User's Guide - Diagnosticum Ingolstadt
Contents
1. Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 2 3 Changing Layouts OM By clicking simple icons To change Image set layout click the Image set layout combo box in the toolbar and select the layout to display Click display set layout combo box in the Image set title bar to modify Display set layout If you want to edit the Display layout select Config from the Layout combo box In the Display set layout window to add a new layout click New button and to edit it click Edit button Define the Display set name and the number of rows or columns By dragging and dropping arrange the Display set layout Press OK button 9 8 2 4 Thumbnail Window The thumbnail windows display images from the each exam A thumbnail window has two modes Series and Images To view a series or image in the thumbnail window you can drag and drop thumbnails to the Viewer double click in the thumbnail window or just use a hotkey If you want to maximize your viewer you can hide the thumbnail window Placing your mouse near any edge of a window will appear the hidden thumbnails Series mode thumbnails Each thumbnail represents first image of each series Image mode thumbnails Images are shown as a thumbnail To change gt Image mode thumbnails check the Image mode in the Hanging protocol configuration window or use the right mouse menu over the thumbnails window 2 5 Using the Hotk2. the marker the faster images scroll Clicking the wheel button will stop the auto scroll mode 2 Convert To load images to the local database INFINITT PACS provides the Convert function from the right mouse menu There are four convert types provided Original DICOM JPEG Bitmap and TIFF file When selecting DICOM files as your convert type you can anonymize or fabricate patient demographics You are also required to choose JPEG Quality types when saving images as JPEG files When you convert multi frame images select AVI codec and type quality ratio that you want INFINITT Co Ltd 2012 All Rights Reserved 6 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 3 More tools 3 1 More tools in Common tab Selector It is the default tool It is recommended that you always return to the Selector tool after using another tool The Selector tool can also be selected by pressing the ESC key Pan You can change the position of the image or images within your view This is especially useful when the image is larger than the window like it is after zooming Zoom To magnify or reduce the image Operate by left clicking and dragging and moving the mouse upwards to zoom in and downwards to zoom out Windowing Drag the left mouse button up and down to adjust brightness Drag the left mouse button side to side to adjust contrast Magnification By clicking this tool it creates a small ma
3. Users Guide For INFINITT PACS Viewer 414 July 2012 IF RND 511U 30114 User s Guide For INFINITT CD Viewer INFINITT Co Ltd Copyright 2012 INFINI Gg Co Ltd All IT reserved 2 INITT j INF INFINITT Co Ltd 2012 All Rights Reserved 1 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 1 To work with the worklist 1 1 Finding studies in your worklist iN E aN o Sur NT ASS Initializing worklist Series Instance UID 13 12 2 1107 5 4 4 1042 300000080 12804571929600000334 1 2 410 2000 10 3425944262 20100823100735 5 1 3 12 2 1107 5 4 4 1042 300000080 1280458 1553 10000 1332 D On thw Worklist patient exam lists will be shown INFINITT Co Ltd 2012 All Rights Reserved 2 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 1 2 Sending images O To send images 1 Select the exams from the Worklist Patienten ID Geschl Geburtsdatum _Untersuchungsdat Modalit t _Untersuchungsbes Anforderung e EE CR Series No Modalitat Serienbeschreibung Series Instance UID 3 CR Q_91WKONTROLLA 1 3 12 2 1107 5 4 4 1042 30000008012804571929600000334 5 KO 1 2 410 2000 10 3429944262 20100823100735 5 4 CR Q OTT KONTROLLAU 1 3 12 2 1107 5 4 4 1042 30000008012804581553100001332 2 Click Send on top menu to send a study or a series 2 Viewing Images 2 1 Viewing your Images Once you have found th
