Cedara I-Reach Installation Guide

Cedara I-Reach™ 4.
5 Installation Guide
Cedara I-Reach 4.5 Installation Guide
This document has been prepared by Cedara Software Corp. doing business as
Merge OEM (hereinafter referred to as “Merge OEM”), a division of Merge
Healthcare Incorporated, for its customers. The content of this document is
confidential. It may be reproduced only with written permission from Merge OEM.
Specifications contained herein are subject to change, and these changes will be
reported in subsequent revisions or editions.
Cedara® and Merge Healthcare® are registered trademarks of Merge Healthcare

Incorporated.
Cedara I-Reach™ and Cedara I-Store™ are trademarks of Merge Healthcare.

The names of other products mentioned in this document may be the trademarks
or registered trademarks of their respective companies.
Copyright © 2010 by Merge Healthcare

Unauthorized use, reproduction, or disclosure is prohibited.
Merge OEM
6303 Airport Road, Suite 500, Mississauga, ON, Canada L4V 1R8
Tel: +1-905-364-8000 • Fax: +1-905-364-8100
Toll-free in North America: 1-800-724-5970
Part Number 2010-01300 Rev 1.0
ii
Contents
Chapter 1: Introduction
Installation Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Workstation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Client Workstation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Supported Operating Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Web Server Operating Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Client Workstation Operating Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Configuring the Operating Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Pixel Spacing Parameters on Scanners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Editing Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Opening the Registry Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Date and Number Format. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Preventing Computer Viruses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
About this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Drive Letter Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Document Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contacting Customer Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Chapter 2: Installing the Cedara I-Reach Web Server

Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Setting Up the Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Installation Drive and Folder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Partitioning the Hard Drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Installing the Cedara I-Reach Web Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Licensing the Web Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Uninstalling the Cedara I-Reach Web Server . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter 3: Configuring the Cedara I-Reach Web Server

Configuring the Cedara I-Reach Application Settings. . . . . . . . . . . . . . . . . . . . . 26
Configuring the General Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
iii
Configuring the Diagnostic Review Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Configuring the Central User Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Configuring the User Database Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Enabling a Database Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Configuring the Cedara I-Reach Server Settings . . . . . . . . . . . . . . . . . . . . . . . . 34
Viewing the Server Settings Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Configuring a Cedara I-Store Temporary Archive as a Data Source . . . . . . . . . 37
Configuring a Near-Line Image Archive as a Data Source. . . . . . . . . . . . . . . . . 40
Configuring the Cedara I-Reach Web Server for a Distributed Enterprise
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Configuring the Cedara I-Reach Web Server when the Cedara I-Store Archive is
on a Different Server. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Configuring a Virtual Directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Adding the Connection to the Cedara I-Store Archive . . . . . . . . . . . . . . . . . 54
Checking the Internet Information Server (IIS) Settings . . . . . . . . . . . . . . . . . . . 57
Configuring Authentication Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Configuring Secure Sockets Layer (SSL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Obtaining an SSL Certificate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Installing the SSL Certificate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Installing Intermediate Certificates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Maintaining the Cedara I-Reach Event Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Viewing Performance Logs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Saving Your Search Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Defining the Minimum Number of Required Characters for the Search Field. . . 77

for a Multi-Site Implementation
Configuring the Cedara I-Reach Web Servers on the Remote Sites . . . . . . . . . 81
Forwarding Non-DICOM Data to the Central Server . . . . . . . . . . . . . . . . . . 84
Chapter 5: Installing the Cedara I-Reach Client

Application
Preparing the Client System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Configuring Your Pop-up Blocker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Installation Drive and Folder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Installing the Client Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
iv
Installing the Client Application From the Web Server . . . . . . . . . . . . . . . . . 88
Installing the Client Application Using the Client CD . . . . . . . . . . . . . . . . . . 92
Installing the Client Application Using a Command Window . . . . . . . . . . . . 95
Command Line Arguments and Values . . . . . . . . . . . . . . . . . . . . . . . . . 96
Completing the Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Configuring the Patient CD Viewer for Windows 7. . . . . . . . . . . . . . . . . . . . 98
Configuring Norton AntiVirus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Reinstalling the Cedara I-Reach Client Application . . . . . . . . . . . . . . . . . . . . . 100
Chapter 6: Configuring the Cedara I-Reach Client

Opening the Service Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Configuring the On-Call Feature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Configuring the Display Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Configuring the Application to Use 10-bit Display Adapters. . . . . . . . . . . . 107
Configuring the Processing Server Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Configuring the Skin Line Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Disabling the Skin Line Feature for a Specific Manufacturer . . . . . . . . . . . 115
Configuring the Cobb Angle Decimal Place . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Configuring the Prompt Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Configuring the Automatic Capture Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Accessing the Orthopaedic Templates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Installing the Cedara Orthopaedic Template Library . . . . . . . . . . . . . . . . . 122
Configuring Access for the Orthopaedic Templates . . . . . . . . . . . . . . . . . . 122
Editing Saved Orthopaedic Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Enabling Study Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Modifying the Pixel to Millimeters Conversion Settings for Specific Manufacturers
and Modalities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Using Imager Pixel Spacing by Default. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Disabling the Reopen Last Browsing Session Feature in Internet Explorer 8 . 133
Chapter 7: Configuring the OEM Settings

Configuring the OEM Integration Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Customizing the OEM Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Customizing the Cedara I-Reach Web Server . . . . . . . . . . . . . . . . . . . . . . 139
Customizing the Cedara I-Reach Client Application . . . . . . . . . . . . . . . . . 140
Configuring the Study Report Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
v
vi
1
This guide describes how to install and configure the Cedara I-Reach™ Web
server application and the Cedara I-Reach client application.
It is intended to be used by service personnel who have a working knowledge of

the Microsoft® Windows® operating systems and the Registry Editor. Please
consult the appropriate Microsoft documentation before using this guide if you are
not familiar with Microsoft Windows operating systems or the Registry Editor.
Note: We strongly recommend that you read and understand the requirements
and procedures in this guide before you visit a customer site to perform
an installation.
If you have any questions about the procedures that are described in this guide,
contact Customer Support (see “Contacting Customer Support” on page 10).
To ensure proper functioning of the application’s processes, follow the

recommendations listed below:
• When you configure the servers for the Cedara I-Reach with Cedara I-Store™
application, make sure that all instructions and directions from the
accompanying documentation are followed in their entirety.
• Make sure that all Cedara I-Reach with Cedara I-Store application installations
have only one compression service configured per single image pool directory.
This configuration should be maintained at all times.
This guide uses screen captures to help illustrate various steps and procedures.
The screen captures are used as examples only and may differ somewhat from
what you see on your monitor.
Note: Throughout this guide, the Microsoft Windows Classic theme is used for
the display properties, while the Microsoft Classic Start menu style is used
for the Start menu properties.
1
Installation Overview
The following flowchart is a guide to the overall installations required. Since

system configurations can vary, we strongly recommend that you create a
deployment plan for your system before you perform an installation.
Web Server System

Install and configure the Cedara I-Store application (e.g., for
a single-server setup, install it on your Web server).
Cedara I-Store Installation Guide, Part No. 2010-01298
Install and configure the Cedara I-Store post installation.
Install and configure the Cedara I-Reach Web server

application.
Cedara I-Reach Installation Guide, Part No. 2010-01300
Configure groups, roles and users from the Administration

Web page.
CedaraI-Reach Administrator’s Guide, Part No. 2010-01302
Client Workstation
Install and configure the Cedara I-Reach client application.
Cedara I-Reach Installation Guide, Part No. 2010-01300
For single server systems, install the components in the following order:
• Cedara I-Store™ archive
• Cedara I-Reach Web server
2
Workstation Requirements
This section lists the recommended workstation requirements for the

Cedara I-Reach client workstations.
Note: To determine the system requirements for the Cedara I-Reach Web
server and the Cedara I-Store archive, we recommend that you consult
with a Merge Healthcare Customer Support representative (see
“Contacting Customer Support” on page 10).
It is important to note that the requirements outlined in this section are only a
guideline. Each installation will have different requirements based on the types of
images being viewed, the number of images being viewed, as well as other
considerations (e.g., the operating system services which may be running in the
background). To avoid system overload caused by resource contention, we
recommend that you do not install any other graphic intensive applications on the
workstation.
WARNING: Use only workstations that have the proper electrical

certification.
Client Workstation Requirements

Table 1-1 lists the suggested hardware configuration for a typical Cedara I-Reach
client workstation.
Note: For advanced client workstations in which 3D functionality is enabled or

that routinely load large datasets, a minimum of 4GB RAM and 2x Xeon
dual core processors are required.
Table 1-1: Recommended Client Workstation Requirements
Component Recommended Requirement
Processor Quad Core Intel Xeon 3.00 GHz

(2 x Quad Core Intel Xeon 3.00 GHz for 3D functionality)
Memory 2D functionality 2GB if using Windows XP 32-bit

4GB if using Windows Vista (32-bit or 64-bit), Windows 7 (32-
bit or 64-bit) or Windows XP 64-bit
3D functionality 6GB and a 64-bit operating system
Hard drive 146GB Ultra 160 SCSI, 15000 RPM
3
Table 1-1: Recommended Client Workstation Requirements (Continued)
Component Recommended Requirement
Video Card 256MB PCI/AGP (512 if you are using Windows 7)

— Supports True Color (32-bit)
Note: For high resolution display, the application supports

using the AMD MXRT7300 PCIe display adaptor. The
supported driver for this display adaptor is 8.682.7.6 on the
Windows 7 (32-bit and 64-bit) operating system.
Monitor Two 5-megapixel (e.g., Barco, Eizo, WIDE etc. ) monitors that
are approved for use in digital mammography, or as required by
your local regulations.
Note: For high resolution display, the application supports

using the Barco MFGD 5621 HD monitor.
Network Interface Card 1 GB Network Interface Card
Web browser Microsoft Internet Explorer 8.0
UPS (Uninterruptable Power Supply) Yes
By default the application is not configured to use a 10-bit display adapter. To

configure the application to use a 10-bit display adapter, see “Configuring the
Application to Use 10-bit Display Adapters” on page 107.
Note: The Cedara I-Reach application only supports 10-bit display adapters
with the Windows XP 32-bit operating system.
Supported Operating Systems
This section lists the supported operating systems for the Cedara I-Reach Web
server and the Cedara I-Reach client application.
Web Server Operating Systems

You can install the Cedara I-Reach Web server on the Microsoft Windows
Server® 2008 R2 Standard (64-bit) English (US) operating system.
Caution: If new server hardware arrives with a pre-loaded operating

system, you must reload an appropriate operating system.
4
Client Workstation Operating Systems

You can install the Cedara I-Reach client application on the following English (US)
operating systems:
• Microsoft® Windows® 7 Premium, Professional and Ultimate (32-bit and 64-bit)
• Microsoft Windows Vista® (32-bit and 64-bit)
• Microsoft Windows XP Professional (32-bit and 64-bit)
Note: If you are using a 64-bit operating system, you must use the 32-bit
version of Microsoft Internet Explorer when running the Cedara I-Reach
client application.
Configuring the Operating Systems

For all operating systems, follow these guidelines:
• Use NTFS hard drive formatting.
• Use TCP/IP for the networking protocol. Refer to the Microsoft

Corporation’s documentation for instructions on how to install TCP/IP.
• The TCP/IP protocol must be correctly bound to a NIC adapter. The Web
server requires a unique IP address. If your network environment is
subnetted, then you must specify a default gateway IP address.
• Ensure that the network card or dial-up adapter on the Cedara I-Reach
client workstation can communicate with the Cedara I-Reach Web server.
• If your network does not use the Domain Name System (DNS), update the
host file on each client workstation with the IP address and host name of
the Cedara I-Reach Web server and the Cedara I-Store archive. When you
update the host file, you can access the Cedara I-Reach Web server using
5
its host name (e.g., http://WebServerHostName/vrweb) instead of the IP

address (e.g., http://10.10.10.10/vrweb). You can locate the host file on
each client workstation at windir\system32\drives\etc where windir is the
location where the operating system is installed.
• Disable the Windows firewall on each Cedara I-Reach Web server and
Cedara I-Reach client workstation.
• If the system memory (RAM) is 3GB or more, use the /3G switch in the
boot.ini file for each Cedara I-Reach Web server and Cedara I-Reach client
workstation. Refer to Microsoft documentation on how to configure the OS.
Caution: For the Windows Server 2008 operating systems, do not install
the SharePoint option. If this option was previously installed on
your system, remove it. Your application will not function
properly if this option is installed on your system.
Precautions
The precautions described in this section will help ensure that you do not lose any
data from the workstation.
Pixel Spacing Parameters on Scanners

Ensure that your scanner’s Pixel Spacing and Imager Pixel Spacing parameters
are configured correctly, following the Digital Imaging and Communications in
Medicine (DICOM) standards.
WARNING: If the values are incorrect, the Cedara I-Reach application uses
the wrong pixel spacing to display images and print true-size
images.
6
Editing Files
Some of the procedures in this guide instruct you to edit files. We highly
recommend that you use the MS-DOS editor or Notepad to edit files. The use of
other text editors such as WordPad can cause unexpected errors by the way it
formats the file. If a file has already been edited using some other text editor, then
open it using the MS-DOS editor and save it to replace any incorrectly formatted
characters.
Caution: Do not use WordPad to edit text files.
Opening the Registry Editor

We strongly recommend you back up the registry before editing it so you can
recover from any accidents that might occur while you are working. When you
enter a value in the registry and the value is terminated by a backslash (\), you
must enter an additional backslash at the end of the string (e.g., to enter
D:\cedara\ you must type D:\cedara\\).
Caution: We strongly recommend you backup the registry before you edit
the registry.
The following procedures describe how to open the Registry Editor on the
Windows XP and Windows 7 operating systems.
> To open the Registry Editor on Windows XP

1. In the taskbar, open the Start menu and select Run.
2. In the Open field, type regedit and click OK.
> To open the Registry Editor on Windows 7

1. In the taskbar, open the Start menu.
2. In the Search Programs and Files field, type regedit and press ENTER.
7
Date and Number Format

The application uses the date format and number format specified by the archive
server’s regional settings. You must configure the Cedara I-Reach server to
recognize four-digit years. You should also check your regional settings to ensure
that the archive server uses the most common date and number format used in
your region to avoid confusion.
> To check the regional settings

1. In the Taskbar, click Start, Settings, Control Panel.
2. In the Control Panel, double-click Regional and Language Options.
3. Ensure the correct language and number format are selected.
4. In the Regional and Language Options dialog box, click OK.
5. In the Control Panel, double-click Date and Time.
6. Ensure that the correct date, time and region are selected.
7. In the Date and Time Properties dialog box, click OK.
8. If you made any changes, restart the archive server.
Preventing Computer Viruses

