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USER MANUAL - 20/20 Imaging

1. Dual Monitor Setup If the view station has a dual monitor setup then the user will be able to edit the protocols for the right and the left monitor Notice the Protocol Name Description is RT FOOT LT FOOT This protocol will be saved under this name and can be applied to any study by highlighting the Available Hanging Protocol and left clicking on the APPLY THE Page 116 SELECTED PROTOCOL button 2 Choose a layout for the screen The layout is how the different series will be arranged in the series stack window see page 15 for more information about the series stack window Below are the layout options Fixed Layout Choose layout cal 7 row col 2 rows col 3 rows 2 cals x 1 row 2 cols s 2 rows 2 cols s 3 rows 3 cols 1 row 3 cols s 2 rows 3 cols s 3 rows 3 cols s 4 rows Choose a layout and notice that the Left Monitor and or Right Monitor preview screen will be divided into the number of rows and columns chosen For example when 2 cols x 3 rows is chosen the preview screen will look like this Left Monitor Fined Layout Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 117 Onyx RAD Professional Workstation User Manual 3 Next drag and drop hold the left mouse key down move the mouse and release the left mouse key each series which are located in the Available Series area into their appropriate place in the monitor preview layout valable Se aa
2. OK Validate Study Mark Study STAT sf Mark Study Read amp Mar Delete Study k Study Unread Purge Study g Add Note to Study ings RAD Create Pode LO Select ftucies ip ban lo CE 3 Paiet nana Aunonyrous Peni 111 Waite j F 1 GRY SPINE 9 2000 900 12 Ah Burn to CD I Send Study to Queue Management Edit details for Study List functions Selected studies 1 amp Study History Download Study This Patient make Patient disc BURN QUEUE 0 0 Fully Burn Queue Add selected study Burn Queue Remove selected study Burn Queue Remove ALL studies Left click on Burn to CD and then left click on This Patient make patient disk 4 Nowa window will appear titled Onyx RAD Create ams Patient CD In this window select the studies you CPR SS ES ung candid JPE G Lintheis Toma vendor ICH avert cant OER comprerned mages iioii uncheck thes Bes lo bum wacotpeeiaed igi AMON MIFE studies emawe denip patient and doctor infomation WRITE 10 HARD DARE ONLY CATE MPCOR 5 E START iTA 7 CANCEL j wish to have burned to a CD Lastly left click on the Start Burning button to commence the burning process Page 158 A progress window appears and keeps you informed of the status of the CD burning Creating CD l CORA Job in Progress Please wait DICOM creation LD Image creation
3. Page 132 Acquire Dialog Acquire Settings E 3 x General Extra buttons V Show CREATE STUDY ONLY button Show Debug Fill button V Show Facility m More options V Auto capitalize first letter in Patient Name Show Patient Race input box Non medical customizing Patient ID text O Last Name text P MV Show First Name MV Show Gender V Show Birth Date ppl Cancel Help The Acquire Dialog section of the Acquire Settings Window allows the users to change settings involving the window where patient demographics are entered prior to acquiring the images through the Orex Create Study Only If this option is enabled there will be a Create Study Only option at the bottom of the patient demographics window By choosing Create Study Only instead of Acquire Image the user will create a study with no images and pre enter the data prior to the patient visit Debug Fill If this option is enabled the user will see a Debug Fill button at the bottom of the patient demographics window When this new button is used sample patient data will populate the patient demographics window Show Facility If this option is enabled the user will see a Facility field with a drop down box and an Edit Facilities button at the top of the patient demographics window Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 133 Onyx RAD
4. 1 Left click on the Layout Menu Left click on the Hanging protocol option 2 Highlight an available protocol by left clicking on it 3 Left click on the Edit button to bring up the Hanging Protocols Layout window Left click on the Delete button to delete the hanging protocol from the list HANGING PROTOCOLS x r Available Hanging Protocols C Preview of selected protocol Delete m Options V Enable Hanging Protocols E Show the layout dialog every time even if a OK hanging protocol is defined for the study Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 121 Onyx RAD Professional Workstation User Manual Eile Study Image wiew Layo Preferences Window e To view the Preferences Window first left click on the File menu Within the File menu is the Preferences option When you left click on Preferences the ra Log On alr Log Off Acquire settings CDR Setup screen below appears tr a Import DICOMDIR a OG Exit xl e Cinplage EED Henrie Delay Detra Armettioms APS Goheen MMociatis Wree Lap Advanced irtera Fonts Honi Calbrabon Cte uias on Shady Lit Screen roe Sivicee Mires i i Show Ti Couma in Lint or BS ties l T Shean Fiki Choose ma F Sheer al ieta io Sly Dieii liigi Pragati liaig Pil sat E Fe Datch by ent group after laat rams F T Fece e
5. L PRSNI I 0AN 2M Lo HEREIN AU TABADI T TETT u TAHON IIIN I TAZZI SEE ETFS oe TFAA CZF 1075 Doe i ea EiFri a 2S 1075755 DMEM H CHEST 2 VIEWS P LAT CHEST SINGLE Wilt CHEST SINGLE WIE H dy dawniphan THORACIC Ba study diiri nainm AT FOOT LT FOOT LUMBAHY LUMBAR CERY SPINE ERAIM WITH IME LUMBAR SPHE Mo study decipher UME AH UAB OWN Ae audly dhercipinn Mo Hudy datcripton PINK Paseo ENEE HIGHT UAD RHEE AUG AIRS Me study heel aTi E Eri nnani Bhin ets a iea D swyn D inager Thesis dis rai Baras ha iPas iri thei wisis D Sais The Study List screen At the top of this screen are menu options and toolbars below this are several smaller windows and a main window This screen is intended to resemble some popular email applications with filtering options on the left for filtering the number and types of studies appearing the list and the list of the studies in the main and largest section The listing itself is divided into many columns including Status Modality Patient Name Study Date Study Description etc Studies can be sorted by any of these columns and many of the column headers actually double as search fields All of these listing options enable you to Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 13 Onyx RAD Professional Workstation User Manual quickly find your desired study among the thousands of exams in
6. Menu bars are found along the top of most Windows program and are useful for concealing large menus while not in use Common menus seen in Windows programs are File Edit and Help To pull down a menu from the menu bar simply click the menu title For example click File A menu drops down with entries To activate an entry just Click it To hide close a menu until you need it again simply click the menu name again e g click File again Context Menus Context menus are pop up menus that appear when you right click in certain areas For example in Onyx RAD Professional Workstation if you right click on an image in the Image Window the Image Context Menu appears Context menus are designed to provide quick access to functions or operations that are relevant to that part of the program To cancel a context menu simply move the mouse cursor off of the context menu and click the left mouse button one time Page 252 Toolbars Toolbars are collections of shortcut buttons that generally appear near the top of a program window usually under the menu bar These buttons are designed to give quick one click access to functions and operations in the program For example many Windows programs have toolbar buttons for Cut Copy and Paste operations that people use quite frequently In Onyx RAD Professional Workstation many toolbar buttons also serve as an indicator regarding whether certain
7. Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 75 Onyx RAD Professional Workstation User Manual Annotation Scale Scale tool Scale Annotation Settings Dialog i x Greer Blue Scale Color Aed Scale Size mm ue Mumber of Ticks E Show Scale coca Double click with the left mouse key to bring up the Scale Annotation Settings Dialog window This tool prints a line that shows a length between one and ten centimeters on the current image It is calibrated to the image showing a scale Page 76 Annotation Angle L Angle tool button This tool is used to draw an angle and display the measurement of that angle To use this tool click the Angle tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on the image to set the vertex center point of the angle 2 Move the mouse and notice the drawn line which follows your movements 3 Left Click to set the endpoint of the first vector 4 Move the mouse and notice the second drawn line which follows your movements 5 Left Click to set the end endpoint of the second vector 6 Atthis point the angle s measurement is displayed and you have the option of moving the text out of the way Move the mouse and observe the measurement text moving with you 7 Left Click a final time to set the position of the text Note that the ability to move the position
8. Step 2 Start Workstation if not already running If the Onyx RAD Orex QC Workstation application is not already running start it by double clicking with the left mouse button the icon titled Onyx RAD Orex QC Workstation Step 3 Log On Optional Optional If the Workstation has not been set up to automatically log you in to the database for security reasons you will need to do so manually To do so click on the File menu and choose Log On or you can click the lightning bolt icon Enter your user name and password in the dialog box that appears and choose your database from the drop down list Page 186 Step 4 Study Listing screen Once you are logged in you will see a screen similar to the screenshot below terre 1 ORES QE Werks alin Gi Guy pake Yee Lt OOM ook be CEZ Wet lobe rr cee ne Cet Peels Dai m BRIHTNA I E a E EA l Oe G ean Series G imoges D Steer Deeigton D study Dute B Reining Priician D acewesion hamber 1 0 HEILLE CEGE RED CHESTAP Stub 1995 D amp ORO0 er For Heip eres F1 ues Se RE As seen in the Overview on page 28 this screen is the Study Listing screen All of the studies in your database are listed here and can be sorted by any of the fields although the Patient Name and Study Date fields are perhaps most useful Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 187 Onyx RAD Professio
9. When using the arrow keys take note e Right arrow key moves forward in a series Left arrow key moves backward e Down arrow key moves forward in a series Up arrow key moves backward e Right and Left arrow keys will not advance beyond the current series e Up and Down arrow keys will advance beyond the current series The number of columns displayed in the Image window can be changed at any time by clicking on one of the column layout buttons as seen here o E I EEE Baan aaa CECCI Page 48 xt As part of the customization available the Configuration Bar can be turned on and off at any time To accomplish this see page 206 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 49 The Configuration Bar Image Bucket tab and Study tab Immediately right of the Image Viewing area is the Configuration Bar which consists of two tabs Image Bucket and Study These two tabs are explored below Tabs such as these allow for multiple sub windows to occupy the same space providing more screen area for other things most notably the Image Viewing area The tabs work the same way a g Simply click the tab you wish F Image Bucket E Study 1 w will appear in the Configuration Val opave ni uno GAaripic Screen shot the Image Bucket tab is selected Configuration Bar Image Bucket tab The Image Bucket is the gateway to printing all printing occurs through this handy little windo
10. Page 88 Deleting Annotations To delete an annotation you must first select the annotation See Selecting Annotations on page 87 for an explanation of selecting annotations Once selected you can simply press the Backspace key on your keyboard to delete the annotation Or you can right click the annotation and choose Delete from the Annotations context menu Note that the Backspace option only applies when a single annotation is selected Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 89 Onyx RAD Professional Workstation User Manual Save Image As Any image can be saved in another format other than DICOM This is useful when attaching an image to a slideshow presentation or an email 1 Once you are viewing the image right click to bring up the pop up menu 2 Choose the Save Image As option by left clicking on it 3 Type a file name and choose a file type Choose the location you would like to save the file in Then left click on the Save button Now that the image is stored as that file type it can be attached to an email or a slideshow presentation a My Computer Miu hakun H File name Save ag Ippe 2 BMF Uncompressed brmp Cancel HOCA IBM MMR ical al e ICO ico IFF ifF IMNET G4 imt JEIG jb Progressive JPEG ipg MOCCA G3 mod MOCCA G4 mod MOCCA IBM MMA mod Page 90 Onyx RA
11. tretesstenal W eriurtalticn USER MANUAL TABLE OF CONTENTS Waicome TON VF cerina O 9 wecane TO Cy i Passes sae A E 10 Ea yV TO UG eee eee ee ee mer ee eee ee ee ae eee 11 TAE EY NS e E E E E E E E 13 The Image VICWEL cccceecccesceceeeecceeccceueeceucecsacecceueessneesseeesueeeeueessseessusessueeseeeesseesenses 15 Other Features Options of Professional Workstation cccccccsseeeeeseeeeeeeeeeseeeeeeanes 17 How TO Use This MANUAL isccsetacithecieccsiedsnsscsa ccseniedeuexestnesnieactdeeiene aara eiii 18 Brief Walkthrough of Professional Workstation ccsssssssssssssssssssssssssssssesssssssesssssssssssssssessssessssssseieessen 19 MIU OO CHO Fi eateceee ces E E E E E E E ncemeecaet 20 LOU O tet siceesee esate aerscncetidn ce vemselasdertedactccussteateceateasinueworeueqeumsmasedanendeisutea secqioniestheaateqieeetecesenct 21 Tae SEY LIS SCTE GI sess rete nergy rcs cesses E lg a stog Se ccs R 22 The Image Viewer screen ccccsecccssceceseecceeecceeeceueecsusecceeeceeeeseeecsueessueesseneensetessesesees 24 Eolas Emilna eee ee E E E EEE E EET 26 TNE Study ES CI inisesin aiiai binini diarani ein iisa 27 An Overview of the Study List Screen 0 0 0 ccceeccccecseeceeeceeeeeeseeeeeeeeeeeeeeeseaeeeeessaeeeeesaaaes 28 Columns in the Study List cc ccccceseesceeceeeeeeeceeeeeeeseeeeeeeseeeeeeseeeeeesseeeeeessegeeeessaeeeeeeas 30 Rearrange Study List COlUMNS cccccccccccccsssececeeeeeeeeceeeeeeesseeeeeese
12. Advanced Setup Dialog Box 107 Advanced Tab 107 AE Node Editor 234 36 AE Titles 175 77 Angle 73 Animate Worklist splitter bars 28 Annotation Angle 77 Arrow 72 Box 70 Center Line 80 Cobb Angle 78 Cross Hairs 71 Ellipse 69 Extended Line 68 Freehand 73 Label Left 85 Label Right 85 Line 67 Measure 75 Scale 76 Shutter Box 81 Shutter Closed Curve 84 Shutter Closed Poly Line 83 Shutter Ellipse 82 Skull Center Line 79 Text 74 Annotations Tab 107 Annotations toolbar 213 Arrow 72 Auto Contrast All Images 124 Auto Refresh 28 Auto Size Columns 28 Auto synchronize series 211 Automatic Sending 181 82 Box 70 Burn in Overlays 125 150 BURN IN Display State 128 Burning a CD 158 Calibrate Ultrasound Image 111 CD Archiving 163 64 CD Burning Configuration 162 63 Center Line 80 Cine 102 Cine toolbar 209 Cobb Angle 78 Column Header 28 Columns in the Study List 28 Compare Multiple Studies on a Single Monitor 104 Compare Multiple Studies on Dual Monitors 106 Compare Series in One Study 103 Comparing Multiple Studies 104 6 Configuration Bar 45 Configuration Manager 232 Contact Editor 237 40 Contact Entries 178 80 Context Menus 252 Contrast 65 Auto Contrast 65 Original Contrast 65 Reset Contrast 65 Create Study Only 133 190 Creating a Patient Disc 158 61 Cross Hairs 71 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 257 Onyx RAD Professional
13. Horizontal movement of the mouse adjusts center vertical movement adjusts width This tool can also be activated with its toolbar button above Click the toolbar button to turn this tool on and use it by holding down the left mouse button while dragging the mouse over an image The width amp center tool can also be found in the Image menu or by right clicking any image and choosing the tool from the context menu Width amp Center all images in a series Note that if the Share single frame properties button is enabled whatever width amp center changes you make to one image will also apply to all other images in the same series To enable or disable this behavior click the Share single frame properties button Page 52 xt The Zoom tool is very sensitive Move the mouse slowly when zooming xt Zoom all images in the series Zoom ct Zoom toolbar button This tool is used to zoom the entire image in for closer inspection or out view the whole image at once To use this tool first activate the Zoom tool This is accomplished by either clicking the Zoom button on the toolbar or by choosing the Zoom entry from the right click Image Context menu The mouse cursor will change to the Zoom tool cursor To perform the zoom Activate the zoom tool Place the cursor over the image Hold down the left mouse button Move the mouse up to zoom in down to zoom out Release t
14. Image Window The mouse cursor should change from the cross hair or arrow to parallel lines with arrows pointing in opposite directions When this occurs hold the left mouse key down and move the mouse to resize the width of the Series Window Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 47 Onyx RAD Professional Workstation tt See Appendix C for details on using scroll bars in Microsoft Windows lt t The ability to move to another series using the Right and Left arrow keys can be enabled in the Preferences dialog xt Adjusting the number of columns User Manual The Image window The largest area in the previous screenshot the central area is the Image window This is where image viewing and manipulation occurs In the sample screenshot the images are displayed in a two column format which can be changed at any time as we will see later Note that only a limited number of images may be shown in the viewing area at one time only so many will fit thus a scroll bar is provided on the right hand side of this viewing area to allow you to scroll down and see more images You can navigate through the images in a study by any of these methods e Use the scroll bar to the immediate right of the Image window Use the arrow keys on your keyboard Page Up and Page Down on the keyboard Use the wheel on your mouse if present Click on the position bar in the series thumbnail in the Series Window
15. Patient Name Last Name Only the last is required but it is suggested that both last and first name be entered Patient Birth Date This must be entered in MM DD YYYY format Please ensure that you use a four digit year Enter values for at least the required fields and left click Acquire Image to open the Orex CR scanner interface The user can change the setup so that he or she will see a blank study in that database after entering in this information For information on how to set up this feature known as Create Study Only begin on page 131 Page 190 Step 7 Orex Scanner Interface Scanner NernaCA Patient Outline Select the correct anatomic region by clicking this figure The Orex scanner interface screen will now appear The left side of this dialog has a patient outline Click on the portion of the body of which you are scanning and choose the correct anatomic location from the menu that appears This is an important step in ensuring quality images Just as it is necessary to increase technique when shooting denser parts of the patient s body the Orex scanner must similarly adjust its sensitivity when reading plates that have more exposure Choosing the correct body part from the Patient Outline seen above will ensure that the Orex scanner properly scans the shot Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 191 Onyx RAD Professional Workstation User Manual St
16. increase width LEFT decrease width To zoom magnify the ROI window hold the left mouse key shift key and move the mouse FORWARD zoom in BACKWARD zoom out Hounsfield Units shown as the average on the ROI bar Short Cut Control on keyboard Left mouse key This short cut activates the Hounsfield units measure tool and the value is located in the bottom right corner of the image viewing window Page 56 Xt It is possible to pan the image out of the image window If this happens either pan it back into view or click the Fit to Window button See page 60 xt Pan all images in the series Pan te Pan toolbar button Use this tool to move an image around within its display window To activate the Pan tool either click the Pan button on the toolbar or choose the Pan entry from the Image Context menu right click to bring Image Context menu To perform a pan 1 Activate the Pan tool 2 Place the cursor over the image 3 Hold down the left mouse button 4 Move the mouse in any direction the image will follow your movements 5 When you are satisfied with the image s placement release the left mouse button Pan all images in a series Note that if the Share single frame properties button is enabled panning one image will also pan all other images in the same series To enable or disable this behavior click the Share single frame properties button Onyx RAD is a r
17. is also the text you will see in the Routing Configuration dialog explored later in this chapter Dialup Enter the dialup user name and password on the right side of this dialog After sending study set status to The most common values for this are NONE don t change the exam s status or DELETED set the exam to be deleted after it sends successfully Scheduling now is the most common value or you can set a specific date and time Click Save Your new contact will appear in the list Click Exit Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 179 Onyx RAD Professional Workstation To set up a DICOM format entry for sending to any DICOM compliant software Te 2 8 Click New Entry For User choose your desired user default is the user ONY X Contact Type Choose CSTORE Dest AE Node Choose the AE Title from the drop down list This list comes from the AE Titles created in the AE Node Editor tool Description The text you enter here will appear on the button that you see in the Send To dialog It is also the text you will see in the Routing Configuration dialog explored later in this chapter After sending study set status to The most common values for this are NONE don t change the exam s status or DELETED set the exam to be deleted after it sends successfully Scheduling now is the most comm
18. s first endpoint 2 Move the mouse pointer to where the second endpoint will be notice that a preview of the line is drawn while you move the mouse 3 Left Click on an area of the image to set the line s second endpoint The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 67 Onyx RAD Professional Workstation User Manual Annotation Extended Line A Extended Line tool button This tool is used to create a line that splits the entire image To use this tool click on the Extended Line button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on the point of the image where the line needs to split the image 2 Move the mouse pointer and observe the line moving 3 Once the placement of the line is acceptable left click in that area to set the line The easiest way to quickly remove the annotation is to right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 68 Annotation Ellipse O Ellipse tool button This tool creates a hollow ellipse on the image This is often used to circle an ROI region of interest To use this tool click the Ellipse tool button on the Annotations toolbar or choose the tool f
19. 1 Left Click the mouse on an area of the image to set the pointer end of the arrow 2 Move the mouse and observe the trailing end of the arrow following your movements You can rotate the arrow around and shorten or lengthen the trailing end 3 Left Click the mouse to set the other endpoint of the arrow Regarding the arrow drawing technique your first click sets the arrowhead so you should click on or very near the area that you wish to point to The trailing line should be made whatever length you feel is appropriate and can be rotated so that the arrow is out of the way of other ROI or other annotations The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 72 Annotation Freehand in Freehand tool button This tool is used to draw freehand on the image With the tool you are able to draw any shape or figure that you desire To use this tool click the Freehand tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Move the mouse over the image to where you would like to start drawing 2 Hold down the left mouse button the mouse pointer changes to hand and drag the mouse As you move the mouse the drawing will mimic your movements 3 Continue to draw as necessary 4 Release the left mouse button to end the freehand drawing The easie
20. Number to the Provox server whenever the user opens a study To turn this on use the Enable checkbox Set the network address and port number of the Provox server An address of localhost means the Provox software is running on the same computer as Onyx RAD Port number 8888 was selected as the default port by Provox and Viztek engineers but any port can be specified Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 129 Onyx RAD Professional Workstation User Manual Presets The Preset Buttons give the user the option to save width and center values allowing different types of tissue to be viewed depending on the modality Below is an example of Presets used x Modality M User ONYX Presets oe Preset pa Key e width oe Center th Description O 1 Ctrl F1 350 20 ABD SOFT TISSUE 1 i Apply O 2 Ctrl F2 400 40 ABD SOFT TISSUE 2 D 3 Ctrl F3 160 70 ABD LIVER 4 Ctrl F4 1500 150 BODY BONE C 5 Ctrl F5 643 95 CHEST MEDIASTINUM D 6 Ctrl F6 1500 600 CHEST LUNG t Move Up y Ctrl F7 150 40 HEAD SOFT TISSUE 8 Ctrl F8 578 93 NECK SOFT TISSUE 9 Ctrl F9 500 60 RENAL gt dove Dow 10 Ctrl F10 4096 614 SINUSES Esa 11 Ctrl F11 877 108 SPINE SOFT TISSUE Add r 12 Ctrl F12 4000 450 SPINE BRAIN BONE 7 Delet Move Add and Delete Presets From the Image Viewing screen right click to activate the pop up menu Highlight the presets option and left click on Edit Presets To move a Pr
21. Professional Workstation User Manual Orex Acquire Settings q E x General oon Use Scanner Interface C Use OrexQC Acquire Dialog San m Wrede Settings Path to OrexOC application C Program Files Orex f Collect images from folder Recieve images via DICOM Scanner Interface settings Path to Scanner Interface application Ic Program Files Orex 4CL4S5B Bin S canner_Interface exe Browse Path to Digident ini C Program Files Orex4CL4SB calib Digident ini Browse Orex Scanner Model Orex PcCR 1417 Archive raw scans for the last patients fo Swap image height width only enable this if images are skewed Unsharp Mask the raw image fo 4 0 will disable Use Memory Pipe Pass command line parameters Dual Orex operation is not enabled Requires a license coed Heb The Orex section of the Acquire Settings window has various options that apply to the acquisition of the images through the Orex Unsharp Mask The sharp and smoothing values are related to the Unsharp Masking setting and are used as an edge enhancement definement tool If the user would prefer to have this setting turned off change the Unsharp Masking setting to zero Page 134 TWAIN Acquire Settings E X General Acquire Dialog m Modality of scanned images C SC Secondary Capture which is the correct way to label the image G Use the st
22. User Manual The Installing dialog keeps you informed of the installation progress Installing s Curent File Copying tile CA drivers tbun kOU US new exe CAERECANAECACNSNERREE All Files Time Remaining 3 minutes 20 seconds LT Back ext gt Cancel Page 226 About one third through the file copying the WIBU KEY Setup dialog will appear ga WIBU KEY Setup ol Welcome to the WIBU EEY Software Setup program Thiz program will install WIBU EREY Software on your computer xy You must install Ik is strongly recommended that you exit all Windows programs and the e WIBU KEY control panel before running this Setup program drivers in order to i na m Click eLancele to quit Setup and then close any programs you have run Onyx RAD F y j Click oN exte to continue with the Setup program software Version 3 10 Click Next to continue and Next on the next dialog as well Files will copy and the Next button will light up again When it does click Next A final WIBU KEY dialog informs you that setup is complete Uncheck the checkbox next to Yes want to view the readme file now and click Finish A message will pop up indicating the WIBU KEY driver has been installed click OK Onyx RAD installation will continue Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 227 Onyx RAD Professional Workstation User
23. Workstation User Manual Customize Toolbars 216 17 Cut line Operations toolbar 208 Cut Lines 99 101 Database Tab 28 Date Format 132 Delete Annotation 86 7 89 Delete Image 109 Delete Study 28 Deleted Study Restoring 1113 DICOM Elements 96 DICOM Printer Adding 147 Configuration 148 53 Removal 154 DICOM Send Configuration 169 83 Display Tab 124 Edit Annotations 87 88 Edit Patient Information 107 Edit Remarks 126 Edit Study Information 108 Ellipse 69 Exam Routing 241 43 Exclude HI LO PADDING Pixels 125 Extended Line 68 Field Chooser window 28 Film Print 28 144 45 Fit To Window 60 Force Image Repaints 125 Freehand 73 Gamma Correction 64 General Server Configuration 244 45 Grayscale Monitor 125 Group Control toolbar 215 Hanging Protocols 115 22 Creating Protocols 115 Editing Protocols 115 Hard link stack frames 212 Histogram 97 98 Hounsfield Units 56 Image Bucket 10 140 41 Page 258 Image Bucket tab 45 Image Layout toolbar 211 12 Image Left button Operations toolbar 210 Image Server Configuration 246 47 Image Viewer 10 15 16 Image Viewer screen 24 25 Image Viewer Screen 45 Image window 45 Installing Onyx RAD 219 31 Institution Name Editing 125 Integration Tab 125 Invert 58 Invert Red Blue 63 Key Images 94 Keyboard 251 Label Left 85 Label Right 85 Layout Tab 125 Line 67 Link frame number 212 Load across multiple monitors 212 Load multipl
24. and viewing a study Professional Workstation contains many useful and specialized functions designed to increase efficiency and the quality of reading Please review the more advanced sections of the manual to learn about them Page 26 chapte 3 The Study List Screen This chapter explores in detail the first of two screens you will constantly alternate between while using Professional Workstation This screen lists all of the exams in the database s you are connected to allowing you to filter and sort the listing as you navigate the list From this screen you can also change a study s status send it to another site create Patient CDs and view study histories Chapter Contents An Overview of the Study List Screen 28 Columns in the Study List ccceeeees 30 Rearrange Study List Columns 0 31 Remove Study List Columns ccee 31 Restore Study List Columns 0 008 32 Study List Properties ccccceecceeseeeeeeeeees 33 Study LIST BUTIONS innen 35 Add Notes to a Study ccccecceeeseeeeeeeeeees 36 Mark study STA T stares eon cenucietersoccaatomas otad 37 TWAIN SCAM eiscncetturcdeadcdesatcemieamiteiue ac ancests 38 The Study List Filter Window 005 39 Patient s Studies WINdOW ccccseeeeeeees 41 Select a Study for VieWING ccccceeeeeeees 41 Onyx RAD is a registered trademark of Viztek Inc 199
