Changing viewer settings
Contents
1. Opal Viewer 7 v 2 4 platform v1 0 User Settings Module 1 3 3 Check OnCall Every Seconds e Number of seconds OnCall studies are checked for and downloaded Please note OnCall will stop prefetching when user logs off You will need to restart OnCall process upon logging back in 1 3 4 Hard Disk Swapping Occurs At MB e Refers to how large of amemory you hold in MB in your temporary cache folder on the hard drive 1 4 External Tools Integration e Lists all external software that has been integrated into the Opal Viewer Figure 1 5 Opal Viewer 8 v 2 4 platform v1 0 User Settings Module 2 Second Tab User Options Opal Settings n Local Options User Options Modality Options Annotations Options Chiropractic Options Overlay Config ToolBox Options r Interface Options Auto Save Options Show W L On Toolbar I AutoSave Image Properties on Close ieee e AE AutoSave Image Annotations on Close Show Red Blue Swap Button For Color Images I Caliper Zoom Auto Mark Read Study on Close lM Focus In On Zoom Point M Auto Upload Dictation on Close I Fill Empty DM Cells High Quality Interpolation IW AutoSave Viewer Settings on Close Enable RGB YBR Swap I Show ActualSize On Toolbar Mi W Pop up Mammography Layouts Use Altemative Mammography Layouts C Study Default Hide RAW Mammography Layouts If Processed Is Available Swap Left Right Breast Positions for Mammography Ignore Mammo2. 9 2 2 2 3 Opal Viewer 10 v 2 4 platform v1 0 User Settings Module e Recommended setting OFF 2 1 16 Skip Frames in Cine To Maintain Playback Speed e When selected attempts to maintain FPR by skipping image slices e Recommended setting OFF 2 1 17 Show Cutlines for First Last Images e Shows cutlines in BLUE for series by first and last image capture 2 1 18 Auto Open Transcription e When selected will automatically open Transcription Dictation Module anytime a study is selected from the worklist by double clicking on that study e Recommended setting OFF Unless the user is using a pre built template or the Dragon 10 10 1 Speech Recognition software external tool is in use and running Thumbnail Options Toolbar Button Scale mx H l Left Bar rentation Figure 2 2 2 2 1 Column Rows Select from the dropdown menu the number of columns or rows you would like to display your thumbnails Choose from 1 2 3 or 4 2 2 2 Bar Orientation Select from the dropdown where you want your thumbnails to display Choose from Left Top Right Bottom 2 2 3 Toolbar Button Scale Customize the size of the icons within your viewer by indicating a size percentage Record Control Options Record Control Options Attach Dictation To Bottom Of Screen if Hold For Record ecord Will be heard on recording i Blink On Record Pause 5 FFWD RWD Factor 1 20 Figure 2 3 This module of User Options refers to the di
3. Slice Location Will attempt to sort the images based on slice location RECOMMENDED OFF 3 Third Tab Modality Options Figure 3 0 Opal Viewer v 2 4 platform v1 0 User Settings Module ewe z Zoom T Allow Auto Linking I Auto Next Series T Auto Next Study Auto Invert SC Images Auto Show DICOM Overlays Auto Open Prior M Sort Thumbnails by Date Time M Show Unsharp on Toolbar Show 3D Spine Labels Show Spine Labels Auto Unsharp jo H Lay Across Monitors f Stretch Assume Color Study Auto Red Blue Swap Ignore LUT Select Last Contrast Entry M Pixel Padding as Background Detect Pixel Padding Auto Split Rules I Isolate MPEG M Isolate Multiframe Differing Echo Time Differing Series Number Differing Series Time 15 Opal Viewer 16 v 2 4 platform v1 0 User Settings Module 3 1 Modalities This is a list of all the available modalities supported by Opal RAD CR Computed Radiography CT Computed Tomography DEFAULT DR Digital Radiography DS Digital Subtraction Angiography Retired DX Diagnostic Exam MIG Mammography MIR Magnetic Resonance NM Nuclear Medicine OT Other PT Positron Emission Tomography PET RF Radio Fluoroscopy RG Radiographic Imaging conventional film SC Secondary Capture US ultrasound XA Xray Angiography 3 2 Layout 3 2 1 Screen Layout Select from the dropdown menu the desired screen layout