Computer viruses can prevent the application from working properly.
Caution: We recommend that you install anti-virus software on all

workstations.
When performing a scan, do the following:
• Set the Heuristic Scanning Setting to the minimum level.
• Do not scan the \inetpub\wwwroot\ folder. This folder is the Cedara I-Reach
application directory.
• Do not scan the C:\Program Files\Microsoft SQL Server\MSSQL folder.
• Do not scan the C:\Temp folder.
• Do not scan any of the following extensions: .bmp, .db, .dcm, .gif, .inf, .jpeg,
.jpg, .mdb, .log.
8
About this Guide
This section describes various conventions and visual cues that are used
throughout this guide.
Drive Letter Conventions

When referring to drive letters, we make the assumptions listed below. If your
drive letters are different, then use yours instead.
• Hard Drive = C:
• Floppy Drive = A:
• CD Drive = D:
The examples provided throughout this guide assume that the application is
installed under the default path (e.g., for the Cedara I-Reach Web server
application, the default path is “C:\inetpub\wwwroot\Vrweb”).
Document Conventions
Throughout this guide, the following conventions and visual cues are used:
• Words shown in large, boldface text, such as Exit, indicate application

functions that you can click with the mouse (e.g., buttons, tools, items in
dropdown lists).
• Words shown in Times New Roman, boldface text, such as Administrator,

indicate characters that you must type exactly as they appear (i.e., if you are
instructed to log on as Administrator, you should type the characters exactly
as they are printed).
• Words shown in uppercase, such as ENTER, indicate keys on the keyboard

that you press. If several keys appear together separated by plus signs (e.g.,
CTRL+ALT+DEL), it means that you should press all three keys simultaneously.
• Words shown in italics are used for emphasis.
• Words shown in courier font indicate system responses.
Note: Note messages are used to indicate information which may be helpful or
of special interest to you.
9
Caution: Caution messages indicate procedures which, if not observed,

could result in a loss of data or damage to the equipment. Do not
proceed beyond a CAUTION message until the indicated
conditions are fully understood and met.
WARNING: Warning messages indicate procedures or practices which, if

not observed, could result in personal injury. Do not proceed
beyond a WARNING message until all of the indicated
conditions are fully understood and met.
Contacting Customer Support
If you experience problems not addressed by this service manual or require

assistance, please contact Customer Support at the following numbers:
• In North America, call toll-free, 1-800-668-7990, then select option 2.
• International, call Merge Healthcare (in Canada), +1-905-672-2100, then select

option 2.
• Email [email protected]
10
2
Chapter 2: Installing the Cedara I-Reach Web

Server
This chapter describes how to install, license, and uninstall the Cedara I-Reach
Web server application.
Note: Due to potential impact on server performance, we do not recommend

that you install the Cedara I-Reach client application and the
wCedara I-Reach Web server on the same machine.
When you install the Cedara I-Reach Web server application, the installation
automatically creates the following:
• A default Super Administrator account whose user ID and password are

superadmin.
• A default group for all Super Administrator accounts called SuperAdminGroup.
• A default role for all Super Administrator accounts called SuperRole.
• A default group called GlobalSiteGroup that the Cedara I-Reach Web server
application uses when creating new roles. If you have created additional
groups, you can select those groups when you create new roles.
For details on administrating your Cedara I-Reach environment (e.g., creating

users, roles and groups), refer to the Cedara I-Reach Administrator’s Guide.
Note: If you are not installing the Cedara I-Reach Web server on the same
machine as the Cedara I-Store archive, after you complete all the steps in
this chapter, make sure you perform the steps in “Configuring the
Cedara I-Reach Web Server when the Cedara I-Store Archive is on a
Different Server” on page 49.
11
To successfully install and run the Cedara I-Reach application on the Web server,
you must do the following:
• Perform the steps in “Prerequisites” on page 12.
• Perform the procedures in “Setting Up the Server” on page 12.
• Install the Cedara I-Reach application on the Web server (see “Installing the
Cedara I-Reach Web Server” on page 15).
• License the Cedara I-Reach Web server (see page 19).
Prerequisites
Before you start installing the application, make sure you:
• Have all required vendor software and hardware documentation (including the
Windows operating system installation software);
• Have anit-virus software to install on your server;
• Have the Cedara I-Reach Server Software DVD;
• Have network connectivity to access the internet; and
• Read “Chapter 2: Planning Your Installation” of the Cedara I-Store

Installation and Configuration Guide. Make sure you understand the
architecture and concepts for your site’s configuration.
Note: Make sure you setup your Cedara I-Store server before you setup the
Cedara I-Reach Web server.
Setting Up the Server
Only perform the steps in this section if the Cedara I-Reach Web server is on a
different machine than the Cedara I-Store server.
12
> To setup the Web server

1. Configure the server’s BIOS to disable hyper threading/Virtual Processors/
Logical Processors. For details, refer to the vendor’s documentation.
2. Configure the server’s BIOS to set the date and time. For details, refer to the
vendor’s documentation.
3. Determine the hostname (best practices dictates limiting the name to 8

characters), IP address and all related network information for your server
from the Site’s IT department.
4. Install Windows Server 2008 R2 Standard 64-bit. For details on installing the
operating system, refer to the Microsoft’s documentation. After you install the
operating system, make sure:
• IIS is installed;
• the Windows SharePoint services are not installed;
• the Active Directory services are not installed; and
• the Advanced Terminal services are not installed.
5. If the system memory is greater than 3GB, configure the /3GB switch or /PAE
in the boot.ini file. For details, refer to Microsoft’s documentation.
6. Copy the i386 folder from the Windows installation media to C:\.
7. Install the anti-virus software. Configure the anti-virus software to avoid

scanning the following extensions and folders (for details, refer to the vendor’s
documentation):
Directories to Exclude File Extensions to Exclude
C:\Program Files\Microsoft SQL Server\ - if present DB
C:\Temp DBF
Database Drive LOG
Application Drive INF
Imagepool drive DCM
Backup pool drive GIF
Near-line drive (if present) JPG
JPEG
BMP
8. Install all Microsoft security updates available as of September 1, 2010.
13
9. Disable the Microsoft Windows Firewall.
10. Disable Microsoft Automatic Updates.
11. Create NTFS partitions that best suits your site’s configuration. See
“Partitioning the Hard Drives” on page 14 for guidelines.
Installation Drive and Folder

If you use or create a different installation folder, follow these rules:
• Do not install the application directly to a root partition (e.g., C: or D:).
• Do not enter any spaces in the folder’s name. If spaces appear in the folder
name, the application will not open.
C:\CedaraI-Reach is correct
C:\Cedara I Reach is incorrect
Partitioning the Hard Drives

When partitioning the hard drives for the Web server, use the following table as a
guideline. Each disk must be a minimum of 146 GB. You can use two or three
hard drives.
• For two drives — RAID 1 (Mirror)
• For three drives — RAID 1 (Mirror) with the third drive being a global hot spare
Table 2-1: Web Server Partitions
Server’s Internal Disk Drives
Disk Partition Drive Letter Volume Label Size (GB)
1 1 C Operating System 50
RAID 1
2 D Application 40
3 E Backup Remaining
14
Installing the Cedara I-Reach Web Server
This section provides instructions for installing the Cedara I-Reach Web server
application.
> To install the Web server application

1. Log on to the Web server as Administrator.
2. Shut down all other applications running on the workstation, including any
third-party antivirus or utility applications, such as Norton AntiVirus®.
3. Insert the Cedara I-Reach 4.5 Software DVD into the DVD-ROM drive.
4. If you have an auto-run DVD-ROM drive, the Start Page opens automatically;
otherwise, double-click My Computer on the desktop, double-click the drive
letter associated with the DVD-ROM (e.g., D:), and double-click
startpage.exe.
5. In the Start Page, click Install Cedara I-Reach Web Server to install the
application.
6. If the installation wizard detects that the workstation does not have any of the
following Microsoft Components already installed, follow the on-screen
instructions to complete the installation of each Microsoft Component:
• Microsoft Visual J# 2.0 Redistributable package
• Microsoft Visual C++ 2005 Redistributable package
• Microsoft WSE 3.0
15
7. In the InstallShield® Wizard welcome dialog box, click Next.
8. Read the license agreement carefully, then click Yes.
9. In the Choose Destination Location dialog box, browse to another destination

folder on a different partition.
16
Caution: We recommend you do not accept the default destination. Do

not install the Cedara I-Reach Web server on the same partition
as the operating system.
Caution: If your server also has the Cedara I-Store application, install the
Cedara I-Reach Web Server on the same partition as the Cedara
I-Store application. For example, use the destination folder
“D:\inetpub\wwwroot\Vrweb”. If you are upgrading the
application, install the application on the same partition as the
previous application.
Note: If you use or create a different folder, make sure you do not install the
application directly to a root partition and do not enter any spaces in the
folder names. For examples on how to correctly create a new folder, see
“Installation Drive and Folder” on page 14.
10. Click Next.
17
11. If the Cedara I-Reach Web server is installed on a separate machine than the
Cedara I-Store server, the application displays the message “You have a
multi-server configuration. Please manually setup the imagepool virtual
directory”.
• If the Cedara I-Reach is actually on the same machine as the Cedara I-

Store server, verify your virtual directory settings (see “Configuring a
Virtual Directory” on page 50).
• If the Cedara I-Reach is not on the same machine as the Cedara I-Store
server, make sure you setup the imagepool virtual directory after you
complete the installation and license the application (see “Configuring a
Virtual Directory” on page 50). Make sure you configure the ODBC
connection to the Cedara I-Store archive after you configure the virtual
directory (refer to the Cedara I-Store Installation Guide.
12. When the installer asks if you want to install the Cedara I-Reach database
(the user management database), click Yes. If you have an existing user
management database that you want to use, after the application is installed,
configure the application to use the existing user management database (see
“Configuring the User Database Settings” on page 32).
13. Click OK.
18
14. When the installation is complete, select the “Yes, I want to restart my
computer now” radio button, then click Finish.
Licensing the Web Server
This section describes how to use the licensing application (licadmin.exe) to

obtain a license key from Merge Healthcare, and generate a license for the
Cedara I-Reach Web server application. For multiple Web server configurations, a
separate license is required for each Cedara I-Reach Web server application.
Caution: The network configuration must be completed before you install

the license key. You will void the license if you change the
network configuration or reinstall the operating system after
installing the license.
Caution: Do not edit the contents of the IRLicense.lic nor the

IRLicense.xml files. This will invalidate the license and you will
not be able to use the Cedara I-Reach Web server application.
19
> To request a license for the Cedara I-Reach Web server

1. Log on to the Web server as Administrator.
2. In the Taskbar, click Start, Programs, I-Reach Server, then select I-Reach
Licensing to start the licadmin.exe licensing application.
3. Copy the value provided in the Server Code field.
4. Send the Server Code to Merge Healthcare and request a license for the
product. Table 2-2 lists the information you should provide when requesting a
license. You can do this via email at [email protected], via the Web
interface, or by calling one of the following numbers:
• In North America, call toll-free 1-800-668-7990, then select option 1.
• International, call (in Canada) +1-905-672-7990, then select option 1.
20
5. Merge Healthcare will send you a license text file for the product.
Table 2-2: Requesting a license
Customer Name Type of License being requested,

Permanent or Temporary
Site Name
Host Machine Name Options
Server Code Cedara I-Reach concurrent users
P.O. or Customer Reference #
Note: If you need to speak with a representative, please contact Customer

Support (see “Contacting Customer Support” on page 10).
> To install the license files

1. Using Notepad, open the license text file provided by Merge Healthcare.
2. From the Edit menu, select Select All.
3. From the Edit menu, select Copy to copy the contents of the license text file
onto the clipboard.
21
4. If the I-Reach Licensing Install Key dialog box is not already displayed, then in
the Taskbar, click Start, Programs, I-Reach Server, and select I-Reach
Licensing.
5. In the Key field, press CTRL+V to paste the contents of the clipboard (i.e.,
contents of the license text file).
6. Click Install Key.
7. If you receive the message “Code or license key corrupt”, click OK, then try to
enter the license key again. If you continue to experience problems, please
contact Customer Support (see “Contacting Customer Support” on page
10).
8. The system installs two license files (i.e., 54.lic and IRLicense.xml) in the
installation_path\data folder where installation_path is the folder where you
installed the application (e.g., D:\vrweb\data). If you installed the application in
the default folder, the location is C:\inetpub\wwwroot\vrweb\data.
9. Restart the system.
22
Uninstalling the Cedara I-Reach Web Server
This section describes how to uninstall the Cedara I-Reach Web server
application.
Caution: If you are running the Cedara I-Reach application’s version 3.0.3
or earlier, ensure that you back up the file ircfg3_0.mdb. This file
contains valuable user and application setting information. The
uninstall wizard removes this file from your system.
> To uninstall the Cedara I-Reach Web server application

1. In the Taskbar, click Start, Settings, then select Control Panel.
2. Double-click Add or Remove Programs.
3. In the list of “Currently installed programs”, click Cedara I-Reach Web

Server.
4. Click Remove.
5. Follow the instructions in the wizard to uninstall the Cedara I-Reach Web
server application.
6. When the wizard indicates that the removal is complete, click Finish.
Note: If you have installed the Cedara I-Reach client application (i.e., 2D
component, 3D component, etc.) on the Web server, make sure that you
also uninstall these components.
7. Restart the workstation.
23
24
3
Chapter 3: Configuring the Cedara I-Reach

Web Server
This chapter describes how to configure the Cedara I-Reach Web server. These
configurations include how to add a Cedara I-Store archive as a data source for
this Web server. The majority of the Cedara I-Reach Web server’s configurations
are performed by modifying the Cedara I-Reach Application and Server settings
pages.
When configuring the connection to the Cedara I-Store archive, note that the
Cedara I-Reach Web server can only connect to a single Cedara I-Store archive
which is either an online image cache or a near-line image archive.
Caution: A Cedara I-Reach Web server can only be associated with one
Cedara I-Store archive. If you need to add additional
Cedara I-Reach Web servers in the Server Settings page, those
Web servers must connect to their own Cedara I-Store archive.
In a multiple Web server configuration, the server settings for each

Cedara I-Reach Web server must be the same. For details and examples of
different Cedara I-Store configurations, refer to the Cedara I-Store Installation and
Configuration Guide.
Note: When using a multi-site configuration, make sure that all your
Cedara I-Reach servers are using the same transfer protocol type (HTTP
or HTTPS).
Note: If you want to run the Cedara I-Reach client application on the
Cedara I-Reach Web server, you must install Microsoft Internet Explorer
8.0.
Note: You must configure the Cedara I-Reach Web server to recognize
four-digit years (see “Date and Number Format” on page 8).
25
To ensure proper functioning of the application’s processes, follow these

recommendations:
• When you configure the servers for the Cedara I-Reach with Cedara I-Store
application, make sure that all instructions and directions from the
accompanying documentation are followed in their entirety.
• Make sure that all Cedara I-Reach with Cedara I-Store application installations
have only one compression server configured per single image pool directory.
This configuration should be maintained at all times.
Configuring the Cedara I-Reach Application

