PACS handleiding
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1. Begins Exact C Contains Study Description Begins Exact C Contains Modality Wai CT FMR MUS T PETICT PT NM MG eR F DX XA IOT RF Tf Other RIS Verified All C Yes C No QC d All C Yes C No Study Status Reviewed All Yes C No Dictated All C Yes C No STAT All C Yes C No All C Today amp Yesterday From Jul 3 D 2005 D Date of exam C Today C Last 7 Days C Period C Yesterday C Last 2 Weeks To Jul D 3 2006 Ordering Dept Filter not selected D AND OR not selected D AND C OR not selected Include V Studies Unmatched Reports I Unmatched Documents From a DICOM server From a worklist 7 Search Cancel Reset Last 5earch http pacs mricentrum ni Study overview screen MRI CENTRUM ERR EA EEN Pe Comparisons To compare a prior study Ste Select the studies for comparison by checking the boxes in the first column After checking two or more exams click the scales icon ry The most current study will open on the left display The E Se second most current will display on the right LJ Z w AMI abdomen L 27 AMI MRABSCHR ID AUR MR KNEE LT wio Search results Logout Click the logout button to end session http pacs mricentrum ni Patient record MRI CENTRUM O DD O x Compare Images i DOB Age Sex Study Date Modali Description Ordered B MRN 65 M 05 13 2006 MR W K SLAK 46174 FS 65 M 02. PACS manual for Windows 2000 XP and Vista Referring physicians Quick user manual http pacs mricentrum ni ae Table of Contents MRI CENTRUM Introduction login in Study overview screen Patient record Study details For more info r o MI Li UI A U http pacs mricentrum ni ae Introduction MRI CENTRUM Refering physicians that order scans from MRI Centrum can request to view both the images and reports on line via our web pacs This document briefly explains how the web pacs works You can use the web pacs from any PC with internet access Security is provided by the web pacs Once you have requested a web pacs account all past and future patient studies that you have ordered will be available to you via the web pacs In addition you can request temporary access to other studies under conditions Terms of usage The MRI Centrum cannot be held responsible liable for the interpretation of images by others The web pacs service is provided without any guarantee of availability of the services http pacs mricentrum ni Logging in MRI url http pacs mricentrum nl web CENTRUM Open Internet Explorer to your Centricity Website Always answer Yes to security questions Login Windows Internet Explorer G ey e http pacs mricentrum nl login jsp nat_access true g o a X i m Pir Google v SA zucken gt GD O Och B
3. Or phone 0880888808 17 http pacs mricentrum ni
4. W Bladwijzers YH Spelling controleren 2 gt gt J Aanmelden we amp E og neme H deb Pagina Of Extra D Oe CENTRUM er A M SCH in Centricity PACS W A Ale Hardware requirements Windows 2000 or Windows XP minimum 17 inch monitor minimum of 512 mb of memory Minimum ADSL equivalent bandwidth Click here to log in Click here to change Your password internet A 100 http pacs mricentrum ni Study overview screen MRI CENTRUM Single click on the highlighted line to open a patient s exam Study List Windows Internet Explorer L ex QB enric PACS W MRI Centrum 3 7 1 8 3 c lo ea EU Fel ES EF Ge 71 Em KK NAN HY UN Per Page MA ee s PON ar s SOU STAT patient Naam v ez lass ype Onderzoek sere red Lokate vera aaa CG E 04 01 1950 59y 20 05 09 129841 01 WK LWK 6 124 MRI Centrum Den Bosch E CD ES 01 07 1956 52y 20 05 09 130144 02 WK LWK 6 124 MRI Centrum Amsterdam Sea rch fo r Oy 30 08 1963 45y 20 05 09 129896 01 ABDOMEN LEVER 24 255 MRICentrum Amsterdam a stu dy Oo ey 25 10 1943 65y 20 05 09 129486 01 HOOFD STANDAARD 8 223 MRI Centrum Rotterdam O ES 22 08 1941 67y 20 05 09 129858 01 WKACWK THWK 7 186 MRI Centrum Amsterdam CID Ei 11 05 1947 62y 20 05 09 129487 01 HOOFDATRIGEMINUS 9 209 MRI Centrum Rotterdam OO ey 26 12 1963 45y 20 05 09 38383 02 WK LWK 6 112 MRI Ce
