User`s Manual
Contents
1. F pacsgear y User s Manual GEARView Basic 1 0 Study and Report Viewer PACSGEAR PACSGEAR 7020 Koll Center Parkway Suite 100 Pleasanton CA 94566 USA T 1 925 846 9600 F 1 925 846 0435 support pacsgear com www pacsgear com GEARView Basic Copyright 2010 PACSGEAR Inc All rights reserved The information contained herein is confidential and is the sole property of PACSGEAR None of the information may be reproduced copied and or redistributed electronically manually or otherwise to any person without advance written permission from PACSGEAR except as may be expressly authorized by contracts or other agreements between PACSGEAR and its customers Trademarks PACSGEAR PacsSCAN MediaWriter PacsSCAN Film Print2PACS PacsSCAN Video PacsConnect and GEARView are trademarks of PACSGEAR in the United States and or other countries Acrobat Adobe DUET eFilm Lite Elesys MERGE Microsoft Windows and other trademarks registered trademarks or service marks referred to in this document are the property of their respective owners The publisher and the authors make no claim to these trademarks While every precaution has been taken in the preparation of this document the publisher and the authors assume no responsibility for errors or omissions or for damages resulting from the use of information contained in this document or from the use of programs and source code that may accompany it In no event shall the publisher2. Flip Rotate See Flip Rotate Shortcut Menu below Layout Only displayed when the image is open in a viewport See Layout Shortcut Menu below Text On Off Displays or hides the text overlay Window Level see Window Level Presets Shortcut Menu below Image Details Opens an Image Details window that displays patient study and other information associated with the image see figure 3 6 below Each piece of information corresponds to standardized DICOM fields and is accompanied by the relevant field codes To search for information type a keyword in the Find box and click Find Next as many times as is necessary to jump to the desired item 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 12 GEARView Basic Tag Patient Details 0070 0070 0010 0020 0010 0030 0010 0040 Study Details 0002 0050 0020 0000 0020 0010 0008 0020 0008 0030 0008 1030 Series Details 0020 000E 0008 103E 0020 0011 0008 00601 Image Details 0008 0008 0008 0016 0008 0018 0008 0020 0008 0022 0008 0030 0008 0032 0006 00501 tt Y pacsgear Show Private Groups DL S ATT 19500310 0902854 1 3 6 1 4 1 23545 6384 142000 DERM LESION 1 3 6 1 4 1 23649 1377320449 11 1 DERM LESION 1 VL ORIGINAL SECONDARY 1 2 840 10008 5 1 4 1 1 7 1 3 6 14 1 23845 1377328443 11 1 20050629 142000 142000 DDE Description Patient ID Patient Birth Da
3. modality SR is opened in a full screen viewport two buttons appear at the bottom of the screen for paging the report forward and backward Tekeli Saus keen valo sn Fetal Biometry Ratios E ml i j ri ad Fetus ID 1 2005 07 14 11 18 33 TE ee Figure 3 4 Click the left and right arrow buttons to page forward and backward Linking Series When two series are opened in compare viewports their scrolling behavior becomes linked by default if they satisfy two conditions 1 the series are from the same exam and 2 the series reside on the same plane as determined by the relevant DICOM patient orientation tags When two series are linked scrolling performed by the user on one of the series is likewise applied to the extent possible in the other series Linked series are identified by the word Linked appearing at the lower left of each series When linking is enabled a Link command appears in each series shortcut menu that allows you to turn linking ON and OFF see figure below 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 10 GEARView Basic Image Details Ctrl D Link z Contrast OMNI 3007150CC Contrast OMNI 30015000 Exp 1121 Esp 1121 kW 120 kW 120 Thickness 2 50 mm Thickness 2 50 mm Loc 27 7 53 mm Loc 277 53 mm Hub 2005 06 20 A ea 2 2005 06 20 Linked 0 26 46 Wel 400 40 Linked de Wel 400 40 HIX E Right click For tools Figure 3 5 Two linked series The command Lin
