MedDream WEB DICOM Viewer USER`S MANUAL
Contents
1. cccccsssscccccseeeeccccseeececcaeueeeeesaeueceeesaaueeeeesseaeeeesseeueeeeessaaeceesseaaeeeessaageeesssaaeeeeseaas 9d MedDream WEB DICOM Viewer v4 03 User s Manual Index 57 Index C SISI T M 31 REECH ee 30 E ECCO MOGUC mr 40 Explanatuonor SyImibolsiS WEE 5 elei ana reiege Ee LEE 35 mage OG ANZA OM RC tit TETTE a e 20 MONA WNdOW cC o le il o do e lid dl m 53 Installing MedDream for MedDream PACS Quick Install Windows and Umus 8 A EE 6 L Ai A E PE OR E eer ee ME ue IDEE e Mte d tU M RM ELO 52 Seu SNS PAM eR CC nO IE DeC rn 9 LogdiNd onto MSDS Mesta DO EO I t 11 M Manipulating E eie m EE ED De m 21 Stee MUA icem CM T Hr TP E 23 Minimal hardware reourements eene RR sri sea arises irri sess esas erene nnns 7 Minimal software Tedgulre mellis EE 7 D I reconstruction ee 32 N Notes on the tiser E E EE 4 O Opening met Ec 15 P PDE VIEW T 44 Printing images and Seres a 29 Purpose and availability Of documentatlOn ein retis lances ecu ies ii iii tia 4 Q OUestibhs aed Comm Hee 4 R FE AGIA Ke Lee CNN ED A 16 Repo MOGUES durana a a em O 37 S saving Images E E a a REM 30 Se Er EE 12 A A ML tc MM M M M 46 cin Men mr2. 30 e 34 V 38 E 42 Figure 43 Playing images as one movie To turn the Cine mode off just open one of the images again MedDream WEB DICOM Viewer v4 03 User s Manual 31 Multi planar reconstruction MPHR 32 Multi planar reconstruction MPR Multi planar reconstruction MPR is the simplest method of reconstruction A volume is built by stacking the axial slices The software then cuts slices through the volume in a different plane In order to open this function you have to press right button of the mouse on the image and choose MPR A pop up window appears There you have to fill two input boxes e Start Frame number of the first frame of selected series e End Frame number of the last frame of selected series MPR Start Frame min 0 End Frame 37 max 32 Show Cancel Figure 44 MPR frame selection User can input the range from which MPR will be calculated After you enter the frame range press Show and the loading will start It might take some time to load all frames This will be indicated by the following progress window MPR A Figure 45 Loading MPR After the loading is finished the MPR window appears MPR Sh MA mr s Bt m X dose 11707 11707 F 512 x 512 2 5 mm 512 x 512 2 5 mm 2012 12 18 18 00 20 2012 12 18 18 00 20 Z 0 61x B 1 61 W 100 L 40 11707 512 x 512 Z 1 07x B 2 08 W 100 L 40 Figure 46 MPH 2 5 mm 2012 12
3. select 2x2 Screen layout 1x1 Screen Layout LLI ix Screen Layout H 2x1 Screen Layout HH 2x2 Screen Layout HH 2x3 Screen Layout EH 3x3 Screen Layout Figure 17 Layout 2x2 After selecting how many screens you want to see in the window move the images into them There are two methods to do this First method e Select the image icon from the study series that are displayed on the left or on the bottom depending on how you have rearranged the display e drag and drop the image with one mouse click into the pane where you want the image to be MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 19 ANONO000 0377 0000 1 5 Locator G Oe ae SUNT T SEINE 57 CAM Z 54b GA PAN 3 CR ES 2008 05 dh Vi n 4 P ub o E 7 E d Lj y A Figure 18 Drag and drop the image into the pane Second method e Select the pane where you want to move the image with one mouse click The active pane will be outlined in red e Select the image icon from the study series that are displayed on the left or in the bottom depending on how you have rearranged the display e Double click on the image that you want to move into the pane e The image will appear in the selected pane These are the ways how you can move the images from the series into the main window You can select and compare images not only from one study but from multiple studies as well Comparing multiple studies
4. Searhofstudies A OT Other 5 After you have selected your search settings start the search by clicking Search 6 You will see the following window with the search results Search Patient 1D From gH Today Patient Name E _ Te uH Yesterday O ce M er O ox 10 vi wel or re sc J xa All cr jes J me nm le re jus xc ENS Patient ID Name Study ID Accession Mod Description Date Time I 13851 L SPI ANONOOOO CC285815 2008 05 10 14 18 28 1235 Anonymized 2007 10 18 01 12 45 H 07 K3700 II I268BFSC2BE7D1A1BDO0AC 1391 2007 07 13 09 52 08 1112 BOTH H ANONOOOO 1159 S9D00EE100 2007 03 29 12 51 20 a Rs a ts a Ba a Anonymized SHOULDER 1995 05 01 15 26 10 Figure 8 Search results Also you can use the following search window action buttons H To display window on the right side E To display window on the left side To maximize the Window To minimize the Window xX To close the Window MedDream WEB DICOM Viewer v4 03 User s Manual Opening multiple studies 15 Opening multiple studies If you need to open more than one study e g to compare them please do the following 1 Select one of the studies with one mouse click It will be highlighted in blue Patient ID Name E 2013 08 291 20153 08 29113155195 201 2013 08 081 2013 08 08132642506 201 Ce 12 tyrimas testas2 Figure 9 Study selection 2 Tick the field Add
