OR Technology

Digital Radiography and

Image Management
A guide for medical practices, clinics and hospitals
any
 Digital X-ray images
time, anywhere
for medical practices, hospitals
and emergency medicine

Amadeo X-ray systems page 5

Mobile & stationary full systems as well as portable
X-ray units for digital radiography without cassettes

Leonardo DR suitcase systems page 15

Compact, lightweight suitcase and backpack
solutions for wireless and portable X-ray imaging

Medici DR retrofits page 21

Digital retrofits for existing stationary and
mobile X-ray systems

Divario CR systems page 25

Compact, high-speed desktop units for digital
radiography using imaging plate cassettes

X-ray accessories page 29

Mobile stands, cassette holders, and X-ray tables (partly collapsible
and mobile) designed to make work effortless and more efficient

dicomPACS®DX-R X-ray acquisition software page 35

DX-R
Acquisition and diagnostic software for X-ray systems with
user-friendly graphical interface

dicomPACS® image management and diagnostics page 41

Software for processing, transferring and
archiving images

ORCA® cloud solutions page 47

Cloud-based teleradiology and storage for images
and patient records
 OR Technology is your partner in digital radiography for
innovative X-ray systems and customised solutions for ambulatory
and inpatient care – tried and trusted worldwide

02
Many excellent reasons
to place your trust in OR Technology

Active since 1991 Best service

... as a manufacturer of digital X-ray equipment ... for customers and distribution partners.
and developer of image management systems. Our OR Technology does not rely on external call
professional solutions are used in over 140 countries centres. A support team with over 20 employees
for stationary and mobile radiography, medical offers multilingual information and assistance
image management (PACS) and cloud-based (e.g., in Arabic, English, French and Spanish).
archiving.

Low maintenance
Comprehensive know-how ... because there are no mechanical parts in
... based on decades of experience developing the X-ray system that require regular upkeep
software for digital image processing in (system dependent).
combination with specialised expertise in X-ray
technologies. Close working relationships with Ideal
physicians and universities significantly ... for all applications; ranging from mobile
contribute to our innovative approaches. systems for first-aid services and intensive care
stations to all-round X-ray equipment for hospitals,
Made in Germany as well as compact systems for confined spaces in
... means excellent quality and first-rate service small medical practices. OR Technology has the
for hardware and software. widest product range on the market.

Exceptional image quality Tried and trusted

... made possible by excellent image processing ... worldwide. OR Technology's X-ray systems
using our inhouse-developed acquisition and and software meet highest international quality
image management software and AI-based auto- standards.
matic measurement tools as well as the valuable
experience we have gained from several thousand Corporate sustainability
successful digital X-ray system installations. ... with equal emphasis on environmental,
social and economic aspects. Every day we rise
User-friendly handling to the challenge of developing our company in a
... even for personnel with limited training. sustainable manner and creating a positive working
The multimedia X-ray positioning guide assists environment for our employees. We continuously
with patient positioning and software settings. strive to minimize our ecological footprint.

Further information about

03
OR Technology is available:
Amadeo X-ray systems
Stationary and mobile, all-terrain
full systems as well as portable X-ray machines
for digital radiography without cassettes

Our stationary and mobile Amadeo full systems are specially designed for
quick and professional diagnoses, cost-effective performance, as well as reliable
and exceptional image quality. The systems include all components and functions
necessary for digital X-ray imaging without cassettes. Amadeo systems are available
for conventional computed radiography (CR) as well as for fully integrated digital
radiography with fixed and wireless flat panel detectors.

®
The integrated dicomPACS DX-R console software offers all tools necessary
for working with the X-ray system: from generator control to the display of high
quality images for diagnostic evaluation. All settings are adjusted at a single
control panel.

The professional image processing software produces images of outstanding quality

and can be adapted to special customer needs. High-performance image processing
allows organ-specific optimisation and guarantees top-quality X-ray images. Everyday
veterinary care is made easier by an array of integrated functions (e.g., a multimedia
®
X-ray positioning guide) and an intuitive design. Furthermore, the dicomPACS DX-R
software can readily be interfaced with existing patient management systems.
See detailed description of software beginning on page 35

In addition, we offer portable, lightweight monoblock X-ray machines for

greater flexibility. The generator's integrated interface for connecting to digital
X-ray detectors makes these portable Amadeo systems suitable for a wide
range of radiographic applications.

05
 Amadeo Z motorised

Looking for a compact, digital X-ray system

for low ceiling heights that allows all radiological
positions?

Fully motorised,
digital Z-arm
X-ray system

Amadeo Z motorised -
economic and space-saving system
for low ceiling heights

The digital U-arm system (for low ceiling heights

from 2.40 m) ensures effortless and accurate
positioning of the stand by means of five electric
motors and is operated via an integrated 10"
touchscreen display console. They are suited
for all radiographic examinations, including
full spinal and leg imaging via stitching. An
optimised workflow saves time and personnel
resources. The entire system is controlled via our
professional acquisition and diagnostic software,
®
dicomPACS DX-R. See detailed description
of software on pages 35-39
Special features are the wireless remote control,
asynchronous shifting of bucky tray and tube, an
easy straight alignment of bucky or swivel arm due
Further information to the automatic 0° positioning as well as an LED
about the Amadeo Z motorised
system is available here: indication when the desired position is reached.

