iQ-LITE Viewer
Contents
1. Enter the text displayed only to the border of the image the longer the annotation the farther on the left side you should start and press OK The annotation will be displayed at the starting point of the arrow This is your annotation J i P Example for an annotation Measurements and annotations can not be stored permanently with the iQ LITE viewer but it would be possible to print them from the Print Manager h Erase Can be used to erase individual measurements or annotations that L were made in an image Select the Erase function then click onto the measurement or annotation you wish to erase It turns red Make l another click to delete the measurement annotation Q LITE 2 5 0 User Manual i Modify e Offers the opportunity to modify already made measurements and Ve annotations Select the Modify function and then select the 4 Measurement or annotation you need to change The displayed markers on each measurement and annotation can be used to drag and drop the measurement annotation into the correct position e for distance measurements grab the center marker with the mouse to move the whole line into a different position use the start and end markers of the distance line the change the length and position of the starting and end point e for angle measurements grab the center marker to change the position of where the two lines cross each other use the start and end mark2. Auto loading the viewer automatically loads the different series of one study into the preset tiling e g the first series when working with a 1x1 tiling two series with a 2x1 or 1x2 tiling In combination with Automatic tiling all available series are loaded automatically in the appropriate tile f Hanging protocols ONLY AVAILABLE IN iQ VIEW PRO g Creation of shortcuts for viewer actions ShortCuts gives the opportunity to define and to modify keyboard shortcuts for specific actions gt ONLY AVAILABLE IN iQ VI EW PRO h Image sort order Makes possible a TEMPORARY change in the order in which the images of a series are displayed gt ONLY AVAILABLE IN iQ VI EW PRO i 3D Localizer 3D Localizer press ALT key gt ONLY AVAILABLE IN iQ VI EW PRO 4 Image selection options Export Tools Additional Settings Image selection Navigation Help d Select whole study Series d Select every second image Select active image Select everv third image Select every Fourth image Clear current selection Export Tools Additional Settings Image selection Navigation Help Study V Select whale series Select active image Select every second image Select every third image Select every Fourth image Clear current selection e 1 Wap Ses are ee eye lee AIL Newman Sandra 23 047 T9TZTTWECITOTIT ZIT With the image selection button it is possible to mark images on series or on study
3. ROI E Round RO D Shutter A Annotation y Erase K Modify By right clicking on the measurement button you can choose between Distance Angle Cobb s Angle ROI Round ROI Shutter and Annotation Available is also an Erase and a Modify function a Distance Is used to measure a distance To measure a distance simply click with your mouse on one end of the distance you want to measure hold the left mouse button pressed until you reach the end point The 4 result is given in millimeters b Angle Is used to measure an angle To measure angles draw the first ray like drawing a distance measuring line The second ray does not 4 necessarily have to subtend the first ray c Cobb s angle The Cobb s angle is a method of measuring the degree angle of the spinal curve The technique to measure the scoliotic curve consists of mm four lines constructing a geometric figure First draw a line along the superior edge of the vertebra and extend the line into the margin of the X ray line A iQ VIEW will automatically add the perpendicular line from line A downward Next step is to draw another line along the inferior vertebra again extend it into the margin of the X ray line B until the perpendicular line upwards from line B meets the one from line A The angle that is formed by the two meeting perpendicular lines is the Cobb s angle Q LITE 2 5 0 User
4. Sandra TET RE 512 4mm rl n IMAGE Information Systems Ltd P H Ref Ref Perf BLI 23 04 1972 H Ref Ref Perf BLI Position HFS 3 IMAG Zoom factor x0 57 I2 tse tra 384 4mm neu IMAGE Information Systems Ltd ui E Image Processing Area ET T TSET T T Te iQ LITE Viewer application 2 2 1 Selecting individual series for viewin In the iQ VIEW Viewer you select individual series via thumbnail in the series preview bar Either double click or simply use Drag amp Drop to transfer the series into the image processing area On right click over a thumbnail a list of all series will pop up here you can select the series by name series description The series preview also indicates the number of images that are included in each of the series 2 2 2 Comparison of studies When more than one study is loaded you can switch between the studies by changing the tab Selecting the green colored sign on another tab changes only the thumbnail in the series preview bar to the selected study This is an easy way to compare studies To compare two studies in a 2 1 mode click the Tile Screen button in the tool box see chapter 2 2 8 The Toolbox for more information and select 2 1 The left tile screen window will display the first study the right one at first nothing To add the second study to the right window click the green colored of the tab with the name of the second study This will change the thumbnails to th