25. appears in the area titled Studies in the Burn Queue Select the patients by left clicking the checkboxes The total size of the images is calculated this may take a moment and the Available Space gauge on the right will begin to fill The user can continue to add patients until the gauge is full The user can also type information in the Institution name Institution Phone and Description for this disc fields Then left click Burn CD Page 164 Exams will be burned to CD with the same progress dialog seen above with creating Patient discs and shown again here Creating CD CORA Job in Progress Please wait DICOM creation LD Image creation Ce Data Caching CE Writing Progress E There are four progress bars and a status bar at the top The status bar displays the current operation e g Writing to disc The DICOM Creation progress bar tracks the progress of images being saved in standard DICOM format to a temporary folder The CD Image Creation progress bar tracks the progress of the ISO disc image creation The Data Caching progress bar tracks the progress of the system caching the data to be written to disc Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 165 Onyx RAD Professional Workstation User Manual Finally the CD Writing Progress bar tracks the progress of the actual writing to disc When this bar
26. are referred to as the Secondary Capture modality when in Onyx RAD Seven Steps to Digitizing Film with a Vidar Scanner 1 Double click with the left mouse key on the OnyxVidar icon appearing on the desktop 2 Now the Onyx RAD Log On screen will appear The user name is onyx The password is onyx The database alias is ONYX Enter the password and left click on the OK button Onyx RAD Logon ONYX RAD User name onyx Password Database Alias es 0 NY a E OK Cancel OnyxVidar Onpe RAD Acquire VIDAR Scanner 3 Insert the films into Scanner Diagnostics Translation Table the scanner Left click on the Scan button which STOP appears in the upper left corner of the OnyxVidar Onyx RAD Acquire VIDAR Scanner window SAVE UNLOAD Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 195 Onyx RAD Professional Workstation User Manual 4 The Helper window appears after left clicking on the Scan button This window requires you to select one of three options below and left click on the OK button Same Patient and same study examination Same Patient new study examination New Patient Helper X Please choose an option below for the filmis you are about to scan This will save you time by automatically tilling in the fields on the PatientStudy Details window Same Patient and same study examination Same Pati
27. can change any of these features to make the font more pleasing to the eye Animate Worklist splitter bars This feature affects the animation when you expand or collapse the patient studies window and the notes window on the Study List Remember After making changes in the Worklist Properties Window to save changes left click on the Apply button followed by the OK button Page 34 Study List Buttons SH G aye ty pa hip fF j Autor Sens Poet reel J Flak mud Add Mole Debte Sudy BakAead Ha i Send Sudy Print Mudy KEW CASE ia TARIN Sear Columns i STAT Auto Size Columns This feature causes the width of the column to be the size of the longest field in the column Refresh When the user left clicks on this feature the Study List will be updated according to changes on the server s database OK Validate Study This feature is used when the status of a study needs to change from INCOMPLETE to UNREAD Mark Study STAT This feature is used when the study needs to stand out from the rest For instructions on how to use this feature refer to page 37 Add Note This feature is used to add notes to a study For instructions on how to use this refer to page 36 Delete Study This feature is used to delete an incomplete study To delete a study first left click on the study to highlight it Then left click on the Delete Study button Mark Read This feature is used to change the status of a study from UNREAD to READ Mark Un
28. fields for the DEFAULT node Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 235 Onyx RAD Professional Workstation User Manual To delete an AE Node Click the node in the list and the boxes above will display the node s information Click the Delete button to remove the Node Note that you cannot remove the DEFAULT node as it is necessary for Onyx RAD to function To exit AE Node Editor Click the Exit button to return to the main Configuration Manager window Page 236 Contact Editor Contact Editor is the tool used to create and manage Contact Entries also Known as Push Entries These entries appear on the Send To dialog when you are pushing Studies Entry Details Validation for Remote Computer Contact Type CSTORE Passion Dest SE Node TEST Description E Hode After sending study New Entry Set status to NONE Save Changes Scheduling Foy Dake Bree Sample 22 May 2002 14 51 30 Contact Listing Contact Type Scheduling Metwork 65 34 102 145 Test Node CSTORE Eontirm Password Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 237 Onyx RAD Professional Workstation User Manual To set up an ONX format entry for sending to other Onyx RAD sites 10 11 12 13 14 15 16 17 18 Click New Entry For User choose your desired user default is the
29. look at in Compare Mode Select this image by left clicking it in the Series Stacks window 7 Left click on the gray bar at the bottom of the Series Stacks window to maneuver to the next study Page 104 8 Select the next study by holding down control and left clicking on the image Now both of the selected images will have a red box highlighting them 9 Once both images have been selected the Compare Vertical and Compare Horizontal buttons will no longer be grayed out These buttons are located on the Image Layout Toolbar and the Layout Menu Select Compare Vertical or Compare Horizontal by left clicking from either location Once this button is selected the Image Viewer will contain two or more images 10 To exit Compare Mode left click on the Compare Mode selected Compare Vertical or Compare Horizontal alzl On Fah am ren Sct Sew fir bbw at Ow ORO I tae 3 OB eet jee Se ne PO ESA Om 05 ease bi PIG He Ps E GS 00 S hho iN oy DOOR DR Sa as GES Notice that there are two study descriptions in the series stack window CHEST ONE VIEW and CHEST SINGLE VIEW which are in the gray bars mentioned in step 7 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 105 Onyx RAD Professional Workstation User Manual Multiple Studies Dual Monitor 1 Open the first study from the Study List by double clicking on it with the left mouse key 2 Once all of the images for the
30. mouse button one time Note that on studies where the technician has entered Study or Series descriptions holding the mouse cursor over a series thumbnail in the Series Stack window for a moment or two will display a tool tip hint showing the description The series thumbnails update to show the current image being viewed as you move through the study in the main Image window Additionally there is a gray progress bar at the top of each thumbnail that displays visually your position in the current series indicated by the yellow box in the bar Maa HHITH IAF re D FPEF Tn Mi Age OY Hemp m n Page 46 Though the Series window is perhaps most useful with the series thumbnails displayed in one column it is possible to change the number of columns at any time by using two of the column layout buttons seen below O O B BB i Feo Stack View button First click on the Stack View button to indicate that you wish to change columns for the Series window otherwise you will affect the Image window Then click the button representing the number of columns you desire Finally it is a good idea to click the Stack View button again as most users expect the column layout buttons to affect the Image window not the Series window The width of the Series Window can be easily adjusted to maximize viewing room Simply hover the mouse cursor over the right border between the Series Window and the
31. nner MONU aisea ua tna cetstal acest ak setae tLeeea cas caeitel aes hs saat 199 Diagnostics and Translation Table M nuS ccccscccccseeeceeseeeeseeeesseeeeeseeeeeeseseesaaeees 201 SING Modality VV OFKIS Uses viewed pina a a a a 202 EVET OOD aariaa e ATEO O 204 The Toolbars Overview ssccoccnce2sn2etaerseve Migetetcctuldat een E 205 otandard TOOD emeeremen eee arney ener str mean arse a a eee eerie ere eee 206 VieW Operations 100 Dal scr techn hh ease dieee Snel Anata ien as dnal eens 207 Cutline Operations toolbar sticccst nett cthcreel a a a E di he sale R bechaiiesendes 208 IE 100 Dlr de ioics ssssiesszuca vertataeediess iam eanenica tue AA 209 Image Left button Operations toolbar ccccceccccecceeeeeeeeeeseeeeeeeeeeeeseaeeeessaeeeessaeeeeeeas 210 image Layout toolbar e 211 ANNORUONS TOODA io a a A T 213 croup Control TooIDa cisini a a a veers 215 CUStOM ZE sl OOID ANS iiien a aE t 216 BUY SAINT OM R RAD remana acta tases bsattseh scan est uclnccsasunc tae vated tauditunnaaanaah tasteestivdncines ANE 218 HS VEU Scstdhene caters icons A seadh ccd eceheguesmeoumeoenepeunie 219 Sel iikel Ui echavolapiitclaic 0 s iarria innato ee ean en ee ee 232 Stall COnmguration Manage enssins A alueeluades 233 RE NOdS oxi 6 eee ete ae ee eee ee eee 234 GOMACK EGON corsa a neice ws seeeoddastactesabunidoeyashaadaatuautieeh aieasadcntadeomeeniassaede 237 XA ROUTING esgars darren seceoe ss cnseemconanenangendn NRE EA E E EEE SI
32. of the measurement text allows you to leave the measured area uncovered and in full view The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 77 Onyx RAD Professional Workstation User Manual Annotation Cobb Angle 1 Cobb Angle tool button This tool is used to find the angle where two lines intersect To use this tool click the Cobb Angle tool button on the Annotations toolbar or choose the tool from the Annotations context menu and Left Click to set the first point for the first line Left Click to set the last point for the first line Left Click to set the first point for the second line Left Click to set the last point for the second line At this point the software is computing the degree of the angle where the two lines meet To set this angle left click a eS Note that the ability to move the position of the measurement text allows you to leave the measured area uncovered and in full view The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 78 Annotation Skull Center Line E Skull Center Line tool button This tool is used to find the line that bisects the distance between ten point
33. of the information will have to be entered into the system at this time Only fields with an asterisk to the left of them are required Then left click on the Scan button to start the scanning process When the user types in the Patient ID field and then moves to the next field the software searches the system for that Patient ID If that ID exists then the data that already exists for the remaining fields is populated into the screen The Gender and Body Part Filmed fields have drop down menus To access the menu left click on the field and then left click on the option within the list lf the user needs to abort the scanning process left click on the Cancel button 6 Now the Save window appears with four options Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Save all scans for the study Save Do Not Save Cancel Stop Page 197 Onyx RAD Professional Workstation User Manual Save een a TX SAVE THIS IMAGE IN ONYX RAD PACS Save all the scans for study TEST SAVE DO NOT SAVE CANCEL STOP Saving the scanned images will send them to the Onyx RAD viewer 7 Toscan more films repeat steps 3 6 Page 198 Scanner Menu Scanner Diagnostics Translation Table Start Scan Stop Scan Unload Medium Properties Calibrate Download Firmware set Password status Exit Left click on Scanner to open the Scanner Menu Some of these options are not import
34. on the empty box next to the words Enable Hanging Protocols 3 Now left click on the OK button HANGING PROTOCOLS x Edit O oaee m Available Hanging Protocols Options l Enable Hanging Protocols Show the layout dialog every time even if a OK hanging protocol is defined for the study Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 115 Onyx RAD Professional Workstation User Manual Creating the Hanging Protocols 1 Double click with the left mouse key on a study for viewing If the hanging protocols have been enabled see page 115 then once the study has finished loading the user will see Hanging Protocols Prompt Left click on New to activate the Hanging Protocols Layout screen as seen below HANGING PROTOCOLS LAYOUT E x Protocol Name Description RT FOOT LT FOOT m Left Monitor Right Monitor i Right monitor is not enabled PG 0 a Fixed Layout Choose layout Fixed Layout m Available Series Drag and Drop each FSE DE Ax T1 COR series to its proper place FSE DE Ax TI AXIAL on the monitor layouts IF AXIAL above IR SAG STIR CORONAL m Save options I Save this protocol for future use More Options Cancel Single Monitor Setup If the view station has one monitor then the user will only be able to edit the protocols for one side of the screen above
35. screen and left click on the Acquire Settings option Left click on the New Case button and then left click on the Advanced option in the bottom left corner of the demographic screen Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 131 Onyx RAD Professional Workstation User Manual General CITT x Acquire Dialog Institution Name this value will appear in the DICOM tags Orex TEST TWAIN Compression JPEG Lossless First Order Prediction V Allow image scanning V Open the image after processing Open the entire study after processing image Use Intemational Date Format DD MM YYYY Show NEW IMAGE button on study list This button places the new image in the last series rather than create a new series Show TEST SCAN button on Study List screen Virtual Calling AE Title OREX Virtual Called AE Title OREX The General part of the Acquire Settings window allows the facility to attach their name to all images acquired through the Orex There are several image scanning options available The date format can be changed Several buttons can be added to Onyx RAD as well Institution Name If Onyx RAD is connected to an Orex the institution name name of the facility can be entered in this location and will be attached to the images as a DICOM tag Date Format The date format can be changed from the default MM DD YYYY to the International Date Format
36. see page 103 Activates compare scroll see page 103 ii Activates group scroll Ex Manual synchronize series When enabled links active frames in the Series Window to highlighted frames in the Image Viewer Window hg Auto synchronize series When enabled certain series like a T1 and T2 of the same sequence will scroll together automatically Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 211 Onyx RAD Professional Workstation User Manual as Hard link stack frames When enabled this button links series together relative to their positions for scrolling purposes ills Link frame number When activated all of the series are linked together so that when one series is scrolled the other series scroll according to the image numbers To use this button you must first activate the hard link stack frame button og Share single frame properties with group A very important button when enabled this causes any image manipulation performed on one image like zoom pan width amp center etc to be performed on all images in the same series Load across multiple monitors Only available with multiple monitors this causes all series to load on the left most monitor while images will be displayed across all the monitors This gives the effect of looking at one big piece of film m 7 Load multiple studies on separate monitors Only available with multiple monitors this loads separate studies onto s
37. the Save Annotations to Database button this tool will not remove them from the database only temporarily remove them from the image If you close and reopen the study the annotations will reappear If you mean to permanently delete the annotations you should click the Save Annotations to Database button after using this tool Page 86 Annotations Editing and Deleting Professional Workstation includes the ability to edit and delete previously created annotations To perform either of these operations you must be in Annotation Mode accomplished by clicking the appropriate toolbar button LA or choosing Enter Annotation Mode from the Image context menu When in Annotation Mode right clicking an image will result in the Annotation context menu being displayed instead of the usual Image context menu Selecting Annotations You must first select an annotation before you can edit or delete it 1 Enter Annotation Mode explained above 2 Move the mouse over an annotation and observe that the mouse pointer changes to a pointing hand Also observe the annotation will light up 3 Left Click the annotation to select it It will change colors and several little filled boxes called handles will appear on the annotation The annotation is now selected A shortcut to selecting all of the annotations on the image right click and choose Select All from the Annotations context menu A
38. the list you can use the scroll bar on the right side of the list to scroll through the list and find your desired study Page 30 Rearrange Study List Columns The column listing on the previous page follows the default order of the columns in the Study List However these columns can be rearranged in any order desired Simply drag left click and hold then move the mouse the column header to its new place between two other column headers As you drag the column header between two other column headers little red arrows will appear to indicate a valid placement for the header Simply release the mouse button to drop the column header into place All column headers can be moved around in this manner Remove Study List Columns You may find that you prefer to have certain columns listed in the Study List This may be because the information is unnecessary or not available e g many institutions do not use an Accession Number To remove a column header simply drag left click and hold then move the mouse the column header down After you have dragged the column header below the other column headers release the mouse button and the column header will disappear You can remove as many column headers as you like Please see the next topic for information on restoring column headers Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 31 Onyx RAD Professional Workstation User Manual Rest
39. therefore images cannot be saved with the unsharp masking enhancement Page 62 xt This tool is for Invert Red Blue color Ultrasound images Invert Red Blue toolbar button it Invert Red Blue This tool is useful for color Ultrasound images and acts like for all images inthe the invert tool for grayscale images swapping blue and red series values To use this tool simply click the Invert Red Blue button or click the Invert Red Blue entry on the right click Image Context menu Invert all images in a series Note that if the Share single frame properties button is enabled using the Invert Red Blue tool will affect all images in the same series To enable or disable this behavior click the Share single frame properties button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 63 Onyx RAD Professional Workstation User Manual xt Generally you will find the Width and Center tool more useful Page 52 x Gamma Correct all images in the series Gamma Correction x Gamma Correction toolbar button This tool uses gamma correction by locating the midpoint gray values and softening extremely light and dark tones in an image To activate the Gamma Correction tool left click the Gamma Correction button on the toolbar To use this tool 1 Place mouse cursor over the image 2 Activate the Gamma Correction tool 3 Hold down the left mouse button and move the mouse up or down
40. tools or options are enabled For example below are pictures of the Magnify toolbar button The image on the left shows this button when the Magnify tool is not selected the one on the right indicates the Magnify tool is selected q n E v Notice that the button on the right appears lit up and pushed in Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 253 Onyx RAD Professional Workstation User Manual Scrollbars Use of a scrollbar is quite simple and there are a few different methods of using one Use the end cap arrow buttons To scroll down click the down arrow button at the very bottom of the scrollbar To scroll up click the up arrow button at the very top of the scrollbar Move the slider up or down by dragging it Position the mouse cursor arrow over the smaller gray bar contained inside the scrollbar Holding the left mouse button down move the mouse up or down to move the slider accordingly Click in the empty area of the scrollbar in an area where the inner gray slider is not located above or below the inner gray slider to move the bar up or down accordingly This is similar to the operation of the Page Up and Page Down keys on the keyboard Page 254 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 255 oy Index A Acquire Image 28 Acquiring Orex Images 185 94 Actual Size 61 Add Image 185 Add Note 28
41. user ONY X Contact Type Choose Network or Dialup as appropriate Network Host Name IP Enter network address of recipient Dialup Phone Number Enter the full phone number including 1 area code if necessary of the recipient Description The text you enter here will appear on the button that you see in the Send To dialog It is also the text you will see in the Routing Configuration dialog explored later in this chapter Dialup Enter the dialup user name and password on the right side of this dialog After sending study set status to The most common values for this are NONE don t change the exam s status or DELETED set the exam to be deleted after it sends successfully Scheduling now is the most common value or you can set a specific date and time Click Save Your new contact will appear in the list Click Exit Page 238 To set up a DICOM format entry for sending to any DICOM compliant software 9 Click New Entry 10 For User choose your desired user default is the user ONY X 11 Contact Type Choose CSTORE 12 Dest AE Node Choose the AE Title from the drop down list This list comes from the AE Titles created in the AE Node Editor tool 13 Description The text you enter here will appear on the button that you see in the Send To dialog It is also the text you will see in the Routing Configuration dialog explor
42. 008 0008 0008 0008 0008 0010 0010 0010 0001 0010 0012 0013 0016 0102 0013 0016 0018 0020 0021 0023 0030 0031 0032 0033 0060 0070 0080 0090 1030 103E 1060 1090 0010 0020 0030 nnani File Meta Information Version Transfer Syntax Uid Inplementation Class Uid Implementation Version Name Source Application Entity Title Private Information Instance Creation Time Sop Class Uid Sop Instance Uid Study Date Series Date Image Date Study Time Series Time Acquisition Time Image Time Modality Manufacturer Institution Name Referring Physician Name Study Description Series Description Reading Physician Name Manufacturer Model Name Patient Name Patient Id Patient Birth Date Patient Sew 1 2 840 10008 1 2 4 70 JPEG Lossless First 0 1 2 840 114062 62771 1 IZCOM103 Viztek Onyx RAD 114448 1 2 840 10008 5 1 4 1 1 1 CR Image Storage 1 2 840 114062 2 2003 6 3 18 29 4 211016734 9 20030603 20030603 20030603 182904 182904 182904 182904 CR OREX VIZTEK LABS CHRISTOPHER OLIVIER C SPINE Series 1 ANONYMOUS Orex PcCR 1417 CARTMAN ERIC 12840114062220036318232821068112552 19680903 This tool is provided so that all of the DICOM information for a particular study or image is accessible from one location To exit this window click the OK button at the bottom of the window Page 96 Histogram Sometimes it is h
43. 03 Jun 2003 18 29 04 CHRISTOPHER OLIVER M 03 Sep 1968 UNREAD 1 2 SCHMO JOE CXR 03 Jun 2003 18 16 20 CHRISTOPHER OLIVER M 12 Aug 1970 UNREAD 1 3 BAGGINS BILBO LIS SPINE 03 Jun 2003 18 14 15 CHRISTOPHER OLIVER M 13 Jan 1964 x P o o ssim amm o u s ie a in wees ss os oe ee ewes ws ee o o uma so s o E Patient Real FAGET D Series D Images O StudyiD Description D Study Date D Referring Physician D Accession Number 9 1 2 Left Foot No study description 16 Dec 2002 10 29 28 Left Foot vi 1 AP MortL Ankle Ankle 23 Jul 2002 16 14 17 AP Mort Ankle 9 1 1 DF LatLet2 DP Lat Dark 22 Jul 2002 13 26 49 DP Lat Left 2 a When you single click a study in the study list it becomes the selected study Workstation will quickly search through the study list to find every other study for this selected patient and after a moment displays these studies in the Patient s Studies window This enables you to quickly see all studies for the patient you are interested in You can also select the study to view from this window just as you do from the main study list window Select a Study for Viewing When you have located your desired study simply double click it in either the main study list window or the patient s studies window Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 41 Onyx RAD Professional Workstation User Manual Page 42 chapte 4 The Image Viewer Screen This chapter explores in detail t
44. 1 Annotation Shutter Ellips serere 82 Annotation Shutter Closed Poly Line cccccsssccccsseeeceeececseseecseseeeseueeessausesseneessaeees 83 Annotation Shutter Closed Curve seess ae a a a la 84 An Otation LabelLeftor Rigt c2usce5 soot cece ecacce a a EE 85 Annotate Delete All ANNOlallOnS a srcernenesn nane ENA 86 Annotations Editing and Deleting cccccccceececseeeeseeeeneeeeseneeseeeeeseeeeseeeesneesseeesseeenaes 87 DAVES IIMAGS AS aaia aaa ua dhonsehinledneetoS 90 AGVANCeG Vi EWING OD El atlONS ssrteninnamidannnienitanaimamenNnenimimnNadieanmaaantit 92 Key IMAGES AMOVEWICW aecscsacez Jon sceccdee E EAEE E obec dedeieadegeswdsaddedssese 94 DICOM Elements C TaS Joore dacutses tare demtaveosancauemewedenn avin wiaexcueiataleammensiets 96 PSIO kini teeth ner eee o Madatciaetsaaatsen nt E 97 CUELLOS aasan I R A 99 Br EE TE E A A A et EAE E AT E A ee 102 Compare Mode Compare Series in One Study ccceeeceeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeseaeees 103 Comparing Munliple Studies Senan a E EE 104 Multiple Studies Dual Monitor cc ceecccccseecececeeeeeeeceeeeeeseeeeeesseeeeeeesseaeeeeseaeeeesaaees 106 Edit Patentand Study IMIOrMatON wesseacsuussvssedanserscehessevnearoxenansewadanodicdeurteadeeasansustnensddee 107 Deleting an Image from an Incomplete Study cccccceccccesseeeeeeeeeeseesaeeeeesseaaeeeesaeees 109 Calibrate an Ultrasound Image for the Measurement TOO c c cc
45. 5 2006 Page 27 Onyx RAD Professional Workstation Menus and Toolbars Study List Filter Window Study List Patient s Studies Database Tab Page 28 An Overview of the Study List Screen Let s start by identifying this screen s distinct parts Lg Oye ad Deegrostic Wewer aial Be guh dees er Leet GCM Tooke thp ae a Soe Gy foe mea Ot oO ae G a lif S DB RRB OEH me OS AN ae eS le hast SSS Hs 24 ab Ele ali Bleek v el ala ewe All Global te Statue D Moie D Soe D nger O Peter Hame D Patent Dippin D Shade Oe G UNREAD g CR l Ancepmous Patient 706 FIGRMOIVI370G1 CHEST VIEWS PrsLAT EEE H UNREAD CA 1 1 Anco Patient 200 2E0113 CHEST SINGLE VIEW 1O Age 20 GS UNREAD CH 1 1 Arege Patent 216 FERMI CHEST SPRGLE VIEW Odum 200 LAD fy Hm 7 7 Anonpmcus Patient 101 VR 07SG Me study daectiption 1 H UNREAD fh HM 1 11 Anonymous Patient T20 TAMONIGA THONACIE Zula UHREAD fh HR fi iS Arpa Potion 131 AFIADA Ha study dercipiioa Iiga Aii i UNREAD f H G Ez Anard Paien 120 TAHAD IETT AT FOOTALT FOOT Hg A ti E UNREAD fh HR 1 12 Anceqmeus Patient 131 IPATTI LUMBARS 2J 200 CAT Scan IET UREA gh HF il iia Arpe Patient 131 IISTSoS LUMAR fisie A UMMEAR jy HI i Ancrgmenus Patient 171 VRAIS CENY SPINE Di Augi m GA UNREAD fi HR 7 168 Arema Paben 131 TEVEZ BRAIN WITH INE Ff dub 20 ri G unean f Min 5 gi Ananpmcus Patient 101 TAOS LUMDAR
46. A 156 INTFOGUCION tO BURNING GDS rreak E ete E E A 157 Oreatingo a PallentiDiSe segraren E A E 158 CD Bumn GOnnQuUratlOm caresi E E A auner nica uaeueess 161 CD Archiving Burn QUEUC SMA C2 ronsinurnieeri iiai a a 163 Sena IV TRO GOI VG DOMS ruini a hanbveoestel 168 Sending Exams INMTOQUCUO Maea tat neh E R oree co uel ued 169 sending Exams ONX Or DICOM scrissenu aaaedincie sh adndane ccsusatshaedetechis ccuesndeudedadonaues 170 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 3 Onyx RAD Professional Workstation User Manual Send el as Fo VAn EXIT ernment ce A E ee eee 171 Monitor the Progress of Pushed Exams cccscecccseeeeeceeseeceeeeecseeeeseeeessueeessneessaaeees 172 Requirements to Receive EXAMG cccccccsseecceseeceeeeceececceeeecueessaeeeceeeecaeeessneesseeessaeeess 174 Sending Exams via DICOM Configuration cccccccsseccceceeseeeeeeeeeeeeseeeseeesaeeeeeesaaeeeess 175 SIO Ae TIG Seo seth ces asec tacit E E EEEE saistioaan eam cs E 175 1 838 CONIC ml a 1c eee eee E reece see eon eee ne ace ee ene ee ee eee 178 Automatic Sending ROUINO acer icestaceette cise ea teeter ice acto caas dat aneciataces 181 BT eA CICS 1G OM aii O 184 INtroduction to Acquiring IMAGES serene 185 Acquiring Orex Images Step DY Step cccseccccssseeceeeseeeceeeseeeeeeeseeeeeeseeeeeeeseeeeeeeeeas 186 Vidar A COURS sr certat cur essenae te e a e e tea lates ls rahul meat a aittneuithies linia 195 SCA
47. AD is a registered trademark of Viztek Inc 1995 2006 Page 37 Onyx RAD Professional Workstation User Manual Parmer lage Onyx RAD OREX OC Workstation File Study Image Annotate Select Series a ch Presets te Flip vertical EE a Flip Horizontal aA Wels 4 gt Rotate Right f gt Rotate Left EL True Size B Contrast Invert Reset Contrast AlL F F TWAIN Scan 2 TWAIN Scan Highlight the study by left clicking on it Left click on the TWAIN scan button looks like a scanner Now a window pops up titled Add Image Confirm details and click ACQUIRE Left click on the Acquire Image button Place report in the scanner face down with the top of the sheet at the bottom of the scanner Also place a blank piece of paper on top of the report to block out any light Left click on the Start Scan button If you like the image left click on the Accept Image OK button If you do not like the image left click on the Cancel button Now in a few moments you will see the image There is one more chance to delete the image Left click on the report then left click on the Image menu then left click on the Delete Image button Now a screen will appear explaining that if you delete the image it will be gone for good If you want to delete the image left click on OK and then left click on OK again If you like the image just close the study by left clicking on t