5. Page Format Synchronize Play Cine 7 lt jeces Mark Study as Dictated Mark Study as Reviewed Save Presentation State Exit Done Options e Geese 928 Done The done button can be programmed to your own default setting as follows Click the down arrow 1 to open the drop down menu Click on Done Options check off on desired options click OK Once the default is set left click on the exit door icon when finished to close the study using the predefined done options or click the down arrow to select from the menu Key Images Activate key images window MPR 3D Help MRI CENTRUM Done Options Iw Save presentation state Save position of windows jw Mark study as dictated Mark study as reviewed Iw Save key images Save created series Print key images Iw Close study and exit jw Finish up in the background Load presentation state on startup Cancel OK 16 http pacs mricentrum ni For more help click on help in the overview or study MRI a IntegradWEB Microsoft Internet Explorer e x File Edit View Favorites Tools Help Bak amp At ASearch Favorites Gmeda lt 4 55 8 G 3 Address le http pacs mricentrum nliIntegradHelp integradxeb htm Di Go Links gt CONTENTS INDEX EARCH Powered By LUTE Ed What is the Study List Studies performed by the department or imaging center are grouped int
6. 1 2006 10 33 AM zh n x Ser 4 02 01 200 sh 5 x R v M i r Kb f L X D af f v H i A A E ng E D t2 tse tra 4400 t2 tse tra Zoom 0 6 t1 tse tra Zoom 0 6 7oom 0 6 http pacs mricentrum ni MRI CENTRUM Folder Presentation State Lavouts Edit Save To select from the layout list click Layout on the main menu then click Load ma jn m If no layouts appear in your Personal list check off the box All Screen Sizes s nae If the list still appears empty click on Common list Click the desired layout from the list and then click Apply To create a custom layout arrange the study click Layout edit type the matching string that identifies the body part from the exam description adjust other settings as desired and save as the new layout name Tip use reload to load the original study lay out again 10 http pacs mricentrum ni Folder Save to CD recorder Layout Presentation Select Zoom PageFormst Synchronize Play Cine Key Images Activate key images window MPR 3D Help op s AN Bek Page Scroll When the exam opens Page Scroll mode is enabled on the main toolbar To page through images click on a series to activate it eDrag left mouse button eScroll using mouse wheel eLeft middle click eUse up down arrow keys or page up page down keys Shortcuts Right click for pop up menu Right click and drag to adjust Windo
7. 3 10 2006 MR WE LYK 46174 4 Final Report received from RiSaddReport No images available Pin lt Report Dictated By radioloog Klinische gegevens klinische dlagnose vraagstelling U bekend MR LWK verslag Vergeleken wordt met de beelden van februarie 2005 Destijds was er reeds sprake van een postoperatieve status L4 5 links Dit is echter op de destijds gemaakte opnamen niet te zien en ook nu geen postoperatieve veranderingen zichtbaar Hoewel de klinische gegevens een verdenking van een spinaalkanaal stenose vermelden is er juist sprake van een zeer ruim spinaalkanaal over het lumbale traject Wel enige spondylarthrosis en discopathie op de overgangen L1 2 en L4 5 81 Naast lichte bulging van de discus L5 81 verder geen aanwijzingen voor een HNP Wel in parasagittale richting laag lumbaal vernauwde foramina met name van het foramen 15 81 links met zeer waarschijnlijk compromittering zo niet compressie van de wortel L5 links erin op coupe 12 van serie 3 SNA ren er e en 7 http pacs mricentrum ni Study details MRI rx y Date 02 01 2006 12 00 AM WK LWK Folder Save to CD recorder Layout Presentation Select Zoom Page Format Synchronize Play Cine Key Images Activate key images window MPR 3D Help P a z z Wer EC A b za DH U a hir mi Ca DEN i 2M x ke Navigator dej Ox vI X X Zoom 0 5 localizer Zoom b tl tse sac 1 20 o x Ser 6 02 0
8. Synchronize Play Cine Key Images Activate key images window MPR 3D Help SB Sak A MRI U S CENTRUM Cine Mode Click the Cine button to activate and a control bar opens at the bottom of the series Use the f arrows to set the frames per second Use the arrows to control the direction forward backward or bounce back and forth mode Tips Pointing the mouse at a control button to define its function Click on the slider to advance to that area Save Image Click the save image icon to open the options dialogue Select the file type and the folder in which to be saved Create Copy Clicking on this icon creates a duplicate of the active series fel Navigator Navigator Click on the Navigator icon eA thumbnail image representive of each series is displayed eThe active series is outlined in blue eDisplayed series are outlined in white eUndisplayed series have no outline eDouble click on an undisplayed series to open the window ePoint the mouse over a thumbnail to display the series description eClick and hold on a thumbnail to locate its position on the monitor by flashing eRe sort the order by clicking and dragging a series to the new position Tips When an exam is displayed that has additional series not provided for in the layout Navigator opens automatically Navigator can be resized by dragging its borders If a scroll bar appears it indicates there is additional information that can be vie
