ReleaseNotes Vitrea6.5.3

VPMC-13224A
VitreaAdvanced 6.5.3 and

VitreaWorkstation 6.5.3
Release Notes

VitreaAdvanced 6.5.3 and VitreaWorkstation 6.5.3 Release Notes VPMC-13224A
Copyright 1997-2013 Vital Images, Inc. All rights reserved. Date of Publication October 2013.
VitreaAdvancedprotected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,031,504; 7,136,064; 7,362,329; 7,574,029; 7,590,272;
7,660,481;7,929,748;7,991,210; 8,214756; 8,249,687 Other Patents Pending in the U.S. and other countries.
VitreaWorkstationprotected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,031,504; 7,136,064; 7,362,329; 7,574,029; 7,590,272;
7,660,481;7,929,748;7,991,210; 8,214756; 8,249,687 Other Patents Pending in the U.S. and other countries.
VitreaCoreprotected by U.S. Patents 5,986,662; 6,130,671; 6,219,059; 7,039,723; 7,136,064; 7,362,329; RE42,952; Other Patents Pending in the
U.S. and other countries.
VPMC-13224A VitreaAdvanced 6.5.3 and VitreaWorkstation 6.5.3 Release Notes
This publication is valid for VitreaWorkstation 6.5.3, Vitrea fX 6.5.3, and VitreaAdvanced 6.5.3 and later software versions.
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Table of Contents
INTRODUCTION ............................................................................................................................................... 1
CONTACT US ................................................................................................................................................... 1
REGION EDITING CAUTIONS AND NOTES FOR VERSION 6.5.3 .................................................................. 2
GENERAL NOTES 6.5.3 ................................................................................................................................... 2
NEW 6.5.3 FEATURES AND ENHANCEMENTS .............................................................................................. 2
VITREAADVANCED AND VITREAWORKSTATION 6.5.3 RESOLVED ISSUES ............................................. 3
VITREAADVANCED AND VITREAWORKSTATION 6.5 RESOLVED ISSUES ................................................ 7
VITREAADVANCED AND VITREAWORKSTATION 6.5.1 KNOWN LIMITATIONS ....................................... 16
VITREAADVANCED AND VITREAWORKSTATION 6.5 KNOWN LIMITATIONS .......................................... 17
VITREAADVANCED AND VITREAWORKSTATION 6.5.3 KNOWN ISSUES ................................................ 21
VITREAADVANCED AND VITREAWORKSTATION 6.5.1 KNOWN ISSUES ................................................ 22
VITREAADVANCED AND VITREAWORKSTATION 6.5 KNOWN ISSUES ................................................... 22
VERSIONING INFORMATION 6.5.3 ............................................................................................................ 26

Page 1 of 26
Introduction
This document contains the following information:
a listing of the features that are new to the VitreaAdvanced 6.5.3 and VitreaWorkstation 6.5.3 releases;
known software limitations for the VitreaAdvanced 6.5.x and VitreaWorkstation 6.5.x software releases; and
resolved and known issues for the VitreaAdvanced 6.5.x and VitreaWorkstation 6.5.x software releases.
Note: references to VitreaAdvanced 6.5.3 and VitreaWorkstation 6.5.3 also include VitreaAdvanced fX and VitreaWorkstation fX.

CAUTION: For general Safety and Regulatory Considerations, refer to the appropriate Education and Reference Guide.

CAUTION: Federal law restricts this device to sale by or on the order of a physician, as directed by 21 CFR 801.109(b)(1).

CAUTION: Upgrades to VitreaWorkstation 6.5.3 should only be done from version 6.2 or later. Users on earlier versions should
upgrade to at least 6.2 first and then move forward to 6.5.3. It is necessary to back up data and perform configuration settings before
upgrading.
Contact Us
For general, non-technical support questions, contact us through our Web site: www.vitalimages.com.
For customer technical support, contact us at:
o In the U.S., call the Customer Support line at 1.800.208.3005; or
o Outside the U.S., contact your Vital Images distributor; or
o Send an email to support@vitalimages.com.
To provide feedback about this document or other Vital Images product documentation, send an email to
feedback@vitalimages.com.
Contact Customer Support for a printed version of the release notes, education and reference guide, or installation guides.

Page 2 of 26
Region Editing Cautions and Notes For Version 6.5.3
Version Products Description
6.5.3 All Applications CAUTION: When restoring snapshots from previous software versions created through use
of region editing, please verify the accuracy of all contours and confirm all measurements.
6.5.3 General Sculpting Vitrea does not allow using the Sculpt tool to edit any of the following existing regions: nodules,
polyps, tumors, liver resection regions, or brain perfusion summary map regions. Use the Edit tool to
edit these regions.
6.5.3 Liver and Lung
Protocols
Vitrea does not allow the Sculpt tool to edit an existing nodule or tumor. Use the Edit tool to modify
existing nodules or tumor regions.
6.5.3 MR Tumor Edit the contour lines in the 2D or MPR views. Vitrea does not support editing the contour lines in the
3D views.
6.5.3 All Applications
VIT-8986
VIT-8605
Vitrea reserves certain names for protected or non-editable regions. If you attempt to name a non-
protected region to a protected region name, Vitrea will include a numeral at end of the name. For
example, if you attempt to rename a region called Other to Tumor, Vitrea will change it to Tumor-
0.

General Notes 6.5.3
VIT-8996
The software permits modifying certain advanced settings in Volume Builder that govern how
volumes are built from DICOM images. These advanced settings should not be modified. Certain
modifications can lead to situations in which measurements are incorrect once the built volumes are
loaded in Vitrea.

New 6.5.3 Features and Enhancements
New enhancements available in version 6.5.3 are noted below:
Auto-export configurability for VitreaAdvanced.

Page 3 of 26
VitreaAdvanced and VitreaWorkstation 6.5.3 Resol ved Issues
6.5.3 VitreaAdvanced
PIN-1241
Olea fails to load data from the Toshiba 3T scanner
The version of Olea included in 6.5 release did not support image data from the Toshiba 3T scanner.
This has been resolved.
6.5.3 CT Multi-Chamber
CFA
VIT-10201
Error When loading Cardiac CFA data in CT Multi-Chamber Cardiac CFA Application
Data loading issues prior release; some datasets would work properly, this issue has been resolved
and the data now loads.
6.5.3 CT Multi-Chamber
CFA
VIT-10055
CT Multi-Chamber Cardiac - Undo Short-Axis Edit Computes Polar Map Incorrectl y
Previously this issue occurred when the polar map was re-computed when the Undo button was
selected. For the 6.5.3 release, the Undo button is disabled for 3-Chamber and Pediatric protocols. It
remains enabled for all other protocols.
NOTE: Due to a correction in the way myocardial contours are sampled for calculations, the numbers
and colors displayed on the polar maps of a restored snapshot may differ slightly from the way they
were displayed when the snapshot was taken. The degree to which the calculated results can differ is
roughly equivalent to a 1-2 mm adjustment of the mitral valve plane in either end-systolic or end-
diastolic phases.
6.5.3 VitreaWorkstation
VIT-9834
Standalone Workstation Upgrade Issues
Previously when upgrading a workstation that is configured with a new DICOM entity with no selected
service the upgrade would fail. This has been resolved
VitreaWorkstation
VIT-9774
CT Colon Application Crashes when choosing a different protocol
Previously when transitioning from a dual colon layout to the gallery and then to the study directory in
a specific order it would cause the system to crash. This has been resolved.
VitreaWorkstation
VIT-9701
Disparate Load usage report fails
Previously when accessing the report from within the VES Administration tool you would receive a
connection failed error. This has been resolved and you can see the load usage report.
VIM-1852
Query time constraint drop-down does not work on Vitrea Standalone
When attempting to query from a PACS with the time constraint enabled, no results would display.
This has been resolved.
VIM-1840
Query Retrieved Study Volume Building not being Prioritized
Previously when using non-pacs integrated query retrieve, volume building occurred in a non-
prioritized fashion. This has been resolved and studies which have been query retrieved are all given a
higher priority.
VIM-1820
DICOM Export as single series adds a dash to a DICOM tag failing export
Previously when exporting as a single series a dash wash added to the UID which resulted in a failed
export, this has been resolved.
VitreaWorkstation
VIC-842
No orientation markers in MRI Stitched Images
When images which have stitched together on the modality console so that the complete anatomy can
be viewed were viewed in VitreaCore they did display orientation markers. This has been resolved.
VIC-794
VitreaCore viewer window opens behind all other windows
Previously, selecting the "back to PACS" button was not completely closing the viewers which
resulting in viewer windows which were open but not visible. This has been resolved.