Settings
This section describes how to configure the Cedara I-Reach Web server’s
application settings. Use the following procedure to view the Cedara I-Reach
Application Settings page.
> To view the Application Settings page

1. Open Internet Explorer
2. In the Address field, type http://WebServerHostName/vrweb/settings, where

WebServerHostName is the computer name of the Cedara I-Reach Web
server, then press ENTER.
26
3. Log on using the Administrator account of the Cedara I-Reach Web server.
27
4. In the Cedara I-Reach Settings page, click Application Settings.
5. The following sections describe how to configure the options on the Cedara I-
Reach Application Settings page:
• General — see “Configuring the General Settings” on page 29
• Diagnostic Review of MG Images — see “Configuring the Diagnostic

Review Settings” on page 30
• OEM Integration — see Chapter 7
• Central User Management Server — see “Configuring the Central User

Preferences” on page 31
• User Database Settings — “Configuring the User Database Settings”

on page 32
• Backup — Configurations for backing up the Cedara I-Reach user

management database (see “Enabling a Database Backup” on page
33).
28
Configuring the General Settings
This section describes how to configure the general settings on the

Cedara I-Reach Application Settings page. After you configure these settings, the
application applies these settings to all Cedara I-Reach application users.
Note: To configure the Cedara I-Reach application settings, you must log on to
the Settings page using the Administrator account.
> To configure the application settings

1. On the Cedara I-Reach Web server, open the Cedara I-Reach Application
Settings page (see “To view the Application Settings page” on page 26).
2. In the General group box, modify the application settings as required:
• User Password Expires After — The number of days after which the user
group’s password expires. The application will notify the user, when they
log on, that the password is about to expire and needs to be changed.
• Deactivate user account After — The number of incorrect password

attempts after which the application will no longer allow the user to log on.
• Force user password change before first login — Select this checkbox if
you want each user to change their password the first time they log on.
• Maximum number of studies in worklist — Type the maximum number of

studies you want to allow in a worklist. The default value is 2000.
3. When you are finished making the necessary changes, click Update.
29
Configuring the Diagnostic Review Settings
This section describes how to configure the Diagnostic Review of MG Images

settings on the Cedara I-Reach Application Settings page. When this setting is
enabled, the application displays a warning message whenever an MG image is
displayed on a monitor resolution not listed as a valid monitor resolution for
diagnosing mammography images. The following procedure describes how to
enable or disable this message as well as how to define the valid monitors.
> To configure the diagnostic review settings

2. In the Diagnostic Review of MG Images group box, do one of the following:
• By default, the valid resolution message is enabled. If you want the

application to display a warning message whenever an MG image is
displayed on monitor that is not considered valid for diagnosing
mammography images, make sure you select the “Check monitor
resolutions when loading “ checkbox.
• If you do not want to display the valid resolution message, clear the “Check
monitor resolutions when loading “ checkbox.
3. If you selected the “Check monitor resolutions when loading “ checkbox, in

the Valid monitor resolutions field, type the megapixel value for the monitors
you want defined as valid for diagnosing mammography images. If you need
to type more than one number, type each number without spaces but
separated by semi-colons. For example, if you to enter 3 megapixel and 5
megapixel monitors, type 3;5.
4. Click Update.
30
Configuring the Central User Preferences
This section describes how to configure the Central User Management Server on
the Cedara I-Reach Application Settings page. When you enable the central user
preferences feature, all user preferences reside at a central data center and
allows users who move from site to site to access their user preferences from any
remote server.
Note: All Cedara I-Reach Web servers must be configured to use the same
protocol, HTTP or HTTPS. If your servers are not using the same
protocol, the applications cannot communicate with each other.
To configure your servers to use this feature, an administrator must configure

each remote Web server to point to the central server’s user preferences
database. When this feature is configured, a user account only needs to be
created on the central server. Once the account is created on the central server,
that account can be used to log on to any of the remote servers (if the remote
server is pointing to the central server’s user preferences database).
The following procedure describes how to configure the remote sites to point to
the central server’s user preferences database.
> To configure the remote server to connect to the central

server’s user preferences
2. In the Host Name field of the Central User Management Server group box,
type the host name of the central Web server (the server with the central user
preferences database).
3. Click Update. The local Cedara I-Reach Web server is now using the user
preferences of the server you defined in the Host Name field.
31
Configuring the User Database Settings
This section describes how to configure the user database settings from the
Cedara I-Reach Application Settings page. By default, the application displays the
user management database information for the local Cedara I-Reach Web server.
If you already have an existing Cedara I-Reach user management database, you
can configure this Web server to use your existing user management database.
Perform the following procedure.
> To configure the application to use your existing database

2. In the User Database Settings group box, do the following:
• In the SQL Server Machine Name field, type the name of the machine with
the desired SQL Server database (the user management database).
• Type the appropriate user name and password in their respective fields.
3. Click Update.
4. Restart the Internet Information Services service.
5. If your custom SQL Server is installed on the same system as the

Cedara I-Reach application, do the following:
• Navigate to the C:\Inetpub\wwwroot\VRweb\Data folder.
• Double-click on the IRWSDB_Custom_Install.bat file to create the IRWSDB

database.
32
6. If your custom SQL Server is installed on a different system than the

Cedara I-Reach application, do the following:
• Navigate to the C:\Inetpub\wwwroot\VRweb\Data folder.
• Copy the IRWSDB_CO.SQL, IRWSDB_CP.SQL and

IRWSDB_Custom_Install.bat files to any folder on the system with SQL
Server. All three files must be in the same location.
• Double-click on the IRWSDB_Custom_Install.bat file to create the IRWSDB

database.
Enabling a Database Backup
This section describes how to enable the automatic backup for the Cedara I-
Reach user management database using the Cedara I-Reach Application
Settings page.
> To enable database backup

2. In the Backup group box, select the “Enable Backup” checkbox.
33
3. To configure your backup settings, modify any the following fields:
• Backup User Database — Defines whether or not the application

automatically backs up the Cedara I-Reach user management database.
• Backup Data Folders — Defines whether or not the application

automatically backs up the Data and Export folders (default location is
D:\Inetpub\wwwroot\Vrweb). The Data folder contains data such as the
user preferences and license. The Export folder contains data such as KO
(from tagging), PR (from saving the presentation state) and OT (from
saving attachments or using the capture feature) files.
• Backup to Folder — In this field, type the folder location where you want the
application to save the database backups (e.g., H:\BackupPool).
• Everyday at — In this field, select the time of day you want the application
to perform the database backup.
• Number of backups to keep — In this field, select the number of database

backups you want the application to keep. When this value is exceeded,
the application removes the oldest backup.
4. Click Update.
Configuring the Cedara I-Reach Server

Settings
If the Cedara I-Reach Web server is installed on the same machine as the
Cedara I-Store server, the installer automatically adds the Cedara I-Store archive
as a data source. If the Cedara I-Reach Web server is not installed on a the same
machine as the Cedara I-Store server, you need to modify the default data source
entry on the Cedara I-Reach Web server to point to the desired Cedara I-Store
archive.
34
The Cedara I-Reach Server Settings page allows you to modify the default data
source entry on the Cedara I-Reach Web server. The configurations you need to
perform depend on the type of data source you are trying to add:
• Online — To add a Cedara I-Store temporary archive (an Online Image Cache
configuration) as a data source, see “Configuring a Cedara I-Store
Temporary Archive as a Data Source” on page 37.
• I-Store Archive — To add a Cedara I-Store permanent archive (a Near-Line

configuration) as a data source, see “Configuring a Near-Line Image Archive
as a Data Source” on page 40.
Caution: After you add a Cedara I-Store archive as a data source, do not
add additional Cedara I-Store archives in the Server Settings
page. Each Cedara I-Reach Web server may only be associated
with one Cedara I-Store archive.
35
Viewing the Server Settings Page

Use the following procedure to view the Cedara I-Reach Server Settings page.
> To view the Server Settings page

1. Open Internet Explorer and in the Address field, type
http://WebServerHostName/vrweb/settings, where WebServerHostName is
the computer name of the Cedara I-Reach Web server, then press ENTER.
3. In the Cedara I-Reach Settings page, click Server Settings.
Note: The data sources are listed alphabetically.
36
Configuring a Cedara I-Store Temporary

Archive as a Data Source
This section describes how to configure a Cedara I-Store temporary archive (an
Online Image Cache configuration) as a data source for the Cedara I-Reach Web
server.
Note: Use the following procedure only if you have configured the
Cedara I-Store archive as a temporary archive. For details on how to
configure a Cedara I-Store temporary archive, refer to the Cedara I-Store
Installation and Configuration Guide.
Caution: Do not add more than one Cedara I-Store archive in the Server
Settings page.
> To configure a Cedara I-Store temporary archive as a data

source
1. On the Cedara I-Reach Web server, open the Cedara I-Reach Server
Settings page (see “To view the Server Settings page” on page 36).
2. The Server Settings page displays the default data source entry. You need to
update this entry with the server information for your Cedara I-Store
temporary archive.
37
3. In the default data source’s row, click Modify.
38
4. In the Server Settings group box, update the following fields:
• Description — Type a descriptive name for this data source.
• Data Source ID — Type the server ID for the Cedara I-Store server. This ID
must be unique. The unique ID must be alphanumeric and must not contain
spaces or special characters.
• Data Host Name (Web Server) — Type the hostname of this Cedara I-
Reach Web server.
• Data Source Type — From the dropdown list, select Online.
• Distance — From the dropdown list, select 1 through 5. This value depends
on the speed of your connection to the server, where 1 is the fastest and 5
is the slowest. For a local server this value is typically 1, while for a remote
server this value can be 2.
Note: You should set this value only after consultation with a Merge Healthcare
technical specialist (see “Contacting Customer Support” on page 10).
• Status — From the dropdown list, select the desired status for the Cedara I-
Store server (i.e., On or Off). If set to Off, the application does not query
this data source for studies.
• Restore Timeout — This value specifies how long the application waits for a
study to transfer. If the transfer time exceeds this value, the application
displays a timeout message.
5. In the I-Store Settings group box, update the following fields:
• Database Server Name — Type the database server name of the host
Cedara I-Store archive.
• IP Address — Type the IP address and port number for the

Cedara I-Store Archive server separated by a colon (i.e.,
IPaddress:port#). If you type only the IP address, the system uses the
default port number (i.e., 2638).
39
6. If you have a separate machine for the Import server, in the Import Server
Settings group box, do the following:
• Click New.
• The cursor automatically appears in the Server Name field. Type the host
name of the Cedara I-Store Import server.
• In the Server IP Address field, type the IP address of the Cedara I-Store
Import server.
• In the Destination AE Title field, type the AE Title of the Cedara I-Store
Import server.
• In the Source AE Title(s) field, type the AE Title for the source that sends
patient images to the current import server. The source can be a modality
or another archiving server.
• Click Add. The new Import server is added to the Import Server Settings
list. To modify or remove an Import server, select the Import server from the
list and click Modify or Remove.
• Repeat Step 6 for each Import server.
7. Click OK to update this data source.
Configuring a Near-Line Image Archive as a

Data Source
This section describes how to configure a Cedara I-Store permanent archive (a

Near-Line configuration) as a data source for the Cedara I-Reach Web server.
Cedara I-Store archive as a permanent archive. For details on how to
configure a Cedara I-Store permanent archive, refer to the Cedara I-Store
Installation and Configuration Guide.
Settings page.
40
> To configure a Cedara I-Store Near-line Image Archive as a data

source
update this entry with the server information for your Cedara I-Store
permanent archive.
41
42
• Data Source ID — Type the server ID for the Cedara I-Store server. This ID
must be unique. The unique ID must be alphanumeric and must not contain
spaces or special characters.
• Data Host Name (Web Server) — Type the hostname of this

• Data Source Type — From the dropdown list, select I-Store Archive.
• Database Server Name — Type the database server name of the host

Cedara I-Store Archive server separated by a colon (i.e.,
43
6. If you have a separate machine for the Import server, in the Import Server
Settings group box, do the following:
• Click New.
name of the Cedara I-Store Import server.
Import server.
Import server.
• Repeat Step 6 for each Import server.
44
Configuring the Cedara I-Reach Web Server

for a Distributed Enterprise Configuration
This section describes how to configure the Cedara I-Reach Web server
component when using a Distributed Enterprise configuration. The procedure in
this section uses the following setup as an example.
For a description of the Distributed Enterprise configuration and how to configure

each server, refer to “Chapter 2: Planning Your Installation” of the
Cedara I-Store Installation and Configuration Guide.
Cedara I-Store application to use a Distributed Enterprise configuration.
For details on how to implement the Distributed Enterprise configuration,
refer to the Cedara I-Store Installation and Configuration Guide.
Settings page.
> To configure the Web server in a Distributed Enterprise

configuration
45
update this entry with the information of the database server.
46
47
• Data Source ID — Type the server ID for the Cedara I-Store Database
server. This ID must be unique. The unique ID must be alphanumeric and
must not contain spaces or special characters.
• Data Host Name (Web Server) — Type the hostname of this

• Data Source Type — From the dropdown list, select the appropriate type
for the Database server. For example, if the Database server is an Online
Image Cache, select Online. If the Database server is a permanent
archive, select I-Store Archive.
• Database Server Name — Type the server name of the Database server (in
our example, I-Store Server 1).
• IP Address — Type the IP address and port number for the Database
server separated by a colon (i.e., IPaddress:port#). If you type only the IP
address, the system uses the default port number (i.e., 2638).
48
6. In the Import Server Settings group box, do the following:
• Click New.
name for the first Cedara I-Store Import server (in our example, I-Store
Server 2).
Import server.
Import server.
7. Repeat Step 6 for I-Store Server 3. If you have more Import servers, repeat
Step 6 for each Import server.
Configuring the Cedara I-Reach Web Server

when the Cedara I-Store Archive is on a
Different Server
For dual-server (i.e., the Cedara I-Reach and Cedara I-Store applications are
installed on two separate servers) and multiple Web server configurations, do the
following on the Cedara I-Reach Web server before you add the Cedara I-Store
archive as a data source:
• Configure a virtual directory that defines where to find the image pool folder on
the Cedara I-Store archive (see “Configuring a Virtual Directory” on page
50).
• Configure the ODBC connection to the Cedara I-Store archive (see “Adding
the Connection to the Cedara I-Store Archive” on page 54).
49
Configuring a Virtual Directory