4. Convention Indicates Boldface type Names of buttons Italic type Names of on screen objects other than buttons usually menu commands Courier font Typed text gt Sequence of procedures Clicking Cancel or No This manual omits instructions on clicking Cancel or No buttons because it assumes that the user knows or can determine from context the function of those buttons where they appear In general a Cancel or No button closes the dialog box or screen without performing the operation indicated in the dialog box or screen Definitions Acronyms and Abbreviations The following acronyms abbreviations and terminology are used in PACSGEAR manuals Accession number A tracking or order number for patient studies AE Application entity A local or remote DICOM device Burner A digital recording device such as a CD recorder that stores data on media DICOM Digital imaging and communications in medicine A networking standard for the medical industry DOB Date of birth DX DICOM modality abbreviation for digital mammography EMR Electronic medical record EHR Electronic health record LDAP Lightweight directory access protoco Used for looking up network services and addresses Media Electronic storage media such as CD ROM and DVD Modality Sources of data such as from ultrasonography MRI PET and CT PACS Picture archival and communication system PacsSCAN General term for any PacsSCAN product PacsSCAN Film et
5. and the authors be liable for any loss of profit or any other commercial damage caused or alleged to have been caused directly or indirectly by this document Printed 2010 in Pleasanton CA USA Indications for Use GEARView Basic is intended to be used by patients and healthcare personnel to review medical images and related results CAUTION GEARView Basic is not labeled for diagnostic use PACSGEAR EMERGO EUROPE Molenstraat 15 7020 Koll Ctr Pkwy Ste 100 E C 2513 BH The Hague Pleasanton CA 94566 USA Usb ER 2010 08 F 31 70 346 7299 2 GEARView Basic iii dE pacsgear Contents Contents 1 Welcome 1 1 Conventions Used in This Manual 0 cccccceccccecececececccecceccceteneneauacaceceneneaeacaceteneneaeaeateteneteneneanenars 2 1 2 Starting and Exiting GEARView BaSIC rrrnrnnnnrnanonnnnnrnnnrnnanennnnennnnennnnnnnnennnnennnnennnnnnnnsnnanennanennnsennnsennnne 3 2 Basic Operations 2 1 Doa REE o PPP 4 2 2 Pei vu 6 2 3 Pi 7 3 Viewing and Manipulating Images 3 1 Window Co ae 9 3 2 Shortcut Menu Commands ccecececececcucecececececeueneaecuceceneceneneeacacauenenenuauaeaneneneaeataeaneneneuuauansneneneneas 11 3 3 OVO Als SOUS EE EEE EE EEE 18 A SUM 19 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A xx GEARView Basic 1 E pacsgear 1 Welcome t GEARView Basic Congratulations on adding GEARView Basic to your PACS EHR system GEARView Basic gives patients and healthcare per
6. 1 Acc 1178042505 Acc 1178042505 DOB 19500310 DOB 19500310 Sex F Sex F Site Anon Site Anon Te 888 GENESIS SIGNA 4 Model GENESIS S NN TR 3000 Oy ae TR 3000 Gap 6 m Gap 6 m Thickness Thickness 5 Loc 174 24 mm 2005 06 27 Loc 168 24 mm WIL 997 433 512x512 17 12 51 WIL 997 433 512x512 2005 06 27 17 12 51 Image 7 of 8 DUBINSKY SHELLEY Series 4 MRN A11171 Acc 1178042505 DOB 19500310 Sex F Site Anon Model GENESIS ES Image 8 of 8 Series 4 T x 3000 y Ga 6 m Thickness 5 Loc 156 24 mm WIL 997 433 512x512 2005 06 27 17 12 51 WIL 997 433 AS Image 3 of 8 Series 4 WIL 997 433 Image 6 of 8 Series 4 WIL 997 433 Figure 3 13 A 3 x 3 layout Each of eight slices are shown in a different tile of the layout PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc LF pacsgear GEARView Basic 17 Window Level Presets Shortcut Menu The Window Level Presets shortcut menu contains a submenu with a selection of preset window level values appropriate for different body parts or viewing objectives The presets displayed in the submenu differ depending on the image The figure below shows examples of two different possible submenus You can choose the preset most appropriate for your image and then fine tune the window level setting as desired by using the Window Level tool described above DUBIKHSKEN SHELLE Reset ISEN SHELLEY Image 001 of 128 MAN 411171 n
7. 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 16 GEARView Basic gear E PACSGEAR Viewer omnia VL 2005 06 29 13 20 34 Exam History DUBINSKY SHELLEY MRN A11171 Acc 1178042505 DOB 19500310 Sex F Site Anon at GENESISJSIGNA 88 87 A H PA A Gap 6 m Gap 6 m Gap 6 m Thickness 5 Loc 198 24 mm 512x512 2005 06 27 17 12 51 DUBINSKY SHELLEY MRN A11171 Acc 1178042505 DOB 19500310 Sex F Site Anon Model GENESIS _ SIGNA i 2 3000 Gap 6 m Thickness 5 Loc 180 24 mm 512x512 2005 06 27 17 12 51 DUBINSKY SHELLEY MRN A11171 Acc 1178042505 DOB 19500310 Sex F Site Anon Model GENESIS IN TE 88 87 R Y Thickness 5 Loc 162 24 mm 512x512 2005 06 27 17 12 51 DUBINSKY SHELLEY MRN A11171 VL MR CT NM CR 2005 06 28 2005 06 27 2005 06 20 2005 06 20 2005 06 19 07 10 19 17 19 53 18 22 19 10 55 53 12 47 59 Image 1 of 8 DUBINSKY SHELLEY Image 2 of 8 DUBINSKY SHELLEY Series 4 MRN A11171 A Series 4 MRN A11171 Acc 1178042505 Acc 1178042505 DOB 19500310 DOB 19500310 Sex F Sex F Site Anon Site Anon Model GENESIS JSIGNAV NG Model GENESIS SIGNA 88 87 88 87 Thickness 5 2005 06 27 Loc 186 24 mm 17 12 51 WIL 997 433 512x512 Thickness 5 Loc 192 24 mm 512512 2005 06 27 WIL 997 434 17 12 51 Image 4 of 8 DUBINSKY SHELLEY Image 5 of 8 DUBINSKY SHELLEY Series 4 MRN A11171 A Series 4 MRN A1117