Page 4 of 26
VitreaWorkstation
PIN-1313
Application TAB editor errors when adding new application ID's
Previously modifying the application ID in the application tab editor generated and error, this has been
resolved.
VitreaWorkstation
PIN-1282
Exported Olea color maps were highl y pixilated when viewed on PACS
Previously the exported batches were not exported in the same resolution as they were displayed
creating images that looked pixelated. This has been resolved.
VIM-1851
Empty folders were left behind with data was rejected, causing system slowness
When failed data was deleted from VIMS, the associated folder was not also deleted. This causes a
build-up of empty folders, eventually slowing the system. VIMS now deletes the data and the folders.
VitreaWorkstation
VIM-1797
3D processing occasionall y crashed due to repeated processing of studies
Due to the way the 3D processor handled incoming files, some files were getting reprocessed and
causing the system to fail. The way the 3D processor handles incoming files has been updated to
prevent this.
VitreaWorkstation
VIM-1770
Database backup fails due to timeout if backup takes greater than an hour
Database backup will no longer timeout if the backup takes greater than an hour.
VitreaWorkstation
VIM-1767
Upgrade to SQL Express may fail due to insufficient space
The Install/Upgrade Guide has been revised to detail the upgrade procedure to ensure sufficient free
space before upgrading. The remedy is to upgrade SQL Server to (any) Standard-Edition (if entitled),
or Express-Edition 2008R2 which has a 10GB size limit.
VitreaWorkstation
VIM-1650
Repeated log messages during ingestion of large studies caused system slowness
Unneeded log messages were being inserted into the database during the down load of large studies.
These have been eliminated.
VIT-9774
SUSENG-3348
VitreaAdvanced Server crashed intermittentl y in Colon controller cleanup
Previously, this issue occurred when you loaded a study into Colon Dual Layout, selected the Gallery
tab, selected a different protocol, and selected Study Directory. As a result, the VitreaAdvanced Server
would crash. This has been resolved.
VIT-9834
Upgrade from ECF Vitrea Standalone to 6.5.3 VitreaWorkstation failed and 1722 Error displayed
Previously, when you upgraded from an ECF-based Vitrea Standalone (previous to version 6.4) to a
6.5.3 VitreaWorkstation, the upgrade could fail and a 1722 Error displayed. This has been resolved.
VitreaWorkstation
VIM-1888
Series progress table can degrade SQL performance when retrying studies
The series progress table was degrading SQL performance when retrying studies. This performance
issue has been addressed.

PLT-4699
Memory leak in VG3 services caused excess unneeded filed that werent cleaned up.
The fix has resulted in improved memory operations.
VitreaWorkstation
MPR densities are reversed in DICOM prints
A defect was resolved in which MPR images densities were incorrectly printing

Page 5 of 26
6.5.2 Cardiac
Functional
Analysis
VIT-10000

Variations in CFA Polar Map Computation
Previously, the 3-chamber CFA application exhibited unstable variation between multiple
approximations of the polar maps. This variation could be triggered by minute fluctuations in the
internal state of the software caused by actions such as undoing a modification to the left ventricle
axis, mitral valve plane, or apex plane, or by restoring a session from a snapshot. The issue has been
resolved and the software now utilizes a more stable computation.
6.5.2 TAVR
Endovascular
Stent Planning
VIT-10030
Using Aortic Neck Angle measurement listed within the Measurement findings list did not
properl y update after centerline edit
Previously, this issue occurred when you completed the following workflow:
1. Launched a study using the TAVR or Stent Planning protocol and preset.
2. Created an angle measurement in the longitudinal inset, based on a grayed out angle
measurement in the list.
3. Edited the centerline and clicked OK.
4. Viewed the angle measurement listed at the bottom of the inset.
As a result, the aortic measurement result did not update. This issue is resolved.
6.5.2 Cardiac
Functional
Analysis
VIT-10041
Reset after CFA 3-Chamber Snapshot Restore did not match initial load
1. Loaded a study into the 3-Chamber CFA application.
2. Worked on the study.
3. Took a snapshot.
4. Restored the snapshot.
5. Reset the view.
As a result, the functional results from the reset action did not match the results from the
initial load. This issue is resolved.
VIT-9527
Failed to burn report and DICOM file to CD/DVD by standard user
Previously, this issue occurred when you logged into Vitrea as a standard user, loaded a patient, and
tried to burn a report and DICOM file to CD/DVD from the Report tab. As a result, the standard user
could not burn the report and DICOM file to CD/DVD from the Report tab. This issue has been
resolved.
VIM-1770
Database Backup failed after one hour due to a timeout
Previously, the database backup that was scheduled to occur each night was failing. The
AgentMonitor service produced a Timeout Expired error one hour after the backup was started. This
issue could have affected any site with a large database that needed the backup to take longer than
an hour to run. This issue has been resolved.
VIM-1766
Study level query results showed the wrong number of images in Vitrea Standalone
Previously when you queried a system that did not support number of images in the study in
response to a cFind query, the image count displayed on the workstation was incorrect. However, if
you queried a different system that supported number of images in the study, the correct image count
was displayed. This has been resolved.

Page 6 of 26
VitreaWorkstation
VIT-2378
2D Brain Perfusion: Unable to load multi series in a single study
Previously, you were unable to load the same multi series in VitreaAdvanced without an error
message. This issue has been resolved.
SUSENG-3288
System Administration: Unable to login after changing User Account Primary Group
Previously, in rare occurrences, changing an Active Directory User Account Primary Group caused
LDAP authentication to not work. This has been resolved.
SUSENG-3048
Segmentation Failed for Carotid/COW after selecting Autobone removal
Previously, for some datasets, 3D Images would go blank after selecting autobone removal while in
the Carotid or COW Protocols. This has been resolved.
VitreaWorkstation
VIM-1732
SUSENG-3081
Cardiac and ESVP/TAVR Protocols: Gated / Non-gated phases breaks into two volumes
Previously , this issue occurred when you completed the following workflow:
1. Chose Cardiac: Arteries CT Protocol or Aorta Vascular or Aorta Stent or TAVR
2. Pick 3D
As a result, the study loaded into multi volumes and prevented you from loading the Cardiac: Aorta
protocol. This issue is resolved.
VitreaWorkstation
SUSENG-3294
Certain CTA data caused crashes within Vascular Aorta and ESVP protocols when
abnormalities existed
This issue is resolved.
VitreaWorkstation
SUSENG-2990

Calcium Scoring (CACS): Cannot export graph and measurement worksheet
1. Load a CACS study
2. Complete ROI measurements
3. Go to the report page, select the graph and measurement worksheet in the evidence tray
4. Select Export button and export as a single series
As a result, the images were not exporting to PACS. This issue is resolved.
6.5.1 Mirada
SUSENG-2784

Mirada Oncology Help Menu: Nothing occurs when you clicked the Help Menu
Previously, when in a VitreaAdvanced Server session, you could not open the electronic help menu.
VitreaWorkstation
Mirada Oncology
Fusion
SUSENG-2478
Mirada Oncology Fusion: Onl y fi ve layout favorites will be displayed
Users are allowed to have up to five favorite layouts assigned to hot keys. If you marked more than
five, they would not display. To view more, uncheck them in the review modes tab, so that it contains
no more than five.This issue is resolved.
VitreaWorkstation
VIC-788
The DICOM file created when taking a snapshot of an MPR view in VitreaCore 3D contains incorrect
Image Orientation and Image Position attributes, resulting in wrong orientation markers being
displayed on the snapshot. The issue is resolved.