For dual-server and multiple Web server configurations only, you must set up a
virtual directory on the Web server that indicates to the Cedara I-Reach Web
server application where to find images on the Cedara I-Store archive. For single-
server configurations, this is done automatically during installation; therefore, you
only need to verify the settings.
Note: If you have configured the Cedara I-Store archive as a Multi-site Image
Archive, you do not need to set up a virtual directory. If you are using this
configuration, then perform the necessary configurations on the central
server and each of the remote servers (see Chapter 4).
The first virtual directory is normally called “imagePool1”, where “1” is the image
pool index. If the Cedara I-Store archive has more than one image pool, then you
must create additional virtual directories with the appropriate image pool index
(e.g., imagePool2, imagePool3).
> To set up a virtual directory

1. In the Taskbar, click Start, All Programs, Administrative Tools, Internet
Information Services (IIS) Manager.
2. In the Connections panel, use the expander buttons to navigate to the

HostName (where HostName is the host name of the Cedara I-Reach Web
server), Sites, Default Web Site folder.
3. Right-click Default Web Site and select Add Virtual Directory.
50
4. In the Alias field, type imagePoolx, where x is the required image pool index
(e.g., imagePool1).
Note: The first virtual directory is normally called “imagePool1” where “1” is the
image pool index. If the Cedara I-Store archive has more than one image
pool, then you must create additional virtual directories with the
appropriate image pool index (e.g., imagePool2, imagePool3).
5. In the Physical Path field, type the full physical path to the image pool on the
Cedara I-Store archive (i.e., \\HostName\imagePool where HostName is the
host name of the Cedara I-Store archive).
Note: If you are using dual servers for your Cedara I-Store archive, make sure
you type the host name of the compression server. For details, refer to the
Cedara I-Store Installation Guide.
Note: The imagePool folder must be shared and Web shared on the
6. Click Connect As.
7. Select the “Specific User” radio button then click Set.
8. In the Set Credentials dialog box, type the user ID and password of the
Administrator on the Cedara I-Store archive. The user credentials must be the
same on both the Cedara I-Store archive and the Cedara I-Reach Web
server. In a domain environment, the user credentials are managed by the
domain settings.
9. Click OK to close the Set Credentials dialog box.
10. Click OK to close the Connect As dialog box.
11. Click OK to close the Add Virtual Directory dialog box.
server), Sites, Default Web Site, imagePool1 folder. Select the imagePool1
folder.
51
13. Double-click the Authentication icon.
Image pool
folder
Authentication icon
14. Make sure the Anonymous Authentication status is set to Enabled. If it is not
enabled, right-click Anonymous Authentication and select Enabled.
15. Verify the virtual image pool folder (e.g., imagePool1) has its MIME type
properly defined (see “To add the .dcm file extension to the MIME type
list” on page 53).
52
> To add the .dcm file extension to the MIME type list
1. In the Connections panel of the IIS Manager, use the expander buttons to
navigate to the HostName (where HostName is the host name of the Cedara
I-Reach Web server), Sites, Default Web Site, imagePool1 folder. Select the
imagePool1 folder.
2. Double-click the MIME Types icon.
Image pool
folder
MIME Types icon
3. In the Actions panel, click Add.
Click Add
53
4. In the MIME Type dialog box, do the following:
• In the File Name Extension field, type dcm.
• In the MIME Type field, type application/base64.
• Click OK.
5. Close the IIS Manager.
Adding the Connection to the Cedara I-Store

Archive
If your Cedara I-Reach Web server is not installed on the same machine as the
Cedara I-Store archive, this section describes how to create the necessary ODBC
connections on the Cedara I-Reach Web server. These connections allow to the
Cedara I-Reach Web server to communicate with the Cedara I-Store archive.
> To connect to the Cedara I-Store archive

1. Log on to the Cedara I-Reach Web server as Administrator.
2. In the Start menu select Run.
3. In the Open field, type type in %windir%\syswow64\odbcad32.exe, then

click OK.
54
4. In the ODBC Data Source Administrator dialog box, click the System DSN
tab.
5. Click Add.
6. In the Create New Data Source dialog box, select SQL Anywhere 11 from the
list of drivers.
7. Click Finish.
55
8. The operating system displays the ODBC Configuration for SQL Anywhere 11
dialog box. In the ODBC tab, do the following:
• In the Data Source Name field, type MCASHVINS.
• In the Description field, type ONLINE DB.
9. Click the Login tab and do the following:
• Select the “Supply User ID and Password” radio button.
• In both the User ID and Password fields, type. dba.
10. Click the Database tab and do the following:
• In the Server Name field, type the host name of the Cedara I-Store
database server.
• In the Database Name field, type MCASHVINS.
11. Click the Network tab and do the following:
• Select the “TCP/IP” checkbox.
• In the TCP/IP field, type the IP address of the Cedara I-Store database
server.
12. Click the ODBC tab and click Test Connection.
56
13. Click OK to close the ODBC Configuration for SQL Anywhere 11 dialog box.
14. Click OK to close the ODBC Data Source Administrator dialog box.
Checking the Internet Information Server

(IIS) Settings
The Internet Information Server (IIS) settings are configured during installation.
This section describes how to check the IIS settings (e.g., the permissions,
session timeout, and default Web page).
> To check the IIS settings

1. From the Start menu, select Administrative Tools, Internet Information
Services (IIS) Manager.

server), Sites, Default Web Site, VRWeb folder. Select the VRWeb folder.
57
3. Double-click the ASP icon.
VRWeb
Folder
ASP Icon
4. Expand the Session Properties field. For security purposes, we recommend

the Time-out field be no greater than 20 minutes.
5. Expand the Debugging Properties field and do the following:
• Make sure the Enable Client-side Debugging field is set to False.
• Make sure the Enable Server-side Debugging field is set to False.
6. In the Connections panel, select the VRWeb folder.
58
7. Double-click the Default Document icon.
VRWeb
Folder
Default Document Icon
8. Make sure the following pages are included in the list:
• Default.htm
• Default.asp
• iisstart.htm
• Default.aspx
9. In the Connections panel, select the VRWeb folder.
59
VRWeb
Folder
Authentication Icon
11. In the Authentication window, make sure Anonymous Authentication is

Enabled.
12. Close the IIS Manager window.
60
Configuring Authentication Methods
To provide better security on the Cedara I-Reach Web server application

administration pages, you must configure IIS to allow Basic Authentication.
> To configure the authentication methods


server), Sites, Default Web Site, VRWeb, Admin folder. Select the Admin
folder.
Admin
Folder
Authentication Icon
61
4. In the Authentication window, do the following:
• Right-click Anonymous Authentication and select Disabled.
• Right-click Basic Authentication and select Enabled.
• Right-click Windows Authentication and select Enabled.
5. Close the IIS Manager window.
Configuring Secure Sockets Layer (SSL)
This section describes how to set up Secure Sockets Layer (SSL) for Windows
Server 2008 (IIS 7.0). SSL provides a greater degree of security when transferring
patient information, user IDs and passwords. When SSL is configured, the Web
server uses 128-bit data encryption.
To configure SSL, do the following:
• Obtain an SSL certificate from a commercial certificate authority. A commercial

certificate authority is an SSL certificate provider that issues digital certificates
to organizations or individuals after verifying their identity (see “Obtaining an
SSL Certificate” on page 63).
• Install the security certificate on the Cedara I-Reach Web server (see
“Installing the SSL Certificate” on page 67).
62
Obtaining an SSL Certificate

This section describes how to obtain an SSL certificate from a commercial
certificate authority. To obtain the SSL certificate, you must generate a certificate
signing request then send this request to the commercial certificate authority.
Note: It is the site’s responsibility to obtain the security certificate. Some

security certificate issuing companies can take up to five days to generate
a certificate. Certificates are not available on demand. The site must
request a certificate from the issuing company well in advance of the
installation.
Note: We recommend that you use Microsoft certified organizations to obtain

your security certificate.
> To obtain an SSL certificate


3. In the Connections panel, select HostName (HostName\Administrator)

where HostName is the host name of the Cedara I-Reach Web server.
63
4. Double-click the Server Certificates icon.
Select the server Server Certificates icon
5. In the Actions panel, click Create Certificate Request.
64
6. In the Distinguished Name Properties dialog box, do the following:
• In the Common Name field, type the fully qualified domain name of the
Cedara I-Reach Web server. For example, type hostname.domain.com
where hostname is the host name of the Cedara I-Reach Web server and
domain is your domain name.
• In the Organization field, type the legal name of your organization.
• In the Organizational Unit field, type the name of the division responsible
for the SSL certificate.
• In the City/Locality field, type the name of the city where your organization
is located.
• In the State/Province field, type the name of the state or province where
your organization is located. Do not abbreviate this field.
• In the Country/Region dropdown list, select the ISO code for the country
where your organization is located.
• Click Next.
65
7. In the Cryptographic Service Provider Properties dialog box, do the following:
• In the Cryptographic Service Provider dropdown list, select Microsoft RSA

SChannel Cryptographic Provider.
• In the Bit Length field, select a bit length of at least 2048.
• Click Next.
66
8. In the File Name dialog box, select an appropriate name and location to save
the CSR file.
9. Click Finish.
10. Use the information from the generated CSR file to order an SSL certificate
from a commercial certificate authority. When you receive the SSL certificate,
proceed with “Installing the SSL Certificate” on page 67.
Installing the SSL Certificate

Follow the procedures in this section to install, bind and assign the SSL certificate.
If your SSL certificate did not come from a trusted Microsoft certificate authority,
you must also install any intermediate certificates provided by the certificate
authority (see “Installing Intermediate Certificates” on page 72).
> To install an SSL certificate

2. Save the file containing the SSL certificate from the commercial certificate
authority to an appropriate location on the Cedara I-Reach Web server.

67
4. In the Connections panel, select HostName (HostName\Administrator)

where HostName is the host name of the Cedara I-Reach Web server.
5. Double-click the Server Certificates icon.
Select the server Server Certificates icon
6. In the Actions panel, click Complete Certificate Request.
68
7. In the Specify Certificate Authority Response dialog box, do the following:
• In the File Name field, click the Browse button and navigate to the location
of the file containing the SSL certificate (i.e., the file you saved in Step 2).
• In the Friendly Name field, type an appropriate name this certificate.
• Click OK.
8. The new certificate is added to the Server Certificates list. Proceed to “To
bind the certificate to a Web site” on page 70.
69
> To bind the certificate to a Web site

navigate to the HostName (where HostName is the host name of the Cedara
I-Reach Web server), Sites, Default Web Site folder. Select the Default Web
Site folder.
2. In the Actions panel, click Bindings.
3. In the Site Binding dialog box, click Add.
70
4. In the Add Site Binding dialog box, do the following:
• In the Type dropdown list, select https.
• In the SSL Certificate field, select the SSL certificate you installed for the
Cedara I-Reach application.
• Click OK.
5. Port 443 is added to the site bindings list. Click Close.
6. Proceed to “To assign the certificate to the VRWeb Web site” on page 72.
71
> To assign the certificate to the VRWeb Web site

navigate to the HostName (where HostName is the host name of the
Cedara I-Reach Web server), Sites, Default Web Site, VRWeb folder. Select
the VRWeb folder.
2. Double-click the SSL Settings icon.
Select VRWeb SSL Settings icon
3. On the SSL Settings page, select the “Require SSL” checkbox.
4. In the Actions panel, click Apply.
5. If the SSL certificate did not come from a trusted Microsoft certificate
authority, proceed to “Installing Intermediate Certificates” on page 72.
Installing Intermediate Certificates

If your SSL certificate did not come from a trusted Microsoft certificate authority,
use the following procedure to install any intermediate certificates provided by the
certificate authority.
72
> To install intermediate certificates

2. Save the intermediate certificate to an appropriate location on the Web server.
3. Double-click the certificate.
4. Click Install Certificate.
5. In the Certificate Store dialog box, select the “Place All Certificates In The
Following Store“ radio button.
6. Click Browse.
7. In the Select Certificate Store dialog box, select the “Show Physical Stores”
checkbox.
8. Select the Intermediate Certification Authorities\Local Computer folder.
9. Click OK.
10. In the Certificate Store dialog box, click Next.
11. Click Finish.
12. Repeat Steps 2 through 11 for each intermediate certificate.
Maintaining the Cedara I-Reach Event Logs
We recommend that you Maintain and clear Cedara I-Reach event logs that are
no longer necessary on a weekly basis as part of your regular maintenance:
> To delete unnecessary event logs

1. Open Microsoft Internet Explorer.
2. In the Address field, type http://WebServerHostName/vrweb/admin, where

WebServerHostName is the computer name of the local Cedara I-Reach Web
server, then click Go.
73
3. Log on using a Super Administrator account (e.g., superadmin) and click

Login.
4. On the Cedara I-Reach Administration Web page, click View Event Logs.
74
5. On the Cedara I-Reach Event Logs Web page, click Clear Log.
6. On the Cedara I-Reach Clear Event Logs dialog box, do one of the following:
• Select the “Delete event logs older than __ days” radio button, type the
number of days, and click Apply.
• Select the “Delete all event logs” radio button, and click Apply.
75
Viewing Performance Logs
This section describes how to access performance logs that indicate how fast the
Cedara I-Reach application loads images. There are two types of performance log
files: one that resides on the Cedara I-Reach client workstation and one that
resides on the Cedara I-Reach Web server.
> To view the Web server’s performance log file

1. Log on to the Web server as Administrator, or a user with administrative
privileges.
2. Using Windows Explorer, navigate to the following folder:
C:\WINDOWS\System32
3. Double-click the GetWorkListLog.txt file to view the logs.
> To view the client workstation’s performance log file

1. Log on to the Cedara I-Reach client workstation as Administrator, or a user
with administrative privileges.
2. Open the Registry Editor (see “Opening the Registry Editor” on page 7).
3. Check the value assigned to the following registry key:
HKEY_LOCAL_MACHINE\\Software\ISG\VR\5000\PerfLogPath
4. Using Windows Explorer, navigate to the folder specified by the registry key in
Step 3.
5. Double-click the performanceLog.txt file to view the logs.
Saving Your Search Criteria
By default, when searching for studies, the application does not save the criteria
of your last search when you log off the application. The following procedure
describes how to configure the application to save the criteria entered in the
search area after you log off the application. When the same user logs on to the
application again, the search area is already populated with the saved search
criteria and the application runs your search.
76
> To save your search criteria