4. ae Tie Your Practice Your Preference Your Productivity Solution z i a Administrative Jser Manua for Opal VIEWER settings Module k 1 NW Opal Viewer 1 v 2 4 platform v1 0 User Settings Module This guide will offer an overview of the contents of each tab within the Settings Option of the Opal RAD Image Viewer as well as provide a detailed explanation into every option offered to you as the user by definition and functionality so that you may customize your viewer and maximize your workflow efficiency Guide Contents Opal Viewer User Settings Module Administrative Options April 2011 Tech Support 800 366 5343 Opal Viewer 2 v 2 4 platform v1 0 User Settings Module Enter the Opal Image Viewer Module by double clicking any study from the worklist From here you have the ability to change a variety of settings through the user SETTINGS option located at the top left of your viewer screen available by hovering over the Viztek icon in the top left of your screen 1 Hover over the Viztek icon then left click the icon and select SETTINGS gt gt EDIT from the drop down menu Save For Lite Tools i Images Annotations gt te ChiroPractic gt igo 4 About gt elle TimeE 18 385 18 E SerT 18 39 Man OREX BP CHEST gt none 2 Once clicked the following Opal Viewer Settings window will pop up displaying 7 TABS Local Opt
5. Description field to the hanging protocol logic Protocol Name Select Protocol Name if you would like to apply a Procedure Code Mapping to the hanging protocol logic Used for CR MR modalities but not recommended View Position Laterality Select View Position or Laterality if you would like to apply a Position label left right Direction tag to your hanging protocol logic Not recommended Display Management Identify Study By Body Part Series Match 80 Seres Match 100 Identify Series By Seres Match Count Opal Viewer 19 v 2 4 platform v1 0 User Settings Module IMPORTANT INFORMATION REGARDING MAMMOGRAPHY HANGING PROTOCOLS The above hanging protocol logic does not apply to the Mammography modality For MG modality there are a preset series of offered mammography layouts that display dependent upon the Study Description and or if Priors exists for the study Therefore there is no option for customizing layouts for this modality 6 If you would like additional instruction on building your hanging protocols please contact a Viztek Tech Support Representative at 1 800 366 5343 option 1 3 5 Streaming Quality Speed 3 5 1 3 6 Presets From dropdown user can choose their customized streaming quality and speed By default No Additional Loss 9Best Quality Slowest is usually selected No Additional Loss Best Quality Slowest No Additional Loss Best Quality Slowest Up to 5 Quality Los
6. MR modalities Stretch Across Monitors e When selected and if multiple monitors exist in the viewer display setup Opal will stretch the images across all the active display screens Lay Across Monitors if Stretch e When selected and if Stretch Across Monitors is selected this will break each image slice into its own image and display them across the multi monitor display Assume Color Study e When selected can be used to force a chosen modality ie PET or US with contrast to the default color monitor based on your viewer display settings Auto Red Blue Swap e When selected gives the user an alternate contrast in Color Studies by default Ignore LUT e Recommended setting OFF e By default Opal PACS processes images based on the LUT values If for some reason these LUT values are corrupted When this option is selected Opal PACS will ignore the LUT values to attempt to produce a better image if necessary for troubleshooting e Specific to MG modality in most cases but can troubleshoot for all modalities e LUT Look Up Tables Select Last Contrast Entry e Modalities usually send multiple W L settings for an image Opal PACS by default will pick up the first W L setting sent e When selected and the specific modality sends multiple W L setting OPAL PACS will pick up the LAST W L setting This setting is usually facility specific based on how their individual modality send over the W L setting Pregenerate BitMaps e
7. will save upon close e Recommended setting ON AutoSave Image Annotations on Close e Any annotations made to the images will save upon close e Recommended setting ON Auto Mark Read Study on Close e Automatically changes the status of the study to READ upon close e Recommended Setting ON unless the physician prefers to change the status Manually e PLEASE NOTE If the dictation module is in use and the facility workflow includes DICTATION TRANSCRIPTION APPROVE options then this autosave Mark READ option is nullified and overridden Opal Viewer 12 v 2 4 platform v1 0 User Settings Module 2 4 4 Auto Upload Dictation on Close e Automatically saves the recorded dictation wav file upon close e Recommended setting ON 2 4 5 AutoSave Viewer Settings on Close e Remembers the layout of the images and saves that layout upon close to include all changes made to Viewer User Settings e Recommended setting ON 2 4 6 Auto Open Next Study e Automatically opens the next study on the worklist upon close e Recommended setting OFF 2 5 AutoSave DM This module is used as an AutoSave option in conjunction with Section 3 4 Display Management for automating the saving of hanging protocols as opposed to a manual save ee process done by using the DM EE su aama icon from within the viewer Auto Save DM OF C Study e Default i Overwnte Existing Figure 2 5 2 5 1 If OFF is selected AutoSave DM is turned off and no Aut
