD TF-1: Test Setup eference Platform: This test must be performed on a PC meeting this specification (from ITI TF-1: Table ): Component Processor AM Hard drive CD drive Video perating System Frameworks Display Setting Specification ne Intel Core 2 Duo 2.33 GHz single processor dual core with 4MB Level 2 cache, 1333FSB 2 GB DD2 800MHz SDAM 500 GB 7200 PM SATA Hard Drive Half-height X CD read DVD-M drive Integrated Intel GMA X4500HD Graphics Windows XP Professional SP3.NET 2.0 and Java JE 1.6 installed 1280x1024 resolution in 24 bit GB color 6

7 eference Image Set: This test must be performed using the image set identified in ITI TF-1: Table The eference Image Set may be obtained from Type Source Contents Large dataset CDFBIPEFMANCE.iso Two spine M studies for comparison, one PET/CT study, one Chest CT study, digital x-rays of the chest, cervical and thoracic spine, and one nuclear medicine study. Small dataset CDFBIPEFSMALL.iso ne M spine study from The Portable Media Creator under test must create two pieces of PDI media (CD, DVD or USB): o ne contains the Large dataset and vendor s Basic Viewer. o ne contains the Small dataset and the vendor s Basic Viewer. Test Conditions See ITI TF-1: targets are defined in seconds between action initiation and desired response performance times are measured by repeating each test and shall meet the target in at least 3 out of every 4 invocations of the test caches are to be cleared between invocations of tests (e.g., by rebooting), to prevent intermediate cached data rather than data retrieved from media being used targets assume that the media in the drive is spinning (many drives spin down after a period of inactivity); an additional 5 seconds may be added to the target times if a delay for the media to spin up is unavoidable, since this may be beyond the viewer s control 7

8 Benchmark to be measured Action In vo ca tio n Expected esults for Large dataset Actual Time Expected esults for Small dataset 10.1 Start-up to ready With auto-run 1 60 seconds 30 seconds 10.2 to select disabled, time from doubleclicking the Image 4 10.x Display application icon displayed in the Windows Explorer viewing the root directory of the PDI media, any series can be selected for display in a viewport (possibly with placeholders for series thumbnails). - Actual Time Evaluator s Comments 20.1 Series thumbnail With the 1 2 seconds for 20.2 select to first image DICMDI 2 any series x of series displayed already read, but nothing previously selected, the time from the user selecting the thumbnail of any single series to the display of the first image of that seconds for any series

9 Benchmark to be measured series. Action In vo ca tio n Expected esults for Large dataset Actual Time Expected esults for Small dataset Actual Time Evaluator s Comments 30.1 Series thumbnail The time from the 1 20 seconds for 30.2 select to last image user selecting the slice x of series displayed thumbnail of any single series to the display of the last image of that series (by the user scrolling to the last image, and without skipping any images) PET/CT CT series 40.1 Select different When one series 1 2 seconds for x series is already displayed, the time after selecting a different series thumbnail until the first image of the new series is displayed any series 50.1 Scroll frame rate With only one 1 30 slices/per x window displayed at the full size of the screen, and the image fitted to the size of the second for 311 slice PET/CT 512x512x12 bit CT series 9 10 seconds for 21 slice M localizer series 2 seconds for any series n.a.

10 Benchmark to be measured Action window, with all frames loaded, and without skipping frames, the rate at which frames can be scrolled, In vo ca tio n Expected esults for Large dataset Actual Time Expected esults for Small dataset Actual Time Evaluator s Comments 60.1 Zoom time With only one seconds x window displayed at the full size of the screen, and the image fitted to the size of the window, the time from the user initiating a zoom command by a factor of 2 (approximately), until the display of a stable (unchanging) magnified image for1880 x 2016 DX PA Chest Window center With only one 1 approximately x and width change response time. window displayed at the full size of the screen, and the image fitted to the size of the seconds (near visually imperceptible) for1880 x 2016 DX 10 n.a. n.a.