06
 All Amad
eo Syste
ms
now wit
automat h
ic, A
thorax s I-based
creenin
to detec g,
t differen
types of t
lung
diseases
detect
[more to
ols
in develo
pment]

07
 Amadeo R motorised

Looking for a versatile, digital X-ray system

ideal for small rooms in your busy medical practice?

Fully motorised
system with table
and wall stand

Amadeo R motorised - universal

motorised X-ray system with floating
table top for confined spaces

The versatile, motorised X-ray system which

convinces through simple control and handling.
An intuitive 10" touch screen display simplifies
system operation. The digital X-ray system is suitable
for all X-ray exposures in sitting, lying and standing
positions and has approx. 60 semi-automatic preset
positions of stand height, alignment and SID. X-ray
staff quickly become familiar with the procedures
and the use of our professional acquisition and
®
reporting software dicomPACS DX-R. See
detailed description of software on pages 35-39
The X-ray tube and bucky tray of the grid wall stand
are designed to be lowered to the floor. The X-ray
tube follows automatically if there are no objects in
the way. The 6-position height-adjustable X-ray table
Further
information about has a high load-bearing capacity so that even larger
Amadeo R motorised
system is available here: patients can be examined without any problems.

08
 Amadeo S motorised

Interested in equipping your medical practice

with a full system, perfect for X-rays of patients
in sitting, standing and lying positions?

Partly motorised
U-arm
X-ray system

Amadeo S motorised - reliable and

compact X-ray equipment for wireless
and fixed flat panel detectors

The motorised U-arm X-ray system includes all

necessary components and functions for digital X-ray
imaging without cassettes. Both its compact design
and the minimum ceiling height of only 2.40 m
make the system perfectly suited for small rooms.
All important settings and operating operations are
performed via an integrated 10" touchscreen
console. The very flexible and partially motorised
positioning of the stand allows a wide range of
images to be acquired. These can be taken on
sitting, standing or lying patients (table optional).
Both bucky tray and tube can be rotated. All
necessary device positions can be pre-defined on
the 60 available program slots to ensure quick
®
positioning on the patient. The dicomPACS DX-R
Further information about
control panel operates the entire X-ray system. the Amadeo S motorised
system is available here:
See detailed description on pages 35-39

For more detailed information

09
please see: www.or-technology.com
 Amadeo T Systems

You need a digital X-ray system, especially

for images of sitting and standing patients
[thorax, lung, etc.]?

X-ray system
for taking
standing X-rays

Amadeo T - X-ray system for

confined spaces for taking
thorax and other standing X-rays

All images of sitting or standing patients can

be taken effortlessly. The X-ray source and the
bucky drawer of the grid wall stand can be
lowered to the floor. Options such as motorised
auto-tracking can optimize work.

Simple operationand handling guarantee

fast training of the X-ray personnel and ensures
perfect chest and other X-ray images of standing
and sitting patients. The entire system is
controlled by our professional acquisition and
®
diagnostic software dicomPACS DX-R
See detailed description of software on
pages 35-39

Further information The compact design allows installation in

about the Amadeo T
system is available here: the tightest of spaces.

10
 Amadeo C Systems

Interested in equipping your medical

practice with a universal full system
and practical ceiling mount?

Ceiling-mounted
system with Bucky
table and wall stand

Amadeo C - the professional solution

with height-adjustable patient table for
precise imaging

The Amadeo C ceiling-mounted X-ray system

with Bucky wall stand and height-adjustable Bucky
table makes positioning patients effortless for even
the most complicated exposures. The system can
be configured to fit into almost any room.
The floating table top of the height-adjustable
Bucky table with high load-bearing capacity is
ideal for routine examinations. The Bucky wall
stand can be set up as a free-standing unit, is
equipped with electromagnetic brakes, and
can be used for full spine X-rays.

®
The dicomPACS DX-R operating console controls the
entire X-ray system: from operating the X-ray
generator to the finished superb quality image for
Further
diagnostic evaluation. See detailed description information about the
Amadeo C system
of software on pages 31-35 is available here:

For more detailed information

11
please see: www.or-technology.com
 Amadeo M mini

Searching for a lightweight, complete digital

solution for ambulatory and inpatient care?

Mobile X-ray
system for hospital
and outdoor use

Amadeo M mini - for use in the field

as well as for bedside examinations
and intensive care stations

The Amadeo M mini system includes all

necessary components, including our globally
proven acquisition and diagnostic software package
with a convenient X-ray guide for optimal patient
positioning (except for AX version).
See detailed description of software on
pages 35-39

X-ray exposures of all sections of the human

trunk are possible. The Amadeo M mini can be easily
transported due to its low overall weight and
compact design. Our modern digital X-ray system
can be employed wherever it is not possible to
quickly transfer patients to a hospital for diagnostic
radiology. The system can easily be pulled over
Further information steps, swivelled in all directions, and does not
about Amadeo M mini
system is available here: tip over on uneven ground.

12
 Amadeo P Systems

Searching for a portable X-ray unit

ideal for work in medical practices,
hospitals and ambulatory care?