5. 3D post processing orthopedic planning and nuclear medical 3D analysis 2 ONLY AVAILABLE IN iQ VI EW PRO qu 13 Reset Resets all changes except measurements shutters and annotations sd made in the image e g if the image was windowed zoomed rotated and returns to the original image Q LITE 2 5 0 User Manual 2 2 9 The Viewer Menu 1 Export options Export Tools Additional Settings Image selection Navigation Help Export imag els Current image l Whole series Post processing EE GER Print manager All studies loaded Current selection Bring Study Browser to Front Close Viewer Export as AVI a Export image s Gives options to save either the current image a whole series a whole study all studies loaded or the current selection into a directory of your choice Export as AVI allows the export of a sequence of images e g an ultrasound series as a movie file in the AVI format Select Export as AVI and the Save as movie dialog will open S electio Frame time f Current series 7B me C Curent selection A 600 zi T 430 A Make the necessary adjustments e Selection between current series or current selection e the size of the movie frame X and Y e the frame time in milliseconds defining the time passing between two frames Save as AVI press this button to export the selected data as NI Gis AVI file Note Potential changes in the image e g after use of the Win
6. C 344 MD 5 Pages w Print text overlay J Print page header J Text background Printer settings Reduce print job size ga Print Print Manager The main part of the print manager shows the preview of the image s to be printed 2 3 2 Printer paper format and orientation selection In the drop down menus in the upper part of the screen the printer paper format and orientation must be entered Printer choose the printer you wish to use to print out the images You can decide between different Windows printers if more than one is installed on your workstation Paper format choose the paper format in which you would like to print Orientation gives you the option between portrait or landscape orientation for printing Q LITE 2 5 0 User Manual Pressing the button Printer settings after choosing a specific printer gives you the opportunity to change the settings of that printer 2 3 3 Image output and layout selection On the right side of the screen several options are given regarding output and layout Image output lets you choose what to print out either current image current series current study or a selection made in the viewer by marking images Layout here you can decide how many images you wish to print out on one page The page controller gives information into how many pages the image selection is divided and offers the op
7. as service class Provider DI COM store as service class User Ultrasound Volume Rendered Volume Rendering 4 List of Shortcuts Additional Key Key Arrow key UP Arrow key DOWN HOME END S P CTRL CTRL S Q LITE 2 5 0 User Manual Function Previous image Next image First image in a series Last image in a series ShortCuts Print manager In combination with mouse clicks into another than the activated viewer tile will mark the other tile s Can be used to synchronize different series Marking Unmarking of a whole study Q LITE 2 5 0 User Manual 5 Index 3 3D Localizer press ALT key 30 A Additional settings viewer 29 Adjust IMAGE eize noo 19 Annotation function 18 Annotations cee cece cece eeeeeeeeenees 24 Auto contrast mode 29 AUEO lO AGING EE 30 AutocContrast so 15 24 29 Autocontrast Imades ssssssrernn 29 Automatic o ue cani 30 AVI files exvport 21 B BING SerleS crap bra 13 Bitmap overlay eese 25 Bring study browser to front 22 C Calibration of measurements 25 CASHING WEE 10 Cine mode stack 15 23 Clear all meaesuremente 28 Clear current view 28 Clear last measurement 28 Clearing measurements 28 Close viewer 15 22 Color remapping eeeeeee 16 Color scheme eese 16 24 Creating secondary
8. capture images 25 Creation of a short report 24 Custom angle sind 20 D Delete x eere ve UR RARE EUN DEI 34 DI COM header dump 26 DI COM multiframe images 15 Display of virtual section planes 14 Drag DF Duato 11 34 E Edit images for printing 34 Editing images for printing 34 Erasing measurements annotations 18 24 EX DOM AS AVI EE 21 Export Images 21 EXPO ODUONS ee ee Ee EN F Fixing of bottom bar 29 Fixing of side bar sesee 29 Fixing of tool bare eens 29 Flipping Images 20 Frame rate selection 15 G Grayscale output 16 H Hanging protocols se 30 Help options viewer 32 High resolution monitor 7 I Image ei de e EE 34 Image output selection print 34 I mage processing area 11 15 20 I mage rotaton eens 15 Image selection 12 30 I mage selection options viewer 30 Image sort order sssess 30 O UIEdatoabaee eens 9 L NES aier na 14 Look up tables 25 Bnet 15 M Magnesio 19 24 Marking of images 12 Marking series studies 31 Measurements seeeses 16 24 Measuring angles 16 24 Measur
9. exported from an iQ VIEW or iQ VIEW PRO Workstation A copy of iQ LITE is saved with each set of images and automatically opens when the CD or DVD is loaded on a PC iQ LITE provides a convenient way for physicians and other medical professionals to copy and save patient studies images processed by an iQ VIEW Workstation When providing copies of these studies to referring physicians and or patients iQ LITE provides an integrated simple way to view the information stored on the CD DVD without the use of any 3 party software Warning When receiving medical image data make sure you know whether compression has been used If images were lossy compressed an information will be shown in the text overlay of the image when displayed in the viewer Also the DI COM header data indicates the form and rate of compression Those images have no diagnostic quality and should not be used to make medical findings iQ LI TE is only permitted for diagnostic use if all applicable legal requirements in your country are met Please consult your authorized local distributor before using the application for diagnostic purposes Q LITE 2 5 0 User Manual 2 Using IQ LITE 2 1 Study Browser IMAGE Information Systems Ltd For a Better View in Diagnostics 1Q VIE Patient CD Modality Status Patient name Patient ID Date of birth Study date Referring Phys Description eOgu O Newman Sandra 230472 23 04 1972 20 12 2005 Ref SP