8. N OFF on all images for that modality when using the HotKey F11 Please note this UM feature will not automatically be applied upon opening but offers a preset toggle of a desired Unsharp Masking percentage Opal Viewer 23 v 2 4 platform v1 0 User Settings Module 4 Fourth Tab Annotations Options Local Options User Options Modality Options Annotations Options Chiropractic Options Overlay Config ToolBox Options Interface Options Color Settings Show Annotations Color if One Click Annotations Color Set 1 i Show One Click Annotations Button Color Set 2 W Annotation Edit Mode Color Set 3 Use Dot Cursor Color Set 4 Show Annotations On Thumbnails Color Set 5 Show Measurements in Inches Color Edit Allow Annotation Edit while Create Allow Drag Create Color Hover Dort Fully Draw on Edit lv ROI Show Size Misc Options Seale is Pixel Size Annotation Font Scale by Annotation Point Scale By Figure 4 0 4 1 Interface Options 4 1 1 Show Annotations e When selected this function displays all annotations made on the image upon opening the study within the viewer e You can also toggle this feature ON OFF by pressing the A key on your keyboard Please see also Hot Keys Chart found under ABOUT gt gt Hot Keys Chart Opal Viewer 24 v 2 4 platform v1 0 User Settings Module 4 1 2 One Click Annotations e When selected allows the user to create annotations with a one click
9. This is where you can create your own personal TOOLBOX of icons for the Annotation Tools Image and Layout functionality Click on the expansion icons to open the list of available tools icons that can be selected and displayed in your customized toolbox Highlight with a a single left click which icon you would like to display in your toolbox and the select the arrow icon to move that functionality over to the selected list Then you may customize the display of your toolbox as indicated below Opal Viewer 30 v 2 4 platform v1 0 User Settings Module 7 1 Number of visible rows e Select the number of rows you would like to have in your toolbox 7 2 Button Size e Select the desired size of the toolbox buttons you would like to display in your toolbox 7 3 Button Separation e Select the desired size of separation between the various icons in your toolbox 7 4 Orientation e Select whether you would like your personalized toolbox to be displayed Above Thumbnails or Below Thumbnails An example of a personalized toolbox is shown below in Figure 7 1 where the Actual Size Zoom Pan and Magnify tools have been selected to display as instructed above Figure 7 1
10. When selected if the occurrence of bit image are imported into PACS then Opal will autogenerate them Pixel Padding as Background e Recommended setting ON Detect Pixel Padding e Recommended setting ON Opal Viewer 22 v 2 4 platform v1 0 User Settings Module 3 7 20 Auto Unsharp Indicate 0 100 for automatic application of Unsharp Masking to that specific modality for every image opened at the percentage assigned in the dropdown menu Please note this UM setting will be applied to the image upon opening 3 8 Auto Split Rules 3 8 1 Always e When selected will ALWAYS split a multi slice image up into separate series 3 8 2 Isolate MPEG e If selected will divide MPEG images videos around the screen if MPEG images are indeed detected 3 8 3 Isolate Multiframe e If selected will extract Cine Loops into multiple image thumbnails 3 8 4 Differing Echo Time e Refers to the echo time of the different frames within an echo grouping that determines when to split the images 3 8 5 Differing Series Number e Refers to the series number that determines where to split the series images 3 8 6 Differing Series Time Refers to the time stamp associated with the series that determines when to split the images 3 9 Premium View 3 9 1 Unsharp e Enter an Unsharp Masking value 0 100 in the field provided See Figure 3 2 Premium View Unsharp Figure 3 2 This will now allow the user to toggle the indicated UnSharp Masking setting O
