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Display Workstation

1. 45 Lada 6 M Mac e Lat dende 81 97 E SLOP c iese ue Drevtian eU SL on ss va PE EUdUdT 98 Maso GaS Sre ed Last eatenus 44 Manual Policial 84 Mammal A ESN 45 Mark Key TTHBBE o die e ti Lo veneni aot ties 34 Mark Print mage ii ta 35 A eduokuasduca soU Eddie RLUUS 59 Monitor Configuration eee 69 My Private Fold Etanol 91 MSS lait Fold aes 91 N Navia OO oia doin 10 NEW 95 MOD UM DIE UM 60 O sid EN 11 84 Open Comparison Exam ueeesss 79 Open DICOM files See Open Local Display Workstation OPE MI LOCA oeeie eo 1 COR Claeys oso usd topi rece Eos Esca Rd 12 ODON S Pc c S 69 97 P A MUI IU EIC E EE 1 PP 43 PASS WO ao cti alo en co 71 O 17 87 Patient Orientation na 24 PPM es tren E ERE 13 Pixel Value suia 2 95 1 0 500 0205 3 80 6 0 39 0545 03 46 A a a se dolou dms 58 POPUP Na 32 POR a E E tes eed 73 PETI nicer oho AEN TEES DARE maim 14 85 a A NN 14 PP oO vices ume Doe 37 POPE eo ace ben 96 Q QUICK Bt eco n o t eee ss 88 R Radiolo CIS Ss aida 61 RARA qu 1 RAYPAX Display Workstation 5 REC nt tanen d dus 63 RecN leuis ddott cio 57 REO reas 16 Reject FOTW Aid ut Gies tib testis lolabiadestoosetance 67 Reject Transcription o pea sa 66 111 ISelated EX AIMS ostia isla 98 A A A 89 REMOVE E 96 Remove Scout Image esses 30 Report History o
2. 73 CO a 13 85 COSA A E on Rode 13 Cobb Amoles acia e 56 Comparison Exams essen 71 COMPITO iNi NENE 66 Continue MIC ossen ES 81 82 COPY A esate 17 87 Copy to Clipboard cccccceeeeeeeeeeeeeeeeeees 37 Copy to Private Folder Ad Current Patient Folder sssss 92 O O 86 D DDP uns See Default Display Protocol Default Display i ds el Default Display Protocol 79 B yal eosdebet des 18 87 IB omui P 38 DIC ONLETIIGS dete i oto eta Eee 36 DIC OMG ate Way i odo ode obit esto lidia 73 DICOM Information 36 Dicta area Aea 61 63 110 Dictatton MEO sisi ip eese bebo oo dudes 81 Display LOA sia 76 E Edit BOX 93 A O tu di ELI 57 Exam Browser eee 5 83 Exam Procedure ou eR onte aaa 98 Ex pan ocu PE PEN m 18 20 Export Mitad 38 Extra Memory Space 69 F PP AN 4 Fold n ao 95 Polder Pati Bard 88 Folder TV De Giese acne e idee tI MU 95 A O 71 Formatia enn ois rU gea Duca dra 10 22 Forn al Ol estais duin cuta use a de 61 66 90 PMS CC CM eee curd dit otestedko tte dete oue dateien 21 H Histogram Equalization sss 48 I O A 71 o A tes a Deco teases enc 47 IP Addres c REI E II REN III T9 J User s Guide K Key Ide Sosa dq bed orate ed eb mea ve de 34 L IE dicet D CN LA 54 Load All Images cic ie 26 31 Local Window Level
3. Display Format Default Display VVindow Level Preset Default Display Protocol DDP WindowrLevel MR HEAD Wi GAD 629 314 Ctrl 1 MR UNKOWIN 3771141 Ctrl 2 Window Level Preset Tab Display Workstation Ctrl F cm a Open Comparison Exam This is a function to automatically open patient exams that are related to the selected exam for comparison 81 To preset the Window Level x Click the Add button x Enter the Title and the Window and Level parameters x Select a Hot Key from the pull down menu 20 hot key combinations are available Alt 09 and Ctrl 0 9 Edit Window Level Preset gt x Title Window 2221 1 532755 Level 86 32768 32767 Hot Key Ctri 4 Edit Window Level Preset Dialog x Click the OK button to add the preset otherwise click the Cancel button to stop the operation Default Display Protocol DDP Tab The Default Display Protocol function allows pre configured viewing of Comparison Exams When an exam is opened using the With Comparison Exam function related exams for that patient can be opened as well for comparison The arrangement of these exams on the available monitors is determined by the parameters set with the Default Display Protocol For details on the use of the With Comparison Exam function refer to the Tools menu of the Exam Browser in this manual 82 User s Guide Option mI x System User Info Work
4. This allows a new bookmark to be added to the Quick Bar To add a bookmark open the folder to make a bookmark for and x Select Add Bookmark from the menu x Enter the Bookmark Title when the Bookmark Title dialog box appears or accept the default name x Click OK x The new bookmark will appear on the Quick Bar Bookmark Title A X Bookmark Title Bookmark Title Dialog Edit Bookmark A bookmark can be edited Editing functions include deleting renaming and changing display order on the Quick Bar 100 Edit Bookmark Delete Deletes the selected bookmark Rename Renames the selected bookmark Up Moves the selected bookmark up in the order Down Moves the selected bookmark down in the order User s Guide ventcabon Unread Transcription Aporcowal Edit Bookmark Dialog To edit a bookmark on the Quick Bar x Select Edit Bookmark from the menu x Select a bookmark to edit and click one of the edit buttons x When finished click OK x The changes can be seen on the Quick Bar Workflow The Workflow menu is the same as the workflow in the Image Viewer of the RAYPAX Display Workstation Please refer to the Workflow menu in Chapter 2 Display Workstation Bookmark Workflow Folder Tools verify Ctrl E ib Transcribe CErl T Report Approve Fid iy Prival 2 Undo Cancel Farwading Verify To start the Verify workflow t
5. a EXCT20000309133433884 m RXCTZ0DDO309133448902 RACTZO000309 lai RXCT20000 3091 33435887 RAXCT2 000 3098133451905 e RACTZOOO0309 x RXCT200003091 33438890 ReCTZO0003091 33453906 e RACTZOO00309 ai RXCT20000 3091 33440893 ix RXCT2 0000308133455911 B RACTZOOO0309 sa RACTE00003091 33443096 sa RACT20000509153450914 RACTED000309 laa RXCT20000309133446899 ix ReCTZ00003091 353501917 RACTZO000309 File name RxCT20000309133433864 Files of type All Files L ancel Image Intarmatian Freiew If a dcm file is clicked on a preview image can be viewed Patient s Name samuels AmandaLlynn Modalite CT Procedure CHESTROLITINECT ser No Img Mo 1 Rows 512 Columns 51 2 iY Show Preview Open DICOM Files Dialog Open Related It shows all related exams for the selected patient in the Related Exams dialog box which can then be opened as desired Related Exams x Patient Name BECKER RICH Patient ID 05752367 04 27 2001 19 38 04 27 2001 18 47 05 26 2000 16 39 10 21 2000 16 32 08 10 2000 18 54 06 07 2000 13 33 12 06 2000 19 35 12 01 2000 19 38 01 31 2001 19 35 5 I JOINT SERIES SCHEDUL UPPER AIRWAY ORDERED MANDIBLE SERIES ORDERED T L SPINE SERIES ORDERED CT ANGIOGRAPHY THORACOABDOMIN ORDERED CHEST ROUTINE CT DICTATED OUTSIDE MRI PELVIS ORDERED CT LEG PA amp LAT SCHEDUL ZZZZZZZON NECK SOFT TISSUE SERIES ORDERED Related Exams
6. Click and drag the mouse to create a text box and then enter the text for the memo Example of Memo Display Workstation Note 59 Text can be added to an image with a line showing the point in context It is useful when text is written to indicate something on an image To add a Note x Select Annotation gt Note from the menu or x Select Annotation gt Note from the popup menu or x Click the Note button in the Toolbox Workflow Example of Note Processing Annotation Workflow Tools Help Verify Ctrl E Chr FS Chrl T E Report Approve Fio Cancel Forwarding Report History This function manages exam status in the RAYPAX system The following are summarized descriptions of the RAYPAX Display Workstation workflow K 60 User s Guide Technicians select an exam from the Root Folder Worklists Verification folder in the Exam Browser and open the exam to verify Technicians verify the selected exam after adjusting the image quality During verification the technician can select a specific radiologist to dictate the exam In this case the verified exam is automatically sent to the Unread worklist of the selected radiologist only If a radiologist is not selected the verified exam is sent to the general Unread worklist for all radiologists Radiologists select an exam from the Root Folder Worklists Unread folder in the Exam Browser and open
7. This function automates tasks in the workflow including verification dictation and review To use a macro x Select Tool gt Verification or Dictation or Review Macro Start in the Exam Browser x The first exam from the workflow exam list for the selected workflow task will be displayed in the Image Display Window For example exams that are not verified in the case of Verification Macro x Select Tools gt Continue Macro from the menu of the Image Display Window x In the case of Verification Macro the Verify dialog box will be displayed in the case of Dictation Macro the Dictate dialog box will Display Workstation 105 be displayed If the dialog box and the present exam are closed the next exam will be displayed In the case of Review Macro there is no dialog box so when the present exam is closed the next exam will be displayed When all exams from the workflow exam list are done a dialog box will ask whether to repeat the above macro for any recently added exams x If Yes is clicked the first exam from the refreshed list will be displayed if No is clicked the macro function will quit Macro Stop This function stops the macro started using the Macro Start function To stop a macro select Tools Stop Macro in the Image Display Window or the Exam Browser With Comparison Exam This function when a patient s exam 1s being opened opens related exams for the patient for compa
8. Dialog Display Workstation 13 Open Emergency Exams It shows all Emergency Exams User can select and open the Emergency exam PatientID PatientName Procedure modality Study Date 215611 AHN YUN OK ABDOMEN LIV US 09 24 1990 VERIFIED AHN YUN OK KNEE A P LA CR 08 19 1999 VERIFIED Emergency Exams Dialog Close This is used to close the currently open exam and to save changes that were made N Save Changes When closing the images that were open it will suggest that everything be saved Authorization is needed to save Close All This is used to close all the exams and series that are currently open Save Saves the position and annotations of the currently displayed image s in the selected exam R 14 Example of Ping result Display Workstabi w X Ping Failed To test if the DICOM Gateway is online click the Ping button Setting In order to send images to a different DICOM Gateway click the Setting button and fill in the new destination information Please refer to Tools gt Option DICOM Gateway K User s Guide Save All Saves the position and annotations of all opened exams Send to DGW Sends the currently displayed exam with all DICOM images to the DICOM Gateway After selecting the exam or an image from the exam and choosing Send to DGW the following DICOM Send Dialog box will appear If user opens more than one exam
9. Expand This function is available for multi monitor systems 2 or more monitors It is useful for displaying several images from one series on 2 or more monitors on the same system To display the images of a series on one Image Display Window over more than one monitor choose View Expand or click the Expand button in the Toolbox In order to use the Expand and Shrink functions the Monitor Configuration under Tools Options System must be changed to reflect the number of monitors being used Two or more monitors are required Please refer to the Tools Menu Shrink This function is available for multi monitor systems 2 or more monitors The Shrink function is used to reverse the action of the Expand function above To display separate exams or images on individual Image Display Windows on each monitor choose View Shrink or click the Shrink button in the Toolbox 22 User s Guide Result of using the Shrink function Result of using the Expand function Expand Shrink for 2 Monitor System Full Screen This hides the Toolbox and Thumbnail bar thus using the full screen for displaying images The Toolbox and Thumbnail bar can be hidden and recalled by choosing View gt Full Screen or by pressing F11 Thumbnail Bar The Thumbnail bar can be hidden shown by deselecting selecting it from the menu as it is a toggle style menu Toolbox Bar The Toolbox can be hidden sh