10. is lossy compressed a note will be shown in the text overlay Make sure to activate the text overlay to see the note Lossy compression The complete compression information is shown in the DICOM Header Dump 0003 1110 beoabiPIUIp 2 940 10008 5 1 4 3140401 1 3 12 2 1107 5 8 3 48525 7 8355 E wm T T pum e i 5 E an l ge A T d e d E l s e e T l eT 4 0008 4112 7 byahIPIUl 2 540 10008 51 41 1412 4162 16 840 17 11 35669 6325 25 Anns nmt n SPI AFI FASF 1 Warning Those images have no diagnostic quality Do not use them for making medical findings 2 2 6 Scrolling through a series To the right of every tile you find a scroll bar that can be used to scroll through a series of images by pulling the controller up and down Of course you can also scroll through the images by moving the scroll wheel of your mouse 2 2 7 The Left Border Toolbar If you move your mouse to the left border of the screen another hidden toolbar will open 1 Sync Synchronizes different series at the current position even if the images of those series are made of differently thick layers Synchronizing of different series is also possible by selecting other tiles besides the activated one with the blue frame To do that click into the respective tile while holding the CTRL key pressed A yellow frame will be displayed around the tile s Afterwards click into the activated tile blue frame and use your mouse
11. level You may e Select a whole study or series e Select every second image of a study or series e Select every third image of a study or series e Select every fourth image of a study or series Q LITE 2 5 0 User Manual It is further possible to mark the currently active image select active image and to clear current selection Marking images of a series or study will add them to a collection that can be either printed or exported 5 Navigation options Export Tools Additional Settings Image selection Navigation Help Next image Previous image First image in series Last image in series Newman Sandra I2 tse sag 512 4m l M F 344 1272 First series in study ID 230472 Last series in study Pc 100 04 1972 MR fro Meet series Previous series Meck study Previous study The options in this menu may be used to navigate within a series within a study or even within all studies loaded into the viewer Within a series Next image opens the next image in the series in the currently active tile Previous image opens the previous image in the series in the currently active tile First image in series opens the first image of a series in the currently active tile Last image in series opens the last image of a series in the currently active tile Within a study Next series opens the next series in a study in the current
12. nan nnnnnnnos 30 Me Image Sor Orde nadaa 30 l ClBaKere c m ERE 30 A Mage Selection ODUONS aria xad ad 30 5 Navigation e ale de EE 31 5 Help ODEONS irrin a in 32 EE Ge ee E PING aea ets a 33 2 3 L The Prine Malad CF reia 33 2 3 2 Printer paper format and orientation selection eene 33 2 3 3 Image output and layout selecton ccc cece eens scence eeeeeeeeseeneeneneas 34 Zi EQU Images Tor EIBEIBQ asssene recede acce E Od cree e Pa dn db a cR 34 3 List OF ADDIEVIALIONS sc EE 36 A ULISE Ol ege EE 37 Bi Le e TRENT 38 Q LITE 2 5 0 User Manual Q LITE 2 5 0 User Manual 0 CE Conformance Statement IMAGE Information Systems Ltd does not accept liability for the wrong or unprofessional use of the described software see the End User License Agreement Q LITE is part of the iQ VI EW which is certified as a medical device for image processing diagnosis archiving and communication according to Council Directive 93 42 EEC concerning medical devices and according to FDA 510 k Nevertheless diagnosis can only be made using special high resolution monitors Copyright O 2006 2008 IMAGE Information Systems London All rights reserved All patient names used in this manual are completely fictitious The contents of this manual are the property of IMAGE Information Systems Ltd and may not be reproduced by any method electronic or photographic without the express written permission of the
13. A at EE 20 12 POSLSDI OCGSSIDO aaa 20 13 cg TE 20 2 2 9 The Viewer Mena senti pen ED Mp DN Kr EL NM m Na cO EM pA S 21 d JE XDOlFE ODUOMS OS EN de EXPOlE IMAG CUS EE 21 Dy POStprocessiNd ao ollas 22 C PENE Mad AA 22 d Bring study Drowser to Tronas 22 EB GIA III ani AI a 22 Zu 100 S ODUDODS ias 23 de LIS MO Ni 23 Die AMNAOWIN O sara ias 24 Gi lee E Presea aa 24 d Magner nara o das 24 E Ee 24 Te deer O 24 de MIO Rota dos nad doi 24 Hn 4reategSDoLt repo Ej in 24 l DIE BIETET ED M 24 j TOCO EE 25 K Ke e EE 25 Reset current VIEW lia 25 m Creation of secondary capture images cc cece cece eee eeeeeeeeeeeeeeeeegs 25 n Calibration of measurements scaling overeize cece eee cece eee teenies 25 Ox lg nee Se TEE 25 D COOK UP le 25 G SCOULDNOL ENER 25 Es Seres POP UP ME 26 S DICOM Header DUNN Puri rre 26 t Clearing and storing measurements se ssserererrererrrrererrrrerrrrerrrre 28 E clear current VIEW cesrieussesosovrtestetds Tubs etertoser tesa Fette alitur tubis bob ted dues 28 3 JJ Xdditiohgl Settiligs ee Ee eebe reese PR ata 29 a Size of series thumbnail bar 29 Q LITE 2 5 0 User Manual D FIXING Of LOO DANS soi ridad t au be RES 29 c Single Dual monitor settings ssssssssssee n 29 qd AUTOCOMECESE ee ee 29 e Automatic tiling and Ioadmg nnn 30 fe Hangina Protocol aid 30 g Creation of shortcuts for viewer actions cccccccccoccccccnnannncno
14. Galibrate mm ugs m n l J deit Erase TE 110 Modif TR 360 RR v Text overlay Bitmap Overlay Tee a Look up tables i4 4mm peu IMAGE F 23 0 Tiling ID 230 Pec 10 Scoutpilot series pop up list DICOM Header Dump Clear all measurements Clear last measurement Shore measurements in database Reset current view 9 Clear current view k o L e 4 z Ba The tools menu does have several options that can also be found in the tool box Please see the explanation of the functions for the following tools in the corresponding tools of the tool box above a Cine mode Cine mode stack including the respective sub menus for starting and stopping the autoplay for direction and the frame rate Export Tools Additional Settings Image selection Navigation Help a Cine mode Start autoplay windowing Stop autoplay Window presets Direction d a Forward Magnifier Frame rate d Backward zoom Pan Q LITE 2 5 0 User Manual Windowing Windowing Window presets Accesses the pop up menu with the standard windowing settings Brain base Brain Skull Lung Mediastinum Abdomen Bones the Auto Contrast mode and the ROI Window Also the Custom settings are available here Magnifier Magnifier Zoom Pan Zoom Pan Color scheme Color scheme a left click on Color scheme opens a sub menu with options Mirror Rotate M