1. On the Cedara I-Reach Web server, navigate to the Cedara I-Reach
installation folder. The default path is C:\inetpub\wwwroot\vrweb.
2. Open the oemConfig.asp file.
3. Locate the APC_ENABLE_AUTO_FIND_QUERY variable and do one of the

following:
• To have the application save the search criteria when you log off the
application, set the APC_ENABLE_AUTO_FIND_QUERY value to 1. When
you log back on to the application, it automatically runs your saved search.
• If you do not want the application to save your search criteria when you log
off the application, make sure the value is set to 0.
4. Save and close the oemConfig.asp file.
Defining the Minimum Number of Required

Characters for the Search Field
By default, the Cedara I-Reach application requires a user to type a minimum

number of characters when searching for patient studies. These numbers are
saved in the oemConfig.asp file. The following procedure describes how to modify
the default numbers.
> To define the minimum numbers of required characters

1. On the Cedara I-Reach Web server, navigate to the Cedara I-Reach
installation folder. The default path is C:\inetpub\wwwroot\vrweb.
2. Open the OEMconfig.asp file.
77
3. Table 3-1 describes the variables that define the minimum number of
characters required when searching for studies. Locate the three variables in
Table 3-1 and modify their values as desired. If any of the numbers are set to
0, all restrictions are removed from the search.
Table 3-1: Minimum Character Variables
Variables Name Description Default
APC_MIN_CHAR_PATIENT_NAME The minimum number of characters required in the 3

Patient Name field when searching for studies.
APC_MIN_CHAR_PATIENT_ID The minimum number of characters required in the 4

Patient ID field when searching for studies.
APC_MIN_CHAR_ACCESSION_NO The minimum number of characters required in the 4

Accession Number field when searching for studies.
4. Save and close the OEMconfig.asp file.
78
4

Web Server for a Multi-Site
Implementation
This chapter describes how to configure the Cedara I-Reach Web servers at the
central and remote sites in a Multi-site configuration.
For a description of the Multi-site configuration and how to configure the Cedara I-
Store application on the central and remote sites, refer to “Chapter 2: Planning
Your Installation” of the Cedara I-Store Installation and Configuration Guide.
79
To setup the Cedara I-Reach Web servers in Multi-Site configuration, you must do
the following:
• At the central site, configure the Cedara I-Store application following the
guidelines for a Multi-Site configuration. Refer to the Cedara I-Store Installation
and Configuration Guide.
• At the central site, install the Cedara I-Reach Web server. Configure that
Cedara I-Reach Web server to use the Cedara I-Store archive at the central site
as a data source. The instructions to configure this Cedara I-Reach Web server
depend on the configuration type of the Cedara I-Store archive at the central
site. Refer to the appropriate procedure in “Configuring the Cedara I-Reach
Server Settings” on page 34.
• At each of the remote sites, configure the Cedara I-Store application as

temporary archives. Follow the guidelines for a Multi-Site configuration as
described in the Cedara I-Store Installation and Configuration Guide.
• At each of the remote sites, install and configure the Cedara I-Reach Web
server as described in the following section.
Note: The Cedara I-Store archive and the Cedara I-Reach Web server
applications should use the same Administrator password to logon. The
System Administrator needs to access the remote imagepool on the
Cedara I-Store archive from the Cedara I-Reach Web server. You must
also ensure that the imagePool folder on the Cedara I-Store archive is
shared.
Note: All Cedara I-Reach Web servers must be configured to use the same
protocol, HTTP or HTTPS. If your servers are not using the same
protocol, the applications cannot communicate with each other.
80
Chapter 4: Configuring the Cedara I-Reach Web Server for a Multi-Site Implementation
Configuring the Cedara I-Reach Web

Servers on the Remote Sites
Use the following procedure to configure the Cedara I-Reach Web server at each
of your remote sites.
> To configure the Web server at the remote site

1. Install the Cedara I-Reach Web server as described in Chapter 2.
3. If you want the Cedara I-Reach Web server to use the central site’s user
preference settings, following the procedure in “Configuring the Central
User Preferences” on page 31.
4. Open the Cedara I-Reach Server Settings page. For instructions on how to
open this page (see “To view the Server Settings page” on page 36).
5. On the Server Settings page you need to add a new entry for the servers at
the central site.
81
6. On the Server Settings page, click Add.
82
Chapter 4: Configuring the Cedara I-Reach Web Server for a Multi-Site Implementation
• Description — Type a descriptive name for this data source (the Cedara I-
Store server at the central site).
• Data Source ID — Type the server ID for the Cedara I-Store server at the
central site. This ID must be unique. The unique ID must be alphanumeric
and must not contain spaces or special characters.
• Data Host Name (Web Server) — Type the hostname of the Cedara I-
Reach Web server at the central site.
• Data Source Type — From the dropdown list, select the appropriate type
for the Cedara I-Store server at the central site. For example, if the Cedara
I-Store server is an Online Image Cache, select Online. If the Cedara I-
Store server is a permanent archive, select I-Store Archive.
• Database Server Name — Type the database server name of the Cedara I-
Store archive at the central site.

Cedara I-Store archive at the central site separated by a colon (i.e.,
83
9. If the Import server is on a separate machine, in the Import Server Settings

group box do the following:
• Click New.
name of the Cedara I-Store Import server at the central site.
Import server at the central site.
Import server at the central site.
• Repeat Step 9 for each Import server at the central site.
Forwarding Non-DICOM Data to the Central Server

The following procedure describes how to send Non-DICOM data to the central
server. When you enable this feature, the non-DICOM data is sent automatically
to the central server.
12. Navigate to HKLM\Software\Cedara\I-Reach Server\IRDcRouter.
13. Double-click remoteServers.
14. In the Value Data field, type the central server’s host name, then click OK.
84
5
Chapter 5: Installing the Cedara I-Reach

Client Application
This chapter describes how to install the Cedara I-Reach client application.
Note: Due to potential impact on server performance, we do not recommend

that you install the Cedara I-Reach client application and the
Cedara I-Reach Web server on the same machine.
Note: You must log on to the client workstation with the default Windows
Administrator account to install the Cedara I-Reach client application.
Note: If you currently have the Norton AntiVirus 2005 application on your
workstation, the application may not run properly. After the installation is
complete, you must configure the Norton AntiVirus application before you
run the client application (see “Configuring Norton AntiVirus” on page
99).
To successfully install and run the Cedara I-Reach client application, you must do
the following:
• Perform the procedures in “Preparing the Client System” on page 86.
• Install the Cedara I-Reach client application (see page 88).
• After you install the Cedara I-Reach client application, perform the procedures
in “Completing the Installation” on page 98.
85
Preparing the Client System
Before you install the Cedara I-Reach client, perform the following procedure.
> To prepare the client workstation

1. Make sure Microsoft Internet Explorer 8.0 is installed on your workstation.
Note: If you are using a 64-bit operating system, you must use the 32-bit
version of Microsoft Internet Explorer when running the Cedara I-Reach
client application.
2. Disable the Windows firewall on each Cedara I-Reach client workstation.
3. If the system memory (RAM) is 3GB or more, use the /3GB switch in the
boot.ini file for each Cedara I-Reach Web server and Cedara I-Reach client
workstation. Refer to Microsoft documentation on how to configure the OS.
4. Configure the Cedara I-Reach client workstation to recognize four-digit years

(see “Date and Number Format” on page 8 for instructions).
5. If you are upgrading the client application and you have custom
measurements, you must first back up your custom measurements. Do the
following:
• In Windows Explorer, navigate to the C:\VRS\OrthoTpt folder.
• Backup the Custom Measurements folder in a different directory.
• After you upgrade your application, copy the Custom Measurements folder
back into the C:\VRS\OrthoTpt directory.
6. Make sure all “pop-up blocker” applications are uninstalled or configured to

allow the Cedara I-Reach application to display pop-up windows. If the pop-up
blocker is not configured for the Cedara I-Reach application, the first time you
visit http://WebServerHostName/vrweb the pop-up information bar will prompt
you configure your browser’s pop-up options. The following section describes
how to configure your pop-up blocker.
86
Chapter 5: Installing the Cedara I-Reach Client Application
Configuring Your Pop-up Blocker

The Cedara I-Reach application uses pop-up windows to implement a number of
features (e.g., logon dialog box, preference dialog box). Most pop-up blocker
applications allow you to configure a list of safe sites. Make sure the
Cedara I-Reach Web server application is categorized as a safe site. If your pop-
up blocker application does not have this feature, you must uninstall the pop-up
blocker or the Cedara I-Reach application will not work correctly.
> To configure your browser to allow pop-ups

1. Open Microsoft Internet Explorer. In the Address field, type
http://WebServerHostName/vrweb, where WebServerHostName is the
hostname of your Web server, then click Go.
2. Click the pop-up information bar and select Always Allow Pop-ups from
This Site.
Installation Drive and Folder

The default application installation folder is “\VRS\”. We strongly recommend that
you use the default installation folders.
If you must use or create a different folder, follow these rules:
• Do not install the application directly to a root partition (e.g., C: or D:).
• Do not enter any spaces in the folder’s name. If spaces appear in the folder
name, the application will not open.
C:\CedaraI-Reach is correct
C:\Cedara I Reach is incorrect
The examples provided throughout this guide assume that the application is
installed under the default path, C:\VRS\.
87
Installing the Client Application
The are three ways to install the Cedara I-Reach client application:
• From the client workstation, use Internet Explorer to connect to the

Cedara I-Reach Web server. The first time the client workstation connects to
the Cedara I-Reach Web server, the system automatically starts the installation
process for the Cedara I-Reach client application (see “Installing the Client
Application From the Web Server” on page 88).
• From the Cedara I-Reach Client CD (see “Installing the Client Application
Using the Client CD” on page 92).
• Using a command window to start and configure the installation using

command line arguments. This method allows you to perform an unattended
installation (see “Installing the Client Application Using a Command
Window” on page 95).
Note: If you are using the Windows 7 operating system, you must log on to the
client workstation using the default Administrator account to install the
application.
Installing the Client Application From the Web

Server
Use the following procedure to install the Cedara I-Reach client application by
connecting to the Cedara I-Reach Web server application from the client
workstation. The first time the client workstation connects to the Cedara I-Reach
Web server, the system automatically starts the installation process for the
Cedara I-Reach client application.
> To install the client application via the Web server

1. Log on to the client workstation as Administrator.
3. Open Microsoft Internet Explorer.
4. In the Address field, type http://WebServerHostName/vrweb, where

WebServerHostName is the hostname of your Web server, then press
ENTER.
88
5. If your Internet settings were configured to prompt you before downloading

ActiveX controls, the ActiveX control information bar will prompt you to install
the control. Click the information bar and select Install ActiveX control.
6. If prompted to install ClientCode.cab or VrListCtrl.cab, click Install.
Note: If the Cedara I-Reach - Logon - Web Page Dialog box does not
automatically display, click the Cedara I-Reach image on the Web page.
7. In the Cedara I-Reach - Logon - Web Page Dialog box, type the User ID and
Password for a user with administrator privileges, then click OK.
8. If the latest client components are not already installed on your workstation,
the installer asks if you want to install the components. Click OK.
9. If you are prompted to run the client components, click Run.
89
10. The Cedara I-Reach Client Installation dialog box lists the required and
optional components. It also displays which components are not currently
installed on your workstation. You must install all required components on
your workstation. Do any of the following:
90
• In the Optional Components group box, the “Patient CD Creation”

checkbox is selected by default. If you do not want to install the Patient CD
Creation component, clear the “Patient CD Creation” checkbox.
Note: If you are installing the Patient CD Creation component and you are using
the Windows 7 operating system, the first time you run the Patient CD
Viewer you must run the application as an administrator. For instructions,
see “Configuring the Patient CD Viewer for Windows 7” on page 98.
• The InstallShield wizard detects and automatically configures the monitor

settings. To view or override the monitor settings, click Advanced. Modify
the monitor settings as desired.
• The Client Installation Folder group box displays the default installation
folder. To change the default installation folder, click Browse and navigate
to the new location.
Note: If you use or create a different folder, make sure you do not install the
application directly to a root partition and do not enter any spaces in the
folder names. For examples on how to correctly create a new folder, see
“Installation Drive and Folder” on page 87.
11. When you are satisfied with the installation options, click Install to start
installing the Cedara I-Reach client application.
91
12. When the installation is complete, click Finish.
Installing the Client Application Using the Client CD

Use the following procedure to install the Cedara I-Reach client application using
the Cedara I-Reach Client CD.
Note: Before proceeding, ensure that your Documents and Settings folder is
available. Some domain users use a mapped Network drive (this drive
must be available).
> To install the client application via the client CD

3. Insert the Cedara I-Reach with Cedara I-Store 4.5 — Cedara I-Reach Client
Software CD into the CD-ROM drive.
4. If you have an auto-run CD-ROM drive, the Start Page opens automatically;
otherwise, double-click My Computer on the desktop, double-click the drive
letter associated with the CD-ROM (e.g., D:), and double-click startpage.exe.
5. In the Start page, click Install Cedara I-Reach Client.
92
6. The Cedara I-Reach Client Installation dialog box lists the required and
optional components. It also displays which components are not currently
installed on your workstation. You must install all required components on
your workstation. Do any of the following:
• In the Optional Components group box, the “Patient CD Creation”

checkbox is selected by default. If you do not want to install the Patient CD
Creation component, clear the “Patient CD Creation” checkbox.
Viewer you must run the application as an administrator. For instructions,
see “Configuring the Patient CD Viewer for Windows 7” on page 98.
• The InstallShield wizard detects and automatically configures the monitor

settings. To view or override the monitor settings, click Advanced. Modify
93
the monitor settings as desired.
• The Client Installation Folder group box displays the default installation
folder. To change the default installation folder, click Browse and navigate
to the new location.
Note: We recommend you use the default installation folders. If you must use or
create a different folder, make sure you do not install the application
directly to a root partition and do not enter any spaces in the folder names
(see “Installation Drive and Folder” on page 87).
7. When you are satisfied with the installation options, click Install to start
installing the Cedara I-Reach client application.
8. When the installation is complete, click Finish.
94
Installing the Client Application Using a Command

Window
This section describes how to install the Cedara I-Reach client application using a
command window. Command line arguments are used to configure the desired
installation options including the option to perform an unattended installation.
> To install the client application via the command window

1. Log on to the client workstation as Administrator, or a user with
administrative privileges.
3. Open a command window and change directories to the location of the

IReachClient.exe file (the Cedara I-Reach client installation executable).
4. At the command prompt, type IReachClient.exe followed by the desired

arguments and their values. Table 5-1 describes the available command line
arguments and values. For example, type:
IReachClient.exe -unattended yes

5. If you do not type any arguments (e.g., you only type IReachClient.exe) or if
you do not set the -unattended argument to yes, the InstallShield wizard
launches the Cedara I-Reach Client Installation dialog box (details on using
the Cedara I-Reach Client Installation dialog box is described in the previous
section).
Note: To perform an unattended installation, you must set the value of the
-unattended argument to yes.
6. If you perform an unattended installation, the InstallShield wizard

automatically installs and configures the client application based on the
command line arguments you define. After you start the unattended
installation, no further user input is required at the client workstation.
95
Command Line Arguments and Values

