RI (Rational Imaging) Manual Overview
Contents
1. MA Mledianttr MA_MedlanCtr_2e MR Medianimg MR_Medianser MA_Medianser_ ZE MR CHpHist MR ClipHist_ ZE EEN Pehee The green box is a KR Medium region of analysis HR_ Light set in the square W L KR Series mouse mode If this Mi____ is not set RiView chad will automatically us Medium us_Light use the central region NM of the image Nia Byer Aha Baelg NM Histiyima Wt rah cund CT ABO Pel BON CT_ Abdel LUNG CT_LAbd Pel LIVER ACTIVE Clipped 157 Res Fi Canon Text Tool The text tool is used for annotation lt lt measurement ROI s Lt side of monitor After clicking on the Text Tool the Text Option bar will appear in the upper Rt area of the monitor 1a Text Options nS 70 1O Woe Sel sie a0 A A A D Draws arrows Hold Lt Mouse down and drag away from object you wish to point to Draws straight line Draws circle Double click with Lt Mouse in middle of circle to delete Drag to draw square This tool used for measurements Hold down Lt Mouse and drag across area you wish to measure This tool allows us to obtain a rectangular ROI drag Lt Mouse over selected area then release An average greyscale intensity will be displayed G This tool will measure angles Draw out 2 lines and it will automatically calculate an angle between the 2 lines SSO e gt Version 1 15 00 The controls for the window allow the user to modify the image displ2. PACS i RI Rational Imaging Manual Overview Provided by Cannon The PACS website is very helpful in using our PACS http www pacs tju edu Message of the Day PACS Support Information Additional PACS Information PACS Stentor Access Request Stentor Documentation PACS Documentation including RImanuals and Updates and other documents RiView VA 1 Lt Click on the RiView Icon lt Side of monitor Image Review cmn Patient T Layout im fim amp 3 Lt click on desired tab located on the left side of the patient list The all tab lists all the patients on the hard drive The current tab lists all the patients that have not been marked as dictated The patients Name or ID may also be inserted A to access that patient in the list or on the jukebox 4 Lt click on the exam you want to view Double clicking on the exam will load it immediately You will see the exam loading at the bottom of the Image RiView bar C Images will pop up on monitor when loaded A Tool Bar will appear on the left side of the monitor It is now possible to retrieve a comparison exam from the jukebox directly from the Patient List B Click or type Pt Name ID then click on tape icon this will take you to a new screen choose the old exam by double clicking on it then add to Queue D The Refresh button will update and load any additional images series of the exam you are currently viewing E
3. 31 1993 DUVAL GEORGE BRAIN KELLER RSNAQS 11 20 1995 EVAL ED ABDOMINAL RSNASS 11 13 1996 GATES ROBERT FAN BRAIN RSNA95 09 29 1995 GETTY A C SPINE RSNA96 11 22 1994 GUY GABLE KELLER 3DPC RSNA95 10 30 1996 JACK BACK L SPINE RSNASS 08 08 1996 KENT AMY CHEST RSNASS 11 14 1995 N KIDNEY BEANE KIDNEY US RSNAQS 11 13 1996 POTTER KATHERINE LUNG SCAN RSNA96 10 09 1996 RYAN DOUG CARDIAC CINE RSNAS6 04 03 1987 NNNNMYNNNNYNYNNN NY YD CO PY 6 Click on Search located on the RiStore pop up 7 Type in exam name number date or ID number Then click Start Search A list of patients exams will appear in box Click on the exam you want A pop up with that patients name and Exam will appear click on Add to Queue This will be prioritized in the jukebox and put back on the hard drive 8 Click on RiView and locate the exam When Searching for an exam and the exam is located on a dat tape the tape will be listed next to the exam Pull the appropriate tape insert it in the tape drive and mount the tape then click on Retrieve located in the RiStore pop up After a list of exams appear click on the exam you want then click on Retrieve and quit located in the rt upper corner Tool Bar oo I CX MO EES C oo le l i ppnnEog 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 View is used to step through the images Lt mouse pages up