48. D is a registered trademark of Viztek Inc 1995 2006 Page 91 Onyx RAD Professional Workstation chapte J User Manual Advanced Viewing Operations This chapter explores some of the more advanced viewing features found in the Onyx RAD Professional Workstation Chapter Contents Key Images an OVEIVIEW cccccceeeeeeeeeee 94 Marking Key IMaQe s cccssecessseeseeeseeees 94 Reading Key Images cccsseeeseeeeeeeeeeeees 95 DICOM Elements TaQS cc ccccccseeeeeeeees 96 FU SLOOT ANN eere 97 GUFUNES coc ssotasinytinnmasanscuynddnsadtancaieaseauaysiues 99 OWNS raiser Saceas tee ert tata tte Caleta ede Ticats 102 Compare Mode Compare Series in One Study ARENE EE E EAEI A EE A woe dae 103 Comparing Multiple Studies 104 Edit Patient and Study Information 107 Deleting an Image from an Incomplete Study PETEA A E E E esate E E tae 109 Calibrate an Ultrasound Image for the Measurement TOO sranna EA 111 Restoring a Deleted Study 2 0005 113 PUNGS SUO erea E 114 Hanging ProtoCOlS wiiersiveaivetleiwesstinhohinhandeceis 115 Preferences WINdOW cceeeeeeeeeeeeees 122 Display VAD eysi eiea een ieun hake 124 Overlay Options Tab cccce eee eee eee ees 127 Page 92 Advanced TaD ienrscdese neseetinwiSektvartddassont 128 integration TaD sicdciiSuccieieasciincinligsdexeccnitens 129 PS SO 1S see bene se eae tacnte A A 130 Acquire Se
49. DICOM printers you may already have access to DICOM Printers Mel Add DICOM Printer To add a printer double click the Add Printer icon There are many options you can set for the printer but at the very least you must give it a description See the next topic Configuring DICOM Printers for details on the available configuration options When you have finished adding your printer click OK Then close the DICOM Printers window by clicking its top right X button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 147 Onyx RAD Professional Workstation User Manual Configuring DICOM Printers DICOM Printers come from many manufacturers and although most of them offer standard features you may desire to tweak the configuration of your printer to get the best results To configure an existing DICOM printer select Printer Setup from the DICOM menu bar and then double click the desired printer from the next window The configuration dialogs are shown on the next few pages Page 148 The first configuration screen is shown below Connection Printer Mame SAM PLE Extra Configuration Host Address fi 92 166 1 15 Port 104 Association Calling SE Title jo FSS erer Called AE Title AE_SAM PLE Back Cancel Help Printer Name Enter a friendly name for this printer Host Address Enter the network address for this printer Port Enter the required port num
50. DO WEH ALWT SES tomy Ete al HGH TEE REH E GEETHOVEN LUMAR WAM DLTH ona DAH Lota CLARE ReaT pS BOGART WOLFGANG AMADE MSAT fons PHAM hihi HEIDA RPT To use the Modality Worklist select and expand click the plus box next to the patient or exam you wish to add images to Then simply click the Add Image button From here image acquisition works the same as the Add Image topic covered earlier in this chapter Page 202 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 203 Onyx RAD Professional Workstation chapte 10 Every Toolbar User Manual Onyx RAD contains many toolbars and menus designed to allow quick access to the features of the software Because each individual will only use a subset of all the tools available the vast number of options may seem daunting This chapter explores every toolbar found in Professional Workstation and describes the usage of each function found therein Chapter Contents The Toolbars Overview Standard toolbar View Operations toolbar Cut line Operations toolbar Cine toolbar Image Left button Operations toolbar Image Layout toolbar Annotations toolbar Group Control toolbar Customize Toolbars Page 204 The Toolbars Overview Many software applications make use of toolbars to provide the user with shortcut buttons to common functions These buttons are quicker than expanding a menu from the menu bar and selecting the entry One cl
51. ETES ere E a nee 56 E 1T A EIE PEE A AR AA AA AEA A ANE A A IE E EE E ETE E A AE A 57 MVO eea a E 58 Fue SeT TY en a deace del aauroctwen astee ieee hagubt deen ceealawoess 59 PIEDON ON deseeaereeenrs ernest ne a Eon eS Fo ee eee ae 60 FANG 2 lates 72 gt een eon ete tea Rene ger eT Teron een ee eee ee 61 WISN IWIASIKING ossciitscnaredcarten conte rene fee tesbets terns i 3 onl A eateuin fendtlcolienciauccasaee 62 HAV GFT Red BUC aaa set canine ae uncut wyotadld cx ulaterugdudustegmedteleaacdvulen lalate scbudatdieuevesl ditaeusannatans 63 Ganma GC Onl CCl O Aicersicoctc a a a e a 64 FAI E A ETE T E E E ET EA EAA 65 ANNOTATIONS IMMOCUICTION eea a E E N RON 66 AMMOLATIOMN ENE ene aa aa a a e a 67 Annotation Extended ING A SA 68 ANOLA liOn EDS Gesner E E at 69 AnNOLANON BOX saorsa aE E E E E EEEE 70 Annotation Gross Hall Sensei aee a a a a a a A 71 PT WMOVATION ANON serorari a r a A NE 72 ANNOTATION KECIAN Gaius tes atce anand erect A eae ee aaa id 73 AMMON VOX iooi a e e AE a aE E E E N 74 ATINOLATION MCAS UNG orr a a T EER 15 PRMOVAUON OCA Onna Buetiohaacions otis Sua a a ha tenualteneadauetens 76 PAU VOU OM A SEIN Cortese in deities oiaral tain a a yg haemgndtamev sehen utaeaerauuencan lie 77 PRMOta OMe GOOD sAN OIC eee Stet a E a nee net 78 Annotation Skull GEMter Cine searen a a 79 Annotation Center Line 22 2 2 cece ecceccecceceeceeceececeeeeeceeaeceeceeaecaecuecueceeaeeusausaesaeseeseeaeseeees 80 AMMOUAUON ONU BO e a a E 8
52. Image Bucket To select individual images for printing you must drag them into the Image Bucket You should first perform any desired manipulation window and level zoom annotate etc To drag the image ensure that no view tools are selected such as pan or zoom If one of these tools is selected your mouse cursor will reflect it e g a magnifying glass for Zoom or a hand for Pan Turn the tool off to return your mouse cursor to a cross hair Now you can drag images With the left mouse button click the image and hold the mouse button down while dragging the image over to the Image Bucket window Release the button and observe that a copy of the image is now in the Image Bucket Drag a Complete Series to the Image Bucket You may desire to print an entire series Rather than dragging the series images individually you may drag the whole series from the Series Stack window to the Image Bucket window Mouse your mouse cursor to the Series Stacks window and ensure that Span Images is not enabled Your mouse cursor will show span if this tool is on Click the Span Images toolbar button to turn this off Drag the series thumbnail to the Image Bucket window in the same manner as you drag individual images Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 141 Onyx RAD Professional Workstation User Manual Print to Paper At the bottom of the Image Bucket window are the print buttons L
53. J H HH E lil ep Clear Print s Paper print gt DICOMDIR DICOM Print lt Film print EA Image Bucket E Study 1 Click the Print button to bring up the Paper Print window seen below Cares Pe Da lee a Pies carer rar l a ipea mj bessie a bup a E Wi PE sae Warts Ge This window offers many options for defining the layout of the printed page and a preview of what the printout will look like In this window it is possible to control e Number of columns and rows to print images in e Orientation of the paper portrait landscape e Margins Page 142 Spacing between images Width of border around images Overlay printing Patient summary Header and footer text which can contain anything common usage is institution information and page numbers To change any of these options simply locate the appropriate checkbox or button on the window and click Once the page Is set up as desired click the Print button in the top right of the window and your images will be sent to the selected printer Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 143 Onyx RAD Professional Workstation User Manual Print to Film After selecting the images or series to print by dragging to the Image Bucket see previous section it s time to print The study can also be printed from the Study List screen by selecting the study by left clicking on it an
54. Manual Add the image to the study When this option is enabled the scanned documents are added to the images as one study Page 136 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 137 Onyx RAD Professional Workstation User Manual chapte 6 Printing Paper and Film This chapter covers printing in Professional Workstation Topics include using the Image Bucket to select individual images for printing the Print window and its options and printer selection Paper and Film printing are covered Chapter Contents Printing Overview cccccseeeeeeeeeeeeeeeeeeeeeeens 139 The Image Bucket cccccsssseceseseeeeneeeeens 140 Drag Individual Images to the Image Bucket REE NET IEE en ee a ee ee er ee eee 141 Drag a Complete Series to the Image Bucket sca eid ANAA EIE TETTA TET 141 PUI TO AD CL eron aea 142 PAL TO FIM tensions vhsoe wath na 142 The Debug Messages checkbox 4 145 Clear the Image Bucket ceceeeeeeees 146 Adding DICOM Printers sscceeeseeeeees 147 Configuring DICOM Printers c ceeee 148 Removing DICOM Printers ccceeeeeee 154 Page 138 Printing Overview Onyx RAD Professional Workstation offers the ability to print to film as well as paper specifying the number and layout of images printed overlay printing and other options Your printing capabilities depend on the type of printers install
55. Manual Near the end of file copying the Interbase 6 ODBC setup will begin Easyeott B6 ODBC Driver Setup is preparing the Installs hreld A Wizard which will guide you through the rest of the setup process Please wait 100 After several moments a new setup window will appear to guide you through the Interbase 6 ODBC driver setup You may need to check for it on the task bar at the bottom of the screen and click on it to make it appear Welcome Welcome to the Easysoft ODBC for Interbase 6 Setup program This program will install Easysott ODBC for Interbase 6 on your computer easysomTt x You must install Interbase the Interbase ODBC driver if you selected the Local Database component lt is strongly recommended that you exit all Windows programs before running this Setup program Click Cancel to quit Setup and then close ary programs you have running Click Mest to continue with the Setup program WARNING This program i protected by copyright law and International treaties Unauthorized reproduction or distribution of thie program or any portion of it may result in severe civil and criminal penalties and Will be prosecuted to the masimum extent possible under law Cancel Click Next to continue Page 228 The next dialog is a license agreement dialog Sofware License Agreement Please read the following License Agreement Press the PAGE DOWN key to see the rest of the
56. NE 241 General Serner ConiguralON areton mr ien e a E 244 IMAGES SEIV Cl COMO kee R ih cae ihe ais lacae ia eratiunatiaas eetauneeeeateee Seats 246 Windows 2000 PIME sous cstvcien ston a Mints aiuto asian 248 Usmo TE MOUSE reines arn eatin cneumdon Sant hoienaseebeeanet 249 Mouse Click Left or Right button cccccccccceeeccceeeeeceeeeecseueeesaueeessasecseneeesseeessaaees 250 USING THE Keyboard asiasia a a elie e hi eledtuaede 251 Menu pars CINIGIMUS us aetna asi be telcsteie dis test cet ete eh aati tah uaa ina tie cea taciat ue Sehsc dy 252 OPTS IT WS FNS aah crac tate a hie atcha sa lal late N A 252 MOOD ANS eae esate E EE atest eats eh ean aida eeeh undoes 253 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 5 Onyx RAD Professional Workstation User Manual Viztek Inc 6491 Powers Avenue Jacksonville FL 32217 904 730 0446 800 366 5343 Onyx RAD User Manual Revision 4 08 June 2006 Author Kristen Tabone Page 6 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 7 Onyx RAD Professional Workstation User Manual Page 8 chapte l Welcome to Onyx RAD This chapter officially welcomes you to Onyx RAD Professional Workstation The chapter covers mouse button fundamentals introduces the two main screens in Professional Workstation the Study List and the Image Viewer and offers a brief look at what else is available in this and other applications in the Onyx RAD suit
57. Node Editor and a Contact Entry in the Contact Editor see the previous topic After these steps have been taken care of you can create a route Onyx RAD Routing Configuration Ea This routing table defines the routes that exams will take once they have been validated To auto send exams from this machine add routes to the DEFAULT Node Destination Contact Entry Details Contact Entry for This Routing Entry Dest Variable Dest Port Scheduling Save Lhanges Cancel Changes Add Hen Route Delete this Route Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 241 Onyx RAD Professional Workstation User Manual Xt Keep in mind that you must have already created a Contact Entry using Contact Editor To add a route Click the node to add a default route from in most cases you will click the entry titled DEFAULT Click the Add New Route button On the right side of the window select a Push Entry from the drop down box This box lists all the entries you have previously set up using the Contact Editor utility in Configuration Manager If you have not set up any entries exit from this window and set up an entry first The next two boxes will fill with the values stored in the contact entry e g network address and port and the scheduling box will be empty For a temporary route enter a specific date and time Otherwise enter now wit
58. Onyx RAD x THESE 1 IMAGE WILL BE PERMANENTLY DELETED AN Are you sure that this is your intent Mo 7 If yes is chosen a second time then the image will be permanently deleted from the study and is not possible to recover Page 110 Calibrate an Ultrasound Image for the Measurement Tool lf the measurement tool is used with an ultrasound image prior to calibrating it the measurement reading will be in pixel units To measure the image using millimeters the ultrasound image must first be calibrated File Study Image Annotate Select Series 1 Double click on the esc Ultrasound study in Cea a aa the Study List to open it 4 Flip Horizontal got Rotate Right 90 l oo Rotate Any Angle 2 Choose the Image 3 Ratate Left 90 that should be measured left click he Fit to Window Alt F on the image El Show All Pixels 1 15 Be e 3 Left click on the off Contrast Invert Image menu in the Meal Curiieel upper left corner of Swap Red Blue the screen He Reset All oe 4 Left click on the Calibrate button Delete Image Calibrate 5 Left click on a Start point and End point on the Calibration bar 6 Enter the length of the line in millimeters and left click on the OK button Enter Real Length in mm OK Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 111 Onyx RAD Professional Workstation User Manual 7 Calibration bar the dashed lines can occur on t
59. SPINT H a Pomel iland Arepa ed UNEN Ww H Ho mude deaciphon Ice el IUHREAD Gf T i i Ancepmernil UMEMiwH Hao afualy dreina a rear UNREAD f OT l I Arena UME OW No dudy deecripton D H or 20i miii GA UNREAD fi HR 2 az WAL AUN FIR PPS ENEE ADGHT QUAD EMER AUG 17 Jun 19 cas UNREAD yy CT i af SMITH J N PORT anon Mer efualy vbexesiiqeticor Flam Lihim LG nr am AA aa G Law PALE ATi Anne TANPE RA ape ETA a EN F ik s a E E Patient Nama ntis Protea ii Lii saour Hu fier z USN E O Medai D Sais D insya D Siib Deerpin O Shy eng Pty D Thesis et oath Bara ha iPas iri Ehei wi is ry ra DT b a o pen studies Mates y Reparti 7 Ow Por Heip prets PL Hui om ALC The Menus and Toolbars hold entries and shortcuts to common functions of Workstation Note that most of the toolbar buttons are grayed out i e disabled because they have no relevance on this screen The Study List Filter Window holds icons representing study statuses and the various modalities that Workstation supports Clicking any one of these icons will update the main study listing to display only the studies whose status or modality matches the icon clicked The Study List is the largest and most important part of this screen as it holds the actual listing of studies in your database The list is divided into several columns completely configurable as we ll see later to organize all of the information available like Patient Nam
60. State 125 Save Image As Different File Type 90 Scale 76 Scanner Interface 191 Scrollbars 254 Select Annotations 87 Send Exam 171 Send Exams DICOM 170 Send Exams ONX 170 Send Study 28 Series Window 46 47 Series Stacks window 10 Share single frame properties 212 Shutter Box 81 Shutter Closed Curve 84 Shutter Closed Poly Line 83 Shutter Ellipse 82 Skull Center Line 79 Sort Columns 20 Special MR CT Layout 212 Standard toolbar 206 Stats Bar 10 Study List 13 14 28 Study List Filter Window 28 Study List screen 28 29 Study Status Filter 28 Deleted 28 Incomplete 28 Read 28 Unread 28 Study tab 45 Test Scan 188 Text 74 Toolbars 253 True Size 59 TWAIN Scan 28 TWAIN settings 135 Unsharp Masking 62 Unsharp Masking Sharp Smoothing 134 Vidar Acquire 195 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 261 Onyx RAD Professional Workstation User Manual View Operations toolbar 207 Width amp Center 52 Worklist Fields button 28 Worklist Properties 28 Zoom 53 Page 262 Onyx RAD Professional Workstation User Manual Page 264
61. Step by Step 186 vidar ACQUING ccatehccirtenaicaneinexdonnccdyareieke 195 Using Modality Worklist Page 184 Introduction to Acquiring Images Onyx RAD Professional Workstation when attached to an Orex PcCR scanner or Howtek film scanner becomes a powerful acquire workstation where exams are acquired checked for quality control QC ed diagnosed stored and transmitted all on one workstation An attached Orex scanner scans raw image data from phosphor plates housed inside the cassette on PCCR 1417 models The Onyx RAD software then converts this data to DICOM compliant format and compresses the data in JPEG Lossless mode and stores the resulting study on the workstation lf a Howtek film scanner is installed the software performs similar features converting film into digital DICOM exams Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 185 Onyx RAD Professional Workstation User Manual Acquiring Orex Images Step by Step Step 1 Ensure Scanner is turned on Ensure the Orex CR scanner is turned on If it is not please turn it on The power switch is located on the back of the scanner and powering up may take from 20 seconds to 60 seconds Some Orex CR scanners especially the newer auto cassette models may take a few seconds before they respond to the power switch being flipped on so please be patient This delay is due to the scanner running internal diagnostic tests
62. Using the Keyboard While most tasks utilize the mouse there are operations requiring the keyboard Typing in search terms for example or typing annotation text The keyboard is laid out much like a typewriter If you are familiar with a typewriter you will feel right at home on the keyboard in a short time A notable addition on a computer s keyboard is the set of arrow keys These are four keys grouped together on the right side of the keyboard between the main letter keys and the numerical keypad which are labeled with arrows pointing up down left and right The arrow keys can be used to move the cursor around while typing in text Onyx RAD Professional Workstation makes use of these keys as shortcut keys to scroll through series of images Pecking the right arrow key will take you to the next image the left arrow key will take you to the previous image Immediately above the arrow keys is a grouping of six keys also used as shortcut keys The delete key Sometimes labeled del for short can be used to delete annotations The Home and End keys are used in navigating a series of images Home will take you to first image End to the final image The Page Up and Page Down sometimes labeled PgDn and PgUp will take you to the previous series or next series respectively Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 251 Onyx RAD Professional Workstation User Manual Menu bars Menus
63. When the user is in the Study List screen left click on the File menu then left click on the Preferences option Left click on the Overlay Options tab Now the user will see a list of all of the available tags They can be placed on the right or the left side of the image To add a tag to one side of the image left click on the tag to highlight it and then click on the Add button 4 To remove a tag left click on the tag and then click on the Remove button 5 The tags can also be repositioned Left click on any visible tag and move it up or down 6 When the user is finished making the changes left click on Apply then left click on OK uN Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 127 Onyx RAD Professional Workstation User Manual Advanced Tab Display S Mouse Misc Overlay Options Annotations RIS Gateway Modality Worklist Image Bar Cut Lines 3D Cursor Layout Advanced Integration Passwords Advanced DEBUG Viewer Preferences dialog You can protect these areas V Pad 24 bpp images operations with passwords Purge Study Ane oe To disable password protection for Edit Patient Study each item leave the password box ty Change READ to UNREAD aii Display State image orientation window level Custom DICOM Print When closing a study save the Display State Prompt Prompt Always C Never C Always When Validating a stu
64. a Data Caching CE Writing Progress N There are four progress bars and a status bar at the top The status bar displays the current operation e g Writing to disc The DICOM Creation progress bar tracks the progress of images being saved in standard DICOM format to a temporary folder The CD Image Creation progress bar tracks the progress of the ISO disc image creation The Data Caching progress bar tracks the progress of the system caching the data to be written to disc Finally the CD Writing Progress bar tracks the progress of the actual writing to disc When this bar fills completely the Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 159 Onyx RAD Professional Workstation User Manual status bar at the top will display Closing Disc and you are generally less than one minute away from a Patient CD When the job completes a message pops up on the screen Click the OK button on this message and the new Patient Disc is automatically ejected from the CD burner Please note that CD burning is a system intensive process and requires the entire computer s processing to achieve It is therefore necessary to wait while until the CD is complete before continuing to use Professional Workstation With current recording technology and speeds most discs are complete within three minutes Particularly large exams may take more time to complete Also note that Patient CDs ca
65. a Drag and Drop each FOE DE As T1 COR senes to its proper place fees i TT AKIAL on the monitor layouts P CAG above FSE DE Ax STIR CORONAL IR AXIAL FSE DE Ax Fixed Layout 2 cole 3 rows This is an example of what the monitor preview screen will look like once the series have been dragged and dropped into their respective places If there are more series than what the monitor allows to be arranged on one screen then there are two options Left click on the PG down button and continue to drag and drop the rest of the series Leave the rest of the series in the Available Series area and they will just appear underneath the organized series Page 118 4 Next select Save this protocol for future use option and left click the OK button to save the new hanging protocol Save this hanging protocol This option saves the hanging protocol that the user is currently working on when the user left clicks on the OK Apply button Once the hanging protocol is saved it can be applied to other studies It is very important to remember to select this option 5 Left click on the OK Apply button to save and apply the layout to the series stacks window This takes a few moments to load 6 The series stacks window can be enlarged in order to get a better view of the images To do this hold the left cursor over the left side of the image viewing window Notice the cursor changes shape to this lt b O
66. agine leaving the emergency room with a CD of images of your broken foot a CD that you can insert into your home computer and view the x rays at any time The ability to copy an exam onto a CD and send the patient or referring physician home with this disc is truly a tool of the future Onyx RAD Professional Workstation provides this ability today CD Burning is a standard feature of Onyx RAD Professional Workstation All of the images in an exam can be copied to a recordable compact disc along with a Lite version of the Onyx RAD Image Viewer The finished disc can then be viewed in any computer running Windows 2000 or higher The result is a special personalized souvenir for the patient and a solution more cost efficient than film for the referring physician Images are stored in standard DICOM format a medical standard ensuring that other vendors PACS systems will be able to read the images on the disc Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 157 Onyx RAD Professional Workstation User Manual Creating a Patient Disc Note that the workstation must have a CD Recordable drive installed and configured Viztek technicians handle this Burning a CD is simple in Professional Workstation The task is performed from the Study List screen 1 Highlight the Study you intend to burn to a CD 2 Right click on the highlighted study to bring up a pop up menu C gt Refresh Study List
67. agreement JMPORTANT READ CAREFULLY Be Sure To Carefully Read And Understand All OF The Rights And Restrictions Described In This Easysott End User Licence Agreement Agqreenent This Agreement le 4 Legal Agreement Between You Either An Individual OF A Single Entity And Easysott For The Easyeott SOFTWARE Accompanying This Agreement Which Includes The Accompanying Computer SOFTWARE By Installing The SOFTWARE You Agree To Be Bound By The Terms OF This Agreement Ifyou Do Not Agree To The Termes OF This Agreement You May Not Install Or Use The SOFTWARE The copyright and all other intellectual property rights of whatever nature In the Software which tern shall where appropriate include any new releases of the Software provided to you the Software supplied herewith is owned by Easyeott Limited registered in England and Wales under number 2780502 gt Do vou accept all the terms of the preceding License Agreement IF you choose Wo Setup will close To install Easysott ODBC for Interbase 6 pou must accept this agreement Back TEE Ho Click Yes to continue Next is a release notes dialog click Next to continue Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 229 Onyx RAD Professional Workstation User Manual A User Details dialog appears User Information At Please enter your name the company you work for and your ead Sys OTL product serial number F
68. an Incomplete Study An image can be deleted from a study only when it is in the Incomplete state This will allow the technologist to delete any image that has to be redone or any image that was sent from a modality but should not be displayed in Onyx RAD 1 Open the Incomplete study from the Study List by double clicking on it Onyx ARaAD Diagnostic Viewer File Study Image Annotate Select Series ia ou Presets VU Flip Vertical Flip Horizontal qg Rotate Right 90 TEST ug Rotate any angle fp Rotate Left 90 ae Bad Eit to window Alt F F E lt El Show all Pixels 1 15 ab Histogram B Contrast Invert Reset Contrast swap Red Blue HE Reset All AN key Image E Delete Image Onyx RAD is a registered trademark of Viztek Inc 1995 2006 2 Make sure to select the proper image before deleting it To select an image left click on it in the main image viewing window The selected image should have a red box around it Now left click on the Image menu in the upper left corner of the screen Notice that the last choice in the Image menu is the Delete Image option Left click on the Delete Image option Page 109 Onyx RAD Professional Workstation User Manual 5 Next a window will appear Onyx RAD x Are you sure that you wish AN to delete the 1 selected image Yes Mo 6 If yes is chosen then another window will appear
69. ant to the end user Below are descriptions of the important options Start Scan This option starts the scanning process and is also described on page 195 step 3 Stop Scan This option will stop the scanning process Properties The important properties are Bits Per make sure it Is set at 12 at least Scan Stage Manual or Automatic Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 199 Onyx RAD Professional Workstation User Manual PROPERTIES TX Average ByteOrder Bits Per Light Intensity Line Time Resolution Scan Stage Translation 1 BO_INTEL 12 0 20 1 CO OW _ Dark Enhance Image Image Scanner ID Scanner Serial No Scanner Firmware Scanner Hw Version Scanner RAM Size SCSI ID SCSI Version Cancel Once the user has made changes to the properties left click on the OK button to save these changes Set Password This option allows the user to set a password on the software Create the password and then left click on the OK button SET PASSWORD J Ok Cancel Page 200 Diagnostics and Translation Table Menus VIDAR has produced a variety of scanner models many of which have features or settings unique to that model The Onyx RAD VIDAR Acquire software provides interfaces to these features such as Scanner Diagnos
70. art Scanning Exit Step 8 Insert the Cassette Insert the cassette into the Orex scanner and push gently until it locks into place with an audible click The scanner will quickly load the plate from the cassette and display a message similar to 14x17 plate ready near the bottom of the screen Step 9 Start scanning You are now ready to scan To start the process click the Start Scanning button found at the bottom left portion of the Orex screen Scanning may take up to two minutes depending on the size of the plate During the scan you can observe the progress window as it shows in real time what has been scanned thus far Additionally a timer in the bottom right corner of the window keeps track of the remaining scan time Step 10 When the scan completes Once the plate is finished scanning a thumbnail image should appear in the bottom window of the Scanner Interface Hold the left mouse key down on top of the image and preview it in a larger form Hold the right mouse key down on top of the image and a menu will appear The menu options are rotate right rotate left flip horizontal and flip vertical These preview tools are only available after the scan is finished and before the next scan Continue Steps 8 through 10 with the remaining cassettes in the study When all of the cassettes have been scanned left click on the Exit button located on the right side of the Scanner Interface screen to st