Page 7 of 26
VitreaAdvanced and VitreaWorkstation 6.5 Resolved Issues
6.5 VitreaAdvanced
VitreaWorkstation
VIT-4277
Aorta Protocol: Option for Cardiac Valves permanentl y did not display if you selected new
preset from 3D preset selector
6.5 VitreaAdvanced
VitreaWorkstation
VIT-4199
2D Multi Phase Coronary Artery Calcium Scoring (CACS): Couldn't use 2D N-up to score
calcium
Previously, if you were in a multiphase view, the radio buttons may not have been available for calcium
scoring. This issue is resolved.
6.5 VitreaAdvanced
VIT-8027
VIT-8507
SUSENG-2537
VIT-8054
Graphs do not show up on calcium score report template
Previously, when loading a calcium scoring study in iSite integration into VitreaCore first, then into
Advanced Viewer using "2D Vscore with Color" protocol, the two graphs were not present. Instead,
two black boxes were shown. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-4102
SUSENG-2339
Specific cardiac preset causes SUREPlaque toolbar to not display in 1-up 3D image
Previously, if you had a specific preset, is in 3D and 1-up view, it caused the SUREPlaque vessel
toolbar to not display. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7070
MyoPerfusion: Attenuation table values are displayed as N/A
Previously, when restoring MyoPerfusion Attenuation table snapshots, the table displayed N/A for all
values. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2620
2D Brain Perfusion: Centerline may not be adjusted in the anterior posterior plane and lower
slices produced an error with ROIs
Previously, when you loaded a study into 2D Brain Analysis, it was possible to move the brain
centerline right to left, but not in the anterior to posterior direction. As a result it was sometimes
impossible to position the centerline in a location that would allow ROI templates to be generated in
the lower portion of the brain.
This issue is resolved by adding the ability to move the centerline in the anterior to posterior direction.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8523
2D Brain Perfusion: Vein/Artery dot indicators may not display in batch collages
Previously, this issue occurred when you created a batch collage and exported to the study viewer and
the red and blue indicator dots were not visible. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6479

4D Brain Perfusion: Taking new snapshots after snapshot restore
Previously, if you took snapshots from restored snapshots in 4D Brain Perfusion, the new snapshots
may not have been in the study directory, patient data folder or in report tab. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-4037
Brain Perfusion: Blank preview screen when scrolling in Study Directory preview window
Previously, in Brain Perfusion, a blank screen was shown in the Study Directory preview window. This
issue is resolved.

Page 8 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8856
SUSENG-2958
MSK: 4D CINE does not include anatomy outside of the first frame
This issue occurred when you completed the following workflow:
1. Load dynamic series, select MSK 3D Analysis.
2. Apply any window/level needed.
3. Use F9 to go through all series to verify the anatomy is included.
4. In the 3D window, right click and select 4D CINE.
Some anatomy was excluded in the 3D view. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8672

When a lung nodule contour was deleted, the Volume information was not updated
1. Loaded a single series study using the Lung CT: Nodule Analysis preset.
2. Clicked the Select button under Nodule Management.
3. Clicked on the Nodule in the axial view.
4. Clicked the Edit button under Nodule Management.
5. Scrolled through the slices that displayed cyan color contours which represented probed nodules.
6. Cined to the slice where the contour was starting and pressed Delete or Backspace key.
7. Repeated step 6 for the first two or three slices and the last two or three slices.
8. Clicked the Select button under Nodule Management.
Although the Nodule overlay was displayed in MPR views, the volume, effective diameter, and HU
range values were not updated. The results were identical to the results before editing the Nodule. The
results displayed in the Report page were also incorrect. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8674
Lung volume values in the Results table did not update after you edited the lung contours on a
restored snapshot
Previously, when you loaded a dataset into Lung Density Analysis, took a snapshot, returned to the
Study Directory, restored the snapshot from either the Study Directory or the Report page, and edited
the contours of either lung, the lung volume values in the Results table did not update.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8310
If Restore nodule is used in the prior of two loaded CT Lung studies and you probe a nodule in
the current study, Autoprobe finds the nodule in the prior study, creates a duplicate of the
nodule and lists the new N# in Nodule Management
This issue occurred when you completed the following workflow:
1. Load the first study into CT Lung.
2. Select Nodule Anal ysis.
3. Probe the nodules.
4. Return to the Study Directory.
5. Load the first and second study (same patient Prior/Current study) into CT Lung.
6. Select Nodule Anal ysis.
7. In the Nodule Management area, restore the nodules that were found in first (prior) study.
8. Probe the same nodule in the second study.
The nodule is found in both studies and the Nodule Management area lists two nodules in the same
location for only the older scan. This issue is resolved.

Page 9 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3646
Liver CT: Tumor volumes less than 0.1 ml not displayed in report
Very small tumor volumes less than 0.1 ml were listed in a report as dashes (--).
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8669
Liver Tumor measurements or Lung Nodule measurements did not update when trimming with
Sculpt
Previously, this issue occurred when you completed one of the following workflows:
For Liver CT:
1. Loaded any phase with a visible tumor using the Liver CT protocol and either the Tumor
Response or the Resection Planning preset.
2. Created a tumor region using one of the following tools: the Tumor Pick tool, Organ Pick tool,
Sculpt, or Vessel Grow.
3. Selected the Show Volume check box for the Tumor region.
4. Noticed that the volume measurement in the tumor information box in the axial view was the same
as the volume measurement shown for the Tumor region on the 3D view. Also noticed that the
maximum diameter line (green) and short axis line (red) were consistent with the yellow overlay
on the MPR.
5. Used the Sculpt tool to shrink the tumor either in 3D or drew a contour on several coronal or
sagittal slices (overlapping the tumor) and then clicked Remove.
As a result, the measurements in the tumor box on the axial MPR were not updated; the tumor volume
reported in the box on the axial MPR was different from the volume shown for Tumor in the 3D view;
and the maximum diameter line (green) and short axis line (red) were no longer consistent with the
yellow overlay on the MPR. This issue is resolved.
For Lung CT:
1. Loaded any phase with a visible nodule using the Lung CT protocol.
2. Selected the Nodule Anal ysis preset.
3. Located a nodule and selected the nodule.
4. Note the volume measurement value listed in the nodule information box.
5. Used the Sculpt tool to shrink the nodule in 3D and then clicked Remove.
As a result, the measurements in the nodule box on the axial MPR did not change.