11 Benchmark to be measured Action window, the time from the user initiating a windowing command until the display of a stable (unchanging) windowed image. In vo ca tio n Expected esults for Large dataset PA Chest Actual Time Expected esults for Small dataset Actual Time Evaluator s Comments Test: BI_Default_Layout Summary This test confirms: default behavior of multi-button mouse initial default layout when BI application first starts available tools method for selecting series within a study rotation and flipping TF eference AD TF-2:

12 Setup None Test Needed for step Action Expected esults P/F Evaluator s Comment 00 - Start the Image Display application Multibutton mouse In various spots on the UI, click the right mouse button. The right mouse button is inactive, or brings up a contextsensitive menu. The content of a context-sensitive menu is not defined in the TF. 10 Study 1.1 (multiserie s, spatially correlated) Select study. Verify the following items are included in the default layout: strip or panel of thumbnails is displayed 20 + A toolbar, panel, or palate of tools is displayed. (Presence of the individual tools and their functions are verified in later tests.) ptionally, a tool may be presented to trigger advanced functionality. This step does not fail if the application does not provide such a tool. 30 Using the thumbnails, select 2 series Two vertical viewports open side-by-side. to display 35 - Each viewport contains a single tile, with a full-size image scaled to fit the tile The scrolling tool is automatically activated. 45 Find and select tool Layout Multiple Viewports. Switch between the choices. 50 Find and select tool Layout within Viewport At least these two layouts are available: - Single viewport - Two vertical viewports side by side. The study is properly displayed in each of the selected layouts. At least these four layouts are available: - Single tile - 2 vertical tiles side-by-side - 2 horizontal tiles one above the other - 4 tiles in a grid 12

13 Needed for step Action Expected esults P/F Evaluator s Comment 55 Study 1.2 Select study The Layout within Viewport tool is inactive. (multifram e study; single frame) 60 Study 1.2 Select study The Layout within Viewport tool is inactive. (single frame study; one series; one image) (DX) 1.5 (C) Select DX study. otate images using available tool. A tool is provided to rotate images in 90 degree increments. Images are correctly rotated. 75 Select C study. otate images using available tool. A tool is provided to rotate images in 90 degree increments. Images are correctly rotated (DX) 1.5 (C) Flip images using available tool A tool is provided to flip images horizontally. Images are correctly flipped (SC) Select SC study. The tool to rotate images is inactive (M) Select M study. The tool to rotate images is inactive (CT) Select CT study. The tool to flip images is inactive (US) Select US study. The tool to flip images is inactive. Test: BI_Tool_Icons_and_Actions Summary This test verifies the appearance and functionality of the tool icons within the Viewer application. TF eference AD TF-2:

14 Setup Test Most tests can be done with images from any study. Some require testing with multi-frame images. Needed for step Action Expected esults P/F Evaluator s Comments 10 Any study Icon: SELECT PATIENT 10.1 Appearance: - Person 10.2 Default State: Single available patient is selected; if more than one patient, no patient is selected Keyboard Shortcut (case-insensitive): None NA 10.4 Tool Tip: Tooltip exists and describes function of 10.5 Action: Pressing this button shall bring up a mechanism to select which patient to display, in those contexts in which multiple patient information is available ther requirements: Shall be grayed out if there is only a single patient (e.g., on interchange media). 20 Any Studies Icon: Previous Study 20.1 Appearance: - Left facing arrow within folder 20.2 Default State: Not Applicable NA 20.3 Keyboard Shortcut (case-insensitive): None NA 20.4 Tool Tip: Tooltip exists and describes function of 20.5 Action: Pressing this button shall cause the selected viewport to display the first frame of the first image of the first series of the previous study, if any, and highlight the thumbnail of the newly 14