11. ace Options Magnify Glass Size 300 px Factor 8 Ea Span Sensitivity o 0 Auto 1 Max Ignore Windows Bar _ Ask on Close Arguments Inital Dir Toolbar Button M Update Remove 1 1 DISPLAY SETTINGS module Allows you to calibrate each monitor See Figure 1 0 Disabled Do Not Use this Monitor Main Monitor Monitor Calibration D Prior Monitor Width mm gt Gray o C GravOnly Color C ColorOnly Figure 1 0 1 1 1 1 1 2 1 1 3 1 1 4 Opal Viewer v 2 4 platform v1 0 User Settings Module Monitors on System tells you how many monitors are associated with the current workstation in use Select the dropdown menu to select which monitor you want to work with ADISPLAY1 AADISPLAY2 i Use Identify button to display which monitor corresponds to the selected DISPLAY1 DISPLAY2 See example below The following screen shot Figure 1 1 indicates DISPLAY2 settings NOTE DISPLAY2 is identified as the Main Monitor r Display Settings Disabled Dio Not Use this Monitor I Main Monitor Monitor Calibration Prior Monitor Width mm o C Gray Height mm Poo E C Color C ColorOnky Figure 1 1 Disabled Do Not Use this Monitor when checked tells the software to NOT use this monitor for displaying images when Opal Viewer is launched Main Monitor when checked identifies this monitor as the main functioning monito
12. anned document often a prior patient report Used primarily to eliminate the glare and brightness of a document on the reading physician s eyes e C Secondary capture 3 7 5 Auto Show DICOM Overlays e When selected will automatically display the white DICOM overlays on the right left side of the images upon opening them within the viewer e You can also toggle this feature ON OFF by pressing the O key on your keyboard Please see also Hot Keys Chart found under ABOUT gt gt Hot Keys Chart 3 7 6 Auto Open Prior e When selected this feature will automatically open the patient prior studies based on the hierarchy of Modality gt gt Body Part gt gt Series Description 3 7 7 Sort Thumbnails by Date Time e When selected this feature will organize the thumbnail images based on the time stamp generated by the modality at the moment their images scan into PACS 3 7 8 Show Unsharp on Toolbar e When selected the UM Unsharp Masking icon tool will display in the toolbar for selection e Specific to CR modality 3 7 9 Show 3D Spine Labels e When selected the EJ 3D Spine Labels icon tool will display in the toolbar for selection 3 7 10 3 7 11 3 7 12 3 7 13 3 7 14 3 7 15 3 7 16 3 7 17 3 7 18 3 7 19 Opal Viewer 21 v 2 4 platform v1 0 User Settings Module Show Spine Labels e When selected the SPINE Spine Labels icon tool will display in the toolbar for selection e Specific to CR DR CT
13. application of either of these functions eliminates the need for the user to flip the calculations The software will automatically create that flip 5 1 1 Auto Nasium Calc Flip 5 1 2 Auto Vertex Calc Flip 6 Tab Overlay Config _0000_0002_affectedSopCass Lid _0000_ 0003 requestedSopUass Uid _0000_0100_command _0000_0110_messageld ae 0120_messageldResponded To 0 0200_senderAe Title pea 0300_receiver e Title _0000_0600_moveDestinationAe Title D000 _ 0700 priority _0000_0800_dataSet Type _0000_ 0900 status _0000_0901_ offending Bement _0000_0902_emorlomment _0000_ 0903 enorld _0000_1000_afectedSop instance Lid 0000_1001_requestedSop Instance Lid 0000_ 1002 eventTypeld _0000_1005_attibuteldentifierList 0000 1008_actionTypeld T 1020_remainingSuboperation 1 1021_completedSuboperation mae 102 failedSuboperation _0000_1023_wamingSuboperation 0000_1030_moveOnginatorAe Title 0000_1031_moveOnginatorMessageld _0002_0000_groupLength _0002_0001_fileMetalnfomation Version _0002_ 0002 _mediaStoredSopCass Lid 0002_0003_ mediaStored Sop Instance Lid _0002_0010_transterSyntax id _0002_0012_implementationClass id _0002_0013_implementation Version Name 0002_ 0016 source Application Entity Title o Figure 6 0 Visible Calipers Opal Viewer v 2 4 platform v1 0 User Settings Module T0008 070_operatorN ame y 1010_stationName 8_0070_ manufacturer T 0020 0073 instanc
14. at 120 Water 0 Blood 30 to 45 Muscle 40 Contrast 130 Bone 400 or more Table 1 0 3 4 Display Management It is here within the Display Management Module that a user can build their hanging protocols by modality Please note Before you begin building the hanging protocol logic you must select your AutoSave DM options as indicated in Section 2 4 AutoSave Options Opal Viewer 18 v 2 4 platform v1 0 User Settings Module To begin L 2 Select the modality you wish to build the hanging protocol for Under Identify Study By indicate what field you would like to build the second step of logic for Select None Body Part or Description from the drop down menu Where None Select None if no hanging protocol logic is to be applied Body Part Select Body Part if you would like to apply the Body Part field to the hanging protocol logic Recommended for CR DR DX modalities Description Select Description if you would like to apply the Study Description field to the hanging protocol logic Recommended for CT MR modalities Identify Study By Body Part None Identify Series By Series Match 80 Senes Match 100 Series Match Count Under Identify Series By indicate what field you would like to build the third step of logic for Select Description Protocol Name View Position or Laterality from the dropdown menu Where Description Select Description if you would like to apply the Study
