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MedDream WEB DICOM Viewer USER`S MANUAL

1. eet 41 Mage manipula a MIS 9 CAD ED OTT o OTT pe ceo NST eae a OE 42 drapnstennao poSsIDIIItI eS 2 9 59 2555 5 Lact ecabaut sar tudo truc encor ME eter o MI Esp 43 Vil is sib ifs ment IS ET IT UU NEM 44 Mi e AAA An OO T DE TNT TIT CENE 45 ANS ME AS o o s 45 Oly lIMe Measurement moscada 46 CONTO INS LL esencia 47 VEW MOE EE EO SN NUT 47 Intobrmatrop WIPICIO Watanabe ironia Deba 48 Hol AAA No O A ene en ee ee ace ee ene oe eee eae 49 SC NNN OW MR POE A 50 Search according to default search Std Sut ala 50 ogah according T0 dalos AAA ten asuer ccena E cine eorses rectos cai S rire cou Uses ceci RR eme eee 50 Table of Figures 76 Foure 7114 Daterscaren ODIOS PERLE mem 51 Figure 72 Search according to modalities cccccoocnncnncncnoncnnconnnnonnnononnnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnnnnnnnnnnanannnns 51 Foure 3 5eareh Tes illis it dd Ic Leica e Mb teh em LL iue tpa LAC eiu 52 Figure 74 Image manip lation IGO S 1 55 51 xs eoo oH Io koe n npn tee aodio enu eo too Rv Ua Aen did ia 53 Figure Zo Level Window DUNOMODIOMS tia 53 FIQUIE 76 PRESO DUtOnOPION Sis 54 Figure 77 Comparison DOSSIDIIMIES mio 54 Figure 78 Transtormation poOsSID IMSS a 55 EU TI CONEX MEN Unner e la es 56 Eguren O aT 56 EldUre 81 AMICON Ol AMC A E E t 58 mie Uca o AAA o e X 58 Figure 83 Report template replacement ccccccccccssecccceeeecee
2. 16 Foure 14 Stuy TEPON anoe os 16 Figure 15 Report icon in the study header sceccccccesseccecceeeeeeeccueeeececauueeeeesueaeeeeecseueeeeseeaueceeeeeaaeeeesseaeeeessaeeeesssageeeeesaas 17 Figure 16 MERO me c 17 FOUS IZ Layou a 18 Figure 18 Drag and drop the image into the pane siii 19 dure 19 mererence Ines OPIO Msn tt 20 Figure 20 Image li o OE Eto e tS IH Ere ioo Pince aaia Lars 21 Figure 21 Level Window button ODIOS cerro aeta o intor tea n olestie ad Eoo to Cumt ca adt ua isa dccus tine Peut ev EAE EpPcS 21 Figure 22 Transformation possiDIIIIGS aieo ionic airis 22 FIQure 2o Ie ig se NIIS TEE OD IO e ieii 22 Foure 24 MeasurementioolS PCR 23 FIguite 25 Density measurement souls ias 23 FIqure 26 EMe Measurement ts RE ew 24 Figure 27 ANGIE measuleimie t cra t 24 Figure 28 Perimeter measurement ccccceeececeeececceececceuseeceueeecsaeeeeseeeecsaueeeceaeeeeseaeeeesaueeeceaeeeeseueeessageeesseeeessaeeessneesseass 25 FIgure 29 Area Measure Men rutina cil id di id 25 Figure 30 Volume meas remlent 2 coitus ore Sec cennenscusdeeddeaecsadeacedes banana danna dida ideario acacia 25 Foure ST VE Mas UM T S R m TTL a 26 Figure 32 5 ID measure ARD EE OO oL 27 AU Sem ler MI NIU 0 eee on eee 27 Foue 34 CODD anole measurement EN OO tO acaba mmm 27 Table of Figures Figure 35 Figure 36 Figure 3
3. cccccoonncnnccononnnncnonancnnnnnnnncnnnnnnnncnnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnnnnrnnnrnnnnrnannnnnoss 4 CUES TOM SHAME COMM IMC NS eese fasces ete aes Sasa bacco Nn Masaka be IS NE e a Reti M IS eackasdeueeante ales 4 Explanation Or SyIMbOlS US OC act a dd cune dedo 5 IDIFOGHO ION else uie md uet nd d cub tu des det cttm 6 Minimal hareware Tedquiretiellls e aeoxxea aep AAA A A EE 7 Minimal software requirements A 7 Installing MedDream for MedDream PACS Quick Install Windows and LiNUX oooccccccccccononcccnnnccnonnnncccnnnncnnnnnancnnnncnonnnaneninns 8 WIndows IAS n 8 PIX SUAS ta las a LEE 9 EOGOING ONO MCG DK Marte cities tala rta 11 A EE 12 Openind Mulple Studies usos llanos 15 PIC ACINIGES TLIC YEO OMS esti 16 Viewlrg andanalvzing IITidg6es suiedisi a dut aubitad in dais 18 Viewing one or multiple studies ccccccseeccccesceeceeeeecceseeceeeeeceueeecsaeeecsuueeeseeeessaueeessseeeseueeessaueeessaeeesssgeeessaeeeenseeees 18 Comparing MUS SIEIOIGS s et uci Dia RELaa La nun race Dita 19 Insizter S o ezilrzuo nee ET 20 Manipulating Mansion EE 21 Measuring Image Saris DESEE aa 23 Praia Images and Selena is a a aru fo a e oa cto ba 0 29 o O den mataiaioatedansinntacorsaneneiee 30 SAVING MNAGSS ia AS AIR A OI iia e Isaacs 30 A rE e A eee ne ee 31 Muli planarrecons truction MPR on aa 32 EXPO ana TON Wara Sid RET 35
4. e Move the mouse cursor on the point you want to start your QRS point Q press once left mouse button e Move the mouse cursor on the point you want to end your QRS point S point press once left mouse button Figure 90 QRS Axis measurment tool QU Change horizontal scale mm per second E 25mm s menn Change vertical scale mm per mV de i0mm mV Display ECG annotation data Annotation m E m pes Machine Interpretation Statements Machine Global Measurements Ventricular Heart Rate 60 Atrial Heart Rate 60 RR Interval 1000 P Duration 96 PR Interval 174 QRS Duration 94 QT Interval 376 QTc Interval 376 P Axis 29 QRS Axis 47 T Axis 39 Machine Median Beat Fiducial Markers P Onset 103 P Offset 151 QRS Onset 190 QRS Offset 237 T Offset 378 Rhythm Beat Fiducial Markers Manual Global Measurements Figure 91 ECG annotation You can use the following window action buttons as well E To display window on the right side EH To display window on the left side SR view Y Scrollbar SR view To maximize the Window To minimize the Window Button to adjust ECG data position Button to adjust ECG data zoom Is used to display remaining data By default first 5 seconds of ECG wave data is visible SR view enables to view structured reports 4 5mm 2 3 4 By GE VAY DA 6 7 Ag A HI ID
5. Conquest PACS ClearCanvas PACS systems Moreover MedDream can be adapted to client s PACS system and easily integrated into RIS HIS workflow MedDream has multiple functions such as search of studies viewing analyzing saving exporting forwarding images and videos etc e MedDream cannot guarantee the accuracy of calibration data received from the modality Moreover Softneta cannot guarantee that the manual calibration which is performed by users is done accurately Measuring function is approximate and cannot be used for diagnostic purposes Minimal hardware requirements 7 Minimal hardware requirements Parameter 2 38GHz or higher x86 compatibe 10 GB RAID 1 RAID 5 RAID 10 Network Interface 100 Mbit s Minimal software requirements e Microsoft Windows XP SP3 32 bit and 64 bit Windows Server 2008 32 bit and 64 bit Windows 7 32 bit and 64 bit Windows 8 32 bit and 64 bit or Windows Server 2012 32 bit and 64 bit e Internet Explorer 8 0 or later Mozilla Firefox 17 or later Google Chrome or Opera Installing MedDream for MedDream PACS Quick Install Windows and Linux 8 Installing MedDream for MedDream PACS Quick Install Windows and Linux Under Windows a thread safe TS 32 bit PHP build is required The DLLs included won t work with a 64 bit PHP like in 64 bit builds of WampServer Under Linux a non TS PHP build is required This is related to a more common build of Apache the prefork
6. the list of possible values is at http www php net manual en timezones php 6 MedDream PACS and Apache must run as the same user because newer versions of MedDream PACS create subdirectories with permissions too strict for different users 7 Edit APACHE_HTDOCS_DIR meddream config php file Follow instructions inside the file 8 Restart Apache 9 Navigate to http 127 0 0 1 MedDream PACS meddream home php use MedDream PACS users to log in or use the Show button in the MedDream PACS web system 10 ffmpeg is required in order to display thumbnails of MPEG2 DICOM files It is expected at usr bin ffmpeg Not every distribution has it Sometimes it is possible to download separate dependencies from sites like rpmfind net and install these manually 11 mkisofs is required for the Export command Logging on to MedDream 11 Logging on to MedDream To log on to MedDream please do the following e Enter the address given by your administrator in your Internet Browser The following screen will appear Softneta MedDream F WEB DICOM Viewer Database Username Password Figure 1 Logging in e Enter the username you were given in the field Username e Enter the password in the field Password If you forgot your password please contact your system administrator Search of studies 12 Search of studies Search menu will help you to quickly find the studies you need We recommend using all pos
7. 1m 1 month interval or Any no specific period Figure 70 Search according to dates MedDream Web DICOM Viewer on HTML5 platform 51 To specify the study dates click on left top corner marked in red and choose the period from the pop up window Figure 71 To September 2015 Su Mo Tu We Th Figure 71 Date search options 4 The search can also be specified by selecting the method which was used to obtain the study images modalities gt CR CT DX ECG ES IO MG MR NM OT PX RF RG SC US XA XC All The system must allow to select a few image modalities Click the icon marked in red Figure 72 and now you can add all possible methods by clicking on the modality you want to be added to the search Figure 72 Search according to modalities Abbreviations CR Computed Radiography PX Panoramic X Ray CT Computed Tomography RF Radio Fluoroscopy DX Digital Radiography RG Radiographic Imaging ES Endoscopy SC Secondary Capture IO Ultra Oral Radiography US Ultra Sound MG Mammography XA X Ray Angiography MR Magnetic Resonance XC External camera photography NM Nuclear Medicine ECG Electrocardiography OT Other 5 After you have selected your search criteria start the search by clicking Search icon MIS MedDream Web DICOM Viewer on HTML5 platform 52 6 Click on the EN icon so you could see the image you want to analyze Figure 73 and new tab
8. Image localization Overlaying reference lines allow you to indicate the location of an image slice on another image of an intersecting pane e Select the images that you want to compare and move them into the panes e Select one of the image you want to know the location of in regard to other images t t e Click the button Reference Lines e yellow lines appear in the images indicating the location of the selected image ANONOOOO 59 S ANONOOOI 1112 BOTH HIPS 1112 BOTH HIPS T2 AX 288 x 296 TECO n g IL NT 2 Ih 4 2g cu DO c co Im D 1 08x YY 10000 L 5000 WO I ANONOOOO 59 S ANONOOO O 1112 BOTH HIPS 1112 BOTH HIPS STIR CO 288 x 296 11 O 2007 03 29 a 2007 03 29 Z 1 03 W 9917 L 3876 Figure 19 Reference lines option Viewing and analyzing images 21 Manipulating images You can manage and analyze the study images according to the criteria you need The following buttons are used for this 218578 8141 gt Figure 20 Image manipulation tools _ All manipulation buttons are disabled for video view CS More about each of them e Button is used to adjust the Level Window contrast and brightness of the image A pop up menu appears MA ar RE You can select one of the standard contrast settings Default Default a preset setting Auto Auto the system analyses the image and adjusts the brightness and contrast Abdomen
