Quick Reference Guide
Contents
1. Quick Reference Guide Philips iSite Radiology Version 3 6 isitecare philips com www philips com isitepacs Active Heartbeat monitoring and technical support 24 7 For help with iSite Radiology click P or call 1 650 293 2412 or 1 877 328 2808 US Canada For additional technical support please see back cover PHILIPS Key functions Enhance mouse cursor mode Function Wheel mouse 2 button mouse gt p Scroll Cine Wheel scroll Up Down arrows bay p CR Wheel scroll amp drag Control key left click Series Control key left click amp drag amp drag Expand Double left click Double left click Vertical Rack Right click the left margin select Vertical Rack from the pop up menu Right click exam in Patient Worklist or the Timeline select Reports Show Report For advanced visualization mouse interactions and keyboard shortcuts please reference leaflet foldout on back cover Hot keys Default keystroke Action performed F7 Loads the previous series from the exam when viewing expanded images Plain film images Allows you to zoom in or out of the image at the location of the cursor Arrows Or Dean Image series Allows you to perform frame by frame review of the series in either ascending or decending order Holding down the Up Down arrow keys allows you to fast cine Holding down the L key while reviewing a series allows you to adjust the wind2. G Bened F ricers OH CT i PHU Sbe Ma TFT 0 i o Pubic Caie JE Gi r FDP Babeng has TEITE Area 3 Exam level listings Area 4 Exam listing displaying right click pop up menu Shortcuts Folder List Filters The Shortcuts bar and Folder List are gateways to patient and exam management tools Add a shortcut by Putian Directory right clicking any tool and dragging it from the Folder List to the Shortcuts bar Add exam links to Personal Folders by dragging and dropping exams into folders You can use filters to generate custom reading worklists based on certain criteria such as modality date location procedure code or body part Click System Filters or My Filters in the Folder List or create a personal filter by clicking User Preferences P DB iSite Took amp CD Manager CUPID Cases Exception Harder ES Installed Peogeams amp Query E Local Eram Cache My Pittars My Hielary E Patio Directory EJ Statistics EJ Study Lookup D System Filters F CR UNREAD T CTUNREAD T GLOBAL UNREAD T LAST oars T MR UNREAD T MSk UNREAD T NEURO UNREAD T NM UNREAD T US UNREAD i Personal Folders amp Using reading worklists Folder tab displaying filter name eee E R L e i Q eee Oe E Liia ara Coen Filter shortcut rape final icons eae ey m Exam based reading worklist double click listings to view exams Right click for reports and additional
3. hide display all view toolbars Carl i Series information on a view HS Zoom volume For iSite Radiology mouse interactions and keyboard shortcuts please reference leaflet foldout on front cover Philips Healthcare is part of Royal Philips Electronics www philips com isitepacs Philips Healthcare Informatics isitecare philips com 4100 E Third Ave Suite 101 Tel 1 877 328 2808 US Canada Foster City CA 94404 1 650 293 2412 USA Printed in USA 4522 962 29551 730 AUG 2008 Philips iSite PACS Toll Free TS Numbers Australia 800 8783 6867 I Italy 800 870227 L Sweden 020 79 4534 L Belgium 0800 75423 L New Zealand 877 328 2808 L Switzerland 800 8783 6867 I Brazil 0800 8911888 L North America 877 328 2808 L The Netherlands 0800 0232639 L Denmark 800 8783 6867 I Spain 900 991915 L United Kingdom 800 8783 6867 I Germany 800 8783 6867 l l International number L Local number iSite and iSyntax are trademarks of Koninklijke Philips Electronics N V 2008 Koninklijke Philips Electronics N V All rights are reserved PHILIPS Philips Healthcare reserves the right to make changes in specifications and or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication
4. hortcuts bar Patient Directory sort search sources You may need to Folder tab User manual select the correct source from the Logon drop down list Patient Directory designed for ad hoc searches The Patient Directory allows you to perform queries for exams outside of your Filter criteria Access the Patient Directory by clicking its icon in the Folder List Patient Directory layout see next page Area 1 Sort and search fields Enter criteria in any of the available search fields and click on the Query button to initiate your search Area 2 Patient level listings iSite Radiology returns a patient based list of matching results The results are sorted by exam date and time To sort the results of a search click on the associated column headers Area 3 Exam level listings To view a list of available exams for a particular patient click on a patient s name To view the images associated with any exam double click on the exam listing Area 4 Exam listing displaying right click pop up menu Right click on the exam listings to access reports and other additional options Patient Directory layout Area 1 Sort and search fields Area 2 Patient level listings aL iS p AA A Ag ee eee E ad HE e JE NF Am PEITO Rig ee Cet ES kariki E Sd Leahey JB 4 Me PODY eee ieee Fin Se ee Baian Piin wo ae Bar Aig Ue Shine oo it