Lightweight,
portable X-ray
generators

Amadeo P - High-frequency
X-ray generators for portable X-ray
imaging in emergency medicine

High-quality X-ray images are no longer

a problem for portable monoblock X-ray units.
Modern high-frequency technology offers
high performance in miniature format using
only standard power connections
(220V/110V).

Low weight, user-friendly operation,

and an integrated interface for connecting
to digital X-ray detector systems make the
Amadeo P ideal for the multifaceted
demands of medical practices, hospitals
and ambulatory care.

Amadeo P X-ray units are available

Further
with and without batteries. Wireless models information about the
Amadeo P units
without batteries offer unhindered mobility. is available here:

For more detailed information

13
please see: www.or-technology.com
Leonardo DR Systems
Compact suitcase and
backpack solutions for mobile use
in medical emergencies

The extremely lightweight Leonardo DR suitcase and backpack solutions

represent a digital and space-saving complement to portable X-ray units and
also an opportunity to transition from CR to direct digital radiography. All
necessary components, including cables, are neatly tucked away in the suitcase
or backpack. Just open the case, turn on the machine – and off you go!

This compact solution allows excellent images in DICOM format to be

created, processed, analysed and archived in no time flat. The straightforward
user interface enables all personnel to produce optimal X-ray images. The
system functions under almost all environmental conditions and requires very
little maintenance. Several different imaging surface areas are available for
the Leonardo system.

®
The professional dicomPACS DX-R acquisition software sports an
intuitive and modern graphical user interface. All examinations can be
conveniently conducted from a single monitor and all X-ray parameter settings
are automatically transferred to the generator (optional). See detailed
®
description of software beginning on page 35 dicomPACS DX-R
generates images of outstanding quality and can be adapted to individual
customer needs. High-performance image processing allows organ-specific
optimisation. The integrated X-ray positioning guide assists with patient
positioning and software settings for each examination. Furthermore, the
®
dicomPACS DX-R software can readily be interfaced with existing
patient management systems.

15
 Leonardo DR mini III

You want long wireless X-rays and large,

razor-sharp X-ray images?

The gold standard

among
the X-ray cases

Leonardo DR mini III – very light

X-ray system with large monitor
and extremely long battery life

What makes this X-ray case The gold piece of our Leonardo X-ray suitcase
so unique? series combines everything you want from a highly
functional X-ray system. Specially designed for
Flexible detector sizes
Sufficient space for all 25 x 30 cm and medical service providers, disaster relief and home
35 x 43 cm X-ray detectors incl. protection box care services, the Leonardo DR mini III is fantastically
Large images lightweight. You can X-ray endlessly without
Anti-glare 21,5" ( Full HD54.6 cm) recharging and view the razor-sharp X-ray images
touchscreen monitor
on a large Full HD touchscreen monitor.
Extremely long battery live
Up to 500 shots without charging
The integrated diagnostic and acquisition software
Very low case lightweight guarantees excellent X-ray imaging.
Despite large HD monitor only 9.5 kg
(plus detector) See description of software on pages 35-39

Razor-sharp X-ray images thanks to

globally proven image processing The well-padded top shell of the case offers
sufficient storage space for the protected transport
of a 35 x 43 cm X-ray detector including a
Further detailed information on the protection case.
Leonardo DR mini III can be found here:

16
 Remote App
Your smartphone as remote control
for planning and viewing images
during the X-ray process – available
for all Leonardo systems

For all Leonardo Systems

optionally available:
Automatic, AI-based
thorax screening,
to detect different types
of lung diseases detect
[more tools
in development]
 Leonardo DR pico

Are you looking for a light X-ray bag for direct

digital X-ray in the outdoor area?

Fantastically
light
X-ray bag

Leonardo DR pico - comfortable

X-ray bag, also suitable as shoulder
bag or backpack

The 17" notebook and the 12" x 10" X-ray detector

with protection box are very space-saving and well
padded in the robust bag. With a complete weight
of only approx. 7.1 kg, the Leonardo DR pico can be
easily transported to any location. The handy
X-ray bag is also suitable for stationary use in
veterinary practices or horse clinics. You can complete
the system with a battery-operated, portable X-ray
generator. Simple handling is sufficient and the X-ray
solution is quickly set up on site and ready for use.

The simple operation of the acquisition and

diagnostic software from OR Technology pre-
installed on the notebook enables even less
radiologically experienced personnel to work
Further
information about easily and intuitively.
Leonardo DR pico
is available here: See description of software on pages 35-39

18
 Leonardo DR nano

Searching for a rugged, portable digital

solution to complement your existing mobile
X-ray equipment?

Super lightweight
backpack
X-ray system

Leonardo DR nano - one

of the lightest portable X-ray
solutions worldwide

The Leonardo DR nano consists of only two

components: a wireless X-ray detector and a laptop
with integrated acquisition and diagnostic software.
See details on pages 35-39

Weighing just under 8 kg (including carrying

case, laptop, accessories and flat panel detector),
the system is one of the lightest portable X-ray
solutions worldwide. It is ideal for ambulatory digital
radiography, any time and anywhere. Getting tangled
up in annoying cables is a thing of the past! Working
in confined spaces is no longer a problem.