71. art the image processing There is no need to wait until the last plate is finished erasing the Exit button can be selected as soon as the last Page 192 image appears in the bottom window of the Scanner Interface Upon pressing the Exit button please wait a few moments for the communication between the computer and the CR scanner to complete You will see a small dialog window indicating Processing Image during this time The Onyx RAD import process should only last between ten and thirty seconds depends on the number of images that are being processed When the Orex scanner has finished erasing the plate an audible click will indicate that the cassette may be removed When Onyx RAD finishes importing the image the Processing Image dialog will disappear If this scan was a new patient you will notice the patient s entry on your listing screen you may need to scroll down if your listing is very long lf this scan was an additional series image to an existing study you will notice the number of series images for the study has been updated Step 11 QC the image s When you have completed the scanning and have no more images to add to the study It s time to perform some quality control The study is currently marked INCOMPLETE indicating that the technologist has not yet verified and or prepared the images At this time you should open the study double click the study see the p
72. ase lle Log off of the database Import a DICOMDIR formatted exam Export CD copy a study to a CD Recordable disc i Show Hide the Series window Show Hide the Worklist window Show Hide the Configuration bar window amp Show Hide the 3 D Slices window A Change the status of the study unread read etc only available on the Study List screen Page 206 lt t Remember that these image manipulations except for Key Image will affect all images in the current series if the Share Single Frame Properties with Group option is enabled See page 21 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 View Operations toolbar xj Oo Soa OPA ae A This tooloar contains buttons that are shortcut to entries found on the Image menu Flip image horizontally Flip image vertically a Rotate image 90 degrees counter clockwise W aP 2 Rotate any angle ai Rotate image 90 degrees clockwise ll True Size expand shrink image to true size MH Fit to Window expand shrink image to fit in window a Invert black and white pixels Invert red and blue colors ultrasound Eh Reset all aspects of the selected image to its original Show Hide image overlays Invert image overlay text color iN Mark image as a key image Page 207 Onyx RAD Professional Workstation User Manual Cut line Operations toolbar x zaua This toolbar contains buttons that are shortcuts to entri
73. ase in use at your facility In most cases it will already contain the correct name and should not be changed For our example session our database name is Onyx Once you have filled in the three fields click the OK button to enter Onyx RAD Professional Workstation Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 21 Onyx RAD Professional Workstation User Manual The Study List screen As stated earlier Onyx RAD Professional Workstation consists of two interfaces screens each with a separate function The first interface you will see when entering Workstation is the Study List screen This interface is used for searching and selecting patient studies and sending studies to other users The picture below shows this screen Lion RAD Tiras Fier k zj Be gol dene Yen Lavo DIC Jook ihip l E Cas Meee E Pe a EA E TE E EOE E OOREEN m DAWA kaal enean Solel TALA Leila UNREAD CH E i HSan r CHEST 2 VIEWS FPsLAT UNREAD CA H MEHDI 1130 CHEST SINGLE IEW UNREAD CH r i he PIESEI 113091 CHEST SPXGLE VIEW UNREAD fj HM i ITZ OTSA H dy dawriphan UMMLAD g Hit AW TAMT TIET THORACIC EFA RITE a Ba study deiris a DAMON MAT FOOT ALT FOOT 31 TESTU LUHBAH 1a aoe LUMBAR DATES CCA SPINE ee VIVES SS BRAIH WITH IAF HZA OTSE LUMAR SPE UHENT H Ho study deacniption LIMA A Ae study diiri UMFM OWN Ho sudy description PINK Parsee EAHEE AIGHE QUAD EMEE LG SMITH JH FIKR 7 Se Ha tudy he
74. ast array of image manipulation tools to assist in diagnostic interpretation of medical images All of the tools described in this chapter have easy one click toolbar buttons to activate them They are also available from the Image Context menu right click on any image and additionally can be found by navigating the menus in the menu bar Each topic below names an image manipulation tool lists the ways to activate it toolbar button menu entry etc and explores its usage Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 51 Onyx RAD Professional Workstation User Manual xt A quick and easy shortcut to using the Width Center tool is to simply hold down the right mouse button while moving the mouse around the image x4 Width and Center all images in the series Width amp Center Width amp Center toolbar button This is the most basic and yet most important tool available as it adjusts the width and center also known as window and level or simply brightness and contrast of an image Adjusting the width and center of an image allows for viewing different levels of an image e g moving from bone to soft tissue To perform the width amp center 1 Place the mouse cursor over the image 2 Hold down the right mouse button 3 Move the mouse horizontally and or vertically the image Is adjusted as you do so 4 When satisfied with the image release the right mouse button
75. ate regions of interest within an image Annotations do not permanently alter the image rather they are stored separately from the image data and are held ina transparent layer atop the image Think of a transparency sheet with writing that lay over a picture Thus it is not possible for annotations to damage the original image data and they can be hidden at any time to allow full analysis of the image All of the annotation tools described over the next several pages have easy one click toolbar buttons to activate them They are also available from the Image Context menu right click on any image choose Annotate and additionally can be found by navigating the menus in the menu bar Each topic below names an image annotation tool lists the ways to activate it toolbar button menu entry etc and explores its usage Save your Annotations One of the most important reminders is to save your annotations g After you have annotated images in a study be sure to save those annotations This is accomplished simply by clicking the Save Annotations to Database button shown here The button is found on the Annotations toolbar Page 66 Annotation Line a Line tool button This tool creates a straight line on the image To use this tool click the Line tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on an area of the image to set the line
76. ation necessary and monitoring the progress of incoming exams Chapter Contents sending Exams Introduction 0068 169 Sending Exams ONX or DICOM 170 Send Push yan Exam aeurc 171 Monitor the Progress of Pushed Exams 172 Requirements to Receive Exams 174 sending Exams via DICOM Configuration 175 Set up AE WUCSeavcctasventeuchtervenecersenteteadheavens 175 Set up Contact Entrie s cccccceeeeeeeeee ees 178 Automatic Sending Routing 0 181 Page 168 Sending Exams Introduction Although there is some prior configuration necessary to push exams to other doctors this configuration is handled by Viztek technicians This means that you the user do not have to worry about setting up the transfer parameters You simply the push the study and keep working You may however wish to set up your own routes from time to time and this is covered near the end of the chapter Once the exam has been pushed the transfer process takes place behind the scenes and therefore does not interfere with your work as you continue to read other exams It is possible however to check on the status of the exam s you have pushed and monitor its progress Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 169 Onyx RAD Professional Workstation User Manual Sending Exams ONX or DICOM Onyx RAD supports two different methods of sendin
77. ber for this printer Extra Configuration Enter any other parameters as directed by the printer manufacturer or an Onyx RAD technician Calling AE Title Enter OnyxServer or whatever AE Title has been set up for the printer to accept jobs from Called AE Title Enter the printer s AE Title Click the Next button to proceed to the next configuration dialog Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 149 Onyx RAD Professional Workstation User Manual The second configuration dialog is shown below Overlay EG Pint Overlays F Invert Overlays More Overlay Options Printer Supports Overlays Printer Supports Overlays Storage C Send Overlay Tags in Image Data m Printer Overlay Support C Burm In Overlays Before Printing Overlay Magnification Type BILINEAR v lt Back Cancel Help Print Overlays Enable this checkbox to send overlays the tags that appear in the corners of images such as Patient Name Study Date image number etc Printer Overlay Support If the printer supports overlays select the Printer Supports Overlays option If overlays do not print it may be that the printer does not support overlays It is thus necessary to burn in the overlays which you can do by selecting the Burn In Overlays Before Printing option More Overlay Options Select either the Printer Supports Overlays Storage the most common or Send Overlay tags i
78. button This tool is used to focus on a particular area The important part of the image is surrounded by a polygon and outside of the polygon is blacked out To use this tool click the Shutter Closed Poly Line tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Click to set the first point 2 Drag the mouse click again to set the next point 3 Continue to do this and set points for the polygon 4 To end double click The polygon will automatically be closed and the portion of the image outside the polygon is blocked out An easy and quick method to remove the annotation is right click the image which displays the image context menu and choose Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 83 Onyx RAD Professional Workstation User Manual Annotation Shutter Closed Curve Shutter Closed Curve tool button With this tool the user can draw by freehand a curve around an area of importance The important part of the image is now visible and outside that area is blacked out To use this tool click the Shutter Closed Curve tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Click and hold the mouse do not release button 2 Drag the mouse to draw a freehand shape 3 When finished release the mouse button The portion of the image outside the drawn shape is blo
79. ceeeeeeeeeeeeeeeeeeeees 111 Restoring a Deleted Study accented E ee ue ee Soa htt 113 PGE U0 genen eee Meine sneer corner nee tne nem eane OSE Mcrae attr Pure weit ete E E et ee eae 114 HandNo AV OlTOCONS texiatieesie lc cecestcesemmumins a A N 115 Preferences VWVINGOW screen diistittesntiedantinacdeurtcsantetnortiabevanuhdoaaeetreuatiguinessengieadiaaiatetesuen 122 ISD AO ietrtcttutaincan ie eiphotontecmenesatsdtanatia cnet anna e ta raddionala tov ncnsutenGuenimce 124 21g EW 0 Io aoa Ez a etmemememee en cmretnen tert me eee tee mem N 127 Advanced AND eneserenea ean a bata aeitwncdetatba EE 128 tegan a Desers aieictunstchubacigdatavaneemaeenlaluniagtd oteMatnhdadisaaditanetenuel 129 PrOSO lOa E a 130 ACQUIFe Settings WInNdOWascriessennnaneasiesinen n a 131 PHAUNO Paper aOR e ATN 138 PrIIDUNO OVEIVIEW osonni A idee ose eaneundeaelisncodaalas 139 FING Image BUCKET soie a e a a 140 Drag Individual Images to the Image Bucket nn nnnnennnennnnernrnenrenrrrrnrrrrrrrrnsnrrerrrreerrene 141 Drag a Complete Series to the Image BUCKeL cccccsseccecesseeeeeceeeeeeeseeeseessaeeeeeseaees 141 PUNTO P ADON wiwesascatea sani en a a a r nn Sotie 142 PANT TO FEI e a a rar ene eo een ee 144 Cleat tne Image BUCK Cb hrn ccanacecea mae ieecclianalduiuadbeosieeneeeeaerencee eet 146 Adamo DIC OM Painters isernia Ea E E E sehen a ened 147 GContigurinig DICOM PMET S arises EE EAN S 148 Removing DICOM Printers sassi a 154 CTD TA NO oriana N E A
80. cked out An easy and quick method to remove the annotation is right click the image which displays the image context menu and choose Delete All Annotations from this menu Page 84 Annotation Label Left or Right L Label Left tool R Label Right tool This tool is used to label the image left or right To use this tool click the Label Left or Right tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on an area of the image to start the label 2 Move the mouse pointer and observe the label expanding 3 Left Click again to set the label The easiest way to quickly remove the annotation is to right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 85 Onyx RAD Professional Workstation User Manual Annotate Delete All Annotations This is only available from the image context menu right click the image with annotations you wish to delete This tool provides a quick method of removing annotations It is useful for example when you simply want to take a quick measurement and then remove the measurement from view To use the tool right click the image with annotations and select Delete All Annotations from the menu Note about Saved Annotations Note that if you previously saved the annotations using
81. ct Click this checkbox to have the burner automatically eject discs once the recording process completes Temporary Storage Directory This specifies where temporary files are stored during the burning process It is recommended that you not change this value from the default Include Onyx RAD Software Click this checkbox to include a copy of the Onyx RAD Lite Viewer on the disc The disc can then be read by any computer with Windows 98 or newer Institution details Name Enter the institution name exactly as you would like to appear in the Lite Viewer Institution details Phone Enter the institution phone number as it will appear in the Lite viewer After setting your CD burning options click OK to save the settings Page 162 CD Archiving Burn Queue SMA 2 gt Refresh Study List CD Archiving allows GK Validate Study you to backup y eine a exams to CD Mark study Unrear A A CD AE eens Recordable discs rchiving is net and deleted them only available on from the workstation te Add Note to Study Acquire Orex and This is essential to Howtek urn to CO This Patient make Patient disc saving space on an workstations hg Sale hat Wie PORI GUEUE Cee Acquire workstation Queue Management a i ie ee when a PACS iS not Edit details for urn Queue Remove selected study mies Burn Queue Remove ALL studies aval lable to store the Study List Functions exams Selected studies 1 B Study Hi
82. ctory C TEMPCDR CDR burning requires a temporary storage area to store the DICOM directory as it is being created The directory above should have at least 100 MB of free space Compression i Compress DICOM images on Patient Discs using standard JPEG Lossless Orye AAD Lite Viewer Check this option to include the Onyx AAD Lite Viewer on the CD ou will then be able M Include Onyx RAD Software to simply insert the CD into any Windows computer and view the exam CD will auto rur Institution Details displayed by the Lite Viewer Format the Institution Name exactly as you would like itto appear in the Lite Viewer Name VIZTEK Phone 304 730 046 ancal Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 161 Onyx RAD Professional Workstation lt t CD Recordable discs are rated fora certain write speed You should choose a recording speed that is compatible with your discs lt t The institution details are useful for marketing purposes as this information will appear prominently in the Lite Viewer when the patient disc is accessed in another computer User Manual CDR CDRW Drive Choose your burner from this list of scanned drives The drives are identified by vendor and model descriptions Speed After selecting your drive this box will be enabled and filled with speeds that your drive is capable of Choose your desired burning speed from this list Auto Eje
83. d of using the mouse is to rest your hand on the top of the mouse with your index finger positioned over the left mouse button and your middle finger positioned over the right mouse button If you look at the computer screen you should notice a small white arrow This is called the mouse pointer With your hand resting on the mouse as described above move the mouse over the desk or mouse pad and observe that the mouse pointer will mimic your movements Move the mouse up down left and right in a circle etc and observe the mouse pointer Practice trying to place the mouse pointer on a certain area of the screen perhaps one of the icons you see on the screen The buttons are operated but simply pushing down and releasing the button For example to operate the left mouse button with your hand resting on the mouse as described earlier you simply push the button down with your index finger then release This is called clicking the mouse named for the little click noise this action produces Thus to click the mouse means to push one of the buttons Note there are two buttons so left click means to click the left mouse button and right click means to click the right mouse button Generally one will only say to click something implying the left mouse button Indeed the left mouse button is the button used for most every task in Windows so if you are asked to click something you should ass
84. d returning to the Study List The rest of the chapters explore individual sections of Professional Workstation in greater detail including the Study List and Image Viewer screens advanced image viewing and manipulation tools operations printing to paper and film creating Patient CDs CD burning sending and receiving exams and acquiring exams from a Supported acquisition device The appendices cover the Onyx RAD Configuration Manager program as it relates to Professional Workstation tasks the Onyx RAD installation process and a Microsoft Windows primer to cover the basic of using Windows as it relates to the use of Professional Workstation Page 18 chapte 2 Brief Walkthrough of Professional Workstation This chapter offers a walkthrough for typical usage of Professional Workstation The walkthrough includes locating a study in the Study List screen viewing and basic manipulation of the study s images in the Image Viewer screen and returning to the Study List Chapter Contents IMPOGUCHOMN iprint t a 20 LOO ON anie E 21 The Study List SCre n cccccceseeeeeeseeeeeees 22 The Image Viewer SCIrEeN cccceceeseeeeeees 24 GOING FUNNET acina EA 26 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 19 Onyx RAD Professional Workstation User Manual Introduction Onyx RAD Professional Workstation a k a Workstation for brevity is a network client application that allo
85. d then left clicking on the Print Study button Print Study Click the DICOM Print button and the DICOM print dialog appears Print Film x Printer Prier enn Layout Priority Ls Low 1X1 1X2 1X3 1x4 C Medium C High 2x1 2x2 2x3 2x4 Copies 0 Colorlmages 3x3 3x4 gegi 3X6 Resolution C Low C High 4X4 4X5 4x6 4x8 Burn in image orientation labels Debug Messages Burnin annotations Burn in cut lines Cancel Select the DICOM printer from the list box at the top of the dialog the printer that was used last is already selected Choose a layout for the printed images by clicking any one of the layout buttons The supported layouts include Page 144 common configurations such as 4 X 4 indicating 4 columns by 4 rows After choosing the layout check the other options available on the dialog such as print job priority higher priority jobs are completed before lower priority jobs resolution higher resolution provides crisp clear images and number of copies desired Other options available Burn in image orientation labels Select this option to burn in the orientation markers e g L and R markers into the images so that they print to film Burn in annotations Select this option to burn in any annotations you ve made including markers text and measurements so that they print to film Burn in cut l
86. dy BURN IN the Display State Never Prompt Always Never m Study Load options V Enable Study Locking JV Use Select Series for studies with at least n images 200 Log file directory S E a Swap File Directory c0 nyx RAD Wwarkswap m Passwords The user can create passwords for the Preferences window the Purge Study option and the Edit Patient Study option Save Display State The display state of an image is the current saved appearance of the study but the original appearance of the image is saved as well The user has the option to always never prompt saving the display state BURN IN Display State The burned in display state of an image occurs when the appearance of the study has been permanently saved and takes the place of the original This occurs only at the time of study validation The user has the option to always never or prompt BURN IN the display state when closing Page 128 Integration Tab x Display a Mouse Overlay Options Annotations RIS Gateway Modality Worklist Layout Advanced Integration These settings control Onyx RAD integration with external 3rd party applications m Provox Dictation Software integration Enable IP Address Port r Urthoview mtegration M Enable Orthoview executable JOVLauncher exe Help Cancel Integration with Provox dictation software involves Onyx RAD sending the current Accession
87. e age sex and User Manual birthdate the study s status number of series and number of images description originating institution etc The Patient s Studies window is a handy tool which works in conjunction with the study listing to quickly show you all of the studies associated with the selected patient The Notes Window quickly displays study notes entered by a technologist at the time of QC ing quality control checking the images Finally the Database Tab or Tabs indicate which database s you are currently logged onto Professional Workstation allows you to log onto multiple databases simultaneously and switch between the listings by way of these easy one click tabs Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 29 Onyx RAD Professional Workstation User Manual Columns in the Study List The columns available in the Study List are listed here in default order e Status Modality Series Images Study ID Patient Name Patient ID Description Study Date Referring Physician Gender Age Date of Birth Social Security Number Accession Number Institution Name Owner Group The column header themselves serve double time as buttons which you can click to sort the study list by that field For example click the Patient Name column header to sort the list by Patient Name ascending Click the header again to reverse the sort resulting in Patient Name descending order After sorting
88. e 15 Onyx RAD Professional Workstation User Manual position in the current series via the actual thumbnail picture displayed and the progress bar at the top of each thumbnail The rightmost window seen in the sample picture is the Image Bucket where individual images of interest are dragged for printing With one click the Image Bucket can be replaced with the Stats Bar which displays summary exam information like patient name study date and description and holds quick buttons like Close Study The Image Viewer screen provides a vast array of powerful image manipulation tools to assist in your diagnosis Images can be window leveled manually and automatically sharpened flipped rotated Zoomed panned and inverted You can view cut lines image intersections e g MRI studies histograms Hounsfield Units for CT and DICOM elements tags Additionally you can animate cine entire series mark individual images as key images for quick reading later and Unsharp Mask CR images Various annotation tools are available ranging from simple arrows and text boxes to angle and distance measurements Advanced paper printing including the ability to define exactly how the printed page will look beforehand is also included Page 16 Other Features Options of Professional Workstation Onyx RAD Professional Workstation is highly configurable and modular In its most basic form Professional Wo
89. e 3D Slices feature This component will include the OpenGL drivers Generally it is not needed Click Next to continue Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 223 Onyx RAD Professional Workstation User Manual The next dialog is titled Select Program Manager Group This dialog allows you to define a different Group for the Onyx RAD software to be installed into The default Onyx RAD which will create a new Group is the best choice Ja Select Program Manager Group Enter the name of the Program Manager group to add Onye AAD Workstation icone to Onye AAD ACCESSOnes Administrative Tools Adobe Adobe Acrobat 4 0 Anarchy Online Beavis and Butt head Creative F Prot Antivirus Games Liquid Audio Microsoft Developer Network Cancel Click Next to continue Page 224 The next dialog indicates that you are ready to begin installing Onyx RAD Workstation When you click Next on this dialog the process of copying and installing files to your computer will begin 4 Start Installation You are now ready to install Onps AAD Workstation Press the Hest button to begin the installation or the Back button to reenter the installation information Cancel Click Next to begin the file copy and installation process Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 225 Onyx RAD Professional Workstation
90. e of medical imaging tools Chapter Contents Welcome to OnyxX RAD cccceseeeeeeeeeeeees 10 EASY TOU Seascale setae era ela 11 THS Study LAS Ue aroni ine saetesiotwes aaa 13 The Image Viewer ccccceseeeseeesseeeeseeeeeaes 15 Other Features Options of Professional WVOIKSTatlOM honvrac tea daar aE a A 17 How to Use This Manual cseeeeeeees 18 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 9 Onyx RAD Professional Workstation User Manual Welcome to Onyx RAD The Onyx RAD suite of Telemedicine PACS applications was developed specifically to handle the DICOM protocol for both transmitting and viewing DICOM images and data elements The applications were developed for networked PCs running Microsoft Windows NT and 2000 and offer an interface that users find to be quite intuitive after some initial learning The Onyx RAD applications deal with all manner of DICOM images and modalities including MR CT CR US and many others These images can be viewed manipulated annotated transmitted to other facilities printed animated and stored using the Onyx RAD suite This manual is concerned primarily with the Onyx RAD Professional Workstation application though other parts of the suite will be explored as necessary e g administrator configuration tasks Page 10 Easy To Use Onyx RAD is designed to combine a multitude of powerful tools with an intuitive and config
91. e software will automatically perform an auto contrast operation which will adjust the window and level to images as they are opened to be viewed This works the same as the Auto Contrast feature described on page 65 Most users do not turn this feature on because they with to see the images with the same window and level that they used on the image last time Page 124 Exclude HI LO PADDING pixels from auto contrast The exclude HI LO PADDING pixels from auto contrast option fine tunes the way that the auto contrast works by ignoring pixels which lie outside the average range for the image For an Orex Acquire workstation this option is not necessary Apply LUT found in images When this option is selected a look up table from the image is applied to the image to affect its appearance Monitor Calibration Box Grayscale Monitor Some of the colors that Onyx RAD uses red and yellow for example are hard t see on grayscale monitors If the Grayscale Monitor option is enabled these colors are replaced with white and are made thicker or dashed so they are more legible on a grayscale monitor Unless the user has a grayscale monitor this option should always be turned off Visible Display Width and Visible Display Height When these two values have been entered the user will be able to see the image in its actual size For more information on this topic see page 61 Image Navigation Box Switch to next group after last f
92. e studies on separate monitors 212 Lock Toolbars 217 Log On 20 Magnify 53 55 Manual synchronize series 211 Mark Read 35 Mark Study STAT 37 Multiple Studies 37 Remove STAT Status 37 Mark Unread 35 Maximum records to fetch 28 Measure 75 Menu bars 252 Menus and Toolbars 28 45 Modality Filter 28 Modality Worklist 202 Modality Worklist Tab 125 Monitor the Progress of Pushed Exams 172 73 Mouse 249 250 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 259 Onyx RAD Professional Workstation User Manual Mouse Click 250 Mouse Tab 125 Move Location of Toolbars 216 New Case 186 Notes Window 28 OK Validate Study 28 Orex scanner interface 185 Overlay Options Tab 127 Overlays Edit 127 Pan 57 Paper Print 142 43 Paper Scan 28 Passwords 122 Patient s Studies window 28 Preferences Window 122 29 Presets 130 Add Preset 130 Delete Preset 130 Move Preset 130 Usage 130 Print Study button 139 Print Study to Film 28 144 Printing Overview 139 Purge Study 114 Push Exam 171 Queue Management window 172 Rearrange Columns 28 Receiving Exams 174 Refresh 28 Refresh Delay 28 Refresh Interval 28 Region of Interest 56 Remove Columns 28 Remove Entire Toolbar 216 Remove Toolbar Buttons 216 Restore Columns 28 Restore Image Column Setting 125 Restoring a Deleted Study 113 RIS Gateway Tab 124 ROI 56 Routing 181 83 Page 260 Save Annotations 66 Save Display
93. e the Grid to the right to set the options for AE Nodes Options Changes to these options are automatically saved you do not need to click the Save Changes button perwery 11 Delete Exit Page 234 To add a new AE Title Click New AE Node and set up the new AE Node as follows e Destination Calling AE Title enter the AE Title of your intended recipient e Source Called AE Title enter your AE Title here you may use ONY XRAD for example e Host IP Address enter the network address of your recipient e Port enter the port number on which the recipient will listen for DICOM transmissions e Image Server select Default Image Server e Archive Server select Default Archive Server e Group select Users The Options grid at the bottom of the dialog currently contains only Auto Validate which is only relevant for incoming exams If you turn this option on for the DEFAULT node DICOM exams that are received will be automatically validated i e marked UNREAD after ten minutes Click Save If all required fields have values your new AE Node will appear in the listing Click Exit To edit an existing AE Node Click the node in the listing and the boxes above will display the node s information Click in any of the boxes and change the information as necessary When finished click Save Changes Note that you cannot change certain