15. ay Opal Viewer 25 v 2 4 platform v1 0 User Settings Module 4 2 Color Settings Color Coor St E Ci CoorSe2 a Color Set 3 LO Color St 4 D CobrS5 j Color Ede E Color Hower E Figure 4 1 4 2 1 Color Set 1 5 Allows you to customize the color that displays when an annotation is applied to an image SET 4 2 2 Color Edit Allows you to customize the color that displays when an annotation is highlighted for editing EDIT 4 2 3 Color Hover e Allows you to customize the color that displays when a user hovers over the annotation HOVER 4 3 Misc Options 4 3 1 Scale is Pixel Size e Check this box if font size should be determined by Pixel Size 4 3 2 Annotation Font Scale by e Allows you to customize the font size of an applied annotation e Default is approximately 1 or 1 5 when Scale is Pixel Size S NOT checked e Default is approximately 10 is when Scale Pixel Size S checked 4 3 3 Annotation Point Scale by __ e Allows you to customize the point scale size of the annotation end points e Enteranumber between 0 1 5 Opal Viewer 26 v 2 4 platform v1 0 User Settings Module 5 Fifth Tab Chiropractic Options Upper Cervical Options Auto Nassium Calc Aip Auto Vertex Cale Alip Figure 5 0 5 1 Upper Cervical Options These options switch the assumptions of right left sides of the image patient for either Nasium or Vertex calculations The
16. ctation VIZMMC player and the associated supported speechmikes 2 3 1 2 3 2 2 3 3 2 3 4 2 3 5 Opal Viewer 11 v 2 4 platform v1 0 User Settings Module Attach Dictation To Bottom of Screen By default the dictation player also known as VIZMMC player will display at the top of your viewer screen You may select to display this VIZMMC player at the bottom of your screen by selecting this option Hold for record When selected the user must press the Record button on their speechmike and hold the button down continuously while dictating Beep On Record When selected the speechmike will make a Beep sound when the Record button is pressed to begin dictating Blink On Record Pause When selected the speechmike will Blink a red light when the user presses pause on the speechmike during their dictation FFWD RWD Factor 1 20 Indicate a factor 1 20 to increase or decrease the fast forward and rewind speed of the speechmike 1 Slowest and 20 Fastest 2 4 AutoSave Options These options when selected as identified by a checked box turn the functionality ON Auto Save Options if AutoSave Image Properties on Close AutoSave Image Annotations on Close Auto Mark Read Study on Close lf Auto Upload Dictation on Clase i AutoSave Viewer Settings on Close Auto Open Next Study Figure 2 4 2 4 1 2 4 2 2 4 3 AutoSave Image Properties on Close e The adjustments changes made to the image
17. display 3 2 2 Series Layout Select from the dropdown menu the desired series layout display 3 3 Mouse Buttons Allows the user to program his mouse buttons to a variety of basic viewer functionality as listed in the dropdown menu for Left Right Middle Left Right buttons Please note THIS IS PER MODALITY and PER USER If you select 3 3 1 None No functionality assigned this button 3 3 2 Magnify Ea Magnification tool assigned to this button when pressed and held down Gives the user a magnification lens to maneuver 3 3 3 3 3 4 3 3 5 3 3 6 3 3 7 3 3 8 Opal Viewer 17 v 2 4 platform v1 0 User Settings Module Pan vo tool assigned to this button when pressed and held down Gives the user the ability to grab the image and pan it around within the viewer window Zoom ay oom tool assigned to this button when pressed and held down Gives user ability to zoom into and out of the image within the viewer window Window Level Gives user Windows Level functionality when button is assigned Span When this button is pressed and held down gives user the ability to span through the images within a series Context az Allows user to apply a context reference for linked images on MR CT modalities Hounsfield Allows user to identify the Hounsfield unit for any given point on an image Commonly used for CT modality See Table1 0 below for a reference guide to the Hu of common substances Substance HU Air 1000 F