15. IMAGE Information Systems Ltd For a Better View in Diagnostics IQ LITE Viewer ormation Systems Ltd ra Better View in Diagnostics CES 4 DR RT LS User Manual V 2 5 0 R1 CC Q LITE 2 5 0 User Manual Q LITE 2 5 0 User Manual Table of Contents 0 CE Conformance Statement EE 7 o Le EE 8 Zi SMO EIT E a 9 ZL Study BEOW SEN AA A AAA 9 Zi ES de En NS 9 2 1 2 Preview cons Palin A A 10 En E ACI NO 10 FAN Rag CS hada want le bea ealawadtianaie EA tole REA 10 NAR IINE 11 2 2 1 Selecting individual series for viewing nnn 11 2 212 EOMPArison of SEUOIGS uso bleibe eR WR MUR e epa Ec E RN AUR 11 2 2 3 Marking and unmarking of images series studies 12 2 2 4 Ruler and orientation indicators ccc cece eee eens eeeeeeeeseeeeenenanas 12 2 2 5 Display of lossy image COompDression nnn 13 22 6 Scrolling throdgh a SENOS EE 13 2 2 7 The Lett Border Kee EE 13 ToS WING seco ropa o ee 13 2a BM ME 13 SP E E E Oda 14 Ms let 14 o Od TP TT 14 232 0 TNE TO00lDOX EE 15 T e e EE 15 2 CINE Mode Static 15 23s WVINGOWID Da A O 15 As COLO SCNEING ul IS 16 3 Me AS UEM Ee M 16 de DISTINGE sacd a caudal 16 De ANOS AA eot eq adc I o 16 Gr CODOS ANE EE 16 di ROL osito bd P 17 E ROUNG a Ola Na 17 EE 17 de ARNO Mao ai leal 18 De ES nana tio 18 Q LITE 2 5 0 User Manual Os Mad NIE 19 Te LAO o A PEE 19 O tg ee Re EE 20 9 RI e EE 20 T0 ee E 20 L
16. INE Series Description Body part Patient position Modality Series date Series time 3 I2 tse sag 512 4mm 330fov MR 4 t tse5 sag 512 4mm 33 fov MR s I2 tse tra 384 4mm neu MR Image Image type Slice location Number of frames DERIVEDASECONDARYAMAND DERIVEDASECONDARYAMAND DERIVEDASECONDARYAMAND Image 1 Image 2 Image 3 Image 4 C Cache images on harddisc No caching slower browsing but faster access iQ LITE Study Browser 2 1 1 Study Table e n the study table all studies that are available in the local iQ LITE database are shown e A click on the box on the far left side opens the study to show the different series with further information Opening a series will show a table of all available images of that series Clicking on the button will open the chosen image in a preview e With a right click on the table header in the Study Table you can select or unselect all locally available studies Select all studies Unselect all studies e n the lower part of the study table a preview icon table can be opened to display the preview thumbnails of the available series or the individual images on series level This table can either be opened or closed to give more space to the study table Q LITE 2 5 0 User Manual 2 1 2 Preview Icons Panel Note The preview icons can only displayed in the Preview Icons Panel if the HTM content including the JPEG images was also
17. Manual Ae 8 Ee ke ba HN EN S i H Cobb s angle measurement d ROI Is used to measure the density in a selected rectangular area ROI To measure the density of a certain area select the area you want to measure A rectangle is drawn over the specified area and the mean maximum and minimum density value is given For CT images the results are automatically displayed in Hounsfield Units HU e Round ROI Is used to measure the density in a selected elliptical round area ROI To measure the density of a certain area select the area you a want to measure An ellipse circle is drawn over the specified area and the mean maximum and minimum density value is given For CT images the results are automatically displayed in Hounsfield Units HU Note Measurements can be applied also to rotated and mirrored images f Shutter Makes it possible to select a specific area of an image only rectangular and to blacken out the rest This function is also reversible by using the Reset button see below Q LITE 2 5 0 User Manual g Annotation Allows for making annotations in images Right click on the button and select Annotation Afterwards draw a line in the image to the area that shall be annotated while holding the right mouse button pressed An arrow will be displayed and the annotation dialog is opened amnion xi ES STATS Im LU STAT 50 P Annotation dialog
18. art autoplay Stop autoplay and to choose the Frame rate The images in both cases are shown in a sequence 3 Windowing An image can be windowed by moving the mouse left right and up down holding the left mouse button pressed The mouse pointer turns into a cursor icon for easier handling Real time window leveling is possible by right clicking the Window button A pop up menu opens in which you can choose between several standard settings Brain base Brain Skull Lung Mediastinum Abdomen Bones an Auto Contrast mode and a ROI Window ROI Windowing is an auto contrast in a selected area It is used especially for CR and RF images to generate an optimal contrast in the region of interest To change the standard settings use the option Custom Settings Note You can also directly window an image by moving the mouse left right and up down while holding the middle mouse button scroll wheel pressed In this case it is not necessary to activate the Windowing button first Q LITE 2 5 0 User Manual 4 Color scheme Gives you the following options normal grayscale output B w e inverted grayscale output B w negative color remapping Color remap and inverted color remapping negative color remap The color remapping assigns a color to each gray tone Thus areas with low contrast can be better displayed 5 Measurements A Distance b Angle Cobb s angle