5. move the mouse cursor over this control image corresponding crosshairs will appear on all other series as seen above at right Click and drag the mouse to simultaneously cine all other series as seen to the right The user display Preferences you set determine whether scout lines are displayed during this operation 16 Using Interactive Navigation Rectangles FEFEFE Ere gH emEemgIDO Interactive Navigation Rectangles provide a visual indication of the images displayed in your diagnostic monitors The color of the rectangle will match the color of the diagnostic monitor icon in the timeline 17 Images and series displayed in your diagnostic monitors can be quickly switched by dragging images and series into the navigational rectangles or by dragging the rectangles themselves You can quickly change the layout of your diagnostic monitors by right clicking the layout icon in the rectangle as seen above and selecting the layout you want from the pop up menu iSite Radiology with advanced visualization Start up Main functions and their icons in the toolbar MPR 0 mm slab Average Projection gt 0 mm slab pressing and holding the MIP variable slab thickness CT default Shift key then click on the 30 mm slab MR amp 3D RA entire volume Open Task Guidance to create a curved MPR 3D Shaded Volume Rendering Whole volume 1 In the exam rack select o
6. ne or more series by desired thumbnails 2 Right click on one of the selected thumbnail images and select one of the and variable slab and classification presets following options rs Saves image as capture in iSite Enterprise e MPR MIP 3D ce While in advanced visualization all modifications are available only during that session and will be lost unless captured Image modifications made in either iSite Enterprise or iSite Radiology are not available in the advanced visualization view 18 Mouse interactions Mouse action Cursor Functionality Press and hold the middle and right mouse buttons and drag on the view a bS Zoom sAr i Press and hold the middle mouse button A ig late by Contrast brightness and drag on the view D b i Increase decrease In movie mode press and hold the left mouse be E movie speed button and drag on the view a E B Resize the view Left click and drag at the borders of the view t ViewForum mouse convention Mouse convention can be selected in advanced visualization main menu under options edit user profile For iSite Radiology mouse interactions and keyboard shortcuts please reference leaflet foldout on front cover Keyboard shortcuts Shortcut Cursor Functionality IL Move slab forward Increase slab thickness F6 cf Lai caret Interaction mode roll F8 A F Interaction mode opacity level and width F12 Toggle
7. options Configurable column headers click a header to sort the worklist Drag the headers to organize the list Right click to add and remove headers Oh fd a ET 7 Exam based acquisition exceptions list Pop up menus iSite Radiology pop up menus are always accessed by right clicking These menus provide extra functionality in worklists timelines diagnostic exam racks and in your diagnostic monitors Pop up menus are modality sensitive and context sensitive An MR pop up menu will have different options than a CR pop up menu Image pop up menu features e Measurement tools Ruler Angle ROI Point Value Freehand ROI etc e Annotation tools Line Triangle Circle Text Arrow Freehand etc e Image processing Invert Edge Enhance Edge Detect Median Filtering CLAHE e Multi image mode 1 1 1 2 2 3 3 3 4 5 etc e Select series Relevant exam e Monitor layout e Flip Rotate Sort Preferences iSite Radiology is highly customizable allowing users to specify many aspects of exam reading e Window width levels e Monitor layout e Worklist filters e Auto logout time e Overlay font size e Series cine resolution e Main exam display e Canvas page mode Mapin Asinga Perum FI Peena hoes yb Ber uya MSE e User password e Workflow options e Keyboard shortcuts When you log on iSite Radiology will automatically load your personalized settings To se
8. ow width level of a single slice instead of the entire series nu wn gt C Toggles the play cine loop feature on and off for image series Increase decrease cine speed Configurable Provides customization for keyboard shortcuts that are capable of mapping to the keyboard most common iSite Radiology functions via User Preferences iSite Radiology 3 6 shortcuts provides a list of default keyboard shortcuts upon upgrade For advanced visualization mouse interactions and keyboard shortcuts please reference leaflet foldout on back cover Behavioral changes and new features in iSite Radiology 3 6 iSite Radiology 3 6 contains many improvements and additions Some of these features require additional privileges to be granted by your iSite Radiology administrator Others require special attention because they affect default behavior The most important changes are listed below Anonymization tool Important note Diagnostic Magnifying Glass tool monitor pixel pitch must be Step Zoom display configured properly in the Pixel to Pixel display machine preferences True Size support Mammography support tools a DICOM grayscale presentation states display b Computer aided detection CAD marker display 7 Conference presentation state 8 Additional hanging protocol wizard enhancements 9 Hanging protocol sequencing 10 Advanced Visualization tools Using your mouse to manipulate images and series Expanded images and serie
