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JiveX Enterprise PACS Solutions JiveX DICOM Viewer User Manual

1. JiveX DICOM Viewer 4 6 2 67 User Manual J Creates a new DICOM Mail address For this purpose the DICOM Mail Contact dialog is opened Here the following information is entered E mail address unique Encryption certificate Public certificate with which the data to be transmitted can be encrypted Network The DICOM Mail address should be assigned within this network Communication with each other is enabled only for participants having addresses in the same network DICOM Mail Contact E mail address Encryption certificate Network dicom mail local Fig 55 Dialog DICOM Mail Contact In the lower right of the Contacts tab the Account Assignment is defined An account can only communicate with the hereby specified network participants This is useful when there are two accounts which both are in the same network but are not allowed to communicate with all participants 8 3 4 Encryption DICOM Mail uses an OpenPGP compatible encryption to safeguard the transmitted data The certificates organization and generation can be done with every OpenPGP compatible program For example GnuPG is one of the most known open source programs With it you can generate certificates import them and query key server Within JiveX various key lengths 2048 3072 4096 of PGP certificates are available for the certificate creation previously key lengths of 1024 and 2048 were available The PGP certificates are
2. After confirming the entry by pressing the return key new values are applied to the display Predefined sets can be selected by clicking on the button Standard Window Presets Standard Window Presets JiveX DICOM Viewer 4 6 2 31 User Manual A mouse click on the Standard Window Presets button opens a context menu as shown in the figure below Window methoc Absolute windowing HF Window Shape Relative offset windowing Pixelrange w 273 0 oc 386 5 PRESET 1 wi600 0 c 230 0 Fig 18 Context menu Standard Window Presets In the lower area below the line of the context menu pre defined window settings can be selected via a mouse click and applied directly to the images In the upper range of the context menu the Window method and Window shape can be chosen Window method There are three ways to perform the windowing Absolute windowing kK Relative offset windowing Fercental windowing Fig 19 Context menu Window method Absolute windowing The option Absolute windowing applies the set window value set via mouse click or entering fields to all images in a series Relative offset windowing By this setting a percentage change of the window values is calculated relative to the entire gray scale value and applied to all images of the series This is helpful when MRI scans within a series were taken with differing window values For CT examinations this function is not available the choice is grayed
3. JiveX Enterprise PACS Solutions JiveX DICOM Viewer User Manual Version 4 6 2 As of 2014 03 07 VISUS Technology Transfer GmbH Universitatsstr 136 D 44799 Bochum Germany Phone 49 0 234 93693 0 Fax 49 0 234 93693 199 E Mail info visus com Internet http www visus com PACS and beyond JiveX is a class 2b product within the scope of directive 93 42 EEC EDA JiveX has Section 510 k clearance under the following number K053183 Copyright VISUS Technology Transfer GmbH Germany www visus com JiveX is an internationally registered trademark All rights including those of translation reserved No part of this book may be reprinted or reproduced or utilized in any form by any electronic mechanical or other means now known or hereafter invented including photocopying and recording or in any information storage or retrieval system without permission from VISUS Technology Transfer GmbH The author and publisher have taken care in the preparation of this document but do not issue any expressed or implied warranty of any kind and assume no responsibility for errors or omissions No liability is assumed for incidental or consequential damages in connection with or arising out of the use of the information or programs contained herein Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks Where those designations appear in this text
4. can be switched on or off Patient studies previously created by the same modality can be marked as previous studies by using italic font displayed in the viewing section and the thumbnail bar This marking can be switched on or off Paste Paste to all images A copied annotation can be pasted to the current image or to all images of the current series Scanline icom View Cutlines View Locator Change the scout icon or show cutlines or a locator image Copy to clipboard Export Export the current image matrix series as JPEG BMP PNG TIFF or PNM Print Print the current image matrix series The bottommost menu item will switch the compare mode on or off depending on the current mode Series Matrix Selection of the series matrix Compare mode 2x1 Single series mode 1x1 predefined matrices Original Size Zoom to original size or to maximize the images in their viewports Sort ascending Sort descending Reverse series sort order Restricted sync scrolling Synchronous scrolling according to image position and orientation Split series Splitting series is only available for CT and MR series Windowing Choose a predefined window setting 6 3 Scouts and Scanlines For better orientation within a slice stack a scout overview image with scanlines can be displayed within the image viewport provided that the series has such a scout Initially the scout image must be displayed in the image
5. pixel spacing is not included in the DICOM data set For this purpose you have to create a distance measurement between two points whose distance is known Then you can choose the menu item calibrate pixel size of the annotation context menu mouse right click on this distance measurement and enter the correct distance Calibrated images will be marked with a warning symbol Please note Incorrect calibrated images will cause wrong distances and size measurements of all other annotations Also the area of the statistics measurements shows incorrect values Calibration in accordance with the DICOM standard is defined only for monochrome images There is no defined possibility to calibrate color pictures and thus also no defined standardized display on the screen JiveX DICOM Viewer 4 6 2 73 User Manual 11 Unlock Full Version To unlock the full version of JiveX DICOM Viewer you have to import a license key file using the menu item import license key from the menu After the import all features of JiveX DICOM Viewer are accessible By importing the license key file you accept the licensing conditions for JiveX DICOM Viewer and the general terms and conditions of VISUS Technology Transfer GmbH For complete details of the imported license key file please see the About dialog and select the license tab For more information and updates please visit our website www visus com JiveX DICOM Viewer 4 6 2 74 User Ma
6. please press the button of the desired graphic annotation type Fig 42 and click on the image to select the first coordinate locate a point within the image Then click on further designated coordinate s Alternatively the annotation can be drawn by dragging the mouse while holding down the left mouse button JiveX DICOM Viewer 4 6 2 48 User Manual When drawing freehand annotations dragging with the left mouse button down will draw a freehand curve while mouse clicks will draw polylines A final double click finishes the annotation Closed annotation Circle with center point Text with anchor point Circle over 3 points Text Ellipse annotation Open Fill annotation freehand annotation Fig 42 Types of Annotation A dialog box is opened when creating a textual annotation Please enter your annotation text into the text field of this dialog box Further characteristics like text position and color and the creation of an anchor point can be defined here After confirming the entry the position of the text is determined by the first mouse click the anchor point is set with a second click If you press the C key while creating an annotation the mouse cursor will be hidden to allow accurate positioning of points lines objects Drawing an annotation can be cancelled at any time by pressing the ESC button 7 5 2 Manipulating Annotations Existing annotations can be altered For this purpos
7. 14 22 Presentation State 13 14 29 53 54 55 PIOSelSuiiiigluli a 31 32 43 R RES CU arnie 15 41 42 43 ROLZOON ui einne heel pe hal 37 S SEE PS eri ea 7 SBONG aa ala i eni 5 SAUMES stressende dede seet dille 29 53 T FOO SAT r rarere laid 28 V Viewer 1 5 6 7 8 10 12 13 15 16 21 22 27 54 56 58 59 62 74 VIEWNDPOGa nica jad Sp DL Z ZOOM DI 3 04 373 77 User Manual D Glossary e Cine The image viewer s cinematic display mode e CS JiveX Communication Server e CMPR MPR view along a defined anatomical structure e DICOM Digital Imaging and Communication in Medicine A standard for medical images e Folder A container similar to a file folder in which studies can be stored Each folder has an owner and is by default accessible only by this owner A folder can be made available to other JiveX users via a release mechanism e Grayscale windowing Alternates brightness and contrast of an image e GUI Graphical User Interface e Image Matrix A viewport displays either a single image or a matrix of images e Intended Purpose Intended purpose means the use for which the device is intended according to the data supplied by the manufacturer on the labelling in the instructions and or in promotional materials e Java A platform independent programming language e JiveX Server A server that executes JiveX Services e HIS Hospital Information System e MPR Multiplanar Recon
8. DICOM files Using the viewer it is possible to load and display DICOM files from a directory or from removable media like CD DVD USB stick etc The JiveX DICOM Viewer can be used on the most popular operating system environments Together with the application program a current version of the Java M virtual machine is delivered The installation program of the JiveX DICOM Viewer independently verifies whether the required Java version is available on the target machine and if necessary installs it Additionally system variables are used to connect the JiveX DICOM Viewer with the Mime Type application dicom As a result files with the extensions dcm dc dicom jil and dicomzip can directly be opened with JiveX DICOM Viewer 3 1 Installation on Windows Operating Systems Please note For installing the JiveX DICOM Viewer on a Windows 7 operating system it is necessary to switch off the UAC User Account Control For this please open the system configuration by running MSConfig Run dialog in Windows Then change the UAC settings in the tools tab by sliding the slider all the way down Now run the installation file of the JiveX DICOM Viewer by double clicking JiveX DICOM Viewer 4 6 2 7 User Manual 1 JiveX dv Viewer 4 6 Installer About to install JiveX dv Viewer 4 6 VISUS Technology Transfer GmbH Copyright 2013 VISUS Technology Transfer GmbH http havny visus com Express Installer c 19
9. JiveX DICOM Viewer with four image viewers each showing four viewing sections JiveX DICOM Viewer 4 6 2 12 User Manual 5 Menu Bar The menu bar provides general functions such as loading images from the file system In addition it regulates certain program settings e g the selection of a language 5 1 File Menu The File menu contains the following functions Open If JiveX DICOM Viewer is set to Single Mode you can select one or several images or alternatively choose a directory From the File menu please choose the Open item by using the left mouse button A dialog box opens Fig 2 to select single images as well as directories from When selecting a directory all images contained are loaded and displayed Any existing sub directories are ignored 4000293333 __0001 dem Me 4000293739___0002 dem Jk 4000293333 __0002 dem Me 4000293739 0003 dem je 4000293333 __0003 dem e 4000293710 __0000 dem Me 4000293710__0001 dem Me 4000293710__0002 dem Me 4000293710__0003 dem Me 4000293739 0000 dem Fig 2 Open File Dialog Open Presentation State This menu item opens a DICOM Presentation State If a loaded Presentation State refers to loaded images they are applied to them If more than one Presentation State is loaded these can be managed enable disable etc via the function JiveX DICOM Viewer 4 6 2 13 User Manual panel Presentation State tab Save Presentation State This menu