Page 10 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8670
Resected and remnant liver regions and their measurements did not display correctly after the
liver region was sculpted
1. Loaded any phase of the dataset and segmentation/pre-processing completed.
2. Selected the Liver segmentation tool and clicked on the liver.
3. Ensured Liver was the region shown in the Multi-Pick Liver pop-up and clicked Add to.
4. Unclicked Base to remove it from the 3D view.
5. Selected the Resect tool and drew a resection line through the liver in an MPR view. Waited for
the resection to complete and displayed remnant and resected overlays and measurements in the
3D.
6. Selected the Sculpt tool and sculpted an area of the Liver region. The resected and remnant
regions overlaid the liver region and incorporated part of both regions.
There was no visible change in the remnant and resected overlay. When the liver region was viewed
on its own, the sculpted area was removed. The liver measurements were correspondingly reduced in
the 3D results box. The resected and remnant results remained the same.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8671
VIT-8597
VIT-8594
When a resection surface was created and a region to liver was merged, resected and remnant
Liver regions did not update
1. Loaded a study using the Liver protocol and the Resection Planning preset.
2. When the pre-processing completed, clicked the Liver tool, clicked the liver in an MPR view and
clicked Add To Liver.
3. Clicked the Resect tool, clicked on one side of the liver in an MPR view, and then double-clicked
on the other side of the liver in the same MPR view. The Anatomy list displayed the Liver,
Resected Liver, and Remnant Liver, and the volume view displayed volume measurements for
these regions.
4. Clicked the organ pick, clicked some other region in an MPR view, and clicked Add To Other.
5. Right-clicked the Other region in the Anatomy list, selected Merge, selected Liver, and clicked
OK.
The Liver region included the other region area, but the resected liver and remnant liver were not
updated. This issue is resolved.

Page 11 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8760
VIT-8759
VIT-8700
For Liver studies with Show Volume enabled, when you dilated an adjacent region, the liver got
smaller but Resected and Remnant Liver did not change
1. Loaded a liver study.
2. Selected the Liver CT protocol and the Resection Planning preset.
3. Used the Liver pick tool to create a Liver region, and used the Resect tool to define a resection
surface.
4. Deselected Show Volume for the liver and used 3D sculpt to define a region that overlapped the
liver.
5. Entered a region name and clicked Add To.
6. Selected Show Volume for Liver.
7. Saved the screen as Before Dilating.
8. Dilated the neighboring region.
The volume measurements did not display in the volume view. If you selected Show Volume for the
Liver, Resected Liver, and Remnant Liver regions the following occurred:
the measurement for the Liver region was smaller,
the measurements for the Resected Liver and Remnant Liver regions were not smaller, but the
measurement that was previously listed for the Resected Liver was not listed for the Remnant
Liver, and vice versa.
Since the measurements for the Resected Liver and Remnant Liver regions had not changed, but
the measurement for the Liver region had changed, the sum of the Resected and Remnant Liver
regions was not equal to the volume of the Liver region.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8872
When you dilated a Liver CT region adjacent to a tumor, the tumor region decreased but the
Tumor finding did not change
1. Loaded a Liver CT study.
2. Created and resected the liver.
3. Selected the Show Tumor Margin check box.
4. Created a snapshot.
5. Restored the snapshot.
6. Selected the Show check box for the liver region.
7. Selected the Sculpt Free tool and drew a contour that included all of the tumor, part of the liver,
and part of the volume outside the liver.
8. Entered New Region in the dropdown menu and clicked Add To.
9. Saved the screenshot.
10. Dilated the new region ten times.
The volume of the Tumor region changed to 0. When you clicked the tumor in the Tumor
Management list, the measurements in the axial view did not decrease but rather still matched the
screenshot. This issue is resolved.

Page 12 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8673
Able to rename regions that were not protected to a protected region name
Previously, this issue occurred when you completed one of the following workflows:
For Liver CT:
1. Segmented a tumor via sculpt or organ pick.
2. In the Sculpt dialog, selected Other in the field below the AddTo button and clicked the AddTo
button. A region named Other displayed in the Anatomy List but no tumor finding was created.
3. Right-clicked the Other region, selected Rename, and renamed the region Tumor or Tumor
Margin.
For Lung CT:
1. Segmented a nodule via sculpt or organ pick.
button. A region named Other displayed in the Anatomy List but no tumor finding was created.
3. Right-clicked the Other region, selected Rename, and renamed the region Nodule or Filling
Defect.
For Brain Analysis CT:
1. Segmented a region via sculpt.
button. A region named Other displayed in the Anatomy List.
3. Right-clicked the Other region, selected Rename, and renamed the region a protected name from
the list.
As a result, you were able to rename regions that should not be protected to a protected region
name. This caused an issue because once the region became protected, you could not rename it
again to make it unprotected, nor could you merge it with another region or edit it. In most cases,
you would have to Reset or Clear the Anatomy List.
Also, if you had created a region and renamed it to Tumor (now protected) and then created a
tumor finding, the original named Tumor region is replaced by the Tumor region with the
associated tumor finding. The contents of the original named Tumor region returned to Base.
This issue is resolved. For Liver CT, if you enter a protected region name such as Tumor or Tumor
Margin, Vitrea will add a number after the region name. For example Tumor will become Tumor-0. For
Lung CT, if you enter a protected region name such as Nodule or Filing Defect, Vitrea will add a
number after the region name. For example Nodule will become Nodule-0.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8676
VIT-8675

Results table did not update after merge to special region
1. Loaded a dataset into Lung CT/Lung Density Analysis.
2. Selected Show Volume for both the left and right Lung regions.
3. Unchecked the Show check boxes for Base and Airways in the Anatomy list.
4. Used the freehand sculpt tool to draw a contour around the lower half of one of the lungs.
5. In the 3D Sculpt dialog, typed Other in the field next to the AddTo button and then clicked the
AddTo button.
6. In the Anatomy list, right-clicked on the Other region and selected Merge.
7. In the Merge dialog, selected the lung region name that you sculpted from and clicked OK.
After the merge to the special region, visualization and Show Volume values updated appropriately but
the Results table did not update. This issue is resolved.

Page 13 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8874
VIT-8900

CT Fat Application: Waist Circumference measurement updated incorrectl y upon an irrelevant
edit
Previously, this issue occurred when you completed the following workflow on specific datasets:
1. Loaded a series into Abdominal CT and selected Fat Assessment preset.
2. Selected any slice.
3. Selected Segment.
4. Saved the screen with measurements.
5. Sculpted out a very small region in an irrelevant area, e.g., inside background.
6. Selected AddTo Other.
7. Saved the screen with measurements.
As a result, the Waist Circumference changed dramatically. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3945
Multi Planar Reporting (MPR) pan does not update in both comparative images when using
Modified Presets
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2743
Scrolling in the MPRs is out of sync for a volume view
This occurred when you loaded a 4-up view; selected the crosshair in any of the 2D panels and
repositioned to observe the other MPR views resulted in out of sync MPRs.
This will be resolved by contacting Customer Support.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7026
Zooming in Curved Planer Reporting (CPR)
If in CPR view, you may not been able to zoom when Window/Leveling.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2481
Curved Planar Reporting: Vessels twist sideways in the inset view
When probing single or dual volume vessels in CPR, and then rotating the image, the vessel may have
tipped horizontal instead of vertical. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3657

Original slice thickness modified preset caused scan with thinner slices to load a thick slice
MIP
Original slice thickness saved in preset caused a study that was scanned with thinner slices to load a
thick slice MIP. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6874
Inability to rotate 3D and pan 3D image when in 3DVR
You may be unable to pan and zoom when toggling in 3D oblique. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6824
CINE playback distortion in Inset views
Occasionally, in default segmentation with inset views, the CINE playback was distorted. This issue is
resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6742
Volume view remains in lower resolution rendering
When in the batch tab, changing from 1-up volume view to another view or vice-versa caused
rendering to change to lower resolution imaging. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6732
Checkboxes on Visual tab are disabled
If you selected snapshot mode, did not take a snapshot and then switched to the Visual tab, all of the
checkboxes are disabled. This issue occurred when the snapshot tool is selected and then switched
tabs before taking the snapshot. This issue is resolved.

