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of 19 ACRAccreditationImageUploadInstructions_20180124

ACRAccreditationImageUploadInstructions

Contents

I. Introduction .......................................................................................................................................... 2

II. Your Application .................................................................................................................................... 2

III. Your Testing Package ........................................................................................................................ 3

A. ACRedit Web Client ........................................................................................................................... 4

B. TRIAD Windows Client ...................................................................................................................... 7

Step 1: Select Modality Testing Package .............................................................................................. 9

Step 2: Choose image files to submit for your examination ................................................................. 9

Step 3: Viewing your images using the TRIAD Windows Client .......................................................... 12

Step 4: Upload or delete files that are checked () ........................................................................... 13

Step 5: View and Print Image Upload Summary ................................................................................. 13

Step 6: Submit Testing Package .......................................................................................................... 13

IV. Installing ClearCanvas Workstation ................................................................................................ 13


I. Introduction

Facilities seeking ACR Accreditation can choose to upload clinical and phantom images to an encrypted,

secure server for accreditation review.

There are two choices for uploading your images:

1. Web Client ‐ compatible with your Windows PC or MAC – no software to install, only needs an

internet connection.

2. Windows Client ‐ compatible with your Windows PC, allows you to connect directly to your

PACS for image retrieval.

This document will give you the information on the process and functionality of both Web Client and

Windows Client.

II. YourApplication

When you apply for accreditation, in addition to choosing modules and/or examinations for submission

(depending on the accreditation program), you also choose the type of submission. For unit based

accreditation programs, you may choose the way you submit your images differently for each unit. For

facility based accreditation programs such as ultrasound, you will choose one submission type no matter

how many units are at that facility.

Electronic Image Selection in ACRedit Application

Select submission as

Upload from the drop

down.


If you choose upload submission, please be aware that you will be required to upload both clinical and

phantom images (if applicable), and any supporting documents required in the online testing package

for that modality. For instance, if you are applying for CT Accreditation, you must submit copies of your

written protocols for the examinations on your application, as well as the most recent Annual System

Performance Evaluation, for that unit. These must be uploaded– they should not be mailed or faxed.

After you finish and submit your application, ACR staff will ensure that everything is received (fees,

survey agreement if applicable, etc.) and accept your application. You will then receive an email stating

that your online testing package is available.

III. YourTestingPackage

Once the testing package is available you may access it by clicking on “My Testing Packages”. To open

your testing package, you will click the “Modify” link under the Action column. You will see several

items on the left hand navigation pane. Each item will have a red X next to it, indicating that section is

not completed. As you complete each section, a green check mark will appear. All items must have a

green check prior to submitting your testing package. This document will focus exclusively on the item

“Upload Images”.

Left navigation pane in ACRedit online Testing Package

Fields marked X are the

incomplete sections.

Fields marked with a green check

are the completed sections.

This section of the page is used to

upload the images electronically.


PLEASE REFER TO THE TESTING INSTRUCTIONS SPECIFIC FOR YOUR MODALITY AT

https://www.acraccreditation.org/ TO ENSURE YOU ARE UPLOADING ONLY THE IMAGES THAT ARE

REQUIRED FOR YOUR TESTING PACKAGE. IT IS IMPORTANT WHEN UPLOADING IMAGES TO ENSURE

THAT ALL IMAGES HAVE BEEN SUCCESSFULLY UPLOADED AND VIEWED PRIOR TO SUBMISSION.

On the “Upload Images” screen, there are two choices for uploading your images, ACRedit Web Client

and TRIAD Windows Client.

You can switch between these two uploading methods at any time. We will go into more detail of these

two choices separately. You will be able to add or delete images until your online testing package is

submitted. Once your testing package is fully submitted, you cannot make any changes to the images

you have chosen.

Upload Images Screen of ACRedit Testing Package

A. ACReditWebClient

The ACRedit Web Client requires no download or installation of any software to your computer or

network. An internet connection and access to the images on your computer hard drive, network or

CD/DVD/thumb drive are required. Web Client requires the use of an up‐to‐date web browser. Here is a

list of the supported browsers:

Internet Explorer – IE 10 or above – upload files

Google Chrome – Chrome 22 or above – upload files or folders

Safari – Safari 5 or above

Mozilla Firefox – Firefox 27 or above – upload files or folders

The Web Client option does not require software installation for

uploading your images. You can view the images using the DICOM

viewer provided prior to submitting the images and testing package.

See Section A for more details.

This option (TRIAD Windows Client) requires software installations and allows you

to upload images directly from your PACS system or from your computer. You can

view the images using ClearCanvas Workstation viewer prior to submitting the

testing package. See Section B for more details.


