User Manual
Contents
1. gt Sound Leer s Coca E CADO TELT S S 5 Dei etau Kan 3 Right click on the study and choose the import function you wish to use a Open Import DICOM Import Non DICOM Dump Files Open Opens the images to view only Import Import DICOM Imports the study to this location of Reveal only Import Non DICOM Lets you view jpg images in Reveal will save in this location only Dump Files Removes the files for import 4 The images will now be viewable in Reveal Page 23 My Archive Continued Anonymize Selected Study This function of Reveal lets you remove the information such as Patient ID Patient s Name Date of Birth Study Description or Accession Number from a study These changes are made only locally on your Reveal workstation and are not changed on any other Server The anonymized study will be an additional study on your Reveal workstation and will not overwrite the original study To anonymize a study 1 Click on the Anonymize Selected Study button 2 Choose the changes you wish to make 3 Click OK to save the changes Ano nymize Study Paberdt Id N25 OO Patents Name Patient Anonymous Date of Bith Study Description Accetson Number AIMS Study Date 2am ay 2009 Preserve Series Data Page 24 d sound din gt a VCA ANTECH company Sound Eklin Technical Support 582. 17 Dryden Place Suite 101 Carlsbad California 92008 USA toll free phone fax international 800 268 5354 option 3 760 918 9626 760 918 9620 1 760 918 9626 www soundeklin com 2009 All Rights Reserved Sound Eklin a VCA ANTECH company
3. DICOM server that is set up in your server s tab Note There is no need to send a study back to the remote DICOM server once it has been retrieved It will always reside on the remote server This button removes the retrieved study from the local Reveal workstation Note It will not remove the study from the Sound Nucleus DICOM server Allows you to import DICOM images from sources other than your remote DICOM server i e CDs email removable Storage devices Creates a CD or DVD with images Use this to export a study to your computer for email or any other purpose Use this function to remove patient information and create an anonymous study This is useful for showing clients two exams without disclosing the name of the other client Page 20 My Archive Continued Exporting a study to CD DVD Follow these steps to create a CD DVD 1 Search for and then select the study you wish to create a CD DVD of 2 Click on the Export to CD DVD button Li 3 Choose to export as a DICOM DIR only or as a DICOM DIR and JPEG CD Export Study EN Export as DICOM Dir Export as JPEG Files 4 The Export Study window will open Insert a CD or DVD into your computer and click Write Disk dp To copy more than one study press the Ctrl key on your keyboard and click on the retrieved study or studies you wish to export to CD If you choose to export as a DICOM DIR Reveal Lite will be added to the CD for viewi
4. M Reveal Imaging the possibilities User Manual Revel Imaging the possibilities Welcome to Reveal EE 3 Recommended System Requirements ENEE EEN 4 HESE Ee EE erger 3 LE CONnMSUF ALION EE 7 Opening DICOM Blue 10 LEE ale Al 11 DUELON e Hl e ele VC 12 Wine ee eleng EE 16 Advanced Viewing Features sesesesescececececececcecesececececceecececeseseeceseo 17 KE e ei EE 19 Table of Contents Page 2 Reveal Imaging the possibilities Reveal is a powerful easy to use PACS viewer by Sound Eklin We thank you for purchasing Reveal and we are confident that it will be one of the most useful tools in your digital imaging solution Some of the powerful features you ll find in Reveal 2 01 e User friendly intuitive interface e Window level with user defined presets e Zoom pan and magnify with match scale e Rotate flip e Undo redo e Invert with window level feature e Overlays toggle e Measurement and measurement calibration with use of image calibration ball e ROI ellipse rectangle with mean and standard deviation e Clipboard with export to image and video e Thumbnails e Multi frame image support e Image stacking stack sorting image number slice location acquisition time e Synchronized stacking e Cine e Study anonymization ability e Multiple image layout choices e Spatial locator e Reference lines e Protractor e Image text annotations e DICOM heade
5. Reference Lines button will remove all lines Previous Display Set and Next Display Set When reviewing multiple display sets in one exam you can easily move forward and back between sets using right and left arrows Spatial Locator This tool allows you to pick a reference point that corresponds to all image planes It is used mostly in CT and MRI studies Clipboard The clipboard is used to hold manipulated or non manipulated images from a series at one location You can export directly from the clipboard to your computer in jpg or video Page 18 My Archive From the My Archive screen you can perform many different tasks unrelated to image viewing These include importing from other media e CDs or email creating CDs of an exam or multiple exams or even exporting exams to your computer Once you have queried retrieved a study you can apply all the study functions as needed Page 19 My Archive Continued rE E E E noo Open Study Once a study has been retrieved from the server or other external source this button allows you to open the viewing window for the study Retrieve Study After searching for a study you can retrieve it to the local Send Study Delete Study Import Study Export to CD DVD Export Study to Folder Anonymize Study Reveal workstation using this function Double clicking on the study will perform the same action This function sends a study to another