9. mplates Tip For more slice information right click on image and choose image info http pacs mricentrum nl Aerer 14 Folder Save to CD recorder Layout Presentation Select Zoom Page Format Synchronize Play Cine Key Images Activate kev images window MPR 3D Help op sax z MRI Measurements Click this icon to open the tool menu 1 2 Measures distance point to point Measures angles A Measures ROI elliptical Measures a single point ROI Delete all measurements l S Tips Click and drag to define region of interest Move the measurement annotation box by clicking and dragging Click and drag the Point ROI tool 3 to obtain a roving Hounsfield measurement Right click on angle measurement s annotation box and choose Ortho Angle for orthopedic measurements Right click over measurement to edit font and color To delete a single object double click on the highlighted annotation To delete all objects from active image click on recycle bin 6 Labels 1 2 3 4 5 Click this icon to select from the tool s menu Annotate text A s m Draw arrows Draw squares Draw circles Delete all annotations EE E Tip To use text annotation click on A 1 click on image type text and click green check Drag text to desired location Right click over annotation to edit font and color http pacs mricentrum ni 15 Folder Save to CD recorder Layout Presentation Select Zoom
10. multiple computer files To select nonadjacent images hold CTRL while clicking each image To select adjacent images click on the first image then hold SHIFT while clicking on the last image Tips To deselect an image hold CTRL and click on the image again For more options click on Select from the Main Menu Multi Planar Reformatting is a method of reconstructing cross sections of other planes such as coronal or sagittal planes from the original plane used in the study such as axial You can cut at a different angle or thickness manipulating the area of interest to obtain the most beneficial view Once created these reconstructed images can be Saved as a series and treated like any other series in the study You can view triangulate annotate cross reference and create key images from an MPR series 3 D rendering A selected series from a study can be rendered as a three dimensional image Data from a single series is used as the source and IntegradWeb generates a three dimensional volume from all the images in that series Alongside the rendered three dimensional volume three orthogonal planes transverse sagittal and coronal are also displayed You can modify the volume which is displayed as a cube ina number of ways by adding annotations rotating it cropping it removing regions within the volume and so on 12 http pacs mricentrum ni Folder Save to CD recorder Layout Presentation Select Zoom PageFormst
11. ntrum Den Bosch E OU 15 08 1920 88y 20 05 09 129859 01 ABDOMEN MRCP 26 227 HEI Centrum Amsterdam Oe a 15 10 1981 27y 20 05 09 120699 02 wK CWK 8 121 MRI Centrum Rotterdam Oo Gs 15 10 1981 27y 20 05 09 120699 02 HOOFD MS 6 177 MRI Centrum Rotterdam C EI Er 07 08 1943 65y 20 05 09 130023 01 WK LWK 6 130 HEI Centrum Amsterdam Oo Er 12 07 1979 29y 20 05 09 129792 01 WK LWK 7 138 MRI Centrum Den Bosch CT H Di vw 01 08 1956 52y 20 05 09 129636 01 O E KNIE links 7 480 MRICentrum Amsterdam Oo ey 26 03 1949 60y 20 05 09 50543 02 B E POLS LINKS 3 24 MRI Centrum Amsterdam O 05 07 1957 51y 20 05 09 129710 01 WK LWK 6 138 MRICentrum Den Bosch Oo ES 29 04 1950 59y 20 05 09 129851 01 WK4THWK 6 109 MRICentrum Den Bosch au 03 01 1985 24y 20 05 09 129812 01 ABDOMEN GYNEACOLOGIE 6 142 MRICentrum Amsterdam CD E 12 09 1932 76y 20 05 09 129783 01 WK4LWK 7 155 MRI Centrum Den Bosch an E NANK5 1aAN AQv 21 NA na 17 0AR41 11 WKAI WK A AAR MRI Cantrum Nan Racch Mij lt JUL gt 4 internet R 100 http pacs mricentrum ni Study overview screen MRI CENTRUM Patient Selection Select an appropriate Tab or use click on on the search icon to search for patient exams En TA Search Microsoft Internet Explorer Search Patient Name Begins Exact C Contains MRN Begins Exact C Contains Accession Number Begins Exact C Contains Referring Physician