Table 5-1 describes the available command line arguments and values you can
use when installing the Cedara I-Reach client via a command window. All
arguments are optional; however, if you use an argument it must be followed by a
value. If an argument is not specified, the installer uses the default value. The
arguments and values are not case-sensitive.
You must use the format IReachClient.exe [argument value] [argument value]. For
example, type:
IReachClient.exe -unattended yes -disableExport nolicense

In this example, the InstallShield wizard performs an unattended installation but
does not install the Patient CD Creation component.
96
Table 5-1: Available command line arguments
Argument Value
-unattended — Specifies whether or not to no (default) — The InstallShield wizard launches the
run an unattended installation. Cedara I-Reach Client Installation dialog box.
yes — The installer runs an unattended installation.
The wizard automatically installs and configures
the client application based on the defined
command line arguments.
-installdir — Specifies the location the client The default value is SystemDrive:\VRS where System-
application is installed. Drive is the partition where the operating system is
installed (e.g., C:\VRS).
If you do not use the default directory, make sure your

custom directory does not contain spaces.
-res — Specifies the monitor resolution the 1 — 1024x768, 1280x1024

application uses. The InstallShield wizard auto-
2 — 1200x1600
detects the appropriate value.
3 — 1728x2304
4 — 2048x2560
5 — 2560x3200 or higher
-color — Specifies whether the monitors are 0 — A non-color monitor

color or non-color. The InstallShield wizard
1 — A color monitor
auto-detects the appropriate value.
-monitors — Specifies the number of 1

monitors used by the application. The
2
InstallShield wizard auto-detects the
appropriate value. 4
-disable3D — This argument has one value. nolicense — The InstallShield wizard does not install
If you want to install the Cedara I-Reach 3D the Cedara I-Reach 3D component.
component, do not type this argument at the
command line.
-disableExport — This argument has one nolicense — The InstallShield wizard does not install
value. If you want to install the Patient CD the Patient CD Creation component.
Creation component, do not type this argument
at the command line.
Viewer you must run the application as an administrator (see
“Configuring the Patient CD Viewer for Windows 7” on page 98).
97
Completing the Installation
This section describes the steps you should perform on the client system after you
install the Cedara I-Reach client application.
> To complete the installation

• If you upgraded the application and had custom measurements, do the
following to restore your custom measurements:
• In Windows Explorer, navigate to the backed up Custom Measurements

folder you created in Step 5 of “To prepare the client workstation” on
page 86.
• Copy the backed up Custom Measurements folder back into the

C:\VRS\OrthoTpt directory.
Configuring the Patient CD Viewer for Windows 7

The first time the Patient CD Viewer is launched, it installs an XML component
that requires administrative privileges. If you are using the Windows 7 operating
system you have to specify that you want to run the application as an
administrator.
> To run the Patient CD Viewer as administrator

1. Log on to the client workstation as Administrator, or a user with
administrative privileges.
2. In Windows Explorer, navigate to the root of your CD\DVD ROM drive.
3. Right-click eFilmLt.exe and select Run as Administrator.
98
Configuring Norton AntiVirus

If you currently have the Norton AntiVirus 2005 application on your workstation,
the application may not run properly. After the 2D client has been installed, you
must configure the Norton AntiVirus application to place the following services on
its safe list:
• prserver
• hcserver
> To configure the Norton AntiVirus 2005 application

1. Open the Norton AntiVirus application
2. Click the Options button located near the top left corner
3. In the left hand navigation panel, select Internet Worm Protection
4. Click the Program Control button from the Internet Worm Protection options.
5. Click the Add button when the Program Control dialog box appears.
6. When the Select a program dialog box appears, browse to the install_dir
\bin\iap folder where install_dir is the location where the I-Reach 2D client is
installed (e.g., C:\VRS) and select hcserver.exe.
7. When the Program Alert dialog box appears, select Permit from the drop-
down menu. Click OK.
8. Repeat Steps 5 through 7 for the prserver.exe.
99
Reinstalling the Cedara I-Reach Client

Application
If something causes one or more of the Cedara I-Reach client application files to
become corrupt, you must reinstall the application.
There are three components to the Cedara I-Reach client application: the 2D
Component, the 3D Component and the SMA component (Patient CD Creation).
If you uninstall the 2D Component, the 3D Component is automatically uninstalled
since it relies on the 2D Component. You can uninstall only the 3D Component, if
required.
Note: Before you reinstall the application, make sure you perform the steps
described in “Preparing the Client System” on page 86.
> To reinstall the client application

1. In the Taskbar, click Start, Settings, Control Panel.
2. Double-click Add or Remove Programs.
3. In the list of “Currently installed programs”, select the component you want to
remove.
• To uninstall only the 3D Component, click Cedara I-Reach 3D

Component.
• To uninstall both the 2D and 3D Components, click Cedara I-Reach 2D

Component.
4. Click Remove, then follow the on-screen instructions.
5. Open Microsoft Internet Explorer and reconnect to the Cedara I-Reach Web
server application.
6. The server automatically downloads a new version of the Cedara I-Reach

client application to the client workstation (see “Installing the Client
Application From the Web Server” on page 88).
100
6

Client
This chapter describes how to configure certain features in the Cedara I-Reach
client application. Perform the procedures in this section on the Cedara I-Reach
client workstation.
Note: Make sure to log on to the Cedara I-Reach application using the
appropriate username and password before you change registry values
on the client workstation; otherwise, the user profile store on the Web
server overwrites your changed values.
Opening the Service Tool
This section describes how to open the Cedara I-Reach client Service Tool.
> To open the Service Tool

1. If open, close the Cedara I-Reach client application.
2. Do one of the following:
• If you are using the Windows XP operating system, from the Start menu,
click Programs, I-Reach Client, I-Reach Client Service Tool.
• If you are using the Windows 7 operating system, from the Start menu, click
All Programs, I-Reach Client, I-Reach Client Service Tool.
101
Configuring the On-Call Feature
The On-Call feature allows you to automatically load studies that meet specific
criteria when you log on to the application by saving these studies locally. This
section describes how to configure the location of the local image cache as well
as how to manage the disk space used by the On-Call feature.
Note: These settings are saved on the local workstation and only apply to that
Note: By default, the On-Call feature only downloads data from the last seven
days. If you want to modify this number, contact Customer Support (see
“Contacting Customer Support” on page 10).
> To configure the On-Call feature

1. Open the Cedara I-Reach client Service Tool (see “Opening the Service
Tool” on page 101).
102
2. By default, the application displays the On-Call tab.
3. The default image cache location is C:\VRS\Temp\imagePool. The image

cache defines where the application saves studies on the client workstation.
To change the location of the image cache, in the Image Cache Location field
click Browse then navigate to the desired location. Click OK to set the new
location.
Caution: Do not delete the old imagePool folder.
4. The Minimum Reserved Disk Space field defines, in MB, how much of the
disk’s free space the application does not use to save studies. For example, if
you have a 100GB hard drive and you reserve 1GB, the application never
uses the reserved 1GB of disk space. To modify the default value, in the
Minimum Reserved Disk Space field, type the desired value.
5. The High Water Mark field defines when the application starts removing
studies from the local image cache. The oldest downloaded studies are
removed first. By default, the application starts removing studies when the
total hard disk space (not including the reserved space) is 95% full. To modify
when the application start removing studies from the local image cache, in the
High Water Mark field, enter the desired value.
103
6. The Low Water Mark field defines when the application stops removing
studies from the local image cache. To modify when the application stops
removing studies from the local image cache, in the Low Water Mark field,
enter the desired value.
7. In the Keep Study field, enter the number of days you want the application to
keep a study in the local image cache. After a study has been in the image
cache for the specified number of days, it is automatically removed from the
image cache when the disk space reaches the high watermark.
8. To save your changes, click Save. If you do not want to save your changes,
click Reset and all settings return to their last saved state.
9. Close the Service Tool.
Configuring the Display Settings
This section describes how to change the local workstation’s display settings. This
section includes a separate procedure describing how to configure the application
to use 10-bit display adapters. Before you begin, ensure that the video card and
monitor can display the desired resolution, color setting and refresh rate. If you
are unsure, consult the manufacturer’s documentation.
104
> To change the display settings

2. In the Service Tool, click the Display tab.
105
3. In the Display Settings group box, specify the following information:
• Resolution Type — Select the appropriate resolution from the dropdown

list.
• Screen Count — Select the number of high resolution monitors (1, 2, or 4)

+ 1 that you want for the workstation.
• Screen Width — Type the width (in millimeters) of the viewable area on the
screen. If you are using a True Size display, then measure the screen width
(in millimeters) from the inside of the screen. If the workstation has two
monitors, then multiply the screen width by two.
• Screen Height — Type the height (in millimeters) of the viewable area on
the screen. If you are using a True Size display, then measure the screen
height (in millimeters) from the inside of the screen.
• Direct Draw Policy — The DirectDraw Policy defines the processing

server’s use of the Direct Draw mechanism found in third-party video
drivers. The default value “on” enables Direct Draw. Changing the value to
“off” will use the Windows GDI.
106
• 10-bit Greyscale Display — See “Configuring the Application to Use 10-

bit Display Adapters” on page 107.
5. When the system informs you need to restart the application, click Yes.
Configuring the Application to Use 10-bit Display

Adapters
By default, the application is not configured to use a 10-bit display adapter.
Perform the following procedure to enable 10-bit support for the Cedara I-Reach
client workstation.
Note: The Cedara I-Reach application only supports 10-bit display adapters
with the Windows XP 32-bit operating system.
107
> To enable 10-bit support

2. In the Service Tool, click the Display tab.
3. In the 10-bit Greyscale Display dropdown list, select on. If you do not want to
enable 10-bit support, select off.
4. Click Save and close the Service Tool.
108
5. For each user account on this workstation, do the following:
Note: If you installed one of the supported drivers for 10-bit display adapters,
you need to perform these steps even if you are not using a 10-bit
monitor.
• Right-click the Desktop and select Properties.
• Click the Appearance tab.
• Click Effects.
• Clear the “Show shadows under menus” checkbox.
Clear this
Checkbox
Configuring the Processing Server Memory
The purpose of the processing server (prserver) is to off-load image processing

tasks from the application. The prserver obtains memory from the workstation to
manage and display the text and image objects. It does so in large increments,
each of which is called a memory pool.
109
The installer automatically determines and configures the Max. Memory setting.
However, you should consider configuring the following memory settings manually
to ensure that the Processing Server is operating at peak efficiency:
• Swap Size
• Max. Memory
• Memory Pool
Caution: If the swap file is not allocated enough physical space, then the
application can display an error message when you attempt to
load large studies.
110
> To change the memory settings

2. In the Service Tool, click the Memory tab.
111
3. In the Memory Setting group box, type the memory value (in MB) in the
following fields, as required:
• Swap Size — The swap file temporarily stores image data when memory
pools are exhausted. If you anticipate the loading of a large numbers of
studies, the default value might not be sufficient and you should adjust it.
Use judgement and experience to adjust the Swap Size setting to reflect
the particular system and usage environment.
• Max. Memory — The maximum amount of physical memory the processing

server uses to create memory pools. The InstallShield Wizard determines
and configures the Max. Memory setting automatically. However, if you
wish to change the Max Memory setting or for details on the maximum
allowable value on a 32-bit and 64-bit system, refer to the guidelines
provided in the Cedara I-Reach Service Manual.
• Memory Pool — The processing server obtains memory from the system in
increments called memory pools that are used to store images being
displayed on the screen. If the application needs to display images larger
than 100 MB, then you need to increase the Memory Pool setting.
4. If you changed the Memory Pool value in Step 3 above, open Windows
Explorer, go to the C:\VRS\temp\3203 folder, and delete any memory pool
files that start with M.P.
112
Configuring the Skin Line Feature
This section describes how to configure the Skin Line feature using the Service
Tool. The Skin Line feature is an automated tool that determines the skin line
boundary of an image and uses this information to position the image in the
viewport. The Skin Line feature facilitates the following tools: Optimum View,
Zoom Fit, Fit to Viewport, Invert, and Breast Alignment.
WARNING: When using the Skin Line feature with Fuji CR Mammography
data, the viewport may not display the entire anatomy. We
currently do not support the Skin Line feature for use with Fuji
CR Mammography data. If you are using Fuji CR
Mammography data, we highly recommend that you disable
the Skin Line feature for this manufacturer. Refer to the
procedures in this section for details on how to disable the
Skin Line feature for this specific manufacturer.
WARNING: Incorrect skin line detection behavior occurs with Fuji CR

Mammography data; however, it can potentially occur with data
from other manufacturers as well. This problem can occur
when the image background is noisy or when image quality is
poor due to artifacts, incorrect acquisition, hardware issues
and digitized film, for example.
113
> To change the skin line settings

2. In the Service Tool, click the Mammography tab.
3. By default, the Skin Line feature is enabled. If you want to disable the Skin
Line feature, clear the “Use Skin Line“ checkbox.
Note: The Skin Line feature facilitates other tools. If you disable the Skin Line
feature, you will also disable the following tools: Optimum View, Zoom Fit,
Fit to Viewport (i.e., using skin line detection), Invert, and Breast
Alignment.
114
4. Do any of the following:
• The Quality dropdown list defines the smoothness of the Skin Line. The
default value is High. If you want to change this value, in the Quality
dropdown list, select the desired value.
• The dilation value specifies the margin of space between the skin line and
the actual breast tissue to prevent operations such as fit to viewport and
invert from inadvertently cutting off tissue. The dilation value is specified as
a fraction of the diagonal of the image. The default value is 0.015. If you
want to change the dilation value, in the Dilation field type the desired
value. This value must be between 0.00 and 0.10.
• When the Use Skin Line when Fit to Viewport checkbox is selected, MG
images are zoomed to fit the view ports based on the skin line bounding
box. When the checkbox is clear, MG images are zoomed to fit the view
ports based on the entire image (including the background). Select or clear
the Use Skin Line when Fit to Viewport checkbox to produce the desired
behavior.
Disabling the Skin Line Feature for a Specific

Manufacturer
By default, the application enables the Skin Line feature for all vendors. The
following procedure describes how to disable the Skin Line feature on images
from a specific manufacturer.
> To disable the skin line feature for a specific manufacturer