15 Needed for step Action Expected esults P/F Evaluator s Comments selected series ther requirements: Shall be grayed out if no previous study. 30 Any studies Icon: Next Study 30.1 Appearance: - ight facing arrow within folder 30.2 Default State: Not applicable NA 30.3 Keyboard Shortcut (case-insensitive): None NA 30.4 Tool Tip: Tooltip exists and describes function of 30.5 Action: Pressing this button shall cause the selected viewport to display the first frame of the first image of the first series of the next study, if any, and highlight the thumbnail of the newly selected series ther requirements: Shall be grayed out if no next study (CT) Icon: Previous Series or Multi-frame Image 40.1 and Appearance: 3.9 (XA) - Left facing double arrow 40.2 Default State: Not applicable NA 40.3 Keyboard Shortcut (case-insensitive): Page Up 40.4 Tool Tip: Tooltip exists and describes function of 40.5 Action: Pressing this button shall cause the selected viewport to display the first frame of the first image of the previous series of the current study, or multiframe image of the current series, if any, and highlight the thumbnail of the newly selected series ther requirements: Shall be grayed out if no previous series (or multi-frame image). 15

16 Needed for step Action Expected esults P/F Evaluator s Comments (CT) Icon: Next Series or Multi-frame Image 50.1 and Appearance: 3.9 (XA) - ight facing double arrow 50.2 Default State: Not applicable NA 50.3 Keyboard Shortcut (case-insensitive): Page Down 50.4 Tool Tip: Tooltip exists and describes function of 50.5 Action: Pressing this button shall cause the selected viewport to display the first frame of the first image of the next series of the current study, or multi-frame image of the current series, if any, and highlight the thumbnail of the newly selected series ther requirements: Shall be grayed out if no next series (or multi-frame image) (CT) Icon: Previous Image (or Frame within a multi-frame image) 60.1 and Appearance: 3.9 (XA) - Left facing single arrow 60.2 Default State: Not applicable NA 60.3 Keyboard Shortcut (case-insensitive): Left arrow and Up arrow (single click of either; application shall support both) 60.4 Tool Tip: Tooltip exists and describes function of 60.5 Action: Pressing this button shall cause the selected viewport to display the previous image of the current series, or previous frame of the current multi-frame image, if any ther requirements: Shall be grayed out if no previous image (or frame) (CT) Icon: Next Image (or Frame within a multi-frame image) 16

17 70.1 and 3.9 (XA) Needed for step Action Expected esults P/F Evaluator s Comments Appearance: - ight facing single arrow 70.2 Default State: Not applicable NA 70.3 Keyboard Shortcut (case-insensitive): ight arrow and Down arrow (single click of either; application shall support both) 70.4 Tool Tip: Tooltip exists and describes function of 70.5 Action: Pressing this button shall cause the selected viewport to display the next image of the current series or next frame of the current multi-frame image, if any ther requirements: Shall be grayed out if no next image (or frame 80 Any Studies Icon: Layout Within Viewport 80.1 Appearance: - Single viewport with 2x2 tiles, with a dropdown decoration 80.2 Default State: 1x Keyboard Shortcut (case-insensitive): None NA 80.4 Tool Tip: Tooltip exists and describes function of 80.5 Action: Pressing this button shall present a drop down of selected grid sizes to use within a single viewport ther requirements: Note: Full rqmts tested in NA 90 Any Studies Icon: Layout Multiple Viewports 90.1 Appearance: BI_Default_Layout - Four viewports with 2x2 tiles, with a dropdown decoration 90.2 Default State: Depends on how many series selected for 17

18 Needed for step Action Expected esults P/F Evaluator s Comments display 90.3 Keyboard Shortcut (case-insensitive): None NA 90.4 Tool Tip: Tooltip exists and describes function of 90.5 Action: Pressing this button shall present a drop down of selected grid sizes for multiple viewports ther requirements: Note: Full rqmts tested in BI_Default_Layout 100 Any Study Icon: Invert Grayscale Appearance: - IEC eversal black-to-white Default State: Not inverted Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Clicking this button shall toggle the inversion state Full Note: Full rqmts tested in NA (CT) Icon: Localizer lines Appearance: BI_Windowing_and_endering - Person in a box (image) with a single dotted overlaid transverse line Default State: ff Keyboard Shortcut (case-insensitive): (for overlay ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall toggle the display of localization lines on or off ther requirements: Shall be grayed out if no series are 18 NA