94. ed at your site Paper printing can utilize virtually any normal office printer though Laser quality is recommended Film printing however is only possible with special printers The general technique for either kind of printing paper or film is 1 Drag the desired images or series to the Image Bucket 2 Click the appropriate print button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 139 Onyx RAD Professional Workstation User Manual The Image Bucket The Image Bucket is a narrow window that resides on the right hand side of the Image Viewer Screen Like most other parts of the Workstation screens this window can be turned on or off as needed If the Image Bucket is not currently displayed simply click the Stats Bar Configuration Bar icon on the Standard Toolbar ERATE Configuration Bar button The Image Bucket shares space with the Stats Bar so you may need to click the Image Bucket tab at the bottom of the window to switch between the two The Image Bucket acts as a space to hold selected images for printing until you are ready to print You can manipulate images window and level zoom annotate etc as you like and then drag the image to the Image Bucket for holding while you work on other images When you are ready to print clicking one of the two print buttons paper or film will process only the images in the Image Bucket Page 140 Drag Individual Images to the
95. ed later in this chapter 14 After sending study set status to The most common values for this are NONE don t change the exam s status or DELETED set the exam to be deleted after it sends successfully 15 Scheduling now is the most common value or you can set a specific date and time 16 Click Save Your new contact will appear in the list Click Exit Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 239 Onyx RAD Professional Workstation User Manual To edit an existing Contact Entry Click the entry in the listing and the boxes above will display the entry s information Click in any of the boxes and change the information as necessary When finished click Save Changes To delete a Contact Entry Click the entry in the list and the boxes above will display the entry s information Click the Delete button to remove the entry To exit Contact Editor Click the Exit button to return to the main Configuration Manager window Page 240 Exam Routing Use the Exam Routing tool to create and manage auto transfer routes for exams When exams are validated i e marked Unread they will automatically be added to the push queue according to the routing rules defined here This is especially useful for Acquire workstations that will send to a 3 party PACS after acquiring images You must first enter AE Titles if sending DICOM in the AE
96. ee page 211 use the Zoom tool to shrink the size of the image within the window or use the Fit To Window tool True Size all images in a series Note that if the Share single frame properties button is enabled clicking the True Size tool will affect all images in the same series To enable or disable this behavior click the Share single frame properties button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 59 Onyx RAD Professional Workstation User Manual lt t Fit to Window is the logical opposite of True Size previous page Xt Fit to Window is helpful for restoring images which have been hidden by overusing the Pan tool Xt Fit to Window all images in the series Fit To Window Fit To Window toolbar button Use this tool to expand or shrink an image so that it fits in the Image Viewing window This tool is of assistance when viewing large images in multiple columns as it shrinks images to fit in these smaller windows and allows you to view the whole image at once To use this tool simply click the Fit To Window button on the toolbar or click the Fit To Window entry on the Image Context menu Fit all images in a series Note that if the Share single frame properties button is enabled clicking the Fit To Window tool will affect all images in the same series To enable or disable this behavior click the Share single frame properti
97. een disappears with the transfer of the exam initiated in the background Select Recipient Up Eaa TEST 3 Down Exit Rules l Send Related Studies Button Text Recipient Login Name Recipient Full Name Destination Description At this point you are free to continue reading exams no further interaction is needed on your part You may also push other exams at this time it is not necessary to wait for one transfer to finish before initiating another Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 171 Onyx RAD Professional Workstation User Manual Monitor the Progress of Pushed Exams When you push an exam in Onyx RAD Professional Workstation the exam is added to a queue of exams waiting to be sent The Onyx RAD Server or your standalone acquire workstation software manages this queue and sends exams out in the order of their arrival in the queue Pushed exams that are traveling to recipients over a network or the Internet are able to transfer simultaneously Often these exams will reach their recipients not long after being pushed Exams that are routed over a phone line however will travel one at atime Thus it may be desirable to check on the status of the exam s you have pushed and even elevate the priority of certain exams so that they are sent sooner than other exams waiting in the queue These tasks are accomplished in the Queue Management window To bring up the Que
98. eeseeseeeeeeessaeeeeessaneess 31 Remove Study LIST COIUMN Si siasii a E AE 31 Restore SIUGy LISFCOIUMTS sagrinar inh aaa 32 Oy ET PODE E Sonan E A E E EEA 33 Study List Buttons ccc ceeccccceeeeceecceeeeeeeseeeeeesseeeeeeseeeeeeeeseeeeeeeseaeeeessuaeeeeessegeeetsaneeeeteas 35 Add Notes to a Study ccccccccceccccceeeeeeeeaeeeeeeeseeeeeeseeeceeseeeeeeesseaeseseseueeessseaeeeessaeeeeessaees 36 NAGI STUY NAT a i EEEE E E 37 TAAN G r semtge seers pace seme aeden ieee dammesnetoesenyeseaetaannceeenecs 38 The Study List Fiter WINQOW sirissiesiisuiiai donerien eanan E EA 39 Patents Studies WINGOW sairsieiianin e E 41 Select a Study for Viewing ccccecccccsseecceeseeeeeeseeeeeeseaeeeeeseeeeeeeseeeeeeeseeeeeessegeeeesseeeeseas 41 The Image Viewer SCreen ic ccrscencessdersacinesbcoessasaiesetansvashcean sens geo tokaseazncecaesvesiguasniencausaetnvassesoisdenlamenieonstonaverae 43 An Overview of the Image Viewer Screen cccccsseseeceeseeeeeeeseeeeeeesseeeeeeeaueeeeeeseeeeeteas 45 Onyx RAD Professional Workstation User Manual The Series VIN COW sated era certiorari Wee esa tie eaten eine 46 The MAG G WINGOW idere a A E a 48 The Configuration Bar Image Bucket tab and Study tab ccceceescseeeeseeeeeseeeeeeeeeees 49 mage View TOONS siressa vende suadeieuceddav ps gannudswnieixidaaeieduanbiaebanerdasasindcnasvebeedeess 51 WaN e CONO eee E A 52 LOO a a a iors ae a ete 53 MAGNIY e E iiaiuneltienanats 54 RORNREQIOMONIN
99. egistered trademark of Viztek Inc 1995 2006 Page 57 Onyx RAD Professional Workstation User Manual Invert it Invert all images E invert toolbar button in the series Use this tool to invert the black and white pixel data giving the image a negative appearance To use this tool simply click the Invert button on the toolbar or click the Invert entry on the Image Context menu The selected image will invert To restore the image simply click the Invert button again Invert all images in a series Note that if the Share single frame properties button is enabled inverting one image will also invert all other images in the same series To enable or disable this behavior click the Share single frame properties button Page 58 xt True Size refers to the actual size needed to display every physical pixel stored in the image data MR images will typically shrink while larger images like CT and CR will expand xt True Size all images in the series True Size 1 1 l True Size toolbar button Use this tool to display the image in its true size i e 1 to 1 ratio When in 1 1 mode you can view every pixel that makes up the image To use the True Size tool simply click the True Size button on the toolbar Note that the image may be too large for the viewing window especially if you are viewing in multiple columns In this case you may wish to change the number of columns s
100. elpful to have an idea of how the pixel values fall for a particular image Such information may be useful in calibrating a scanner or troubleshooting the quality of an image from another institution To view a three dimensional histogram for an image in the Image Annotate select Series mage Viewing screen simply left click on the Image menu Presets above the toolbars and then left click on the Histogram option Flip vertical Flip Horizontal got Rotate Right 90 oo Rotate Any Angle fo Rotate Left 90 mee Fit to Window Alt F ii Show All Pixels 1 1 Histogram Contrast Invert Reset Contrast swap Red Blue He Reset All ibo Clear Lar Ay Key Image k i Ina C f DeO E E E inea E POE alara tieiee O fhe i Reba Delete Image C Cacers Tied Galitrate The screenshot above shows a sample histogram To rotate the 3 D model click and hold the left mouse button and drag the model To pan the model around right click the model to bring up a menu and choose Pan from the menu Then drag with the Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 97 Onyx RAD Professional Workstation User Manual left mouse button to pan the model around To Zoom the model in or out right click the model to bring up a menu and choose Zoom from the menu Then drag up or down with the left mouse button to zoom in or out respectively A two dimensional grap
101. ent new studyexamination New Patient Ok Cancel 5 Next the Onyx RAD Vidar Acquire window appears OnyeRAD VIDAR Acquire Eg rPatient Details required r dditional Study Details ITEMS IN ALL CAPS ARE REQUIRED to uniquely identify this patient Type in the patient FILM S DATE ID and hit the Tab key the system will look up this ID and attempt to fill in the rest of the fields for you Study ID PATIENT ID Accession Number LAST NAME Study Description First Name Body Part Filmed Middle Name Institution Name GENDER BIRTH DATE SCAN Cancel Ifthe user has chosen the Same Patient and same study examination option then all of Page 196 this information about the study has already been entered into the system and will be carried over Just left click on the Scan button to start the scanning process If the user has chosen the Same Patient new study examination option then some of the information will carry over including Patient ID Last Name First Name Middle Name Gender and Birth Date Only the Additional Study Details section will have to be completed Only fields with an asterisk to the left of them are required Then left click on Scan to start the scanning process If the user has chosen the New Patient option then all
102. eparate monitors when viewing more than one study at once When this button is turned off each study loads a copy on each monitor E Special MR CT Layout Creates a special layout in the series stacks window when viewing an MRI or CT Page 212 Annotations toolbar x eoe e This toolbar contains buttons that are shortcuts to entries found in the Annotate menu Enters annotation mode When in Annotation mode right clicking an image in the Image Window results in a special Annotation popup menu from which you can select and delete annotations Click this button again to exit Annotation mode A Changes mouse cursor to straight line tool see page 67 Changes mouse cursor to extended line tool see page 68 O Changes mouse cursor to ellipse tool see page 69 O Changes mouse cursor to box tool see page 70 F Changes mouse cursor to cross hairs tool see page 71 gt Changes mouse cursor to arrow tool See page 72 in Changes mouse cursor to freehand drawing tool see page 73 ab Changes mouse cursor to textbox tool see page 74 ae Changes mouse cursor to measure tool See page 75 we Changes mouse cursor to scale cursor see page 76 E Changes mouse cursor to measure angle tool see page 77 rl Changes mouse cursor to the cobb angle measure tool see page 78 D Changes mouse cursor to skull center line tool see page 79 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 213 O
103. er Orientation Select whether to print the images portrait oriented or landscape Click Next to proceed Click Finish to complete the DICOM printer setup Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 153 Onyx RAD Professional Workstation User Manual Removing DICOM Printers Should you wish to remove a DICOM printer from your system you must first open the list of available DICOM printers From the DICOM menu click Printer setup A window appears listing all of the available printers Simply click the printer you wish to delete and then press the delete key it may be labeled del on your keyboard to delete the printer Page 154 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 155 Onyx RAD Professional Workstation User Manual chapte CD Burning This chapter explores the process of creating Patient CDs using a CD Recordable drive commonly referred to as a CD burner Onyx RAD Professional Workstation provides the functionality of copying exams to CD in standard DICOM format for compatibility across PACS systems This functionality is a standard feature Chapter Contents Introduction to Burning CDs e 157 Creating a Patient DISC cceceee ees 158 CD Burning Configuration eeee 161 CD Archiving Burn Queue SMA 2 068 163 Page 156 Introduction to Burning CDs Im
104. er can also change Worklist font properties To access the Study List Properties window highlight any study in the Study List Screen by left clicking on it Then right click on the highlighted study to bring up a pop up menu From the pop up menu choose the sub menu Study List Functions and select Study List Properties by left clicking on it Once that option has been selected the screen below appears SS ll x Worklist Configuration W Auto Refresh Maximum records to fetch fi O00 Refresh Interval 5 minutes 2 Patient Studies Refresh Delay seconds WorklistFont Aral Woarklist Font Scale 35 Animate worklist splitter bars Slower Faster I Animation speed Cancel Apply Help Auto Refresh When the Auto Refresh check box Is marked the software will search the database at an interval determined by the user for newly acquired images and changes within the database Maximum records to fetch The maximum records to fetch are the amount of records that the Auto Refresh feature can find during an interval Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 33 Onyx RAD Professional Workstation User Manual Refresh Interval This is the time between auto refresh occurrences Patient Studies Refresh Delay The time it takes for all of a patient s studies to appear in the second window on the Study List screen Worklist Font Type Scale and Color The user
105. er select a recipient on the Send To dialog etc or activate a feature e g clicking the appropriate toolbar button to activate the Zoom tool clicking the OK button on a dialog in response to a question etc Dragging Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 11 Onyx RAD Professional Workstation User Manual with the left mouse button is employed for two main functions in Onyx RAD dragging an object e g dragging individual images to the Image Bucket for printing or using a tool e g after activating the Zoom tool above dragging the left mouse button performs the zoom operation These behaviors are consistent with most other software designed to run in Microsoft Windows so you will find that you use the same mouse skills across multiple software products and you will very quickly become accustomed to using the mouse Please see Appendix C for a Windows 2000 primer if you are unfamiliar with Windows in general Page 12 The Study List The basic functionality of Professional Workstation alternates between finding a study and viewing the images it contains Thus Professional Workstation has been divided into two different screens the Study List for finding your study and the Viewer for viewing and manipulating the images Lg Ory Ad Deagrostic Wewer Ble puh Image ew aout ICOM Jook ep i Cini Gi Bes EE raa lt Mark stacy ue S DB RROD ke OS Mahe le has Sle
106. erlen ATARA E Herriren Lake PALE a E E D Suin D Sais D Inagas Thesis dis rai Barat ha iPas iri thei wisis At the top of this screen are menu options and toolbars and below these are several smaller windows and a main window These windows simulate an email application with the largest window listing the patients currently in the database along with their many attributes the way an email program would list emails in an inbox This listing window is divided into columns such as Status Modality Patient Name etc with scrollbars vertical and horizontal allowing you to scroll through the many records in the database Icons on the far left of the screen toggle the display list by ALL UNREAD READ and INCOMPLETE studies Page 22 In our example session we are interested in a particular patient whose exam was entered into the database recently so we will sort the listing by date by left clicking the Date column heading Sort any of the column headers except Description by left clicking on the column header The listing is now sorting by Date but for our example this hasn t helped us much because there are many studies that were entered recently Our next step is to perform a quick search for this patient by name To search by any field in this study listing simply double click in the white space directly below the column heading and type in your search terms We are looking for a John Doe so we type that i
107. es For detailed usage found on the Cut Lines menu of cut lines please see the section z Enable Disable Cut Lines entitled Cut Lines e on page 99 Stacks cut single frames h Single frames cut stacks Ei Single frames cut single frames a Stacks cut stacks 121 Display image numbers next to cut lines Page 208 Cine toolbar Cine Operations l xj ENP WH NM This toolbar contains buttons that are shortcuts to entries found on the Cine menu Xt For detailed usage Play cine animation in reverse of Cine please see the section entitled Stop cine animation EC SMO NS Shee NOe nM Pause cine animation Play cine animation W Rewind to first frame H Skip back one frame m Skip forward one frame mi Fast forward to last frame Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 209 Onyx RAD Professional Workstation User Manual lt t Remember that these image manipulations will affect all images in the current series if the Share Single Frame Properties with Group option is enabled See page 212 Image Left button Operations toolbar Image Left Button Operation E3 h O THQ S This toolbar contains buttons that are shortcuts to the entries found on the image context menu Click any one of these buttons to activate the tool click again to revert to no tool iy Changes mouse cursor to default pointer It is a good idea to use this after using one of the other tool
108. es button Page 60 RIGHT CLICK MENU Close Study Return to Study List Presets fe Width Center ine oom em Pan Cl Magnifying Glass a Invert blacktwhite EA ROI E ai Cursor Annotate ut Lines ke Fit to Window l Show all pixels 1 1 Actual Size Actual Size x insert Red Blue Contrast Unsharp Mask Save Image 45 AN Key Image Actual Size Actual Size and Actual Size x Use these tools to display the image in its actual size or any factor of the actual size To use this tool right click on the image and choose the Actual Size option or the Actual Size x If the Actual Size x option is chosen the zoom factor will have to be entered NOTE The Actual Size tools will only work if the monitor has been calibrated Calibrating the Monitor Left click on the File menu in the upper left corner of the screen Left click on the Preferences option The information will need to be entered in the Display Tab in the Monitor Calibration box Enter the Visible Display Width and Height in millimeters Left click on Apply Then left click on the OK button Preferences Layout Advanced Display ea Mouse 4 Misc Overlay Options Annotations RIS Gateway Modality L nitor Calibration Grayscale Monitor Visible Display Width mm 410 Visible Display Height mrm Fonts Font Arial L N Mas Font B F
109. eseeceeeeeees 71 Annotation AOW cccccececeeeeceeeeeeeeeeeeeees 72 Annotation Freehand 73 Annotation Text roeit 74 Annotation Measure ccccececeececeeeeeeees 75 Annotation Scale ennnnnnnnonenenennnnnnnnnnnnn 76 Annotation Angle ccccsccssssecsssesseeeesees 77 Annotation Cobb Angle ccccccceeeeeees 78 Annotation Skull Center Line 0 79 Annotation Center Line cceceeeeeeeeeee 80 Annotation Shutter Box cccceeeeeseeseeeeeees 81 Annotation Shutter Ellipse cc 82 Annotation Shutter Closed Poly Line 83 Annotation Shutter Closed Curve 84 Annotation Label Left or Right 85 Annotate Delete All Annotations 86 Annotations Editing and Deleting 87 Save IMAGE ASren itunen nn 90 Page 44 An Overview of the Image Viewer Screen Let s start by identifying this screen s distinct parts MEIE Wi file a jup niss Select Grp Yew dra let Gee GEOH ook kjp oF E Ae B DEn OY GO HE 8 SB BOOS hallod p ZEB ae Menus and Toolbars Hike E The Menus and Toolbars are similar to those seen on the Image Bucket window Study Listing Screen explored in the previous chapter but now include more menus and functions that are relevant to xt Remember that manipulating images screenshots here may look slightly different fr
110. eset highlight the preset by left clicking on it Then left click on the Move Up or Move Down button To add a Preset left click on the Add button Now enter width and center values and a description the tissue seen at the values Now left click on the Apply button To delete a Preset left click on the preset you wish to delete Then left click on the Delete button Using Presets Option 1 From the Imaging Viewing screen right click on an image to activate the pop up menu Highlight the presets option Left click on the preset Option 2 Hold Control keyboard plus any F1 F12 key Page 130 Acquire Settings Window lt lt lt xi Acquire Dialog Institution Name this value will appear in the DICOM tags Orex TWAIN TEST Compression JPEG Lossless First Order Prediction V Allow image scanning V Open the image after processing Open the entire study after processing image Use Intemational Date Format DD MM YYYY Show NEW IMAGE button on study list This button places the new image in the last series rather than create a new series Show TEST SCAN button on Study List screen Virtual Calling AE Title OREX Virtual Called AE Title OREX Cancel Help The Acquire Settings window has four parts General Acquire Dialog Orex and TWAIN This Acquire Settings Box is available from two locations 1 Left click on the File menu in the upper left corner of the
111. f image servers The xt You cannot delete fields will display the selected image server s settings Click the default image the Delete button to remove the entry and archive server entries To exit the Image Server Configuration tool Click the Exit button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 247 Onyx RAD Professional Workstation User Manual yopenid C Windows 2000 Primer Onyx RAD software is designed to run like many other Microsoft Windows programs in order to facilitate its use If you are unfamiliar with Windows in general please use this chapter to get an understanding of basic concepts in Windows Chapter Contents Using the MOUSGC cccccsseeecceseeeeeeeeeseees 249 Mouse Click Left or Right button 250 Using the Keyboard ccccccccsseeeeeeeeeseees 251 Menu bars Menus cccceeccceseeeeeeeeeeees 252 COMLEX MENUS riirii inea 252 TOODA sen ONN 253 SCrollDarS seriti a 254 Page 248 Using the Mouse The mouse is your basic interface with the computer It has two large buttons on top sometimes three sometimes a mouse wheel in the center and a ball on the bottom that detects movement Go ahead pick the mouse up and look at the bottom side to see the ball The two large buttons are called the left mouse button and the right mouse button respective of their placement on the mouse The intended metho
112. fills completely the status bar at the top will display Closing Disc and you are generally about three minutes away from an archive CD When the job completes a message pops up on the screen Click the OK button on this message and the new Patient Disc is automatically ejected from the CD burner Please note that CD burning is a system intensive process and requires the entire computer s processing to achieve It is therefore necessary to wait while until the CD is complete before continuing to use Professional Workstation With current recording technology and speeds most discs are complete within ten minutes e The CD is burned with a program that will automatically run and list the studies on the disc You can double click any study to open it in OnyxLite viewer e You may use CD R or CD RW discs At this time you cannot use DVD formats with SMA 2 Page 166 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 167 Onyx RAD Professional Workstation User Manual chapte 8 Send and Receive Exams This chapter examines the process of sending and receiving exams over the wire local area network phone line Internet etc to and from other institutions and Onyx RAD workstations The process of sending exams is explored thoroughly including methods of tracking the progress of the studies being transmitted Receiving exams is also covered specifically the requirements and configur
113. focus on a particular square or rectangular area of an image To use this tool click the Shutter Box tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Click on the image to set the upper left corner of the shutter square 2 Drag the mouse to set the size and shape of the square 3 Click again to set the shutter square All portions of the image outside of the square are blocked out An easy and quick method to remove the annotation is right click the image which displays the image context menu and choose Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 81 Onyx RAD Professional Workstation User Manual Annotation Shutter Ellipse L Shutter Ellipse tool button This tool is used to focus on a particular circular or elliptical area of an image To use this tool click the Shutter Ellipse tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Click on the image 2 Drag the mouse to set the size and shape of the ellipse 3 Click again to set it The portion of the image outside of the ellipse will be blocked out An easy and quick method to remove the annotation is right click the image which displays the image context menu and choose Delete All Annotations from this menu Page 82 Annotation Shutter Closed Poly Line E Shutter Closed Poly Line tool
114. forward one frame wi Fast forward to last frame The actual animation occurs in the Series window and animates the currently selected series Select the desired series by clicking on the series thumbnail in the Series window and then use the buttons on the Cine toolbar to animate the stack Page 102 Compare Mode Compare Series in One Study Often it is useful to compare two series side by side While this is easily accomplished and often automatic on a workstation with multiple monitors Compare Mode must be used when only one monitor is present To enter Compare Mode 1 Click the first series thumbnail in the Series Window The series should become active its images will appear in the Image Window and it will be shown with a red border indicating it is active and selected 2 Select the second series by holding the Control Ctrl key on the keyboard and click the second series then release the Control key You should notice that both the first and second series have red borders now indicating that both are selected 3 Enter Compare Mode by clicking either the Vertical Compare Mode or Horizontal Compare Mode toolbar button To exit Compare Mode left click on the activated Compare Mode and the screen returns to normal viewing capabilities 1S t 33 Fk H Oo Vertical Compare Mode xed Horizontal Compare Mode The Image Window splits in half with one series on each side You can cause both
115. g exams standard DICOM or a proprietary method we simply call ONX DICOM Sending DICOM results in standard DICOM format and standard DICOM functions like CSTOR CMOVE etc Any recipient who claims DICOM compliance can receive such exams The only disadvantages to sending exams in DICOM format are e Lack of progress monitoring as the DICOM standard does not provide for this e Onyx RAD does not send DICOM over phone line due to the standard s lack of provision for such features as auto resume and validity checking e Lack of security no encryption ONX To compensate for the shortcomings in the DICOM standard mentioned above Viztek developed its own transfer syntax ONX which provides these features e Progress monitoring e Auto resume features e Validity checking on each image e Secure encryption encrypted with RC2 64 bit algorithm It is recommended that you utilize the ONX transfer syntax when sending exams to other Onyx RAD sites Page 170 Send Push an Exam On the Study List screen simply click the desired study one time This will highlight the study to indicate that you have selected it Now right click the study and choose the Send To option from the pop up menu or choose the option from the toolbar FH Send Study The next screen that appears contains buttons for each of the push recipients that are configured in your system Simply click the appropriate recipient and the scr
116. h is also provided upper portion of the window and the data can be skewed exponentially with the by dragging the slider bar up or down Adjust other parameters such as the X Y and Z scales by dragging the appropriate slider bars up or down There are also several radio buttons to change the color and appearance of the model To exit the histogram click the long OK button at the bottom of the window Page 98 lt t You may need to click on another image before cut lines appear on your currently selected series Cut Lines Cut Lines are simply red lines white on grayscale displays that depict the intersection between images in a study Note that cut lines will only appear when the study contains intersecting images Cut lines are controlled via buttons found on the Cut Lines toolbar also found on the Cut Lines menu Pictured below is the toolbar and a brief overview of the buttons The next few pages cover the functionality of each button x 2123 0 z Enable Disable Cut Lines EN Stacks cut single frames a Single frames cut stacks ti Single frames cut single frames k Stacks cut stacks Display image numbers next to cut lines Enable Cut Lines Click the Enable Disable Cut Lines button to turn on cut lines If the study contains cut line information it is processed for a few moments and then will appear on screen depending on which cut lines you have chosen to appear see next few top