10. Workstation 87 To stop the Macro function select Tools gt Macro Stop in the Exam Browser 3 Exam Browser This chapter describes the menu items in the RAYPAX Display Workstation Exam Browser fps Edt view ete feimi ikke Golder foot SVEDMAN OETVIND AAT 1371 1971 UMKNMCANM gt SVEDMAN DETYVIHID AAT 1871 1571 MF AMGIOGRAPHY RENAL ARTER ME SVEDMAM OEYTVIND AAT1571 1571 OX CHEST ox SVEDMAI OETVINU AAT15IT1 15 1 DXACHESI Lux SANTOS CHARIS TIPLA AADOSA Y Bod UNA CT Eb TRANG ROALD AADSTTE gii UNKMOVWN i STAGER BRIAN A110507 0507 UNKNOWN i MALLA GRU AATUSLUA UMP UNENGVVEN i i 711998 1643 3 1 7119308 20 49 10 Y 111996 144641 BEE MARK ALLEN AROSE ST SHIT UNMKNCANN MASON ROGER ALLEN AAQSSAT LIME MIS C 1 MASON ROGER ALLEN AADSDAT LUM MICA CR 1 FINK AMBER L AA06267 E IMEI CR 1 Y FINK AMBER AACE 2ET 6287 UNKNOWN CR 1 ARIFF AR SAHAI AAD SAT ma CR 1 1119398 16 40 30 l VON LAK MUR AJADSIER ama UMKHOWAN CT B8 711998 18 4 amp 43 GRAY DEMS SCOTT AAQTAOT TAOT UMEKHCANM CR 1 Ce a SS 08 17 16 KAHN RUSSELL AAQS TT Bes UNKNOWN CR i 04111998 11 10 16 Fatoni Haro ROGER A nt ID AA S47 Birth Data 05251967 UME MOY L ACHU AEFT OBI 25911888 039 09 T UMNO CR VERIFIED 02 05 1908 09 03 40 MASON ROGER ALLEM amp A05847 09025119898 08 03 40 Exam Information Order Date Time Study Date Time 08 25 1998
11. complete configuration Show Cut Line This function allows for show Cut line on images If user enables this function user can see the reference line to a cross section of the images like following picture 86 User s Guide Exam Ed View Display Seres Image Processing Annotation Worki Toot Help XJ DIA AOS Id Pitt On ara Forma AS gt ELM roma 550 87 SETS AO gt gt E EST a XT d e e f m j ve m LER na E At Y y PEN H gr AA AO gt a c El M e S7 Cut Line Windows Continue Macro The Macro function allows for easy duplication of job tasks There are three different macros Review Macro Verification Macro and Dictation Macro Review Macro is for repeating an image search function Verification Macro is for repeating an exam verification task and Dictation Macro is for repeating an exam dictation task To start the Macro function go to Tools Verification or Review or Dictation Macro Start in the Exam Browser Please refer to Chapter 3 Exam Browser When a macro is started the first available exam for the macro task will be opened in the Image Display Window Select Tools Continue Macro from the menu or press the F12 button to continue with the macro task Once the macro task for the exam is finished or canceled the next available exam for the macro task will be opened automatically in the Image Display Window Display
12. designed for routine clinical use at a hospital or other medical institution The RAYPAX Display Workstation allows loading displaying and manipulating of virtually any medical image or patient study that may consist of an individual or series of digital images The basic functions of the RAYPAX Display Workstation are divided into finding loading exams and viewing them For finding and loading exams the Exam Browser 1s used When the Exam Browser is used to select an exam the Image Display Window provides effective tools for diagnosis In the Image Display Window the images are shown in a window utilizing numerous methods various look up tables are provided and others can be used as well Precise observation of images is achieved using image zooming or a magnification tool that can be dragged over images Manipulation of images can also be done through inverting flipping or rotating while filters offer various image enhancements for revealing specific features within images Cine looping is a valuable diagnostic tool that allows a series of 1mages to be shown in sequence as a slide show alone or in sync with other series Various types of measurement tools and annotations are provided that can Login User Login Window Depending on the User ID users have different authorization levels User s Guide be used as overlays over images Reports can be generated while viewing the images of an exam These r
13. desired range All images between the first and last image will be selected x Ctrl With the Ctrl key pressed down select all desired images by clicking on them If the image is already selected clicking on it again will deselect it Window Level This function adjusts the displayed window level values of the image To adjust the image contrast and brightness by changing the image window width and level x Choose Processing gt Window Level from the menu or x Choose Window Level from the popup menu or x Click the Window Level button in the Toolbox To adjust the window level x While clicking and holding the left mouse button dragging the mouse to the right will increase the window value 1 e decrease contrast while dragging the mouse to the left will decrease it 1 e increase contrast 42 Right Mouse Button The Window Level can be adjusted by using the right mouse button regardless of what function is being used In other words even when using another function the Window Level can be changed without switching functions Zoom While clicking and holding the left mouse button the following adjustments can be made Dragging Up Zoom in Dragging Down Zoom out User s Guide While clicking and holding the left mouse button dragging the mouse upward will increase the level value 1 e increase brightness while dragging the mouse downward will decrease it 1 e decrease bri
14. hidden saved with the exam or deleted To add an Annotation x Select the desired type of Annotation under Annotation from the menu or x Select the desired type of Annotation under Annotation from the popup menu To modify an Annotation select the annotation to modify and x Right click on the image and select Properties from the popup menu x Select one of the following three tool tabs to modify properties Size Statistics Color Line and Text 52 Statistics Displays the Minimum Min Maximum Max Average Mean and Standard Deviation STD Pixel Value of the selected annotation s area User s Guide x After modifications are made press Apply to preview the changes and continue modifying or press OK to make the changes and close the window Annotation Properties Size Statistics Mark the check box to display the corresponding information with the annotation Annotation Properties Siza Statistics ColoriLine Text Size Statistics Min E 074 Max 584 Mean 368 69 erp 43612 Setas default Size Statistics Tab Annotation Properties Color Line The color and line style of the annotation can be changed Display Workstation 53 Size Slatistips ColovUne rest Drop Down Mena Fill ALTO coo MEE ce Ling coo MOM Style iy MT FMI NI La A E A A IA Select or customize ES ES A A El ES SEDE E SONS EN SON UN Se A
15. image related information Add Scout mage This function allows you to add a scout image to a series The reason a scout image is used is to show the slice position of the selected image in relation to a cross section of the same image A scout image is useful when the position of selected images especially MR or CT images need to be known The added scout image does not move it is always the first image in the series even during navigation through the images in the series You can view the corresponding image for a scout line by clicking on the desired line or by using the up and down arrows on the keyboard Therefore it is easy to determine exactly where a selected image comes from when using a scout image When using Add Scout Image the Show Scout Image function is automatically selected Please refer to Show Scout Image under the Display menu To add a scout image to a series click on the series to create the scout image for and Display Workstation 3l Choose Series Add Scout Image from the menu or x Click the Add Scout Image button in the Toolbox A dialog box will appear stating Select Scout Image Click the OK button and select an image in another series to create the scout image from The selected image should be scanned on a different axis than the series the scout image is being made for Remove Scout I mage This function removes the scout image from the selected series To remove t
16. in the Image Display Window are unchecked To asynchronize all windows in the Image Display Window x Press Alt N or x Choose Display gt Asynchronize All from the menu Load All Images This function loads all images in a series into memory for immediate access This allows for quicker access during diagnosis without having to wait 28 User s Guide for image loading when viewing new images To load all images into memory x Choose Series gt Load All Images from the menu Series Exam Edit View Display Series Image Processing Annotation Cine View E a i Add Scout Image Remove Scout Image Reset Images ka Last Saved Apply Original WindawJLewvel Load All Images Window Lewel Preset Cine View Cine View allows a series of images to be displayed in a sequential cinematic format or in other words for movie like viewing The stack mode is used when the exam is composed of multiple images Images in each series are stacked up and can be compared one by one To view images in the Cine Viewer Choose Series Cine View from the menu or x Click the Cine View button in the Toolbox Display Workstation 20 Popup menu for the Cine The following Cine Viewer window will appear Viewing controls can be NINE found on the Control Panel at the bottom of the window and on the Sync popup menu after right clicking on the Cine Viewer window Images can View gt also be naviga
17. in the Toolbox 44 Magic Glass While clicking and holding the left mouse button the following adjustments can be made Shift Window Level Ctrl Zoom Shift Ctrl Magic Glass size User s Guide Magic Glass The Magic Glass function has undergone some significant improvements It is now possible to change the size of the Magic Glass window independently of the underlying viewing window as well as apply independent window level settings to the contents of the magic glass Zoom in the Magic Glass window can also be increased to a greater magnification which 1s especially useful for high resolution systems Magic Glass creates a small magnifying window that allows quick magnification of a small area of an image When an image is currently displayed at a size equal to or larger than the size defined by the DICOM header information for example after zooming the magnification ratio is 2 1 When an image is currently displayed at a size smaller than the size defined by the DICOM header information the magnification ratio is 1 1 The default zoom ratio of the magic glass 1s twice as large as the zoom ratio of the currently displayed image To use the Magic Glass function x Select Processing gt Magic Glass from the menu or x Select Magic Glass from the popup menu or x Click the Magic Glass button in the Toolbox To change the size of the Magic Glass window press the Shift and Ctrl keys togethe
18. online into the STS for viewing Display Workstation 91 When this function is run a window asking for the priority of the fetch will be displayed as shown below After selecting the desired priority click on OK Manual Fetch Window E X Fetch Priority ISDE Manual Fetch Window Cancel Manual Fetch This function cancels a request made using the Request Manual Fetch function Print This function allows the printing of an exam and its images To Print from the Exam Browser x Press Ctrl P or x Select Exam gt Print from the menu or x Click the Print button on the Tool bar Please refer to View DICOM Send Log 92 User s Guide iew DICOM Send Log E iB x Sender ID PatientID Patient Name Modality Target DICOM GW AE TITLE IP 2002 10 31 13 56 46 raypax 4410379 PERRY JOHN RAYPAX_DGW 70 3 62 127 2002 10 31 14 01 54 raypax 4410379 PERRY JOHN RAYPAX_DGW 70 3 62 113 2002 10 31 14 06 41 raypax 855038 HONG SEUNG HYUN RAYPAX_DGW 70 3 62 127 2002 10 31 14 13 12 raypax 855038 HONG SEUNG HYUN RAYPAX_DGW 70 3 62 113 DICOM Send Log Print in Chapter 2 Display Workstation Close This function closes the Exam Browser and goes back to the Image Viewer of the RAYPAX Display Workstation To Close the Exam Browser Select Exam Close from the menu or x Click the Close button on the Tool bar Edit The following are the descriptions of the submenus of the Edit m