10. annotation has been selected a context menu can be opened with the right mouse button From this context menu a property dialog can be opened The position of the annotation can be altered in relation to other annotations and it is also possible to delete the selected annotation or all annotations in the image The property dialog of a graphical annotation allows you to subsequently alter the annotation color Unfilled closed annotations can be filled and vice versa Annotation positions can also be converted from image relative into display relative which means that they are not shifted together with the image anymore If you are creating textual annotations a dialog box similar to the initial property dialog appears Here the text can be corrected its position can be altered and the anchor point can be switched off Additionally the color can be changed and switched from image relative to display relative For altering the order of overlapping or filled in annotations please use the context menu to shift annotations from the screen background to the foreground By default either the text of a textual annotation or its anchor point can be moved If you press the Ctrl key during the move you can move the whole textual annotation 7 5 3 Deleting Annotations An annotation can be deleted via its context menu To delete all image annotations please select Remove All in the context menu of any annotation of the image 7 5 4
11. calculations is possible at any time Please note In projection images e g with the modalities CR DX MG and XA the displayed objects are magnified due to physical principles The size information in the DICOM images can relate to the imager plane or can be based upon an estimated magnification factor For this reason measurements on the projection images can be prone to measuring error 7 5 5 Shutters By using shutters image structures outside a chosen area are blanked out with the effect that only the chosen area will be visible and displayed in a shape previously selected The surrounded area is suppressed by color white grey or black provided in a selective list which is displayed above the Shapes buttons There are three different shapes available circles rectangles and polygons Please note that according to DICOM standards each shape can only be used once per image However different types of shutters can be combined in one image With a second click on a shutter button the shutter type selection can be reset Fig 43 Shutter 7 5 6 Presentation States DICOM Presentation States are independent DICOM files containing information on how a particular image should be displayed windowing values annotations JiveX DICOM Viewer 4 6 2 53 User Manual The advantage of using presentation states is that you can always revert back to the original image as the underlying pixel data is not modified but rather disp
12. certificate is used in at least one of the networks as a CA certificate As long as this is the case the certificate can not be deleted User ID Here the User ID of the key is displayed Expire Date The key is valid until the date shown here after which it can no longer be used The certificate remains in use for verifying signatures of incoming messages However outgoing messages will no longer be encrypted with that certificate Fingerprint The data of the key s fingerprint is shown here Algorithm The key s algorithm is displayed here Bit Strength This column shows the length of the key PGP Certificates are managed using the following functions Export the public certificate to a file Export the private certificate to a file Import the PGP Certificate Change the password of a private certificate JiveX DICOM Viewer 4 6 2 69 User Manual ER Create a PGP certificate This opens the dialog New PGP certificate Delete a certificate Change Password Using the following dialog the password used for an PGP Certificate is changed Old password The current password of the certificate is entered into this input box Password The newly assigned password is entered into this input box Repeat password Here the newly assigned password is entered again Create PGP Certificate JiveX DICOM Viewer 4 6 2 70 User Manual A a Fig 58 Creation of a PGP Certificate new PGP Certifi
13. edited and deleted here For this purpose the tab is divided into three areas on the left all contacts associated with the respective network are listed in an overview If any of these name entries is selected via mouse click then the details of this contact will appear on the right side within the DICOM Mail Contact area Network Em Network _ reas dicom mail local gatewayB dicom mail loca I only All User A Access ccount EE Ed New Gateway Fig 53 Address book JiveX DICOM Viewer 4 6 2 66 User Manual A contact can be displayed with the following details Contact type selectable options are as follows Organisation Hospital Department Person Titel can be specified for persons First name is specified for persons Name Speciality E Mail Website Phone Mobile Fax Pager Number of the Pager Street ZIP code City This entry can be searched for in the Clients State Country Comment Text box for additional comments sci x Participant configuration Gateway B Hospital cu e ri sea Fig 54 Participant configuration A participant can only be reached via DICOM Mail when having a DICOM E Mail address For creating editing and deleting such an address the following buttons are provided m Opens the DICOM Mail Adress dialog that allows editing the parameters of a DICOM Mail address x Deletes an address
14. measurement Please press the measurement button and draw the distance to be displayed Cobb angle measurement The Cobb angle measurement is used for evaluation of curves in scoliosis A line is drawn along the superior end plate of the superior end vertebra and a second line drawn along the inferior end plate of the inferior end vertebra The angle between these two lines is measured as the Cobb angle The starting point of a line is determined with one click another click defines the endpoint For the complete measurement just four mouse clicks are needed di Line relation measurement The line relation measurement is used for stenosis measurement indicating the CT ratio For the measurement two lines are drawn The starting point of the first line is fixed with a mouse click a second click marks the endpoint of the line The distance between the two points is displayed Then a third click determines the start point of the second line line ratio with a fourth click the line drawing is completed Apart from the distance of the second display line now the CT ratio and the stenosis are shown The CT ratio can if both lines have the same length reach a maximum value of 1 The stenosis value is calculated from the deviation of the second to the first line and is given in percent Parallel line with distance measurement With this function the distance between two parallel lines is calculated With the first mouse click
15. of these checkboxes are selected the playback first runs forwards once and then backwards once Please make sure that at least one of the two checkboxes is selected The checkbox Autoplay multifr multiframe controls whether multiframe images automatically start playing while navigating with the image navigation buttons on this cine tabbed pane or if multiframe images are played with the optional navigation buttons blended in on the full screen toolbar if visible By selecting the checkbox Multiframe cycling several multiframes will be played within a series imitating one large movie sequence You no longer need to select single multiframes to play them individually If normal DICOM images are included in the series non multiframes then they are skipped The checkbox Multiframe cycling is only enabled with focused multiframe images If the checkbox Same Speed is selected playback speed changes apply to all multiframe images so that they all play at the same speed Otherwise the playback speed can be adjusted for each multiframe image separately The checkbox Show ECG shows an ECG curve see Figure 2 included in the image data It is played in sync with the images The checkbox Show ECG is only enabled if the image data contains ECG data e g XA dataset It is possible to play more than one image stack at once Within the Multi Cine section there are three options available to select images to be played Play foc
16. out or disabled If this option is selected the windowing is first changed via the mouse or the input fields Then the relative offset windowing is applied to all images in the series Percental windowing This window method is only available for nuclear medicine image data modalities NM PT and ST and is the default setting for this type of image data Windowing changes made for one image are applied to other images of the series by setting the current percentage values for the upper and lower window value for all images in the series JiveX DICOM Viewer 4 6 2 32 User Manual Window shape There are four forms of windowing which can be selected via mouse click Linear K Sigmaid Logarithmic Inverse logarithmic Fig 20 Context menu Window shape Linear windowing The window shape Linear selects a linear windowing This is the default for most image data The window values are mapped along a linear ramp the values increase uniformly l Ag Center Window Width DICOM Pixel Values Fig 21 Window shape Linear Sigmoid windowing The sigmoid function has the effect that gray values from the middle range of a window are highlighted stronger than gray values in the outer regions of a window The contrast is increased in the central part of the gray scale window Window Center Window idth DICOM Pixel Values ig 22 Window shape Sigmoid JiveX DICOM Viewer 4 6 2 33 User Manual Logarithmi
17. the starting point of the first line is set she second click marks the endpoint Following this a third and final fourth click determine the starting and endpoint of the second line Plumb line with distance measurement The plumb line draws a vertical line at right angles to a straight line When reading the distance of a point on the vertical line to the straight line is measured With a first mouse click the starting point of the straight line is fixed the second click marks the endpoint Then the perpendicular line is fixed by a third mouse click I Statistic measurements rectangle 1 Statistic measurements polygon O Statistic measurements circle Statistical evaluations Statistic measurements can be calculated for three shapes rectangle polygon and circle First one of the forms is selected and then shown in the image at the desired location For statistical calculations DICOM image information is used If the image does not contain size information the distance information is specified in pixel The readings are displayed in Hounsfield units HU as follows Avg Average value Min Minimum value JiveX DICOM Viewer 4 6 2 52 User Manual Max Maximum value Std Dev Standard Deviation Median Mean value The area of the selected range is displayed in mm and pixels Again you can alter the color selected via Properties as well as the position subsequently by using the context menu Of course a deletion of the