117. he left right top or bottom of the image Page 112 Restoring a Deleted Study If a study appears in the DELETED state in the Study List screen it can be easily restored 1 Double click on the DELETED study on the Study List screen to open the images in the Image Viewing screen 2 Left click on the Mark Read button in the Image Bucket far right column 3 Left click on the Mark Unread button in the Image Bucket far right column 4 Left click on the Close Study button in the Image Bucket far right column Now notice that the status of the exam has been changed to UNREAD Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 113 Onyx RAD Professional Workstation User Manual Purge Study lf a study in UNREAD or READ and is marked as deleted it will remain in the deleted state and saved in the server To completely remove a study from Onyx RAD it will have to be deleted and then purged 1 Highlight the study in the Study List that should be deleted 2 Left click on the Delete Study button h or right click to activate the pop up Delete Study menu and then left click on the Delete Study option 3 A prompt will appear asking Are you sure that you want to PERMANENTLY DELETE the following study Choose YES 4 Now the study will appear in the DELETED state on the Study List Right click on the study to activate the pop up menu 5 Left click on the Purge Study option 6 A pro
118. he close study button If you have more than one sheet to scan then follow steps 1 7 for each additional page Now highlight the study and left click on OK Validate Now highlight the study and left click on Mark Read HH E OK ve Ei y aa Auto 5ize Refresh Validate Add Mote Delete Study Mark Read Mark Unread Columns Study I I Page 38 The Study List Filter Window Sorting the study list by any column is handy enough but once you begin to accumulate hundreds of studies the list becomes quite long and more time consuming to navigate by scrolling through it Filtering what is displayed in the list becomes essential Unread p o The Study List Filter window contains three horizontal Read Past 30 Days buttons labeled Global Personal and Modality All Read Filter by Study Status To filter by study status click the Global button Observe the icons available All Unread Read Incomplete and Incomplete Deleted Click any one of these icons to alter the studies displayed Deleted All Display studies of any status Unread Display only studies marked Unread Unread studies have been validated by a technologist and are awaiting diagnosis Read Display only studies marked Read After reading and diagnosing a study you should mark it Read to indicate this Incomplete Display only studies marked Incomplete These studies are considered incomplete because either a the
119. he left mouse button a Note that as you zoom images in it may no longer be possible for the entire image to fit in the window thus the Pan tool may be of some assistance in moving the image around Zoom all images in a series Note that if the Share single frame properties button is enabled whatever zoom changes you make to one image will also apply to all other images in the same series To enable or disable this behavior click the Share single frame properties button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 53 Onyx RAD Professional Workstation User Manual lt t The popup window uses a 2x magnification For greater magnification zoom the image in first with the Zoom tool and then use the Magnify tool Magnify Ma Magnify toolbar button Use this tool to magnify parts of an image similar to using a magnifying glass This is in contrast to the Zoom tool which will zoom the whole image The magnifying tool creates a temporary pop up window that you can move over the image as you would a magnifying glass To activate the Magnify tool click the Magnify button on the toolbar or click the Magnify entry on the right click Image Context menu To use the Magnify tool 1 Activate the Magnify tool 2 Place the cursor over the image 3 Hold down the left mouse button Observe the pop up magnifying window 4 Move the mouse around over the image and the magnifying
120. he second of two screens you will alternate between while using Professional Workstation This screen displays the images contained in Patient exams A wide range of manipulation tools is available to aid in your reading and diagnosis Chapter Contents An Overview of the Image Viewer Screen 45 The Series WiIndOW ceeceeeeeeeeeeeees 46 The Image window cccseeeeseeeeseeeeseeeeeees 48 The Configuration Bar Image Bucket tab and Study TaD ere meee ere ere ee eee eee E nro are 49 Image Viewing TOOIS ccccseecesseeeeeeeeeees 51 Wah amp cante asane n a 52 FOON eoa eo cuediaeaies 53 Magny esecne n E 54 ROI Region of Interest ccceccesseeeeee ees 56 Be EE TEE ee ee E ATE T 57 URAYA E I AAE E E E PAE AEE T Ree tere ee 58 TrueSze T T eean tactic eece dome teeetins 59 FIt TO WINGO W rasoen R 60 Actual SIZE erpen rns aE AE 61 Unsharp Masking cccceeeeeeeeeeeeeeeeees 62 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 43 Onyx RAD Professional Workstation User Manual Hver REG BIG Ciccone locetoeicn e 63 Gamma Correction ccccceeceececeeceeeeeeeees 64 CONTAS acetate at ncs boas tee eee 65 Annotations Introduction 66 ANAOAUOM SL Giassesoretersadustdemtuesuadesneunauet 67 Annotation Extended Line aanneem 68 Annotation EIllipSe cccccssesesseeeseeeeeees 69 Annotation BOX sraa 70 Annotation Cross HalrS cccece
121. hout quotes in the box Finally click Save Changes You can verify configured routes by expanding the list on the left side of the window click the little plus box next to an AE Title to view routes AE Nodes ource n ba 65 34 102 148 via Network Dr Hirt Click Exit to exit the Routing Configuration tool When routes are set up exams are automatically added to the push queue according to the routes once they are validated Page 242 To edit a route Click the route in the list that you wish to edit Its details will appear in the boxes to the right Note that you can only change two things the Contact Entry from the drop down list and the scheduling If you wish to make changes to the Contact Entry itself such as the network address and port you must use Contact Editor To delete a route Click the route in the list that you wish to edit Its details will appear in the boxes to the right Click the delete button to delete the route To exit the Exam Routing tool Click the Exit button to return to the main Configuration Manager window Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 243 Onyx RAD Professional Workstation User Manual General Server Configuration Use the General Server Configuration tool to configure basic parameters of your Onyx RAD software Though the tool is intended for Onyx RAD Server software as the name implies it is als
122. ick compared to multiple Toolbars are simply a grouping of such one click buttons Onyx RAD Professional Workstation makes great use of toolbars Almost every function available through the menus has an associated button on the toolbar It is important to remember that while toolbars increase a user s efficiency by providing easy one click access to common features there are so many buttons on the Onyx RAD toolbar that initially it may seem less efficient Like anything else practice and experience will lead to efficient usage of these shortcuts With time the toolbars will become second nature and your speed will increase dramatically Professional Workstation contains the following toolbars e Standard log on off show hide windows View Operations rotate flip invert etc Cut Line Operations cut lines Cine Image Left button Operations window amp level magnify zoom etc e Image Layout number of columns link frames etc e Annotations arrow circle measure etc e Group Control prev next series sort etc Each toolbar is pictured and explored over the next several pages Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 205 Onyx RAD Professional Workstation User Manual Standard toolbar EE hm x ol ele el glo Ei B ee e ees Hark Study These buttons are shortcuts to the entries found in the File and View menus Open a DICOM or ONX image file S Log on to the datab
123. ick the Exit button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 245 Onyx RAD Professional Workstation User Manual xt You cannot edit the Name property of the default image and archive server entries Image Server Config Use this tool to add and manage Image Servers This is generally only relevant where an Onyx RAD Server is present l Image Server Configuration New entry Server Name DEFAULT Server Description Default image server Save Changes Delet Server Address localhost Port 33236 ea Exit The current Image Server settings are below To change settings click the server below edit the fields above and click Save Changes To add a new Image Server click New Entry fillin the fields and click Save Hew ServerName Address Port Description o 33335 Default image server localhost Default archive server To add an image server Click New Entry and enter data for each field including Name Description Network address and port number Click Save when finished The new image server will appear in the list at the bottom of the window To edit an image server Click the appropriate entry in the list of image servers The fields will display the selected image server s settings Make changes as necessary and click Save Changes to make them permanent Page 246 To delete an image server Click the appropriate entry in the list o
124. ics Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 99 Onyx RAD Professional Workstation User Manual Controlling the intersections The toolbar and menu contain four different options for displaying cut lines and they are described below Note that all four options may be enabled at once doing so will result in a great many red lines appearing on the screen You may wish to disable an option or two to limit the number of cut lines displayed at one time Stacks cut single frames When this option is enabled single frames in the Image viewing window will display a red cut line when the cutting image is selected in the Series Window Single frames cut stacks When this option is enabled thumbnails in the Series Window will display a red cut line when the cutting image is selected in the Image Window Single frames cut single frames When this option is enabled single frames in the Image viewing window will display a red cut line when the cutting image is selected in the Image viewing window This is only apparent when viewing images in more than one column or on multiple screens Page 100 Stacks cut stacks When this option is enabled thumbnails in the Series Window will display a red cut line when the cutting image is selected in the Series Window Display Image Numbers on Cut lines This option Show Hide Image numbers on cut lines controls whether the DICOM image slice numbers are dis
125. images are still coming into the system from the modality or another sender or b the technologist has not yet validated this study at which time the study will become Unread Deleted Display only deleted studies Studies marked deleted remain on the system for a time If you need to access a study you ve deleted click this icon Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 39 Onyx RAD Professional Workstation User Manual MRI MA aR ar CAT Scan CT Computed Radiography CA Ultrasound US Ultrasound Multi Frame US MF Other OT a a ee Secondary Capture SC Filter by Modality Modas To filter by modality click the Modality button Observe the icons available one for each modality that Workstation supports Also notice the downward arrow button at the bottom right of the Filter window indicating more modality icons to choose from Click this arrow to see more modality icons Simply click the desired modality icon to filter the study list appropriately Click the ALL icon to display studies from all modalities Filter by both You can filter by a combination of status and modality Simply click your first filter icon either a modality or status icon and then an icon from the other filter list Note that the gray title bar for the Study Listing will update as you change the Status or Modality filter type All Global changes
126. ines Select this option to burn in any cut line appearing on the image so that they print to film Finally click the Print button to send the print job to the DICOM printer The Debug Messages checkbox A final option on the DICOM print dialog is the Debug Messages checkbox Click to enable or disable this option lf enabled every step of the DICOM print job will pause and present you with a list of the DICOM elements involved in that stage of printing You will see details of the print job request creation submission film box creation and responses This is useful for troubleshooting a DICOM printer but generally not desirable for everyday operation as each popup message that occurs must be dismissed click OK before the print job continues Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 145 Onyx RAD Professional Workstation User Manual Clear the Image Bucket After printing or if you decide to cancel you should clear the images from the Image Bucket Click the Clear button near the bottom of the Image Bucket window to remove all images from the Image Bucket Page 146 Adding DICOM Printers Before you can print to a DICOM Printer camera it must be configured in your Onyx RAD software Fortunately this is a simple task From the DICOM menu above the toolbars select Printer Setup A window appears with an icon title Add Printer as well as icons for any
127. key down in an area on the toolbar where the buttons cannot be activated Then drag the toolbar while still holding down the left mouse key to its new location Release the left mouse key to set the toolbar in its new location Remove Entire Toolbar There are two ways to remove the entire toolbar 1 Hold the left mouse key down in an area on the toolbar where the buttons cannot be activated Then drag the toolbar while still holding down the left mouse key to the Image Viewer Screen Release the left mouse key Now left click on the x in the upper right corner of the toolbar and it will disappear we kbe THa 3 ee Ag 2 Left click on the View menu in the upper portion of the screen Left click on the Tool Bars option Now you will see a list of toolbars The unchecked toolbars have been removed The checked ones are visible Remove Individual Toolbar Buttons To remove one button from a toolbar first left click on the View menu Next Page 216 left click on the Tool Bars option Now left click on the Customize option Then drag the button on the toolbar while still holding down the left mouse key to the Image Viewer Screen Release the left mouse key and the button will disappear View Cut Lines Layout Cin DICOM Tools Help a Standard ia Series Stacks chro go Images Config Bar iv View iv Status Bar gi Image Left Button ie 3 D Slices gg Cine ef Notes itrl 1 arap Nuke Med Bar iv Cut Lines Pse
128. kstation User Manual Set up Contact Entries You must set up a Contact Entry Push Entry for each person site you wish to send exams to Push Entries appear as individual buttons when you perform a right click Send To on the Study List and also appear in a list when you are setting up automatic routes Note that in order to set up a DICOM push entry you must set up the AE Titles first previous topic In Configuration Manager double click the Contact Editor icon The Onyx RAD Contact Editor screen should be similar to this Fe Contact Editor User Contact Type Contact Var Descriptions After sending study Set status to Scheduling Entry Details Contact Listing Validation for Remote Computer ser name a Password ontiim Password Save Changes Delete Entry Sample 22 May 2002 14 51 30 E wit Contact Type Scheduling Page 178 To set up an ONX format entry for sending to other Onyx RAD sites Te 2 9 Click New Entry For User choose your desired user default is the user ONYX Contact Type Choose Network or Dialup as appropriate Network Host Name IP Enter network address of recipient Dialup Phone Number Enter the full phone number including 1 area code if necessary of the recipient Description The text you enter here will appear on the button that you see in the Send To dialog It
129. lected ea ip be arenen D Auot A ge ged a FF Face mage Nepares St Hern age crp infin ae ee pe Ll There are seven tabs within the Preferences Window each are explained below Display Tab The user can change the font type and scale and other display options The display tab is explained in detail on page 124 Mouse Tab The user can change the mouse sensitivity and other mouse options Overlay Options Tab The user can change the information listed on the left and right overlays This tab is explained in detail on page 127 Annotations Tab The user can change the color of annotations change the measurement to inches instead of metric units and other annotation options RIS Gateway Tab This tab is used to make the connection between a RIS and Onyx RAD Modality Worklist Tab This tab is used to make a Page 122 connection between the RIS and the Orex QC Workstation e Layout Tab The user can change layout several layout options e Advanced Tab The user can change options involved with saving validating studies and passwords Refer to page 128 for more information e Integration Tab This tab allows the user to integrate Onyx RAD with third party applications including Provox Dictation Software Refer to page 129 for more information Remember After making changes in the Preferences Window to save changes left click on the Apply button followed by the OK button Onyx RAD is a registered trademark
130. mpt will appear asking Are you sure that you want to PERMANENTLY DELETE the following study Choose YES WARNING ONCE A STUDY HAS BEEN PURGED IT CAN NO LONGER BE RETRIEVED IN ONYX RAD Selecting a block of studies 1 Left click on the first study in the study list 2 Hold Shift down on the keyboard 3 Left click on the last study of the block in the study list Selecting multiple studies at random 1 Hold Control down on the keyboard 2 Left click on all of the studies that need to be selected Page 114 Hanging Protocols The term hanging protocols refers to the order and location that the series of images appear on the screen depending on the study description When using traditional film the doctor has the ability to hang a series of images on the light box in any organized fashion With the hanging protocols the user can organize the different series in a study and save this organized view according to the study description These can be set up for any modality but are generally used with MRI and CT images To use the hanging protocols they must first be enabled Follow the steps below to enable them 1 To access the Hanging Layout DICOM Tools Help protocols left click on the Layout menu and choose the Hanging Protocols option by left clicking on it fel Separate studies per monitor Select Single Study Across Monitors Hanging Froatocols 2 Inthe options area left click
131. n and click OK 1 O Patient Name Patient ID 9 Last Name Doe oO First Hame Joh 7 Middle Hame Ok Cancel of LII Orr Fae iT nnn The Patient listing is updated to display only the patients that match the search criteria From this reduced listing we can see our desired patient Now to view the images in this study we double click the Patient s listing The images will begin to load and the Image Viewer screen will appear temporarily hiding the Study List screen which is not needed for the moment Upon returning to the Study List you will notice that only the patients matching the search criteria appear in the list To bring back the entire patient list left click in the white area under the Patient Name column left click the Clear button and then left click the OK button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 23 Onyx RAD Professional Workstation User Manual The Image Viewer screen After double clicking the selected study you are whisked away to the Viewer screen This screen is a Diagnostic Quality image viewer where you will perform all of your image viewing and manipulation PLES ere Eare UE DEET 2 E r HE E E m bt L E E a E he E BS OO ha ET a EEE E P 7H AEG Note that the menu bar and toolbars have remained at the top of the screen gaining some additional items Only the workspace has significantly changed with a new set of windows desig
132. n Image Data option according to your printer s capabilities Overlay Magnification Type Select the appropriate magnification type for overlay printing BILINEAR is most common Click the Next button to proceed to the next configuration dialog Page 150 The third configuration dialog is shown below Print Method Border Color BLACK s Basic Print Empty Image Color BLACK Pint eo Aan Magnification Type IE ILINEAR g Smoothing Type V Print a trim box surrounding each image Minimum Density O Conver signed images to unsigned Masimum Density Convert 16 bit gray to 12 bit gray Polarity Conyert images to 8 bit T Send Width and Center Tag Presentation LUT Printer Image Access G Printer requires pikel date Execute Printer has access bo mages via ifs own 7 WW facilites Dio not execute E S TORE E S TORE Back Cancel Help Print Method choose this based on your printer s capabilities Basic Print is the most common while Print By Reference will enable further options at the bottom of the window execute CSTORE and do not execute CSTORE Print a trim box surrounding each image Print a white border surrounding each image This is commonly enabled Convert signed images to unsigned This will convert signed pixel data to unsigned pixel data Some printers require this Convert 16 bit gray to 12 bit gray required by some printers This al
133. n box This box lists all the entries you have previously set up using the Contact Editor utility in Configuration Manager If you have not set up any entries Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 181 Onyx RAD Professional Workstation User Manual exit from this window and set up an entry first The next two boxes will fill with the values stored in the contact entry e g network address and port and the scheduling box will be empty For a temporary route enter a specific date and time Otherwise enter now without quotes in the box Finally click Save Changes You can verify configured routes by expanding the list on the left side of the window click the little plus box next to an AE Title to view routes AE Nodes source Be DEFAULT ne bo BS 34 102 148 via Network Dr Hirt Click Exit to exit the Routing Configuration tool When routes are set up exams are automatically added to the push queue according to the routes once they are validated Page 182 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 183 Onyx RAD Professional Workstation User Manual chapte 9 Image Acquisition Onyx RAD Professional Workstation can be configured as an acquire workstation and combined with an Orex PcCR scanner or a Howtek film scanner Chapter Contents Introduction to Acquiring Images 185 Acquiring Orex Images
134. n only be created one ata time in Professional Workstation If this is not sufficient for your institution s needs perhaps you need to create large numbers of CDs or cannot have your reading interrupted by the CD burning process please consider either purchasing a separate workstation devoted to creating CDs or purchasing an Onyx RAD CDR Server to automate the process For more information please contact Viztek Inc Acquire workstations can utilize CD Archiving explored later in this chapter to offload exams from the local machine onto CDs for long term storage Page 160 CD Burning Configuration Although Viztek technicians will install and configure the CD recordable drive there are a few CDR settings that are available for you to change Below is a screenshot of the CDR Configuration window This window will appear if you start a CDR job like creating a Patient Disc and the CDR settings have not already been configured You can also bring up this window from the File menu upper left corner Left click on the File menu and then left click on the CD Burning Settings option CD Burning Configuration X CD Recorder drive settings COR CORY D SONY CD RW CRe225E Use BURNFroof I IF supported this feature resists Buffer Underun errors Speed 24s Caution Be sure your discs are rated for this speed Auto Eject m Automatically eject COs when burning i complete Temporary storage dire
135. nal Workstation User Manual Step 5 New Case Add Image T D MEW CASE ADD IMAGE TWAIN Scan Now its time to add an entry for the image s you will scan You must decide whether to add a new patient study series or image MEW CASE New Case Simply begin entering the patient information First enter in the patient ID Then use the Tab button or the left mouse key to move to Last Name If the patient is already registered in the database the software will search for the patient records and then populate the fields when you move to the next field aa ADD IMAGE Add Image Use this button to add another image to an open INCOMPLETE study First the most current study should be located at the top of the Study List Highlight this study by left clicking on it Then click on New Series to add another image to the selected study a Test Scan This button is for diagnostic testing of the Orex PcCR unit You should not need to use this button unless you are instructed to do so by a Viztek technician Images are not saved when running a test scan Page 188 Step 6 Enter Patient Study details After clicking the New Case button described in Step 5 you are presented with a dialog asking for relevant details x SS ES Ur oe Referring Physician Last Name First Name Middle Hame Enter the physician s name above or select from this list of recently used names Fatient Information Patien
136. nce the user notices the cursor changing it to this shape hold the left mouse down and move the mouse to the right Release the left mouse key when the series stack window becomes large enough Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 119 Onyx RAD Professional Workstation User Manual Normal Image Viewing Screen Layout with Hanging Protocols m ua mm ba j pa kp ieee y ee ee o Lee ll ME 5 d pon ja i ap DF Jo naia 26 4 23 HF Je mE DORR EE 15 ew Kijas ee SOAS PRP we BS tah ok an p Bail Se ooF Ee aaa th DOOR titra Series Stack Window Stretched Series Stack Window Image Viewing Screen Layout with Hanging Protocols ee mh j ee p fee ee ee Lee Lees l ali J pon j pi w E PF a Ami oh So He J eg l D OBS nmm 22S RP we BS teh ok om PP a a a0 Kal E Lima G 2 gt DOOR Ciy a Series Stack Window Page 120 Editing the Hanging Protocols If the user selects the option to Show this dialog every time see page 114 then there are two ways to edit the hanging protocols If this option is not selected then there is only one way If Show this dialog every time is selected When the user opens a study the Hanging Protocols Layout window appears The current hanging protocols can be changed by following steps 2 5 starting on page 114 Second Editing Option
137. ned to enhance viewing Leftmost is the Series Window which displays thumbnails of each series in the study The largest window in the workspace is the actual viewing window where the image s are displayed The images are displayed in columns according to your selected number of columns You will find buttons on the toolbar to change the number of columns used in the window Page 24 The buttons above allow you to use 1 2 3 4 16 ora specified number of columns for display The Viewer screen offers a large number of tools and functions for viewing medical images Please see the appropriate sections of this manual for more discussion of the features You will find that most of the features can be accessed quickly through a toolbar button or the context menus When viewing is complete there are two methods of closing the study to return to the Study List screen If the Stats Bar is displayed on the right hand side of the screen you can click the Close Study button The other method is to right click an image in the main image window the largest section of the screen and select the Close Study option near the top of the menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 25 Onyx RAD Professional Workstation User Manual Going Further This completes our sample session using Onyx RAD Professional Workstation We have only looked at the most basic functionality of the software selecting
138. nother option is to enter the Annotation Mode then hold the left mouse key down and move the mouse so that the box surrounds the annotations Release the left mouse key and notice that the annotations change into the edit mode Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 87 Onyx RAD Professional Workstation User Manual Editing Annotations To edit an annotation you must first select the annotation See Selecting Annotations on page 87 for an explanation of selecting annotations Once selected the editing process depends on the type of annotation Arrow Click and drag either endpoint to adjust the position of the arrow Line Click and drag either endpoint to adjust the position of the line Ellipse Click and drag one of the four handles to adjust the size shape and position of the ellipse Box Click and drag one of the six handles to adjust the size shape and position of the box Measure ruler Click and drag either endpoint to adjust the measurement Click and drag the measurement text to move it out of the way Angle Click and drag a handle to adjust the vertex or one of the vectors Click and drag the measurement text to move it out of the way Textbox Click and drag one of the six handles to change the size shape and position of the textbox Click inside the textbox to bring up the white editing window and use the keyboard to edit or add to the text
139. nyx RAD Professional Workstation User Manual A Changes mouse cursor to center line tool see page 80 O Changes mouse cursor to shutter box tool see page 81 Changes mouse cursor to shutter ellipse tool see page 82 Ci Changes mouse cursor to shutter closed poly line tool see page 83 Changes mouse cursor to shutter closed curve tool see page 84 L Changes mouse cursor to left marker tool see page 85 R Changes mouse cursor to right marker tool see page 85 Saves new and changes to existing annotations to the database Page 214 Group Control toolbar Group Control Toolbs Bob EE This toolbar contains button that are shortcuts to entries found in the Group menu Move to the next series Move to the previous series ila Moves selected series right one monitor Moves selected series left one monitor Sorts images in by slice location Hl sorts images by image number usually desired Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 215 Onyx RAD Professional Workstation User Manual Customize Toolbars The user has the ability to customize the toolbars by changing their location removing the entire toolbars or toolbar buttons that are not used and locking them in place Customization can only occur when the toolbars are unlocked For information about locking and unlocking toolbars refer to the next page Change Location To move the toolbars hold the left mouse