19. scroll forward in the series The image number will be displayed on the bottom right hand corner of the image while scrolling Pixel Value This function displays the pixel value and coordinates where the mouse pointer shown as cross hairs is located Depending on the image type the pixel value will have different meanings The chart on the sidebar shows the meaning of the pixel value for various image types To use the Pixel Value function x Select Processing gt Pixel Value from the menu or x Select Pixel Value from the popup menu or x Click the Pixel Value button in the Toolbox When the cross hairs as seen in the icon on the side bar appear on the Display Workstation Flip from the Main Menu SI Horizontal Xx Vertical 47 image drag the mouse around to view the pixel value and the coordinates in the bottom right hand corner of the image Invert This function inverts the image to a negative grayscale image This means it reverses the gray shading of an image Therefore the black part of the image changes to white and the white changes to black To use the Invert function x Select Processing gt Invert from the menu or x Select Invert from the popup menu or x Click the Invert button in the Toolbox Flip This function enables an image to be flipped on its vertical or horizontal axis This is useful if the image has been scanned upside down or if another view of the imag
20. side The server name must be the same as the alias in the Oracle database client Display Workstation Monitor Configuration Regardless of the number of monitors being used the configuration that is set will be used to display the RAYPAX Display Workstation Thus if one monitor is being used and a 2 monitor configuration is set the monitor will display 2 split windows for the Display Workstation 71 Default Display Window Level Preset Default Display Protocol DDP Emergency Exam System user Info Workspace DICOM Gateway Save Report Print Display Format Server List Add Auto Lack Lock App after 10min Raypax Extra Memory Space Minimum Memory Space 30 MB Monitor Configuration requires restart Caching Images you opened are stored in the local folder for quick viewing later Brings ES System Tab x The Extra Memory Space field is used to set the minimum memory space for other programs In other words all memory except the memory amount allocated in Extra Memory Space will be used by RAYPAX Display Workstation x Auto Lock field is used to set suspend time This option can be configured by Admin Tool If user does not use Display Workstation in amount of time Display workstation will be locked If user wants to unlock input User Password and click Unlock button The Application is Locked GQ This applicatio
21. the exam to dictate Radiologists review the selected exam on the Display Workstation and dictate a report into the RAYPAX system through a recording device The dictated exam is sent to the Transcription worklist Transcriptionists select an exam from the Root Folder Worklists Transcription folder in the Exam Browser and open the exam to transcribe a report The transcribed exam is sent to the Approval worklist Radiologists select an exam from the Root Folder Worklists Approval folder in the Exam Browser and open the exam to approve Radiologists have three choices when approving an exam The exam can be approved and finalized forwarded to another radiologist or sent back for re transcription Radiologists can forward the exam to another radiologist for a second opinion The exam is sent to the Root Folder Worklists Forwarded folder in the Exam Browser Forwarding can be canceled by the forwarding radiologist When a radiologist receives an exam from another radiologist the exam can be found in the receiving radiologist s Root Folder Worklists Received folder The report for the selected exam can be viewed A new report made by the receiving radiologist after Display Workstation 61 reviewing the exam can then be forwarded back to the forwarding radiologist forwarded to another radiologist or approved and finalized Verify If exams are acquired in RAYPAX then they have to be ver
22. the menu or x Press Alt or x Click the Forward button on the Tool bar Up one Level This moves the folder view to the folder that is one level higher in the folder directory 1 e the parent folder To move Up one Level x Select Go To gt Up One Level from the menu or x Press Alt Up arrow or 98 User s Guide x Click the Up button on the Tool bar My Start Folder This moves the folder view to the folder that is designated as My Start Folder To move to My Start Folder x Select Go To gt My Start Folder from the menu or Click the Start button on the Tool bar My Private Folder This moves the folder view to the folder that is designated as My Private Folder x Select Go To gt My Private Folder from the menu or Click the Private button on the Tool bar Current Patient Folder This moves the folder view to the folder that contains the whole exam for the selected patient including the current selected exam To go to the Current Patient Folder x Select Go To gt Current Patient Folder from the menu or x Click the Patient button on the Tool bar Bookmark It is possible to add or edit bookmarks as buttons on the Quick Bar for convenient access to frequently used folders Display Workstation 99 Bookmarks can only be made for folders Exam Edit View GoTo Bookmark Workflow Folder Tools dh gt Add Bookmark L3 bu Edit Bookmark Add Bookmark
23. 08 03 40 Depertment Reffering Procedure CHEST Body Part CHEST Referrring Physician Modality CR Patient Information Name MASON ROGER ALLEM ID AAT pu la RAYPAX Display Workstation Exam Browser GUI The Exam Browser can be accessed by selecting Open from the menu y bar under Exam or by clicking the On line Open button in the Toolbox Menu bar The Menu bar is composed of 9 menu items Exam Edit View GoTo Bookmark Workflow Folder Tools Menu of Exam Browser K 90 User s Guide Exam The following are the descriptions of the submenus of the Exam menu Exam Edit View GoTo Bookmark workflow Folder Tools NI Open Cro Request Manual Fetch Ctrl F Cancel Manual Fetch Report Preview gt Report Print Ctrl F E Close Open This allows you to open an exam for viewing or performing workflow tasks To open an exam select an exam record and Double click the selected exam record or x Select Exam gt Open from the menu or x Click the Open button on the Tool bar Request Manual Fetch The Request Manual Fetch function requests that specified exams that are not in the Short Term Storage STS be restored from the Long Term Archive LTA This function is only available when the desired exam is offline which is denoted by N under the On Line column in the Exam Browser The manual fetch procedure requests the retrieval of a specific exam of a specific patient to be brought
24. 127 105 RAYPAX DGW 70 3 62 113 105 DICOM Gateway Tab User can register DICOM Gateway If user click Edit button following DICOM Gateway Information Dialog box will be appeared DICOM Gateway Information server Application Title Client Application Title Diy DICOM GAW IP Address 0 3 52 127 O_O GAY Port fi 05 Secure Connection CN DICOM Gateway Information Dialog Box K 76 Save The save exam and save annotation privileges can be set in the Admin Tool User s Guide The following parameters can be modified Server Application Title This corresponds to the SCP s Service Class Provider AE Application Entity title in terms of DICOM 3 Client Application Title This corresponds to the SCU s Service Class User AE Application Entity title in terms of DICOM 3 P Address DICOM Gateway IP Address x Port TCP IP port number of DICOM Gateway x Secure Connection DICOM Secure Connection option User can create new DICOM Gateway click Add button or can delete DICOM Gateway click Delete button Save Tab This function gives the option to save only certain changes to images Check the boxes for the changes that are to be saved when Save or Save All is selected from the main menu ption xj Display Format Defaull Display Window enel Preset Default Display PratocokDDP System Userinfo workspace OiCOM Gateway Sam ReportPrint Image information Image Processing fv M n
25. ANTALL VR File Type PEGLow Quality Jpeg Compression Export Option Current Image Image Information 3 C Selected Images Iv Annotations AVI Current Series Frame Rate 10 famefsec C All Images Compress Option Export Image Window K 40 User s Guide Processing Series Image Processing Annotation Workflow Tools Help Y Window Level Zoom Ctrl FS em Pan iQ Magic Glass O Local WinodwiLevel Pixel Value OF Invert Flip 2 Rotate Histogram Equalization Sharpen Smoothen Selection This function allows images to be selected in the Image Display Window Methods for selecting multiple images are available and are explained below Selection is also used to de select previously selected images To use the Selection function x Press F7 or x Choose Processing gt Selection from the menu or Choose Selection from the popup image menu or Click the Selection button in the Toolbox Display Workstation a Window Level While clicking and holding the left mouse button the following adjustments can be made Dragging Up Increase Level Dragging Down Decrease Level Dragging Right Increase Window Dragging Left Decrease Window 41 To select multiple images use the following keys x Shift To select all images in a certain continuous range select the first image and while pressing the Shift key click on the last image in the
26. Bits Stored 10 0028 0101 High Bit 9 0026 0102 Pixel Representation D unsigned integer 0028 0103 Plate ID a08709363c 0018 1004 Acquisition Device Processi IVP C 0018 1400 Acquisition Device Processi 1403 0018 1401 File Name RXCR200104291715200001 A Show DICOM Information Dialog Box Copy to Private Folder This function allows selected images or the full exam to be copied into a private folder of the Exam Browser To copy images into a private folder x Select the images that are to be copied The Ctrl and Shift keys can be used to select multiple images Choose Image Copy to Private Folder from the menu x The following dialog box will appear Copy exam to folder ED x Select target Whole exam Selected images only Destination folders x Select the target To copy all images in the series select Whole exam R 38 User s Guide To copy the selected images select Selected Images only x Select the destination folder among the displayed private folders and then click the Copy button Otherwise click the Cancel button to cancel the operation Copy to Clipboard This function copies the currently selected image into the clipboard The clipboard image can then be pasted into other application programs such as MS Word PowerPoint etc Select All This function selects all images in the series When all images are selected any function that is performed will be appli
27. By doing so various series from different exams can be compared at the same time using only a single monitor If this function is activated then the Expand and Shrink functions will not be available K 20 v Mone 2M e H 2x2 User s Guide The Split function gives the following viewing options x None It displays images on a single Image Display Window 2V It divides the Image Display Window vertically into 2 sections x Therefore an Image Display Window can be selected for each exam or series It is useful when comparing images by series or by exam x 2H It divides the Image Display Window horizontally into 2 sections It is possible to select an Image Display Window for each exam or series x 2X2 It divides the Image Display Window into 4 sections 4 HEAIDERSON 0000084463 CT 04 11 2001 Example for Split 2V How to use the Split function x After selecting a viewing option from the Split menu click the mouse button on an image from the selected series in the Thumbnail bar Display Workstation EH EIS 21 x A window selection grid will be displayed For example if the 2X2 menu is selected it will display a 2x2 grid as shown on left to allow selection of a section of the Image Display Window to view the selected series x Select a section of the grid and the images of the selected series will be displayed in the corresponding section of the Image Display Window