Page 14 of 26
6.5 VitreaCore
VIC-535

System Admin: Vitrea Admi nistration Tool (VAT) allows entry of incorrect slashes in the license
URL
This issue occurred when the wrong backslash is entered in the URL:
ht t p: \ \ <VI MS Ser ver Host name>: 8760\ vi t r ea- l i cense
It then propagates to other parts of the system. If this happens, contact Vital Customer Support
directly. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3828
Snapshot tool remains on after snapshot has been taken
This occurred when you took a snapshot and the snap tool remained on.
6.5 VitreaAdvanced
SUSENG-3005
VIT-8897
SUSENG-3008
Snapshot Migration Tool generated excessive temporary DICOM files
Previously, when the Snapshot Migration Tool was run against datasets with snapshot and/or batches
many TempDicom.* files were created in either X:\VitreaData\temp or in X:\. These files were
collectively many times larger than the collective size of the packaged snaps/batches.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2993
Snapshot Migration Tool reported errors when dealing with long file paths
Previously, when the Snapshot Migration Tool was run as part of an upgrade against datasets
containing snapshots with path names greater than 256 characters, the snapshots were not migrated
and errors displayed in the snapshot packager tool log file. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2979
Snapshot Migration Tool hanged while converting snapshots
Previously, when running the Snapshot Migration Tool, if the Tool encountered datasets that contained
snapshots, but not 3D volumes, the Migration Tool would hang and not process further datasets. This
issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2357
SUSENG-2358
Data Manager: Cannot shift select multiple series.
This issue occurred with the following workflow:
1. Load a series through integration with Data Manager.
2. When Data Manager opens, shift select multiple series.
3. You were unable to shift select multiple series.
6.5 VitreaAdvanced
SUSENG-2986
Unable to login with LDAP accounts with periods in the username
Previously in 6.4.1, you were unable to use LDAP accounts with a period in the username.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2963
Unable to login with LDAP accounts in 6.4.1
Previously, this issue occurred when installing 6.4.1 and configured LDAP, specific user accounts
were unable to log into VitreaCore. An error message that stated "Failed to retrieve user information."
displayed. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2925
Upgrade from 6.3.x or older to 6.4.x or newer failed and caused the prerequisites to not install
correctl y
Previously, when upgrading from 6.3.x or older to 6.4.x, and you cancelled the installation or it did not
complete past the Mysql prerequisite, future installation attempts would skip the prerequisites.

Page 15 of 26
6.5 VitreaAdvanced
VIT-8548
VIT-8547
Licensing does not prevent use of new licenses on older versions
This issue occurred in the following workflow:
1. Remove any licenses.
2. Create a license for a newer version (e.g. a 6.5 license for version 6.4).
3. Copy the license to the license folder.
4. Load VitreaAdvanced.
5. VitreaAdvanced should not start, displaying a message that no license is available. Instead, the
session starts with no error message.
6.5 VitreaCore
VIC-537

Help tab: Displays 404 error when downloading video
This issue occurred in the following workflow:
1. On a system that does not have Adobe Flash, go to view a Video on the help tab.
2. Open Vitrea Core, sign in, click the help tab, and select a video.
3. A link will be presented to allow you to download the file. Click the link.
4. You received a 404 error instead of a prompt to download the video.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6499
Myocardial Anal ysis and Myocardial Perfusion: When selecting the red/blue color bar and
adjusting the red/blue threshold resulting in multiple red/blue color thresholds, a snapshot with
these multiple thresholds will not properl y restore all of the red/blue thresholds
This issue is resolved. The 2-color bar is removed for the 6.5 release.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6465
Myocardial Anal ysis and Myocardial Perfusion: When the red/blue threshold is adjusted, the
detailed polar plot threshold sometimes does not change to match the volume view, and the
threshold on the 17-segment polar plot never changes to match the volume view
This issue is resolved. The 2-color bar is removed for the 6.5 release.
6.5 VitreaWorkstation
VIT-4023
Calcium Scoring (CACS): Draw contour in 1-up, switch to N-up. In part of upper left image,
cursor is 4-headed arrow, and can't draw contours
Previously, this error occurred when you drew contours, switched views, preventing ability to further
contour. This issue is resolved.
6.5 VitreaAdvanced
VitreaWorkstation
Rendering: Multi-volume fusion is onl y available in GPU mode.
This includes generic volume fusion (up to four volumes) and fusion features in Myocardial CT and 4D
Brain Perfusion.

Page 16 of 26
VitreaAdvanced and VitreaWorkstation 6.5.1 Known Limitations
Version Product Description
6.5.1 VitreaAdvanced Windows 8 is not supported as of the 6.5.1 Release
PIN-1236
Oncology Core Does Not Auto-Select All Series resulting in saved sessions not being used
The workaround is to right click onto the Data Selection and manually add the sessions to the launch
context. Please contact customer support to manually adjust application tab rules if the workaround is
not sufficient.
Mirada Oncology
Fusion
PIN-1235
Oncology Fusion Core Requires Manual Export.
Due to configuration changes, a manual export of evidence is required from Mirada Oncology Fusion
Core. Evidence will no longer be automatically sent.
As a workaround, a configuration option is available, but this will cause the issue described below to
occur. Please contact customer support for assistance to enable this configuration.
VitreaWorkstation
Mirada Oncology
Fusion
PIN-1204, PIN-
1180
Duplicate Mirada Oncology Fusion Snapshots and batches display in study list, snapshot tray
or report page
Mirada Oncology Fusion (3.6) snapshot behavior has changed. Each time a session is opened, it is
treated as new session. If there were already snapshots or batches, a new copy of the snapshot or
batch will be made upon subsequent sessions.
VitreaWorkstation
Mirada Oncology
Fusion
PIN-1176
Mirada Oncology Fusion: Snapshot Evidence Synchronization limitation
Mirada snapshots can be deleted from the Study Directory (Standalone) or Snapshots and Series
trays (VitreaAdvanced). However, there will be a 'split' icon in the Mirada Oncology Image Gallery
noting that the evidence is no longer available.

Page 17 of 26
VitreaAdvanced and VitreaWorkstation 6.5 Known Limitations
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7309, VIM-
1433, VIC-669,
VIM-1695
Snapshot restorability limitations
In certain cases, snapshots are not restorable:
1. Snapshots created in version 6.4 and 6.5 will not be readable or useable in previous versions of
the product.
2. Snapshots sent as monochrome will not be restorable.
3. Snapshots taken when disparate patients are loaded (i.e. not identified as the same person) will
not be restorable.
4. Snapshots created in 6.2 or 6.3 ECF-based VitreaWorkstation for XA studies with
dicomSnapMode ON will not be restorable when using the 6.4 VIMS based VitreaWorkstation.
5. When restoring to VitreaCore, not all attributes of advanced applications can be restored.
6. Snapshots restored into Myocardial Perfusion/Analysis will not display the 2-color bar upon
restore. This feature has been depreciated and is no longer utilized in the product.