18. eNumber T_0020_0010 Studyid 27 M Left l Top I Right 6 1 Available Tags List of all possible DICOM tags available to display as overlays on individual images or series of images 6 2 Custom DICOM Tag Allows you to create a customized DICOM tag by entering the Group and Bement value in the fields provided 6 3 Left Overlay Indicates all DICOM tags to be displayed on the left side of the image Right Overlay Indicates all DICOM tags to be displayed on the right side of the image Opal Viewer 28 v 2 4 platform v1 0 User Settings Module To Display Left amp Right Overlays Highlight the DICOM tag you wish to display on the image overlay Hit the ADD button on either Left Right Overlay column depending on the desired location of the displayed overlay Then click SAVE To remove a Left or Right Overlay Highlight the DICOM tag you wish to remove from the overlay display Hit the REMOVE button Then click SAVE 6 4 Visible Calipers e Select WHERE you would like the Visible Calipers to display on the image You may choose Left Top Right and or Bottom as shown in the examples in Figure 6 1 and Figure 6 2 below Figure 6 1 Figure 6 2 Opal Viewer 29 v 2 4 platform v1 0 User Settings Module fH Tools EH Image gt Number of visible rows Orientation 3 Above Thumbnails i Below Thumbnails Button Size 4 Button Separation o Figure 7 0
19. ed this option allows the user to display thumbnails very quickly and eliminates the long download process of multiple images e Mostly in reference to MG modality 2 6 2 Reset W L For Individual Images Usually every image that is sent to the PACS has its own W L setting By default Opal PACS displays the first W L setting sent by the modality When this option is selected Opal PACS will reset the W L to its original preset e Mostly in reference to each image for NM MRI modality 2 6 3 Delay Image Decoding Experimental 2 6 4 Background Image Processing Experimental 2 6 5 Enable New DM System When selected enables Display Management manager module which is launchable from the viewer under the DM icon See Figure 2 7 Save Save As Save For Study Global DEFAULT 100 DEFAULT 505 Delete DEFAULT Figure 2 7 Opal Viewer 14 v 2 4 platform v1 0 User Settings Module 2 7 Interface Font Sizes Interface Font Sizes 14 Normal Jess than 2 megapicel 20 Large 2 4 megapixel 26 Huge more than 4 megapixel Figure 2 8 2 7 1 Normal less than 2 megapixel e Recommended default font size 14 2 7 2 Large 2 4 megapixel e Recommended default font size 20 2 7 3 Huge more than 4 megapixel e Recommended default font size 26 2 8 Re Sort Images Re Sort Images DoNot Slice Location Figure 2 9 2 8 1 Re Sort Images DoNot Will reset and re sort images upon opening RECOMMENDED ON
20. graphy Layouts Auto Play Cine Loops Skip Frames In Cine To Maintain Playback Speed aa y E a Show Cutlines for First Last Images I Reset W L For Individual Images Auto Open Transcription Delay Image Decoding Experimental Background Image Processing Experimental Thumbnail Options Enable New DM System Interface Font Sizes Let Bar Orientation f4 Normal ess than 2 megapocel M Record Control Options 20 Large 2 4 megapocel Attach Dictation To Bottom Of Screen aoan 26 Huge more than 4 megapixel W Beep On Record Will be heard on recording Re Sort Images W Blink On Record Pause ag 5 FFWD RWD Factor 1 20 DoNot IY Overwrite Existing Figure 2 1 2 1 Interface Options 2 1 1 Show W L on Toolbar e W Lis commonly assigned to a default mouse button under Modality Options e Recommended setting OFF 2 1 2 Open Key Images As Single Image e Allows user to display the highlighted key images as a separate set from the series list e Recommended setting ON 2 1 3 2 1 4 2 1 5 2 1 6 2 1 7 2 1 8 2 1 9 2 1 10 2 1 11 2 1 12 2 1 13 2 1 14 2 1 15 Opal Viewer v 2 4 platform v1 0 User Settings Module Show Red Blue Swap Button for Color Images e Relates to PET CT scans e Recommended setting OFF user preference Caliper Zoom e When selected adds a ruler to the right side of the viewer screen to enable zoom of entire i