After use, the system is stored in a rugged, custom-

made and efficiently designed backpack. The system
Further
can easily be carried to any location, even across information about
Leonardo DR nano
uneven terrain in the field. is available here:

For more detailed information

19
please see: www.or-technology.com
Medici DR Syste ms
Flat panel retrofit kit (DR)
for transitioning stationary and
mobile X-ray systems to digital

Medici DR systems make it easy to switch from conventional stationary

and mobile X-ray units to digital radiography. Automatic exposure detection
(AED) eliminates the need to access the X-ray unit or make manual adjustments
to the system and cable connections during installation. The system is just as
easy to install as computed radiography (CR) units. The DR retrofit kit
significantly optimises your workflow – X-ray images appear on the screen
within seconds of exposure. Cassettes are no longer required. Customise your
X-ray system to meet your needs by choosing the perfect flat panel detector
from a wide array of makes and sizes.

®
The dicomPACS DX-R image acquisition software has a touchscreen
interface, is easy to operate, adapts to your workflow, and reliably produces
outstanding X-ray images. See detailed description of software beginning
on page 35 The software is used to control all functions of the X-ray system.
The automatic, user-specific image processing makes post-processing
virtually unnecessary.

All Medici systems can be integrated into your practice management

software and programmed to transfer X-ray images to an image management
system (PACS). Should you not have access to an image management system
yet require images to be distributed (e.g., within your medical practice /
®
hospital or to colleagues / patients via internet), our dicomPACS image
processing system offers file sharing.

21
 Medici DR Systems [stationary]

Interested in transitioning your conventional,

stationary X-ray system to digital with minimal
effort?

Upgrading
stationary
X-ray systems

... with a Medici-System:

Trouble-free digital retrofits with
tethered flat panel detectors

Digital radiography does not automatically

require investing in an entirely new system.
Upgrade your X-ray system to digital with a
Medici retrofit – easy to install, straight-forward
to operate, and no need for manual adjustments
or modifications.

The system pays for itself within a short period

of time and produces digital images of diagnostic
quality. We offer a wide selection of flat panel
detectors for customising your system.

The integrated control console operates the

entire X-ray system: from generator control to
high quality images for diagnostic evaluation.
Further information
about Medici See detailed description of software on
updates [stationary]
is available here: pages 35-39

22
 Medici DR Systems [ mobile]

Interested in upgrading your current mobile

X-ray unit to digital?

DR upgrade
for mobile
X-ray equipment

... with a Medici system:

digital X-ray images of
diagnostic quality

Digital systems are the norm in hospitals and

medical practices. If you are now looking to transition
your mobile X-ray equipment to digital, our Medici
DR upgrade kit is your best bet. Medici systems are
available for nearly every mobile X-ray unit
manufactured. Customise your X-ray system to
meet your needs by choosing the perfect flat panel
detector from a wide array of makes and sizes. The
user-friendly acquisition and diagnostic software
produces images of outstanding quality and can
readily be integrated with your existing workflow
using laptops, touchbooks, tablets or Ultrabooks.
See detailed description of software on
pages 35-39 The Medici DR system can also
be integrated with an existing patient management
Further information
software and can transfer X-ray images to Picture about Medici
updates [mobile]
Archiving and Communication Systems (PACS). is available here:

For more detailed information

23
please see: www.or-technology.com
Divario CR Systems
Digital radiography with cassettes
for standard X-ray examinations with
maximal processing capacity

With the purchase of a cassette-based radiography system (CR), you

can keep your existing X-ray system and simultaneously benefit from the
excellent quality of digital X-ray images.

Computed radiography uses imaging plates in cassettes of the same size

and shape as conventional film cassettes. After the normal X-ray exposure,
the cassette is placed into an X-ray scanner and read out.

The resulting digital image is stored and can be viewed seconds later on
the computer monitor. CR imaging plate systems permit low-cost entry into
digital radiography and pay off within a short period of time. The existing
X-ray system does not have to be modified.

When used in combination with the professional image acquisition

®
software dicomPACS DX-R, the compact and lightweight Divario CR system
provides a complete suite of image processing tools.
See detailed description of software beginning on page 35

The tailor-made software substantially improves and accelerates the daily

workflow. During the design phase, priority was given to exceptional image
quality and maximum flexibility. As a result, the integrated intelligent image
processing software can easily be individualised to meet the specific wishes
and requirements of the physician for each X-ray examination. This function
guarantees the best image quality for any given purpose.

25
 Divario CR -T2

Interested in going digital without changing

back
your existing radiography workflow?

Quick
and compact
CR desktop unit

Divario CR-T2 with high

processing capacity for standard
X-ray examinations

With up to 73 cassettes per hour, the

Divario CR-T2 has an impressive processing
capacity. The Divario system is easy to use and
increases the efficiency of examination procedures.
The desktop unit is unobtrusive, has a compact
design, and is small enough to fit on any
desk or shelf.

OR Technology's integrated image acquisition

software includes a complete suite of image
processing tools and guarantees excellent image
presentation. See detailed description of
software on pages 35-39

The solution can easily be adapted to existing

Further
information about clinical applications, and is ideal to handle overflow
Divario CR-T2
is available here: and to act as a backup for DR and CR systems.

26
 Divario CR -Tm

Looking for an easy way to digitise

your X-ray images while continuing to
work with cassettes?

back

CR desktop unit
with extraordinary
50 µm resolution

Divario CR-Tm with high

cassette throughput for
high-resolution X-ray images

The Divario CR-Tm is a CR desktop system ideal

for small medical practices and for use as backup
in busy hospital radiology departments.