9. s You can also specify WW WL clones invert and other image controls iSite Radiology uses personal user hanging protocols and public system hanging protocols To apply existing hanging protocols or to create new ones right click the exam row margin Hanging protocol options are the second section in the resulting pop up menu as seen in the image above iSite Radiology supports hanging protocol sequencing in which users can create a sequence of hanging protocols with different layouts that can be quickly toggled through using keyboard shortcuts 12 Interactive timelines quick access to exams Interactive timelines are a fast intuitive way of accessing a patient s clinical history Each exam is represented by a modality type body part and date Exams which do not have associated images such as scheduled exams are displayed with an X Detailed exam information is accessed by hovering your mouse over an exam listing Caen Fawn Aih Erai To Pode Exams can be opened from the timeline by left clicking the exam listing Other options are available by right clicking an exam listing as seen above 13 Interactive timelines legend of symbols and icons Exams that have been loaded into the iSite Radiology canvas page are outlined by a grey box Exams listed in green do not have a report associated with them yet Exams being displayed on your diagno
10. s double left click Window width level left click and drag over an image to adjust WW WL Enhanced mouse configuration e CT MR WW WL cine zoom and pan e CR WW WL zoom and pan Cine use your mouse wheel to cine up and through series Fast cine mode double click on the mouse wheel to initiate automatic fast cine mode with tactile speed and directional controls Zoom and pan use your mouse wheel to zoom into plain film images Click and drag the mouse wheel to pan Enhanced mouse configuration toggle through options Advanced image manipulation right clicking any Gi image or series reveals a modality specific menu from which you can choose advanced image manipulation tools such as image filters measurements annotations flip rotate invert and many others Logging on to iSite Radiology Controls and Patient Directory The iSite Radiology Logon screen is accessed by Logout User name Information link Preferences y clicking the iSite Radiology program icon For HIPAA compliance you should log on using your oe meen own individual user name and i PEET a EE password This will also allow atthe aT E E a Sera you to customize your own veoh cb PARE LGN asian personal viewing preferences pening E Priis Pala A Ee ri iaaa arie folders worklists etc Your institution might have Shortcut Patient and exam listing multiple authentication L S
11. stic monitors are outlined by colored boxes that correspond to the diagnostic monitor icons located between the two timelines Here the red exam is displayed on one diagnostic monitor and the blue exam is displayed on another The exam that you have selected from your worklist for reading is indicated by a yellow arrow This exam is referred to as the Main Exam These arrows located in the upper right hand and left hand corners of the timelines indicate that there are more exam icons off the screen Click the arrows to scroll 14 Scout Line Mode Scout Line Mode allows you to see the planar location of an image using another image within the same study as a reference frame To engage Scout Line Mode right click that image series and select Scout Line Mode from the pop up menu or press F11 Scout lines will be displayed on the selected Scout Line Mode image series as you move your mouse over other images of a different orientation Three styles of scout line are available Single Bracket and All shown at right and can be set in the user display Preferences P 15 All scout lines Localizer Mode Localizer Mode allows you to pinpoint locations across an exam s series and to manipulate those series simultaneously To engage Localizer Mode right click the series from which you would like to control all other series in the exam and select Localizer Mode or press F12 As you
12. t preferences click the Preferences button P in the iSite Radiology control strip Preferences set in the Preferences dialog box will apply globally to all exams you view in iSite Radiology 10 Exam Racks The Exam Racks display exam images and series in thumbnails from which images displayed on the diagnostic monitors will be chosen The racks can be laid out horizontally or vertically Images and series in the racks can be quickly loaded into your diagnostic monitors and expanded into independent larger windows by double clicking on them From left to right the exam racks are Dre Canberra Prora Shabe Coat preian Shas composed of the exam row margin Triba ii PF Seep exam summary window Create ier and the diagnostic Select User HF F I Pnp EnaA thumbnail images Rahang Right clicking the exam row margin provides access to Ern advanced options in the pop up menu The Key Image Enan birimi Series feature accessed in the general Preferences vertica Rack allows you to view all key images in a single stack 11 Hanging protocols precise exam hanging control Hanging protocols are rules that allow the user to control exactly how exams of a certain type are displayed on the diagnostic monitors These rules are based on modality a combination of modality and body part or exam codes For example you can create a hanging protocol for all MRs or just for MR brain exam
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