140. o often helpful when configuring Acquire workstations Servercfz Database UID 960 1024700034 192753174 Server Host Address Settings Address TeleAAD PullServer Port 33223 Client Part Jadd4 SMTP Server Settings Address rail viztek net Port 25 Administrator Settings 3 Admin Login Ts Dial Up Settings AGRA E d Fhone Mumber 555 5555 min Password ooo Email address chrisoviztek net Login Jory Server Options Receive timeout sec 240 Send time out zec feo ARTIM timeout sec je Archive Images Replace Images Manage storage space SMTP server mail vizek net Password Refresh Save Changes Server Host Address Settings Enter the server s IP address here TeleRAD PullServer Port and Client Port Enter the appropriate port numbers here SMTP Server Settings Used for emailing studies the Contact Entry type Email Administrator Settings These settings are for administrator access Page 244 Server Options Set timeout limits for Receiving Sending and ARTIM operations Also set whether to archive images requires an Onyx RAD Archive Server Replace old image when duplicates are received and manage storage space requires Onyx RAD Space Management Server Dial Up Settings Enter dialup settings for this server The preferred way to do this is through windows dial up networking To save changes Click the Save Changes button To exit Cl
141. of Viztek Inc 1995 2006 Page 123 Onyx RAD Professional Workstation User Manual Display Tab xl Layout Advanced Integration Display Mouse Misc Overlay Options Annotations RIS Gateway Modality Worklist Image Bar Cut Lines 3D Cursor Fonts Monitor Calibration Extra Buttons on Study List Screen P l Grayscale Monitor A a OIL eit ede A I Show Fit Columns in List Font Scale 104 S a ie M Show Field Chooser Visible Display Height mm 1 Show Add Note to Study Monitor s setup worklist Monitor BE ads IZ Show Mark Study STAT rm Default Image Properties m Image Navigation T Show Edit Remarks I Zoom image to fit window Switch to next group after last frame M Shrink image to fit window Force selected item to be on screen I Auto Contrast All Images E Vv Exclude HI LO PADDING MV Burn in overlays J Show Series Description at bottom of images pixels from auto contrast F Faceless Ronan Alignment CENTER IV Apply LUT found in images IV Restore image column setting Cancel Apply Help The Display Tab contains options to customize the display of the images Monitor s setup This button allows configuration of the monitors The number of monitors used can be entered and a layout horizontal or vertical must be chosen Default Image Properties Box Auto Contrast All Images If the Auto Contrast All Images option is selected th
142. om your Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 45 Onyx RAD Professional Workstation workstation due to customization xt As part of the customization available the Series Window can be turned on and off at any time To accomplish this left click on the x in the upper corner of the Series Stack Window To bring the Series Stack Window back left click on the Stack button T or press Control on the keyboard O zero lt t You can also use this position bar as a navigational tool Click along gray bar to move to that position in the series User Manual The remaining sections of the Image Viewer screen are described in separate topics below The Series Window Leftmost on the screen is the Series Stacks window Every series or stack of images is indicated by a thumbnail picture of the first image in that stack At any time the series currently being viewed in the Image Viewing area is noted with a red border around it On grayscale monitors a thick white border is observed A patient study may contain many series all of which are loaded when the study is opened All series are loaded into the Series Stack window as thumbnail images and generally the first image s of the first series is displayed in the Image Viewing area To view another series simply move the mouse cursor over the series thumbnail in the Series window you wish to view and click the left
143. omponents This is an important dialog because it allows you to choose what Onyx RAD components will be installed Depending on the version you have purchased the component list may be slightly different than what you see here Common components are described below Ja select Components In the options list below select the checkboxes for the options that you would like to have installed The disk space fields reflect the requirements of the options you have selected WM Local Databaze FT10k Sample Studies 121272 k DICOM Send 16173 k Howtek Scanner Interface EKSI k TCO Archiving Acquire stations only 3036 k OpenGL Runtime 793k Disk Space Required 128202 k Disk Space Remaining Bob 757 k Cancel Local Database This should be enabled unless an Onyx RAD Server is present With a local database all images are stored on the workstation Sample Studies This will install a large selection of sample exams including MRI CT US and CR images DICOM Send Includes components necessary for sending DICOM exams to a 3 party Howtek Scanner Interface Indicates that this will be a Howtek Acquire workstation and includes the necessary components Page 222 CD Archiving Includes components necessary to create CD archives These components will only work for Acquire workstations Howtek and Orex OpenGL Runtime Some video card drivers do not include OpenGL support which is needed for th
144. on value or you can set a specific date and time Click Save Your new contact will appear in the list Click Exit Page 180 User Manual Automatic Sending Routing Normally you must actively push an exam in order to send it right click and choose Send To from the Study List However Onyx RAD can be configured to automatically send exams once they are validated This is especially useful for Acquire workstations You must first enter AE Titles if sending DICOM in the AE Node Editor and a Contact Entry in the Contact Editor see the previous topic After these steps have been taken care of you can create a route In Configuration Manager double click the Exam Routing icon The Routing Configuration window will appear after a few moments Onyx RAD Routing Configuration X Thiz routing table defines the routes that exams will take once they hawe been validated To auto send exams from this machine add routes to the DEFAULT Node AE Nodes source vee DEFAULT Destination Contact Entry Details Contact Entry for This Routing Entry Dest Variable Dest Port Scheduling Save Lhanges Cancel Changes Add Hew Route Delete this Route Click the node to add a default route from in most cases you will click the entry titled DEFAULT Click the Add New Route button On the right side of the window select a Push Entry from the drop dow
145. ont Scale Hie a 204 Monitors setup Worklist Monitor 1 N Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 61 Onyx RAD Professional Workstation xt Unsharp Masking works best on CR images xt The Share Single Frame Properties button does not affect Unsharp Masking Thus you cannot Unsharp Mask an entire series at once User Manual Unsharp Masking Unsharp Masking is a technique which processes an image into a clearer and more defined image In general sharp parts of an image are sharpened and less defined areas become clearer It is a better technique than simple sharpening because the results are much less harsh than a simple sharpen would produce Unsharp Masking is most effective on large CR images such as those acquired from an Orex PcCR scanner To use the Unsharp Masking tool 1 Place mouse cursor over the image 2 Click the right mouse button to bring up the Image Context menu 3 Click with left mouse button the Unsharp Mask entry 4 Click with left mouse button the percentage you would like to use Higher values will unsharp mask the image more but may result in a harsh image 5 Wait a moment for the system to process the image To undo the effects of unsharp masking and return the image to its original state use the Unsharp Masking tool again but choose Reset from the percentage menu Unsharp Masking is strictly a viewing tool
146. or day evaluation do not enter a serial number Interbase Name viztek Company izte Serial IB344AF8BC2933880364 Back Cancel You should enter Viztek without quotes for both the Name and Company fields The serial number is already entered Click Next to continue The next dialog is a Choose Destination Location dialog You should keep the default location and simply click Next to continue A final dialog will indicate that Interbase 6 ODBC installation is complete Click Finish on this dialog to return to Onyx RAD installation Page 230 At this point the installation will perform some setup tasks in the background so please be patient Eventually an Installation Complete dialog will appear Ja Installation Complete Ornyx A AD Professional Workstation has been successtully Installed Press the Finish button to exit this installation Eancel Click Finish to complete the installation When asked to reboot please do so Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 231 Onyx RAD Professional Workstation User Manual opend B Configuration Manager Onyx RAD Configuration Manager contains many tools to help you quickly configure your Onyx RAD software This chapter explores these tools Chapter Contents Start Configuration Manager ccceeeee 233 AE Node EdITOT ecas n 234 CONTACT EONO
147. ore Study List Columns Because it is very easy to remove column headers it is quite possible that you or another user may remove column headers To see a list of columns that have been removed click the button known as Worklist Fields or Choose Columns located in the pop up menu image context menu which appears upon right clicking Refresh Study List OK Validate Study v Mark Study Read QO Mark Study Unread Delete Study Purge Study Add Note to Study Burn to CD HD Send Study to Queue Management Edit details For g HH Auto Size Columns Fit Columns GX Choose Columns Study List Functions Selected studies 1 lt q____ __ Study List Properties amp Study History Worklist Fields Choose Columns button A Field Chooser window appears containing all Study List columns that have been removed Field Chooser To restore a column drag it left mouse click and hold then move the mouse from the Field Chooser window to its new spot on the Study List between two other columns When you drag the column header between two existing columns little red arrows appear indicating that your column can be inserted here Release the mouse button and the column will be inserted Page 32 Study List Properties The Study List Properties option can change the frequency of new studies loaded into the Viewing station The us
148. ore how to set up a push entry for each DICOM recipient you wish to send exams to Sending exams via DICOM requires more setup than the ONX format including the configuration of AE Titles and manual automatic sending Set up AE Titles The DICOM standard dictates that senders and receivers must define for themselves and answer to an AE Application Entity Title To send DICOM exams to your intended recipient you will need some basic information e Recipient s AE Title e Recipient s network IP address or hostname e Recipient s port number As for your own workstation s AE Title you should check with the receiver and agree on an AE Title to use Usually the receiving software will only allow connections from AE Titles that have been configured at the other site First start Onyx RAD Configuration Manager Click Start then Programs then Onyx RAD then Configuration Manager If this is not in the menu open a command prompt Start Run cmd click OK then enter the following cd onyx rad bin cfgmgr Configuration Manager will require you to log on to your database the username and password are the same values you use to log on to the Viewer Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 175 Onyx RAD Professional Workstation User Manual The Configuration Manager should resemble the picture below Onyx RAD Configuration Manager Hodes AE Node Editar Contact Editor Exam Rou
149. played beside each cut line These image numbers can help you quickly locate the slice you are interested in Right Click Menu Right clicking on an image can bring up other cut line data depending on the information sent from the modality Close Study Return to Study List Presets Q gt Width center H Zoom Pan Q Magnifying Glass of Invert black white Ff rol E 3D Cursor Annotate gt F7 7 LUMBAR Ax_PD_T2_MS F7 9 LUMBAR T1_Ax Enable Cut Lines Y Show all Cut Lines on this image hed Fit to Window Show all pixels 1 1 Actual Size Actual Size x i z Hide Overlays amp Invert Red Blue Contrast Unsharp Mask Save Image s Ay Key Image Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 101 Onyx RAD Professional Workstation lt t The Cine animation occurs in the Series Window not the main Image Viewer window so be sure the Series Window is displayed You can show hide this window with the appropriate toolbar button see page 46 for more information User Manual Cine Cine is the tool used to animate a stack series of images Use this tool via the buttons on the Cine Operations toolbar explored on page 209 and again below Cine Operations x END MANN HON Play cine animation in reverse Stop cine animation nM Pause cine animation Play cine animation W Rewind to first frame H Skip back one frame m Skip
150. rame When this option is selected the user can scroll through a series in a study Scrolling past the last image of a series will move the selected series to the following one Force selected item to be on screen Burn in overlays Overlays are the text Patient Name and Study Date for example that appear in the upper left and right corners when viewing an image When the Burn in overlays option is enabled this text is made a permanent part of the image when you perform operations such as saving an image to a bmp or tiff file Otherwise it does not Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 125 Onyx RAD Professional Workstation User Manual alter the images Force Image Repaints Repaint refers to displaying the image on the screen It does not alter the image in any way It has been suggested to always leave this option turned on Restore Image Column Setting This option remembers how many columns the user was viewing last time and restores this each time you open the Viewer This option does not alter the images in any way Extra Buttons on Study List Screen The following buttons can be added or removed from the Study List Screen Fit Columns in List This button will fit all columns in the Study List within the viewable space Field Chooser This button will show all columns that have been deleted from the Study List Add Note to Study This button will allow the user to add a note to a s
151. read This feature is used to change the status of a study from READ to UNREAD Send Study This feature is used to send a study to PACS in another location For instructions on how to use this refer to page 171 Print Study This feature allows the user to print the entire study to film For instructions on how to use this refer to page 144 New Case Add Image These buttons are used to acquire images using the Orex CR For intructions on how to use this refer to pages 186 193 TWAIN Scan This feature is used when paper documents need to be attached to a study For instructions on how to use this refer to page 38 This feature does not come with the default software For the TWAIN Scanning upgrade contact your Onyx RAD sales representative Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 35 Onyx RAD Professional Workstation User Manual Add Notes to a Study 1 Highlight the study that to requires a note attached to it by left clicking on it 2 Left click on the Add Note button me Another option is to right click ona study and then choose Add Note to Study Add Mote lAddSeriesNote Series Note i 3 Type the note in TYPE YOUR NOTES IN HERE the Add Series Note window x 4 Left click on the Save button The typed notes will appear in the third section of the Study List Screen with some information regarding the notes You can attach as many notes as necessary to a study The
152. revious chapter for a brief introduction to the Study Listing screen and the Image Viewing screen View the images and optionally prepare them for the doctor by adjusting the contrast or zooming etc When you are satisfied with the images close the study Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 193 Onyx RAD Professional Workstation User Manual right click on an image then choose Close Study Back at the Study Listing screen now you should validate the study which changes its status from INCOMPLETE to UNREAD with the following procedure 1 Left click the study one time to select highlight it 2 Left click the OK button to validate the study This button is found to the left of the New Case Add Image buttons and is pictured below rf amp a a Pritt Shady ACW CARD ADE IMAGE DAAN Dii Auba ae 4 a Validate Delete If you wish to delete the study perhaps the images were really off or the wrong body part was scanned use this procedure 1 Click the study one time to select highlight it 2 Click the Delete button to validate the study This button is found to the left of the New Patient Study Series buttons and is pictured below It is a picture of an eraser Page 194 Vidar Acquire y On Wx Vidar Onyx Vi d ar con The Vidar Acquire feature is used to digitize existing films in order to view them within Onyx RAD The digitized films
153. rkstation includes all of the advanced Study Listing and Image Viewing features mentioned above including CD burning Available modules add to this functionality by providing e Sending and Receiving images over phone line local area networks and the Internet The Onyx RAD suite features truly impressive teleradiology capabilities including DICOM transmission receive and a proprietary format for transmissions between two Onyx RAD machines utilizing compression encryption and auto resume functions e Acquisition of images Professional Workstation can be configured as a QC quality control Acquire station and connected to one of several compatible scanners such as the Orex PcCR line of CR scanners the VIDAR Diagnostic Pro film digitizer Lumisys Film digitizers frame capture devices and any acquisition device that already soeaks DICOM e Film printing For those instances where film is essential Professional Workstation provides advanced capabilities and control over the final appearance of the printed film and is compatible with virtually all film cameras Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 17 Onyx RAD Professional Workstation User Manual How to Use This Manual The next chapter offers a walkthrough for typical usage of Professional Workstation which includes locating a study in the Study List screen viewing and basic manipulation of the study s images in the Image Viewer screen an
154. rom the Annotations context menu and 1 Left Click on an area of the image to start the ellipse 2 Move the mouse pointer and observe the ellipse expanding Move the mouse such that the ellipse will enclose the ROI 3 Left Click to set the ellipse in place Regarding the initial click it is generally best to click a spot that is above and left of the ROI as you will then drag the ellipse down and to the right to enclose the ROI It generally takes a few practice ellipses to master the technique The easiest way to quickly remove the annotation is to right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 69 Onyx RAD Professional Workstation User Manual Annotation Box Box tool button This tool creates a hollow box on the image You can create a square or a rectangle of any ratio tall long etc and is often used to indicate an ROI region of interest To use this tool click the Box tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on an area of the image to start the box 2 Move the mouse pointer and observe the box expanding 3 Left Click again to set the box Regarding the box drawing technique your first click will set a corner of the box in place Generally make your first click above and left of
155. s To use this tool click the Skull Center Line tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Left click to make the first point Click ten points total 2 Double click with the left mouse key on the last click At this point the software will determine a line that is in the middle of all of the points The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 79 Onyx RAD Professional Workstation User Manual Annotation Center Line A Center Line tool button This tool is used to find a line that bisects the distance between four points To use this tool click on the Center Line tool button on the Annotations toolbar or choose the tool from the Annotations Context menu and 1 Left click on the first point 2 Left click on the second point 3 Left click on the third point 4 Left click on the fourth point When the user left clicks on the fourth point the software will determine a line that is in the middle of the four points The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 80 Annotation Shutter Box m Shutter Box tool button This tool is used to
156. s to turn off the selected tool amp Changes mouse cursor to Width amp Center tool See Width amp Center page 52 p Changes mouse cursor to Gamma Correction tool See Gamma Correction page 64 E Allows spanning in the Series Stack window Z Changes mouse cursor to the Magnify tool See Magnify page 54 4 Changes mouse cursor to the Pan tool See Pan page 56 ct Changes mouse cursor to the Zoom tool See Zoom page 53 Li Enters Annotation mode When in Annotation mode right clicking an image in the Image Window results in a special Annotation popup menu from which you can select and delete annotations Click this button again to exit Annotation mode Page 210 Image Layout toolbar Image Layout Ej D OB B Bi ill e 00 S wt 92 Be BE BS BE o B ga This toolbar contains buttons that are shortcuts to the entries found on the Layout menu Toggles whether the column buttons affect the Series Stacks window or the Image Viewing window xt You can change Displays images in one column column layouts as HH Displays images in two columns often as necessary jii Displays images in three columns E Displays images in four columns MN Displays images in sixteen columns Define the number of columns to display images Fiked Choose a fixed row and column display size for images Ir Activates vertical compare mode see page 103 Activates horizontal compare mode
157. select another folder fou can choose not to install Onps AAD Workstation by clicking Cancel to exit Setup Destination Folder C Onyx AAD Browse Cancel Click Next to continue Page 220 The next dialog is titled Backup Replaced Files Here you can choose whether to make backup copies of all files replaced during the installation This is generally a good idea so the Yes option is already selected You can also change the location of the backup folder Ja Backup Replaced Files This installation program can create backup copies of all files replaced during the installation These tles will be used when the software is uninstalled and a rollback is requested If backup copies are not created you will only be able to uninstall the software and not roll the system back to a previous state Do vou want to create backups of the replaced files f Yes C No Please select the directory where the replaced files will be copied Backup File Destination Director C Ornyx ARAD BACKUP Browse Cancel Click Next to continue Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 221 Onyx RAD Professional Workstation Xt Keep in mind that ultimately it is the protection dongle which decides which components will run If you need to add capabilities to your workstation please contact Viztek Inc User Manual The next dialog is titled Select C
158. so often helps to lighten up images Convert images to 8 bit required by some printers This also often helps to lighten up images which are printing too dark Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 151 Onyx RAD Professional Workstation User Manual Presentation LUT Some printers support a LUT lookup table that greatly enhances the appearance of printed images Border Color border color surrounding each image this is independent of the white Trim box option mentioned earlier Empty Image Color Empty image boxes on the printed film will fill with this color Magnification Type Select this based on what your printer supports Smoothing Type Select this based on what your printer supports Minimum Density Select this based on what your printer supports Maximum Density Select this based on what your printer supports Polarity Select this based on what your printer supports Send Width and Center tag If the printer supports the DICOM pixel width and center tags contrast select this option Click the Next button to proceed to the next configuration dialog Page 152 The fourth configuration screen is shown below Medium Type BLUE FILM Z Media Destination MAGAZIN E Orientation Po ATRAIT be Back Cancel Help Medium Type Select this based on the media you are using BLUE FILM CLEAR FILM etc Media Destination Select this based on the print
159. spesse EREE 237 EXAM ROUINO rcaso a ticles 241 General Server Config cccccccsseeeeeeeeeeees 244 Image Server COnfid cccccssseeeeeeeeeeeeees 246 Page 232 xt Your Configuration Manager may not contain all of the tools shown here Start Configuration Manager Click the Start button found at the very bottom left corner of the screen Pstart Choose Programs choose Onyx RAD and choose Configuration Manager You must log on using the same username and password that you use to log on with Professional Workstation Often the user name and password are both onyx The Configuration Manager window appears Onyx RAD Configuration Manager AE Node Editar Contact Editor Esam Routing General Server Contig Each of the remaining topics in this chapter explores the tools found in Configuration Manager Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 233 Onyx RAD Professional Workstation AE Node Editor User Manual This tool is for adding and managing AE Titles AE Nodes created here are used in the Contact Editor and the Exam Routing tools ga External AE Modes Editor AE Mode Title C amp LLING AE Mode Tithe CALLED DEFAULT DEFAULT Host IP Address Part localhost fi 04 Image Server Archive Server Default image server h Default archive server Group Users Mode Title Node Address DEFAULT localhost 104 Us
160. st way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 73 Onyx RAD Professional Workstation User Manual Annotation Text I Text tool button This tool allows you to place typed text on the image Many doctors use this in conjunction with other tools such as the arrow or ellipse to explain the ROI or indicate opinions readings To use this tool click the Text tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on an area of the image to set the upper left corner of the textbox 2 Move the mouse downward and to the right to set the size of the textbox 3 Left Click to set the textbox s size 4 The area you have boxed off now turns white and a flashing cursor appears in the top left part of the textbox At this point you should type your text with the keyboard 5 When you are done typing press the Enter key on the keyboard Notes on the text tool the initial setup of the tool has you create a textbox simply a rectangular area in which your text will be placed The borders of this textbox do not appear once you have typed the text Note that the text will only appear as wide as the textbox you set up thus you are effectively setting the size of the page on which
161. story To use CD Archiving the user will have to add studies to the burn queue Add one study to burn queue Right click any exam in the Study List choose Burn to CD and then Burn Queue Add selected study Add multiple studies to burn queue Hold either the Control key labeled Ctrl on the keyboard or the Shift key on the keyboard and left click on as many studies as the user wants All of the studies that are left clicked on should be highlighted Now right click to bring up the pop up menu Left click on Burn Queue Add selected study and all of the selected exams are sent to the burn queue Each time you add studies you get a message that says x studies added to Burn Queue now full Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 163 Onyx RAD Professional Workstation User Manual View studies in burn queue Right click anywhere on the study list Choose the Burn to CD option and then left click on the BURN QUEUE X full which brings up the Onyx RAD CD Archiving window x m Studies in the Burn Queue Available Space Patient Real 22 Jul 2002 13 26 49 700 MB _ _ OMB Settings CD Recordable drive D SONY CD RW CRX225E Description for this disc BURN CD Institution name VIZTEK Institution Phone 304 730 0446 Burn CD The archive CD can be burned from this location A list of patients with check boxes
162. study have loaded click the Worklist Window button which shows the Study List in the bottom half of the screen 3 Find the next study in the list and open it by double clicking the same way you open a study normally 4 Continue to open other exams by repeating step 3 5 Finally to reclaim maximum image viewing space close the Worklist Window by clicking the Worklist Window button again Since you are using the dual monitor setup each study automatically will go to a separate monitor Page 106 Edit Patient and Study Information To edit patient or study details first highlight the study in the Study List Screen by left clicking on it Then right click on the highlighted study to bring up a pop up menu At the bottom of the pop up menu is the Edit option Left click on Edit and then left click on Patient or Study There may or may not be a password required depending on how the facility wants the set up To set up a password protection for editing information refer to page Advanced Tab Patient Editor When you left click on Edit Patient the Patient Editor window appears Left click on the General Tab and change the patient information from this location x Info General Contact Status Military Comments Permissions Patient ID 31 704 M Gender C Male m Patient Name Female Prefix Unknown First YOLANDA Height Middle Last RODRIGUEZ SPER Why ergnt S
163. t IO Last Mame First Name Middle Hame Gender Male f Female Birth Date MMOD AVY MM DD Ary Study Study ID Contrast B olus Agent Study Description Clinical History Series Series Seres Description Image kWp Image Description Machine Mame AT Image Type RAIS 2 Dual Ores f Put all images in the same series i Put each image in a new series Acquire Image Advanced Cancel e If you are adding an image to an existing study the dialog will be partially completed for you using data from the existing patient record e g Patient ID and Name will already be filled in You will be unable to change these fields e If you are creating a study for a patient already in the database once you enter the Patient ID and press Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 189 Onyx RAD Professional Workstation User Manual the Tab key on the keyboard the existing patient information will populate the rest of the fields To enter data into a field simply click the white box next to the field and start typing Although there are many fields on the dialog the only required fields are marked with an asterisk are listed here Patient ID This must be unique for every patient It is suggested social security numbers be used for this field or any other uniquely identifying tag This field can be letters numbers or a mix of both Gender