21. ions e Basic Systems or Local options set per workstation and user User Options eViewer Interface Options set per user account Thumbnail Options Record Control Options Interface Font Sizes and AutoSave Options Modality Options Control of Screen Layouts Display management Mouse Button Programming Streaming Quality W L Presets eOther Options by Modality and AutoSplit Rules Annotation Options e All Interface Options associated with Annotations to include Color Settings Chiropractic Options eUpper Cervical calculation flips Overlay Config eList of Available DICOM tags Ability to select right left overlay display options ToolBox Options e All Options associated with ToolBox customization of icons by functionality Manual customization of toolbox display orientation and button size Opal Viewer 3 v 2 4 platform v1 0 User Settings Module 1 First Tab Local Options These are Basic Systems or Local options set per workstation and user Local Options User Options Modality Options Annotations Options Chiropractic Options Overlay Config ToolBox Options Options Cache Path cNopal cache wiewer Keep In Cache For Hours Poo _ Disabled Do Not Use this Monitor ee Ot ae eae e 150 _ Main Monitor Monitor Calibration Hard Disk Swapping Occurs At MB 228 _ Prior Monitor Widths mm fo i lt C Gray ai orn fo C Granly Color ColorOnly Interf
22. lities e f user wants mouse to be more responsive faster increase to 90 e If user wants mouse to be less responsive slower 45 50 1 2 4 Span Sensitivity refers to how fast you want your mouse to span through images e Specific to CT MR US modalities e 0 Auto e 1 Max speed 1 2 4 Ignore Windows Bar e When CHECKED maximizes the viewing space displayed by hiding the windows tool bar e When UNCHECKED the windows tool bar is displayed 5 Opal Viewer 6 v 2 4 platform v1 0 User Settings Module 1 2 5 Ask on Close A pop up box that presents the user with optional settings before closing the Viewer specifically related to AutoSave settings from Tab 2 User Options e When CHECKED the following pop up box displays upon closing the viewer and the user can manually select save options as listed in Figure 1 3 Close Study Close Study Options W Save Image Changes W L Rotation I Save Layout Save Annotations _ Mark Study Read Open Next Study I Upload Dictation if applicable Figure 1 3 e When UNCHECKED pop up box does not display 1 3 Options Options Keep In Cache For Hours 72 Check OnCall Every Seconds 150 Hard Disk Swapping Occurs At MB i228 Figure 1 4 1 3 1 Cache Path e Identifies path folder where OnCall Prefetched studies are downloaded to 1 3 2 Keep in Cache Hours e Number of hours you want to keep the OnCall Prefetched studies in the Cache folder Default 72 hours
23. mage e Recommended setting ON Focus In on Zoom Point e Draws screen to cursor when zooming e Recommended setting ON Fill Empty DM Cells e When selected attempts to autofill empty windows cells with images e Recommended setting ON High Quality Interpolation e Recommended setting OFF Enable RGB YBR Swap e Off unless user video settings support it e Recommended setting OFF Show Actual Size On Toolbar e Off unless Dr performs transparency templating on screen and monitors have been calibrated e Recommended setting OFF Pop Up Mammography Layouts e When selected turns on the Pop Up prompt that displays the pre determined mammography hanging protocols upon launching a mammogram study e Recommended setting ON user preference Use Alternative Mammography Layouts e When selected offers an alternative set of mammography layout options that pull DICOM tags to include implants specifically Imp Implants and ID Implant Displacement e Recommended setting ON user preference Hide RAW Mammography Layouts If Processed Is Available Swap Left Right Breast Positions for Mammography e Flip flops the positions of the Left Right breast images to display Right Left e Recommended setting OFF user preference Ignore Mammography Layouts e Turns off Mammo Preset Hanging Protocols Display e Recommended Setting user preference Auto Play Cine Loops e When selected will automatically begin cycling image slices
24. oSave options are enabled for hanging protocols 2 5 2 If STUDY is selected then AutoSave DM will save the hanging protocol created during the most recent open viewing session for THAT particular study Please note This option is NOT RECOMMENDED unless an identified workflow process has been established with a Viztek representative that warrants this setting 2 5 3 If DEFAULT is selected then AutoSave DM will save the hanging protocol created during the most recent open viewing session for all studies with that specific MODALITY and additional criteria built as indicated in Section 3 4 Display Management 2 5 4 If Overwrite Existing is checked usually in conjunction with DEFAULT AutoSave DM turned ON the logic would apply given the following circumstance If a hanging protocol has already been built and saved and the account user changes any hanging protocol logic ie drags and drops another image into a quadrant to replace the existing displayed image in that quadrant then upon closing the viewer that most recent change made to the hanging protocol will replace the previously saved DEFAULT hanging protocol 2 6 Opal Viewer 13 v 2 4 platform v1 0 User Settings Module Advanced Advanced lf Allow Quick Decode for 2 MP Images set W L For Individual Images Delay Image Decoding Experimental Background Image Processing Experimental Enable New DM System Figure 2 6 2 6 1 Allow Quick Decode for 2 MP Images When check