Snapshots created in 6.2 or 6.3 ECF based VitreaWorkstation that are migrated to a 6.4 VIMS based
VitreaWorkstation will display the migration timestamp on all snapshots.
NOTE: Snapshots that do not have DICOM Snapshot Mode enabled will not migrate from previous
versions of VitreaWorkstation.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-4554
The 6.5 software release is currently unable to restore Colon, TAVR, 4D Brain Perfusion and Stent
Planning snapshots in VitreaCore.
6.5 VitreaAdvanced
VitreaWorkstation
VIM-1587
CT Brain Perfusion 2D Jog Shuttle
Vitrea CT Brain Perfusion 2D supports jog shuttle scans for GE scanners, except for scans that have
slice levels greater than 30 or scans that are sent as more than one series. Jog shuttle has not been
validated for any other scanner manufacturer.
When loading unsupported wide-coverage data in Vitrea CT Brain Perfusion 2D, the perfusion maps
may not be accurate. Known behaviors include a potential for perfusion differences between the top
half of the scan and the bottom half of the scan.
6.5 VitreaAdvanced
VitreaWorkstation
Siemens scanners that acquire three slice CT Brain Perfusion are not supported.
6.5 VitreaAdvanced CT Brain Perfusion Series Merging
CT Brain perfusion studies that have been received in separate series can be combined into a single
series on VitreaWorkstation; this feature is not available in VitreaAdvanced. This issue can be avoided
by changing the way the data is exported from the scanner.
6.5 VitreaAdvanced
VitreaWorkstation
SUSENG-2710
Circle of Willis (COW) Protocol: Jog Shuttle does not build one volume
The shuttle jog builds two volumes instead of one volume.
J og Shuttle is not supported in COW protocol.

Page 18 of 26
6.5 VitreaAdvanced
VitreaWorkstation
Segmentation and vessel anal ysis limitations when analyzing CT data with contrast and
reconstructed at 80-100 kV
There may be degraded performance of the segmentation and vessel analysis algorithms used in
VitreaAdvanced and VitreaWorkstation when analyzing CT studies with contrast which have been
reconstructed at 80-100 kV. Applications and related tools which may be affected are: Generic CT
(Vessel Probe Tool and Extend, Automatic Bone Removal, Vessel Grow, and Bone Pick), CT
Coronary Analysis (auto coronary vessel tracking), Endovascular Stent Planning, Transcatheter Aortic
Valve Replacement, Cardiac Functional Analysis, Cardiac Multi-Chamber Functional Analysis, EP
Planning, Myocardial Analysis, Myocardial Perfusion, and Liver Segmentation.
6.5 VitreaAdvanced
VitreaWorkstation
VitreaAdvanced Servers and VitreaWorkstations require at least 12GB of RAM to support the
Liver application.
SUSENG-2880
Shadows display in CTA/Aorta when Auto Bone or Remove Fragments are used with CPU
Rendering
The Auto Bone or Remove Fragments options when used with CPU rendering can cause ghosted or
shadow remnant of ribs in some cases. As a workaround, use the Dilate feature in the Regions
Options menu to improve the 3D image quality.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8540
Incorrect result is shown when loading a Lung Density Anal ysis dataset with onl y one lung
This is a limitation as the software assumes there are two lungs and always tries to separate them and
label left and right.
6.5 VitreaAdvanced
(TomTec
ultrasound
application)
TomTec installation requires GPU rendering
TomTec installation requires GPU rendering. Therefore, Virtual Machine deployments are not
supported.
6.5 VitreaAdvanced
(MeVis Visia
Dynamic MR)
PIN-880
MeVis Visia Dynamic Review multiple user limitation viewing same study
Multiple users cannot load the same MeVis Dynamic Review case.
VIT-8493
Mirada Saved Session is unavailable after an upgrade
For Workstation deployments prior to 6.3: Upgrades to 6.5 will cause saved sessions to become
unavailable. The Mirada saved sessions are used to go back to an incomplete workflow. All the
evidence previously collected is still available to consume in the report.
As a workaround, you can complete the Mirada workflow before the upgrade or redo the workflow
after the upgrade in absence of the saved sessions.
6.5 VitreaAdvanced
(Cedars-Sinai
QPET and SPECT
perfusion)
Cedar-Sinai QPET and SPECT perfusion applications require GPU rendering
Cedars Cardiac Suite installation requires GPU rendering, therefore Virtual Machine deployments are
not supported.
6.5 VitreaCore
VIC-474
VitreaCore query onl y returns results if the patient scan is within the last eight years

Page 19 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIM-1685
VIM-1691

SQL Server 2005 Express Edition limits the total available DICOM data storage to 1 TB
DICOM data storage is limited to 1 TB due to SQL Server 2005 Express Edition having a 4 GB
database size limitation. This issue is usually encountered when running VitreaWorkstation fX on
Windows XP.

As a workaround, upgrade the Windows Operating System to Windows 7 for a VitreaWorkstation or
upgrade to Windows Server 2008 R2 for a VES system. SQL Server 2008 R2 provides up to 2TB of
DICOM storage and is used by default on Windows 7. SQL Server Standard Edition should be used in
situations where the SQL database size is expected to be larger than 10 GB.
6.5 VitreaAdvanced
VitreaWorkstation
VIM-1640
Microsoft Internet Explorer 10 is not a supported internet browser for the 6.5 release.
6.5 VitreaAdvanced
VitreaWorkstation
VIM-1644
Vital does not generate Encapsulated PDF DICOM data
Vital does not have the capability of generating Encapsulated PDF DICOM data. Therefore, any
generated Encapsulated PDF evidence from third party software will be in a Secondary Capture and
will properly display in the Vital Reporting tray.
6.5 VitreaAdvanced
VIC-678
CD/DVD Report Viewer application requires .NET 4.0
If you burn a CD/DVD from the VitreaCore Report page and then try to select the AutoRun.exe option
from the auto-populated dialog, a .NET Framework Initialization Error will display if .NET 4.0 is not
installed on the system.
6.5 VitreaAdvanced
VitreaWorkstation
NAS path is permanent
The Network-Attached-Storage (NAS) path is permanent. Customers that wish to replace or rename
the NAS path must keep the original hostname or reprocess all patient data.
6.5 VitreaAdvanced VitreaAdvanced Onl y Supports x64 Operating System
Vitrea installations on v1.1 (or earlier) will not be able to use their x32 Vitrea Powerstation
configuration with the latest version of Vitrea. These Vitrea Powerstation installations must either be
migrated to an x64 OS or use an approved VitreaAdvanced Server.
6.5 VitreaAdvanced
VitreaWorkstation
Older Licensing Technology Not Supported
The introduction of new licensing technology in Vitrea 6.0.2 will require that any users running a
version prior Vitrea 6.0.2 system to obtain an updated license in order to use later versions of the
product.
6.5 VitreaAdvanced Study Directory Access
The VitreaWorkstation Study Directory is not available from VitreaAdvanced. Key features and
functionality that are only available on the standalone workstation include Study Viewer and Disk
Space Indicator.
6.5 VitreaAdvanced Vitrea Review Tab
The Vitrea Review tab is not available in VitreaAdvanced. This functionality is currently offered through
the Report Tray in the Data Manager to support report distribution.
6.5 VitreaAdvanced Sub-Volume Loading not available in VitreaAdvanced
The Vitrea Study Directory supports the ability to select discrete points within a studys 3D volume for
loading into the viewer. This capability enables you to manage local resources by only loading a
subset of the data and is not available in VitreaAdvanced.