18. this popup window hold the left mouse button on the reset button for a short time There you will see several rows with all the facets you can reset separately like a window a rotation or a pan A hooked checkbox means this facet will reset when clicking on the reset button The Review Client will save the selection of facets for the reset inside the user profile and restore it with the next login Right to the name of each facet you will find a small reset button to reset immediately a single facet of image manipulation The tab panel will lead you to common facets or MPR VRT specific facets JiveX DICOM Viewer 4 6 2 42 User Manual 4 General xMWindow Level xlPan xlZzoom Bdannotations General MPRA RT Lilmage Filters xlShutter xlPseudocolor Palette xlinversion Rotation 666 6 6666 RxlMirroring Fig 37 Popup window of the Reset button 7 3 3 Image Orientation If the displayed image contains orientation information this information is displayed at the edges and in the middle using a capital letter it adapts to rotation and flip operations The following letters are used Anterior Posterior Left Right Head Foot MIAO The context menu Annotations Image Orientation shows or hides the letters 7 3 4 Altering the Presentation Matrix This function group alters either the series matrix to view multiple series or the image matrix for multiple images of one series Fig 38 The
19. 97 2004 Deklova Inc All rights reserved worldwide er e Fig 1 Installation dialog of the JiveX DICOM Viewer After running the installation file an installation dialog is presented see Fig above Using the Cancel button stops the installation process to complete the installation please click on the Next button Then a dialog comes up asking you to accept the VISUS license terms in order to be able to continue the installation process JiveX DICOM Viewer 4 6 2 8 User Manual Disclaimer Jivex dv Viewer is provided as is VISUS Technology Transfer GmbH disclaims all warranties expressed or implied including without limitation the warranties of merchantability and of fitness for any purpose Neither VISUS Technology Transfer GmbH Jive dv Fig 2 License agreement dialog Having accepted the license agreement you can select an installation directory in the upcoming dialog JiveX DICOM Viewer 4 6 2 9 User Manual JiveX dv Viewer 4 6 Installer Installation directory C Program Files x86 Yivexdy Browse TAV eX f dv n Fig 3 Installation directory dialog By default the program suggests to install in the Windows program directory We recommend using this setting In case you want to use a different installation directory please use the Search button for your selection and confirm your choice by clicking the Next button The JiveX DICOM Viewer install
20. Calculation Functions Within the image distances and angles can be displayed and a statistical evaluation of the pixels minimum maximum average and standard deviation can be JiveX DICOM Viewer 4 6 2 50 User Manual performed Annotations are drawn in the pre selected color and are created as explained above see chapter Drawing Annotations The following functions are available Angle measurement To calculate an angle the three points of its two arms are marked by mouse clicks Open angle measurement Furthermore there is an Open angle measurement After pressing the appropriate function button please draw two lines Their angle of intersection is then displayed 3 way angle measurement For the 3 way angle measurement please draw three lines in succession As a result two angles are displayed between the three lines For both open angle calculations you can move the lines or the text separately from the whole annotation if you press the Ctrl key during the move 4 point angle measurement For the 4 point angle measurement please draw four lines each two lines belong together The center points of these lines are used for a cutline calculation The angle of both cutlines is shown bed Chiropractic pelvic bone measurement according Gonstead This function is used for measurement of pelvic bones according to Gonstead First a horizontal base line is drawn from right to left femoral head with just two mouse cli
21. FET Il 01 01 1900 Study 22 07 200410 08 51 1 FT 120 4 60E Thorax 1WBE_FPETCT n a zoom 1 80 True Size 0 10 Upper 39121 00 100 SL 33750001 Lower 0 00 0 FET WWE Fig 27 Upper und lower window levels and percentage Nuclear medicine images automatically contain computed percentage window presets The standard windows are defined in steps of 10 covering a range of values from 10 to 100 based on the gray level amount The standard windows can be selected with the window presets in the function panel Alternatively they can be traversed with the shortcut b JiveX DICOM Viewer 4 6 2 35 User Manual Default wi256 0 0128 100 we256 0 128 0 90 230 5 0115 25 0 w 205 0 102 5 70 w 1 79 5 c 809 75 60 w 154 0 c77 0 50 128 5 0 64 25 40 103 0 0 51 45 30 w 77 5 cosi 20 52 0 c 26 0 10 we26 5 013 25 PRESET 1 w100 0 100 0 Fig 28 Percentage window presets After clicking the pseudo color selection button the following window opens Disable pseudocolor a Fig 29 Pseudo color selection Having applied the normal window settings and a pseudo color the selected image or series depending on the Apply to selection appears in pseudo color applying the normal window settings 7 2 5 Zoom Functions Another function group within the viewing section toolbar provides further options for altering the image size These options are as follows JiveX DICOM Viewer 4 6 2 36 User Manua
22. Image Administration the JiveX Diagnostic Client provides additional features like ECG RT Administration MIP MPR Reconstructions 7 2 General Functions 7 2 1 Application Mode The application mode defines whether image manipulations e g grayscale windowing or zoom are applied to single images or to complete series this series Fig 14 Apply to Function Group The following application modes are available Image Manipulations are applied to the image previously selected The selected image is marked with a green frame Series Manipulations are applied to all images of a series except the locked ones In Compare Mode manipulations are applied only to the series of the currently selected viewing section Please remember that geometric and textual annotations see chapter Image Annotations Calculations see chapter Calculation Functions and Shutters see chapter Shutters are always applied to the actual image In this case the selected application mode will be ignored JiveX DICOM Viewer 4 6 2 29 User Manual 7 2 2 Image Locking For locking an image each viewport has a small red box in the upper right corner Fig 15 This box can be activated and deactivated with a mouse click If an image is locked marked with a yellow lock symbol it will be excluded from all manipulations applied hereafter until the lock is deactivated bnonyrized Hospital Study 16109 2003 16 15 01 E riage Time 16 37 s
23. Thawte Personal Premium CA 2021 01 01 Thawte Premium Server CA Thawte Premium Server CA 2021 01 01 Thawte Server CA Thawte Server CA UTN DATACorp SGC UTN DATACorp SGC 2021 01 01 a 2019 06 24 Fig 60 Mail Server Certificates tab JiveX DICOM Viewer 4 6 2 7 2 User Manual 9 DICOM Calibration It is possible to calibrate a display of monochrome images according to the DICOM standard In order to achieve a calibrated display on color monitors equipped with a standard graphic card it is necessary to access the characteristic curve of the monitor calibration In the menu item Extras you will find the menu item Calibration Then the menu item Open calibration file in the File menu enables you to select the file which contains the monitor s characteristic curve After that JiveX corrects the screen display in order to display the calibrated monochrome images Also the ambient light can be changed This curve can be created with the VeriLUM Software by IMAGE Smiths Inc USA The file CCO_ncOdat in the main directory of VeriLUM Software contains the characteristic curve which can be accessed by JiveX Additionally the characteristic curve can also be imported from a text file with exactly 256 lines Every line has to contain exactly one brightness entry Double 10 Image Size Calibration The size of the images can belatedly be adjusted if the pixel size
24. Viewer 4 6 2 15 User Manual Via a file dialog you can open the VISUS license key file vlk Then the blocked features of the demo version will be activated Manual The JiveX DICOM Viewer Manual is opened with the Adobe Acrobat Reader About The About dialog provides product and system information JiveX DICOM Viewer 4 6 2 16 User Manual 6 Viewing Section A viewing section is a clearly arranged display of a certain number of images e g a series of images It consists of a pictorial index a navigation panel and a status bar Fig 4 Additionally there are viewports which display either a single image or a matrix of images see section Altering the image matrix The pictorial index contains all loaded images as thumbnails The status bar provides you with information about the current display JiveX can display simultaneously several viewing sections Thus you can easily compare series or images i Anonymized aj 01 01 2000 i CT 175 9 Fig 4 Viewing Section The active viewport is marked with a green frame You can select a viewport by simply clicking on it If a viewport displays a matrix of images the selected image has a cyan frame There can only be one selected viewport or matrix element at a time 6 1 Pictorial index JiveX DICOM Viewer 4 6 2 17 User Manual The Pictorial index displays a miniaturized overview of every image loaded in the viewing section Fig 5 These miniaturized images are ordered b
25. alities described below a JiveX DICOM Mail Viewer licence is required After importing the corresponding license the above described JiveX DICOM Viewer will be extended by the DICOM Mail functionalities through an addition graphical user interface DICOM Mail describes the exchange of DICOM objects using an E Mail standard protocol based on the recommendations of the consortium of information technology GIT for DICOM Mail Based upon the DICOM MIME Type see DICOM Suppl 54 of the DICOM 3 0 Standard this recommendation describes additional encrypting mechanisms and the use of acknowledgements The encryption is done using the Open PGP standard The JiveX DICOM Mail Viewer is restricted to receive DICOM Mail messages and send an acknowledgement to the sender Furthermore it stores the image data locally for example on the hard drive The image data are managed by an inbox It is not possible to send any kind of DICOM object using this viewer The received DICOM objects can be exported as DICOM objects In this way received image data is also available to other programs The intended purpose of this medical device is the provision of image and diagnostic data for evaluation distribution and quality assurance i http www tele x standard de RFC 2440 JiveX DICOM Viewer 4 6 2 56 User Manual 8 1 Inbox The inbox shows an overview of all received DICOM mail messages It does not list all messages individually bu
26. and VISUS Technology Transfer GmbH was aware of a trademark claim the designations have been printed in initial caps or all caps Intended Purpose JiveX is a software system for managing archiving post processing and reading as well as distributing of medical data which is available as DICOM data This product includes software developed by L2FProd com http www L2FProd com Table of contents 1 Introduction 5 2 System requirements 6 3 Setup 7 3 1 Installation on Windows Operating Systems 7 4 DICOM Viewer 12 5 Menu Bar 13 5 1 File Menu 13 5 2 View Menu 15 5 3 Extras Menu 15 5 4 Menu Help 15 6 Viewing Section 17 6 1 Pictorial index 17 6 1 1 Labelling of prior studies displayed in the thumbnail bar 20 6 2 The Viewport 21 6 3 Scouts and Scanlines 22 6 3 1 Scanline Display Accuracy 23 6 4 View Cutlines 24 6 5 Series Position Synchronization 25 6 5 1 Slice Position and Orientation Alignment 26 6 6 Status Bar 27 6 7 Compare Mode 27 7 The Viewing Section Toolbar 28 7 1 Processing Functions 29 7 2 General Functions 29 E231 Application Mode 29 Fid Image Locking 30 Do ae Selecting an Image 30 7 2 4 Windowing 31 Fd Zoom Functions 36 1240 Image Display 37 ladd Filter 38 7 3 Magnifying Glass 40 FARE FA Rotating Flipping Inverting Reset 41 VARE Se Reset 42 7 343 Image Orientation 43 7334 Altering the Presentation Matrix 43 Tot Panning 44 7 4 Cine 45 7 5 Image Annotations 48 ka Draw