19. burned on the CD The Preview Icons panel can be opened and closed using the switch tee in the upper left corner of that panel The Preview Icons panel shows the preview images of the currently marked study or series If a study is marked previews of all series of that study are shown On series level more than one series can be selected and the images of this those series are displayed as preview thumbnails 2 1 3 Caching e f Cache images on hard disc is activated the images from the CD ROM or DVD will be temporarily saved to the hard disc It will therefore take a little longer until they can be accessed e f No caching is checked the images will be read directly from the CD ROM or DVD and not saved to a temporary directory of the hard disc Access to such studies is faster but the browsing is slower 2 1 4 Viewer To view a study click the checkbox on the left side of the study you wish to view and then select the Viewer button or simply double click on a study Viewer You can select more than one study multi select Simply select every study you want to open and then click on the Viewer button For more information on how to use the viewer see section 2 2 Viewer Q LITE 2 5 0 User Manual 2 2 Viewer Export Tools Additional Settings Image selection Navigation Help Newman Sandra 23 04 1972 MR from 20 12 2005 Tabs t2 tse sag 512 dmm 2 xul IMAGE Information Systems Ltd E New
20. can select to which images the changes e g in windowing shall be applied A Select single image Select in a series Select all images Reduce print job size sometimes Windows print jobs in the standard Windows print mode can become very big up 100 MB which may lead to longer transmission times to a Windows printer Tick the checkbox to reduce the size of the print jobs Note A reduction of the print job size achieved by reducing the resolution may lead to a lower quality of the printouts on some printers After you made your selection and the layout and are ready to By Prnt print just press the Print button Q LITE 2 5 0 User Manual 3 List of Abbreviations AET C Find C Move CR CT DICOM DNS DR DX GUI HU IP LUT Move SCU MR NM OT Q R SCU RF ROI GC STORE SCP STORE SCU US VR Application Entity Title DICOM command for search of studies DICOM command for move of studies Computed Radiography Computed Tomography Digital Imaging and Communication in Medicine Domain Name System Direct Radiography X Ray Systems Direct X Ray Systems e g Angiography or Fluoroscopy Graphical User Interface Hounsfield Units Internet Protocol Look up Table C Move as service class User Magnetic Resonance Imaging Nuclear Medicine other title other DI COM storage class Query Retrieve as service class User Radiographic Fluoroscopy Region of Interest Secondary Capture DI COM store
21. copyright holder Throughout this booklet trademark names are used Rather than put in a trademark symbol at every occurrence of the trademark name we state that we are using the names only in an editorial fashion and to the benefit of the trademark owner with no intention of infringing of the trademark We assume no responsibility for information and description as far as third party products are concerned We are dedicated to improving and enhancing the software of our medical imaging and communication system Consequently the information in this manual is subject to change without notice Current information about product improving can be received from the Q VIEW homepage http www image systems biz products iq system pacs iq view html or IMAGE Information Systems Home Page www image systems biz Further inquiries can be addressed to info image systems biz Andreas Knopke MD Arpad Bischof MD Mike Thomas Jensen MA February 2008 IMAGE Information Systems Ltd Phone 44 207 193 0620 UK Office 404 4 floor 49 381 203 3858 Germany Albany House 1 213 985 3520 USA 324 326 Regent Street Fax 44 207 976 4897 UK London W1B 3HH 49 381 203 3859 Germany United Kingdom 1 213 325 2630 USA Web http www image systems biz E Mail info image systems biz Q LITE 2 5 0 User Manual 1 Introduction Q LITE is a portable CD image viewer that enables the user to view manipulate and print images which have been
22. dowing function or any measurement functions will also be exported with the image Please note that window settings can only be exported when using current image or whole series Since iQ VIEW only knows the window settings of the currently active view and therefore only of the series loaded there the export of windowing settings does not work when selecting whole study all studies loaded or current selection Q LITE 2 5 0 User Manual Post processing For 3D post processing orthopedic planning and nuclear medical analysis gt ONLY AVAILABLE IN iQ VI EW PRO Print manager Can be used to print a file on a Windows printer a preview is shown for more information see section 2 3 Windows Print The shortcut P accesses the print preview directly from the viewer window Bring study browser to front A click onto this entry moves the study browser from the background to the front and places the viewer into the background Close viewer A click onto this entry closes the viewer window and returns to the study browser Q LITE 2 5 0 User Manual 2 Tools options Export Tools Additional Settings Image selection Navigation Help w Cine mode Windowing Window presets Magnifier zoomi Pan Color scheme Mirror Fotate reate Secondary Capture Image Fk reate short report Tool pop up menu Measure distance Angle Cobb s angle Measure ROI density Round ROI Shutter Annotation
23. e data etc It can also be opened using the shortcut H in the viewer Three different tables are available in the DI COM Header Dump the List View the Tree View and the Summary List View It gives an overview of all available DICOM tags attributes and their values Q LITE 2 5 0 User Manual List View Tree View Summary Attribute 0008 0008 ImageType Dana nme SOPClassUID 0008 0078 SOPInstancelllD 0008 0020 StudpD ate 008 001 5enesD ate 008 002 AcquisitionD ate 0008 0023 Content ate 0008 0030 Study ime 008 001 Senes Time 0008 0032 Acquisition ime 0008 0033 Content Tune 0008 0040 amp CR NEMA Old atas etT ype 0008 0041 CR NEMA _DataSetSubtype 0008 0050 AccessionNumber 0008 0060 Modality 0008 0070 Manufacturer 0008 0080 Institution ame 0008 0087 Institution ddress 0008 0090 HeferingPhesiciangsM ame 0008 1010 Station ame 0008 1030 StudyDezcrptiarn 0008 103E SenesDescription 00081050 PerfarmingP Physicians ame DERIVEDSSECONDARY MAND 1 2 840 70008 5 1 4 1 1 4 E 1 31221107 5 2 6 14044 300000081 221 071 2240460000002 20051220 20051221 20051221 20051 221 080525 65000 0813922 50000 087 506 969984 081922 65000 D IMA NOME 100 MB SIEMENS IMAGE Information Systems Ltd Rel msp SPINE t2 Ise sag 512 4mm_W3Dfow BLI List View of DICOM Header Dump Tree View This table gives a more structured ov