12. o Study Lists A Study List is a group of similar studies such as CTs MRs or all studies performed today You can use a variety of criteria to find similar studies and create a Study List Each Study List you create is displayed under a tab for quick access and its studies are itemized with descriptive information Your login determines which studies are made available to you Some users may view all the studies while others need access only to certain studies After a successful login Integrad immediately opens the Study List window with the leftmost tab selected EE What is the Study List In the sample below each study is itemized with its descriptive information such as the number of series the date the MRN and so on Note that the selected tab is highlighted in red This user also created seven other Study Lists each accessible by a tab The Study List serves as a home of sorts for the Integrad application as all studies are launched from here or the Patient Folder IntegradWeb Dynami C I magi ng IMAGE 3 5 0 K KE ION mu OP m0 10 10 0 0 0 29 0 0 EEE Patient Name A Access Study Description Renal 1 PN 09 26 91 07 30 am 44 Undefined 1 Gated Cardiac SPEC 05 04 99 12 00 am 387654 ADAC Gated Spect 2 Gated Cardiac SPEC 05 04 93 12 00 am i 987654 ADAC Gated Spect 2 L spine tomo wb normal 09 23 93 02 15 pm p oe PENS 1 l agp internet O Or mail support mricentrum nl
13. w Level Space bar to toggle preset Window Levels Hold F2 for Triangulation mode d D Window Level Adjustment and Histogram Analysis Click on the Window Level icon For manual manipulation Left click and drag to adjust Window Level R L adjusts window up down adjusts level For histogram analysis sets the intensity automatically of a defined region of interest Select the ROI with right mouse button Tips While in W L mode use mouse wheel or keyboard to scroll images To restore original setting right click and select from Preset Window menu Zoom Click on the Zoom icon Left click and drag the mouse up to increase in size Left click and drag the Q mouse down to decrease in size Tips Image zoom factor is denoted in the lower left corner of the image To undo zoom right click and select Zoom Factor to fit or choose Set Zoom from Main Menu Hold middle mouse button to pan dep Pan Click on the Pan icon Left click and drag to re center or scroll image S Tips Hold middle mouse button to zoom http pacs mricentrum ni 11 Folder Save to CD recorder Layout Presentation Select Zoom Page Format Synchronize Play Cine Key Images Activate key images window MPR 3D Help op Sak 8 Bay CENTRUM Select Click on the Select icon Left click on an image to mark it as a key image To select more than one image use the left mouse button in conjunction with the control or shift key the same as you would select
14. wed by scrolling or resizing 13 http pacs mricentrum ni Folder Save to CD recorder Layout Presentation Select Zoom Page Format Synchronize Play Cine Key Images Activate key images window MPR 3D Help om Za 9 Mi Notepad Click icon always answer yes to security guestion Click on Add Note Add Internal Note or Add Preliminary Report type message click done Click red X in upper right corner to close Tips Notes and Reports are accessible from the patient list They are color coded and have 5 levels If a notepad contains both notes and reports the icon will be the color of the highest level Gray notepad is empty Light Yellow notepad indicates an Internal Note viewable by all radiology personnel Dark yellow notepad indicates a Note viewable by all users Light green notepad indicates a Preliminary Report Dark Green notepad indicates a Final Report VANNE Synchronize Click icon to toggle linking off and on Tips For more linking options go to Synchronize in the main menu bar Absolute Position is the bed position from the scanner Absolute Number is the image number from the scanner Use Relative Position or Number to link prior exams while in comparison mode Cross Reference Click icon to toggle cross reference line off and on Image Overlay Click icon to toggle through the different preset slice information templates Clicking the down arrow opens the menu to display all the overlay te
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