9. Log out by tapping on the right top corner icon marked in red and choose functions from the pop up window Figure 79 Figure 79 Context menu Information window will display with the following information Or B marked in red Figure 80 To close the window click on Softneta Product MedDream WEB DICOM viewer Version 4 05 1507 1003 Build date 2015 09 25 Medical device class Directive 93 42 EEC Class medical device License to Softneta Concurrent connections 10 Connected 1 Modules Video Report ECG Valid to Update to 2017 12 31 Contacts Sofineta UAB Varniy str 1 LT 48310 Kaunas Lithuania e mail info sofineta com Figure 80 Information window Information window will display 11 Full product name 12 Version 13 Build date 14 15 16 17 18 19 20 Log out gt Log out when access is no longer needed Medical device class License to Concurrent connections Modules Valid to empty if there is no termination in time Update to date till the technical support and updates are provided Contacs Softneta UAB contacts 97 Report module Report module Complete annotation editing or printing of the study are available by clicking the button on the study header Note This module can be used while MedDream is in demo mode in the commercial mode it is licensed separately therefore existing customers will need an up
10. MedDream Web DICOM Viewer Mobile Version oooccccccccconconcccnnncccnnnonnccnnnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnononnnnnnnnnnonennnnnenoss 37 Logging onto MedDreaiii MOS idea 37 Search orstudies 0N MOODIE Verso csi a a 38 Manipulating images on Mobile Version essssessssssssseeeeee eene nnne nnn nnns nnne nnne nnn nnn nnn nnns 42 Measuring Images on Mobile Version llssssessessssessseeeeeeee nennen nnne nnne nnn nnn nnns nna nnn neni niens nsns arat snas nna 44 Contextimenu tunchons on Mobile Version stas casaca lidad 47 MedDream Web DICOM Viewer on HTMIL5 platfOrM cccccccccccnnccnncccccccnnncnnnnnonononnnnnnnnononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnannnennnns 49 Logging on to MedDrean HTML a O a ds 49 Search or studies on A TMES plat Mica iaa 50 Manipulating Images on A TIVES DIO Miss 53 Context menu functions on HTML5 platforM oooccccnnccccncconnconnncnonononononnnonononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnnnnenonennnnns 56 A A A 58 ECG MOQUE m RT ee 61 O ART 64 O a A A a cela aeeeenoeadecmed cakes 65 VIGO VIEW Kee TI n 66 A ud uto i Md uM EI d E ML IM EM uM udi E 67 Utense teatral A ooo 72 Horman WIR COW a o e 73 TADO RIUS Sta D 74 Notes on the user
11. you will see the image icons of the study series Search lel amp m ANONOOO00 I 268BF5C2BE7D1A1B0ACD 158114 1 3 3 Plane Localizer Figure 11 Opened multiple studies In order to navigate through the study series just click on the header to activate it and see the image icons Reading study reports 16 Reading study reports In the search results window you can notice that some of the studies have annotations reports This is indicated by the Report icon which appears in the first column Search Search Patient ID m From E Patient Name L To EH ece lt cr J ox 1o0 V jot rr sc xa cr Jes mG NM Px Ro jus xe Patient ID Name Study ID Accession Mod Description Date Tin 13851 L SPI ANONODOO 10377 CCc285815 MR 2008 05 07 K3700 II I268BFSC2BET7D1A1BOAC 1391 MR 2007 07 1112 BOTH ANONDODO 1159 9000EE100 MR 2007 03 Rea Es ha do Bs Fe G Anonymized MR SHOULDER 1995 05 Figure 12 Study Report icon location in Search window To read a report e Select a study with the Report icon e open the study with double click on it e when the study opens you have to double click the Report button Search NAME NONE 2013 06 05 Figure 13 Report icon on the study file e Click the Report button once to open the annotation A report window will appear Report HE x TEMPLATES REPORT 31 oO o
12. 18 Viewing and analyzing images Viewing one or multiple studies After opening one of the study series you can rearrange the preview window as you prefer First of all you can choose on which side of the screen left or bottom you want to see the icons of the images Just click button in the menu bar i and change the preview window as you prefer Also you can choose how many panes with study images there will be in the window You can choose from one to nine panes with different images If you want to open more panes do the following e click Screen layout on the menu bar BR choose from the list how many panes you want For example if you need to see 4 screens with different images select 2x2 Screen layout 1x1 Screen Layout LLI ix Screen Layout H 2x1 Screen Layout HH 2x2 Screen Layout HH 2x3 Screen Layout EH 3x3 Screen Layout Figure 17 Layout 2x2 After selecting how many screens you want to see in the window move the images into them There are two methods to do this First method e select the image icon from the study series that are displayed on the left or on the bottom depending on how you have rearranged the display e drag and drop the image with one mouse click into the pane where you want the image to be Viewing and analyzing images 19 ANONO000 0377 0000 1 5 Locator G Oe ae SUNT T SEINE 57 CAM Z 54b CAS PAN SEER lt paa 2008 05 59 a n 4
13. 350 50 automatically Bone 2500 500 Abdomen a preset setting for abdomen studies Bone a preset setting for bone studies Cerebrum a preset setting for cerebrum studies Liver a preset setting for the liver studies Lung a preset setting used for studying the images of the lungs Mediastinum a preset setting for mediastinum studies Pelvis a preset setting for pelvis studies Posterior Fossa a preset setting for Posterior Fossa studies B Inverse 1 Inverse the user can inverse the image Cerebrum 120 40 Liver 150 50 Lung 1500 500 Mediastinum 300 50 Pelvis 400 40 Posterior Fossa 250 80 Figure 21 Level Window button options ned Hand button allows you to position images within the pane This feature is especially useful when the image is larger than the pane as it usually is after zooming To move an image within the pane e Onthe Tools menu click Hand e Position the cursor over the image you want to move and click and drag the cursor around the pane to move the image e Release the mouse button to leave the image in its new position A Button is used to increase and decrease the selected image There are two ways to zoom in and zoom out of an image Press on the Keyboard to Zoom In and to Zoom Out press the left button on your mouse and drag it upwards to zoom in and downwards to zoom out c Fit to Screen button When you press this button the s
14. MR Anonymized CR I I268BFSC2BE7D1A1BO0AC 1391 MR ANONOOOO0 1159 9000EE100 MR Anonymized MR SHOULDER Figure 8 Search results Also you can use the following search window action buttons bal E To display window on the right side To display window on the left side To maximize the Window To minimize the Window To close the Window LI XC None Date Time 2008 05 10 14 18 28 2007 10 18 01 12 45 2007 07 13 09 52 08 2007 03 29 12 51 20 1995 05 01 15 26 10 Opening multiple studies 15 Opening multiple studies If you need to open more than one study e g to compare them please do the following 1 Select one of the studies with one mouse click It will be highlighted in blue Patient ID Name E 2013 08 291 20153 08 29113155195 201 2013 08 081 2013 08 08132642506 201 Ce 12 tyrimas testas2 Figure 9 Study selection 2 Click Add which is in the bottom right corner of the search results window Add Open Cancel Figure 10 Adding a study 3 Click Open 4 Go back to the search results by clicking the Search button that is in the top left corner 5 Select the next study you want to open and repeat steps 1 3 that were mentioned above Keep doing this till you open enough studies that you need for your analyses After selecting all the studies you will see all study series displayed in the pane on the left When you select the study and click on it
15. Referring Physician Reading Physician Figure 3 Search filters The criteria are as following e Patient ID enter patient s ID number in the search field e Patient Name enter the patient s name or surname in the search field e Study ID enter the study number e Accession Number Search of studies 13 e Description enter few keywords from the study description e Referring Physician please indicate to which doctor the study was sent e Reading Physician please indicate which physician has opened and analyzed the study 3 To specialize the search further please select the period when the study could have be done You will activate the date search fields by ticking the From and To fields W From 2013 10 15 Hi v To 2013 10 15 FR Figure 4 Search according to dates To see the list of the studies done during the current day please click the button Today If you are looking for the studies that were done yesterday please click Yesterday w From 2013 10 15 Egi v To 2013 10 15 FR Yesterday Figure 5 Search options Today Yesterday 4 The search can also be specified by selecting the method which was used to obtain the study images e Tickthe field next to one or more methods devices that were used in the required study please look below for the meaning of the abbreviations For example if you want to find all images obtained by using Digital
16. Study ID Accession Number Mod Description Time Reviewed Source AE Birthdate Figure 101 Search settings Update local settings OK Cancel Close window On style change need to restart application in order to return to previous style License registration 72 License registration This allows activating the software for legal use As a notification about the DEMO version appears click the Register button The registration button also appears in the Information window DEMO Version This is DEMO version of MedDream This version of Software can NOT be used for Medical Diagnostic Only one connection allowed purchase commercial version which does ve DEMO limits Figure 102 Demo notification The registration window will appear Fill in the form and press the Register button Register Organization Serial Figure 103 Registration window If you have entered correct information you will see a notification window that the license will be applied from the next login You must log off and log in again License will apply from the next login Figure 104 License application notification Information window Information window In the main window press the Information window button Information window will display 21 Full product name 22 Licensed to 23 Current connections 24 Modules Report ECG Video 25 Valid to empt