25. placement functionality 4 1 3 Show One Click Annotation Button Show One Click Annotations Button e When selected will display the One Click Annotation Button in the Image Viewer Tool Bar as shown below a OMe e If not selected the button will not display in the Image Viewer Tool bar 4 1 4 Annotation Edit Mode e When selected will highlight activate the icon Hu F 4 1 5 Use Dot Cursor e When selected will display your cursor as a dot as opposed to an arrow 4 1 6 Show Annotations On Thumbnails e When selected will display all annotations placed on that particular image in the thumbnail view 4 1 7 Show Measurements in Inches e When selected will display all measurement annotations in inches units 4 1 8 Allow Annotation Edit while Create e When selected allows user to edit a previously created annotation even though the software is set to create annotation This is an override feature e Only functional if One Click Edit 4 1 2 is turned OFF 4 1 9 Allow Drag Create e When selected will allow user to click drag click to apply an annotation versus a click click click to apply 4 1 10 Don t Fully Draw on Edit e When selected this will only apply a dot to the first point when drawing an annotation then pauses and waits for the other dot to be plotted before a line is drawn between the two 4 1 11 ROI Show Size e When selected displays additional length measurement to ROI displ
26. r Prior Monitor when checked designates this as the Priors monitor where the Prior images studies will display only when Priors exist Gray indicates images will display on this monitor if grayscale but also color GrayOnly indicates images will only display on this monitor if grayscale If color exists the monitor will not be active Color indicates images will display on this monitor if color exists but also grayscale 4 1 1 5 Opal Viewer v 2 4 platform v1 0 User Settings Module ColorOnly indicates images will only display on this monitor if color If grayscale exists the monitor will not be active Monitor Calibration allows you to calibrate each monitor which in turn activates the True to Size function To calibrate your monitor measure the inside width and height of your display You must use a positive integer when entering Width Height in mm 1 2 INTERFACE OPTIONS module Allows you to adjust default mouse settings and magnification settings of viewer magnification tool r Inteface Options Magnify lass Size 200 px Factor fa H W L Acceleration 70 Span Sensitivity fo 0 Auto 1 Max Ignore Windows Bar Ask on Close Figure 1 2 1 2 1 Magnify Glass Size default is Left Mouse button on CR DR modality e For smaller monitors lt 19 325 e For larger monitors gt 20 375 1 2 2 Zoom Factor 3x recommended 1 2 3 W L Acceleration default is Right Mouse button on ALL moda
27. s Up to 10 Quality Loss Up to 15 Quality Loss Up to 20 Quality Loss VV Refers to the creation of hotkeys numbers associated with a predetermined window and level contrast and brightness setting by modality Please note CT modality already has pre built Presets See Figure 3 1 CT Presets below Presets Ti ABD SOFT TISSUE 1 lt i 2 ABD SOFT TISSUE i 40 4 ABD LIVER 160 Fil 4 BODY BONE 1500 150 5 CHEST MEDIASTINUM 643 35 G CHEST LUNG 1600 00 Fi HEAD SOFT TISSUE 150 40 z Description Window Width Window Center C D Figure 3 1 CT Presets Opal Viewer 20 v 2 4 platform v1 0 User Settings Module 3 7 Options PLEASE NOTE All the listed functionality below is BY MODALITY meaning each of these features will need to be addressed as either active inactive for each modality selected 3 7 1 Allow Auto Linking e When selected will automatically NUMERICALLY link the alternate angles Sagittal Coronal Axial with one another in the study 3 7 2 Auto Next Series e When selected will automatically allow the user to scroll through the different images within a series using the scroll mouse button 3 7 3 Auto Next Study e When selected will automatically open the next study as listed in the studylist within the viewer as opposed to closing out the study and returning to the studylist 3 7 4 Auto Invert SC Images e When selected this functionality will invert the contrast of a sc
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