Upload Images Screen with Web Client chosen

From this window, you may view supported file types for each modality, get further instruction and

view/upload images.

To upload images, click “File Upload” or “Folder Upload” (if available). This will open a new window

allowing you to navigate to the image files for upload. For many examinations, images will be stored in

separate folders for each series of images. If that is the case, it is necessary to click “File Upload” or

“Folder Upload” separately for each series in a particular examination. You may, however, select

multiple files from a particular folder with your selection. To select all files from a folder, press “Ctrl +

A”.

Please note that a progress bar will appear while your files and/or folders are uploading. You may also

remove one file or all files by clicking the “Delete” button. Once all of the exams have been uploaded,

you must view the images by clicking the “View” button. When you have finished uploading images for

that examination, click the Ready for Submission box in the upper right corner of that exam. This will

save the uploaded images.

Select ACRedit Web Client and

the below window appears.

Select

View/Upload.


It is important to view all the uploaded images prior to submitting the testing package to ensure all

required images have been uploaded and can be viewed successfully. At this point, you can log out of

the ACRedit database and finish later, or click next to progress. When you are finished uploading the

images for all examinations, click on Image Upload Summary. A new window will open.

Once all the testing materials have been uploaded and all items are checked with a green check mark on

the left navigation menu, you are then able to submit your testing package. Please note that once you

finish and submit your testing package you are not able to make any changes to the uploaded

documents and images.

You will be able to view the images you uploaded and submitted for accreditation by clicking on “My

Testing Packages” and then “View images for Submission” once the link is available.


B. TRIADWindowsClient

o Software installation required

TRIAD Windows Client application

ClearCanvas Workstation

You can download both here: https://triad4.acr.org/TriadClientATI/

o Ability to connect with Clear Canvas Workstation for viewing full images before submission

o May choose entire folders for uploading in addition to individual files

o Can retrieve images from PACS for upload

Minimum system requirements for TRIAD Windows Client: Windows 7 (32 or 64 bit) only (Windows 8 and Windows 10 are not currently supported) Intel/AMD CPU / 2.4 GHz or above 2 GB RAM 60 GB Hard Disk space Microsoft .NET Framework 4.5.2 Microsoft Visual C++ 2010 x86 Redistributable Microsoft Visual C++ 2012 x86 Redistributable

Installing Microsoft .NET Framework requires administrative privileges on the local computer.

You can download .NET Framework from: https://www.microsoft.com/en‐us/download/details.aspx?id=42643

Choosing TRIAD Windows Client (from the Upload Images screen of your online testing package)

changes the screen to allow you to install, launch or update the TRIAD Windows Client.

Upload Images screen with TRIAD Windows Client chosen

This link will:

Install TRIAD if you have not already

installed the software.

Launch TRIAD if the software is already

installed.

This link will take you to a site to

download Clear Canvas. See Section IV:

Installing Clear Canvas Workstation for

further instructions.


Administrative privileges to your PC are required to install TRIAD Windows Client and Clear Canvas

Workstation viewer. If you are unable to acquire these privileges or receive assistance from your IT

department, you may still upload images with the ACRedit Web Client.

While the Web Client allows you to upload and view your images prior to submission, it does not allow

you to access your PACS system directly to upload your images. With the TRIAD Windows Client you can

view the DICOM images by using Clear Canvas Workstation, a free DICOM viewer (see section IV.

Installing Clear Canvas Workstation). When installing the Clear Canvas Workstation please ensure that

you also install the patch.

Once TRIAD is installed and you have launched the software, you will see the TRIAD Home screen. The

pane on the left side of the TRIAD window is the log in screen. You must first select the appropriate

Accreditation program before logging in. The username and password are the same as your login for

your ACRedit account.

TRIAD Windows Client software log in screen

Select the Accreditation Program

from the domain drop down list.


Follow the steps that are marked in red below.

TRIAD Windows Client steps to submit testing package

Step1:SelectModalityTestingPackage

The upper left pane is where you will choose the Modality Name, Modality Number/Unit Number (for

unit based accreditation programs) and Examination Name.

Step2:Chooseimagefilestosubmitforyourexamination

The upper right pane is used for choosing and viewing images. The lower pane lists the number of

images that you have uploaded so far, and this is where you can view and print your summary of the

images chosen for upload.


a) ConfigurePACS

You must setup a connection between your PACS and TRIAD Windows Client in order to select files from

the PACS and you may need assistance from your PACS/IT team.

a) Click here to establish a

connection to your PACS and/or

only choose files

b) Click to choose files from PACS.

Click Manage to add Device

details and test the

connection.

Click ‘DICOM Info’ to

get DICOM

information to be

given at PACS side.