17. dead ue audi vdvde Verus in idi vise acb v vea ai ios 7 Minimal software requiera atadas 7 MultEplanartecons UU CUNA Doa 32 N Noresonthe ser S qnare e O O 4 O Openine MUDIE STUdIE S reacia Um T t 15 P PDP ViGW sioro A A AAA AA AAA RREA 65 Panting images and SAO AAA EA A AA A di sa esa NS 29 Purpose and availability Of documenta tioN iiei a aa A 4 Index 78 Q Questions and CO MM ERE P 4 R Readihg study PEDO Sari ic cc car 16 REDO FIMO GI vsconcarars norma sd ias 58 S SAVING UMASS RA IES ID LSU 30 Lor AGA O i dy Le E EN CUP N IU O II II II A 12 Searc mof studies om HEMES PTOS AAA aed ews tbe A A 50 Sedreborstudies on Mobile Version aaa 38 SE PEN o ROA Un O RATO 67 ead M EA AAA ESA AREA ADA AAA AED AAA AAA AAA LASA A AA 64 T TADO E NS T e io ed 3 Tablon IA A A A IA ads 74 V TEO VIEWS A A NEU 66 VIEWING and analyzine MMOS CS ia a iia 18 Viewing one or Multiple STUGIES piadosa di ii a is iii citan 18 W WIndows In 16s 1d cuna ao raices DO o tna rT V En 8 Index MedDream WEB DICOM Viewer is manufactured by Softneta UAB Softneta UAB K Barsausko str 59 LT 51423 Kaunas Lithuania 79
18. functions on Mobile Version ss ise toto too ra Ra PEE TU EO eH Hte Dun r epu Eoo ep Te Supp VA Vo Oo Du age rrtt stt sete set seee SEE Iu ELE CMM LI OQ S T ETE OE 47 E ECOMOI Sn A Nm m ceeem 61 Explanation of SVImbols used sacos odi eo t EDU ios 5 Export ACTOR VI abe SUN cdas co EP Nu TL CHO DEL nda 35 Mage Tocalizatioliernnd seio AAA E AAA DA AAN io a e ra AAA at Rr red Sto AAA AA AAA 20 IGOR aOR AW IG OW a EO E Em 73 Installing MedDream for MedDream PACS Quick Install Windows and Linux c cc cesssecccecccessseececeeceeesecceeeseueeseceeeeeeaeeseeeeeeeseageeeeeeeeas 8 ATOCHA St o A can neue DP ICE 6 L license TORITO NANA OR EIE en FoU ERR ances RERO I UO dU EXEC OR REO RU PUR AA 72 TEO 9 LOSPINS onto MeaD Mii dia 11 Logging on to MedDream IVES Pato Misas AAA AAA 49 koseing onto MedDream Moble Versions Ati 37 M Manipulating Maga a AA cpap as decane ea te d OMM dE dan Rea od Gea ds ee oc pM Len CI dul Mae 21 Manipulating images ob AIMLS pato Misa OA Exo DEA Dra cua ORE Epis Uribe DIOE o Pee aiii 53 Manipulatine Images on Mobile Versi n yandel cid da 42 Measuring WAS cou oot eC do MD tu RS A E M MM ME LEE 23 Mieasuring mases on Mobile VeL SION siete E TOR Vet REUS id 44 VedDream Web DICOM Viewer Mobile Versi uec io em voe v erria eE DEVEV EA PRO VE Y GU EXTA DEREN MEET DT EE VP EEVASS Qu V NR EE VETE NER OC an Fra E EE Vo uan 37 Minimal hardware reguitemelits cian oi dera Ubri dea
19. gu s 10 ESY 4 o B 14 a gt 4 Y 8 22 a E D 26 30 e 34 V 38 E 42 Figure 41 Playing images as one movie To turn the Cine mode off just open one of the images again Multi planar reconstruction MPR 32 Multi planar reconstruction MPR Multi planar reconstruction MPR is the simplest method of reconstruction A volume is built by stacking the axial slices The software then cuts slices through the volume in a different plane In order to open this function you have to press right button of the mouse on the image and choose MPR A pop up window appears There you have to fill two input boxes e Start Frame number of the first frame of selected series e End Frame number of the last frame of selected series MPR Start Frame min 0 End Frame 37 max 32 Show Cancel Figure 42 MPR frame selection User can input the range from which MPR will be calculated After you enter the frame range press Show and the loading will start It might take some time to load all frames This will be indicated by the following progress window MPR A e Figure 43 Loading MPR After the loading is finished the MPR window appears MPR 9 08 mr 8 11 Dx cose 11707 11707 F 512 x 512 2 5 mm 512 x 512 2 5 mm 2012 12 18 18 00 20 2012 12 18 18 00 20 Z 0 61x B 1 61 W 100 L 40 11707 512 x 512 2 5 mm Z 1 07x BE 2 08 W 100 L 11707 5
20. not replace the files you changed in the last version You must carefully synchronize the new version 2 From MEDDREAM PACS INSTALL DIR php meddream Copy and Replace applet php to MEDDREAM PACS INSTALL DIR php 3 From MEDDREAM PACS INSTALL DIR php meddream copy php5 2 meddream so to usr lib php modules if you are using PHP 5 2 x copy php5 3 meddream so to usr lib php modules if you are using PHP 5 3 x copy php5 4 meddream so to usr lib php modules if you are using PHP 5 4 x copy php5 2 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 2 x under a 64 bit OS copy php5 3 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 3 x under a 64 bit OS copy php5 4 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 4 x under a 64 bit OS 4 Add to etc php ini file Installing MedDream for MedDream PACS Quick Install Windows and Linux 10 extension php5 2_meddream so if you are using PHP 5 2 x extension php5 3_meddream so if you are using PHP 5 3 x extension php5 4_meddream so if you are using PHP 5 4 x extension php5 2_meddream x86_64 so if you are using PHP 5 2 x under a 64 bit OS extension php5 3_meddream x86_64 so if you are using PHP 5 3 x under a 64 bit OS extension php5 4_meddream x86_64 so if you are using PHP 5 4 x under a 64 bit OS 5 Specify date timezone in php ini Date Defines the default timezone used by the date functions date timezone America Chicago
21. oc x d gt lo US oc Figure 14 Study report e Press action button X to exit the report window Reading study reports 17 Complete annotation editing or printing of the study are available by clicking the button in the study CI EFE nHONOOO Figure 15 Report icon in the ES header It opens a separate MedReport window which can fully employ MedReport functions edit and print the study annotation This function is superseded by the Report module However even after installing the license that enables this module MedReport will still be called if it is integrated into MedDream You will need to disable the integration medreport root linkin config php in order to use the Report module instead MedReport PE E X TEMPLATES REPORT Insert StudyTime 2007 07 13 09 52 08 Study ID 159 S Da ReportTime 2007 09 12 20 27 39 Patient ID 07 K3700 S b H Patient Name Anonymous A Birthdate 1970 10 02 9 lt lt Add Template Arial MS 12 Y AE Y E Diagnosti Pavilion 07 K3700 Unknown a gt Figure 16 MedReport The annotation of the study may be indicated by two different buttons D If the Report button is empty the annotation is also empty and the doctor can fill it If the Report button appears full the study annotation is already written and the doctor can edit or print it Viewing and analyzing images
22. on a particular workplace among local settings a feature of the Web browser It can t be applied globally Therefore you will need to press the Update local settings button and log into MedDream anew DICOM View Screen Layout Info Labels Reports Toolbar Style Reports positions o a en 1 Update local settings OK Cancel Figure 98 Reports setting Settings 70 In the Reports tab the following parameters are indicated Company Write the Company s legal name department etc Text Line The values indicated in this field will be shown once the images are printed e g 20XX XX XX 0001 John Smith Reports positions rat the report is shown over the main layout cm the report is shown on the left side of the main layout the report is shown on the center of the main layout E the report is shown on the right side of the main layout if MedReport is used instead of the built in Reports module then the fields Company and Text line are CS not visible here and must be configured in MedReport itself Settings DICOM View Show Hide Screen Layout Search Info Labels po EA Reports a Toolbar Style TL Dn Clear local settings Update local settings OK Cancel Figure 99 Toolbar settings The Toolbar tab enables user to show the most commonly used buttons on the too
23. radiography devices you should tick the fields as shown below eee LJ ck ox 1 160 mr jor RF sc xa al cT aj es MG nm Px Re Jus xc Figure 6 Search according to modalities Moreover you can select all possible methods by clicking the All button or you can clear all the ticks by clicking None v ecu w cr wW Dx v ro Ww MR v oT wW RF w sc v xa Y er Mes wW ws W um v ex v npa W us v xc None Figure 7 Modalities search All None Abbreviations CR Computed Radiography PX Panoramic X Ray CT Computed Tomography RF Radio Fluoroscopy DX Digital Radiography RG Radiographic Imaging ES Endoscopy SC Secondary Capture IO Ultra Oral Radiography US Ultra Sound MG Mammography XA X Hay Angiography MR Magnetic Resonance XC External camera photography NM Nuclear Medicine ECG Electrocardiography Search of studies OT Other 5 After you have selected your search settings start the search by clicking Search 6 You will see the following window with the search results lt Patient ID 13851 L SPII 1235 o7 K3700 Y 1112 BOTH 1111111 Patient ID From Patient Name v bad To gH Today uH Yesterday O ece i er O ox C 10 vi ur or RF sc Lj xa All cr jes J me jim Px Re jus Name Study ID Accession Mod Description ANONDODO CC285815
24. 10 11 12 ura waa wa wise 4 Dose Record 1 4 Dose Report SR Patient Study Manufacturer Completion Flag Verification Flag Content Date Time X Ray Radiation Dose Report observed 2012 03 02 09 37 44 Concept Modifier Observation Context Observation Context Observation Context Observation Context Observation Context Observation Context Observation Context Observation Context CT Accumulated Dose Data 3 events 892 36 mGycm CT Acquisition 4 CT Acquisition Parameters Figure 92 SR window SR window displays standard structured DICOM reports SR window uses the following window action buttons bal E To display window on the right side To display window on the left side To maximize the Window To minimize the Window 64 PDF view 65 PDF view PDF view enables to view PDF files encapsulated in DICOM format Heart rate Average values per minute HR 150 100 h a y y Age H S p r N NW Tu 50 I Y we md jui havia d desc T Aida ll 15 00 19 00 23 00 03 00 07 C Report Amhythrria absoluta Figure 93 PDF window PDF window displays a standard PDF reader Some Web browsers have built in readers in other cases the workplace needs additional software like Adobe Acrobat Reader PDF window uses the following window action buttons HH To display window on the right side To display window on the left side O To maximize t