8. S R EU ER wga Id Image 1 of 1 E Pape Suri Series 1 a H 2005 06 29 13 20 34 DERM LESION K DUBINSKY SHELLEY MRN A11171 Acc 2G5689408 DOB 1950310 Sex F 2005 06 28 07 10 19 CARDIO 768x1024 240x352 Right click for tools Figure 2 3 GEARView Basic with patient tabs open The contents of the patient tabs and other parts of the program screen are described as follows A Patient List tab Click to display the patient list B Exam history icons An icon is displayed for each exam associated with the patient Each icon shows the modality VL MR CT etc and date time of the exam Click an icon to display a new exam strip containing all series in the exam If an opened exam strip is off screen you can jump to it by clicking its exam history icon C Patient tabs Double click a patient in the patient list to open a new tab To switch between opened patient tabs simply click the desired tab If a particular exam is not displayed in the tab click one or more of the exam history icons PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc xx GEARView Basic 7 E pacsgear D Tab scroll buttons Click to move open tabs to the left or right E Help icon Click to view the user s manual F Close button Click to close the exam strip At any time you can reopen the exam by clicking the appropriate exam history icon G An overlay of the main study information H Exam strip The horizontal area containing a
9. W Switches to the window level tool Z Switches to the zoom tool P Switches to the pan tool M Switches to the measure line tool N Switches to the measure point tool V Switches to the measure angle tool B Switches to the measure Cobb angle tool Inverts the current image grayscale only R Resets the current image Home Jumps to first image of the selected series End Jumps to last image of the selected series Delete Deletes the highlighted measurement overlay 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A LF pacsgear GEARView Basic 19 4 Support At PACSGEAR your success is our success If you have any questions or problems please do not hesitate to contact us Customer Support USA 1 925 846 9600 8 00 am to 5 00 pm Pacific Time support pacsgear com Customer Support Europe 49 0 89 450 807 600 08 00 to 17 00 Central European Time support pacsgear com 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A
10. c PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc xx GEARView Basic 3 E pacsgear Symbols The following symbols are used in this manual CAUTION Indicates information necessary to prevent damage or loss of data or equipment f Consult instructions for use Appears on the product CD Conformit Europ enne Indicates that the product complies with the requirements of the 93 42 EEC Medical Device Directive Symbol for manufacturer ec Rep Symbol for European authorized representative EC 1 2 Starting and Exiting GEARView Basic Starting GEARView Basic lf GEARView Basic was included on the CD or other medium that contains studies the program will usually start automatically when you insert the medium into a drive or port on the PC If it does not start automatically navigate to the folder containing the studies and run GEARView Basic exe If viewing images through an EHR the program will launch automatically from the EHR provider A graphic the splash screen will appear showing you the product name If this graphic does not appear please contact PACSGEAR Support After a few seconds the splash screen disappears and either the Encryption Password dialog box or the patient list tab of the main program appears see next chapter Exiting GEARView Basic Click the Windows close button E 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A G iew Basic t 4 GEARView B g pacsgear 2 Basic O