On the left side of the window, click “Manage”. To connect for the first time to your PACS, you will need

to fill out the Device Details section completely, and then click “Add”. The device name will appear in

the Select Device section on the left side of this window.

Click on “Test Connection”, and the system will state that your new “Device is up and running”. This

configuration allows you to pull images from your PACS. You can now exit the Manage/Test Device

window and search your PACS for the images you want to upload for this particular examination.

If the above configuration does not work you may also try pushing your images from your PACS system

to the ACR TRIAD system by adding the destination to your PACS system and exporting the images to the

ACR TRIAD system. Click on the DICOM Info button for the information needed to set the destination. If

you receive a C‐Move Response error message it may indicate that your firewall is blocking the

transmission. Consult with your IT department and if more assistance is needed contact TRIAD support

at 703‐390‐9858.

b) RetrievingfilesfromPACS

After you select “Choose Files”, the “Select Images” window will appear. If this is your first time to

choose files from PACS, you will need to set up the connection (see Configure PACS section).

Use the Search section of the Select Images window. In order to search as quickly as possible, enter as

much information as possible about the examination you would like to upload. Your search results will

be shown in the Received Images Section of the window. Place a check by the studies you wish to select,

and click “Select Images”. Those images will show up in the upper right pane of TRIAD Windows Client.

1. Click on Add, enter the

device details and save. 2. Click Test Connection to check the

connection with device.

2a. Displays if the

connection is successful.

2b. Displays if the

connection fails.


Step3:ViewingyourimagesusingtheTRIADWindowsClient

Whether you imported your images from PACS or from your computer/network, you will view the

images the same way. In the top right corner of TRIAD, you will see the DICOM viewer to use when

viewing your images. If you have not downloaded ClearCanvas, then see section IV: Installing

ClearCanvas Workstation.

The images appear in the upper right pane of TRIAD, double click on the image icon to open images at

study level in ClearCanvas. Click the “+” next to the study. The study will open into folders for each

series. Click the folder icon in the “Image” column. This will open the images for that series with

ClearCanvas.

Enter information then press

“Search Images”


Step4:Uploadordeletefilesthatarechecked()

After you have viewed your images, the next step is to upload them. Mark the images you want to

upload or delete by checking the box just left of the study ID. Please note that if you chose images from

other formats, they will be listed separately, and you may need to use the scroll bar on the right side of

the pane if they do not all fit in the window.

Step5:ViewandPrintImageUploadSummary

You may view and print a summary of the images that you have uploaded by clicking on the Image

Upload Summary button.

Step6:SubmitTestingPackage

After all of your images have been successfully uploaded, Select “Submit Testing Package” in the lower

pane of TRIAD. You will not be able to submit the images until all items have been completed in the

testing package. If all items have not been completed, then you will be redirected to your testing

package in ACRedit. Once all the testing materials have been uploaded, you are then able to submit

your testing package. Please note that once you finish and submit your testing package you will not be

able to make any changes to the uploaded documents and images. You will however be able to view the

images you uploaded and submitted for accreditation by clicking on “My Testing Packages” and then

“View images for Submission” once the link is available (see illustrations on the bottom of page 7 top of

page 8)

IV. InstallingClearCanvasWorkstation

In order to view the DICOM images using the TRIAD Windows Client in a testing packet, you must

download and install the free DICOM viewer ClearCanvas. This requires administrative privileges on the

PC. If you are attempting to install ClearCanvas on your work PC, you may need help from your IT

department. Follow the instructions below to download and install ClearCanvas. When you open DICOM

images in TRIAD Windows Client, the ClearCanvas viewer will open.

Download the ClearCanvas DICOM Viewer 13.2 (32bit or 64bit) from the link below to your local drive:

https://triad4.acr.org/TriadClientATI/


Steps for installing ClearCanvas Workstation:

1. Download the ClearCanvas Viewer.

2. Right Click and extract the files from the folder

Download and install ClearCanvas

from this website only. This software

version is tested and supported with

TRIAD Windows Client. Please

consult with your IT department to

determine whether to download the

32 or 64 bit version.


3. Open the Clean Canvas folder and double Click on “ClearCanvasViewer.exe“

4. Select “No” for the following message.

5. Now ClearCanvas will display the below dialog. Click “Next” to continue.


6. Click “OK” to review the End user license agreement and then “I Agree”.


7. Click “Next” (leave the default path. Please do NOT modify.)

8. Please change the AE Title to “CCSERVER” and Port to “200” to avoid

conflicts as port 104 is the most commonly used port among other

applications.


9. Click on “Install”

10. Click Finish to launch the application.


11. Close ClearCanvas and double click on “Patch.exe”

12. Click on “ Ok”

13. Click on “ Close”

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