27. ation is now being started In the subsequent dialog that appears you can complete the installation by pressing the End button JiveX DICOM Viewer 4 6 2 10 User Manual TE x bl JiveX DICOM Viewer 4 6 2 JiveX dv Viewer 4 6 Installer Jivex dv Viewer 4 6 is installed To start the program from the Start Programs menu select JiveX dv Viewer Fig 4 Installation complete dialog 11 User Manual 4 DICOM Viewer The user interface provides a menu bar at the top a toolbar on the right side and one or more viewing sections in the center The function panel toolbar makes available the most important functions for image processing Each viewing section offers a clearly arranged display of a certain number of images e g a series of images It consists of a pictorial index a navigation panel and a viewport At the bottom of the user interface there is a status bar The pictorial index contains all loaded images of a viewing section in a miniaturized form thumbnails The navigation panel contains functions for navigating within the viewing section The status bar shows information about the current display gt Jivex dv Viewer File View Extras Help Functions 4 Apply to this series a Window Width 250 Center o oom LJAdjust ruler General Interpolation Qunfiltered ih Sharpen Series Matrix noes SIGE Fig 1
28. ays takes place regardless of the similarity of orientation JiveX DICOM Viewer 4 6 2 26 User Manual 6 6 Status Bar The status bar provides useful information On the left hand side the up to date progress of image loading is shown In the next field the mouse cursor coordinates in the image are displayed depending on the current zoom and panning of the image Next the pixel value of the current mouse cursor position follows For CT images this is indicated in Hounsfield units and brightness value for gray value images only The icon to the right shows the current action of the left mouse button on the image panning windowing and image navigation The text itself contains information about the current function While processing gray level windowing the status bar contains the appropriate values for window center and window width The currently used Hanging Protocol is displayed on the far right 40 of 3000 X 40 113 TE 35 44 kel HP Default Fig 12 Status Bar 6 7 Compare Mode The Compare Mode of JiveX DICOM Viewer allows the parallel display of image series each in a separate viewing section Via the function panel you can choose a series matrix to layout your series Within a viewing section you can also choose an arbitrary image matrix JiveX DICOM Viewer 4 6 2 27 User Manual 7 The Viewing Section Toolbar The viewing section toolbar is right of the image display and is organized in tabbed panels w
29. by using the m button To close or hide the search fields please use the button in the upper left corner In the upper right corner you can chose from a list of predefined periods To clear all search mask fields please press the button or the ESC key 8 2 Configuration The configuration screen can be found within the menu Extras gt DICOM Mail settings First please define the folder to use for saving received emails locally The predefined value is the data folder in the installation directory Depending on your operating system and user rights this might be adapted as the DICOM Mail Viewer user needs special read and write permissions for this directory For the configuration of the address book first a network needs to be created consisting of a group of any number of DICOM contacts amalgamated to an organizational unit Basically only DICOM contacts of a network can be in contact with one another Each network is assigned to one or more mail servers JiveX DICOM Viewer 4 6 2 58 User Manual For access to the mail server in the network a DICOM mail account is always configured with exactly one e mail address the PGP certificate with private key exactly one network email account credentials username and password The configuration of the address book including associated PGP certificates can be done either manually or in case the DICOM Mail network supports a remote configuration this
30. c windowing With the logarithmic windowing function all pixel values in the dark gray scale area will be emphasized The contrast in darker gray values is higher light gt 5 Vino Vie DICOM Pixel Values Fig 23 Window shape Logarithmic Inverse logarithmic windowing With the inverse logarithmic windowing function all pixel values in the bright gray scale area will be emphasized The contrast in bright gray values is higher Wa lies Miori DICOM Pixel Values Fig 24 Window shape Inverse logarithmic Window Sliders Windowing can also be altered with the window slider when the corresponding button is clicked Fig 25 Window Slider Window Slider Window Width Window Center Width Center Fig 25 Grayscale Window Sliders Also you can access the window presets via context menu of the images JiveX DICOM Viewer 4 6 2 34 User Manual Windowing Pixelrange w 4097 0 c 1024 5 Optimized Window w 2044 0 c 399 0 ANEO ve 1800 0 c 400 0 WINDOW sy 2500 c 40 0 Fig 26 Context menu with window presets Windowing for nuclear medicine images For nuclear medicine image series modalities NM PT and ST the window will be displayed in the image information overlay as Upper and Lower window level instead of Width and Center window level Following the gray level indications the share of the image gray scale is given in percent and appears in parentheses Extended Demo CT
31. can be done remotely 8 3 General Settings BeeZ TW oo E TT General Settings E SVS DICOM Mail C A T mn Fig 47 DICOM Mail Configuration dialog Using the General Settings tab the basic configuration for the DICOM Mail Service function is performed The following values can be configured Import Retry Count Defines the number of attempts to reprocess a message in the event of error before the message will be deleted By setting this value the timing and insufficient memory should not cause any problems in message processing Store Path Hier wird das Verzeichnis angegeben in welchem der DICOM Mail Viewer die Konfiguration sowie alle eingehenden Daten speichert Benutzer des DICOM Mail Viewers benotigt Schreib und Leserechte auf dieses Verzeichnis JiveX DICOM Viewer 4 6 2 59 User Manual 8 3 1 Network Configuration Sa a Pr rT1 11I1I11uE L x gt i Networks are logical units that are used to group mail servers and users Within such a unit only participants with DICOM contacts are able to communicate with one another Here the participant s contact information email address and the PGP certificate within the network must be unique This means a participant is known to all network mail servers with the same email address When a new mail server is added to the network it is assumed that all network participants are available via the new server This rule a
32. cate is created with the following information Name The name entered here must contain at least five characters and is used to identify the certificate E mail Address The email address entered here is used to identify the certificate Description The text entered here is used to identify the certificate Expire time period of validity Months The number of months for which the certificate is valid is entered here If no value is specified the certificate is unlimited in time Strength The key length is defined here At least 2048 bits are required Password The password you enter here will be required for access to the private part of the certificate Repeat password Here the newly registered Password is entered again 8 3 5 PGP Certificate Details A detailed display of certificate data is available by double clicking the desired certificate in the list of certificates provided by the PGP Certificate tab The following certificate data is displayed in tabular form JiveX DICOM Viewer 4 6 2 71 User Manual Signature Type Shows the type of signature Validation Displays the status of the validation of the signature Signature User ID Shows the user ID of the certificate that has created the signature With an unknown certificate this field is blank Signature Certificate ID Shows the last 16 digits of the fingerprint from the certificate that has created the signature Creation Date Displays t
33. cks Then a vertical line is calculated at right angle to the base line Please click the canter of the sacrum to fix the vertical line The software then automatically draws lines parallel to the baseline and the vertical line while indicating the calculated values Following this a point is marked in the pubic symphysis which calculates the distance to the vertical line The lines and the dot can individually be moved and realigned This is done by clicking and then holding the left mouse button on the desired line or point Diameter measurement The diameter measurement calculates the diameter of a circle With one click the start point is set By dragging or moving the mouse a circle is drawn With another click the end point of the circle is set and the measured value diameter is shown Also the measurement can be activated via the keyboard with numpad 9 Distance measurement Distances are measured the same way as lines are drawn Please press the measurement button und draw the distance to be displayed Charri re distance measurement For this measurement the distance is specified in the Charri re scale known as French scale FR in the English speaking world Charri re corresponds to a third of a JiveX DICOM Viewer 4 6 2 51 User Manual millimetre e g 3 fr 1mm and is a scale for grading sizes of sounds tubules catheters and other tubular devices This measurement is performed in the same manner as the distance
34. e first select the annotation by clicking inside the annotation or on the line for line style annotations If several annotations exist at the same mouse position one of them is selected initially Further annotations can be selected by clicking at the same mouse position repeatedly until the desired annotation is selected JiveX DICOM Viewer 4 6 2 49 User Manual You can move the selected annotation by pressing the left mouse button inside the annotation on the line for line style annotations and dragging the mouse while holding down the mouse button You can change the size or shape of the annotation by pressing the left mouse button on a handle small white square of the annotation and dragging the mouse while holding down the mouse button According to the current mouse position the mouse cursor changes its shape and indicates whether the annotation can be moved or changed by pressing the mouse button at this mouse position Hint For very small annotations it can be very difficult or even impossible to move the annotation without preliminary zooming as the handles obscure the annotation In such a case the annotation can only be changed moving is impossible Please hold down the Ctrl key while dragging the annotation with the left mouse button This will move the annotation ignoring the handles If you press the C key while changing or moving an annotation the mouse cursor will be hidden to allow accurate positioning If an