19 Needed for step Action Expected esults P/F Evaluator s Comments displayed on which to show localizer lines. Note: Full rqmts tested in BI_Laterality_and_Xref , 3.4 Icon: Link/unlink translation synchronization Appearance: - Three links in a horizontal chain. - Three links in a horizontal chain with the middle link visibly broken open Default State: Linked if same DICM Frame of eference, unlinked if different DICM Frame of eference Keyboard Shortcut (case-insensitive): L (for link ) and U (for unlink ) Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall toggle the synchronization of the currently selected viewports from participating in synchronization of navigation, scrolling and zooming and panning ther requirements: Shall be grayed out if no series are available to link. Full rqmts tested in BI_Scrolling (CT) Icon: Window - Center/Width or Clamped Mode (NM) Appearance: 2.3 (PET) - IEC icon on the left with a Bohr atom symbol on the right with a solid line underneath Default State: n for NM and PET images. 19

20 Needed for step Action Expected esults P/F Evaluator s Comments ff for modalities other than NM and PET Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall change the mode of windowing behavior for the selected viewport(s) between changing the window center and width, or adjustment of the upper value of the window with the lower limit clamped to zero ther requirements: The cursor displayed during windowing shall change to match the selected mode. Note: Full rqmts tested in BI_Windowing_and_endering 140 Any Study Icon: Annotation Appearance: - Lines of text in four corners Default State: Full annotation Keyboard Shortcut (case-insensitive): I (for information ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall cycle through the activation states of posting text in the corners of each viewport containing annotations of demographics, management, location, timing and technique ther requirements: There are at least three states of no annotations, full annotations, and an intermediate state with less than full annotation. Note: Full rqmts tested in 20

21 Needed for step Action Expected esults P/F Evaluator s Comments 150 Any Study Icon: Print Appearance: BI_Annotation - Drawing of a printer Default State: Not applicable NA Keyboard Shortcut (case-insensitive): P (for print ) Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall cause the currently selected viewports (one or more), to be printed using the operating system printer, with the current windowed appearance, scroll position, zoom and pan state and annotation state (including both the corner annotations and any measurement tools that have been applied) ther requirements: This is intended for printing reference images on consumer grade printers through the ordinary operating system printer drivers, not DICM printers, and not for producing diagnostic quality NA 160 Any Study Icon: Display eset Appearance: prints. - IEC eturn to an initial state Default State: Not applicable NA Keyboard Shortcut (case-insensitive): Escape Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall reset the 21

22 Needed for step Action Expected esults P/F Evaluator s Comments selected viewports to their default zoom and pan state (fit image to viewport), without any rotation or flip, the window values to the initial default and will remove any measurements that have been made ther requirements: The scroll position shall not change when this button is pressed. 170 For PDI/PMC with Icon: Show eport Basic Viewer Appearance: option, any report it is capable of - Lines of text in two paragraphs storing on media. Default State: Not displayed Keyboard Shortcut (case-insensitive): (for report ) (Note: There is no requirement for a BI/Image Display to be able to display reports.) Tool Tip: Action: Tooltip exists and describes function o Pressing this button shall cause all the reports available for the current patient to be displayed ther requirements: Shall be grayed out if no next reports available (DX) (C) 1.6 (SC) Appearance: 1.7 (M) Icon: otate 90 degrees clockwise - IEC otation, modified to be single direction Default State: Not rotated Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: otating is only applicable for DX and C images. Pressing this button shall rotate the displayed DX or C image 90 degrees clockwise. 22

23 Needed for step Action Expected esults P/F Evaluator s Comments ther requirements: Successive button presses will rotate a further 90 degrees. Shall be grayed out if not applicable to type of image (eg not DX or C). Full rqmts tested in BI_Default_Layout (DX) Icon: Flip Horizontally (C) Appearance: 1.6 (SC) 1.7 (M) - IEC eversal right-to-left Default State: Not flipped Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Flipping is only applicable for CX and C images. Pressing this button shall flip the displayed image horizontally, i.e., about the vertical display axis ther requirements: A second button presses will flip the image back to its previous state. Shall be grayed out if not applicable to type of image (eg not DX or C). Full rqmts tested in BI_Default_Layout (M) or Icon: Cine Tools (XA) Appearance: - IEC Cine radiographic exposure Default State: Not available Keyboard Shortcut (case-insensitive): C (for cine ) Tool Tip: Tooltip exists and describes function of Action: Pressing this button will make available 23