11. k becomes available in the shortcut menu PET CT Fusion When a PET series and CT series are opened side by side in compare viewports GEARView Basic automatically superimposes the PET series with a copy of the CT series the left series in the figure below This is called PET CT Fusion You can select a transparency level 0 25 50 75 or 100 in the PET series shortcut sub menu To change the color schemes on the fused image right click and select a window level preset y i Lymphoma Breast Lung ka ES MIN MRN 000537643 ES MRN 001 356204 MRN 000990659 ES Or EF pacsgear CT Exam History 2010 0118 15 29 22 T I l I l l I l I nm OC 4 4 nm n 28x128 5 2010 01 18 5 33 36 W L 8164 208 15 30 42 W L 400 40 Right click for tools ag Start CE 9 cearview QC AT ep 13 Figure 3 6 PET CT fusion PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc LF pacsgear GEARView Basic 11 3 2 Shortcut Menu Commands Open the shortcut menu by right clicking an image or thumbnail Reset Tools k Flip Rotate Layout Window Level Presets k Image Details Ctrl D Figure 3 7 Shortcut menu for images in studies Reset Resets rotation to none window level to its original values from the DICOM file and the invert state and clears all measurements Tools see Tools Shortcut Menu below
12. ll series in an exam I Exam information the date time and name of the exam Double click this area to open a basic information window J Series thumbnail hereinafter thumbnail Each exam contains one or more series and each series contains one or more images Each series is shown as a thumbnail in the exam strip K An overlay of the size of the currently displayed image in pixels L An overlay of the number of the currently displayed image If a series contains multiple images you can scroll through them using the mouse wheel Overlays The text that is superimposed over images such as in G K and L above is called an overlay To display or hide overlays right click the study s shortcut menu and click Text On Off or press the A keyboard shortcut 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 8 GEARView Basic xx E pacsgear 3 Viewing and Manipulating Images GEARView Basic provides you with convenient tools to view and manipulate images These tools differ depending on the type of image 3 1 Window Controls The following window controls are available Full Screen To open an image in a full screen viewport double click its thumbnail in the exam strip or click the Full Screen button see figure 3 1 A B ups Figure 3 1 A Compare button B Full Screen button and C Close button The Close button is only visible if the image is dispalyed in Compare or Full Screen view Compare Click the Compare bu
13. n succession a start point and an end point A line appears between the two points with the distance between them measured in units of pixels After the first line is displayed you can move either of the two points to new locations in order to measure new distances lanm E Figure 3 8 Use the Measure tool to measure portions of an image 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A iew Basic o 14 GEARView B 9 pacsgear Measure Pixel Measure Angle Measure Cobb Angle After selecting this command click and hold down the mouse button over any point on the image to display the pixel value at that point One value is shown for grayscale images and three points are shown R G and B for color images After selecting this command click three points on the image in succession a start point a vertex and an end point Lines appear between the vertex and start and end points and the resultant angle is displayed in units of degrees After the first angle is displayed you can move any of the three points to new locations in order to measure new angles Flgure 3 9 Use the Measure Angle tool to measure angles in images After selecting this command click four points on the image in succession a start and end point for line 1 and a start and end point for line 2 The two lines appear along with a third line between the first two lines and the Cobb angle is displayed the angle swept by the lines where the vertex is ass
14. oe 211171 Senes 2 Flip F otate Text On OFF Autko Image Details Ctrl D Abdomen Bone Brain So gt mee herrrerereereerere Kidney Liver Lung Mediastinum Myelogram DUBIKHSET SHELLEY i Image 01 of 16 LIB Weck e O1 of 17 MAN 4777 77 Seres 2 MAR i Geres 3 Acc H 11780425605 i Acc H Sinus Auka Fi DOB 19500370 a y 10B Stroke ses F W hy T Sex 1 Subdural i Brain i Brain i 1 Ti I T1 1 T2 1 l 1 1 Flair 1 T I 1 Po i Low Contrast Flair 2005 06 27 wil 460 208 51265 Med Contrast PD High Contrast Figure 3 14 Two examples of possible Window Level Preset submenus 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A LF pacsgear GEARView Basic 18 3 3 Keyboard Shortcuts GEARView Basic provides many convenient keyboard shortcuts for efficient operation Window Level Preset Shortcuts The following are the default keyboard shortcuts for window level presets If desired these can be edited directly in the presets xml file located in the GEARView Basic folder F4 Abdomen F5 Bone F6 Brain F7 Liver F8 Lung F9 Mediastinum F10 Myelogram Other Shortcuts Page Up Scrolls up one screen in layout view Page Down Scrolls down one screen in layout view Up Scrolls up one image in layout view Down Scrolls down one image in layout view Left Jumps to the previous series in layout view Right Jumps to the next series in layout view C Starts pauses the selected cine loop A Shows hides overlays