35. ed checkbox this account will no longer be provided as the sender by the send dialog For the Inbox the following settings are available m User name Here the user name is specified that is used to authenticate the account to the mail server when retrieving mails Login password Here the login password is specified that is used to authenticate the account to the mail server when retrieving mails Retrieve interval minute This specifies the time interval given in minutes at the end of which new messages are searched for on the mail server Delete after Days This defines a number of days At the end of this period the messages will be JiveX DICOM Viewer 4 6 2 64 User Manual deleted from the server With 0 as the given value all messages are deleted immediately after they have been retrieved Load messages with unknown send address If this checkbox is enabled mails will be accepted from everyone even if they are not defined in your address book With a deactivated checkbox all emails containing an unknown e mail sender address will be deleted on the mail server Accept unsigned messages If this checkbox is enabled the sender will accept mails without a signature as required for older versions of the DICOM Mail standard For the outgoing mail the following settings are available Request disposition notifications If this checkbox is enabled for all outgoing emails receipt confirmations will be req
36. ee GT Kniegel li Fig 15 Activated lock 7 2 3 Selecting an Image An image is selected by clicking into the viewport which displays the image The viewport is then marked with a green frame In the pictorial index the corresponding image is marked with a fine white frame Fig 16 While moving the cursor over an image in the viewport the corresponding image in the pictorial index gets framed with a thicker white line JiveX DICOM Viewer 4 6 2 30 User Manual PAGES fromiNEMA97 CD Agfa CR with MOI LUT reit ie Lateral Knee from NEMAS CD Agfa CR u Pers Lower Extremity i F Low Fig 16 First image is selected in Viewport 7 2 4 Windowing JiveX provides various options for using the windowing function The easiest way is to use the left mouse button By keeping it pressed and at the same time moving the mouse vertically the grayscale window s center can be changed By moving the mouse horizontally the grayscale window s width is altered The corresponding values are displayed in the status panel For color images the windowing corresponds to a brightness contrast adjustment The viewing section toolbar also supplies you with a function group for windowing Fig 17 Window Center Window Width Input Box ORA mye Input Box Standard Window Window Sliders Presets Pseudo color Fig 17 Function Group Grayscale Windowing The desired window width and center can be entered into the two input boxes
37. f messages that are transmitted for each connection Outgoing Mail Server outbox server Name IP address and port of the outbox server Mail box type Mail protocol for mail delivery possible are SMTP SMPT SSL and SMPTI TLS Authorization Authentication method for SMTP possible values are no POP before SMTP and SMTP auth Messages per connection Number of messages that are transmitted for each connection Maximum message size MB Maximum size of mails to be sent This setting allows to further restrict the maximum size of a single mail server In combination with the global setting the smaller of the two values is always used Send messages enabled This setting defines whether this mail server is considered when sending data via the SCU DICOM Mail Service JiveX DICOM Viewer 4 6 2 61 User Manual Fig 49 Mail server configuration 8 3 2 Mail Accounts r L oc KNMWPM Mb NMWe NNNAANANA aAAAAZ x x N gt N NAN N 0Z NAN NA A AIioO g ooy h fMffiiluoil bd ONlil_ O E The Account tab displays a table in which all configured DICOM mail accounts are listed Here DICOM mail accounts can be created edited or deleted Compared to a normal email account a DICOM mail account defines the settings for access to an email mailbox In addition to traditional e mail settings email address username password delete rules at least a PGP certificate
38. ge Mouse wheel rotation navigation Pressed mouse wheel mouse move Pressed mouse wheel Zoom mouse wheel rotation Ri mousebtn mouse i i Series navigation wheel rotation Pressed le mousebtn short ri Mousebtn Toggle left mouse button action click JiveX DICOM Viewer 4 6 2 77 User Manual B Safety Regulations All legal and regulatory requirements applicable to the place of installation must be taken into account by the operator JiveX DICOM Viewer 4 6 2 78 User Manual A Administration 29 Annotations 28 29 43 48 49 50 51 54 B PMF lana a 14 22 C Calcula lO aerea ai 29 50 Cilea 5 28 29 45 46 75 COM Pale Mode HA ikonet aa 22 Context menu 23 32 33 35 44 D DICOM 1 2 5 6 7 8 10 12 13 14 15 16 18 21 22 27 37 40 41 46 47 52 53 54 56 57 58 59 60 61 62 64 65 66 67 68 73 74 Dione lia 51 G Grayscale windowing 000 28 l Installa tone sarai dne nel 7 8 10 11 J CERERE RT TRENTA RIA 530 7 JPEG Lene 14 22 K Keyboard Shortcuts 75 M MAll xciiiilo lola 22 43 44 75 Keyboard Shortcuts 75 tastaturkUrze leie 76 JiveX DICOM Viewer 4 6 2 79 IVIL TIT Cre galla al 46 O Orientatio susino ela 26 43 P Poletto 1 ANNI elio 44 76 PASS OOS derne lee a ddr 70 71 Pictorial index 1 1 1 W W M seere 17 18 19 PNG diet 14 22 Milla
39. ges loaded into a viewing section can be viewed like a movie The playback speed of this application can be adjusted It is possible to play either forwards or backwards As soon as the last first image is reached the playback can be repeated in a loop S AJE SE SRAL Player ao Options Speed JG y BdLoop xlForwards LJBackwards LJ4utoplay multifr LJMultiframe cycling xlSame Speed LiShow ECG Multi Cine ae Position Navigate Sequence Fig 39 Cine Tab The playback is started by pressing the Play button Accordingly click on the Stop button to stop it The slider allows you to adjust the playback speed If the image data contains a default frame rate for playback then it is used as a default value for the speed slider You can reset the default playback speed by pressing the Default button The maximum speed depends on your computer hardware JiveX DICOM Viewer 4 6 2 45 User Manual The actual playback speed is displayed above the slider during playback With the slider the desired value is specified the actual speed may be lower in case of slow hardware In this case the playback speed will be displayed in red The checkbox Loop controls whether the playback is repeated in a loop when reaching the last first image or if it is stopped The checkboxes Forwards resp Backwards control whether the playback runs forwards or backwards In case both
40. he date of the signature creation Expire Date Displays the date on which at the latest the signature is valid 8 3 6 Mail Server Certificates The Mail Server Certificates tab is used to manage SSL Certificates which are used for encrypted communication with the managed mail server If the mail server uses an unknown certificate it will be added to this list and the connection is aborted The certificate is marked as not trusted In the detailed view of the certificate this needs manually to be accepted as trustworthy after the certificate data has been checked x DICOM Mail Configuratio General Settings Networks Accounts Contacts PGP Certificates Mail Server Certificates SSL Certificate List State issued To T Equifax Secure eBusiness CA 1 Equifax Secure eBusiness CA 1 Equifax Secure Global eBusiness CA 1 Equifax Secure Global eBusiness CA 1 GeoTrust Global CA GeoTrust Global CA GTE CyberTrust Global Root GTE CyberTrust Global Root GTE CyberTrust Root GTE CyberTrust Root GTE CyberTrust Root 5 IGTE CyberTrust Root 5 2013 08 15 http www valicert com http Awww valicert com 2019 06 26 Sonera Class1 CA Sonera Class1 CA 2021 04 06 Sonera Class2 CA Sonera Class2 CA 2021 04 06 Thawte Personal Basic CA Thawte Personal Basic CA 2021 01 01 Thawte Personal Freemail CA Thawte Personal Freemail CA 2021 01 01 Thawte Personal Premium CA
41. hich provide various controlling and image manipulation functions Fig 13 After a tab is selected its color is lightened Grayscale windowing is only one example of the functions contained in the General Functions tab panel Opening the tab panel Cine allows you to perform a film like display of all images of a viewing section Cine loop The tab panel Annotations provides features to create and manipulate graphical and textual annotations The different functions are organized in function groups Each group has its own frame with a small clickable triangle in the upper left corner If this triangle is clicked with the left mouse button it opens or closes a function group Fig 13 Viewing Section Toolbar If the triangle points up the function group is open and provides a range of features to use If the triangle points down the function group is closed making it impossible to select a function from within this group Functions a Apply to this sames a Aridi width 7 General _ Image Display Lisharmean Serves Matrix G Fig 13 Viewing Section Toolbar JiveX DICOM Viewer 4 6 2 28 User Manual 7 1 Processing Functions The range of available functions displayed within the function panel depends on the used Client e g Review Client or Diagnostic Client While the JiveX Review Client provides a basic set of features General functions Cine Mode Annotations Presentation States Key
42. image area Press the button right next to the Sharpen key to show the sharpen sliders Fig 32 Filter Function Group Mammography Client to the right The parameters of sharpening can be controlled Fig 33 Sharpen Sliders The effect of the settings can be immediately assessed on the zoomed image area Once the sharpen sliders are modified the sharpening function will be automatically switched on The sharpen slider Radius adjusts the sharpening radius which is indicated in pixel With a small radius only very small structures with steep edges are highlighted with a larger radius bigger structures with shallow edges will also be highlighted The larger the selected radius is the wider becomes the surrounding of contrast amplification arising at the edges If a radius is too large it causes a so called halo artifact near the edges Therefore the radius should be adjusted as small as possible so that the desired structure is still highlighted JiveX DICOM Viewer 4 6 2 38 User Manual The sharpen slider Amount adjusts the strength of sharpening i e the magnitude with which edges within the image are highlighted A small value of the amount of sharpening causes only a minimal change while larger values produce strong highlighted edges To adjust optimal sharpening parameters use an initially high Amount value for example 0 8 Then slowly increase the Radius value starting from a small account and running up unti
43. ing Annotations 48 JiveX DICOM Viewer 4 6 2 3 User Manual Fd Manipulating Annotations 1933 Deleting Annotations 7 5 4 Calculation Functions 7915 Shutters 7390 Presentation States DICOM Mail 8 1 8 2 8 3 Inbox 8 1 1 Search Configuration General Settings 8 3 1 Network Configuration 82332 Mail Accounts 8 3 3 Address Book 8 3 4 Encryption Change Password Create PGP Certificate 8 3 5 PGP Certificate Details 8 3 6 Mail Server Certificates 9 DICOM Calibration 10 Image Size Calibration 11 Unlock Full Version A Keyboard Shortcuts B Safety Regulations C Index D Glossary JiveX DICOM Viewer 4 6 2 49 50 50 53 53 56 57 58 58 59 60 62 66 68 70 70 ZA 72 73 73 74 75 78 79 80 User Manual 7 Introduction JiveX DICOM Viewer is an application for the visualization and processing of images based on the latest Java technologies and developed especially for physicians DICOM files can be opened and edited directly from a storage medium e g a hard disk a network directory or a CD ROM Files with the file suffix dcm dc dicom and dicomzip are recognized as DICOM files JiveX DICOM Viewer automatically starts and displays such images with a simple double click Various standardized processing functions assure flexible image manipulations e g grayscale windowing various zooming functions and the Cine function for animation Additionally the JiveX DICOM Viewer pr