6. The Last 7 Days button searches for exams that were created within that time period The Clear button clears all search fields including the date range Remember that you are searching by the exam date not the date on which the images were made sometimes those dates differ Once you have queried the database and found the study you are looking for you will need to retrieve the study To do this double click on the exam or click the Retrieve Study button bel to retrieve the study to Reveal dP You will notice that prior to retrieving a study the number of images contained in the study is displayed as 0 1 this means that no images have been loaded into this Reveal workstation After double clicking or using the Retrieve Study button the number will change to 1 1 or however many images are in the study These images are now loaded on this local Reveal workstation for interpretation To open the study click the Open Study button r or double click on the study itself Your images are now open and ready to view To compare multiple studies in the same viewing window hold the CTRL key and select all retrieved studies you wish to include Page 10 Reviewing Images Once you have opened the study you can review it in the Reveal viewing window dp To start window and level will default to your right mouse key hold and drag across the image on an angle To zoom click and drag with the left mouse ke
7. ber of panes Highlight the orientation and number of panes you want then left click to select Click the default box to return to a 1 X 1 view Lets you display and hide image text overlays Left click once to hide overlays on all images Click again to restore the overlays Lets you control cine loops speed start stop pause For use with cine video ultrasound or stacked image studies CT and MRIl Page 12 Button Functions continued H K a Ei E DOPE AEE Window Level Lets you adjust image contrast Select this then hold down Zoom Magnify Glass Pan Invert Flip Vertical the right mouse button while moving across the image at an angle Click the down arrow to copy the Window Level and paste it onto another image Your keyboard s F2 key is the default Window Level setting Auto Lets you magnify an image by 1 2 4 or 8 times Select Zoom then left click and hold to zoom in and out The down arrow allows you to fit the image to the tile you are viewing Lets you move a magnifying window around the image Left click and hold on the image once this function is selected Click the down arrow to select the level of magnification Lets you move the image around the viewing window Select this then click and hold your right mouse button Shows a negative of the image Use Window Level to adjust the image lightness and darkness in this mode Changes the image orientation by flipping the imag
8. e vertically Flip Horizontal Changes the image orientation by flipping the image Rotate Left Rotate Right horizontally Rotates the image counterclockwise 90 degrees Rotates the image clockwise 90 degrees Drag and Drop Lets you copy the image to your desktop as a jpg Show Clipboard Displays the Show Clipboard window Page 13 Button Functions continued KK K KE DODE KI Stacking Hanging Protocols Change Sort Order Text Annotation Match Scale Probe Ruler Elliptical ROI Rectangular ROI Protractor Lets you change the order of CT images Use the down arrow to set different orientations such as acquisition time slice number or slice location Lets you change the image order by hanging protocols Use the down arrow to select different orientations Changes the order of images based on the sort preset This function opens the Study Sort Order Editor Mostly for equine CT and MRI use Lets you add text to the image Click once to open the editor then place the text on the image You can then use the drag and drop or the clipboard to export the image with text Lets you copy the scale of one selected image yellow box and paste it onto all other images in the viewing window Multiple images must be displayed for this function to work Lets you keep a reference point while reviewing a series of CT images Creates a line for measuring Left click and hold then re
9. ivate Pan Activate Pan Control Window Level Activate Flip Horizontal Flip Vertical Rotate Right Rotate Left Invert Show Hide Text Overlay Hotkey Alt F4 Ctri F4 Ctrl O Ctrl Z Ctrl Y C Z p Ctri Left Click or Ctrl arrow keys W H Page 16 Advanced Viewing Features Measurement Calibration Most DICOM images come calibrated that is the size of each pixel in millimeters is encoded into the image Some however most commonly ultrasound are not Such images are easily identifiable by measurements given in pixels rather than centimeters Non calibrated images can be calibrated manually by using the Calibration Tool 1 Using the Ruler button draw a line that corresponds to a known physical length in the image The longer the line is the more accurate the resulting image calibration will be Ultrasounds often contain a scale of some form that can be used to calibrate the image 2 Right click on the measurement and select Calibrate 3 In the dialog box that appears enter the physical MAAE length that the line corresponds to 4 Click OK 5 The measurement should now appear in cm dp Manual calibration applies only to the current image being viewed one at a time If multiple images are open they must each be calibrated separately You can manually calibrate images that are already calibrated However use extreme caution in doing this Fiducials must be used in projection based moda