4. de 3 2 More tools in 2D tab Select All Inverse It is used to select Images that are deselected and Select Image set Image sets that are displayed in the display window are Reverse and Flip They enable you to flip the images on its vertical and 180 Rotate By clicking this the image rotates 180 degrees clockwise B W Inverse It lets you view the image with the color inverted Ellipse Rectangle Polyline Shutter A black overlay over the Viewer It is useful for hiding bright distracting parts of an image when you want to examine specific detail Sharpen Average Filter To remove noise and enhance image quality each filter supports three level filtering High Medium and Low 2D and MPR images are applied INFINITT Co Ltd 2012 All Rights Reserved 8 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 Auto scroll By clicking this tool dragging the mouse upward displays the previous image and dragging the mouse downward shows the next image 3 3 More tools in the Annotation tab C T Ratio The transverse diameter of the heart compared with that of the thoracic cage Limb Length Discrepancy To determine the problem causing two legs are of unequal lengths Center Line To find the middle points of two lines and draw the centerline between them Profile To show the Profile graph of Pixel value Select Export CSV to export results in excel files 2D table To show the Pixel
5. e study you want to look at you can open it for viewing in two ways Select the study from your Worklist and click STUDY open from the toolbar on the top Or just double click on it Fp Ni 4 y gt INF361 ETS INF 361 29 01 2008 23 37 31 amp 5 Crossiink 003Y F KONSTANZPRUEFUNG FT 61 INF_ 361 F 5 RKO 29 01 2008 23 37 31 132986697 KONST ANZPRUEFUNG Q 01W KONTROLLAUFNAFS 2 Exam Original 3 Q OIW KONTR ST O EE alee E me INF 361 003Y F z INF361 1 SIEMENS FD X 29 01 2008 23 40 05 INFINITT Co Ltd 2012 All Rights Reserved 3 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 2 2 The composition of the Viewer Image Set layout The Image Set comprises the data set which matches the series Display set The Display Set defines how the image set will be displayed Apply All If you set the Apply All option to on the adjusted window level and zoom values are applied to all the images You can also use the Select All tool to apply changes to all images of current series instead of the Apply All tool Image set layout title bar On the top of the Image set the information of the current opened image is shown and can be configured by right clicking INF361 INF_361 F CR KO 29 01 2008 23 37 31 132986697 KONSTANZPRUEFUNG Q_01W KONTROLLAUFNAT Basic tools e You can search the previous or next exams of the open
6. ed exam by clicking the left and right arrows Also you can open the list of the opened exams By right clicking it the Opened exam information box will appear and you can configure the detailed inforamation e Crosslink By clicking it you can toggle on and off e Default Layout Hanging protocol You can apply default layout or pre defined hanging protocol You can configure the Imageset Layout by clicking Config HP and save the current layout as a hanging protocol by clicking S veHP e Image Set Layout Clicking the downward arrow allows you to show the dropdown list of Imageset layout You can configure the Imageset Layout by clicking Config e Worklist The worklist will show up e Related exam When your viewing images have the related exam we support its list in the viewing window If your toolbar is vertical the Related exam button is enabled When clicking the button the O list of the related exams pops up If you have a horizontal toolbar PAPE eam you will see the list of the related exams You can copy the reports in the popup window and paste them into the report window If you do not see the Related exam button check in the Display related exam list button from Setting gt Toolbar configuration e Report The Report window will show up e Close When you want to close exams you can click the Close HE close button or use hotkey by default alphabet C INFINITT Co Ltd 2012 All Rights Reserved
7. eys The viewer provides the following hotkeys to allow users to perform tasks by pressing a simple key combination The use of these hotkeys can be much faster than using the mouse Almost all functions provided by the viewer can use all hotkeys except for the keys listed below Number 0 1 Select series 1 First 2 Second INFINITT Co Ltd 2012 All Rights Reserved 5 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 Function key F1 F12 Select window level preset Select the Selector tool 2 6 Scrolling the Images There are four ways to scroll up down images by using the mouse wheel using the keyboard normal scroll mode on the toolbar and the auto scroll mode on the toolbar Scrolling using mouse Wheel down shows next images and wheel up shows previous images The order of displayed images is determined according to sort criteria Using keyboard A hot key can be mapped to scroll down and another hot key can be mapped to scroll up Press those hot keys to show the next or previous images Normal Scroll mode Selecting Auto scroll in the toolbar changes the tool to normal scroll mode In this mode dragging the mouse upward displays the previous image and dragging the mouse downward shows the next image Auto Scroll mode In normal scroll mode clicking the mouse wheel button sets the tool mode to auto scroll and creates a marker The further the cursor goes from