25. 12 x 512 2 5 mm D12 12 18 18 00 20 2012 12 18 18 00 20 Z 1 07x B 2 08 Z 1 07x B 2 08 W 100 L 40 W 100 L 40 Figure 44 MPH The top picture on the left is the main one You can see three arrows which can be moved in order to see different planes and the optimal plane can be chosen to display an anatomical structure This may be particularly useful for visualizing the structure of the selected organ The other pictures correspond to different cross sections e MPH1 horizontal cross section Multi planar reconstruction MPR 33 e MPR2 vertical cross section e MPR3 diagonal cross section You can manage and analyze the study images according to the criteria you need The following buttons are used for this MPR iem ON ER jr AB 4 X Close Figure 45 MPH toolbar Default button is used to adjust the Level Window contrast and brightness of the image am Hand button allows you to position images within the pane a The button is used to increase and decrease the selected image press on the Keyboard to Zoom In and RR to Zoom Out press left button on your mouse and drag it upwards to zoom in and downwards to zoom out Measurement button allows you to measure the images in number of ways Slice button allows you to make a cross section There are two possible options Line three arrows will automatically appear that make a vertical horizon
26. 6244 Name Surname 2014 06 19 14 32 7 1 00 1083 L 623 it Figure 58 Image manipulation tools More about each of them ON Button is used to adjust the Level Window contrast and brightness of the image Put your finger on the screen and pan up and down to control the brightness of the image ON Button function as scroll bar Once tapped it enables you to scroll through the series of images pinch and stretch If you want to zoom in or zoom out you just need to pinch and stretch It zooms gradually an image out or in MedDream Web DICOM Viewer Mobile Version 43 LN Hand button allows you to position images within the pane This feature is especially useful when the image is larger than the pane as it usually is after zooming To move an image within the screen e Onthe Tools menu tap Hand e Tap the image you want to move and flick the image around the screen to drag it to the position needed e Release the image to leave it in its new position ON Transform button allows you to rotate the image Tap the button and select one of the options from the pop up menu Tap the X button to exit the pop up window Orientation e Rotate Right to rotate the image 90 asta clockwise Rotate right e Rotate Left to rotate the image 90 counter Flip horizontal clockwise Ep VOR Flip Horizontal to flip an image 180 about Default the horizontal axis e Flip Vertical to flip an image 180 about th
27. 7 Figure 38 Figure 39 Figure 40 Figure 41 Figure 42 Figure 43 Figure 44 Figure 45 Figure 46 Figure 47 Figure 48 Figure 49 Figure 50 Figure 51 Figure 52 Figure 53 Figure 54 Figure 55 Figure 56 Figure 57 Figure 58 Figure 59 Figure 60 Figure 61 Figure 62 Figure 63 Figure 64 Figure 65 Figure 66 Figure 67 Figure 68 Figure 69 Figure 70 75 A MR RERO TTE ESN 29 Selection of number of images on a page cccccccssesseccecececeeeeecceceeeeeseseeceeeeeeseeeeeeeeeeesseeeeeeeeeeessseeeeeeeeeeessaseeeeeeees 29 SO ONIS RT ETUR P 30 SAVING MAC os tisse Lid MUI ui MI ku iet iUc eae 30 Saving location Selecionar MEDI ee eee 30 Opening Cine mode Tunelio NER T m T m EU 31 PIAVING Images as One MOVIE ceins 31 MER ame socie cl 32 Loading A ended ba Sigs ea Air taamemaciieaduimaases e 32 ym un ad aaeean 32 MIPPiTOOID AR e tl V m X 33 TUVE MM a a 33 SUAV TOMAN e 35 SODIO e 35 doris e CN em 36 A 37 scene em 38 DE AIC ACCONGING to dal855 3 0 ed EN DR Po nac Ula d trace cata cciia 38 Date sear Topon naisin m m o 39 sgar ch according to Modalities EE EET 39 Modalities Scar aa caia 40 DOAN CMOS A A un Um U Me 41 Si 5 16 A 6 See et ee a T MC
28. C9 build Installing MedDream for MedDream PACS Quick Install Windows and Linux 9 copy php5 4 meddream dll to PHP INSTALL DIR ext if you are using PHP 5 4 x 4 Add to php ini file extension php5 2_meddream dll if you are using PHP 5 2 x extension php5 3_meddream VC6 dll if you are using PHP 5 3 x VC6 build extension php5 3_meddream VC9 dll if you are using PHP 5 3 x VC9 build extension php5 4_meddream dll if you are using PHP 5 4 x 5 Specify date timezone in php ini Date Defines the default timezone used by the date functions date timezone America Chicago the list of possible values is at http www php net manual en timezones php 6 Edit APACHE HTDOCS DIR meddreamr config php file Follow instructions inside the file 7 Restart Apache 8 Navigate to http 127 0 0 1 MedDream PACS meddream home php use MedDream PACS users to log in or use Show button in MedDream PACS web interface Linux install 1 Copy the meddream directory to MEDDREAM PACS INSTALL DIR php so that the result is MEDDREAM PACS INSTALL DIR php meddream e g in our machines it usually is home MedDream PACS php meddream Adjust permissions no less than 0777 for MEDDREAM PACS INSTALL DIR php meddream 0777 for MEDDREAM PACS INSTALL DIR php meddream log 0777 for MEDDREAM PACS INSTALL DIR php meddream temp If you are updating an older version of MedDream a Please back up the old version so you can go back any time b Please do
29. Double Click to finish measurement 1 Left Click to Start mesurement 3 Left Click 9 10 11 Left Click 2 Left Click Click 4 Left Click 5 6 7 8 Left Click Figure 31 VTI measurement e The velocity time integral is measured in centimeters NOTE this button is active only for the images of US modality The STD standard deviation button is used to measure average deviation of pixels in a square area 10 by 10 mm e Place the mouse cursor on the place that you would like to measure STD Viewing and analyzing images 2 Z 0 42x W 500 L 50 Figure 32 STD measurement The Calibration button is used to change the scale of measurement e Press the Calibration button and pop up window will appear Callibration 10 mm 100 Apply Close Figure 33 Calibration function e Inthis case 10mm corresponds to 100 pixels if O will be left in the empty space the initial settings will be shown The Cobb angle button is used to measure angle between lines To measure angle e select Cobb angle measurement e select the image e Click on image and lines will appear in the middle of image e You can drag lines line points and move all lines simultaneously by moving the white dotted line Figure 34 Cobb angle measurement The Delete All button is used to remove all measurements at once To remove the measurements e Select the image from which you want to remove all measurement
30. IR MedDream Export function might fail due to same files included twice The solution is to rename the subdirectory or move it somewhere outside the MedDream directory tree MySQL from XAMPP 1 8 for Windows if MedDream or MedDream PACS web interface connects to the database very slowly each attempt takes about 1 second then try adding bind address to my ini While still in demo mode you must remove the existing meddream lic after changing computer s host name any OS reinstalling the OS Windows or changing the MAC of any network card Linux A correct file will be created automatically Otherwise a commercial license generated from your meddream lic will not work Windows install 1 Copy meddream folder to C Program Files MedDream PACS php the result C Program Files MedDream PACS php meddream If you are updating older version of MedDream a Please back up the old version so you can go back any time b Please do not replace files you changed in last version You must carefully synchronize the new version 2 From C Program FilesMedDream PACS php meddream Copy and Replace applet php to C Program Files MedDream PACS php 3 From C Program Files MedDream PACS php meddream copy php5 2 meddream dll to PHP INSTALL DIR ext if you are using PHP 5 2 x copy php5 3_meddream VC6 dll to PHP INSTALL DIR ext if you are using PHP 5 3 x VC6 build copy php5 3 meddream VC9 dll to PHP INSTALL DIR ext if you are using PHP 5 3 x V
31. P ub o E 7 Ki M Lj y A Figure 18 Drag and drop the image into the pane Second method e Select the pane where you want to move the image with one mouse click The active pane will be outlined in red e Select the image icon from the study series that are displayed on the left or in the bottom depending on how you have rearranged the display e Double click on the image that you want to move into the pane e The image will appear in the selected pane These are the ways how you can move the images from the series into the main window You can select and compare images not only from one study but from multiple studies as well Comparing multiple studies To compare multiple studies you can use the Lock Scroll button It allows you to either move through images one at a time or easily scroll though the images of a series e Select the studies that you want to compare e From each study select and move the first images into the viewing panes e Click Lock Scroll amp e When this button is active is outlined in blue you will change all images simultaneously scroll though the images of a series by scrolling the mouse wheel e fthe button is inactive you will move through images one at a time by scrolling the mouse wheel NOTE when the Lock scroll button is active you can move through images with the help of keyboard arrow keys not only by scrolling the mouse wheel Viewing and analyzing images 20
32. T QTc Hil Hr 4a QRS Axis PH Delete All Figure 86 ECG measurements e Image manipulation buttons are disabled The Measurement button is used to measure fragment length in seconds mV and calculate BPM To measure e Select Measurements e Move the mouse cursor on the point you want e Press down and move mouse over an ECG wave Figure 87 Measurements 61 ECG module 62 The QT points button is used to measure wave QT points RR QT and QTc To measure e Select QT points e Move the mouse cursor on the point you want to set Q point and click e Move the mouse cursor on the point you want to set T point and click e Move the mouse cursor on the point you want to set last Q point and click double click also works IRR 0 997 s QT 0 389 s QTc 0 389 s Figure 88 QT points The button HR is designated to measure heart rate matuoti irdies susitraukim da nj ir juos palyginti Nor dami pamatuoti e Select HR measurment tool e Move the mouse cursor on the point you want to set R point press once left mouse button e Move the mouse cursor on the point you want to set next R point press once left mouse button e Now you can compare given interval with other R points Figure 89 HR measurment tool ECG module 63 The QRS Axis is used to measure cardiac interventricular partition and ventricular depolarization spreading e Select QRS axis measurment tool