10. lease and left click again to set the line Draws a circle or ellipsis Left click and hold then release and left click again to set Ellipsis size stats will be displayed Draws a rectangle Left click and hold draw the rectangle release and left click again to set the rectangle Rectangle size stats will be displayed Takes angular measurements on the image Left click once and draw your first line then left click and release to draw the second line Click a third time to set the angle Page 14 Button Functions continued Reference Lets you view reference lines to match a slice to a scout Lines image in a CT or MRII Study Ka Synchronized Synchronizes the viewing of different stacks of images that Stacking are in the same plane For example you may have two sets of axial CT images that were acquired with different parameters but you want to view them together That is as you stack through one you want the other to be synchronized according to slice location Display Hidden To view hidden functions in Reveal click once to display Icons buttons that are hidden due to monitor size Buttons not displayed Previous Display set Next Display set see Advanced Viewing Features page 17 for more information Spatial Locator see Advanced Viewing Features page 17 for more information Page 15 Keyboard Hotkeys Function Close Application Close Workspace Tools Options Undo Redo Cine Activate Zoom Act
11. lities i e DX in order to calibrate the image properly and this calibration is for interpretative reference only Physical measurements should be preformed to confirm interpretative results with calibrations in all modalities Matching Scale Using the Match Scale tool allows you to simplify visual comparison of measurements and ROI particularly for comparisons of current and previous studies To match scale for all visible images 1 Set the desired zoom for one of the visible display sets yellow surrounded image 2 Click the Match Scale sutton all Page 17 Advanced Viewing Features continueq Sorting Stacking Images For CT studies it is often useful to sort images in a display set by various criteria such as image number or slice location To sort images 1 Select the display set to be sorted 2 Select the sort criteria from the drop down menu next to the Stack button Reference Lines Apply reference lines to help you see the intersection of images in different planes To turn on reference lines 1 Click the Reference Lines button 2 Click on the display set whose images you want to see intersect with images in the other display set The first last and current reference lines are displayed by default stacking through a display set will cause the current reference lines to move Numbers beside each reference line correspond to the numbers of the intersecting images 3 Clicking again on the
12. n was provided by the Field Applications Specialist who installed the DICOM server at your location e Typically the AE title is SOUNDSERV1 and the Port is 5678 The IP address will be the IP address of the DICOM server 1 To install the remote and local DICOM servers open Reveal On the My Archive screen click the Server Configuration tab at the left of the window BB A remote DICOM server is any server you will send or receive images from The local DICOM server is what serves images in a given installation of Reveal 2 Click the Add Server button Fill in the Server Name Host DICOM server s IP address Location AE Title and Port Click OK 3 After you have added your new server click the Verify button Ki to test your connection NOTE The DICOM server must be running and all local firewalls turned off Page 7 Reveal Configuration continued 4 On the My Archive screen click Tools then Options and then DICOM Server to set the Reveal local server information DON Serer 5 Change the AE Title to a specific name for this Reveal station such as workstation1 or treatment and use a port not already in use by another Reveal workstation Once finished click Next NOTE For Reveal to retrieve information from the DICOM server the AE Title and Port need to be entered into the remote DICOM server 6 Take your Reveal AE Title IP Address and Port to y
13. ng the images 5 When the writing is complete click OK dp If you choose to cancel you will be asked if you wish to clear the queued studies If you click No the images will be available next time you attempt to write a disk Page 21 My Archive Continued Exporting a Study to a Folder Use the following steps to export a study from Reveal to your computer 1 Search for and then select the study you wish to export 2 Click on the Export Study to Folder button 3 Choose to export as a DICOM DIR or as JPEG Files Export Study EN Export as DICOM Dir C Export as JPEG Files Export 4 Select the destination on your computer to export to Browse For Folder dp DICOM DIR files must be opened by a PACS viewer such as Reveal JPEG images can be opened on any computer but cannot be manipulated as they can be in Reveal If you wish to export only one image use drag and drop or the clipboard in the image viewing window of the study Page 22 My Archive Continued Importing a Study If you receive a study that was not acquired at your location and you wish to view it in Reveal use the following steps to import the study 1 Click the Import Study button 2 Navigate to the location of the study on your computer E Wy Archive Reveal Workstation 7 04 ka Computer Local Diet C ze Local Dek C Shared Deuant E EJ OD Deive Dr em E CA Shared Documents as geht eet