2. Navigate to
HKEY_LOCAL_MACHINE\SOFTWARE\ISG\VR\5000\MG\SkinLine\Excluded
Manufacturers.
3. In the Edit menu, click New then String Value.
115
4. Rename the new string value as the name of the manufacturer. If you do not
know the name of the manufacturer, open a study from that manufacturer and
click the Study Info button. Scroll to the Manufacturer field and type the name
exactly as it is listed under the Manufacturer field. The data in the
Manufacturer field comes directly from DICOM Header (0008,0070)
Manufacturer.
Note: Make sure the name you type is exactly the same as the name in the
Study Information box (including punctuation).
5. Do not add a value to the new registry key (i.e., the Value Data field should be
empty).
6. Close the Registry Editor.
Configuring the Cobb Angle Decimal Place
If you want to round the Cobb angle measurement, you can configure their
associated registry keys. Table 6-1 describes the registry key values to configure
an Ortho Cobb angle. Table 6-2 describes the registry key values to configure a
Regular Cobb angle.
116
Table 6-1: HKLM\SOFTWARE\ISG\VR\5000\Ortho
Value Name Description Type Value Data Defined
AngleValueAsInteger This value determines whether or STR 0 — Default value. Yes

not the application will round the The application
Cobb angle measurement. will not round the
Cobb angle.
1 — The
application will
round the Cobb
angle to the
nearest integer.
Table 6-2: HKLM\SOFTWARE\ISG\VR\5000\Annotation
DecimalCount This value determines whether or DW Default value = 1. Yes

no the application will round the The number of
Cobb angle measurement. decimal places
the application will
display. A value of
0 will not display
any decimal
places.
Configuring the Prompt Messages
You can configure two of the application’s prompt messages using the associated
registry keys. Table 6-3 describes the registry key values to configure the
application to prompt the user when another user saves a measurement.
Table 6-4 describes the registry key values to configure the application to prompt
the user when an image is not user calibrated.
117
Table 6-3: HKLM\SOFTWARE\ISG\VR\5000\OEM
Authenticate This key will determine whether STR 0 — Default value. Yes
or not the application will prompt The application
the user when another user will not prompt the
saves a measurement. user.
1 — The
application will
prompt the user.
Table 6-4: HKLM\SOFTWARE\ISG\VR\5000\Ortho
CheckCalibration This key will determine whether STR 0 — Default value. Yes
or not the application will check if The application
the image has been calibrated by will not check if
a user. If the image has not been the image has
calibrated, the application will been calibrated by
prompt the user. a user.
1 — The
application will
check if the image
has been
calibrated by a
user.
118
Configuring the Automatic Capture Feature
If you have the optional Automatic Capture feature, you can configure how the
Cedara I-Reach application saves any new annotations/measurements that are
added since the last time that the study was saved.
This Automatic Capture feature is activated either upon closing of the study,
loading another study, or exiting the application.
Note: For information on the Automatic Capture feature, refer to the

Cedara I-Reach User’s Guide.
> To configure the Automatic Capture feature to automatically

save newly added annotations/measurements
1. Log on as Administrator.
2. Start Internet Explorer and enter the Web address for the Cedara I-Reach
application.
3. When the application displays the Logon screen, enter the user ID and
password of the user for whom you are configuring the feature and click OK.
5. Open the registry

HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\Annotation.
Note: If the SaveMode value is not specified in the registry, then saving to
GSPSS is assumed as a default.
119
6. If the SaveMode value exists in the registry, proceed directly to Step 7 below.
If the SaveMode value is not specified in the registry and you do not wish to
save to GSPSS, add the SaveMode value as follows:
• Right-click on a blank area of the Annotations directory to display the popup

menu.
• From the popup menu click New, then select DWORD Value.
• A new value is added to the list as “New Value #1”. Rename the new value
as SaveMode. Edit the SaveMode value as described in Step 7 below.
7. Double-click SaveMode, then in the Value Data field, type one of the following
values:
• 1 — Saves newly added annotations/measurements in GSPS (Grayscale

Softcopy Presentation State) format only.
• 2 — Saves images with newly added annotations/measurements as a

capture file only.
• 3 — Saves both the newly added annotations/measurements in GSPS

format, and the images as a capture file.
8. Click OK to save and close the value.
> To configure the Automatic Capture feature to save Capture

files as a new study or the same study
1. Log on as Administrator, or a user with administrative privileges.
2. Start Internet Explorer and enter the Web address for the Cedara I-Reach
application.
3. When the application displays the Logon screen, enter the user ID and
password of the user for whom you are configuring the feature and click OK.
5. Open the registry

HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\Annotation.
Note: If the SaveAsSameStudy value is not specified in the registry, then saving
as a new study is the default.
120
6. If the SaveAsSameStudy value exists in the registry, proceed directly to Step

7 below. If the SaveAsSameStudy value is not specified in the registry and
you do not wish to save as a new study, add the SaveAsSameStudy value as
follows:
• Right-click on a blank area of the Annotations directory to display the popup

menu.
• From the popup menu click New, then select DWORD Value.
• A new value is added to the list as “New Value #1”. Rename the new value
as SaveAsSameStudy. Edit the SaveAsSameStudy value as described in
Step 7 below.
7. Double-click SaveAsSameStudy, then in the Value Data field, type one of the
following values:
• 0 — Saves as a new study.
• 1 — Saves under the same study.
8. Click OK to save and close the value.
> To select modalities for which this Automatic Capture should

occur
1. In the Cedara I-Reach client application, open the Default Settings dialog box,
then click the Auto Save tab.
2. Select the appropriate Annotations/Measurements checkbox(es) for all

modalities for which this Automatic Capture should occur.
121
Accessing the Orthopaedic Templates
In order to benefit from the most recent orthopaedic templates, the

Cedara I-Reach application manages the digital Cedara Orthopaedic Template
Library centrally and automatically downloads them on demand from the
Cedara I-Reach Web server to the requesting Cedara I-Reach client workstation.
For instructions about how to use these templates, refer to the Cedara I-Reach
User’s Guide.
Installing the Cedara Orthopaedic Template Library

The Cedara Orthopaedic Template Library contains orthopaedic templates for
several manufacturers and is installed on the Cedara I-Reach Web server. Follow
the instructions provided with the template library.
Note: If you attempt to install the template library on a workstation that only has
the Cedara I-Reach client application, a warning message displays
indicating the installation cannot be performed.
Configuring Access for the Orthopaedic Templates

In order for a user to have access to a template, you need to enable that
manufacturer’s template feature. The Cedara I-Reach client application’s features
are enabled per user role in the Cedara I-Reach Role Settings dialog box. For
details, refer to the Cedara I-Reach Administrator’s Guide.
122
Editing Saved Orthopaedic Measurements
When using orthopaedic templates, you can configure the application so the user
can edit saved measurements. By default, you cannot modify a measurement
once you save the measurement.
> To configure saved orthopaedic measurements

1. Log on to the Cedara I-Reach client workstation as Administrator, or a user
with administrative privileges.
3. Navigate to HKLM\SOFTWARE\ISG\VR\5000\Pipe and double-click

EnableEditAnnotation.
4. In the Value data field, do one of the following:
• To allow users to modify orthopaedic measurements after they are saved,

type 1.
• If you do not want an orthopaedic measurement to be modified once they

are saved, type 0.
5. Click OK and close the Registry Editor.
123
Enabling Study Reports
This section describes how to configure the application to allow users to view
study reports created by your report broker. If you enable this feature and your site
is not configured to retrieve study reports from your report broker, you receive a
sample report when you accessing this feature.
> To enable the study report feature

1. Create a script (e.g., report.js) that invokes your report broker software.
2. On each Cedara I-Reach client workstation, do the following:
• Copy the script to the C:\vrs\bin folder.
• Open the Registry Editor (see “Opening the Registry Editor” on page 7)
and navigate to HKLM\SOFTWARE\ISG\VR\5000\OEM.
• Double-click ReportButton. In the Value Data field type 3, then click OK.
• Double-click ReportArgs. In the Value Data field type 00100020 00200010

0020000D 00080050 00080020 00080060, then click OK.
• Double-click ReportCommand. In the Value Data field type cscript
c:\vrs\bin\reportname, where reportname is the name of your report (e.g.,
report.js). Click OK.
• Close the Registry Editor.
Note: You can customize the OEM settings for this feature (see “Customizing
the OEM Interface” on page 139 and “Configuring the Study Report
Feature” on page 141).
124
Modifying the Pixel to Millimeters Conversion

Settings for Specific Manufacturers and
Modalities
The Cedara I-Reach application allows you to specify how it converts pixels to
millimeters (mm) when creating measurements. The conversion is done based on
the values of three tags in the DICOM image header:
• Pixel Spacing (0028,0030);
• Imager Pixel Spacing (0018,1164); and
• Estimated Radiographic Magnification Factor (ERMF) (0018, 1114).
You can customize these conversion settings for specific manufacturers and
modalities. For example, you can configure MG images from Manufacturer A to
use imager pixel spacing and CR images from Manufacturer B to use pixel
spacing. Table 6-5 describes the three registry keys responsible for defining the
conversion method the application uses for specific manufacturers and
modalities.
Table 6-5: Pixel Conversion Registry Keys
Name Description Values
UsePixelSpacing Determines if the application uses the 0 — Do not use the Pixel
value in the Pixel Spacing tag Spacing value when
(0028,0030) of the DICOM image converting to mm.
header to convert pixels to mm.
1 — Use the Pixel Spacing
value if one is available.
2 — Use the Pixel Spacing

value only if an Imager
Pixel Spacing value is not
available.
125
Table 6-5: Pixel Conversion Registry Keys (Continued)
Name Description Values
UseImagerPixelSpacing Determines if the application uses the 0 — Do not use the Imager
value in the Imager Pixel Spacing tag Pixel Spacing value when
(0018,1164) of the DICOM image converting to mm.
header to convert pixels to mm.
1 — Use the Imager Pixel
Spacing value if one is
available.
2 — Use the Imager Pixel

Spacing value only if a
Pixel Spacing value is not
available.
UseERMF If using the Imager Pixel Spacing 0 — Do not divide the

(0018,1164) value to convert pixels to Imager Pixel Spacing value
mm, defines if the application also by the magnification factor.
divides the value by the Estimated
Radiographic Magnification Factor 1 — If an Estimated
(0018,1114). Radiographic Magnification
Factor value is present,
divide the Imager Pixel
Spacing value by the
magnification factor.
To select a conversion method, the Cedara I-Reach application searches the

registry for the three keys listed in Table 6-5. In the registry, you define these
three keys for a specific manufacturer, modality, model name or software version
combination. The location of these three keys in the registry hierarchy defines
which images are affected by their values. If an image’s DICOM values match a
combination defined in the registry, the application uses the conversion method
defined by the three keys in that location. If the application cannot find registry
values that match the image’s values, it uses the default conversion method
defined in the root location (Pipe).
126
Table 6-6 describes the locations you can place the three registry keys.
Table 6-6: Pixel Conversion Registry Keys Locations
Location Description
HKLM\Software\ISG\VR\5000\Pipe If placed in this location, the three keys affect all CR,
DX, MG, XA and XRF data unless the image matches
a more specific defined set of rules.
HKLM\Software\ISG\VR\5000\Modality If placed in this location, the three keys affect all

\Manufacturers\All\PixelSpacing images of that modality unless the image matches a
more specific defined set of rules. Only applies to the
following modalities:
- CR
- DX
- MG
- RF (SOP class 1.2.840.10008.5.1.4.1.1.12.2 only)
- XA (SOP class 1.2.840.10008.5.1.4.1.1.12.1 only)

\Manufacturers\Manufacturer images of the specified modality with a Manufacturer
\PixelSpacing Name (0008,0070) equal to Manufacturer unless the
image matches a more specific defined set of rules.

\Manufacturers\Manufacturer images of the specified modality and manufacturer
\Models\Model\PixelSpacing with a Model Name (0008,1090) equal to Model
unless the image matches a more specific defined set
of rules.
HKLM\Software\ISG\VR\5000\Modality If placed in this location, the three keys affect all data
\Manufacturers\Manufacturer of the specified modality, manufacturer and model
\Models\Model\Versions\Version with a Software Version (0018,1020) equal to Version.
\PixelSpacing
The following procedure describes how to define a conversion method for a

specific manufacturer and modality combination.
127
> To define a new conversion setting

2. Use the information in Table 6-6 to determine where you need to define the
three registry keys. For example, if you modify the keys in the Pipe folder,
your new conversion settings affects images of all modalities and
manufacturers. If you also add keys for MG images of a specific
manufacturer, those new settings only affect MG images of the specified
manufacturer. All other images use the conversion settings defined in the Pipe
folder.
Affects all modalities

and manufacturers
Affects all MG images
Affects MG images
for the specified
manufacturer
Affects CR images
for the specified
manufacturer
128
3. Depending on the desired level of detail, determine the following DICOM

header data for the image that needs to use the new conversion settings:
• Modality type
• Manufacturer Name (0008,0070)
• Model Name (0008,1090)
• Software Version (0018,1020)
Note: The Software Version field (0018,1020) may contain backslashes (\).
These must be replaced with pipe characters (|) when defined in the
registry.
5. Navigate to the desired location. Use Table 6-6 as a guideline.
6. In the desired location, create the three registry keys described in Table 6-5.
Do the following to create the keys:
• Create three DWORD values (from the Edit menu, select New then
DWORD Value).
• Rename the new values to UsePixelSpacing, UseImagerPixelSpacing

and UseERMF.
• For all three keys, double-click the key and in the Value Data field, type the
desired value as described in Table 6-5.
Note: Either UseImagerPixelSpacing or UsePixelSpacing must be set to 1. The

other can be set to 0 or 2 but not 1.
7. If you want to specify conversion methods for multiple modality and

manufacturer combinations, repeat Steps 5 through 6 for each desired
combination.
129
Using Imager Pixel Spacing by Default
This section describes how to configure the Cedara I-Reach application to use the
imager pixel spacing value (0018,1164) by default, instead of the pixel spacing
value (0028,0030), for specific modalities. You can specify which data uses
imager pixel spacing by default by creating specific registry keys in the
appropriate location in the registry on the client workstation. Table 6-7 describes
the SOP Class UIDs supported for each of the mentioned modalities.
Table 6-7: SOP Class UIDs
Modality Description SOP Class UID
CR Computed Radiography Image Storage 1.2.840.10008.5.1.4.1.1.1
DX Digital X-Ray Image Storage - 1.2.840.10008.5.1.4.1.1.1.1

For Presentation
DX Digital X-Ray Image Storage - 1.2.840.10008.5.1.4.1.1.1.1.1

For Processing
MG Digital Mammography Image Storage - 1.2.840.10008.5.1.4.1.1.1.2

For Presentation
MG Digital Mammography Image Storage - 1.2.840.10008.5.1.4.1.1.1.2.1

For Processing
XA X-Ray Angiographic Image Storage 1.2.840.10008.5.1.4.1.1.12.1
XRF X-Ray Radiofluoroscopic Image Storage 1.2.840.10008.5.1.4.1.1.12.2
Note: The examples below take into account the estimated radiographic
magnification factor (ERMF).
• For all CR, DX, MG, XA and XRF data (unless otherwise specified by the keys
below) — HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\Pipe
130
• All data for a specific modality (unless otherwise specified by the keys below)
— HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\modality\Manufacturers\
All\PixelSpacing where modality is the name of a specific modality.
Example for enabling imager pixel spacing for CR modality of all

Manufacturers:
HKEY_LOCAL_MACHINE\SOFTWARE\ISG\VR\5000\CR\Manufacturers\
All\PixelSpacing
"UseERMF"=dword:00000001
"UseImagerPixelSpacing"=dword:00000001
"UsePixelSpacing"=dword:00000000
• asdsa All data for a specific modality with a specific manufacturer name (unless
otherwise specified by the keys below) — HKEY_LOCAL_MACHINE\Software\
ISG\VR\5000\modality\Manufacturers\manufacturer\PixelSpacing where
modality is the name of a specific modality, and manufacturer is the name of a
specific manufacturer.
Example for enabling imager pixel spacing for CR modality of Manufacturer

Toshiba:
Toshiba\PixelSpacing
• All data for a specific modality, with a specific manufacturer name, with a
specific model (unless otherwise specified by the key below) —
HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\modality\Manufacturers\
manufacturer\Models\model\PixelSpacing where modality is the name of a
specific modality, manufacturer is the name of a specific manufacturer, and
model is the name of a specific model.