24 Needed for step Action Expected esults P/F Evaluator s Comments the cine controls. (Note: functionality of full set of Cine tools is tested below) ther requirements: ther navigation tools shall be grayed out when in cine mode (CT) (M) 2.5 (multiframe Appearance: true color) Icon: Window Presets - IEC icon with a dropdown decoration Default State: Defaults to first setting encoded in the image, or auto if none Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall present a drop down of window presets, which when the user makes a choice, shall apply to all selected viewports ther requirements: Amongst the defaults shall be a choice for whatever settings are encoded in the image (which may be multiple), and a default computed from the properties of the pixels ( auto ). Additionally, for CT, presets for soft tissue, bone, lung and brain shall be provided at minimum. Shall be grayed out for color images. 220 None. Icon: Help Appearance: - IEC Application assistance Default State: Not applicable NA Keyboard Shortcut (case-insensitive): F1 or H ( help ) 24

25 Needed for step Action Expected esults P/F Evaluator s Comments Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall provide access to a manual describing the use of the Image Display ther requirements: For PDI/PMC actor with a Basic Viewer, a PDF manual must be included on the media. 230 None Icon: Advanced Mode Appearance: For BI/Image Display actors, the form and encoding of the manual is not specified by the BI profile, but HELP must be available. - Mortarboard Default State: Basic mode Keyboard Shortcut (case-insensitive): F10 ( menu ) Tool Tip: Tooltip exists and describes function of the icon (unless the viewer does not provide an advanced mode) Action: Pressing this button shall change to a different user interface providing advanced functionality ther requirements: Shall be grayed out or absent if there is no different user interface providing advanced functionality. The advanced mode shall permit a return to the basic user interface (CT) Icon: Zoom Appearance: 25 - Magnifying glass

26 Needed for step Action Expected esults P/F Evaluator s Comments Default State: ff Keyboard Shortcut (case-insensitive): Z (for zoom ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the function of the left (or only) mouse button when held during mouse movement to change the magnification factor ther requirements: Full rqmts tested in BI_Pan_and_Zoom (CT) Icon: Pan Appearance: 26 - pen hand Default State: ff Keyboard Shortcut (case-insensitive): T (for translate ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the function of the left (or only) mouse button when held during mouse movement to cause the image to move with respect to the viewport ther requirements: Full rqmts tested in BI_Pan_and_Zoom 260 Any Study Icon: Window Appearance: - IEC Brightness/ Contrast Default State: ff Keyboard Shortcut (case-insensitive): W (for window ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the

27 Needed for step Action Expected esults P/F Evaluator s Comments function of the left (or only) mouse button when held during mouse movement to adjust the windowing parameters ther requirements: Shall be grayed out for color images. Full rqmts tested in BI_Windowing_and_endering 270 Any Study Icon: Scroll Appearance: - Stack of boxes (representing frames) Default State: n Keyboard Shortcut (case-insensitive): S (for scroll ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the function of the left (or only) mouse button when held during mouse movement to cause the frame or image displayed in the viewport to be scrolled to an earlier or later frame or image ther requirements: Full rqmts tested in BI_Scrolling NA 280 Any Study Icon: Select Viewport Appearance: - Arrow facing upwards and to the left Default State: ff Keyboard Shortcut (case-insensitive): V (for viewport ) Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall cause the viewport in which the cursor is placed 27

28 Needed for step Action Expected esults P/F Evaluator s Comments when the left mouse button is next clicked to become the selected viewport to which subsequent operations shall apply ther requirements: Multiple viewports may be selected - full rqmts tested in BI_Viewports_and_Tool_Selection 290 TBD Icon: Distance Measurement Appearance: - Based on IEC Distance Measurement Default State: ff Keyboard Shortcut (case-insensitive): D (for distance ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the function of the left (or only) mouse button when clicked to begin a linear distance measurement at the location of the cursor and when clicked again to end it ther requirements: Full rqmts tested in BI_Measurements 300 TBD Icon: Angle Measurement Appearance: - Acute angle with the opening spanned by an arc with arrows at both ends Default State: ff Keyboard Shortcut (case-insensitive): A (for angle ) Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the 28