14. our remote DICOM server If that server runs Nucleus double click the Nucleus icon Steps will vary for other DICOM servers jaji Bhaji Z it aiji Bia E EE ee bierg face Sum Bm on port WFE A Tie SOUR Weess 3 8 D D Current Berg Count 2 Page 8 Reveal Configuration continued Click Tools then Options then the DICOM Providers tab Lipa boi Enter the AE Title Host Name IP General CHCOM Server Stere Find Logging Service DICOM Providers address and Port you created in Reveal Set the Timeout to 1200 Set the compression to Send As Is Click Verify A Success dialog box will appear Vorification Results x Click OK and then click Yes to restart the service Restart Service 3 Changes will not be in effect until the Service is restarted Restart now You will now be back in the main Nucleus DICOM Server window System status should be Running Close Nucleus and return to the computer running Reveal Reveal is now configured and ready to use Page 9 Opening DICOM Images To open a DICOM study first search for a study in the database query using any of the search criteria You can search any or all of the search fields Patient ID Patient Name Owner Name Species Search Patiant Bn Patent Mane hi Spee Date Free Study Date To Li in 2S w aea d The Today button searches for all exams created with today s date
15. r viewer editor e Drag amp drop image export Page 3 Recommended System Requirements To guarantee optimum performance of Reveal your computer system should meet the specifications given below NOTE A faster processor and more powerful video cards will improve performance e Windows XP SP1 SP2 SP3 Windows Vista Business Edition or Windows Vista Ultimate Edition 32 bit only Note Vista machines must have UAC turned OFF for Reveal to work properly e Intel Core 2 Duo or AMD Athlon 60 x 2 processors with 2GB RAM or more e 250MB video card or higher e Gigabit ethernet card e CDRW DVDRW e 1024 X 768 monitor resolution with 32bit True Color e 3 5 Net Framework e Broadband Internet connection for installation updates e Static IP address or set dynamic range Page 4 Installing Reveal Requirements for installing Reveal on your PC e Be sure to have an internet connection before you begin e A static IP address is required for all computers installing Reveal e Reveal is a licensed product be sure to obtain your license key prior to installation The key is valid only for the number of licenses purchased If you would like to purchase additional licenses please contact our Inside Sales department at 800 268 5354 Option 1 e Log on to your computer as an administrator to install Reveal 1 Run the Reveal setup from the computer s desktop D Setup exe 2 Follow the setup s p
16. rompts clicking Next after each completed step Hesse Wechafipn Leni g kalg Bird E KL EH jmi Wied l broa pamm gmg e Sam ra ain pe ad ard im LU E TEEN a py rae r e Page 5 Installing Reveal continued 3 Allow Reveal to update by accessing the internet Accept any license agreements and click Next to continue when prompted If not already installed Net Framework must be installed at this point Your system will prompt you if an update is needed on your computer an internet connection is required for this portion of the install Accept the license agreements and continue with the Net install 6 Reveal Workstation InstallShield Wizard InstallShield Wizard Complete kia ponam update Recommended TP z E Le i P D k nue connected lo he miene Dele tau poced Click on the Reveal Workstation icon on the desktop Install the license key provided with your Reveal ch Install CD and click Activate pearen Restart your computer Reveal is now installed Next proceed to Reveal Configuration to configure your DICOM server Page 6 Reveal H Configuration Reveal works by querying and retrieving information from a DICOM server The following steps will guide you through configuration of the Reveal software with your DICOM server e Before beginning obtain the AE Title Port and IP address of the remote DICOM server This informatio
17. y Use the wheel on the mouse to toggle between images in the series When you have finished reviewing your study right click the Patient tab You can then click Close or click the My Archive tab to open a new study Page 11 Button Functions The functions of the Reveal tool buttons are described below To determine a button s function position your cursor over the button and its function will be displayed along with instructions whether to left click or right click if applicable Reveal has two types of tools action tools that immediately trigger the selected function when clicked e g rotate flip undo reset and mouse tools that when clicked change the function of one of the mouse buttons Blue buttons are active gray buttons are inactive Reset Undo Redo Show Thumbnails pe Layout Manager Overlays E Cine a Resets an image to its original state before manipulation Undoes the last action applied to the image up to 100 actions Redoes the last undone action Displays the study s or studies images Drag and drop to move the images into the viewing window To close the box left click on the main active window with the current image Allows for multiple viewing panes to be opened The Layout Manager determines the number of rows and columns in the viewing window The tile section lets you compound one pane to multiple images The arrow down lets you quick select a num
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