The CR system has a maximal processing

capacity of 73 cassettes per hour in high-speed
mode (5 pixel/mm). The unit can reliably produce
high-quality, high-resolution images with 50 µm
pixels. High-resolution images (up to 6 lp/mm)
significantly improve the diagnosis of changes
and injuries.

The compact and lightweight CR system comes

with our professional acquisition and diagnostic
software, and thus with a complete suite of image
Detailed
processing tools. See detailed description of information about
Divario CR-Tm
software on pages 35-39 is available here:

For more detailed information

27
please see: www.or-technology.com
X-ray acc essories
X-ray equipment for maximal
flexibility in medical practices, hospitals
and ambulatory care

It is essential that mobile and stationary X-ray

systems function in a straightforward, quick and safe
manner. In addition, variation in patient size represents a
special challenge for table design. Machines, tables and
stands should work together seamlessly and be adjustable
to the needs of individual patients – ranging from small
children to adults weighing over 200 kg.

By electing to transition from analogue X-ray technology

to computer-aided radiography, you benefit from techno-
logical advances, improve image communication, and
choose an environmentally friendly X-ray system with
the lowest possible radiation exposure.

A large number of systems and versions are available

for diverse radiographic applications.

OR Technology's X-ray accessories are compatible

with all DR and CR systems on offer, as well as with
our software solutions.

29
 X-ray accessories

Searching for a high-quality patient

table with sturdy construction and high
load bearing capacity?

Premium patient
tables for ease
of working

Patient tables with high load

bearing capacity for mobile and
stationary X-ray systems

Our new generation of patient tables is

specifically designed for radiographic use. All
tables offer maximal convenience and flexibility,
and some models are height-adjustable. Castors of
moveable patient tables are equipped with locking
brakes to ensure safe working conditions. A large
number of systems and versions are available
for various applications:

mobile patient tables with programmable,

motorised height adjustment and floating table
top (battery operation available) – with a load
bearing capacity of 225 kg

mobile, lightweight patient tables without

Further information
about top-quality motor for various uses, load bearing capacity
X-ray tables
is available here: 150-210 kg (depending on the model)

30
 X-ray accessories

Searching for radiographic stands for

your mobile or stationary X-ray system?

Mobile stands,
cassette holders
& wall mounts

Accessories for maximal flexibility

during ambulatory and stationary
examinations

Variation in patient size represents a significant

challenge for manufacturers of radiography
equipment and accessories. All our X-ray accessories,
including mobile stands, wall mounts and various
other stands, offer maximal convenience and
flexibility. OR Technology's X-ray equipment is
compatible with all DR and CR systems on offer,
as well as with our software solutions.

Collapsible mobile stands for portable X-ray

units, assembly in less than 10 seconds
Collapsible mobile stands for X-ray detectors
(DR) and CR systems
Spring arms for mounting portable X-ray units
on walls or ceilings
Further information
Diverse stands for cassette holders, medical about mobile stands
and cassette holders
carts, knee supports, etc. is available here:

For more detailed information

31
please see: www.or-technology.com
 X-ray accessories

Searching for an extremely lightweight

detector holder for ambulatory X-ray
examinations?

Smallest
mounting system
for detectors

VersariX - detector holder with

mounts for attachment to doors, walls,
tent poles and tree branches

VersariX is THE portable flat panel detector

mounting system for X-ray examinations conducted
in unusual places such as private residences, old-
age homes, medical tents or ships etc. In confined
spaces like these, installation of a mobile stand to
support the X-ray detector is often problematic. In
addition, transporting a fold-up mobile stand is
often inconvenient due to its weight and space
requirements.
This is where VersariX comes in. Weighing only
some 400 grams, it can be attached anywhere, like
on room or wardrobe doors, walls, trees etc. The
sturdy hook used to suspend the X-ray flat panel
detector allows virtually stepless height adjustment.
X-ray images ranging from the cranium to the
Further
information about thorax to the foot can be taken professionally
detector holder VersariX
is available here: and effortlessly.

32
 X-ray accessories

Have you gone digital but still require

diagnostic-quality X-ray films?

X-ray film printer

for diagnostic-
quality images

Production of X-ray films

from digital data without the
use of chemicals

Thanks to the latest printing technology, high-

quality X-ray films can now be produced without
the use of developer and fixation chemicals.

Laser imager technology brings significant benefits

to healthcare facilities in terms of performance, cost
and quality. The affordable printers offer consistently
low operating costs throughout their entire service
life. Due to the small space requirement, the compact
X-ray film printers can be simply placed on a desk or
counter or can also be used on the move. Operation
is extremely simple. The film can be inserted
in normal daylight.

The X-ray film printers can be used for various

modalities (e.g. X-ray, MRI, CT, etc.) in practice Further information
about X-ray film printer
and clinic. is available here:

For more detailed information

33
please see: www.or-technology.com
dicomPACS R
DX-R
X-ray Acquisition Software
 The heart
of the
OR Technology
X-ray systems

The professional acquisition and

diagnostic software for static and dynamic
X-ray with DR and CR systems

dicomPACS®DX-R is an acquisition software for X-ray systems for static and

dynamic imaging with a straightforward and user-friendly graphic interface
controlled via touchscreen and/or mouse. The software package is included
in all Amadeo, Leonardo, Medici and Divario systems (exept Amadeo P
systems). The software also controls the operation of X-ray generators
and X-ray units, and thus establishes a structured and efficient workflow.