28. NOA HM Cupar coder rr FT Fr UA Hux 0 Fad 255 Ma El E amp sr 280 iasan 3 kf Ef DE Carral kl by Cikri Coki Color Line Tab Annotation Properties Text The text can be modified Select the font style size color effect and alignment Annotation Properties Size Statistics ColorLine Text Font Style Effect Strikeout Underline Italic Bold Italic Color zl Y Alignment Preview Left AaBbYyzz Center Right Setas default Text Tab 54 User s Guide Line The length distance between two points can be measured or points of interest can be indicated In accordance with the DICOM standard distances are measured in millimeters for CT and MR studies and for some CR images To add a Line x Select Annotation gt Line from the menu or Select Annotation Line from the popup menu or x Click the Line button in the Toolbox Place the crosshairs above the point you want to start the line and click and hold the mouse button While holding down the mouse button move to the point you want to end the line and release the mouse button Example of Line Angle Measurements of an angle can be made To make a measurement of an angle x Select Annotation gt Angle from the menu or x Select Annotation gt Angle from the popup menu or Display Workstation 55 Cl
29. ONVIN UPPER OUTER QUADRANT LOWER OUTER QUADRANT UPPER INNER QUADRANT LOWER INNER QUADRANT NIPPLE AREOLA SKIN OF BREAST AXILL A MORE THAN ONE OF 11 5TLIET E relia sse IE ABOVE GENERALLED MORMAL TECAMIGUE ANOMALY INFLAMMATION INFECTION CLASSIFIED BY ORGANISM see 6 20 For detalled classificamon i INFLAMMATION ACUTE Cellulitis Abscess Olhier INFLAMMA TION SUBACUTE OR CHRONIC OTHER NEOPLASM NEGOPLASTIC LIKE CONDMON ETTUESTST cat Tread IKATA Code 0221 Contents INFLAMMATION ACUTE Result Code Dialog If the Add button is clicked the Result Code dialog box will be shown as above Please refer to the Transcribe menu for details Radiologist can input the report and select the report which is already registered If user click Registration Report button on Report Approve Dialog Box user can see the following Report Sample Dialog If user select Report Sample and click Select button selected Report sample will shows up on Report Text box of Report Approve Dialog Box Also Radiologist can create Report Sample 68 User s Guide Report Sample m 40001 Chest Normal Negative Report Sample Dialog Box To use Report Approve x Press F10 or Choose Workflow Report Approve from the menu or x Click the Report Approve button in the Toolbox Cancel Forwarding Only the radiologist who forwarded an exam can canc
30. USER S GUIDE DISPLAY WORKSTATION Version 2 0 About This Manual Thank you for purchasing our RAYPAX PACS solution RAYPAX is a PACS Picture Archiving and Communication System that can capture diagnose review and archive medical images and patient data This User s Manual was written to help users to better understand and use the functions of the RAYPAX system Please read this manual thoroughly before operating the RAYPAX system This manual should be kept for reference purposes Reproduction reprint or distribution of this manual is prohibited without the expressed written consent of RAYPAX Co Ltd x The contents of this manual are subject to change without notice x Though this manual was carefully prepared there may be errors omissions etc If there are any questions you may have or errors that you may find please contact us RAYPAX is a registered trademark of RAYPAX Co Ltd Copyright 2003 by RAYPAX Co Ltd Contents 1 Getting Started 2 Display Workstation hu IO MERETUR TDS PI AY c s RIMIS RET a A A eR User s Guide arii TEE EIER 02 ba c UU RC TETUR NS 95 COMO 96 BOO pois 98 WO teen 100 SA 101 O 104 1 Getting Started Display Workstation I ntroduction The RAYPAX Display Workstation is a specialized medical viewing system for diagnostic purposes It also acts as a PC based medical viewing system
31. alog box below will be displayed Result Code ix Search Code 0221 Keyword Reference Table Breast LOCATION NOT SPECIFIED OR UNKNOWN UPPER OUTER QUADRANT LOWER OUTER QUADRANT UPPER INNER QUADRANT LOWER INNER QUADRANT NIPPLE AREOLA SKIN OF BREAST AXILLA MORE THAN ONE OF THE ABOVE GENERALIZED CYTLICT incluida intarnal mamman aran o mainracio ciar NORMAL TECHNIQUE ANOMALY INFLAMMATION INFECTION CLASSIFIED BY ORGANISM see 6 20 for detailed classification E INFLAMMATION ACUTE Cellulitis Abscess Other INFLAMMATION SUBACUTE OR CHRONIC OTHER NEOPLASM NEOPLASTIC LIKE CONDITION EFFECT AF TALIBAN oj e Code 02 21 Contents INFLAMMATION ACUTE Cancel Result Code Dialog To search for a result code x Type in the text to search on in the Keyword box and then click the Search button x Search results will be displayed in a window appearing on the right side x Select one of the body parts that are displayed on the left side of the window under the upper section of the Reference Table x Select a diagnosis that is displayed in the lower section of the Reference Table and then click OK Display Workstation 65 Report Approve This function allows a radiologist to approve or reject a diagnostic report There are three choices for approval Approve the report for the exam forward the exam to another radiologis
32. ask Display Workstation 101 x Press Ctrl E or x Select Workflow gt Verify from the menu Transcribe To start the Transcribe workflow task x Press Ctrl T or x Select Workflow gt Transcribe from the menu Report Approve To start the Report Approve workflow task x Press F10 or Select Workflow Report Approve from the menu Cancel Forwarding To Cancel Forwarding of an exam that has been forwarded to another radiologist x Select Workflow gt Cancel Forwarding from the menu Folder Folders in the Exam Browser can be configured to conform to the hospital environment with Admin Tool The Folder menu is only activated when Private Folder is used 102 User s Guide Bookmark Workflow Folder Tools E Mew Ckri M Lip Reload BEIDE Unda Properties ity Prival New A new folder can be created within the Private Folder A new folder cannot be created in a folder that contains exams To create a new folder x Press Ctrl N or x Select Folder gt New from the menu Private folder information x Eolder Name My Folder Sharing Folder Type C Not Shared C Parent Folder Shared Exam Folder Private Folder Information Dialog Box When creating a new folder fill in the Folder Name select the Folder Type and select the folder Sharing attribute If the Shared attribute is selected this new folder will be shared with ot
33. ation 35 Unmark Key Image This function unmarks a selected image marked as a Key Image To unmark an image as a Key Image select the image and Choose Image Unmark Key Image from the menu Eey Image Mark Print Im age Mark ST4755 CALDVVELLOGU23532 0073537 CT Key Image and Print Image Marks Mark Print Image This function marks images in a series as Print Images These Print Images can be printed separately as a batch from the rest of the exam or series The Print Range print option allows the marked Print Images to be printed separately by selecting Selected Images To mark an image as a Print Image select the image and Choose Image Mark Print Image from the menu or x Click the Mark Print Image button in the Toolbox 36 Both Print Images and Key Images can be selected for the print range Only Print Images are printed when Selected Images is selected Only Key Images are printed when Key Images is selected User s Guide Frini Range amp All Selected Images Key Images Selecting Print Range Unmark Print Image This function unmarks a selected image marked as a Print Image To unmark an image as a Print Image select the image and Choose Image Unmark Print Image from the menu Show DICOM Information This function displays the DICOM information for the selected image DICOM files consist of header information and the image pixel raw data Only the DICOM header infor
34. composed of 10 menu items and a Help file Exam Edt Wew Display Seres image Processing Annotation Workflow Tools Help Main Menu of Display Workstation The following are descriptions of the submenus found within the Main Menu of the Display Workstation Display Workstation 11 Exam Exam Edit View Display Series Image Processing Annotation Y Open Ctro qe Open Local CEri L Open Related Ctrl F Open Emergency Exams Close Close ALL E Save CErl4 5 Save All m Send To DGW view DICOM Send Lag Print d Exit Ctrl Q Open Open the Exam Browser by selecting Open in the Menu bar or by clicking the Open icon in the Toolbox Please refer to Chapter 3 Exam Browser Open Local Open DICOM files that are saved on the local PC DICOM images can be displayed from the database but local access of existing DICOM files is much faster Files can be previewed before opening by checking the Show Preview box found at the bottom of the Open DICOM Files dialog box When selecting images that are to be opened it is possible to select several files at the same time by using the Shift or Ctrl keys while K 12 User s Guide clicking on the desired files Any changes made to the images or exams will not be reflected on the database rather it will only be saved locally The default DICOM file Open DICOM Files H 2 x extension is DCM Look in
35. cting deselecting it from the menu as it is a toggle style menu Annotations will not be displayed if the images in the Image Display Window do not have any annotations attached to them To show or hide annotations in the Image Display Window x Press Ctrl F9 or x Choose Display gt Show Annotation from the menu or x Click the Show Annotation button in the Toolbox Show Annotation Hide Annotation Show Hide Annotation Display Workstation 25 Show Information Information related to the images can be shown hidden as an overlay on Q the images by selecting deselecting it from the menu as it is a toggle style menu The displayed information is read from the DICOM header for each image and is different for each modality such as CT MRI CT etc For example for MR images the TI TR and TE values are displayed while for CT images the KV and mAs values are displayed instead of TI TR and TE s Patient Orientation The following image shows a description of the basic information that is displayed for an image from the DICOM header Head H 4 R Right Posterior P T Left L A Anterio Foot F This indicates the position and orientation of the image in relation to the patient when the image was captured Description of image related information To show or hide image information in the Image Display Window x Press F9 or x Choose Display gt Show Information fr
36. cword CommPaswod Password New Password and Confirm Password fields Ce Came Click OK to change the password otherwise click Cancel to cancel the operation Ag A Display Format Default Display Window Level Preset Default Display Protocol DDP System User Info Workspace DICOM Gateway Save Report Print Name RAYPAX LoginID raypax Change Password Department CR Office Tel 408 555 1234 EMail raypax raypax com User Privilege Patient Creation Patient Merge Exam Creation Deleting Exam Check Patient Arrive for Exam Sceduling Exam Exam Verification Dictation Transcription Forwarding Exam Completing Exam View Images Y Y Y Y Y Y Y Y Y Y Y Y Y User Info Tab Workspace Tab The default font and size of the workspace environment can be adjusted by section The available sections for adjustment are the dialog box Exam Browser annotation thumbnail size and system icon size Changing the settings in these sections will display them as the default for the logged in user only 74 User s Guide Workspace Tab Display Workstation 75 DI COM Gateway Tab Ag hh hmm Default Display Window Level Preset Default Display Protocol DDP Emergency Exam System User Info workspace DICOM Gateway Save Report Print Display Format Server Application Ti Client Application Title IP Address RAYPAX DGW 70 3 62
37. denwfLevet v Histogram Equalization fv invert v Smoothing snarpening fv RotatiFlip Annolation F Annotations Oter Informabon fe Key Image Series Information js OK Cantel Save Tab Display Workstation 11 Report Print Tab BamnatonRepot fome A 0 c rR f e lv A o 2 Report Print Tab The following parameters can be modified Title Type in each title and select the position font and size Margin Input a number or click the increase or decrease button x Item Information Select the items that are to be included in the report by checking the corresponding boxes 78 User s Guide Title Sub Title Main 4 Examination Report Item Information Total 9 menus RAYPAX Patient 001 3083 Patientriame jf PHEN DA S001 tirage Bex fio T DBIOB 53 M MRARTHROORHPHY ftar Dala avaroerar 212300 Doctorman LLL sereno 0 Diagnostic Opinion Report e Samsung 05 hiedi i Title Tail Example of Report Display Format Tab The default display format for each modality can be set The standard format and the split layout can be set to the desired display format Option E5_FRPooa oo System User Info Workspace DICOM Gateway Save Report Print Display Format Defauit Display Window Level Preset Default Display Protocol DDP Display Format Modality Format Split Layout Description Computed Radiography CT 3x2 1x1 Comput