4. D Vercian 114 AN 2 Lt click on Select Patient Insert name ID to Click to locate archived exams locate Tabs List Series A B Load Pt Exam I pone haa LP Image Review Layout fim fim Hiei i pio DUVAL GEORGE 9925465 RSNA95 To Save or update layout L pg M pg Shift text Ctrl print lt gt zoom HH praean Bil__Bragstood i Preactijad BR_RPSsS C Pearl a tase Current Load Format WHOL Uda a Teile Load exam on exit will automatically load the next current exam listed It will load the exam in RAM at the bottom of the monitor 5 After arranging the images in a display that wish to keep we will save this as a layout a Lt Click on Layout b Type in the name of your new layout under Format z Name or it will give you the closest match name aT Sina c Ltclick on Save Current Load Format Pedra uray os fa d Lt Click on Save Template The name you see listed under Save Format Name will be the new name of your layout If you wish to change the layout name change it in this field prior to saving the template liaging 2 Temple A popup will appear stating New layout on bottom of scroll list This list can be rearranged under the configs Menu in Edit load templates Rew Cees cripaiort If you want to override an existing layout Load that layout cis rearrange images then click on Save current load format You ll get a me
5. ay from a centralized area without having to scroll across multiple monitors Control Window When clicking the Lt mouse on this tool A a Control Window B will appear displaying a thumbnail for each series eects eee _ FIGLER EBRI Series 2 12 01 1 FIGLER BRI Series 1 12 01 1998 thes F 5 pag Tah Clipped 15 Res E rlinped 15 Res gE 12 01 1998 FIGLER BRIAN Controlwin ase arnt i __ oo tat ae Inside the control window you can manipulate the Window Level page through the images magnify an image transfer to other monitors and put an image on a print page
6. ening filter to the active image 24 Edge smoothing will apply a smoothing filter to the active image Rt Mouse for sub menu Canon Window Level tool A This mode allows us to adjust the contrast window and brightness level of selected images Left mouse With the left mouse depressed move it up down to adjust the brightness Move the mouse right left to adjust contrast W L tool gt Middle mouse this will invert the image intensity Double clicking the left mouse over an image will reset the image intensity Set specific values then click W L When clicking on the W L tool a pop up will appear in the upper right area of the monitor This pop up will allow you to set specific W L values or choose pre set values When choosing the W L tool a green box will appear around the selected image a Windows Level intensity Transformation F9 levei gza al To a u ij W s Window 629 AF a Winley Specified Auto_MR Click W L MR Use the pre set listed under MR called MedianImg This will descent with Lt improve the technique between exams when saved with the layout sie taiaahd ie Mouse to get Sete a list of pre Auto s2 p CT Choose a pre set that represents the anatomy you wish to view EAA sets Then Percent choose the All CT pre sets start with CT_ and all MR auto W L s start with MR_ Percent ZE pre set by Histey img clicking on it PercEpimg _ MR___
7. name Small letters indicates the exam is still loading capitol letters indicates the exams loaded and ready for viewing Lt mouse double click on the exam name you wish to view 4 After all exams are chosen and appear at the bottom of the monitor you may quit out of the patient list Version 1 15 00 Canon Patient Demographics amp User Notification xom descraptian FPELWIS eee i 5 p i L J Hospital ARDT l a ea ea aird on canonmi a Update patient information Hitaven Pwani Users Timen stie Taaging i Paced telered ParsJ Paced Paces Pace Sate Sano ip Baa TP ri parel pacsi peace sti Version 1 15 00 A This is the Patient Demographic Screen This displays patient information obtained from the scanner B This section is for adding information Once you add specific clinical information click on Update patient information this will then become a permanent part of that patient s file C This section is an Audit Trail Everytime that this patient is accessed or information on the demographic sheet has been altered it will be kept as a permanent log attached to this patients file D This allows us to access the User Communication field E When this field is activated a specific user users or workstation is chosen Once the user is chosen type a message then click on e mail or notify This will then either e mail that user or