®
dicomPACS DX-R's professional image processing produces images of
outstanding quality and can be adapted to special customer needs. The high-
performance software includes organ-specific optimisation, which further
enhances image quality.

Everyday medical care is made easier by multiple integrated functions –

including a multimedia X-ray positioning guide – and an intuitive design. The
software can be extended with optional software modules, such as Chiro
Tools (diagnostic tools for optimal treatment) and the NUCCA tool set.

®
Furthermore, the dicomPACS DX-R software can readily be integrated
with existing patient management systems. X-ray images can be evaluated
®
using the dicomPACS viewer module within the acquisition software.
Thus, the system can function as a fully-fledged diagnostic work station
with the option to upgrade to a PACS (Picture Archiving and
Communication System).

35
 detailed description of the software:

Benefits of our internationally proven acquisition software:

Modern graphical user interface (GUI), readily adaptable to new languages

Touchscreen operation – ensures quick, efficient and structured workflow

Patient data is captured via DICOM Worklist, BDT/GDT, HL7 or other

protocols – data can also be captured manually

DICOM procedure codes are used to transfer all data relevant to an examination
directly from associated information management systems (e.g., HIS/RIS)

Body parts already stored in the system can be freely configured using
over 400 projections and a multitude of parameters

Reliable and quick registration of emergency patients

Enables single image acquisition as well as the acquisition of image sequences

(dynamic X-ray)

The order of scheduled examinations can be modified to avoid unnecessary

patient repositioning

Images can be appended to an examination record later

Automated, AI-assisted diagnostic tools (connection of thorax screening by a

qualified third-party provider - optional), additional tools in preparation

Additional functions, such as the Chiro-Tools module (diagnostic tools for the best
possible diagnosis) and the NUCCA tools set for examinations according to NUCCA
standards and much more...

Macros for frequently reoccurring examinations (e.g., thorax screening)

Fully integrated multimedia radiographic positioning guide

for all examinations including helpful hints, photographs, videos and
sample X-ray images

Wireless remote control of the digital X-ray system; with worklist,

preview thumbnails and much more...

36
 dicomPACS R
DX-R
X-ray Acquisition Software

Benefits of flexible image acquisition:

Integration of various flat panel and CR systems (including dental systems)

produced by different manufacturers, includes an electronic X-ray log (optional)

User-configured generator interface can control X-ray generators and X-ray systems from
many manufacturers, generator settings are adjusted via software

Parallel operation of flat panel and CR systems is a standard feature of the system. Users
can choose whether the next exposure is taken by the flat panel or the integrated CR system. This
flexibility also functions as a excellent backup in case of a defective flat panel detector.

Integrated dose area product (DAP) meter; DAP measurements are automatically saved
to the image

All X-ray parameters can be automatically adjusted for each projection using AEC
(automatic exposure control) and APR (anatomical programmed radiography); manual
adjustments are also possible

Automatic image processing for optimal quality

Perfect images at all times using the automatic image optimisation of the integrated software –
further adjustments are rarely necessary

Professional image processing that can be adapted to meet the needs of each examination and
customer

Our image processing has special features that provide virtually constant image quality under a
wide range of X-ray parameter settings (allows for dosage reduction)
Further information
about the
Bones and soft tissue in the same image – details of fine bone and tissue microstructures
acquisition software
significantly improve diagnosis is available here:

37
 Diagnostic Tools: Upper Cervical (NUCCA) Stitching module: Creates a single GLI (Gridless Imaging): Reduces
and Standard Chiropractic Tools image from separate digital X-ray images radiation scatter

detailed description of the software:

Das dicomPACS®DX-R Cognition Optimised Processing (COP) comprises:

ADPC – automatic dead pixel correction

Automatically eliminates dead pixels – this reduces the need to calibrate the flat panel

AIAA – automatic image area analysis

Automatically analyses each image for soft tissue and bone structures and applies the most
suitable image processing algorithms

MFLA – multi frequency level analysis

Analyses each image on various frequency levels for ideal sharpness and high
subtle contrast

ANF – automatic noise filter

Algorithm for optimal noise reduction

GLI – gridless imaging

Exposures without grid: enables the display of an image as if it had been taken with a grid –
this is useful for supine chest exposures (bedside).

AGLS – automatic grid line suppression

Automatically removes gridlines from flat panel images – suitable for grids from 100 LPI
to 200 LPI

IBC – intelligent brightness control

Automatically displays the image at the ideal level of brightness

ACO – automatic contrast optimisation

Automatic contrast equalisation across the entire image – this enables the optimal display
of soft tissue and bones at the same time

ABBS – automatic black border shutter

Automatically darkens all parts of an image outside the collimated area – varying degrees of
transparency are available and manual adjustments are easy to make.