38. dow Level settings x Select Series gt Window Level Preset gt Edit Window Level Preset from the menu or x Press the hot key combination that you would like to save the preset to The available hot key combinations include Ctrl a digit from 1 0 and Alt a digit from 1 0 Note The Window and Level settings and a changeable title displaying the modality and procedure by default are automatically entered when saving using the hot key method but must be entered manually when using Edit Window Level Preset from the menu Please refer to the Window Level Preset tab under Tools gt Options Display Workstation 33 I mage Series Image Processing Annotation Workflow Tools Help Popup Ctrl FF Mark Kev Image LInmark Kev Image 1 Mark Print Image Unmark Print Image 4d Show DICOM Information Ctrl I Copy to Private Folder Copy to Clipboard Select All Ctrl Deselect All Ctrl U Export Image Popup This function allows an image to be viewed in its own Popup Image Window It is useful for side by side comparison of the selected image with other images in the series Popup images remain on top of the Image Display Window so that navigation of the images in the series must be made behind the Popup Image Window Size window level and other image characteristics of the popup window can be adjusted separat
39. e is desired To flip an image on its horizontal axis x Select Processing gt Flip gt Horizontal from the menu or x Select Rotate Flip gt Flip Horizontal from the popup menu or Click the Flip Horizontal button in the Toolbox To flip an image on its vertical axis x Select Processing gt Flip gt Vertical in the menu or x Select Rotate Flip gt Flip Vertical from the popup menu or 48 no pm kanal 20 e 270 dd Flip Horizonta Enhancement Flip Vertical Annotation nernies Enhancement E Rotate 27 Histogram Equalization Sharpening Smoothing User s Guide x Click the Flip Vertical button in the Toolbox Rotate This function rotates an image in a counter clockwise manner To Rotate an image x Select Processing gt Rotate gt 90 or 270 from the menu or x Select Rotate Flip gt Rotate 90 or Rotate 270 from the popup menu Or Click the Rotate 90 button or Rotate 270 button in the Toolbox After rotating an image the patient orientation signs will change appropriately as seen below Histogram Equalization Histogram Equalization is the image processing feature to adjust the distribution of brightness so that a visually better image can be created To apply Histogram Equalization select an image and Display Workstation 49 x Select Processing gt Histogram Equalization from the menu or Select Enhancement Histogram Equalization
40. eared T E E E ee ee UL F Ux o 8 mm ly d Gee ee 7 te Oooaw amp Emergency Exam notification message box 84 User s Guide x Query Interval Search interval selection for Emergency Exam Ignore exams opened by another user If this box is checked the Emergency Exam that is already opened by the other user will not be notified Emergency Exam List Dialog Set expiration period by Study Date Toolbox Configuration The Toolbox configuration and buttons can be customized To edit the Toolbox configuration x Choose Tools gt Toolbox Configuration or x Click the Toolbox Configuration button in the Toolbox Display Workstation Drag amp Drop Buttons To add buttons drag them from the Buttons menu and drop them onto the Toolbox configuration To remove buttons drag them from the Toolbox configuration and drop them outside the window 85 Toolbox Configuration X auttons Ww Gy x E D 8G us Processing Annotation Open exam fram local system Toolbox Configuration Dialog Choose a category from the Category menu on the left side and drag and drop buttons from the Buttons menu as described in the side bar Buttons can be rearranged once placed in the Toolbox configuration section at the bottom of the window A description of the button function can be seen when you place the mouse pointer over the button icon in the Buttons menu Click the OK button to
41. ed Tomography ME 3x3 xi Magnetic Resonance Display Format Tab To add a display format click on the Add button and the Add Display Format dialog box will appear as below Click the Find button to select the modality to set the display format for Change the Display Format and Split Layout fields to the desired format settings To finish click OK Display Workstation 79 Add Display Format Add Display Format Dialog Display formats can also be edited or deleted by selecting the display format from the list and clicking the appropriate button Default Display Tab When opening an exam that has more than one series or 1f many exams are opened it is possible to set the display format for different features including split layout comparison exams and scout images Default Display Tab 80 User s Guide The following parameters can be modified Open Exam Settings for the initial default display when opening an exam can be modified x Open Series Settings for the initial default display when opening a series can be modified Display Image Display image information can be shown on an overlay image Window Level Preset Tab The Window Level settings can be saved for later use with the same images The settings are also available for use with other images by saving them as pre defined settings Option 5 System User Info Workspace DICOM Gateway Save Report Print
42. ed to all images To select all images in the series x Press Ctrl A or x Choose Image gt Select All from the menu or x Click the Select All button in the Toolbox Deselect All This function deselects all images in the series To deselect all images in the series x Press Ctrl U or x Choose Image gt Deselect All from the menu Display Workstation 39 Export mage This function exports the selected image s as a file on the local hard disk Export Image supports bmp jpeg avi and DICOM file formats Image information and annotations can also be saved with the images for non DICOM image files To export images as image files to the local hard disk select the images that are to be exported and choose Image gt Export Image from the menu The following Export Image window will appear Type in the File Path or select a directory from the directory tree Type in the File Prefix which is the title that will precede the image number if multiple images are selected The default File Prefix shows the patient name and modality Lastly choose the File Type Export Range and Export Options that are to be applied to the export operation If user select AVI Format user have to select Frame rate and press OK xi File Path Ci WRAYPAX E HNC aa oracle A Program Files Il EX LANDAX m DICOM Gateway m RAYPAXWORK H RECYCLER a System Volume Information A Temp File prefix 12033973
43. el the forwarding of the exam Display Workstation 69 To cancel the forwarding of an exam select the exam from the Root Folder Work history Forwarding folder and x Select Workflow gt Cancel Forwarding from the menu Report History This function displays the selected exam s report history information To view the Report History Select Workflow Report History from the menu The history and information for the exam will be displayed as shown in the diagram below CT nn Patent amp Exam Information Mam AANSTOOT HENRI 0011110 Eit Cate 03012194 Age 58 Sex F Procedure BRAM ROUTINE MAI Fuetarring Order Dac Study Dati 0242711998 1 amp 55 15 parton info Report History Infomation Procedure User Sound are EID ToS THEE IRALE ETL 11M16 2000 145547 DRT ATED 1148 2000 19 59g 25 VERIFIED This ls 4 Regon Result Code Code Report History Dialog 70 User s Guide Tools Help Options H Toolbox Configuration amp r Show tut Line Lock Application EFI AIE L Options If Options is selected from the main menu or Exam Browser the Options dialog box will be shown Several parameters of the RAYPAX Display Workstation can be modified and saved Options are separated into tabs as listed below System Tab This shows the information for connected RAYPAX servers in the Server List Servers can be added edited or deleted using the corresponding buttons on the right
44. ely but any changes made will be lost when the window is closed Image characteristics in the popup window can be adjusted as in the Image Display Window and the size can be adjusted using the pull down image menu or regular window controls found on the upper right hand corner of the Popup Image Window To create a popup window select an image to use as a popup image and x Press Ctrl F7 or 34 Key Images There are 4 display tabs in the image viewer of the WCS When the Key Image tab in the WCS image viewer is selected it displays only the key images that were marked in the Display Workstation User s Guide Choose Image Popup from the menu or Choose Popup Image from the pull down image menu accessible after right clicking on the image 4p xd Popup Image Window Mark Key Image This function marks images in a series as Key Images When saved these Key Images can be viewed or printed separately from the rest of the exam or series Key Images are useful for marking important or significant images in a series When used with the Web Clinical System WCS it shortens the download time by selecting only Key Images to view Key Images can also be printed separately under the Print Range option of the Print function To mark an image as a Key Image select the image and Choose Image Mark Key Image from the menu or x Click the Mark Key Image button in the Toolbox Display Workst
45. enu Display Workstation 93 Exam Edt View GoTo Bookmark Workflow Folder Tools Chrl Z m Reload ut Copy Ctrl Ctrl C Ctrl Delete Del Undo The Undo function reverses the last Cut Paste Delete operation When undoing the last operation the Exam Browser displays the folder that the last operation was performed in To Undo the last operation x Press Ctrl Z or x Choose Edit gt Undo or x Click the Undo button on the Tool bar Cut The Cut operation is used essentially to move an exam to another folder Using the Paste function in conjunction will accomplish this A cut exam is not removed until it is pasted into another folder If an exam has been moved in error it can be immediately reversed using the Undo function This operation can be applied only within a write accessible folder To Cut an exam select the exam to cut and x Press Ctrl X or x Choose Edit gt Cut or 94 User s Guide x Click the Cut button on the Tool bar Copy This function copies a selected exam into memory The exam can then later be pasted into another location using the Paste function To Copy an exam select the exam to copy and x Press Ctrl C or x Choose Edit gt Copy from the menu or x Click the Copy button on the Tool bar Paste This function pastes exams that have been cut or copied into a selected folder The selected folder must be write accessible by t
46. enu items and a Help file Clicking the right mouse button over an image will show an additional pop up menu for quick access to common functions The Thumbnail Bar displays a series of thumbnail images Most of the time the initial thumbnail image shown is selected from the middle of the series of images 10 Navigation and sync buttons in the Title Bar Menu bar User s Guide If an image in the thumbnail window is clicked the image will be displayed in the Image Display Window In the title bar there are format navigation with image counter and sync buttons in addition to the patient s name ID and modality of the selected exam The format button gives choices for customized views for the Image Display Window After clicking once on the button configure a view by moving the mouse over the grid until the desired format is highlighted then click the mouse button again The navigation buttons allow selective movement between the first and last images of the selected exam either by row single arrow or by page double arrow An image counter found on the left side of the buttons shows the number of the first image in the Image Display Window and the total number of images in the series If more than 2 series or exams are opened and the sync box is checked the open exams or series can be compared This is especially useful for viewing different MR series together for direct comparison The Menu bar is