Toshiba with model PC250:
Toshiba\Models\PC250\PixelSpacing
• All data for a specific modality, with a specific manufacturer name, with a
specific model and a specific software version —
HKEY_LOCAL_MACHINE\Software\ISG\VR\5000\modality\Manufacturers\
manufacturer\Models\model\Versions\version\PixelSpacing where modality is
the name of a specific modality, manufacturer is the name of a specific
manufacturer, model is the name of a specific model and version is the version
of the specified model.

Toshiba with model PC250 and version 2.5:
131
Toshiba\Models\PC250\Versions\2.5\PixelSpacing
> To use imager pixel spacing for specific modalities

1. Log on to the client workstation as an Administrator.
3. Navigate to the desired location (see description above).
4. Right-click the right window pane and click New, DWORD Value and type
UseERMF.
5. Right-click UseERMF and click Modify.
6. In the Value Data field, type one of the following values and click OK
• Type 0 if you want to use the imager pixel spacing without dividing the
value by the magnification factor (0018,1114).
• Type 1 if you want to use the imager pixel spacing and dividing the value by
the magnification factor (0018,1114) if present.
UseImagerPixelSpacing.
8. Right-click UseImagerPixelSpacing and click Modify.
• Type 0 if you want do not want to use the imager pixel spacing value.
• Type 1 if you want to use the imager pixel spacing value (if present).
• Type 2 if you want to use the imager pixel spacing only if the pixel spacing
value is not present.
UsePixelSpacing.
11. Right-click UsePixelSpacing and click Modify.
132
• Type 0 if you do not want to use the pixel spacing value.
• Type 1 if you want to use the pixel spacing value (if present).
• Type 2 if you want to use the pixel spacing value only if the imager pixel
spacing value is not present.
Note: Either the UseImagerPixelSpacing key or the UsePixelSpacing key must

have the value of 1. They cannot both have the same value (either 0 or 1).
Disabling the Reopen Last Browsing Session

Feature in Internet Explorer 8
This section describes how to disable the Reopen Last Browsing Session feature
available with Internet Explorer 8. If the Cedara I-Reach client workstation is
turned off incorrectly while a user is logged into the application (e.g., a power
failure), the last user’s session can be reopened without logging on to the
application.
The following procedure describes how to disable this feature for the current
Windows user account. If you want to disable this feature for each Windows user
account on your Cedara I-Reach client workstation, you must perform these steps
for each account.
> To disable the Reopen Last Browsing Session feature

1. Log on to Windows using the desired Windows user account.
3. Navigate to the following registry key:

HKEY_CURRENT_USER\Software\Policies\Microsoft\
Internet Explorer\Recovery
Note: If the Internet Explorer or Recovery keys do not exist, create them
manually (see “To create the Internet Explorer and Recovery registry
keys” on page 134).
4. Right-click the Recovery key and select New, DWORD (32-bit) Value.
133
5. Rename the key NoReopenLastSession.
6. Double-click NoReopenLastSession and in the Value field, type 1.
7. Click OK.
> To create the Internet Explorer and Recovery registry keys

1. To create the Internet Explorer key, do the following:
• Right-click the Microsoft and select New, Key.
• Rename the key Internet Explorer.
2. To create the Recovery key, do the following:
• Right-click the Internet Explorer and select New, Key.
• Rename the key Recovery.
134
7
This chapter describes how to configure various OEM settings. For additional
OEM Integration settings, refer to the Cedara I-Reach OEM Integration Guide.
Configuring the OEM Integration Settings
This section describes how to configure the OEM application settings.
> To configure the OEM application settings

1. Open Internet Explorer.
2. In the Address field, type http://WebServerHostName/vrweb/settings, where

WebServerHostName is the computer name of the Cedara I-Reach Web
server, then click Go.
135
4. Click Application Settings.
136
5. The application displays the Cedara I-Reach Application Settings webpage.
137
6. In the OEM Integration group box, modify the following OEM application
settings as required:
• In the OEM Invocation Password (OEM Key) field, type the password that
the user group uses to access the OEM's user interface.
• In the OEM User Group Name dropdown list, select a user group name to
which new OEM users will belong.
• Select the "Ignore Patient Information" checkbox if you want the application
to ignore patient information while loading studies into the application. Note
that in OEM mode, the compare feature is not supported. Therefore, if
studies from the same patient have even a minor difference, the studies will
be treated as different patients.
Caution: If you select the Ignore Patient Information checkbox, all studies
will be sent to the application regardless of the patient
information. You must verify that the study you are viewing is
associated with the correct patient.
7. After you make the necessary changes, click Update, then close the browser
window.
138
Customizing the OEM Interface
You can customize the OEM interface on both the Cedara I-Reach Web server
application and on the Cedara I-Reach client application.
Customizing the Cedara I-Reach Web Server

You can customize the product name, Work List (i.e., Study List) logo, Work List
background, Work List title, splashscreen, and copyright statement.
Work List Logo Work List Background Work List Title
139
Customizing the Cedara I-Reach Client Application

You can customize how various items appear on the Cedara I-Reach client
application, such as, the user templates and registry settings.
On the Cedara I-Reach Web server, follow the instructions provided in the file
C:\inetpub\wwwroot\Vrweb\Tools\oemConfig\readme.txt
(shown below) to configure the various items.
140
Configuring the Study Report Feature
The study report is displayed in a separate browser window, using a server-side

script that retrieves and generates the required HTML output. You can use an
ASP script, a Perl script or JavaScript to configure the information that is
displayed in the study report.
On the Cedara I-Reach Web server, the script is invoked in the file
C:\inetpub\wwwroot\Vrweb\wrklsthdr.asp, under the displayReport() function. The
Show Report section in the wrklsthdr.asp file is shown below.
141
The script generates the following identical report for all studies.
To configure the study report, you can change the definition of the reportURL
variable to point to the location where the study report is retrieved.
For example, the Mitra Report Broker has a report.pl script, which accepts the
patient ID and accession number as keys to retrieve the study report. The
reportURL should then be changed as follows:
//Show report
var reportURL = "http://mitraBroker.someClinic.com/cgi-bin/report.pl?"
+
"&patient_id=" + patID+
"&accession_number=" + accNum;
142
Index
Numerics Cedara I-Reach Web server

configuring 25, 101
10-bit display 4 connecting to Near-line Image Archive 40
configuring 107 installing 11
licensing 19
128-bit data encryption 62 uninstalling 23
4-digit year format, configuring 8 client workstation, operating systems 5
cobb angle, custom settings, configuring 116
configuring
A 4-digit year format 8
application settings 29
accessing performance logs 76
archive connection string 29
annotations, autosaving 119 authentication methods 61
Automatic Capture feature 119
anti-virus software 8
Cedara I-Reach application settings 29
application settings Cedara I-Reach client for OEM 140
configuring 29 Cedara I-Reach Web server 25, 101
OEM customization 135 cobb angle, custom settings 116
archive connection string, configuring 29 database settings 32
dual server 49
authentication methods, configuring 61 ENG setting 29
Automatic Capture feature 119 IIS session timeout 57
Internet Information Server (IIS) 57
multiple Web server 49
Multi-site Image Archive 79
B OEM application settings 135
OEM interface 139
basic authentication, configuring 61 prompt messages 117
regional settings 8
report feature for OEM 141
SSL 62
C study reports 124
virtual directory 50
CAD results 119
Web server 25, 101
capture files, autosaving 119 Web server connection to image cache
server 37
cautions 6
Web server connection to Near-line Image
Cedara I-Reach client Archive 40
application settings 29
contact information 10
installing 85
OEM configuration 140 conventions used in this document 9
OEM customization 140
conventions, document 9
reinstalling 100
unattended installation 95 customer support 10
uninstalling 100 customizing OEM settings for client
workstation system requirements 3 workstation 140
I-1
D I
data encryption, 128-bit 62 IIS
configuring 57
database settings, configuring 32
session timeout, configuring 57
date format, configuring 8
Image Cache server, connecting to 37
default Web page 57
installation overview 2
document conventions 9
installing
DOS editor 7 Cedara I-Reach client 85
drive letter conventions 9 Cedara I-Reach Web server 11
overview 2
dual server, configuring 49 Web server 13
Internet Explorer version 4, 86
IP address, Web server 5
E
encryption, 128-bit 62
ENG setting, configuring 29 L
event logs, deleting 73 language, configuring 8
license 19
IRLicense.lic 22
F IRLicense.xml 22
file editing precautions 7

file system formatting 5
M
four-digit year format, configuring 8
Max. memory setting 112
measuring, autosaving images as Capture
files 119
G
memory pool setting 112
GSPS, format 120
multiple Web server, configuring 49
Multi-site Image Archive, configuring 79
H
hard drive formatting 5 N
host name, Web server 5
network
interface card 5
protocol 5
NIC adapter 5
Notepad 7
NTFS formatting 5
I-2
Index
number format, configuring 8 SSL certificate 62

installing 67
obtaining 63
study reports, enabling 124
O
subdirectory conventions 9
OEM
swap file size 112
application settings, configuring 135
Cedara I-Reach client, configuring 140 system
interface, customizing 139 Cedara I-Reach Client requirements 3
study report feature, customizing 141 client workstation supported operating
systems 5
operating systems
files, precautions 6
client workstation 5
requirements 3
supported 4
Web server supported operating systems 4
Web server 4
orthopaedic measurements, editing 123
orthopaedic template libraries 122
T
overview, installation 2
TCP/IP network protocol 5
technical support contact information 10
P template libraries, orthopaedic 122
timeout, IIS 57
performance logs, viewing 76
precautions 6
prompt messages, configuring 117
U
uninstalling
Cedara I-Reach client 100
R Cedara I-Reach Web server 23
regional settings 8
registry editor 7
reinstalling, Cedara I-Reach client 100 V
removing virtual directory, configuring 50
Cedara I-Reach client 100
Cedara I-Reach Web server 23 virus prevention 8
visual cues 9
report text, configuring for OEM 141
S W
warning definition 10
safety precautions 6
Web page, default 57
session timeout, configuring 57
I-3
Web server
configuring 25, 101
host name 5
installing 13
IP address 5
operating systems 4
uninstalling 23
WordPad 7
I-4

Cedara I-Reach Installation Guide

Uploaded by

Copyright:

Available Formats

Cedara I-Reach Installation Guide

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Cedara I-Reach Installation Guide

Uploaded by

Copyright:

Available Formats

Cedara I-Reach™ 4.

Cedara® and Merge Healthcare® are registered trademarks of Merge Healthcare

Cedara I-Reach™ and Cedara I-Store™ are trademarks of Merge Healthcare.

Copyright © 2010 by Merge Healthcare

Part Number 2010-01300 Rev 1.0

Chapter 2: Installing the Cedara I-Reach Web Server

Chapter 3: Configuring the Cedara I-Reach Web Server

Configuring the Diagnostic Review Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Chapter 4: Configuring the Cedara I-Reach Web Server

Chapter 5: Installing the Cedara I-Reach Client

Chapter 6: Configuring the Cedara I-Reach Client

Chapter 7: Configuring the OEM Settings

It is intended to be used by service personnel who have a working knowledge of

To ensure proper functioning of the application’s processes, follow the

The following flowchart is a guide to the overall installations required. Since

Web Server System

Install and configure the Cedara I-Store post installation.

Install and configure the Cedara I-Reach Web server

Configure groups, roles and users from the Administration

• Cedara I-Store™ archive

• Cedara I-Reach Web server

This section lists the recommended workstation requirements for the

WARNING: Use only workstations that have the proper electrical

Client Workstation Requirements

Note: For advanced client workstations in which 3D functionality is enabled or

Table 1-1: Recommended Client Workstation Requirements

Component Recommended Requirement

Processor Quad Core Intel Xeon 3.00 GHz

Memory 2D functionality 2GB if using Windows XP 32-bit

3D functionality 6GB and a 64-bit operating system

Hard drive 146GB Ultra 160 SCSI, 15000 RPM

Table 1-1: Recommended Client Workstation Requirements (Continued)

Component Recommended Requirement

Video Card 256MB PCI/AGP (512 if you are using Windows 7)

Note: For high resolution display, the application supports

Note: For high resolution display, the application supports

Network Interface Card 1 GB Network Interface Card

Web browser Microsoft Internet Explorer 8.0

UPS (Uninterruptable Power Supply) Yes

By default the application is not configured to use a 10-bit display adapter. To

Supported Operating Systems

Web Server Operating Systems

Caution: If new server hardware arrives with a pre-loaded operating

Client Workstation Operating Systems

• Microsoft® Windows® 7 Premium, Professional and Ultimate (32-bit and 64-bit)

• Microsoft Windows Vista® (32-bit and 64-bit)

• Microsoft Windows XP Professional (32-bit and 64-bit)

Configuring the Operating Systems

• Use NTFS hard drive formatting.

• Use TCP/IP for the networking protocol. Refer to the Microsoft

its host name (e.g., http://WebServerHostName/vrweb) instead of the IP

Pixel Spacing Parameters on Scanners

Caution: Do not use WordPad to edit text files.

Opening the Registry Editor

> To open the Registry Editor on Windows XP

2. In the Open field, type regedit and click OK.

> To open the Registry Editor on Windows 7

Date and Number Format

> To check the regional settings