Computers are a central component of all the newer imaging methods available to the medical imager. It is obvious that the radiologist with an understanding of computer science will have an advantage in dealing with this equipment. In part 1 of this series [1 ], the value of computer literacy in the prepurchase evaluation of imaging equipment was discussed. This article will deal with the daily troubleshooting of computerized machines. Nothing is more exasperating than having a million-dollar machine idle for half a day while waiting for the service engineer to arrive from some distant site, or having to abort an examination because of computer failure, especially when the patient has already been injected with contrast material. This article illustrates how computer literacy allows the radiologist to troubleshoot equipment, and fix many hardware and software “glitches.” While the radiologist cannot be expected to make complex repairs, our experience has shown that a significant number of breakdowns are due to relatively simple problems. When these occur, the radiologist with an understanding of computers can often rapidly bring equipment back to function without calling a repairman. This may result in decreased cost, as well as more rapid patient throughput. This paper gives examples of how a knowledge of cornputers is valuable to the radiologist in his everyday practice. Most simple hardware repairs are best learned from the field service engineers who are called when the machine is “down.” Minor hardware problems are often recurrent, and the radiologist who takes an active interest in these problems can gain enough knowledge to fix them rapidly. Several examples are detailed below. The acquisition of software literacy is somewhat more difficult. Courses and books on the fundamentals of computer programming are ubiquitous. Those interested in developing computer literacy should begin with a home computer and a good basic course in programming. In particular, attention should be paid to the methods by which computers handle files, as file-handling errors are the most common software problems encountered in imaging systems.
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