47. eports are saved with the exam and are opened automatically when the exam is opened for viewing again RAYPAX Display Workstation runs under Microsoft Windows NT with the same user interface as Windows 95 and 98 which is familiar to millions of PC users The following is the login window of the RAYPAX Display Workstation Depending on the User ID users have different authorization levels Please refer to the Tool Option menu if a change in the password is desired makes medical images On Line fo s OK Quit AR s medical images On line Login window Enter the User ID and Password and select a server from the list of available servers Display Workstation Click on the OK button to log into the RAYPAX Display Workstation the main program of the RAYPAX Display Workstation will then be displayed Unregistered users must contact the administrator to request a User ID and Password Click on the Quit button to cancel the login process and exit the program Display Workstation This section describes menu items in the RAYPAX Display Workstation main window RAYPAX Display Workstation GUI There are two different types of menus in the RAYPAX Display Workstation one is the menu of the main program window of the Display Workstation and the other is in the Exam Browser window The menu of the Exam Browser is explained in Chapter 3 The Menu bar of the Display Workstation is composed of 10 m
48. from the popup menu Example for Histogram Equalization Sharpen This function uses a filter that increases the visibility of small lines and fissures which may otherwise be difficult to spot It brings an image into better focus and sharpens the detail by increasing the contrast of adjacent pixels To Sharpen an image select the image to sharpen and x Select Processing gt Sharpen from the menu or x Select Enhancement gt Sharpening from the popup menu 50 User s Guide Example for Sharpen Smoothen This function uses a filter that effectively makes an image look smoother by softening hard or rough edges To Smoothen an image select an image to smoothen and x Select Processing gt Smoothen from the menu or x Select Enhancement gt Smoothing from the popup menu Example for Smoothen Display Workstation 51 Annotation Series Image Processing Annotation Workflow Tools Help Fa Line MEM a X ange E x Cobb s Angle Rectangle C Ellipse S lt Polygon A Mero a Mate There are several types of annotation that can be added to images to indicate points of interest Such annotation is created over the image that is being annotated hence the original image data is not altered AII annotation such as text markers and measurement tools will remain in the same relative position on the image even if pan or zoom is used Once an annotation has been created it can be displayed
49. ghtness By dragging the mouse left and right up and down the Window Level value will change ELI iii Adjust Window Level Value Zoom This function allows you to enlarge or shrink a selected image The image can be enlarged to a maximum of 16 times its original size while it can be shrunk to the size of the fixed window To use the Zoom function x Select Processing gt Zoom from the menu or x Select Zoom from the popup menu or x Click the Zoom button in the Toolbox Select the desired image and press and hold the left mouse button If the Display Workstation Click and hold the left mouse button then drag the mouse to view other parts of the image 43 mouse is dragged up the image zooms in if it is dragged down the image zooms out Pan This function allows you to move an image within the viewing window when the image is larger than the window When zooming or magnifying an image it will become larger than the viewing window It is then that panning moving the image within a viewing window becomes useful When the left mouse button 1s clicked and held the X and Y coordinate values can be seen at the bottom right hand corner of the Image Display Window This value corresponds to the relation of the viewed point to the vertex in the original image To use the Pan function x Select Processing gt Pan from the menu or x Select Pan from the popup menu or x Click the Pan button
50. he scout image from a series click on the series from which the scout image is to be removed and choose Series Remove Scout Image from the menu Reset Images to Last Saved This function reverts all images in the series to the state they were when they were saved last Any changes that were made after the images were saved will be lost and any changes that were made before the last save cannot be retrieved This is useful when undesired changes have been made to images in the series It is good practice to save 1mages whenever important changes have been made Apply Original Window Level This function applies the original window width and level values found in the DICOM information for the selected series Load All Images All images in a series can be loaded into memory for use If all images are already loaded into memory this function is disabled in the menu 32 User s Guide Window Level Preset Window Level settings can be preset for use with any series of images Depending on the modality certain Window Level settings allow for better detail of images When an ideal setting has been found saving it as a Window Level pre defined setting will save time trying to adjust images in the future When Window Level presets are made they are available to the user through the Window Level Preset drop down list under the Series menu or as hot keys that are determined by the user To save or create pre defined Win
51. he user or else the paste will not work To Paste an exam select the folder to paste into and x Press Ctrl V or Choose Edit Paste from the menu or x Click the Paste button on the Tool bar Delete This function permanently removes the selected exam from the folder This operation can be applied only within a write accessible folder To Delete an exam select the exam to delete and x Press Del or Display Workstation 95 x Choose Edit gt Delete from the menu View The following are the descriptions of the submenus of the View menu These are toggle style menus Vie Exam Edit GoTo Bookmark Workflow Folder Tools Tool Bar o Quick Bar Cut Folder Path Bar Reload Text Size Copy Tool Bar This hides or unhides the Tool Bar A check mark beside the name indicates that it is being displayed Quick Bar This hides or unhides the Quick Bar A check mark beside the name indicates that it is being displayed Folder Path Bar This hides or unhides the Folder Path bar A check mark beside the name indicates that it is being displayed Reload This updates the folder content area with current database data e R 96 User s Guide Text Size This shows the font size for the Exam Browser To change the font size Largest Ctrl 5 x Choose View gt Text Size gt Selected font size from the menu or Larger Ctri d iv Medium Ctrl 3 Smaller Ctrl z omalles
52. hers This means people have read permission in this folder but it does not mean people can create delete in this folder Remove Folders can be deleted within the Private Folder To remove a folder select a folder to remove and Display Workstation 103 x Select Folder gt Remove from the menu If the selected exam folder contains image data then an alert box will be displayed and will ask for confirmation of the delete operation A parent folder that contains at least one subfolder cannot be removed until all the subfolders are removed manually Display Workstation if X r1 This operation deletes the target Folder Do vau want continue to delete Remove Folder Confirm Message Box Properties The properties of folders can be viewed for folders within the Private Folder The name and sharing attributes of a selected folder can be changed To view change properties of a folder select a folder and x Select Folder gt Properties from the menu 104 User s Guide Tools Bookmark Workflow Folder Took p prions t ES Lip Reload faut Verification Macro Start Recent Exams Dictatation Macro Start Review Macro Start a T Macro Stop With Comparison Exam Set Current Folder 45 a Starter Options The Options menu is the same as in the Image Viewer menu in the RAYPAX Display Workstation Please refer to the Options menu in Chapter 2 Display Workstation Macro Start
53. i E Frint Format Format 4 x 3 Print Options Print Range tf All Selected Images C Kev Imades Separate series P image Information Priarity Annotations Print Object Report Generated scout image Border Print Dialog Box The following functions are only available when Paper printer is chosen under the Print menu When the Page Settings button is clicked it will display the dialog box for Report Print under the Options menu Please refer to the menu under Tool gt Options gt Report Print When the Preview button is clicked it will display a preview of what the printout will look like Display Workstation 17 Exit Performs a logout of the current user and exits from the RAYPAX Display Workstation to return to the login screen Edit Exam Edit View Display Series Image Processing Annotation 3i Undo Ckrlez QU S ibm S IG Redo Ctrbe Que wy y Copy Crec lt lt A Baste Ctri Y Delete Ciel The Edit menu is activated only when the annotation menu is used Undo The Undo command reverses the last edit or command regarding the annotations made to the active image It can remove annotations and the changes made to them but it cannot undo any modifications that have been saved To undo an action before the image is saved x Press Ctrl Z or x Choose Edit gt Undo or x Click the Undo button in the Toolbox 18 Use
54. ick the Angle button in the Toolbox The first mouse click on the image will determine the location of the base of the angle While holding down the mouse button move the mouse along the desired axis of the first side of the angle and release the mouse button After releasing the mouse button move to the end point of the second axis and click the mouse button An angle will be drawn in between the two end points Example of Angle Cobb s Angle Cobb s Angle measurements are particularly useful for small angles and when the intersection point is outside the image area To measure a Cobb s Angle Select Annotation Cobb s Angle from the menu or Select Annotation Cobb s Angle from the popup menu or x Click the Cobb s Angle button in the Toolbox Create a line that will form one side of the angle by clicking and dragging the mouse Once the mouse button is released a second line forming the other side of the angle will appear along the horizontal axis making a positive angle Both sides can be moved and aligned with the image as desired The angle shown is for the angle between the two sides R 56 User s Guide Example of Cobb s Angle Rectangle Ol A rectangle can be created in the image window showing height and width parameters To create a Rectangle x Select Annotation gt Rectangle from the menu or x Select Annotation gt Rectangle from the popup menu or x Click the Rectangle button in the Too
55. ified for use e Before selecting the verify function the Brightness and Contrast of all images should be adjusted in advance Department All NEUES QE Physician ID DE ANTALL PETER 02009006 KAGEL JOHN Once verification is 08660 ru WILCOX PATTERSON successfully completed the 90015277 LEE EUGENE b Il be shown 92015189 HAMILTON JACK A ME 92015426 WAHLIG JULIE 08015327 BLATT CAROLYN 00009012 KIHANO DAVID 07660247 LIM ALEX Physician ID 98660167 Emergency Report L Physician Name WILCOX PATTERSON Verify Dialog Box x Emergency Report If this is the Emergency Exam check Emergency Report check box Please refer Emergency Exam tab on Tools gt Options for more information about Emergency Exam x Not Specified If a specific physician will not be selected check Not specified check box To use Verify select an exam in the Exam Browser and x Press Ctrl E or x Choose Workflow gt Verify from the menu or x Click the Verify button in the Toolbox 62 Dictate completed Once the dictation 1s successfully saved the above message will be shown User s Guide In the Verify dialog box x Select a Department x The physician list of the selected department will be shown x Select a physician or check the Not Specified box if a specific physician will not be selected x Click the Verify button Dictate Dictation is normally performed by the diagnosing radio