8. gnifying glass that moves with your mouse cursor over the image The magnifying glass can be resized and the content can be zoomed on the fly To resize the magnification factor within the box press and hold the left mouse button with the Ctrl key depressed Similarly using the Shift key allows you to change the size of the magnification box Fit You can adjust the size of the image to fit the currently displayed window It is especially useful after images have been zoomed or panned Capture images You can capture images from each mode and the captured images are actual DICOM images Capture Image Set You can capture any Image Set you want For example this function is especially useful for capturing Axial Coronal and Sagittal and VR views together Capture as shown The captured images include annotations and demographic information Capture monitor When you are using two or three monitors this function is useful for capturing each monitor Capture all screens If you are using a two monitor system the screens of both monitors can be captured using this function Refresh exam The rest of series will be downloaded to the Viewer while viewing the series that you have selected from the Worklist INFINITT Co Ltd 2012 All Rights Reserved T Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 The image is being displayed at 100 of its actual size This function is available in Mammo and 2D mo
9. tion please refer to the chapter 7 1 Annotating images Curve To draw a curved line To finish right click INFINITT Co Ltd 2012 All Rights Reserved 10 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 4 Advanced viewing 4 1 The folded and unfolded mode of multiframe images With the unique INFINITT unfold option multi frame images are divided into individual images that can be viewed and scrolled individually The button is located in the upper right corner of the Viewer To change to the O unfolded mode click It will change to FE Your viewer displays the individual frame according to the display set layout Eln CHOI CA d 4 MP hh SL 5 ER 45Hz 2011 01 15 E E P Low Aisen 4 2 Using SR manager INFINITT PACS provides SR Manager which helps you in viewing Standard Reports When an exam contains a Standard Report SR View menu is automatically enabled from the right mouse menu 2007 05 16 13 11 15 CEY VSONO001 TSBUS APLIO_BASIC_REPORT COO 04 16 Ree DET OO TSEUS APLIG BASIC REPORT SpA 2007 03 16 13 10 11 CIEV V6000001 TSBUS 4PLIO BASIC REPORT Copy to ClipBoard j PICU ac 2006 02 14 11 60 06 PIU 15000 Aukt Echocardiography Procedure Report INFINITT Co Ltd 2012 All Rights Reserved 11
10. value of the certain area Calibrate To show the pixel spacing value You can export results in excel files Spine Label To number the each spine and disc Volume Measure To measure the volume in the sonographic image 2D arrow For pointing to features of interest 2D Text For annotation on the images 2D Box To insert the note Key image To create Key images Please refer to the chapter 6 2 Selecting Key images To draw the circle rectangle polyline and free line INFINITT Co Ltd 2012 All Rights Reserved 9 Users Guide For INFINITT PACS Viewer Ver 3 0 11 4 July 2012 IF RND 511U 30114 To measure the distance between the straight lines Measure 2D angle For measureing angles between features on the image Measure area Ellipse Rectangle Freehand To measure the area minimum maximum average and standard deviation of pixel values of features within the ellipse rectangle or arbitrary shape Measure Cobb angle To measure spinal deformities Marking To mark with the text on the image Lens Hounsfield SUV To show the raw value of the point in which you have clicked within the image It has a different unit according to the modality Measure Multiple Cobb angle Draw lines to measure multiple Cobb angle Right click on the last line to view the angles Time intensity curve It is a useful criterion in differentiating benign and malignant enhancing lesions in dynamic breast MR imaging for more informa
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