44. item saves a DICOM Presentation State for loaded images including their manipulations like e g windowing displayed areas drawn annotations Please note This function is only available in the full version Export This function enables you to convert displayed images into the graphic formats JPEG BMP PNG and PNM and to store them in the local file system JPEG and PNG can easily be inserted into a web site and displayed afterwards The following settings are provided by the export dialog You can either export the DICOM image in its original size and with the just applied windowing or just the visible part of the selected viewing section with all the associated annotations You can resize the image to be exported For exporting in a JPEG format you can choose between three different image quality levels Ae Teli Ae 4000293739___0001 dem inelude Me 4000293333 _0001 dem k 4000293739 0002 dem subfolders S 4000293333 __0002 dem Me 4000293739 ___0003 dem S 4000293333 __0003 dem dk 4000293710__0000 dem Me 4000293710__0001 dem Ak 4000293710__0002 dem Ak 4000293710__0003 dem Me 4000293739 ___0000 dem File name 4000293333__0000 dcm Files ofiype galli magen eden an Ci SAMI ea irene eten ret rename TE Cancel Fig 3 Export Dialog When exporting a matrix or series the image number is automatically appended to the file name If e g a series of 42 images is exported in JPEG format using the filename Te
45. ithout given pixel sizes are excluded from this ruler adjustment 7 2 6 Image Display For images displayed inside the viewer there is an option to choose between two different types of display methods These can be applied to either a single image or to series The two display options are as follows Interpolation When zooming missing pixel values are interpolated from adjacent pixels This results in a smoother image impression Unfiltered When zooming missing pixel values are replicated from adjacent pixels JiveX DICOM Viewer 4 6 2 37 User Manual Image Display Interpolation Unfiltered Fig 31 Image Display Function Group 7 2 7 Filter Images can be filtered by using an operation called Sharpen which can be found within the Filter function group The Mammography Client additionally provides the CLAHE filter CLAHE contrast limited adaptive histogram equalization These filter types are applied either to series or single images inside the viewer Sharpen Edges within images are emphasized Major differences in brightness are called edges The sharpening gives a sharper image impression CLAHE The contrast is enhanced while local conditions of an image area are respected Filter F Sharpen F CLAHE Fig 32 Filter Function Group Mammography Client to the right At first please choose an image area with image structures whose edges are to be highlighted Then zoom closely into this
46. itioned The green crosshair indicates the position of the patient s coordinate under the mouse cursor in other images If the mouse position is outside of a slice stack volume then the crosshair disappears and a notice is displayed in the image viewport JiveX DICOM Viewer 4 6 2 25 User Manual Abb 1 Synchronized image series For this kind of synchronization it is essential that each image includes information about image position image orientation and pixel spacing 6 5 1 Slice Position and Orientation Alignment By pressing the Q key other series are aligned to the slice position of the currently focused series This will show the same anatomical region to enable direct image comparison However only those series are aligned which have a similar orientation of the image plane Thus for example when you press Q is an axial slice only those series showing also axial slices are aligned The orientation is considered similar if the image planes are at an angle of less than 15 degrees to each other When aligning oblique MPR series of similar orientation the orientation will be aligned in addition the slice position This will result in a most similar representation VRT series of similar orientation are aligned only in orientation as a slice position does not exist here The shortcut Shift Q is similar to the function of Q however the alignment of Oblique MPR and VRT series alw
47. l e An absolute magnification factor can be entered into the input box e Images can dynamically be zoomed in or out by using the slider e The icon 1 1 displays the image in its original size i e one pixel of the DICOM image corresponds to one pixel on the monitor e JiveX can auto calculate the image size in order to optimize its fit in the viewport To do so click on the icon Fit to Viewport Original size Fit to draw area Magnifying glass zoom ROI Zoot Absolute magnification factor LJadjust ruler Fig 30 Zoom Function Group By clicking on the icon ROI Zoom Region Of Interest Fig 30 Zoom Function Group any area of the image can be selected and scaled up using the mouse First activate the icon ROI Zoom with a mouse click Then position the mouse pointer on the image and select mark the desired area keep the left mouse button pressed while moving the mouse A yellow rectangle appears which marks the selected area As soon as you release the mouse button the selected image area is adapted to the current viewport size and displayed in maximal zoom To change the zoom factor press the Z key whilst dragging the image into the viewport with the mouse With the Adjust ruler checkbox you can adjust the rulers of all visible images so that all images are scaled equally If one of the images is then zoomed in out all images are adjusted accordingly in this particular size Please note that images w
48. l the desired structures are highlighted in the picture Finally if necessary reduce the sharpening Amount until the desired image impression is reached Fig 33 Sharpen Sliders If a particular image area needs a contrast enhancement then please zoom into this area and press the button right next to the CLAHE option see Fig 32 on the right to show the CLAHE intensity slider see Fig 34 The intensity of CLAHE filtering can be controlled interactively so that the effects can immediately be assessed within the zoomed image area Once the intensity slider is modified the CLAHE filter will automatically be switched on When choosing a small intensity the outcome of the contrast enhancement is minimal By increasing the intensity the contrast is raised stronger accordingly JiveX DICOM Viewer 4 6 2 39 User Manual Fig 34 CLAHE Intensity Slider 13 Magnifying Glass The magnifying glass option allows to magnify sections of the underlying DICOM image without loosing the orientation in the image The magnifying glass can be moved over the image by using the mouse To move the selected area or to resize it simply drag the mouse inside the resize box in the bottom right hand corner of the magnifying glass area JiveX DICOM Viewer 4 6 2 40 User Manual Underlying DICOM image Display of window width and center and the zoom factor of the magnifying glass Fig 35 Magnifying Glass The window
49. layed differently Using Presentation States ensures that DICOM images are represented in the same way on different computers Thus a second diagnosing physician can reproduce the same image view including all visual specifications defined by a Presentation State With JiveX DICOM Viewer Light it is possible to read and change Presentation States but they cannot be stored The JiveX DICOM Viewer only allows storage of Presentation States The tab Presentation States provides a range of functions for managing loaded DICOM Presentation States The functions are as follows e Order of Presentation States can be altered e Selected Presentation States can be switched on off e Multiple loaded DICOM Presentation States can be switched on off all at once e Presentation State displayed in the viewer can be deleted e DICOM Dump of a Presentation State is available for display e Annotations of multiple Presentation States which include identical image data can be merged by ticking the checkbox Merge annots Loaded Presentation States indicated in the list can be enabled disabled by a double click For a selected Presentation State additional information name of editor description date and time is available JiveX DICOM Viewer 4 6 2 54 User Manual STUDYSTATE_04 ste STUDYSTATE_03 STUDYSTATE_04 Fig 44 Presentation States tab JiveX DICOM Viewer 4 6 2 55 User Manual 8 DICOM Mail To use the DICOM Mail function
50. llel images the calculation of the scanline position will be numerically inaccurate Therefore in this case the scanline is dashed In addition a yellow warning triangle is displayed in the upper right hand corner of the scout image Fig 10 Warning symbol indicating inaccurate scanline position 6 4 View Cutlines For better orientation cutlines can be activated via the context menu This feature is especially helpful for a simultaneous view of multiple series as the cutline of the selected image is displayed in each image together with the image number of the selected image if possible Since the cutline for intersecting but almost parallel image planes has a small explanatory significance it will disappear when the intersection angle of the image planes is less than 40 degrees JiveX DICOM Viewer 4 6 2 24 User Manual Anonymized Anonymized 01 01 1901 01 01 1901 MR11 3 PT MR AG 4 10 cm 10cm Anonymized 01 01 1901 MR11 4 10cm Fig 11 Cutlines 6 5 Series Position Synchronization In slice stacks e g MRI or CT series it is possible to display each series synchronized by position in patient coordinate system If you hold the button 3 while at the same time moving the mouse cursor slices are synchronized according to the mouse cursor position Automatically corresponding images in other layers will be displayed The green line indicates the cutline of the image in which the mouse cursor is pos
51. must be specified to encrypt the communication A DICOM mail account must always be assigned to only one network An account serves for the receipt of email DICOM data as well as for the dispatch of administrative data e g receipts public keys For any existing account the DICOM Mail Viewer checks incoming new messages in a defined interval JiveX DICOM Viewer 4 6 2 62 User Manual fi visus lm Configuration Import VISUS Fig 50 Accounts tab Single accounts can be managed by double clicking on the respective list line or alternatively by first clicking on the list line and then pressing the Edit button An already selected account is deleted by clicking the Delete button To set up a new account please use the New button Having selected an account to configure the dialog Account configuration is opened Fig 51 General settings are configured on the tab with the same name JiveX DICOM Viewer 4 6 2 63 User Manual SUS TT Test lt user9 connect01 local gt User9 connect01 local USERINETTE LOGIN passwora The following general account settings can be made Name Participant s name of the associated account E Mail address E Mail address of the DICOM contact This e mail address is unique for all configured accounts Network Associated network of an account Account enabled If this checkbox is activated messages are collected for the account with a disabl
52. now generated using RSA algorithm previously DSA EIGamal was used The certificates will be saved in two files key ring files One will save the private certificates Secret Keys The other is responsible for saving the public certificates Public Keys Of course already existing key ring files can be used These files are stored at the keys folder of the JiveX Communication Server 4 http www gnupg org JiveX DICOM Viewer 4 6 2 68 User Manual Using the PGP Certificates tab allows you to manage all certificates of a JiveX Server all known keys are listed here For searching a certificate s user ID a Search box is provided above the table PGP Certificates Mail Se hire Date Algorithm e engin prar 7 Fingerprint Gateway A PW password lt gatewayA dic RSA RSA 2048 2048 B64D 55DD 9D31 76F8 E268 Gateway B PW password lt gatewayB dic RSA RSA 2048 2048 AD48 4859 5BDF 4873 E641 is ateway C PW password lt gatewayC dic RSA RSA 2048 2048 1CC5 F002 5C5F B798 8F61 Gateway D PW password lt gatewayD dic RSA RSA 2048 2048 58E4 A1FO 7281 867B F6F7 Fig 56 PGP Certificates The table provides the following information Key type The present key type is color coded a private key is displayed in red a public key is shown in green If both keys are shown then there is a private and a public key available CA Certificate This column shows whether a