29 Needed for step Action Expected esults P/F Evaluator s Comments function of the left (or only) mouse button when clicked to begin a distance measurement at the location of the cursor and when clicked again to define the end of the first segment, clicked again to begin a second segment and when clicked again to end it ther requirements: Full rqmts tested in BI_Measurements (CT) Icon: Cross-hair tool Appearance: - Crossed perpendicular dashed lines in a circle Default State: ff Keyboard Shortcut (case-insensitive): J Tool Tip: Tooltip exists and describes function of Action: Selecting this tool shall change the function of the left (or only) mouse button when clicked to cause cross-hairs to be displayed ther requirements: Shall be grayed out if no series are displayed on which to show cross-hairs. Full rqmts tested in BI_Laterality_and_Xref (M) Icon: Cine Play (XA) Appearance: - IEC B Normal run Default State: n Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of 29

30 Needed for step Action Expected esults P/F Evaluator s Comments Action: Pressing this button shall play forwards at a normal rate ther requirements: None NA (M) Icon: Cine Stop (XA) Appearance: Default State: ff Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall stop cine and return to display of the first frame ther requirements: None NA (M) Icon: Cine Pause (XA) Appearance: Default State: ff Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall pause cine at the currently displayed frame ther requirements: None NA (M) Icon: Cine Go to Start (XA) Appearance: Default State: ff Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall go to the first frame and pause. 30

31 Needed for step Action Expected esults P/F Evaluator s Comments ther requirements: None NA (M) Icon: Cine (XA) Appearance: - IEC Frame by frame, general Default State: ff Keyboard Shortcut (case-insensitive): None NA Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall step one frame forwards ther requirements: None NA (M) Icon: Cine Go to End (XA) Appearance: Default State: ff Keyboard Shortcut (case-insensitive): None Tool Tip: Tooltip exists and describes function of Action: Pressing this button shall go to the last frame and pause ther requirements: None NA 31

32 : BI_Viewports_and_Tool_Selection Summary This test verifies that the display application default and user-driven behavior when selecting one or more viewports. It also tests the selection of modal tools. TF eference AD TF-2: Test Setup None Test Needed for step Action Expected esults P/F Evaluator s Comments Select and display the CT study in 4 viewports. By default, the upper leftmost viewport is selected. There is a visual indication as to which viewport is selected (eg the border is highlighted. Without manually selecting any viewports, invoke the cine tool. 05 Perform the 2 methods for selecting a viewport: - Click the Select Viewport tool and then click a viewport - Click within a viewport, then select one of the modal tools (zoom, pan, window, scroll, measurement, cross-hair) 10 Same Manually select multiple viewports by holding down the CTL key (windows) or CMMAND key (Mac) and clicking in the viewports. When the cine tool is selected, cine occurs in the upper left viewport. There is a visual indication that the viewport is selected. The user is able to manually select more than one viewport. l l

33 Needed for step Action Expected esults P/F Evaluator s Comments Scroll through images in one viewport. When scrolling in initiated, images in all selected viewports scroll synchronously. Adjust brightness/contrast in one viewport. 15 Select one of the modal tools (zoom, pan, window, scroll, measurement, cross-hair) and verify that it automatically operates on the viewport that is selected by default (ie the viewport does not need to be manually selected by the user). 20 Select one or more of the modal tools (zoom, pan, window, scroll, measurement, cross-hair) and perform that operation on images in one viewport, then in a 2 nd viewport. Window/level is adjusted in all selected viewports. Verify that the user does not need to explicitly select a viewport prior to the application of a modal tool. Verify that once a modal tool has been selected, it remains selected until the user explicitly selects another tool (eg when the measurement tool is selected, the user can make multiple measurements without having to reselect the tool). l l Test: BI_Navigation Summary This test verifies proper operation of Patient, study, and series select mechanisms Thumbnails Navigation icons 33