8. post a notify F notice on that workstation I I Eka Canon RiStore RiStore is the program we use for archiving and retrieving 1 This is the Ristore icon located on the rt side of Monitor Lt click mag amp Retrieve J Image Archive amp Retrieve Archive Search Retrieve er pas To archive exams PMount W Eject MA Initialize 2 Choose Archive Set Initial or Active 4 EF Choose Archive Drive dat or jukebox 32 Quit 3 Click on Archive Te 4 Click on the exams you wish to archive They Normal Primary Secondary Name or will b ecome hi ghli ght e d Patient Name Description Exam Date Typ Ser Use Prp Rev Prn Det Arc Lock Scanner Referring Unknown OR HORK Make sure all the information at the top of Unknown DR WORK Unknown CAMERA Unknown DR JONES Patient list is correct If your doing a Initial ee DR JON foreign DR CH Archive make sue it says Initial and mri_444 DR JON be Ue Auto Remove OFF For Active Archive ee Auto Remove ON iinom ORION 5 After selecting the exams click on Archive TRIONIX DR JON Unknown DRL RENA and Quit in the rt upper corner of patient list BACKER AMY L SPINE RSNASS 11 13 1996 BONES JAMES BONE SCAN RSNA95 11 13 1996 CAMERA CAMERA 99999 08 05 1985 CHEEK TOUNG T PAROTID RSNASS 12 01 1996 DANTE E ABD PELVIS W G RSNA96 03 01 1994 DAVIS BETSY SINUS RSNA96 05 30 1995 DOE JAMES XRAY CANON 11 22 1996 DOEN S RIGHT KNEE RSNA96 03
9. ssage stating that the file already exists click to continue This will override update existing layout Image Review 6 When your finished RiViewing an exam Lt click on Save This will bring up a Sub menu Save Save Exam Layout 7 Click Yes if you ve Reviewed and or Dictated the exam Lock exam 8 If you are finished reviewing this exam click Save amp quit This will save the exam the way Load Ex Exit fi ve ti i l oad Exam on Exit Ei Yes you ve left it including any annotation Print amp Quit Save print amp quit 9 If you don t want to save exam and annotation click on Discard changes Save amp continue Save amp quit Discard changes Canon RiSelect is very similar to RiView The main difference is more then one exam may be selected in RiSelect When loading exams in RiSelect Radiologists only have to view the patient list once A List Patients Veni This is the RiSelect icon on the rt side of the monitor Lt click on this icon will give a listing of exams This list like RiView has tabs that list different modalities body parts Dr s etc 1 From the list of exams click on the exams you wish to view Once all the exams are chosen click Load exam I recommend only loading about eight exams The rest load up in Standby Standby won t use up the RAM As the exams are loading they will appear as icons with the patients last
10. through images Mid mouse pages back down through images 2 View 2 is used for large X rays CR and DR viewing Lt Mouse controls contrast Rt mouse mags image 3 Text is used for annotation and graphics See Page VI 24 in the user manual 4 Print is used to select and create a print images 5 Windowing is used to set brightness and contrast levels 6 Isolates a region of interests 7 Cropping is used to clip an image to a specific area of interest Lt mouse draws area Mid mouse perfoms the crop 8 Pointing is used to select certain images or groups of images 9 Panning is used to view outside the cropped area 10 Image display Rt mouse to select desired number of columns and rows 11 Magnify will adjust image size to selected magnification factor 12 Rt mouse will create a copy or delete display or hide windows 13 Arrow will undo any of the listed options 14 Rt mouse will transfer images between monitors or display active image on another network monitor 15 Grouping will view like planes by image number or group offset like planes 16 Rt mouse Image rotation options 17 Image Sorting 18 Next window level intensity 19 Cross referencing will show slice location on all planes 20 Cine will allow you to view in real time with a set speed 21 Number will display image numbers scanner and patient information This is a 3 way toggle 22 Mask Subtraction 23 Edge enhance will apply a sharp
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