33. The worker build is incompatible PHP 5 3 is built for Windows either with VC6 or VC9 runtime Take note which version you have and use a corresponding dlll during installation as explained below Otherwise you ll get an error message like this one Module compiled with build IDZAPI20090626 TS VC6 PHP compiled with build IDZAPI20090626 TS VC9 These options need to match Under Linux the so file requires glibc 2 5 or later Under Linux MedDream PACS s custom libjpeg conflicts with standard libipeg needed by the GD2 extension on which MedDream depends heavily at the moment You will need to disable the antispam image in order to log in to MedDream PACS web interface to do that place an empty file no antispam code near MedDream PACS exe You also won t be able to view DICOM images in MedDream PACS on the other hand MedDream adds a Show button to the web interface and thus can be used instead of the built in viewer During an upgrade it s recommended to use the included config sample MedDream PACS php as a template and then update the resulting config php according to the old one This will prevent misunderstandings like variable names which were suddenly changed Since 3 06 1103 3003 a DICOMDIR viewer in the subdirectory DICOMDIR is automatically included on export However an alternative way is to use MedDream PACS s Include external viewer functionality If you use the latter and still keep the viewer in the subdirectory DICOMD
34. a Always AutoStart Multi Frame Images Automatically start playing multi frame images L Mouse Wheel Multi Frame Images Allow to scroll multi frame images with mouse wheel DICOM Flow preload all study images sequentially Cache all images in advance After an image is cached scrolling through adjacent images takes very little time But the entire study must fit into browser s memory Settings Settings 68 DICOM View Screen Layout Info Labels Reports Toolbar Style Rows 1 Columns 1 Top Toolbar Width 100 Thumbnails Position EN El Thumbnails Vertical bar 200 series size Thumbnails Horizontal bar 280 series size Thumbnails Size 50 Thumbnails Single Click O Scale 1 Multiple screen mode EE Update local settings OK Cancel Figure 96 Screen layout settings In the Screen layout tab the following parameters are indicated Rows 1 Columns i Thumbnails Vertical bar series size Thumbnails Horizontal bar Series size Thumbnails Size Thumbnails Position Thumbnails Single Click Multiple screen mode Scale 200 x 177 280 x 150 O Indicates the layout s number of rows maximum 3 Indicates the layout s number of columns maximum 3 Indicates the size of vertical and horizontal thumbnails series bar Indicates the size of the thumbnail minimum size i
35. c Softneta MedDream WEB DICOM Viewer USER S MANUAL version 4 05 O 2015 Softneta UAB Kaunas All rights reserved in the event of granting of patents or registration as a utility patent All names of companies and products mentioned in this users manual may be trademarks or registered trademarks References to products of other manufacturers are for information purposes only Such references are intended neither as an approval nor a recommendation of these products Softneta UAB accepts no liability for the performance or use of such products Other brand names software and hardware names used in this users manual are subject to trademark or patent protection The quoting of products is for informational purposes only and does not represent a trademark misuse This user s manual is protected by copyright Unless expressly authorized in writing dissemination duplication or other commercial exploitation of this documentation set or communication of its contents or parts of it is not permitted In case of infringement the violator may be liable to pay compensation for damages Specifications due to technical developments are subject to change This user s manual is not subject to the revision service Please contact the manufacturer or authorized dealer to request the latest edition of the manual Table of Contents 3 Table of Contents A PNE PM T e E T 3 Notes On Ihesiser Ss iia all o moror 4 Purpose and availability of documentation
36. click Forward CM e after pressing the button the forwarding menu appears Forward Patient ID 0 57 PROS FR Patient Name SendToPACS E90 F EN Study Date 2013 09 19 Study Time 10 15 00 Study Description SendToPAC5 DEMO Forward To w Figure 47 Study forwarding e choose a device from the list e Click Forward To To export the study to save it on a CD e Select the study that you want to write on the CD or DVD and click Export e the Export menu appears e choose CD or DVD Export Patient ID NOID Patient Name NAME NONE Study Date 2013 06 05 Study Time 16 52 15 Study Description US ABDOMEN LTD CD 650 MB Export Volumes ISO Image Burn Figure 48 CD burning Export and forward study 36 e Press the button Export in Export Menu After a while two additional buttons will appear in the list below Volumes I50 Image Burn VOLI Download ISO Burn Now Close Figure 49 Export menu e You can choose one of two options in this window 1 Download ISO this option is used to download a CD image which can be burned to the disc later 2 Burn Now this option is used to write the file to a CD automatically You will need to install additional software MedDreamBurn and Active ISO Burner on each workplace CAUTION PROPERTY DAMAGE MedDream is incompatible with the CD Viewer from Softneta DICOMDIR Viewer Both V
37. dated license Search 1 3 3 Plane Localizer Figure 81 An icon of a filled report It will open a report window REPORT HE oOx TEMPLATES REPORT Insert gt gt Study ID ician Study Time 2013 09 19 10 15 00 i m Report Time 2013 10 04 10 23 04 Patient ID 015 SMS SM History L Pavilion Patient Name SendToPACS EM Fi Edit P Print Y Birthdate 0000 00 00 lt lt Add Template Pavilion New Edit Delete p a l g Figure 82 Filled report In the Report window you may edit and print the study annotation Report module 59 REPORT HE ox TEMPLATES REPORT Insert gt gt MA om Study ID ician Study Time 2013 09 19 10 15 00 id demo M Physician v amp Diagnosis Report Time 2013 10 04 10 23 04 Patient ID ol EMOS E9 9 History e Patient Name SendToPACS EM Save Print v Birthdate 0000 00 00 ICI Report will be replaced with the Selected Template Do you really want to replace the Report Edit Dele j b Figure 83 Report template replacement The following buttons are used in order to Insert the template The button is active only in Edit mode After pressing Insert button you are asked to confirm the action as the entire text will be replaced q 1 V v lt lt Add Template Add a template to the list Once you are satisfied with the content you can save it as a template either existing or new
38. e vertical axis e Default revert to preselected automatic option 1 01 1083 L 623 gt Figure 59 Transformation possibilities MedDream Web DICOM Viewer Mobile Version 44 Measuring Images on Mobile Version Measuring function is approximate and cannot be used for diagnostic purposes S Allows to measure the images in number of ways Once tapped it calls out measurement tool menu marked in red Tap the button and select one of the options from the pop up menu Tap the X button to exit the pop up window Measure Line Angle Polyline Clear 1 00 1083 L 623 Figure 60 Measurement tools e Line to measure the distance Angle allows you to display the angles between intersecting lines e Polyline to measure the perimeter of more than one line e Clear deletes all measurements you have made so far MedDream Web DICOM Viewer Mobile Version 45 e Tap on the measure button Line from the list e Tap on the starting point from which you want to measure the distance e Tap on the ending point where you want to end measuring the distance e The distance in millimeters or pixels in some images will be displayed in yellow Figure 61 Line measurement e Tap on the measure button Angle from the list e Draw intersecting lines on the image e Tap on the starting point where you want to start one pf your lines and tap on the end of each line where y
39. e screen into sections and allows you to drag as many images as you want to the right side of the screen It helps in comparing images Figure 77 1024 x 1024 img 1 1 Z 0 30 W 2791 L 1397 12 392 200036 9116 3 121002378 4 0 2705732716071030 1024 x 1024 img 1 1 Z 0 30 W 1022 L 512 Figure 77 Comparison possibilities EI Name surname 12392200036 9116 3 121002378 4 02705732716071030 Name Surname 544391 1024 x 1024 544391 Img 1 1 2013 04 15 16 21 37 2013 04 15 16 21 37 Z 0 30 S W 1022 L 512 S Name Surname 412 392 200036 9116 3 121002378 4 0 270573271607 1030 Name Surname 544391 1024 x 1024 544391 img 1 1 2013 04 15 16 21 37 2013 04 15 16 21 37 Z 0 30 S W 1022 L 512 55 Transform button allows you to rotate the image Tap the button and select one of the options from the pop up menu Tap the X button to exit the pop up window ves Rotate Right Rotate Left Flip Horizontal Flip Vertical Clear Transform Figure 78 Transformation possibilities 6 Rotate Right to rotate the image 90 clockwise e Rotate Left to rotate the image 90 counter clockwise Flip Horizontal to flip an image 180 about the horizontal axis e Flip Vertical to flip an image 180 about the vertical axis e Clear transformation revert to preselected automatic option 56 Context menu functions on HTML5 platform You can open a context menu with functions About and
40. easure button e Tick Show Angles Figure 27 Angle measurement The Angle button is also used to measure an angle between any intersecting lines To measure an angle e Position the mouse pointer on the point from which you want to measure the angle Then press the left mouse button e Move the pointer to the second point the intersection point and press the left mouse button again e Then move the pointer to the end point and press the left mouse button once more Viewing and analyzing images 25 The Polyline button is used to measure the perimeter of more than one line To measure the perimeter The Area button is used to measure the perimeter and the area of a region of interest To measure the area The Volume button is used to measure the volume of the object Position the mouse pointer on the point from which you want to measure the perimeter Then press the left mouse button Move the cursor to the second point the intersection point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice The perimeter in millimeters will be displayed in yellow Figure 28 Perimeter measurement Place the mouse cursor on the point from which you want to select the region of interest Then press the left mouse button Move the cursor t