15. perations If the medium you inserted into the PC contains only unencrypted studies GEARView Basic automatically starts and displays the studies in the Patient List tab see section 2 2 If the medium contains encrypted studies you are prompted to decrypt the files according to the procedure below 2 1 Decryption When you insert the medium into the PC GEARView Basic starts and displays the Encryption Password dialog box f Encryption Password Flease enter the password to continue Flgure 2 1 Encryption Password dialog box Enter the password determined at burn time into the box and click View GEARView Basic decrypts the studies copies them from the medium to the folder where GEARView Basic was installed and opens them in the Patient List tab see section 2 2 Alternately you can click Export to decrypt and copy the studies to a folder of your choice and exit GEARView Basic After export the folder will contain DICOM files that can be imported to PACS Password In the Password box enter the password specified in MediaWriter s Confirm Studies dialog box when the studies were originally burned PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc xx GEARView Basic 5 if pacsgear 2 2 Patient List Tab If studies on a burned medium are not encrypted or if they have been decrypted as described in section 2 1 above they are ready for viewing When GEARView Basic first opens the Patient List tab is displayed Pa
16. sonnel a simple way to view medical images and related results When burned to media CDs DVDs or USB flash drives GEARView Basic creates a complete and portable medical record Features Displays a wide range of DICOM objects including multiframe video clips visible light images and structured reports Provides a robust set of image manipulation tools including compare cine window level zoom pan annotations customizable overlays and presets Safeguards images in transit with configurable password protection and encryption based on the Advanced Encryption Standard AES algorithm e Supports Web Access to DICOM Objects WADO for standards based interoperability Requires no additional software or external licenses Runs on Microsoft Windows 2000 Windows XP and Windows Vista for ease of use no administration required For more information please contact us Americas Asia Pacific Europe Middle East Africa Russia PACSGEAR PACSGEAR 7020 Koll Center Parkway Suite 100 Balanstrasse 73 Pleasanton CA 94566 USA 81541 Munich Germany T 1 925 846 9600 T 49 0 89 450 807 600 F 1 925 846 0435 F 49 0 89 450 807 605 support pacsgear com support pacsgear com www pacsgear com www pacsgear com de 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 2 GEARView Basic gt E pacsgear 1 1 Conventions Used in This Manual Operating Procedures Operating procedures employ the following conventions
17. te Accession Number Study Instance UID Study ID Study Date Study Time Study Description Series Instance UID Series Description Senes Number Modality Image Type SOP Class UID SOP Instance UID Study Date Acquisition Date Study Time Acquisition Time Accession Number Figure 3 6 Image Details window PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc GEARView Basic 13 tt Y pacsgear Tools Shortcut Menu Window Level W Fli p Rotate d Zoom Fa Text On Off Pan p Window Level Presets Cine C Details Ctrl D Measure Mi i e nm A mt TID Measure Pixel N E ai 7 ee XD A ap vy Measure Angle E Measure Cobb Angle Invert I Flgure 3 7 Tools shortcut menu Window Level Changes the cursor to the window level cursor Drag the cursor horizontally or vertically over an image or thumbnail to adjust the window or level respectively Zoom Changes the cursor to the zoom cursor Drag the cursor vertically over an image or thumbnail to zoom in or out Pan Changes the cursor to the pan cursor Drag the pan cursor over an image or thumbnail to pan drag the image in any direction Note that you can only pan left and right in the full screen viewport Cine Select this command to cine through images in a series This command only works if the series contains more than one image and is open in compare or full screen view Measure After selecting this command click two points on the image i