24. e series of the second study but leaves the main window alone Now drag and drop the desired series to the right window Q LITE 2 5 0 User Manual 2 2 3 Marking and unmarking of images series studies Images can be marked or unmarked using the checkbox in the upper right corner To mark an entire series or study click Image selection in the dropdown menu and select the corresponding entry A whole study can also be marked unmarked by using the shortcut Ctrl S Marking an image will add it to a collection that can be either printed or exported 2 2 4 Ruler and orientation indicators The ruler on the right side indicates sizes of displayed or printed images The measurement is given in centimeters cm each segment comprising 1 cm the total length being 4 cm The ruler is not shown if the Pixel Spacing attribute is missing or the image is displayed 1 1 Newman 5andra t2 tse sag 512 4mm 330 F 23 04 1972 ID 230472 Acc 100 Image with orientation indicators The yellow markers in the images are orientation indicators Those indicators help to determine the orientation of an image e g right or left top or bottom Those indicators will remain in the correct position even if an image Is flipped or rotated R right L left H head F foot A anterior P posterior Q LITE 2 5 0 User Manual 2 2 5 Display of lossy image compression Note If an image displayed in the image processing area
25. ers of each line to move each of the lines into the correct position e for Cobb s angle use the markers at the end of each line to correct their position the perpendicular lines will be adapted automatically by iQ VIEW e for ROI and Round ROI grab the center marker to move the whole area rectangular or elliptical round use the line markers to change the size of the area e for Shutter the center marker can be used to move the whole shutter the markers in the lower right corner and the upper left corner offer the opportunity to change the shutter s size e for annotations grab the center marker to move the annotation arrow or only the arrow tip to change where the tip is positioned the annotation text field will be opened to give the opportunity to also change the text of the annotation 6 Magnifier After clicking on the Magnifier button the mouse pointer turns into a magnifying glass You can move your mouse over the image area you want to magnify Hold the left mouse button pressed during the process You may also click into an area of interest of the displayed image and the area will be magnified A second mouse click will return the image to normal 7 Zoom Pan fs Is used to change size of an image right clicking on the Zoom Is button opens a menu with which you can adjust the image size to the Y window or view the image at the size of 1x original 1 5x 2x 2 5x or 3x You can also pan and zoom images dynam
26. erview over the DICOM tags and values of an image The tags are collected into their respective attribute groups and groups can be opened to reveal the individual tags and values or closed List View Tree View Summary OPPP 444444 5 0002 Meta Element Group 0008 Identifying Group 0009 Private Group 0010 Patient Module 0010 PatientsM ame v2 VA PH i Mewman Sandra 0020 Patient D vH S SR ELO 1 2304 7 0030 PatientsBirthD ate vM 2 VR SD i 19720423 0040 PatientsSex VM VASCS i F 1010 Patients amp ge VM YA s45 i 04r 1030 Patientzw eight VM VADS 1 b 41040 Patients amp ddress VM viel U 1 2100 PregnancyStatus WM YARUS il 0011 Private Group 0018 Acquisition Group 0020 Patient Group 0028 Image Presentation Group 0029 Private Group tN FS hida Gronn El Save as XML List View of DICOM Header Dump Q LITE 2 5 0 User Manual Additionally the DI COM header data as displayed in the Tree View can be saved as an XML file to a directory of your choice This file may also be printed Summary In the Summary table it is possible to arrange an assortment of DICOM tags whose values you wish to have available at a glance gt SAVING OF SETTINGS ONLY AVAILABLE IN iQ VI EW PRO For instance the text fields or the text overlay displays for some tags like Study comments might not be long enough to show the whole informat
27. ically with the mouse pointer The center area of the image acts as a pan zone If you click into the center and move the mouse up down right left the image will be moved The periphery of the image acts as zoom zone In this zone the mouse pointer turns into a cursor icon signaling that the zoom zone is reached If you click into the periphery and move the mouse up and down you can steplessly zoom the image Q LITE 2 5 0 User Manual 8 Mirror Rotate A click on the Mirror Rotate button opens a menu where you can choose between flipping images Flip horizontally Flip vertically or rotating images 90 180 or 270 rotation clockwise To rotate the image at a self chosen angle select Enter custom angle and enter the wanted angle Selecting Reset current view will reverse all mirror rotate changes made to the image and return the image to the original 9 Tile Screen 2x1 1x2 2x2 3x1 1x3 3x2 2x3 3x3 4x1 and 4x4 An extension Makes it possible to split the image processing area into tiles 1x1 to up to 5 4 is planned 10 Text overlay Is used to display or to hide text information of an image 11 Report This button can be used to create structured reports and to manage them in the database Currently you can create a short report that will be converted into an image secondary capture and can be appended to the study gt ONLY AVAILABLE IN iQ VI EW PRO 12 Post processing For