34 Sort order images/frames within a study TF eference AD TF-2: Test Setup Test steps require the Image Display to have studies for multiple patients available for review Test Needed for step Action Expected esults P/F Evaluator s Comments 00 N/A When performing any step in this test: If the application takes more than 5 seconds to perform the action, an indication of relative progress is presented to the user studies for different patients Find the patient-select mechanism. The application allows the user to select different patients. (Note the BI profile does not mandate the means by which this is done.) (Skip this step if you are testing an Image Display on PDI media, and the Portable Media Creator cannot write media containing studies from more than one statement.) 10 Find the patient-select mechanism. A mechanism is provided to query an Image 1.9 Two studies; same name and ID Using patient-select, attempt to view images from both studies at the same time (ie in different viewports). Using patient-select, attempt to view images from both studies at the same time (ie in different viewports). Manager, select studies, and retrieve them. These studies are from the same patient. The application allows the user to view each study in a separate viewport simultaneously Two studies with the same Patient ID but slightly different name. These studies are for two different patients. The application does not allow the user to display series from multiple patients simultaneously (ie values for both Patient Name and Patient ID must be the same in both studies) ne study; ten Select the study; then select 2 series Two series from the same study may be viewed 34

35 Needed for step Action Expected esults P/F Evaluator s Comments or more series from the study to be displayed in two different viewports side-byside. 25 Same With two series displayed adjust the window/level within one viewport. 30 Same Select one series from the study to be displayed in one viewport. 35 same Using the same study as the previous steps, verify these characteristics of thumbnails for navigation: side-by-side in two viewports. The user is able to adjust window/level for images in one series, while the display of the other series remains the same. The single series is displayed in one viewport, which uses available space within the application to display the image. Thumbnails must: - be of sufficient size to be recognizable (no less than 128x128 pixels) - be representative of the image content of the series (e.g., down-sampled from the central image of a series) - be decorated with text describing the Series Date (or if absent, Study Date), Modality and Series Description derived from the standard DICM attributes, and a count of the number of images in the series - be arranged within a scrolling strip or panel which is visible by default (though optionally a mechanism may be provided for the user to hide the thumbnail strip or panel to minimize encroachment on available screen real estate for display) - be sorted by ascending temporal order of study, and then ascending temporal or ascending Series Number within a study Note that the text decoration may overlay the 35

36 Needed for step Action Expected esults P/F Evaluator s Comments 40 Same Using the same study, verify these mechanisms for using thumbnails to select series with the study: 45 Same Arrange a layout of two viewports with 4 tiles in each viewport (ie 8 series can be displayed). Using the thumbnails, attempt to select 10 or more series for display. 50 Same Drag and drop functionality is optional. If it is available, test the ability to drag and drop series into available viewports. 55 Same Select the study and view images within a single viewport. Check the toolbar for the existence of these navigation icons: thumbnail image, or appear above or below it. Double-click over a thumbnail to load the corresponding series for display in the currently selected viewport (replacing any series already displayed) CTL-click (Windows) or Command-click (MacS) discontiguous thumbnails to allow selection of two (or optionally, more) series which, after a double-click, will be displayed in the currently open viewports, or newly opened viewports (see also Layout) SHIFT-click contiguous thumbnails to allow selection of two (or optionally, more) series which, after a double-click, will be displayed in the currently open viewports, or newly opened viewports The application does not let the user select more series than can be displayed in the viewports (in this case no more than 8). The user can optionally use drag-and-drop to populate the viewport(s) with images. Within the currently-selected viewport, the application provides icons to allow the user to go to: - Previous and next study - Previous and next series - Previous and next image 2.1 US multi-frame Select the study and view images Within the currently-selected viewport, the 36

37 Needed for step Action Expected esults P/F Evaluator s Comments within a single viewport. Check the toolbar for the existence of these navigation icons: 60 Same Scroll through the frames in the study Dual echo M Select the study. This is a dual-echo images M study Select the study. Verify the proper sort order for the images. application provides icons to allow the user to go to: - Previous and next study - Previous and next series - Previous and next frame Images are displayed by sequential frame order. Two thumbnails are displayed; series are separated by echo number, with PD slices and T2 slices represented by different thumbnails. The user is able to select the thumbnails and display in two separate viewports. Sorting is by anatomical position, then for each spatial position by acquisition time. Test: BI_Windowing_and_endering Summary This test verifies proper operation during adjustment of brightness and contrast in various images including ability to apply display shutters and invert images. TF eference AD TF-2: Test Setup None Test Needed for step Action Expected esults P/F Evaluator s Comments Greyscale Select study and display 1 st series in a Default display uses values in VI LUT l.7 37