18. tient List BRIE o pacsgear Date of Birth Accession No Study Date Study Time CR GENERAL EXAMPLES E2222 1970 03 12 gt DUBINSKY SHELLEY A11171 1950 03 10 DERM LESION p902854 13 20 34 CARDIO C5689408 07 10 19 ke MR T SPINE MRI WITHOUT CONTRAST 1178042505 105 06 2 17 19 00 CT CHEST WITH CONTRAST 1171053605 18 22 19 NM MYOCARDIAL PERF WI TREAD TC ECT 1171005105 10 55 53 CR CHEST PORTABLE 1170007305 F 12 47 59 MR GENERAL EXAMPLES E5555 1967 01 01 LKNEE LT KNEE MA EXTRM COIL esse 1 Select an exam and double click it to view 2 When viewing images right click for tools For additional assistance click the information icon in the upper right corner Figure 2 2 Patient List tab The Patient List tab displays all of the studies that are available for viewing Double click any study in the Patient List tab to view the study in a new patient tab see next section 2010 PACSGEAR Inc PG DOC GVB UM EN REV1 0A 6 GEARView Basic e E pacsgear 2 3 Patient Tabs Each time you double click a study for a new patient in the Patient List tab a new patient tab is opened A B C D E EY GEARView lassen MR GENERAL EXAMPLES DUBINSKY SHELLEY Foten Let MRN E5555 MRN A11171 LH RF pacsgea VL VL MR CT NM CR Exam History 2005 06 29 2005 06 28 2005 06 27 2005 06 20 2005 06 20 2005 06 19 13 20 34 07 10 19 17 19 53 18 22 19 10 55 53 12 47 59 F DETTE
19. tton see figure 3 2 to open the image in a half screen viewport Click the Compare button of a second image to open the second image in a half screen viewport in the other half of the screen This easily enables comparison of two images 9 PACSGEAR Viewer DUBINSKY SHELLEY o MRN A11171 ES r iF pacsgear VL VL MR CT NM CR Exam History 2005 06 29 2005 06 28 2005 06 27 2005 06 20 2005 06 20 2005 06 19 13 20 34 07 10 19 17 19 53 18 22 19 10 55 53 12 47 59 on Model GENESIS SIGNA Model GENESIS SIGNA 2005 06 27 nn 200 7 12 5 17 12 51 5 06 27 12 5 Figure 3 2 Compare view PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc xx GEARView Basic 9 E pacsgear Close Any time an image is opened in a full screen or compare viewport you can return to thumbnail view by double clicking the image again or by clicking its Close button see figure 3 1 Cine Images This button is only available if the series contains more than one image Click to automatically cine through all images in the series After clicking the button changes to a Pause button Click Pause to pause the cine You can also press C on the keyboard to Cine Pause images Cine slider This slider is only available if the series contains more than one image Drag the slider to the right or left to manually cine forwards or backwards through images in the series B gt Figure 3 3 A Cine Images button and B Cine slider SR paging When a structured report
20. umed Ji Flgure 3 10 Use the Measure Cobb Angle tool to measure angles in images Invert Inverts black and white values on grayscale images Has no effect on color images PG DOC GVB UM EN REV1 0A 2010 PACSGEAR Inc LF pacsgear GEARView Basic 15 Flip Rotate Shortcut Menu Rotate Right 90 Text On Or Rotate Left 90 WindowLevel Presets Rotate 180 Image Details Ctrl D Flip Horizontal Flip Vertical Figure 3 11 Flip Rotate shortcut menu Rotate Right 90 Rotates the image or thumbnail ninety degrees clockwise Rotate Left 90 Rotates the image or thumbnail ninety degrees counterclockwise Rotate 180 Rotates the image or thumbnail one hundred and eighty degrees Flip Horizontal Flips the image horizontally on its vertical axis Flip Vertical Flips the image vertically on its horizontal axis Layout Shortcut Menu The Layout shortcut menu is only visible when the study is displayed in a viewport and is useful only if there is more than one slice in the series Select 1 x 1 2 x 2 or 3 x 3 from the submenu to display a tiled layout of slices Use the Up Down arrow keys to scroll slices one by one through the tiles or use the Page Up Page Down keys to scroll them screen by screen Reset Tools Flip Rotate Text On Off Window Level Presets Image Details Ctrl D Figure 3 12 Layout command with submenu If there are not enough slices to fill the layout portions of the layout are left blank
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