Fuji Synapse PACS User Manual

The Fuji Synapse PACS is a comprehensive Picture Archiving and Communication System designed for medical imaging management, storage, and distribution. It supports DICOM standards, provides advanced visualization tools, integrates with hospital information systems, offers secure data access, automated workflow management, multi-modality support, and enterprise-wide deployment capabilities. Below are key sections for system overview, installation, configuration, operation, and maintenance.

1. System Overview 2. Installation Requirements 3. Initial Setup 4. System Specifications 5. User Interface Navigation 6. Image Management 7. Workflow Configuration 8. Security Features 9. Maintenance Procedures 10. Regulatory Compliance 11. Troubleshooting Guide

System Overview

Key components: Centralized image database, Web-based client interface, DICOM router, Storage management system, HL7 interface engine, Reporting module.

Component	Description
Central Database	Stores patient studies and metadata
Web Client	Browser-based access for viewing and analysis
DICOM Router	Manages incoming and outgoing DICOM studies
Storage Manager	Automated data migration and archiving
HL7 Interface	Integrates with hospital information systems
Reporting Module	Generates clinical reports and statistics
Security Server	Manages user authentication and access control
Backup System	Automated data protection and disaster recovery
Mobile Access	Secure remote viewing capabilities
3D Visualization	Advanced rendering and analysis tools

Installation Requirements

System installation requires proper hardware infrastructure and network configuration.

Server Requirements: Minimum 16GB RAM, 2TB storage, dual Xeon processors
Network: Gigabit Ethernet, dedicated VLAN for medical imaging
Client Workstations: 8GB RAM, dedicated graphics card, high-resolution displays
Database: Oracle or SQL Server with appropriate licensing
DICOM Devices: Configured modalities (CT, MRI, X-Ray, etc.)

WARNING! Installation must be performed by certified technicians. Ensure proper backup before proceeding.

Initial Setup

Configure system parameters and user accounts after installation.

System Configuration: Set institution details, DICOM AE titles, storage locations
User Management: Create administrator and clinical user accounts
Modality Setup: Configure DICOM devices and worklist management
Network Configuration: Set IP addresses, ports, and security settings
Backup Schedule: Establish automated backup procedures

CAUTION! Document all configuration settings for future reference and troubleshooting.

System Specifications

Storage Capacity: Scalable to petabytes with hierarchical storage
Supported Modalities: CT, MRI, X-Ray, Ultrasound, Mammography, PET, SPECT
Image Formats: DICOM 3.0 compliant, JPEG/JPEG2000 compression
User Interface: Web-based, zero-footprint client
Integration: HL7 v2.x, IHE profiles, REST API
Security: HIPAA compliant, role-based access, audit trails
Availability: 99.9% uptime with high-availability configuration
Performance: Sub-second image retrieval, concurrent user support

User Interface Navigation

Access main functions through the web-based interface. Main Menu: Patient Search, Worklist, Viewer, Reports, Administration.

Viewer Tools: Zoom, Pan, Window/Level, Measurements, Annotations, Cine Mode, MPR, 3D Rendering.

Workflow: Study routing, Priority management, Status tracking, Notification system. Administration: User management, System configuration, Storage management, Audit logs, Backup controls.

Image Management

Comprehensive tools for image storage, retrieval, and manipulation.

Image Import: Automatic from modalities, manual upload, CD/DVD import
Storage Management: Automated migration, compression, retention policies
Retrieval: Quick search, advanced filters, hanging protocols
Processing: Window/level presets, image enhancement, comparison tools
Export: DICOM export, JPEG creation, printing, burning to media

Tip: Use hanging protocols to automate display settings for specific studies.

Workflow Configuration

Customizable workflow management for efficient clinical operations.

Worklist Management: Automatic study distribution, priority assignment
Routing Rules: Configurable based on modality, body part, urgency
Status Tracking: Real-time study progress monitoring
Notification System: Alerts for critical findings, completed studies
Reporting Workflow: Dictation, transcription, approval, distribution
Quality Control: Automated QC checks, manual review processes

WARNING! Test workflow changes in development environment before production deployment.

Security Features

Comprehensive security measures for patient data protection.

Access Control: Role-based permissions, user authentication, session management. Data Protection: Encryption at rest and in transit, audit trails, data integrity checks. Compliance: HIPAA requirements, user activity logging, breach detection.

Maintenance Procedures

Regular maintenance ensures optimal system performance and reliability.

Daily: System health checks, backup verification, storage monitoring. Weekly: Database maintenance, log rotation, performance tuning. Monthly: Security updates, storage optimization, comprehensive backups.

CAUTION! Schedule maintenance during off-peak hours to minimize disruption.

Regulatory Compliance

FDA 510(k) cleared for diagnostic use. Compliant with DICOM 3.0, HL7, IHE integration profiles. Meets HIPAA security requirements for protected health information. CE marked for European markets. For technical support, contact Fujifilm Medical Systems or visit www.fujifilmsynapse.com.

Troubleshooting Guide

Symptom	Possible Cause	Corrective Action
Slow performance	Network issues/High load	Check network connectivity; monitor system resources; optimize database
Images not displaying	Browser cache/Corrupt data	Clear browser cache; verify DICOM data integrity; check storage system
Login failures	Credentials/Server issues	Verify username/password; check authentication server; reset if necessary
Modality connection issues	Network/DICOM config	Verify AE titles and ports; check firewall settings; test DICOM echo
Storage errors	Disk space/File system	Check available storage; verify file permissions; run storage diagnostics

Reset: System > Maintenance > Reset Configuration if available.

Support: Contact Fujifilm Technical Support at 1-800-431-1850; www.fujifilmsynapse.com