Page 20 of 26
6.5 VitreaAdvanced
VIT-8474
EP Planning - Save 3D button is present and displays operational but does not save EP files on
a VES Workstation
Currently the save 3D button is not supported when using the VES Workstation (commonly called
PowerStation) deployment. This is only available when using a standalone VitreaWorkstation.
6.5 VitreaAdvanced
VitreaWorkstation
3D image appearance differences when rendered by GPU vs. CPU
The appearance of 3D images can be different when rendered with a dedicated GPU versus CPU-
based rendering.
6.5 VitreaAdvanced
SUSENG-2428
System Administration issue: Duplicate patientID entered with slightl y different name
If two studies with the same patient ID and different names (such as one with a middle name and the
other without) are sent to Vitrea cache and auto-delete rules specify that the two studies should be
deleted, only the newer study will be deleted. The other study is orphaned.
A system administrator can delete the orphaned study folder manually.
6.5 VitreaAdvanced
VitreaWorkstation
Multi-volume fusion limitations with older GPUs
Multi-volume fusion of more than three volumes is not supported on older graphic cards (Examples:
Quadro FX3500 and ATI FirePro V5800). Vitrea will only allow three volume Multi-volume fusion with
the older graphic cards and will allow up to four volumes with the newer graphic cards.
6.5 VitreaCore
VIC-668
Findings do not display in the Report Tab when using McKesson HRS-A and Internet Explorer
6.
Findings will not display in the Report Tab when integrated with McKesson HRS-A PACS while both
6.4 and 6.5 VitreaCore Clients are installed and the browser version is Internet Explorer 6.
As a workaround, please update to a supported version of Internet Explorer.
SUSENG-3084
SUSENG-3303
VIM-1738
IPv6 is not supported at this time.
Internet Protocol version 6 (IPv6) is not supported at this time.
6.5 VitreaAdvanced
VitreaWorkstation
English onl y user documentation
The 6.5 release will only include the English version of user documentation.
6.5 VitreaView A new version of VitreaView is not part of the 6.5 release.
The current released version of VitreaView cannot be used with this version of VitreaAdvanced.

Page 21 of 26
VitreaAdvanced and VitreaWorkstation 6.5.3 Known Issues
VitreaWorkstation
SUSENG-2738
Unable to edit contours carotid vessel probe after abdomen or other type study.
As a workaround: If the user is processing a study in the Vascular: Aorta Stent CT protocol and
knows that they will be probing vessels and editing contours in another protocol later on, the user
should uncheck the Wall checkbox in Vessel Tools prior to leaving the Aorta Stent protocol. Or if the
user experiences the defect while editing contours, the user doesn't have to restart Vitrea to get the
functionality back. Instead, they can load a study in Vascular Aorta Stent CT protocol, uncheck the
wall checkbox and reload the study.
VitreaWorkstation
SUSENG-3248
Vessel names are not maintained in the MPR views
The vessel names are missing , however the image and visualization info provided is correct, as a
workaround a user could use annotation tool to label the MPR image
VitreaWorkstation
SUSENG-3408
Snapshots can appear with red x on report page when going back to study directory i f
nonstandard nasroot for patient data is used.
The software cannot use a nasroot of \\hostname\patients and the standalone cannot change the
e:\Vitreadata folder to be e:\Patients
VitreaWorkstation
CT Cardiac
Functional
Analysis
SUSENG-3628
When loading functional cardiac CT data into CT Cardiac Functional Anal ysis application the
segmentation can be initialize incorrectl y resulting in an incomplete graph.
As a workaround; The user can drag and orient the LV axis into the correct position/orientation and
then hit the "Compute" button to update the segmentations. The user may have to further adjust the
mitral valve plane or apex plane on one or more phases to a final, correct configuration and click
"Compute". Once the LV axis and planes have been properly adjusted, contours may need to be
edited in one or more phases in order to achieve the final segmentations and calculations
6.5.3 Vitrea Core
SUSENG-3633
Vitrea Core login takes more than 30 seconds
When logging into Vitrea Core with LDAP account, you may experiences a delay of up to 30 seconds
before the study list shows up
VitreaWorkstation
SUSENG-3643
Reporting UI errors when IE ESC is not turned off for Users
During install and configuration, the system will generate errors because the rights required to access
a specific file are not available when IE ESC is not turned off for Users.
VitreaWorkstation
CT Body
Perfusion
SUSENG-3673
A registration failure prevents case work-up
During the processing of a Body Perfusion study if the registration fails it prevents additional workup,
the UI buttons are disabled. Attempt to recover by cancelling registration step does not work

Page 22 of 26
VitreaAdvanced and VitreaWorkstation 6.5.1 Known Issues
VitreaWorkstation
SUSENG-3311
System Administration: VitreaCore Client does not register with certain PACS integrations
PACS integrations that do not leverage the URL API, or VCAccess.aspx, will have to register the
VitreaCore client by visiting the VitreaCore logon page (default.aspx) prior to using the integration.
VitreaWorkstation
Mirada Oncology
Fusion
PIN-1155
Mirada Oncology Fusion may not exit properl y when the application is closed using the Red
" X"
If you close the application using the red x, Mirada Oncology Fusion may not transfer the entire
Saved Session.
As a workaround, the Mirada File | Exit menu can be used when the Saved Session feature is
desired.
VitreaAdvanced and VitreaWorkstation 6.5 Known Issues
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8518
Calcium Scoring (CACS): Unable to take snapshots after deleting all interpolated contours
This issue occurs in the Cardiac: Ca Scoring CT protocol with 2D VScore preset and after deleting all
interpolated contours. A warning message is displayed you must interpolate all contours to take a
snapshot.
As a workaround, reset or reload the series and redo the workflow or restore the snapshot if taken.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3280
CT Myocardial protocol: Contour edits sometimes not saved
Occasionally, in the CT Myocardial protocol when you make contour adjustments, select compute, the
contours change back to the previous position. This occurred when the adjustments made were not
accepted.
A dialog displays for you to analyze and determine if further adjustments to contours need to be made.
You can continue to adjust the location of the contours by using the "Edit" option under "Cardiac
Analysis" as needed.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8940
Myocardial Perfusion: Overlay/Fusion On colors not correct after adjusting the threshold when
toggling between stress and rest
This issue occurs when you complete the following workflow:
1. Load two series using the Myocardial Perfusion preset.
2. Change the polar map to Overlay/Fusion On and 2-color bar.
3. Press F10 to see state of polar map for other series and then press F10 again.
4. Adjust the threshold of the 2-color bar to make a change in the blue/red colors.
5. Press F10 to display other series.
As a result, the polar map colors get out of sync and do not match MPR colors.
The 2-color bar is removed for the 6.5 release.

Page 23 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8949
VIT-8977
Myocardial Perfusion: Changing the layout to 1-up view after using F9/F10 with 2 Color Bar
enabled displays the wrong series
This issue occurs when you load two series using the Myocardial Perfusion preset, change the color
bar to 2-color, press either F9 or F10, select any of the 2D images and change the layout to a 1-up
view, the series changes. For example, if a 1-up stress series was selected, the rest series displays.
As a workaround, press F9/F10 to change the series that is displayed. The 2-color bar has been
removed for the 6.5 release.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-9108

MyoAnal ysis polar map image has report page graphic captured instead of the polar map
This occurs when you complete the following workflow:
1. Load MyoAnalysis protocol.
2. Wait for segmentation/calculation to complete.
3. Take snapshots of different views and quickly go to report page.
4. Examine the snapshots and polar maps on the report slide tray.
Sometimes the two generated polar map images display as the background of the report or viewer
page.
As a workaround, toggle between the Viewer tab and the Report tab to regenerate the polar map
images.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8366
Transcatheter Aortic Valve Replacement (TAVR): Ruler and circumference measurements
difficult to measure/edit
This issue occurs when the ruler and ROI measurements overlap. Combined ruler and ROI
measurements are difficult to edit unless one is moved out of the way.
As a workaround, complete the workflow in a different order, such as drawing the rulers first or
drawing the rulers to extend beyond the ROI and adjust accordingly.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8227
Non-cardiac protocols: Orientation position angles not displayed
When loading non cardiac protocols and selecting the 3D preset, the orientation is not displayed.
As a workaround, C-Arm angles (a different format of the orientation) can be found in other protocols
such as Cardiac: Arteries and Vascular: Stent Planning.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7765
Large Tumor Probe Tool
When probing a tumor, you select the large size and then manually adjust the size by clicking -" to
reduce the tumor. In certain cases, the size increases, rather than decreases.
As a workaround, select -" again and the appropriate size is reflected.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-5925
CT Liver Anal ysis: When loading a multi-phase series, the phase buttons are
not properl y displayed at the bottom of the screen with a 1280x1024 monitor
resolution
This has been resolved for English. As a workaround for other languages, change the monitor
resolution. If this is not possible, please contact Vital Customer Support.
VIT-6515

Body Perfusion: Different version snapshot restore fails/doesn't complete
If you complete Body Perfusion snapshots on Vitrea Standalone workstation and export to another
machine, the snapshot fails or does not complete.
As a workaround, open the original series and retake the snapshots.