41. ecialize the search further please select the period when the study could have be done This can be done using two different period search criteria gt To select the study date you can choose from the super quick pick list Date within last accordingly to the period you need your studies to be from 1d current day 3d 3 days interval 1w 1 week interval 1m 1 month interval or Any no specific period Date within last 1d 3d 1w Figure 52 Search according to dates MedDream Web DICOM Viewer Mobile Version 39 gt To specify the study date period tap the icon marked in red Figure 53 and the following window will show up Search Modality All CT MR Date between Figure 53 Date search options 4 The search can also be specified by selecting the method which was used to obtain the study images modalities gt CR CT DX ECG ES IO MG MR NM OT PX RF RG SC US XA XC All The system must allow to select a few image modalities Tap the icon marked in red Figure 54 Search Modality All CT CR Date between Figure 54 Search according to modalities MedDream Web DICOM Viewer Mobile Version Now you can add all possible methods by tapping on the modality you want to be added to the search Figure 55 Modalities CT ES MR Figure 55 Modalities search Abbreviations CR Computed Radiography PX Panoramic X Ray CT Computed Tomograp
42. eeeeceuececceuseecsaueeeceuseesseaeeeesaeeeceueeeeseueeessageeesseeesseueeesseneesssass 59 Foure g4 A c 60 PIQUE BO ESO MEW e m 61 Figure ao ECG MESS a o ia ena io 61 Foure g Measure menis alii dan E 61 FU S ARI TS A ct ia la e a o 62 Figure 89 HR Measurmenti0O uc rn 62 PIQUE IO DAS Axis MES Meno a ia coo 63 Fome ot ECG AO A a a a 63 KUE SRNO Mets A 64 FOUS eM IB ET oro RC W 65 ROUE A WACO PIVO in o UE 66 Figure 954 DIGOM VIOW SUING S etina a ii 67 Figure 96 Sereen Tayout SettlligS is ducc sa tbe te a e a 68 Rore 97 inedia IS SCS e oi a 69 Foure 98 Reporns SM o o el 69 Figure 99 Toolbar SelM S sumasiranicaa canasta 70 FigurestOO Sie Se TINGS usarse 71 xe UN LOTS e SC OS EN NEN NE 71 Foure 102 IDSIMOMOUMC ALON arta bo bit saca 72 Figure 109 Registraton WIMGOW PERRO ETE Em m 72 Figure 104 License application notification ooooccccconncncconnnnononnnnnnonononnnennnnnnrnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnnnnnnrnrrnnnrnrrnnrnrrnnnninonos 72 Figure 105 Medabream Jnroretlokr WNGOW sassa asi a dios 73 Index 77 Index C Linemnode cci umi dE o ooo 31 C mpanne multiple SCUIBS au 0s testo iid ibn coer detec capu eed A vont co POE bes vite leet vnd iPad niodo di vd 19 Contexto ment TUMCTIONS vov de a EO rM oa E ELE 30 Context menu Tupctions ond HMES pISELOTITI Go oia ESPERE UE CUR AAA AAA 56 Context menu
43. he Window EE To minimize the Window Video view Video view Software enables to view video files MPEG2 and MPEG4 H 264 encapsulated in DICOM format 2013 08 29113155195 2013 08 2013 08 29113155195 100 x 100 2013 08 29 11 31 55 Figure 94 Video player Video is played with the standard video player available in Flash 66 Settings 67 Settings To change settings of MedDream click Settings button e in the toolbar This button is displayed for the database administrator only In MySQL it s root in Microsoft SQL Server sa with DCMACHEE it s also possible to use the internal user account admin In some configurations like SQLite3 DICOM WADO and FileSystem where any login or password is accepted you will need to use root too The Settings window will open Settings DICOM View AutoOpen First Image Screen Layout O No Single 2 Always a E C AutoStart Multi Frame Images Reports L Mouse Wheel Multi Frame Images L DICOM Flow preload all study images sequentially Style Auto logout after 60 min rcs NN Update local settings OK Cancel Figure 95 DICOM View settings In the DICOM View tab the following parameters are indicated The image does not open automatically when the study is opened Ni No Is opened only if the study consists of one image CJ Single The first image is always opened automatically
44. hy RF Radio Fluoroscopy DX Digital Radiography RG Radiographic Imaging ES Endoscopy SC Secondary Capture IO Ultra Oral Radiography US Ultra Sound MG Mammography XA X Ray Angiography MR Magnetic Resonance XC External camera photography NM Nuclear Medicine ECG Electrocardiography OT Other Q 5 After you have selected your search criteria start the search by tapping Search icon MIS MedDream Web DICOM Viewer Mobile Version 6 You will see the following window with the search results Search result Name Surname 2015 03 23 11 74 33 15 11528 DOB 2015 03 23 Sex M OT SENDTOPACS 2014 06 19 14 32 3 Anonimyezd 2014 06 19 14 32 38 J14 198 SENDTOPACS 06 DOB 2015 06 19 Sex F x SENDTOPACS No name 2014 03 20 10 55 23 J14 10 DOB 2014 03 20 Sex F MR SENDTOPACS Name Surname 2014 01 28 10 09 31 AK319430524 DOB 7014 01 78 Sex M MR SENDTOPACS Anonimyezd 2014 01 28 08 52 16 AR419620312 DOB 2014 01 28 Sex F MR SENDTOPACS Figure 56 Search results 7 Tap on the specific study so you could see the image you want to analyze Figure 57 Series Count 1 Modality MR Survey Count 1 Modality MR SV_PRESS 144 Figure 57 Select image MedDream Web DICOM Viewer Mobile Version 42 Manipulating images on Mobile Version You can manage and analyze the study images according to the criteria you need Image manipulation tool bar is marked in red below Figure 58 45
45. iewer and MedDream may encounter licensing errors if CD Viewer runs on the same computer where MedDream is hosted Use a different machine to test the Viewer on a burned CD or temporally shut down the webserver that hosts MedDream MedDream Web DICOM Viewer Mobile Version 37 MedDream Web DICOM Viewer Mobile Version Logging on to MedDream Mobile To log on to MedDream Mobile version please do the following e Enter the address given by your administrator in your Internet Browser The following screen will appear MedDream 4 05 Database Username Password Figure 50 Logging in e Enter the username you were given in the field Username e Enter the password in the field Password If you forgot your password please contact your system administrator e Tap login on the screen MedDream Web DICOM Viewer Mobile Version 38 Search of studies on Mobile Version Search menu will help you to quickly find the studies you need We recommend using all possible search menu options in order to get the most accurate search results and save your time To find a study please follow these steps 1 Once you login in to Mobile version Search window appears on the screen Search Modality All CT MR Date within last 1d 3d 1w Figure 51 Search window 2 Select search criteria the default search settings are set to the search by Patient ID Patient Name and Study Description 3 To sp
46. in your computer Press Save again pn Savein OptomedWorkstation Qr I Name Date modified Type ay Ji DICOM 2013 02 01 11 17 File fol Recent Places 2013 01 31 13 33 File fol dl 2013 01 31 13 33 File fol J install 2012 10 29 21 10 Windo Desktop OptomedWorkstation 2013 01 30 12 34 Applic S restart 2012 09 21 17 12 Windo S run monitor 2013 02 01 12 44 Windo Libraries owevtmon 2013 01 30 10 55 Applic Sy start 2013 01 31 13 33 Windo Me amp stop 2013 01 31 13 33 Windo My Computer E unins000 2013 01 31 13 33 TMT3 5 unins000 2013 01 31 13 00 Applic Sl uninstall 2012 09 21 17 13 Windo 4 File name imagel Save as type Warnina This file may be an executable program or contain malicious content use caution before saving or opening Figure 39 Saving location selection Context menu functions Cine mode Using Cine mode you may put all images into one movie ips PN 6 6 88 m oO m m QU re uI E 60 6 6 NN 0 0 9 0 34 35 Figure 40 Opening Cine mode function m wW D D N 3 e Saa a a e AJ eee Dee D This function allows you to play images as one movie one image one frame m 4 r 6 6 6 of el 0 0 o al 7 image 1fps Z 1 15x B 2 15 W 100 L 40 pr m ue ot ie T UT LU up cte red CAES OU 4 AO 11 Tr 3 A G 23 27 31 35 39
47. ing for pelvis studies Posterior Fossa a preset setting for Posterior Fossa studies Inverse the user can inverse the image Default Abdomen 350 50 Liver 150 50 Mediastinum 300 50 Pelvis 400 40 Posterior Fossa 250 80 Invert Figure 75 Level Window button options Cy Hand button allows you to position images within the pane This feature is especially useful when the image is larger than the pane as it usually is after zooming To move an image within the pane e Onthe Tools menu click Hand e Position the cursor over the image you want to move and click and drag the cursor around the pane to move the image e Release the mouse button to leave the image in its new position MedDream Web DICOM Viewer on HTML5 platform 54 Ea Original resolution Fit to E E Figure 76 Resolution button options Resolution button is used to Fit to Screen or Original resolution button e When you press Fit to Screen button the size of the image is automatically adjusted so that the image would fill the entire screen For example if only part of the image is visible on the screen choose this button to see the whole image displayed on the entire screen e When you press Original resolution button the size of the image changes into original size Button function as scroll bar Once tapped it enables you to scroll through the series of images Button divides th
48. ionals in everyday s decision making process connecting all the medical data into a unified and fast performing network MedDream ensures a fast and reliable way to search present and analyze the medical data images and video files on various devices computers smart phones tablets near future and so forth MedDream covers radiology cardiology oncology gastroenterology and many other fields of medical application lt seamlessly integrates with various medical imaging devices such as ultrasound US magnetic resonance MRI positron emission tomography PET computed tomography CT endoscopy ES mammograms MG digital radiography DR computed radiography CR ophthalmology and so forth Core MedDream WEB DICOM Viewer uses are e Replacement of hard copies e g film archives paper documents etc e Remote access MDS provides a possibility to be mobile and work from any place in the world where the Internet is accessible More than one person can access and view medical records at one time Such functionality speeds up the collaboration among the professionals So that a doctor in the hospital and a doctor that is in the different location may view the medical data and discuss about it simultaneously The patient s medical history various studies and images are found much faster comparing to the conventional paper based methods e MedDream can be used as a standalone WEB Viewer or integrated into PacsOne PACS dcm4chee Archive