38 Needed for step Action Expected esults P/F Evaluator s Comments image with VI LUT viewport. attribute. 58 value M Select study and display 1 st series in a viewport. Default display uses window values from DICM header (specify) imgs w/o Select study and display 1 st series in a A soft-tissue pre-set is applied to the window or VI LUT viewport. images in the viewport. value Select the study and display them in 4- tiles in one viewport. Identify the Window tool used to select windowing by mouse movement. Verify these characteristics of use of the mouse for windowing: same Adjust the layout so that images are displayed in two viewports. Window images in each viewport. - The images within all tiles within the selected viewport are windowed - Holding down the left (or only) mouse button is used for windowing. - The rate of windowing is affected by the rate of the mouse movement, or by a keyboard accelerator (note that there is no requirement to synchronize windowing between different viewports) Scroll through the images in the viewport 20 Same Identify a separate tool for selecting the windowing mode, either Center/Width or Clamped. Verify the characteristics of these modes: The currently applied window center and width for each viewport is displayed at all times, either in a status bar or in an overlaid corner annotation. When scrolling through images in a series, window selection (default or useradjusted) is preserved. When the Window tool is selected and the mode is Center/Width: - horizontal movement of the mouse to the right will widen the window width 38 l.7 70

39 Needed for step Action Expected esults P/F Evaluator s Comments (flatten the perceived contrast) - vertical movement of the mouse upwards will lower the window center (increase the perceived brightness) and 2.3 NM an d PET Select the PET study and display the images in the viewport. Verify the default windowing mode. Then select the NM study and verify the default windowing mode. See the expected results and verify the behavior in clamped mode. Verify that the clamped mode is the default when either a PET or NM study is selected. When the Window tool is selected and the mode is Clamped: - the bottom of the window shall be clamped to a rescaled pixel value of 0 l vertical movement of the mouse upward shall lower the upper limit of the window (increase the perceived brightness) CT Select the CT study. Verify that the application provides userselectable window presets for soft tissue, brain, lung, and bone. 35 All Full SP class support studies Multi-frame True Color SC Select each study in the set of SP classes for which full support is required. bserve each study as the application displays it in its default setting. Using the mouse, adjust the brightness and contrast. Select the study and display in the viewport. Verify that each study is displayed with an acceptable default window/level value. The color images are successfully displayed. (Note that there is no requirement to provide the capability to 39 l.8 03

40 VI LUT studies Needed for step Action Expected esults P/F Evaluator s Comments VI LUT - sigmoid curve - Select the and L ML images for the test subject specified and load them for display. - Attempt to adjust the contrast (window) of the ML 50 same VI LUT - Scrambled LUT - Select the and L ML images for the test subject specified and load them for display. adjust the contrast or brightness of color images.) - The appearance of the ML is identical to the appearance of the L ML in terms of grayscale contrast - The grayscale contrast of the ML adjusts smoothly and continuously without sudden discontinuities or sudden loss of quality in the very dark or light regions - The appearance of the ML is identical to the appearance of the L ML in terms of grayscale contrast l same VI LUT - Inverted LUT - Select the and L ML images for the test subject specified and load them for display. - Attempt to adjust the contrast (window) of the ML 60 same VI LUT w/ SIGMID value - Select and display images - Confirm that the window center value displayed is 2665 and the window width value is If the window values were not as specified above, adjust them 40 - The appearance of the ML is identical to the appearance of the L ML in terms of grayscale contrast - The grayscale contrast of the ML adjusts smoothly and continuously without sudden discontinuities or sudden loss of quality in the very dark or light regions - The image is displayed and the word PASS is faintly visible in the background air. - After adjusting the window center and window width values, confirm that the word PASS is still faintly visible in the

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