56. lbox Click and drag the mouse to create a rectangle and then release the mouse button to complete the annotation Example of Rectangle Display Workstation od Ellipse An ellipse can be created in the image window showing the area of the created ellipse To create an Ellipse x Select Annotation gt Ellipse from the menu or Select Annotation Ellipse from the popup menu or Click the Ellipse button in the Toolbox Click and drag the mouse to create an ellipse and then release the mouse button to complete the annotation Example of an Ellipse Polygon A polygonal region can be drawn with multiple points showing the area and the length of the region To create a Polygon x Select Annotation gt Polygon from the menu or x Select Annotation gt Polygon from the popup menu or x Click the Polygon button in the Toolbox Click the mouse button over the starting point of the polygon and K 58 User s Guide sequentially click the mouse button over all points of the polygon When the last point is reached instead of just clicking on it double click that point to end the polygon mapping The points of the polygon can be moved around Example of a Polygon Memo Text can be added to an image and edited later on To add a Memo x Select Annotation gt Memo from the menu or x Select Annotation gt Memo from the popup menu or x Click the Memo button in the Toolbox
57. logist The radiologist who is responsible for the images reads the verified images and records his diagnosis opinion It is possible to write the report but radiologists usually use a voice recording system 09 01 1999 06 26 15 UNKNOWN 10643906 F ITUARTE HELEM 00 12 00 12 Dictation Dialog Box To use Dictate x Choose Workflow gt Dictate from the menu or x Click the Dictate button in the Toolbox To record x Click the Record button or press F5 x Click the Pause button or press F5 again to momentarily stop recording Display Workstation 63 x Playback functions can also be used to verify the recording x Click the Save amp Close button when the recording is finished Transcribe A voice recorded dictation must be transcribed into text When the procedure for dictation is complete the exam will be sent to a transcriptionist The transcriptionist who receives the dictation translates the voice dictation into a text report Please refer to the diagram below Transcribe Dictate Info Type the report here Result Cade Pathology 11241 Parietal OSTEOMYELITIS Transcription Dialog To use Transcribe x Press Ctrl T or Choose Workflow Transcribe from the menu or x Click the Transcribe button in the Toolbox 64 User s Guide Result Code Dialog If the transcriptionist clicks the Add button in the report window the di
58. mation of the selected image can be seen The DICOM information is divided into 6 different sections Patient Study Patient Study Series Equipment and Image information Each section shows information attribute value and tag data To display the DICOM Information for an image x Press Ctrl I or Choose Image Show DICOM Information from the menu or Choose Show DICOM Information from the pull down image menu accessible after right clicking on the image or x Click the Show DICOM Information button in the Toolbox Display Workstation 37 Show Dicom Information Dialog i EE xi Dicom 1 amp DICOM Information Attribute Value Tag Patient Information SOP Instance UID 1 2 392 200036 9125 9 192079 0008 0018 Study Information Image Number 2209 0020 0013 Series Information Patient Orientation 0020 0020 Equipment Information Image Date 2001 02 19 0008 0023 z Image Time 16 26 00 0008 0033 a MAA Image Type DERIVED SECONDARY 0008 0008 Acquisition Number 01 0020 0012 Acquisition Date 2001 02 19 0008 0022 Acquisition Time 16 26 00 0008 0032 Derivation Description GO 8D 0 60 0 39 R4T1 0 C 1 0008 2111 Lossy Image Compression 00 Image has NOT been subjec 0028 2110 Pixel Spacing 0 15000 1500 mm 0028 0030 Samples per Pixel 1 0028 0002 Photometric Interpretation MONOCHROME1 0026 0004 Rows 2010 0026 0010 Columns 1670 0026 0011 Bits Allocated 16 0028 0100
59. n has been locked and can be unlocked N by only the following user pi If you want to change this Option set Auto Lock Idle Time Out value at System tab on Option Menu User ID raypax User Password Application Lock 72 User s Guide x The Monitor Configuration can be set to the multiple monitor settings found in the pull down list Once a monitor setting has been made the program must be restarted x Caching allows exams that were previously viewed to be stored locally for quick and easy access at a later time This 1s convenient for the pre fetching of exams to be viewed by a radiologist at an appointed time Click on Settings to set the parameters for the caching function Click on Delete Files to delete the cache Cache Settings X Cache Usage Do not use Image Caching f Use Image Caching Caching File Folder Current Folder CATempi Disk Space To Use _ _ 100 I MB Free Space On Disk 573 MB Total Space On Disk 4 76 GB Cache Settings Dialog Box User Info Tab This displays the user s information as shown in the diagram below Telephone number e mail address and password can be modified Also User Privileges for the user can be viewed but cannot be modified Display Workstation 73 Change Password Dialog To change the password for login click the Change Password button Gi Plots Type in the appropriate password information in the Current enn Pas
60. om the menu or x Click the Show Information button in the Toolbox 26 User s Guide Show Scout mage The scout image for the selected image series can be shown hidden by selecting deselecting it from the menu as it is a toggle style menu To compare the images in a series select one scout image When the navigation button is clicked the selected scout image will not move as the other images in the series are navigated To show or hide the scout image x Choose Display gt Show Scout Image from the menu or x Click the Show Scout Image button in the Toolbox SOERYADJAYA DAVID AA09635 MR 1 i28 EST x Show Scout Image If the Show Scout Image menu item is not activated go to Add Scout Display Workstation 2 Image in the Series menu Please refer to the Series menu Synchronize All This function synchronizes all windows in the Image Display Window when the Split function is used to create more than one window When Synchronize All is used the sync box for all windows in the Image Display Window is checked To synchronize all windows in the Image Display Window x Press Ctrl N or x Choose Display gt Synchronize All from the menu or x Click the Synchronize All button in the Toolbox Asynchronize All This function removes all synchronization among the windows in the Image Display Window When Asynchronize All is used all sync boxes that are checked in any window
61. onc ESvels udo n mata ms 91 USET Wome erry renee A iori ieu 70 Useras usar island 71 V Verification Mac ninio 81 A E 61 62 94 W A M 34 Web Clinical Systetri eiie en nitens 34 WII WILL 41 Window Level Preset 31 78 With Comparison Exam 79 98 AA tei ti tactis due 60 93 Works indiano 61 WO DAS 71 Z
62. oo ati aaa 68 Report Patatas 13 Repo APPO VE niesie 65 94 Request Manual Eetcli tie ibt ade 84 Reset Images to Last Saved 3l Resu C OU ui eire tet tt heh EORR 64 Re View Macri 81 lorc ninia 48 S DIV sa decidido dio ci n 13 74 Save 2 2 0 90 0 2030 22 0 arar 13 COM raid 29 SA Gr es 99 Select Ad sen tbe 38 CIE CUO scu ROI IESU cias 40 Sendo I6 Witt 13 Server Application Title oooooooonnnnnnnnoos 73 visage M O 95 A cece a ier iawiwnalnos 49 Show ARNO TAO oa donato teres cao ce eet taedio 79 Show DICOM Information 36 Show Information eese 24 Show Scout Image occcccccccnccnnnnnnnnnonannnnnnnnnos 25 PP 0580 990 980 T 18 20 A e EM 52 DINO OUNCE s ci aE a VORNE IE EoNud 50 112 sj sr 18 SUE Id OUL cid at ca 76 Start roll ooo FU obs 91 98 SAUS E 32 BUD MM LE 10 Synchroon 2A Peles iria sit 26 A atout tores t adiu Up Nem uU asd eta tuit 69 T Techngcratis 2 sn 61 EEE VAC aaa ee e isa 89 Thumbnail Barinas daa 9 2 Thumbnail images cccccccccnnnnnnnononnnnnnnnnnnnnnnnnoss 9 WOOL Bata 88 Toolbox DAE 30455 dolia 21 Toolbox Configuration eeseesss 80 A A MM 63 94 AAA peo Doe dame ai 61 TEARS CAPLIO Ss cest tem 61 U A A A 16 86 User s Guide Unmark Key Image occcccccccccccnonnonnnnnnnnnnnnos 34 Unmark Print Image sss 35 Unread A 61 Up
63. own by deselecting selecting it from the menu as it is a toggle style menu Display Workstation 23 Exam Edit View Display Series Image Processing Annotation f X i Show Information fr Shaw Scout Image Synchronize All Ctrl M Asynchronize All AlE 2 M Laad All Format The Format menu displays the current format of the Image Display EHI Window by row and column It also allows configuration of the format of the Image Display Window The row and column parameters can be configured from 1 through 16 To change Format Display Series Image Processinc The format of the Image Display Window can also be conveniently changed using drag and drop column 3 Change Display Format Diabg Fill m the desired Row and Column parameters View Exam Edi You can use drag and drop for simple format changes to the display window Change Display Format To change the format of the Image Display Window K 24 User s Guide x Click the Format button on the upper left hand corner of the selected series drag the mouse to select the desirable column and row layout and then click the mouse button again or Choose Display Format from the menu and fill in the parameters for Row and Column in the dialog box or x Click the Format button in the Toolbox and fill in the parameters for Row and Column in the dialog box Show Annotation Saved annotations can be shown hidden by sele
64. r a DICOM compliant laser film printer The report for the selected images can also be printed on a paper based printer Film Printer Information The print range can be selected and changes can be made to the film Printer format type All exam images selected images or key images can be Name KODAK 8300 A IDEM V B printed separately using the Print Range function Medium Type CLEAR FILM v Before printing check the names of the printers that are connected to the Select th size and t inter i i iudi d Ei ud system If no printer is connected as a Windows System printer the paper for the film printer print function will not work 16 Paper Printer Information Printer Name NPACENTIHP LaserJet 55i MX Status Type HP LaserJet 58i MX Where hp5 printer Select the printer name like a Windows System printer User s Guide RAYPAX Display Workstation supports Windows network printers In this case log onto the printer server before printing Each series of images from the preview images can be chosen separately for printing By clicking on an image it is possible to select or deselect a series to print Exam Information Patient Nama BECKER RICH Patient ID 05752367 Modality ET Exam Procedure CHEST ROUTINE CT choose series to print Printer Marne personal print Film Size 1 DIPRCT ZIN Medium Type BLUE FILM Copies 1 99 Number of copies
65. r s Guide Redo Actions that have been applied can be reversed using the Undo function and actions that have been undone can be reapplied using the Redo function Redo can only be used 1f immediately preceded by an Undo action If Undo is used and then other actions are applied the Redo function will not be available To reapply actions that have been recently undone x Press Ctrl Y or x Choose Edit gt Redo or x Click the Redo button in the Toolbox Copy Makes a copy of the selected annotation s Multiple annotations can be selected at the same time using the Shift or Ctrl keys To copy an annotation select the annotation and x Press Ctrl C or x Choose Edit gt Copy from the menu or x Click the Copy button in the Toolbox Paste Pastes the copied annotation onto the selected image To paste an annotation select the annotation s copy it using the Copy command and x Press Ctrl V or Display Workstation 19 x Choose Edit gt Paste from the menu or x Click the Paste button in the Toolbox Delete Deletes the selected annotation It is possible to select multiple annotations for deletion using the Shift or Ctrl keys To delete an annotation select the annotation and x Press Del or x Choose Edit gt Delete from the menu Ctrl F Full Screen Fil m Thumbnail Bar m Tool Box Bar Split It divides the Image Display Window into 2 or 4 parts