49. ize of the image is automatically adjusted so that the image would fill the entire screen For example if only part of the image is visible on the screen choose this button to see the whole image displayed on the entire screen Viewing and analyzing images ec 1 1 1 1 Resolution button allows you to restore the original image size Transform button allows you to rotate the image Click the arrow to the immediate right of the Transform and select one of the options from the pop up menu a EE e Rotate Right to rotate the image 90 meme umo clockwise e Rotate Rig Sh Rotate Left e Rotate Left to rotate the image 90 counter Ak Flip Horizontal clockwise i ertica lt lt e Flip Horizontal to flip an image 180 about Figure 22 Transformation possibilities the horizontal axis e Flip Vertical to flip an image 180 about the vertical axis Inverse This button is used to invert the image To invert the image press the button once If you press the button second time the image returns to the previous state Figure 23 Inverted image Channels Highlight a color component or a combination of them in the image by showing selected color in white shades and other colors in black This tool is enabled for image view JEJE Set scroll enables to scroll images by draging mouse on image from one side to other i M 5 Enables or disables the image smoothing Vie
50. lbar while the rarely used tools can be hidden Use arrows gt and to manage the shown and hidden tools you can also drag buttons with the mouse The button Ll hides the whole toolbar Settings Settings DICOM View Style template Screen Layout Style name Info Labels Buttons Reports Selected buttons Toolbar Backgrounds Style Labels Inputs Menus Data grids Image Labels Default y Delete Default m N Figure 100 Style settings Update local settings OK Cancel 71 The Style tab serves to set the style color of backgrounds buttons etc for visualization on the desktop or for printout respectively It contains a list of variables that correspond to individual data input regimes Cancel Update local settings The Search tab serves to set which fields will be seen on search menu The Search tab enables user to show the most commonly used buttons on the toolbar while the rarely used tools can be hidden Use arrows j and to manage the shown and hidden tools you can also drag buttons with the ES mouse The button Lal hides the whole toolbar Save global settings Update save local settings This option enables a particular workplace to have its own settings The browser must support local storage Settings DICOM View Show Hide Screen Layout gt Date Patient ID Name
51. mages and studies together with patient organization and other information while saving to the local database and exporting from the Viewer Users must ensure that the data will not be accessed by unauthorized people MedDream measuring functions are approximate and cannot be used for diagnostic purposes Questions and comments If you have any questions or comments regarding this user s manual please contact Softneta UAB Customer support Explanation of symbols used The symbols used in this daily workflow refer to important safety information which warn against possible health risks or fatal injuries and contain useful notes Whenever you see these symbols read the accompanying information carefully and observe all safety notes and information in the user manual daily workflow and on the device labels Indicates a hazardous situation which may result in a fatal or serious bodily injury if the appropriate safety precautions are not heeded Indicates a hazardous situation which may result in a minor injury if the appropriate safety precautions are not heeded CAUTION PROPERTY DAMAGE Indicates possible device damage if the appropriate safety precautions are not heeded Information hints and advice for a better understanding of the instructions to be observed in the operation of the instrument Introduction 6 Introduction MedDream WEB DICOM Viewer is a Flash based package for PACS server which is designed to aid profess
52. o the second point the intersection point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice Figure 29 Area measurement The area in square millimeters and the perimeter in millimeters will be displayed in yellow Place the mouse cursor on the point from which you want to measure the volume Then press the left mouse button do not hold it and move the cursor to the second point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice in order to show the height of the object Figure 30 Volume measurement Viewing and analyzing images 26 The VTI Velocity Time Integral button is used to measure the distance which the blood was ejected over a period of time e Place the mouse cursor on the point from which you want to measure the velocity time integral e Then press the left mouse button do not hold it and press the cursor to the second point and press the left mouse button again e Then move the cursor to the third fourth etc points and each time press the left mouse button again e When you reach the last point click the left mouse button twice in order to end the measurement l 12 Left
53. on Concurrent connections Modules Update to date till the technical support and updates are provided 6 re 8 Valid to empty if there is no termination in time 9 10 Contacs Softneta UAB contacts Product Version Build date Medical device class License to Concurrent connections Modules Valid to Update to Contacts About Softneta MedDream Mobile WEB DICOM viewer 4 05 1507 1000 2015 07 16 Directive 93 42 EEC Class medical device Softneta 10 Connected 2 Video Report ECG 2017 12 31 Softneta UAB Vamiy str 1 LT 48310 Kaunas Lithuania e mail info sofineta com Figure 66 Information window lt Forwards you to the search window Log out gt Log out when access is no longer needed Button on the left top corner enables you to return to the previous page or screen 48 MedDream Web DICOM Viewer on HTML5 platform 49 MedDream Web DICOM Viewer on HTML5 platform Logging on to MedDream HTML5 platform To log on to MedDream HTML platform please do the following Enter the address given by your administrator in your Internet Browser The following screen will appear Softneta MedDream F WEB DICOM Viewer Database Password HTML viewer Figure 67 Logging in e Enter the username you were given in the field Username Enter the password in the field Password If you forgot your password plea
54. one Save a report Save button changes to Edit button once it is clicked i Write a report edit mode sy T Insert the nearby information into the annotation e Print just the text or including all images Print with images Nm Open an empty form of a template Enable editing of a selected template Report module Delete Delete the selected template Template Template Group Select Group v Template Name test report Save Cancel Figure 84 Template Also you can use the following Report window action buttons Hn To display window on the right side To display window on the left side O To maximize the Window Z To minimize the Window x To close the Window 60 ECG module ECG module This module allows you to view DICOM ECG wave data This module can be used while MedDream is in demo mode in the commercial mode it is licensed CS separately therefore existing customers will need an updated license seh OQ RAM S 9 HM 00 8 OD 8 8 0 4 9 8 C EL tos off root tyrimas testas2 Li tyrimas testas 2013 07 24 12 Hin EE HEHEH E A RRE AEREA i 4 25mm s gt A F 10mm mV ome Li rm mn mas ms rt Tort I h hi 4 Ld Figure 85 ECG view For ECG behavior is different e Measurement tools are changed into ECG measurement tools o Mesurement mV z Ik QT points RR Q
55. ou want to end your measuring e The result in millimeters or pixels in some images will be displayed in yellow Figure 62 Angle measurement MedDream Web DICOM Viewer Mobile Version e Tap on the measure button Polyline from the list e Tap on the point where you want to start measuring your perimeter and move along e Then tap to the second third fourth etc points till you reach the last point e The perimeter in millimeters or pixels in some images will be displayed in yellow Figure 63 Polyline measurement To remove the measurements e Select the image from which you want to remove all measurements e Click Measure buton e select Clear from the pop up window 46 MedDream Web DICOM Viewer Mobile Version 47 Context menu functions on Mobile Version You can open a context menu with functions User settings About Search and Log out by tapping on the right top corner icon marked in red and choose functions from the pop up window Figure 64 4483689 Name Surname J14 2014 03 20 10 55 Figure 64 Context menu Allows you to choose view mode 8 or 16 bit User settings View mode 8 bit 16 bit Figure 65 View mode About Information window will display with the following information Information window will display 1 Full product name 2 Version 3 Build date 4 Medical device class 5 License to MedDream Web DICOM Viewer Mobile Versi
56. s Viewing and analyzing images e click Measure e Select Delete All 28 Printing images and series 29 Printing images and series To print images series press Print button which is in the middle of the Menu bar enabled for images There are two options of printing S amp b Print E Print Series Figure 35 Printing options Press Print option to print the selected image area view Press Print Series to print whole series images only Then choose the number of images per page one two or four Print setup EEES C eane Figure 36 Selection of number of images on a page Context menu functions 30 Context menu functions You can open a context menu with functions Save Images Cine mode MPR by clicking the right button on the diagnostic image Save Images Cine mode MPR Settings Global Settings About Adobe Flash Player 11 8 800 94 Figure 37 Context menu Saving images Select Save Images in the context menu and also select a preferred format in the pop up menu JPG DICOM or TIFF Then select to save an image a series of images or an active study Save Format y Save Active DICOM Save Active Image Video JPG MP4 _ Save Active Series _ TIFF MP4 D Save Active Study k EI Figure 38 Saving images Press Save and choose a folder where you prefer to save the images