164. t be transmitted If the exam was already being transferred the transfer will cancel and the study will be deleted from the queue Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 173 Onyx RAD Professional Workstation User Manual Requirements to Receive Exams Receiving exams from other Onyx RAD sites requires e Onyx RAD Listener Agent software e Aconnection medium between you and the sender phone line network Internet etc Viztek technicians handle all configurations for receiving exams For the connection medium e fa phone line is used 56k modems are recommended e Ifalocal area network LAN is available a 100Mbps connection is recommended and a static IP address is required e Ifthe Internet is to be used a static IP address is required as well as a constant connection A digital subscriber line DSL is recommended Receiving DICOM exams from any sender requires e Onyx RAD DICOM Gateway also commonly referred to as CStore Server e A connection medium between you and the sender network Internet etc Viztek technicians will handle the configuration on your the receiving side and provide the sender with the necessary information your host address AE Title port number etc to send you DICOM exams Please contact Viztek Inc to add receiving capability to your Onyx RAD workstation Page 174 Sending Exams via DICOM Configuration The next few topics expl
165. the Image Context pop up Menu To unmark a key image i e remove its key status simply key it again and its key status will toggle off Page 94 Reading Key Images Images that have been marked as key images will appear in their respective series as normal but the image will be marked with a special icon to indicate its key status A Additionally all key images in the study will appear in a separate series to allow for quick viewing of all key images This series is always the last one in the Series Stacks window and has a thick border On a color monitor the border is purple Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 95 Onyx RAD Professional Workstation DICOM Tools Help Printer Setup Prink Queue Management 3 DICOMDIP Import view DICOM elements For this image User Manual DICOM Elements Tags To view the DICOM tag data for a particular study or image simply select an image in the Image Viewing screen left click on the DICOM menu above the toolbars and choose View DICOM Elements for this image option The DICOM tags are displayed in a new window DICOM Elements xj m m m m m m m m m m m m m m m m m m m m m m m m m m m m rannin a Element List 0002 0002 0002 0002 0002 0002 0008 0008 0008 0008 0008 0006 0008 0008 0008 0008 0008 0006 0008 0
166. the ROI This will set the top left corner of the box You then move the mouse down and right to draw the box and enclose the ROI The easiest way to quickly remove the annotation is right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 70 Annotation Cross Hairs IL Cross Hairs tool button This tool allows the user to pin point the area of importance with cross hairs To use this tool click the Cross Hairs tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left click near the area of importance 2 Move the mouse left or right to cause the cross hairs to grow horizontally 3 Move the mouse up or down to cause the cross hairs to grow vertically 4 When you are satisfied with the size of the cross hairs left click the mouse again to set the cross hairs An easy and quick method to remove the annotation is right click the image which displays the image context menu and choose Delete All Annotations from this menu Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 71 Onyx RAD Professional Workstation User Manual Annotation Arrow x Arrow tool button This tool creates an arrow or pointer that will point at an area of the image To use this tool click the Arrow tool button on the Annotations toolbar or choose the tool from the Annotations context menu and
167. the text appears Be sure to create a textbox large enough to hold all that you wish to say The easiest way to quickly remove the annotation is to right click the image which displays the image context menu and choosing Delete All Annotations from this menu Page 74 Annotation Measure ze Measure tool button This tool is used to measure straight line distance in millimeters of an area in the image To use this tool click the Measure tool button on the Annotations toolbar or choose the tool from the Annotations context menu and 1 Left Click on the image to set the first end point of the ruler 2 Move the mouse and observe that the line being draw follows your movement Move the mouse to where the end point of the measurement will be 3 Left Click to set the end point Observe the measurement that appears 4 Atthis point you have the option of moving the drawn line and measurement out of the way Move the mouse up or down for horizontal measurements or side to side vertical measurements and note that the text will move with you 5 Left Click a final time to set the placement of the text Note that the ability to move the position of the measurement text allows you to leave the measured area uncovered and in full view The easiest way to quickly remove the annotation is to right click the image which displays the image context menu and choosing Delete All Annotations from this menu
168. tics Translation Table operations etc In general these tools should be ignored they are only used to fine tune certain VIDAR scanner models when required Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 201 Onyx RAD Professional Workstation User Manual Using Modality Worklist Modality Worklist is an optional component that integrates your Onyx RAD Acquire workstation with Onyx RIS or a 3 party RIS system The component is designed to save time and reduce data entry errors by taking the patient information directly from the RIS and entering into Onyx RAD A sample Modality Worklist is shown below VOLT 1 Pet tyman Meme JUMMSUM Mady Aeauethed Caimi agent BWSAUHSJILFAT Preteduee Step ld SPO sab Sse Terphon PANT Sige Hare STH456 e Shae fe Tite aa JEEE Sbai fos Tite ARTT Soh iue Time Lis e Sahad guar hma OCT 19865 Pad Phpiitian Mama JOHNS0H Modsly MFI enat Conta Agent DARMIHSULIAT Procedue Step id si Shao Dencenhon Ear Shanon Kane STNE 4 5 VALDI ARTORID AEN LL Lng EAM ee HIGH ae To eo ELE od VIVALDI ANTORIO eee i m i ie EAH GEF HISH FALE RRS AG dae Location Hotely Pert End Das Ped End Tire Ped Pteaican Heme Fad Diori Date CR COMHARD B HASTA FRAN J ZEPH H tots Er khir Lot HILLER RPEH Che i HDN FAANE JOSEPH H inn EXAM ATSS Lot HE WIMEH FRA Sy HAWN PAARE JOSEFH HF ons EXAM TSR Low FALE RESTR py BEETHOVEN LU
169. ting General Server Contig Double Click the AE Node Editor icon to start the AE Node Editor A sample screenshot appears below Page 176 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 3 External AE Nodes Editor x AE Node Title CALLING AE Node Title CALLED Host 4 IP Address Port Image Server Archive Server Default image sever Defaut archive sever x Group Node Title Node Address DEFAULT llacalhost Use the Grid to the right to set the options for 4E Nodes Options Changes to these options are automatically saved you do not need to click the Save Changes button Click New AE Node and set up the AE Node as follows e Destination Calling AE Title enter the AE Title of your intended recipient e Source Called AE Title enter your AE Title here you may use ONYXRAD for example e Host IP Address enter the network address of your recipient e Port enter the port number on which the recipient will listen for DICOM transmissions Image Server select Default Image Server Archive Server select Default Archive Server Group select Users The options grid at the bottom contains the Auto Validate option for example is not relevant to this outgoing entry Click Save If all required fields have values your new AE Node will appear in the listing Click Exit Page 177 Onyx RAD Professional Wor
170. to Unread Global when you click the Unread icon and you will observe that only studies whose status is Unread will be displayed Note that clicking the ALL icon returns the display to All Global and studies of all statuses are again displayed Filtering by modality will similarly change the title bar The sample picture below shows the title bar after clicking Unread and then additionally filtering by MR modality Unread Global MR me ee i E M a Ere ra ie ees a IFE IEE m The Personal button Peso The Personal button in the Filter window works the same way as the Global button and displays icons to filter by study status The personal view however is intended to provide a personalized view of the database Generally it is recommended to use the Global button Page 40 Patient s Studies Window All Global a Status D Series D images D Patient Name D StudyiD Description D Study Date D Referring Physician M Gender D 008 i INCOMPLETE 1 2 Patient Real Left Foot No study description 16 Dec 2002 10 29 28 03 Jul 1960 V READ 1 1 Patient Real AP MortLAnkle Ankle 23 Jul 2002 16 11 17 ANONYMOUS M 03 Jul 1960 9 INCOMPLETE 1 1 Fatient Real DP LatLeft2 DP Lat Dark 22 Jul 2002 13 26 49 ANONYMOUS M 03 Jul 1960 UNREAD 1 1 Anonymous 200207 DP Lat Left Dp Lat Light 22 Jul 2002 12 59 35 ANONYMOUS M 03 Jul 1960 UNREAD 1 2 CARTMAN ERIC C SPINE
171. to adjust the Gamma Correction 4 When satisfied with the image release the left mouse button Gamma Correct all images in a series Note that if the Share single frame properties button is enabled using the Gamma Correction tool will affect all images in the same series To enable or disable this behavior click the Share single frame properties button Page 64 X The Contrast Contrast menu operations work by adjusting the width and center values for you Right click on an image to bring up the Image Context menu and choose Contrast for three Contrast operations Original contrast click this to reset the width and center values present when the exam was opened Auto contrast click this to perform an auto width amp center adjustment Reset contrast click this to reset the width and center values to those present when the exam was validated Often this value will be the same as the original contrast option above Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 65 Onyx RAD Professional Workstation User Manual xt Annotations area great aid for teaching files as well for your own later reference Be sure to use the Save Annotations button see this page Annotations Introduction Annotations Be Ooouts hallad He DOOODRO Annotation buttons Annotating in Professional Workstation consists of adding text and graphical objects to enhance or isol
172. top note will be the most recent one These notes cannot be printed or deleted Page 36 Mark Study STAT Marking a study STAT will cause it to appear highlighted at the top of the study list Also Mark Study ees STAT notice an exclamation point icon on the left side of the study listing t Status O Series D Images PO INGO UHRE 1 1 gl UNRE 1 1 All Global Status Series O images Studi OF Patient Name PatientiD Gestription D Stud Date O Referring Phyakian O Gender ti Jure 2004 i OC Upper BAITEN 22 ug IPEF a H i 3 AME Hit dast 10 Jim Marking a study STAT 1 Left click to highlight the study that needs to be marked stat 2 Left click on the Mark Study STAT button Marking multiple studies STAT 1 Hold down either the Shift key or the Control key on the keyboard At the same time left click on all of the studies that need to be stat 2 Left click on the Mark Study STAT button The STAT study will Remove STAT status also return to normal 1 Left click on the study that needs to be removed status when it is from the STAT status marked from 2 Left click on the Remove STAT status UNREAD to READ 8 The Remove STAT status button only appears ee once a study changes to the STAT state STAT status Remember that the Mark Study STAT and Remove STAT status options are also in the pop up menu which appears when right clicking on a study Onyx R
173. ttings Window 0e 131 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 93 Onyx RAD Professional Workstation User Manual Xt Key images are marked with this icon in the upper left corner of the image Key Images an Overview The Key Images feature of Onyx RAD Professional Workstation is designed to allow the quick identification of particularly important images in a study The doctor reading the exam marks images as key that are prominent in the study A copy of each of these images is then placed in a separate series image stack so that all of the key images in the study can be viewed quickly in sequence Additionally the image is marked with a special icon to identify it as a key image The power of this tool is that the next doctor who reads the exam can concentrate on this new stack of key images and render a reading very quickly Another advantage is that although the key images may reside in many separate series the new key image stack brings all of these images together into one stack providing a more efficient read Marking Key Images Marking images as key is simple Simply select the image in one column viewing the visible image is automatically selected in multiple column viewing the selected image has a thicker red border and press the K key on the keyboard Other methods click the Key Image button on the toolbar or click the Key Image entry on
174. tudy Mark Study STAT This button will cause a study that is marked STAT to go to the top of the Study List and highlighted in red Edit Remarks This button will allow the user to add a short note or remark to a study This remark will appear in the Remarks column in the Study List screen Page 126 Overlay Options Tab x Display Mouse Overlay Options Annotations RIS Gateway Modality Worklist Layout Advanced Integration Left side of image A A Right side of image Available tags Available Description Group Length 0002 0001 FMIV File Meta Information version 0002 0002 MS5SCU Media Stored Sop Class Uid 0002 0003 MSSIU Media Stored Sop Instance Uid 0002 0010 TSU Transfer Syntax Uid 0002 0012 ICU Implementation Class Uid 0013 IVN Implementation version Name a Cm wan Amenlie aking Cenbibey Tikla a gt Description Description 0008 0020 SD Study Date 0008 0023 Image Date 0010 1030 Weight Patient Weight 0020 0013 Image Instance Number 0010 0040 Sex Patient Sex 0018 0060 KVP Kvp 0010 0010 Name Patient Name 0018 1152 MAS Exposure 0010 0020 ID Patient Id 0020 1041 Slice Loc Slice Location 0010 0030 DOB Patient Birth Date 0018 0080 TR Repetition Time Add Up Up Cancel Apply Help The user has the ability to change the overlays that appear on the image Any DICOM tag can be presented as an overlay To change the default overlays follow these steps 1
175. udocolor Annakation Suipi vv Status Bar Works Workspace Ctrl 0 Config Bar ji 3D Slices ch Motes Ctr lv Control Bar Captions B Gradient Captions S View Overlays v ad Invert Overlay Text Wworklist lv View Annotations i 2D Cursor Customize Lock Toolbars Lock Toolbars Once the user has customized the toolbars there is an option to lock the new set up into place To do this first left click on the View menu Then left click on the Tool Bars option Then left click on the Lock Toolbars option When the toolbars are locked the user will notice a check mark next to the Lock Toolbars option To unlock the toolbars simply follow the same procedure as locking them and the Lock Toolbars option will be unchecked Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 217 Onyx RAD Professional Workstation User Manual opend A Installing Onyx RAD Onyx RAD installation is designed to be easy Use this chapter to quickly walk through a typical installation Chapter Contents Mta npa 219 Page 218 Installing You should begin by installing your protection dongle If it is a USB key a Found New Hardware dialog will most likely appear after a few moments Simply click the Cancel button if this occurs Your Onyx RAD CD should contain a file named OnyxRADWorkstationSetup Run this program to begin installing Onyx RAD On many Windows computers this program will start a
176. udy s curent modality instead Many DICOM software products do not correctly handle multiple modalities in a study Always save TWAIN image as modality SC When a validated study is selected Create a new study for the scanned image Add the image to the study will revert to INCOMPLETE V Retain study s original status Work around for DR Some DR units produce DICOM studies whose images have identical Vv series instance UIDs and image instance UIDs Enabling this workaround will manipulate the TWAIN image s series_no and image_no tags Apply Cancel Help The TWAIN section of the Acquire Settings window allows the user to adjust settings for the TWAIN paper scanning of documents SC Secondary Capture When the Secondary Capture option is enabled a document is scanned and saved in Onyx RAD as a Secondary Capture image Use the study s current modality instead When this option is enabled the scanned document is considered the same modality as the study that it is attached to Always save TWAIN image as modality When this option is enabled a document is scanned as the modality type selected and saved in Onyx RAD Create a new study for the scanned image When this option is enabled the scanned documents are in a separate study from the images Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 135 Onyx RAD Professional Workstation User
177. ue Management window simply right click any exam in the Study List and choose Queue Management from the pop up menu It does not matter which exam you right click A sample of this window is seen on the next page Page 172 E Alga ibe Dhea To STUDY Patsere Hee Hib SS sai om i porns pow herer pehed Dipi i bot Dep Mo tag Geponctie i ers puched a pou Piah Duae ID i Tere Diet iferi IEM Zen bg SAN Hunia of Aiempi a Agp Tiara J Sort T Ce Hoot Honig i Eri Sport Gee Lard Abbe ifea FEA Total Bip 15650 Time rearing at Oc CEE Tiigi Fite DELH FB Perai DORGA Sium Connected ip Duu Manager Server CG pers E ot A e l ga E te ib Y cxen Queue Management window The bottom half of the screen holds a list of all pending transfers in the queue complete with progress bars The upper half of the screen displays details on the currently selected exam Check the status of a pushed exam by checking its progress bar to see how far along the transfer is To elevate the priority of a queued exam Click the desired study this will highlight it Click the Stat button This exam is now next in line to be transferred and will begin transmitting as soon as the transfer medium network phone line etc is available lt is also possible to cancel the transfer of an exam Click the desired study it will highlight Click the Delete button The study will be deleted from the queue and will no
178. uffix Birth Date Birth Time MMDD AAA HH MM SS Age now 000D Cancel Once the user has made the necessary corrections left click on the Apply button Then left click on the OK button Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 107 Onyx RAD Professional Workstation User Manual Study Editor When you left click on Edit Study the Study Editor window appears The Identification Tab and the Acquisition Tab are used to make corrections regarding study information First left click on the Identification Tab and change some of the study information Study Editor eee xl Classification Read Components Penmissions Identification Relationship Scheduling Aquisition Patient D strato eeo E 1 2 840 113663 1100 156555799 1 0 120010612 1 Accession Number 392341176 Study ID 997341176 Study ID lssuer Other Study Numbers Aefening Physician First Hame Middle Hame Last Name Then left click on the Acquisition Tab and change the Study Description Once the user has made the necessary corrections left click on the Apply button Then left click on the OK button If by error one patient has two patient ID s change the ID in the study editor to match the correct one When the user left clicks on the Apply button a screen will appear asking if the two records should be merged Page 108 Deleting an Image from
179. ume the left Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 249 Onyx RAD Professional Workstation User Manual mouse button is intended If the right mouse button is intended it will always be indicated as right click or click the right mouse button This manual uses the common notation Click implies clicking the left mouse button one time Right Click implies clicking the right mouse button one time The other clicking term you hear about is to double click This means to click the left mouse button twice in quick succession This is often a difficult technique to master for a beginning computer user so practice makes perfect Thankfully Onyx RAD Professional Workstation only makes use of the double click in one place selecting a study to view from the Study Listing Mouse Click Left or Right button The vast majority of mouse click operations in any Windows program are performed the left mouse button Thus whenever you are directed to click something it is implied that you click with the left mouse button Double click refers to rapidly clicking the mouse button twice and also implies the left mouse button Right click means to click the right mouse button The right mouse button is generally not used as frequently as the left and is generally used to call up context menus pop up menus that appear when right clicking in certain areas or contexts Page 250
180. urable interface With any software package there is an initial learning curve that must be surmounted Trial and error lead to familiarization and efficiency First time users of Microsoft Windows often become accustomed to it within a week or two of regular use Onyx RAD builds on this by using menus shortcuts and operations that are similar to most other Windows programs thus decreasing the learning curve and familiarization period The Onyx RAD applications make extensive use of toolbars context menus drag and drop functionality menus and shortcut keys to provide even more efficiency to your busy schedule The computer s mouse has two buttons some newer models also have a third the middle button and or a scroll wheel in the center The behavior of these two buttons referred to as the left and right buttons respectively is consistent throughout Onyx RAD software The right mouse button A single click with this button reveals a pop up menu containing functions and options pertinent to the area of the software you are currently using Dragging hold the button down and move the mouse this button is used primarily for functions like windowing an image while you view tt The left mouse button Almost all other tasks are performed with this button A single click is used extensively throughout the software to select an item e g select a study in the Study Listing select an image in the Image View
181. utomatically a few moments after inserting the disc The installation process will present you with several dialogs for most of which you will simply click Next The first dialog is a copyright notice and standard Windows warnings about closing other programs before continuing the installation process 3 Welcome program This program will install Onyx RAD sa Welcome to Ornys AAD Workstation Setup lt Workstation on your computer lk is strongly recommended that you esit all Windows programs before running this Setup Program Click Cancel to quit Setup and close any programs you have running Click Nest to continue with the Setup program WARNING This program i protected by copyright law and International treaties Unauthorized reproduction or distribution of this program or any portion of it may result in severe civil and criminal penalties and will be prosecuted to the masimum extent possible under law Cancel Click Next Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 219 Onyx RAD Professional Workstation User Manual The next dialog is titled Choose Destination Location The default location of C Onyx RAD is already selected but you can change this by following the directions on the dialog Ja Choose Destination Location Setup will install Onys AAD Workstation in the following folder To install into a different folder click Browse and
182. w The window is composed of a large white area with several more buttons at the bottom This white area is used to hold the images you will print The buttons at the bottom perform actions specific to the Image Bucket Please see the Chapter 6 Printing for more information on printing and using the Image Bucket Onyx RAD Professional Workstation User Manual Configuration Bar Study tab This sub window is handy informational and shortcut window when viewing a patient study The top portion of the window lists the Patient ID Patient Name Study ID Study Date and Study Description for the current study Below these fields are three large shortcut buttons that very depending on the status of the study currently viewed E Pater ID ONT iHi OP 999111 Be Oo Dert Piae Aremo F aiei Study ID if Study Date TE Mere 1 55 Shad Derogi Pho sludy deencrpieon fi moe Bucket 0 study 1 INCOMPLETE STUDY Validate click to change the status of the study from INCOMPLETE to UNREAD Delete click to change the status of the study from INCOMPLETE to DELETED UNREAD READ STUDY Mark Read click to change the study s status to Read Un available if the study is already Read Mark Unread click to change the study s status to Unread Close Study click to close the study and return to the Study Listing screen Page 50 Image Viewing Tools Onyx RAD Professional Workstation features a v
183. window will follow your movements 5 Release the left mouse button and the magnifying window will disappear Page 54 Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 55 Onyx RAD Professional Workstation User Manual A idth ROI Height Area Pixels oom Level Std Dey Window Width Window Center Histograrn 0 a ar as a Average 562819 rs F035 357 13431 Minimum Pret 0 Maxinunm Pret 13431 Fisel Count Min 0 Pixel Count Max 118 Total Fisel Coun PECE ROI ROI Region of Interest 4 ROI toolbar button Use this tool to focus on a specific region of interest This tool is used to magnify a specific region of interest and to compute information about the area inside of the ROI box This information is listed it in the ROI tab on the Configuration Bar To activate the ROI tool click the ROI entry from the Image Context menu right click to bring up the menu or the Image Left button Operations toolbar To use the ROI tool 1 Activate the ROI tool 2 Place the cursor over the important area of the image 3 Hold down the left mouse key and observe the ROI window 4 As you move the mouse around while still holding the left mouse key down you will see the values in the ROI screen change To resize the ROI window hold the left mouse key control key and move the mouse FORWARD decrease height BACKWARD increase height RIGHT
184. windows to scroll together i e as you progress through one series the other moves with it by clicking the Compare Scroll button Compare Scroll Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Page 103 Onyx RAD Professional Workstation User Manual Comparing Multiple Studies Often it is helpful to view multiple studies at once e g to compare original and follow up exams Onyx RAD features many tools and options for view multiple studies at once Over the next few pages we will explore how to open multiple studies control how the images are laid out across the display s compare mode linked scrolling and other features Multiple Studies Single Monitor 1 Open the first study in the normal way selecting it from the Study List 2 Once all of the images for the study have loaded click the Worklist window button to show a miniature study list Show Hide the 3 Find the next study in the list and open it by double Worklist window clicking Same way you normally open a study 4 Continue to open other exams by repeating step 3 The Series Stacks window now has two or more gray bars that either have a study description or the heading no study description The Image Bucket window now has two or more study tabs 5 Finally to reclaim maximum image viewing space close the Worklist window by clicking the Worklist window button again 6 Select the first image that you will
185. ws users to view and manipulate vast amounts of DICOM and patient information There are two basic functions in Workstation selecting a patient and viewing that patient s images As such the program is divided into two interfaces the Study List screen for selecting patient studies and the Diagnostic Quality Image Viewer screen for viewing and manipulating the images As you use Workstation you will find that you alternate between these two screens quite frequently In this chapter we will look at a sample user session of Viewer This session includes the following steps e Logging In e Study List screen o Searching for a patient study in the database o Selecting a study to view e Image Viewing screen o Viewing the images of this patient e Returning to Study List screen Page 20 Log On ONYX RAD User name ON Password Database Aliases w Cancel This dialog may not appear if your Workstation is configured to log on automatically The first step in a Workstation session is to log on so that you may access the database of patient studies The log on dialogue shown above consists of three boxes that must be filled in The first two username and password are assigned to you by your database administrator or similar authority Requiring a valid username and password is an effective security measure for protecting the records of your patients The Database field contains the name of the datab
186. your database The Study List screen also gives you access to other features of Professional Workstation such as sending images to other doctors creating Patient CDs and acquiring images from film and plate scanners To view your study you simply double click it This will open the exam in the Image Viewer screen explored in the next topic Page 14 The Image Viewer After locating your studies in the Study List screen a simple double click will load up the images in the diagnostic quality Image Viewer screen al x De Bui Image Annotate miet gop Yew Giir uyat Gre COM Tools piep a Fa 2 0 B e Mek USO MH Ge ee bie Oh S OC ORBE BBR DR HW kA Ce SS COON bneM eA FSR BH The Image Viewer screen This screen retains the menus and toolbars found on the Study List screen and adds a few menus and toolbar buttons and sets up the remainder of the screen to aid in diagnostic viewing The largest section of the screen is reserved for displaying the images and be configured to display the images in any number of columns rows the sample picture above shows 2 column view The smaller section on the leftmost side of the screen is the Series Stacks window which holds thumbnail images of every series also referred to as a stack in the exam These thumbnails also act as buttons allowing you to quickly navigate between series and also indicate your Onyx RAD is a registered trademark of Viztek Inc 1995 2006 Pag

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