38
 dicomPACS R
DX-R
X-ray Acquisition Software

Dynamic X-Ray: Imaging and diagnosis/ Professional Image Processing: Always Standard annotations: Various Prosthesis documentation:
archiving of image sequences perfect images, no adjustment necessary measuring and labeling tools Operation planning and documentation
Automa
ted,
AI-base
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ith different ct

AI
types of
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ases
(optiona
l)

Special measurement tools and filters:

Digital X-ray images have the advantage that exact measurements can be made at the
computer monitor and that image processing techniques can be used to improve image
quality. dicomPACS®DX-R offers an array of special software tools:

Pre-operative planning with the prosthesis documentation module (optional)

This module facilitates planning and documenting operations. Active images are displayed in the
size of the original (identical to analogue film images). The prosthesis template can be displayed on
the image as an annotation or existing prosthesis template films can be held in front of the monitor.

Upper cervical (NUCCA) and standard chiropractic tools (optional)

The NUCCA tool set and Chiro Tools were developed in cooperation with leading NUCCA experts
from the USA and Canada. The NUCCA tool set enables quick and accurate diagnosis without
significant changes in your workflow. Chiro Tools improve diagnosis and assist in treatment planning,
e.g., by generating centre lines and points, fitting arcs and providing angle measurements.

Gridless imaging (GLI) – X-ray exposures without grid

The elimination of image-degrading scatter radiation functions as a virtual grid and can be used
instead of a physical grid for all body parts, including thorax, abdomen, skull, spine and pelvis as
well as upper and lower extremities.

Image stitching module (optional)

This feature automatically assembles separate X-ray images with high geometric accuracy to
form an overall image with no visible suture lines (e.g., full-leg and full-spine images).

Useful tools and additional functions

Practical aids such as a configurable measuring magnifier, window levelling, zoom functions and
various filters and an automatic automatic, AI-based thorax screening facilitate diagnosis. Powerful
search tools enable effective comparisons among X-rays stemming from different examinations and
patients.

Numerous further functions, including the calculation of Cobb's angle, pelvic obliquity
measurements, and integrated diagnosis reports, round out this high-performance diagnostic
software package.

39
dicom PACS R
Innovative digital image management
solution for small medical practices and
large radiology networks

dicomPACS® is a picture archiving and communication system that

connects, controls and manages everything having to do with your X-ray
images: ranging from exposure and imagine analysis to archiving and
communication.

®
The dicomPACS software can help your dream of a paperless practice
come true. With dicomPACS®, images and all types of documents (e.g.,
medical findings and reports, faxes) are stored in a digital patient
folder and readily accessible.

Our sophisticated archive and backup solutions guarantee both

quick access to all data and high security standards in keeping with
international guidelines for human medicine. Furthermore, the
®
dicomPACS software can easily be integrated into all common
practice management systems.

The dicomPACS® software provides solutions for the administration,

diagnosis, transfer and archiving of images. The program was designed,
developed and tested in cooperation with medical practitioners in order
to provide a sophisticated, user-friendly tool for everyday diagnostics.

With thousands of installations worldwide, the system has proven

®
itself many times over. dicomPACS is the perfect solution for simple
image processing tasks and complex radiological networks alike.

41
 dicomPACS
R

Searching for an intelligent image

management system with a reliable
archiving and backup solution?

PACS basic package

for professional
image diagnostics

... An image management system

ideal for editing, analysing,
transferring and archiving images

In addition to basic functions such as image

and patient management, image optimisation, and
the ability to measure, highlight, edit, import, export
®
and print, the dicomPACS software includes a
DICOM receive/archive module for DICOM images
and a patient CD module that creates CDs from
which patients can view their X-rays using a
complementary viewer software. A module for
connecting to film and document scanners
is also included.

®
The basic version of dicomPACS also contains
several documentation modules, software tools
for professional analysis of cross sectional images
(e.g., CT and MRI), special filters, measurements
Further
information about tools, as well as diagnosis tools (e.g. AI-based
®
dicomPACS
is available here: thorax screening) for optimal treatment.

42
 dicomPACS
R

Benefits of the basic package

at a glance

Automa
ted,
AI-base
®
dicomPACS comes with a large number d thora
screenin cic
of special functions and modules (see detailed g to dete
description on page 35) as well as professional Now w different ct
ith types of

AI
software tools lung dise
ases
(optiona
l)
Fully functional versions of the diagnostic software at
all work stations in your practice (no „light” versions)

User-friendly interface, logical and intuitive structure

requiring little training

User interface can be individualised according to your

specialisation and needs

Flexible assignment of shortcut keys for many functions

to expedite everyday tasks

Parallel processing (e.g., image analysis can continue

while burning a CD)

All images and data are permanently available in the

network – no need to store old images on CD

„Perfect memory“ – images are reopened with all

previous markings and settings (including zoom and
orientation)

Multiple windows can be opened simultaneously,

allowing the concurrent analysis of several patient
records without loss of performance - depending on
computer hardware

External documents including doctor's letters, faxes

and X-ray imagines can be imported – no additional
modules are required

Installation possible on systems using Windows, UNIX,

LINUX and Apple Macintosh operating systems

Optimal data security, speed and compatibility made

possible by standardised SQL database technology

All images and documents are compliant with

international DICOM standards

For more detailed information

43
please see: www.or-technology.com
 dicomPACS
R

Additional software
modules

dicomPACS® is a so called „Picture Archiving and

Communication System“, acronym: PACS, and it performs
many different, at times highly complex tasks. It connects,
controls and administrates everything related to your
images: from the acquisition of images and the
compilation of diagnostic reports to the archiving and
transfer of image data. It ensures that the images can
be distributed quickly and without complications and
viewed e.g. via the web server. In addition, the system is
extremely flexible and open for many applications.