57. s 50px maximum size 150px Set position of the thumbnail bar vertical left or horizontal bottom Once the button is activated a single click on an image icon will open the image otherwise a double click is required Once the button is activated the use of multiple physical display devices can be used such as monitors Set scale of toolbar buttons Settings 69 Settings DICOM View Left Side Information Right Side Information 0020 0010 0010 0010 Info Labels 0028 0011 x 0028 0010 0008 103E 0008 0020 0008 0030 Toolbar 0008 0104 Style Search Font size default 13 when 1920 x 1080 13 image size is more than Update local settings OK Cancel Figure 97 Info labels settings The Info Labels tab is used to indicate information from tags of a DICOM file that is shown over the image Font size 13 by default when 1920 x 1080 13 Set font size of info labels and other labels in the image view image size is more than Settings when this view is larger than defined dimensions By default the size is 13 When using a high resolution 5 megapixels etc monitor as an addition to an ordinary monitor you might need a larger font which also might be too large for the smaller monitor After adjusting the text size do not forget to adjust view dimensions so that on a smaller monitor the default size is still chosen This setting can be saved
58. s manual 4 Notes on the user s manual Purpose and availability of documentation This user s manual describes the operation with MedDream WEB DICOM Viewer hereinafter MedDream Correct operation of the system is imperative for its safe and successful functioning You should therefore ensure that you are thoroughly familiar with the user manual before setting up and using MedDream for the first time The user manuals and other documentation enclosed with MedDream should be kept accessible to users at all times to ensure that the information required for the use of MedDream is readily available MedDream WEB DICOM Viewer is not intended to replace skilled and qualified medical professional The software should only be used by people who have been trained and is acquainted with its functions capabilities and limitations Users must be aware that the quality accuracy and correctness of the output data displayed on the screen printed or exported from MedDream depends on the quality accuracy and correctness of the input data the user s interface with the data the quality calibration and other parameters of printer or monitoring device MedDream has been tested extensively however it is possible that errors may remain emerge in the software Users must be aware of the potential for errors and in case of an error or for other assistance please contact Softneta UAB Customer support e write an e mail info softneta com MedDream saves i
59. se contact your system administrator m e Tickthe box e Click login MedDream Web DICOM Viewer on HTML5 platform 50 Search of studies on HTML5 platform Search menu will help you to quickly find the studies you need We recommend using all possible search menu options in order to get the most accurate search results and save your time To find a study please follow these steps 1 Once you login in to HTML5 platform such window appears on the screen Figure 68 Search window 2 Select search criteria the default search settings are set to the search by Patient ID Patient Name Accessionnum and Study Description Type the information in according fields marked in red Figure 69 Search according to default search settings Each of the field has LE button You can arrange each of them in ascending or descending order Click once and the order of the selected field will change from ascending to descending and vice versa e Ascending arranged from smallest to largest increasing e Descending arranged from largest to smallest decreasing 3 To specialize the search please select the period when the study could have be done This can be done using two different period search criteria To select the study date you can choose from the super quick pick list Figure 70 accordingly to the period you need your studies to be from 1d current day 3d 3 days interval 1w 1 week interval
60. sible search menu options in order to get the most accurate search results and save your time To find a study please follow these steps 1 Click Search in the top left corner of the window The following search screen appears Search HI EH O x See O g V From 2013 10 03 E Today V To 2013 10 03 jj Yesterday v eco Y cr Y ox w 10 wW MR v OT w RF W sc v xa All wW er es v wa W um w ex v Ra wW us W xc mene No items Found Patient ID Name Study ID Accession Mod Description Time R 1234 MOLISE MICKEY 103502 us 2009 12 22 10 35 02 13851 L SPII AHON OOOUOU 10377 co2855815 MR 2008 05 10 14 18 25 1235 Anonymized CR 2007 10 19 01 12 45 A 7 K3700 Il i268BFSC2BE7TDIAIBD AC 1391 MF 2007 07 13 09 32 08 5 1112 BOTH ANCOMODOO 1153 s n EEi100 MAR 2007 03 29 12 51 20 1111111 Anonumized ME SHOULDER 1995 05 01 15 26 10 1111111 Anonumized XA Cardiac Cathet 1994 10 16 08 30 00 Ar Es 7431 Simpson Horner OT cancel Figure 2 Search window 2 Select search settings the default search settings are usually set to the search by Patient ID or Patient Name To specialize the search you can use two different search settings If you wish to change the search settings just click the arrow to the immediate right of the header and choose the criterion you need from the list Patient ID PaMID Patient Name Study ID Accession Number Description
61. tal and diagonal cross section Curve MPR calculation from the curve drawn on the original slice MPR amp a ION Em Sir E 1 1 9 X Close 2 5mm 512 x 512 2012 12 18 18 00 20 Z 0 61x B 1 61 Z 1 07x B 2 0 W 100 L 40 js W 100L 40 Figure 46 Curve measurement The curve is always shown in MPR1 Delete curve by pushing this option you will delete the curve Tz Fit to Screen button When you press this button the size of the image is automatically adjusted so that the image would fill the entire screen For example if only part of the image is visible on the screen choose this button to see the whole image displayed in the entire screen 4 4 1 1 Resolution button allows you to restore the original image size o Transform button allows you to rotate the image Options v e Rotate Right to rotate the image 90 clockwise Multi planar reconstruction MPR E Rotate Left to rotate the image 90 counter clockwise Flip Horizontal to flip an image 180 over the horizontal axis e Flip Vertical to flip an image 180 over the vertical axis X Close This button closes MPR and the main screen opens again 34 Export and forward study 35 Export and forward study The button Forward is used to send the selected study to the remote device while the button Burn will save the study to a CD To forward the study e Select the study you would like to send and
62. window will pop up marked in red a Yn oi it e SEO 1 2 250 1 90 1 682555510 1326786172 703 1200 x 1600 img 1 1 Figure 73 Search results 7 To view the image move the mouse cursor on the small image on the left press the left mouse cursor and drag the image to the field on the right Now you should be able to view your image MedDream Web DICOM Viewer on HTML5 platform 53 Manipulating images on HTML5 platform You can manage and analyze the study images according to the criteria you need Image manipulation tool bar is marked in red below Figure 74 Figure 74 Image manipulation tools More about each of them Default button is used to adjust the Level Window contrast and brightness of the image Put your finger on the screen and pan up and down to control the brightness of the image A pop up window appears JU qQ V y You can select one of the standard contrast settings I M Default a preset setting Auto the system analyses the image and adjusts the brightness and contrast Auto automatically Abdomen a preset setting for abdomen studies Bone a preset setting for bone studies A nl Cerebrum a preset setting for cerebrum studies Cerebrum 120 40 Liver a preset setting for the liver studies Lung a preset setting used for studying the images of the lungs Mediastinum a preset setting for mediastinum studies Lung 1500 500 Pelvis a preset sett
63. wing and analyzing images 23 Measuring Images Measuring function is approximate and cannot be used for diagnostic purposes Allows you to measure the images in number of ways The main measurement button is Measure Ebo Kg A p Show Angles A Angle he Polyline inal Area amp Volume amp vr sD Cobb Angle A Calibration fal Intensity 1 Delete All Figure 24 Measurement tools The Intensity button is used to measure the density of a CT image To measure the density e Select Intensity once e Move the mouse cursor over the point you want e The density of the point and its coordinates should be visible next to the cursor expressed in Hounsfield units HU ANONOOOO 1112 BOTH HIPS Locator 3 axis 2007 03 29 Es Im oT u r Figure 25 Density measurement Viewing and analyzing images 24 To measure the distance e click on the Measure button and choose Line from the list e Place the mouse cursor on the starting point from which you want to measure the distance e Press and hold the left mouse button Move the cursor to the end point and release the button e The distance in millimeters or pixels in some images will be displayed in yellow Figure 26 Line measurement Angle measurements allow you to display the angles between intersecting lines To display the angle measurements e Draw intersecting lines on the image e On the Tools menu click M
64. y if there is no termination in time 26 Update to date till the technical support and updates are provided 27 Version 28 Medical device class 29 Contacs Softneta UAB contacts About A Sof tneta Softneta UAB MedDream WEB DICOM viewer 4 03 1409 0100 Licensed to Company Mame Concurrent connections Unlimited Connected 1 Modules ECG Valid ta x Update to 2015 04 12 Version 4 03 1408 0100 2014 09 01 Medical device class Directive 33 42 EEC Class medical device Contacts Varniu str 1 http www saftneta cam LT 48310 Kaunas infocosoftneta com Lithuania Chester o Figure 105 MedDream information window Table of Figures 74 Table of Figures PIOUS Mic LOOd noni ME E I UR 11 RIUS 2 Search WING OW EET LEE 12 Figure 3 Seat cbrllletS cuoco ceat lts 12 FIQUIE 4 Search accord BOO i e EET TEE 13 Figure 5 Search options Today Yesterday tds 13 Figure 6 Search according to modalities ads 13 Figure 7 Mocdalilies search Ally NONE ioi ote eot Ce ena oes e ee Dea eae ls T3 Figure GSE ARCH results ii mde eO iUas qe PLU a 14 miel iei ei E eoe e mE 15 Foure SO Adding oS ICY tee p E re 15 Fig r T1 Opened multiple Studies mia M 15 Figure 12 Study Report icon location in Search window sssssssssssessseseeeeeee nennen nnne nn nnn nnns nnne nnne nnn nnns 16 Figure 13 Report icon on the study e

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