28. image Newman Sandr Automatic tiling F 23 04 1972 ID 230472 foe 100 Hanging protocols ShortCuts w Auto loading Image sort order SM Localizer press ALT keyi a Size of series thumbnail bar sport Tools ade With this function you can set the size of the series preview bar to either small medium or large Further the preview bar may be hidden hide or shown show The latter can also be done using the switch on the left border b Fixing of tool bars Fixed bottom bar fixes the usually hidden bottom tool bar in its place so that it won t hide Fixed side bar fixes the usually hidden left side tool bar in its place so that it won t hide Export Tools Additional Settings Image selection Navigation Help Size of series thumbnail bar Fixed bottom bar Fixed side bar Monitor Single Dual Autocontrast every image c Single Dual monitor settings Monitor lets you choose between a single or dual monitor configuration d Autocontrast Autocontrast every image displays images in the auto contrast mode histogram equilibration see windowing Q LITE 2 5 0 User Manual e Automatic tiling and loading Automatic tiling the application counts the number of available series of a loaded study and automatically divides the image processing area into the appropriate tiling To become effective the viewer must be restarted
29. ing Cobb s angles 16 24 Measuring distances 16 24 Measuring ROI density 17 Mrror Rotate eee ees 20 24 Modifying measurements annotations Kee 19 24 Monitor configuration 29 Monitor settings single dual 29 Multi frame images 15 N Navigation options viewer 31 O Opening manual in Viewer 32 Orientation portrait landscape 33 Orientation indicators 12 TEE 20 P Pan ZONG ius Da RU PM Db 19 Paper TO Malaisia 33 Q LITE 2 5 0 User Manual Paper format selection 33 Post procCeseing oo 22 Post processing button 20 PrOVIGW conde AA 9 Preview icons panel 10 Print images series studies 33 lange EEN 34 Print layout selection 34 Print manager 22 33 Print orientation selection 33 Print page header 34 Print preview sse 22 Print text overlay 34 ETUDE isso 33 Printer selecton 33 Printer settings coocccccococcnnconconaos 34 R Reducing print job size Windows print TIR 35 o ere ni nOA ai 20 24 e 20 25 Reset current view 25 ROL defislby EEN 24 ROD WINGOW islas vies elk dps ea Rd 15 24 Rotating images seeeeesses 20 RUG EE 12 S Save aS AW i EEN 21 Scaling overs
30. ion Or you would like to display private tags or Worklist procedure tags In such cases the Summary view offers a solution List View Tree View Summary StudvO escriptian 0008 1 030 k SPINE Study Comments 003 4000 id STAT 50 HeferringFhysicrangM ame 0008 0050 Institution ame 0008 0080 Ref IMAGE Information Systeme Ltd SenesDescription 0008 103E lnstitution ddress 0008 0081 IG tse sag 51 e dmm 33 fow ReferingPhysiciansN ame 0008 0090 Staton ame 0008 1010 StudyDescription 0008 1 030 SenesDescriptian 0008 1 03E PerformingPhysiciansh ame 0008 1050 Operators ame 0008 1070 ManutacturersModel ame 0008 1090 Example of DICOM tag selection in Summary view of DICOM Header Dump Clearing and storing measurements Clear all measurements deletes all measurements made in the image Clear last measurement deletes only the last measurement made in an image i e if you first measured a distance and afterwards made a ROI measurement only the ROI measurement will be deleted Store measurements in database gt ONLY AVAILABLE IN iQ VIEW PRO Clear current view Clears an active view entirely and leaves it blank Q LITE 2 5 0 User Manual 3 Additional settings Export Tools Additional Settings Image selection Navigation Help Size of series thumbnail bar Fixed bottom bar Fixed side bar Monitor Autocontrast every
31. irror Rotate a left click on Mirror Rotate opens a sub menu with options Create short report Report gt ONLY AVAILABLE IN iQ VI EW PRO Measurements Tool pop up menu Opens a menu with all available measuring functions Measure distance Measure gt Distance Measure angle Measure gt Angle Measure Cobb s angle Measure gt Cobb s angle Measure ROI density Measure gt ROI Measure round ROI density Measure gt Round ROI Shutter Measure gt Shutter Annotation Measure gt Annotation Erase Measure gt Erase Modify Measure gt Modify Q LITE 2 5 0 User Manual Text overlay Text overlay Tiling Tile Screen a left click on Tiling opens a sub menu with options for a tile screen Reset current view Reset There are several additional functions given in the tools menu m Creation of secondary capture images A secondary capture image can be made e g to store permanently an image with made changes like measurements or annotations gt ONLY AVAILABLE IN iQ VI EW PRO Calibration of measurements scaling oversize Calibrate offers the possibility to calibrate measurements for CR images considering the oversize in those images gt ONLY AVAILABLE IN iQ VIEW PRO Bitmap overlay If marked a potential bitmap overlay in an image is displayed If you don t wish to see the bitmap o
32. ize for measurements 25 A aot ep ds 14 25 Series pop up list ssse 26 Series preview bar 11 Series thumbnail bar 29 Shortcut Ctrl NN NNN NN EEN 12 SIOFECUE P ai 22 Shortcuts creation of 30 Shutter function 17 Single frame images 15 Store measurements in database 28 Structured reports 20 Study BFOWSOlLl sci irse ERE ERO BERE 9 SE Le VE a 9 LE 13 Synchronizing different series 13 T AA Ead ivo caa ecco aue obest 11 TEXCOM Mad 20 25 A ERR PET 14 Tie Gcreen eese 11 20 25 RI e THREE 25 A A dide xd ida 13 TOOIDOX a 15 Beie E e eg e Sra adi s 23 TELAS starts 11 U Unmark mmages eene 12 V Viewer 10 11 15 33 Virtual section planes 14 W WHDOOW ER 15 Window leveling sese 15 Window Dresets eese 24 Windowing 15 24 29 34 Windows Print eere 33 Windows Printer eene 33 Z LOW a 19 ZOOM ZOMG lc 19 ZOOM Palas ras 19 24 34 Copyright O 2006 2008 IMAGE Information Systems Ltd
33. ly active tile Previous series opens the previous series in a study in the currently active tile First series in study opens the first series in a study in the currently active tile Last series in study opens the last series in a study in the currently active tile Q LITE 2 5 0 User Manual Within all loaded studies if more than one study is loaded into the viewer e Next study opens the next study in the currently active tile e Previous study opens the previous study in the currently active tile 6 Help options Export Tools Additional Settings Image selection Help Manual About A click on the Manual button opens the Q LITE manual for consultation In the About window you receive information about the Q LITE software version as well as contact information in case of questions or bug reports Q LITE 2 5 0 User Manual 2 3 Windows Print 2 3 1 The Print Manager To print individual images series or studies on a Windows Printer you need to open them in the viewer Click on the Export menu in the menu bar and choose Print manager The Print Manager will open Printer Paper format Orientation WindowsPrint Sserver XER se nxon El Portrait e r Image output C Current image Newman Sandra 23 04 1872 MR from 21 12 2005 f DEBE ERIS Current study C Selection 3 Images gt Layout ses os os os Ge 343