Prosthesis documentation – enables the user

to plan operations with digital prosthesis templates
by one or more manufacturers

Report Module – for easy preparation of

different reports (e.g. operation reports, ultrasound
reports etc.) incl. Word macros with images and a
digital dictation system

Statistics Module – enables freely configurable

analyses of the complete database

Video Modules – enable standard and non-

standard video signals to be recorded as single
images and video sequences

dicomPACS®MobileView – enables image

distribution within the hospital or to referring
doctors via the internet and guarantees very fast
image accessibility in original DICOM quality

®
Processing of CT and MRI series – dicomPACS
includes professional tools such as MPR and MIP
to evaluate cross-section series

Upper Cervical (NUCCA) Chiropractic Tool Set –

Tools for accurate diagnosis and planning of further
chiropractic treatment

Hanging protocols
Special function for mammography analysis
Integration of speech processing systems
Telemedicine
Special solution for multiple archives

44
@ dicomPACS Mobile View
R

Searching for a viewer that enables worldwide

access to all image data, e.g., so that on-call hospital
doctors can make a quick first assessment?

Web-based
viewer for
all devices

Images and documents

any time, anywhere

®
The web-based viewer dicomPACS MobileView
is one of the many extension modules of the
®
dicomPACS diagnostic software.

This application can be used with practically all

browsers to view image material on mobile devices
both in and outside of hospitals and medical
practices. When connected to the internet, doctors
and caregivers can access all image files worldwide
®
using the dicomPACS system.

In addition to image diagnostics, the viewer can

generate and export diagnostic reports. Similarly,
documents can be attached and exchanged using the
software. When viewing a patient record, all reports
Further
for the patient are displayed. Individual findings may information about
®
dicomPACS MobileView
be selected, formatted and exported. is available here:

For more detailed information

45
please see: www.or-technology.com
 ®
ORCA
 ®
ORCA Archive ORCA® Share

Cloud-based archiving,
viewing and transfer of
medical images

A daily challenge in medicine is processing the large volume of

images generated by modern equipment. Diagnostics greatly benefits
from advanced, high-quality imaging techniques and at the same
time is faced with ever-growing data volumes.

®
ORCA (OR Technology Cloud Archiving), a platform based on cloud
computing, is specially designed for storing, viewing and sharing medical
images. The DICOM cloud is useful in many different situations: at the
home office and for consultations with multiple specialists or even at sea.

®
ORCA makes everyday work in medical practices and hospitals easier,
cheaper and more progressive. Medical images and documents can be
centrally archived in compliance with highest security standards. The
service is scalable, allowing for adjustments in storage space as
demand grows.

®
Not only does ORCA provide third parties with hassle-free access to
images and data, it is straightforward to use and helps optimise workflow.
® ®
ORCA View, included in the ORCA package, is a cross-platform program
®
for all browsers and mobile devices. Using ORCA View, images can
not only be viewed, but also processed and analysed using various
measurement tools. The program also provides different templates for
®
generating reports. ORCA View is web-based and requires no local
software installation.

47
 ®
ORCA

ORCA® Archive

Cloud-based
X-ray image
archiving

Archiving and backup solution

ORCA® Archive for practices, clinics
and hospitals

ORCA® Archive provides storage for image

files from direct sources (e.g. digital X-ray, CT,
MRI and ultrasound machines) as well as from
Picture Archiving and Communication Systems
®
(PACS) in a cloud-based archive. ORCA Archive
can also be used as an additional backup
solution.

Wherever the internet is accessible, images

archived in the cloud can be viewed and
analysed at maximal resolution and quality
(DICOM) via the integrated, browser-based
®
ORCA View program and our diagnostics
®
software dicomPACS .

Further
information about If you are using a different PACS, images can be
®
ORCA Archive ®
is available here: downloaded from ORCA for viewing locally.

48
 ®
ORCA

ORCA® Share

Communication
platform and tele-
medicine solution

Easy viewing and transferring

of images for veterinarians using the
DICOM cloud with ORCA® Share

®
ORCA makes everyday work in practices
and clinics easier, cheaper and more sophisticated.
®
ORCA Share is a tool for sharing images and
medical findings with doctors and other authorised
persons. The service is scalable, allowing adjustments
in storage space as demand grows.

ORCA® Share is a platform for communication

with external partners. Images and reports can be
shared with staff, colleagues and specialists
®
via ORCA .

®
ORCA Share can also be used to give patients
access to medical reports and images. Recipients
are sent a secured access link to specific files
Further
via email. There is no need to install software information about
®
ORCA Share
locally. is available here:

For more detailed information

49
please see: www.or-technology.com
Version OR000298-006_05_2023

OR Technology
www.or-technology.com | X-perts in X-ray

OR Technology (Oehm und Rehbein GmbH), 18057 Rostock, Germany, Neptunallee 7c

Tel. +49 381 36 600 500, Fax +49 381 36 600 555
www.or-technology.com, [email protected]

Info hotline: +49 381 36 600 600

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