53. nual A Keyboard Shortcuts For easier operation there are keyboard shortcuts for most frequently used functions of the study manager Paper print matrix TURNO JiveX DICOM Viewer 4 6 2 75 User Manual O fre EEN i ene hides werdeiined anoion a Me the mouse cursor while creating an annotation __ moO TTI I mM SS Scher the inking for all series on oroi Equalizes the matching image planes of a study Browses the images VOI LUTs Switches the Switches the linking for all series on or off for all series on or off Equalizes all image planes of a study of all three directions The mouse position is used for equalization Views all images of the current series in an adapted anse matrix Del Deletes a selected annotation Views all images of the current series in an adapted LANSA matrix Sia To override the currently selected default left mouse button action in the image viewer please use the following keyboard shortcuts ROI Zooming Zooming gg A te Changes image sequence Non drag n mm Eaualize image plane on crossing a viewing section Shift ri mousebtn Eat SEP 8 8 The mouse buttons can be used for multiple actions As configured optional pan window zoom navigate mousebtn mouse Image navigation on multiframed images frame move navigation JiveX DICOM Viewer 4 6 2 76 User Manual Ri mousebtn click Shows context menu Image navigation on multiframed images ima
54. number of rows and columns can be entered into the two input boxes of each matrix area The input is confirmed by pressing the return key By clicking on the icon Image Matrix Presets or Series Matrix Presents a predefined matrix like 1x1 2x1 1x2 2x2 2x3 3x3 etc can be selected JiveX DICOM Viewer 4 6 2 43 User Manual 4 Series Matrix Fig 38 Matrix Function Group By double clicking on the image the selected image is opened in full screen mode With JiveX Review Client you can choose the matrix of the full screen mode via hanging protocols The selected image is displayed in maximal zoom Another double click restores the previous matrix setting 7 3 5 Panning Images can be moved around within the viewport To do so please position the mouse within the viewport select the Mouse action Panning via context menu and press and hold the left mouse button while moving it Alternatively press the P key while dragging the image with the mouse The mouse pointer turns into a hand Release the mouse button to stop dragging the image You can also hold down the mouse wheel like a button and pan the image by moving the mouse Mouse action di 3 Panning Image Information windowing Beste Q 2 Image navigation paste to all images QQ zoom Abb 2 Context menu for the Mouse action Panning JiveX DICOM Viewer 4 6 2 44 User Manual 7 4 Cine Additionally the program contains a Cine function All ima
55. ovides a special functionality to display two image series in compare mode This parallel display of images in their own display area makes the comparison a lot easier JiveX DICOM Viewer can also perform a software calibration for normal color monitors in order to display monochrome images in calibrated form in accordance with the DICOM standard Like all JiveX systems the JiveX DICOM Viewer is implemented in 100 pure Java to guarantee maximal platform independence Therefore it is available with the same user interface and functionality on almost all operating systems JiveX DICOM Viewer is also available as a free Personal Edition for non commercial use This version is however limited in its functions and can only be used for a limited period of time The Personal Edition can be downloaded from the VISUS website http www visus com You are not allowed to use the software for diagnosis or patient treatment JiveX DICOM Viewer 4 6 2 5 User Manual 2 System requirements As a prerequisite for the proper operation and for an effective work with JiveX DICOM Viewer a current computer with a current processor sufficient RAM and hard disk space is required according to current market developments With the JiveX DICOM Viewer installation a current Java Virtual Machine is set up on the system JiveX DICOM Viewer 4 6 2 6 User Manual 3 Setup The JiveX DICOM Viewer is an application developed with Java for displaying and viewing of
56. pplies always and without exception The configuration interface Fig 48 provides options for setting up editing and deleting a network However only an unused network can be deleted The participants DICOM contacts of a network are either configured manually or via remote configuration User Rights Test Wo Service Fare Mele Service Pare Male manm alnetwak parmianants _ Service Pare Male signed ENE ES SWING PGP ceriticates Accent only PGP ceriiicates With a valld Ce signature Greate contact enthies fo address Service Part Maile UsediName PILL IL Mig Dei vye 5 LUOU Mie eive Bd HEKTOR PC QA HEKTOR 110 PC QA HEKTOR 25 POLLUX PC QA POLLUX 143 PC QA POLLUX 25 Fig 48 Network configuration For the Remote Configuration the following settings can be configured No Service Part Mails Incoming configuration messages are always ignored All participants must be created manually Service Part Mails from all network participants In this scenario change messages will be accepted by all participants in the network At least one DICOM contact must be configured manually for this network in order to receive change notifications Service Part Mails signed with the following PGP certificates In this scenario a list of PGP certificates must be set for the network Change messages are accepted only if they are signed by one of the selected certificates JiveX DICOM Viewer 4 6 2 60 User Man
57. ries sort order or removing the series or the complete study from the viewer Please note that the following information only applies to the Review Client Diagnostic Client and Demonstration Client The pictorial index can show green check markers within a thumbnail image This indicates that a series including its pixel data is completely loaded due to an activated new and optimized loading mechanism Fig 6 Pictorial index with green checked series If the green check markers are missing only image information is loaded and pixel data is requested later on demand Fig 6 Pictorial index with green checked series With an activated Multi Site Query function for each study the name of the remote server is displayed in italics in the pictorial index and in the Mouse over pop up window of a study Fig 7 If the Multi Site Query function is not activated or if the study is on the selected server the server will not be indicated In applying the Multi Site Query function unavailable image types like DCMPRE will not be regenerated during image loading The DCMPRE files must already be stored on the remote server so that this function can be used JiveX DICOM Viewer 4 6 2 19 User Manual Anonymized 01 01 1901 Study 16 09 2003 CT Topogramm Avex Daily46 Fig 7 With an activated Multi Site Query function the name of the server is indicated from which the study was requested 6 1 1 Labelling of prior
58. settings and the zoom factor of the magnifying glass also can be changed For changing window settings width and center you may press the W key while moving the mouse with a pressed left mouse key To change the zoom factor you may press the Z key while moving the mouse with a pressed left mouse key In both cases the mouse pointer must be positioned inside the magnifying glass area The figure above illustrates the magnifying glass on a DICOM image with a different window setting and a greater zoom factor The magnifying glass can be activated either with the lens button inside the function panel or with a pressed M key while clicking on an image If the magnifying glass function is no longer wanted simply click beside the lens window to close it 7 3 1 Rotating Flipping Inverting Reset The viewing section toolbar provides tools for further manipulation of the image display Fig 36 Images can be reset inverted rotated in 90 steps both anti clockwise and clockwise and flipped vertically as well as horizontally JiveX DICOM Viewer 4 6 2 41 User Manual Flip horizontally Flip vertically Rotate right Fig 36 General Function Group 7 3 2 Reset With the Reset function you can reset a single image or a whole series to thet state when the image was loaded depending on the setting Functions apply to You can also specify in a popup window which facet of an image manipulation will be reset To get to
59. stSeries files will be generated named from TestSeries_0001 jpg to TestSeries_0042 jpg While the export is processed a progress bar indicates the export status Please note The Export function is only available in the full version JiveX DICOM Viewer 4 6 2 14 User Manual Print This menu item prints the selected image matrix or the complete series on a laser printer or paper printer Quit With this menu item the JiveX DICOM Viewer is terminated 5 2 View Menu The View menu provides the following functions Reset This function sets back the JiveX DICOM Viewer to the status at start of program Swap Viewer This feature allows you to switch between standard and comparison mode Language This feature gives you the choice of selecting one of several languages It is possible to switch frequently between the available languages Full screen This function hides the title bar DICOM Info A DICOM image contains the image information in addition to other attributes such as the patient s demographics Selecting this menu item all the attributes contained in an image can be displayed 5 3 Extras Menu The Extras menu provides the following item Load DICOM Dump This function displays all DICOM information of any DICOM file see DICOM Info Please note This menu item is only available in the full version 5 4 Menu Help The Help menu provides the following items Import license key JiveX DICOM
60. struction Image reconstruction mehtod that calculates and presents image data of the volume in the desired orientation and layer thickness e Multi Site Query A query performed on multiple JiveX Servers e PACS Picture Archiving and Communication System e Pictorial Index The pictorial index contains all loaded images as thumbnails e Profile Contains customized or user specified settings e ROI Region Of Interest denotes a section of an image which is marked by an arbitrary function e g density value determination scalpel function annotation JiveX DICOM Viewer 4 6 2 80 User Manual e SCU Service Class User User of a DICOM Communication Service e Study Manager The study manager provides functions for image searches and requests e Viewport The viewport is the display area for images JiveX DICOM Viewer 4 6 2 81 User Manual