66. r while clicking the left mouse button and then move the mouse to enlarge or shrink the size of the window By pressing Shift while clicking the left mouse button the window level value can be changed by moving the mouse The method to change the window level value is the same as the Window Level function Please refer to Window Level for details By pressing Ctrl while clicking the left mouse button the magnification Display Workstation Local Window Level The window level values in the selected area can be applied to the whole image 45 of the image in the magic glass can be changed by moving the mouse up or down Local Window Level This functions works in the same manner as the Window Level function However Window Level changes the values of the selected image manually while Local Window Level changes the window level values of the image based on the values in the selected local area It is useful for viewing the full image in relation to the Window Level of a certain area of the image To use the Local Window Level function x Select Processing gt Local Window Level from the menu or x Select Local Window Level from the popup menu or Click the Local Window Level button in the Toolbox Click the left mouse button and drag the mouse to form a local window over the desired area of the image Dragging the mouse will change the window level values displayed on the bottom right hand corner of
67. rison Related exams are determined by exam procedure for exams using the same modality and by body part for exams using different modalities To use the With Comparison Exam function x Select Tools gt With Comparison Exam from the Exam Browser When exams are opened using the With Comparison Exam function the layout configuration from the Default Display Protocol settings will be used to arrange the exams in the Image Display Window Set Current Folder as Start Folder This function sets the current folder as the start folder When logging into 106 User s Guide Display Workstation this will be the folder that will be opened in the Exam Browser Search Grid Drop Down Modality Query Calendar Study Time Search The Query Field can be used to filter the contents of a folder The Query Field is composed of a Field Header and a Field Editing area Each Field Header can be resized by dragging the right edge of the field after clicking on it or by double clicking on the right edge of the field to match the heading text width The Field Editing area accepts text input for queries on the folder contents for that particular field Once text is input pressing Enter will execute the query The folder content name and number of Field Header items may be different according to the type of folder If the column header is clicked on the column will be sorted alphabetically or numerically However this
68. space DICOM Gateway Save Report Print Display Format Default Display Window Level Preset Default Display Protocol DDP Emergency Exam Select a modality to view its Display Protocol Modalities MR Monitor 12 Monitors Left Right Monitors Modality Current Historical al CR Current 2 CR Historical 1 Always compare with the latest exam Default Display Protocol DDP Tab x If user unchecks Always compare with the latest exam check box when user open the exam selected exam will be current Exam If user checks this check box the latest exam will be Current exam Emergency Exam Tab If user have the privilege user can see Emergency Exam tab Display Workstation 83 Option TEO x System User Info Workspace DICOM Gateway Save Report Print Display Format Default Display Window Level Preset Default Display Protocol DDP Emergency Exam v Show Emergency Exam notification message box Query Interval la H min Ignore exams opened by another user Emergency Exam List Dialog Show as emergency exam for ls days 0 always show will be removed from emergency exam list after time expires Emergency Exam Tab x If user check Show Emergency Exam notification message box check box when Emergency Exam occur user can see the message box like following picture At this time if user clicks the Message Emergency Exam Dialog will be app
69. t or send the exam back for re transcription 10643906 ITUARTE HELEN F 09 01 1999 06 26 15 UNKNOWN Current Report Result Code Complete Reject Transcription Reject Forwarding Report Approve Dialog Radiologists can forward exams to other radiologists by using the Forward button Forwarding is useful for junior radiologists to send exams to senior radiologists for opinions or when a radiologist is not fully confident in a diagnosis and wants a second opinion User s Guide Select Physician D Department All Physician ID Physician Name kim ALBERT KIM Physician ID kim Physician Name ALBERT KIM Select Physician Dialog Box The Select Physician dialog box allows the selection of a radiologist to forward the exam to Pressing the Complete button finalizes the exam by approving the report Once an exam is approved the report cannot be redone or modified Pressing the Reject Transcription button sends the exam back to have the transcription redone An exam can be rejected because the transcription has errors or is not complete This returns the exam back to the transcription worklist Pressing the Reject Forward button returns a forwarded exam as rejected and not complete Exams can be rejected if there are errors the exam was sent to the wrong radiologist or if the radiologist cannot diagnose the exam Display Workstation 67 LOCATION NOT SPECIFIED OF LINIKTR
70. t Ctrl Click the arrow button beside the Text Size button on the Tool bar and select a font size or x Press Ctrl and the corresponding number 1 5 for the desired font size as shown in the side bar Go To The following are the descriptions of the submenus of the Go To menu Exam Edit View GoTo Bookmark Workflow Folder Tools lt a Back AlE LefE Arrow m Forward Al RighE Arrow Add Bookmark 4 Up One Level AlE Lp Arrow My Stark Folder My My Private Folder Pa Current Patient Folder Back This moves the folder view to the previous folder Display Workstation ss Private Folder Root Folder Worklist Worklist Verify Queue Worklist Root Folder Root Folder ape Forward Worklist Verify Queue Verify Queue Verify Queue 97 If the arrow button located to the right of the Back button is clicked it will display a drop down folder list of previously viewed folders that can be chosen from To go Back to a previous folder x Select Go To gt Back from the menu or x Press Alt or x Click the Back button on the Tool bar Forward This moves the folder view to the folder previous to a Back move If the arrow button located to the right of the Forward button is clicked 1t will display a drop down folder list of previously viewed folders before a Back move that can be chosen from To go Forward to a folder x Select Go To gt Forward from
71. ted manually by moving the sliding bar immediately below Play Backward the image on the top of the Control Panel or by scrolling the wheel of Play Forward Pause the mouse Stop Go First Image Apart from the viewing controls described on the side bar the Control Previous Image Next Image Go Last Image current image number and the total number of images in the series Panel also includes a sync box and an image counter that shows the Tem p ral Spatial neve NN x Show Information Zoom for Cine Viewer images 50 150 3002 00000000990 FE X104 TA lana Cine Viewer window Cine Viewer Tool Icons Play Backward Play Forward Pause Pause the Cine Stop Stop the Cine First Image Previous Image Next Image Last Image Temporal Continuous forward viewing Spatial Continuous viewing back and forth through the series 090000000 QA Cine frame rate control Scout Line Scout lines are often called cut lines for CT images planning lines for MR images or in general intersection lines User s Guide The popup menu consists of the following functions Sync Helps to compare images of each synced series at the same time x View Zoom in and out from 50 300 of the actual image size Viewing controls Standard video and image navigation controls are provided These are the same as the controls found on the Menu bar Show Information Show Hide the
72. the Image Display Window The window level value of the entire image will change to the value in the selected area when the mouse button is released Manual Stack This function allows stacking of images for sequential viewing from a single image view 46 Manual Stack While clicking and holding the left mouse button the following adjustments can be made Dragging Up Move Backward Dragging Down Move Forward Pixel Value 8bit grayscale image Grayscale value O 255 Obit or higher bit grayscale image Raw value 32767 32768 Color image RGB value 0 255 Several CT image Hounsfield units value 1024 1024 User s Guide Manual Stack gives the convenience of scrolling through the images in a series in a single image view using mouse movements This allows the use of the largest possible image view for viewing and diagnosis When using Manual Stack with a viewing configuration of more than one image the order of images surrounding the viewed image will change accordingly when finished scrolling To use the Manual Stack function x Select Processing gt Manual Stack from the menu or Select Manual Stack from the popup menu or x Click the Manual Stack button in the Toolbox To scroll through the images in the series click and hold the left mouse button over the image and move the mouse up or down Moving the mouse up will scroll backwards in the series and moving the mouse down will
73. the opened exam list will show up And user can Add or Delete a exam To test whether the DICOM Gateway is online or not click on the Ping button If the ping fails the destination information may be wrong or the DICOM Gateway may be offline DICOM Send Send To Local AE Title Dwy Client Destination Server IP 192 168 0 4 Port 105 a Pasinaon TE Sarwar IP Address 192 168 0 4 Setting l Ping Port 105 Security Mot use secure connection Exam List Patient Name Modality Study Date More Inf 853054 BANG OK JA CHEST 2002 01 1 Server 878991 SONG SOOHYUN WHOLE CR 1 2002 10 0 Server 105137 BOSTIAN KEITH UNKNOWN GT 147 1999 08 19 Server a Jl Delete Send Cancel DICOM Send Dialog Display Workstation 15 View DICOM Send Log View DICOM Send Log y inl x Sender ID PatientID Patient Name Modality Target DICOM GAN AE TITLE IP 2002 10 31 13 56 46 raypax AA10379 PERRY JOHN RAYPAXx_DGW 70 3 62 127 2002 10 31 14 01 54 raypax AA10379 PERRY JOHN RAYPAX_DGW 70 3 62 113 2002 10 31 14 06 41 raypax 855038 HONG SEUNG HYUN RAYPAx_DGW 70 3 62 127 2002 10 31 14 13 12 raypax 855038 HONG SEUNG HYUN RAYPAX_DGW 70 3 62 113 DICOM Send Log Print Print menu from the main Prints the currently displayed images on film or paper menu Film printer Ctri P Images displayed in the Image Display Window can be printed using a Windows compatible paper based printer o
74. type of sorting may take a long time There are 4 types of input for searches x Edit Box Input text in the edit box and press Enter A query for items that start with the inputted text will be made and then displayed This input type is used for Patient Name Patient ID etc Drop Down Menu Select search criteria from the drop down menu This input type is used in the modality search x Calendar Select a date to search for using the calendar This input type is used for Birth Date Study Time etc x Numeric Input a number to search on and select the equation sign for the search 1 e less than equal to or greater than For example if 70 is inputted and equal to is selected the query will display all exams Display Workstation 107 that contain exactly 70 images 2 PA m AEREE IPAE PE II RAO EE EISE 19 IN 19 A Add BOORDSEK A 92 Add Scout mage ccccccccccccnnnnncconononacnnnnnnnnss 20 A HM 55 A 51 Annotation Properties sess 52 Apply Original Window Level 3l PRD PLOW e 61 Asynchronmze ATL uie rite eie tro eoe 26 B BACK ELTON TENOR 90 BIND opm EIU E 38 Body Eds 98 BOOM tu olo ER SIEUT ARUEN TUS 92 C AC ILIV O lnea denke en uoce aue 69 CANO 99 Cancel Forwarding cut 67 94 Cancel Manual Fetch 85 A tM eM LEE 5 COINS V1 Wy asa de pu EE 21 Client Application Title

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