34. o open the toolbox move your mouse to the bottom of the screen The individual buttons in the toolbox should be mostly self explaining some settings are accessible through right clicking on them When a tool is chosen a red frame appears around the button A red frame around LUT Look up Table Color scheme and image rotation means that the currently active image is somehow modified rotated flipped inverted etc Multi frame and single frame DICOM images are treated equally The cine mode function see below is working for both series of both can be shown in a sequence It is also possible to display the individual images of a multi frame series sequence in different tiles make a tiling select specific frames and export or print them 1 Close viewer study browser it is however not necessary to close the viewer both applications can be run simultaneously e g a new study can be chosen from the study browser and are automatically updated in the viewing application B Closes the viewer and opens the study browser to return to the 2 Cine mode stack Can be used to quickly browse through a series of images e g CT L MRI Fluoroscopy by moving your mouse up and down within the 7 image processing area while holding the left mouse button pressed With DICOM multi frame images e g angiographic or ultrasound images as well as single frame images you can right click on the Cine mode button to select St
35. portunity to move to another page if more than one is available by moving the controller Clicking on Print text overlay and or Print page header will add text overlay and or page headers on the print outs Activating Text background will put a black bar behind all elements of the text overlay Thus the white text overlay will always be readable also if the images are very bright 2 3 4 Editing images for printing To edit the images as shown in the preview on the main part of the screen you can use the tool buttons The active tool is displayed with a red frame Zoom Pan after clicking on the button you can move an image by Lem clicking into the center of it and moving it while holding pressed the S Sr left mouse button To zoom the image simply click with the left mouse button into the periphery of the image and move the mouse up to enlarge and down to minimize while holding the button pressed Windowing you can manually re render the image by clicking the left mouse button and holding it pressed while moving the mouse up or down en Drag Drop with this function you are able to move images into Mo another position tile when you have chosen a layout with more than one image per page Delete deletes the marked image Q LITE 2 5 0 User Manual To apply the changes to all images of a series or the whole study make a right click into the print preview A sub menu opens in which you
36. to scroll through the series 2 Bind All currently loaded series of one study will virtually be bound together and thus allow scrolling through all series without switching from one series to the Q LITE 2 5 0 User Manual next That means when browsing through a series and reaching first or last image the viewer will automatically switch to the next series e g to easily browse through brainstem and brain tissue as they would one series or browse through a whole MRI with a lot of sequences without need of selecting of all of them 3 Tile Images will be displayed like on a film e g image 1 4 of a series If 2 2 layout is selected If you scroll to the next page images 5 8 will be displayed etc 4 Lines This is a scoutpilot function with display of the position of the current slice in the other level s this function is activated by default Also the virtual section plane is displayed in the Lines mode This is a dotted line that displays the virtual or real section plane of the two planes that were projected one onto the other 12 tse_sag 512 er UKSH Radiologie L beck H ewman Sandra ise sag 512 dmm 39Dfov UKSH Radiologie Li lef Pe 3 D4 1972 8 BLI ch Lk Study date 2 2005 230472 Study date 20 f f y K E Study time 05 05 25 Lines display including virtual lines 5 Off All features Sync Bind Tile and Lines will be disabled Q LITE 2 5 0 User Manual 2 2 8 The Toolbox T
37. verlay simply deactivate this function It is independent from the text overlay Look up tables By default this feature is enabled iQ VIEW is thus able to interpret the embedded Look up tables in order to display a DICOM image the way it is displayed on the source machine another form of center window windowing Scoutpilot Is a positioning indicator and provides the user with positional information about images this function allows the user to orientate himself within the series Q LITE 2 5 0 User Manual ES t2 tse tra 384 4mm neu IMAGE Information Systems Ltd E F 23 04 1 lt a Ref Ref Perf BLI ID 23047 wen a a Study date 20 12 2005 Acc 100 NES Study time 08 05 25 A y Fe Z i k X f X Y 109 190 W638 C272 TE 138 Position HFS TR 7010 9 IMA 6 Slice pos 127 7 ST 4 8mm STAT 50 Zoom factor x1 77 Scoutpilot example LJ Refresh by clicking on the button the currently active image blue frame can be set as reference image for the Scoutpilot M8 43 Close closes the Scoutpilot window Series pop up list This pop up list can replace the series preview bar in the upper part of the screen It opens a menu containing all loaded patient studies with their available series gt ONLY AVAILABLE IN iQ VI EW PRO DICOM Header Dump The DICOM Header Dump shows all DICOM related information about the image loaded into the viewer like e g patient information imag
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