61. studies displayed in the thumbnail bar When a study is loaded with appropriate prior studies the image information of prior studies will be displayed in italics given that the main study includes newer image data created by the same modality Here the study date is taken as a criterion for comparison Fig 5 If for example the prior and main study include each a series created by the CT modality then the prior study will be displayed with italicized image information which makes it easy to identify If however the main study only includes series created by the MR modality then the image information of the prior CT series will not be displayed in italics This functionality is disabled by default However it can be switched on via the menu item View gt Image Information or via context menu If requested the current configuration is saved in the user profile when you exit the viewer JiveX DICOM Viewer 4 6 2 20 User Manual Fig 8 Labelling of a prior study with image information given in italics 6 2 The Viewport The viewport displays images While moving the mouse pointer over an image the corresponding thumbnail in the pictorial index is marked with a gray frame The upper red box in the top right corner allows locking an image see section Locking Image Locked images cannot be manipulated and are excluded from all following operations This is of particular interest if you want to use the Series applica
62. t combines the data contained on study level Using the button nd Mimass ou can change the view between the Inbox and the viewer For avi images from a patient CD in an image viewer please ey use the button Receiving messages can be done automatically or on demand This must be configured within the configuration menu To receive a message on demand you can use the button Classi The messages will be downloaded as package Only when a package has been completely downloaded and decoded a refreshed list of studies is presented on the user interface next to the Images button Ea Jivex DICOM Mail Yiewer x File View Extras fd Ree p Study count 3 eak Patient Birth Study DatelstudyTime Moda Series Co o jsus tt com TESI 1901 01 01 i Y a Knie TE 2003 08 26 16 28 58 000000 BE il 1901 01 01 M va R Patella 1 2003 08 26 16 28 58 000000 SC 1 Si area EEA E der 1 DD 4 Series count 1 B EF ED Attached files 2 Modality Image Co Series Date Series Description Series Num Series In send Date To CECE VA RO Knie li 1 2 276 ShortText rtf 9 6 kB 2008 06 10T10 07 Result rtf 9 6 kB 2008 06 10710 07 DO Fig 45 Inbox The inbox provides three tables The table in the upper part of the program shows a list of studies In the lower left table the series belonging to the selected study in the table above are indicated If there is any kind of none DICOM data included in
63. the message e g result text it is presented in the lower right table For each of the three tables the following functions are available Loads the selected study or series into the viewer For non DICOM compliant files displayed in the lower right part of the JiveX DICOM Viewer 4 6 2 57 User Manual program this button opens the standard Windows program and the viewer for the selected file The Export button allows you to save the selected study series or non DICOM object to any local folder on your system The DICOM objects remain unchanged This function is independent of na the export option provided by the File menu which refers only to the currently displayed image in the image viewer This button is used for deleting studies series or non DICOM objects from your hard drive forever The deletion can not be sE undone These functions can be activated using the button or the context menu of the right mouse button 8 1 1 Search The entries in the study table can be filtered using various search criteria The search is performed by pressing the button ignored in the search or using the Enter key empty fields are Receive Messages Last 7 days hd From Send Date 2013 05 30 2013 06 06 Patient Name Patient Birthdate fyyyY MM DD Study Date fyyYY MM DD fyyyy MM DD Patient ID Study Description Fig 46 Inbox filter There are some predefined search criteria available for selection
64. tion mode in which image manipulations are applied to all images displayed in the viewing section except for the locked ones see section Application Mode Additionally the JiveX Review Client and the JiveX DICOM Viewer Light provide a second red box which allows marking images as key images The lower red box can be used to chain link series When chaining two or more series these can be panned zoomed flipped or rotated and navigated simultaneously However the Windowing function is excluded from this chain linking option Patient information can be displayed in the viewport s top left corner see section Navigation Panel In the middle of the right border a ruler can be displayed and orientation letters can be shown on the left and right hand side Additionally the consecutive image number of each series image can be displayed Clicking the right mouse button on the viewport only opens a context menu if you have not clicked on the brink of an annotation This menu allows the following operations Display one of the loaded series within the viewing section If studies are loaded series are displayed in a submenu Mouse action The action for the left mouse button can be toggled pan window zoom or navigate JiveX DICOM Viewer 4 6 2 2 User Manual Image information Viewer specific annotations such as patient information a ruler orientation letters JiveX image number Window Level Zoom and user defined DICOM tags
65. ual For accepting or modifying PGP certificates it is recommended to accept only certificates that are signed by a PGP key from a trusted CA This setting can be adjusted using the checkbox Accept only PGP certificates with a valid CA signature The list of CA signing certificates is defined specifically for each network To ensure compatibility with version 1 6 the checkbox Create contact entries for address Service Part Mails is used as in the older version the Service Part Messages used for the configuration of contact meta data do not yet exist The Network Mail Server configuration is used to configure the mail server to retrieve DICOM Mails from and to transmit DICOM Mails to The sending of messages is processed in the order in which the mail servers are listed If the first mail server is not available then the mail will be sent via the next available mail server in the list Upon receipt all mail servers are queried in sequence The following functions are available de a Move up the selected mail server L ae i Move down the selected mail server siii Add a mail server se A Edit a mail server PAA DODD i Delete a mail server For a mail server the following configurations can be made Incoming Mail Server inbox server Name IP address and port of the mail inbox server Mailbox type Mail protocol for mail receiving getting mails via POP3 and POP3SSL Messages per connection Number o
66. uested Use the settings of the incoming mail server If this checkbox is enabled the identical user name and password also used for the inbox are used for authentication with the mail server User name Here the user name is specified which is used to authenticate the account to the mail server when sending mails Login password Here the login password is specified which is used to authenticate the account to the mail server when sending mails Associating each account with a PGP certificate including a private key is mandatory for decoding the received mails that have been encrypted with the public key For this it is necessary to specify one of the PGP keys as the signing certificate used to sign the outgoing DICOM mails when sending For PGP certificates the following functions are provided Mo Delete a certificate de Adda certificate This will open the PGP certificates dialog see 8 3 4 Encryption providing a list of all the saved PGP certificates to choose a certificate from Using the Test connection button will check whether the account can access all mail servers The result is displayed in a corresponding dialog Connection test JiveX DICOM Viewer 4 6 2 65 User Manual Idi PC QA HEKTOR 110 Pops PC QA POLLUX 143 IMAP Fig 52 Conncection test dialog shows the availability of mail servers 8 3 3 Address Book Via the Contacts tab the address book is maintained i e contacts are created
67. used The default setting plays the focused image Play linked Plays all linked images C Play visible Plays all images currently visible JiveX DICOM Viewer 4 6 2 46 User Manual Fig 40 ECG display By moving the Position slider you can show a certain image of the image sequence By specifying start and end point in the input fields Position you can restrict the playback to a part of the series You can for example skip an overview image at the beginning of the series You can navigate through the image stack using the buttons underneath the Image indicator If a DICOM multiframe dataset has been loaded e g ultrasound cardiology then the navigation is performed using the buttons below the Sequence indicator The button functions are from left to right as follows first image frame previous image frame next image frame last image frame JiveX DICOM Viewer 4 6 2 47 User Manual 7 5 Image Annotations There is a set of drawing tools for image annotations available The tools are organized on a specific tab panel within the viewing section toolbar of the viewer Color O gt OD o O SI 3 OSCE JYDE E Ti urements gt w u e I uN ISIR 4 Ea 4 RI le Shapes a3 o G Fig 41 Overview Annotations 7 5 1 Drawing Annotations After choosing the color from the color range
68. viewport To set the displayed image as scout please select the context menu item Scanline icon View as Scout JiveX DICOM Viewer 4 6 2 22 User Manual Anonymized 11 01 1901 CT 23 602 Show Mouse action Image Information Pease FEE TERE DJ View Locator L L View Cutlines Altec Scanline icon di View as Scout T Export Scanline enabled III FT ES Print Compare Mode Series Matrix Original Size Fitto draw area Fig 9 Context menu The scout is then displayed in the bottom right hand corner of each image viewport and serves as reference image for the examined area A series matching the scout image can be added to the image viewport Within the scout the position of the currently displayed image slice is marked with a yellow scanline The scout view can be disabled or enabled by selecting the appropriate menu item from the context menu Scanline icon Scanline enabled 6 3 1 Scanline Display Accuracy To show a meaningful scanline the scout image plane and the displayed image plane should preferably be right angled to each other By default if the angle between the scout image and the displayed image is less than 40 degrees i e the images are almost perpendicular to each other then the scanline will be hidden JiveX DICOM Viewer 4 6 2 23 User Manual Optionally scanlines can be configured to be displayed for smaller enclosed angles For cutting angles which are smaller than 15 degrees i e nearly para
69. y image number derived from their DICOM information The studies of a patient are sorted by the study date with the newest study on top By loading studies of more than one patient the patients are separated with its studies sorted by date If such a miniaturized image is clicked on with the left mouse button it is displayed in a previously selected viewport This viewport is then marked with a green frame When you click the left mouse button on such a thumbnail the image with subsequent images are also displayed provided the viewport shows a matrix Otherwise only the clicked image is displayed see section Changing the Image matrix Fig 5 Pictorial index When the mouse pointer moves over a certain image of a viewport the corresponding image in the pictorial index is marked with a white frame Fig 5 Also you can drag and drop images from the pictorial index into the image viewport with a pressed mouse button If a viewing section is linked to other viewing sections the link state will be kept you can disable this behavior in the Review Client JiveX DICOM Viewer 4 6 2 18 User Manual When holding the CRTL key and performing a drag amp drop action on an image which is then released over a matrix the released image is inserted to the position of the previous image given that both images belong to the same series A right mouse click on the pictorial index brings up a context menu which allows toggling the current se

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