Page 24 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7942
CT Fat Application: Auto generated images are black for single slice data
This issue occurred with the following workflow:
1. Launch single slice data into CT Fat preset.
2. Select the Report tab.
3. The report should populate with auto generated images.
The Auto generated images are completely black.
As a workaround, take snapshots and drag into the report to replace the blank images.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8708
Lung Density Undo after sculpting and creating a new region removes all segmentation
This issue occurs when you:
1. Load a dataset into Lung CT/Lung Density Analysis.
2. Select Show Volume for both left and right lung regions after segmentation completes.
3. Uncheck the Show checkboxes for Base and Airways in the anatomy section. Only the L Lung
and R Lung should be visible in the volume view.
4. Using the Sculpt tool, draw a contour inside the borders of one of the lungs in the volume view.
5. In the 3D Sculpt dialog, select "Other" from the dropdown list of the field next to the "AddTo"
button and then click the AddTo button.
6. Click Undo (F11) once.
7. All segmentation is undone and only the base region is shown is shown in the Anatomy list.
As a workaround, merge the other region back to the left lung region instead of undo or reset the
view. You can also redo (press F12) to bring segmentation back.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8882
Inconsistent behavior when using Autoskin within the CT Fat application
When you launch a study using the CT Fat preset, select Autoskin, select Segment, select Autoskin
again and then select Replace, the regions and measurements are affected. If you select Segment
and then Autoskin, the Autoskin does not affect results or regions from initial fat segmenting.
6.5 TomTec
VitreaAdvanced
VitreaWorkstation
PIN-1030
TomTec: Cardiac Package vector editing and playback tool buttons become disabled
This issue occurs when completing the following workflow:
1. Log into VitreaAdvanced or VitreaWorkstation.
2. Select the Ultrasound (US) data into TomTec.
3. Right click for 2D Cardiac, create segmentation and select the analysis.
4. Edit the vector size or go through the velocity points through the playback.
The vector editing or playback tool should consistently be enabled and "clickable". Instead, the buttons
are selectable only once and stop functioning.
As a workaround, click a different button or off to the side to reenable the buttons.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-7891
Burning CD/DVDs in Windows XP: Progress bar stops at 99%
The CD/DVD disk burn is finished and ejects, however the progress bar shows 99%. You perceive the
CD/DVD is missing a file when the status does not correctly display 100%. This only occurs in
Windows XP.

Page 25 of 26
6.5 VitreaAdvanced
VitreaWorkstation
VIT-3836

Help links in Demonstrations sections cause VitalBrowser to crash.
In VitreaAdvanced, if the Help tab is selected, followed by a link within the Help-Demonstrations
section, followed by a link in the selected Help-Demonstrations page, the Help tab will be blank and
will not return until VitreaAdvanced is restarted. The defect will only occur on machines running
Microsoft XP (Vitrea workstations or VitreaAdvanced Servers). It is caused by a 2006 Microsoft
security update (#923789) related to the use of Adobe Flash.
There are two alternatives for a system administrator to fix this problem:
1) Uninstall Microsoft KB #923789. The next time a Help-Demonstrations link is opened, you will be
prompted to either download the associated video or to install Adobe Flash. This will have to be done
on each VitreaAdvanced Server and/or Vitrea Workstation involved.
2) Manually install the latest version of Adobe Flash which will overwrite the incorrect Microsoft patch.
6.5 VitreaAdvanced
VIT-4133
Start Conference Dialog displays if VitreaAdvanced is clicked next to the minimize bar
Clicking VitreaAdvanced near the top right of the screen causes the Start Conference dialog to
display, blocking clinical workflow.
As a workaround, select Cancel and it will not display. Furthermore, the conference buttons are
hidden in Windows 7 Aero theme and you may switch to the Classic theme if they wish to see the
conference button.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-8403
License server connection unavailable: Pressing gallery tab hangs application
This issue may occur when taking a group of snapshots, batches, etc. and you lose the license
connection and go back to the Gallery before the workflow was finished.
As a workaround, the evidence is populated when the you click Back to the Study Directory.
6.5 VitreaAdvanced
VitreaWorkstation
VIT-6268
Media Manager import fails with extremel y large size DICOM files (>2 GB)
MediaManager import fails with large (2 Gigabyte) DICOM files. This size would typically be reached
with approximately 4,000 images.
As a workaround, you can use other tools to import the patient study such as sending the dataset
directly from the modality to PACS.
6.5 VitreaAdvanced
PLT-3753
Ensure that the firewall on Microsoft Windows 2008 allows port 8760, otherwise you will not be able to
see the license.
6.5 VitreaAdvanced
VitreaWorkstation
VIM-1534
The Admin tool will report that remote administration is not allowed when pointing to a remote license
server.
6.5 VitreaAdvanced
VIT-8217
An error will display to inform you that you are unable to connect to the reporting application when
taking snapshots while the database is failing over. This message only displays in load balanced
deployments.
6.5 VitreaAdvanced
VitreaWorkstation
PLT-3795
In some cases, the installer will not be able to create proper temporary folders needed for services. If
you suspect that services are not working correctly, please contact Customer Support.
6.5 VitreaAdvanced
VIC-634
You may experience a message indicating "The feature has not been licensed" when the database is
down or when the connection to the database has been temporarily interrupted.

Page 26 of 26
Versioning Information 6.5.3
Product Name Description
VIMS Server 6.5.3
VitreaAdvanced Server 6.5.3
VitreaCore Server 6.5.3
VitreaAdvanced fX 6.5.3
Vitrea (Workstation) 6.5.3
Vitrea fX (Workstation) 6.5.3
Cedars-Sinai Cardiac Suite Quantitative Blood Pool SPECT (QBS) 2012.0.0.17760
Cedars-Sinai Cardiac Suite Quantitative Gated SPECT (QGS) 2012.0.0.17760
Cedars-Sinai Cardiac Suite Quantitative Perfusion SPECT (QPS) 2012.0.0.17760
iCAD VeraLook CAD 1.0 1.1
Medicsight Colon CAD 3.3 4.1
Medis QMass MR 7.5.20
Medis QFlow 5.5.22
Medis QFlow Advanced 5.5.22
MeVis CT Lung CAD 3.1.2
MeVis Visia Dynamic Review 6.3
Visia CT Lung CAD 3.0.1
Mirada Oncology Fusion Core 3.6.3.5
Mirada Oncology Fusion Standard 3.6.3.5
Mirada Oncology Fusion Advanced 3.6.3.5
Olea PerfScape (Neuro MR Perfusion) v2.01
Olea NeuroScape (Neuro MR Neurological Assessment) v1.2.0
TomTec Base Cardiology 5.01.245559
TomTec Advanced Cardiology 5.01.245559
TomTec Radiology 5.01.245559

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