5. To compare multiple studies you can use the Lock Scroll button It allows you to either move through images one at a time or easily scroll though the images of a series e Select the studies that you want to compare e From each study select and move the first images into the viewing panes e Click Lock Scroll e When this button is active is outlined in blue you will change all images simultaneously scroll though the images of a series by scrolling the mouse wheel e If the button is inactive you will move through images one at a time by scrolling the mouse wheel NOTE when the Lock scroll button is active you can move through images with the help of keyboard arrow keys not only by scrolling the mouse wheel MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 20 Image localization Overlaying reference lines allow you to indicate the location of an image slice on another image of an intersecting pane e Select the images that you want to compare and move them into the panes e Select one of the image you want to know the location of in regard to other images t t e Click the button Reference Lines e yellow lines appear in the images indicating the location of the selected image ANONOODUO 59 i ANONDODO 1112 BOTH HIPS 1112 BOTH HIPS T2 Ax 288 y 206 TJ 2UU Us 2 2UU f Us 29 cu mw e 2 co Im D Z 1 08x Z 0 91 YY 10000 L 5000 WV 9982 L 5008 I ANONOOOO 1
6. DICOM 2013 02 01 11 17 File fol Recent Places mdpacs 2013 01 31 13 33 File fol Ca J xampp 2013 01 31 13 33 File fol install 2012 10 29 21 10 Windo Desktop S OptomedWorkstation 2013 01 30 12 34 Applic E restart 2012 09 21 1712 Windo EN as E run monitor 2013 02 01 12 44 Windo owevtmon 2013 01 30 10 55 Applic start 2013 01 31 13 33 Windo L e S stop 2013 01 31 13 33 Windo My Computer unins000 2013 01 31 13 33 TMT3 5 unins000 2013 01 31 13 00 Applic i uninstall 2012 09 21 17 13 Vindo m 4 Libraries File name imagel X Save as type Warning This file may be an executable program or contain malicious content use caution before saving or opening Figure 41 Saving location selection MedDream WEB DICOM Viewer v4 03 User s Manual Context menu functions Cine mode Using Cine mode you may put all images into one movie ips CR 6 6 88 m CH m m QU ra ul D I 60 6 6 KEE 0 0 9 0 34 35 Figure 42 Opening Cine mode function m wW D D N 3 e Saa a a o AJ eee Dee D This function allows you to play images as one movie one image one frame m 4 e 6 6 6 of el 0 0 o al 7 image 1fps Z 1 15x B 2 15 W 100 L 40 pr m ue ot ie T UT LU up cte red CAES OU 4 Seck 11 Tr 3 A G 23 27 31 35 39 gu Se 10 ESY 4 Wa B 14 e 4 Y 8 22 a E D 26
7. 18 18 00 20 Z 1 07x B 2 08 W 100 L 11707 512 x 512 Z 1 07x B 2 08 W 100 L 40 2 5 mm 2012 12 18 18 00 20 MedDream WEB DICOM Viewer v4 03 User s Manual Multi planar reconstruction MPHR 33 The top picture on the left is the main one You can see three arrows which can be moved in order to see different planes and the optimal plane can be chosen to display an anatomical structure This may be particularly useful for visualizing the structure of the selected organ The other pictures correspond to different cross sections e MPH1 horizontal cross section e MPR2 vertical cross section e MPR3 diagonal cross section You can manage and analyze the study images according to the criteria you need The following buttons are used for this MPR OMAR Bes a zm Figure 47 MPR toolbar Default button is used to adjust the Level Window contrast and brightness of the image Hand button allows you to position images within the pane GL The button is used to increase and decrease the selected image press on the Keyboard to Zoom In and mum to Zoom Out press left button on your mouse and drag it upwards to zoom in and downwards to zoom out Measurement button allows you to measure the images in number of ways Slice button allows you to make a cross section There are two possible options Line three arrows will automatically appear that make a vertical horizontal and diagonal cross
8. DIR ext if you are using PHP 5 3 x VC6 build copy php5 3 meddream VC9 dll to PHP INSTALL DIR ext if you are using PHP 5 3 x VC9 build MedDream WEB DICOM Viewer v4 03 User s Manual Installing MedDream for MedDream PACS Quick Install 9 Windows and Linux copy php5 4 meddream dll to PHP INSTALL DIR ext if you are using PHP 5 4 x 4 Add to php ini file extension php5 2_meddream dll if you are using PHP 5 2 x extension php5 3_meddream VC6 dll if you are using PHP 5 3 x VC6 build extension php5 3_meddream VC9 dll if you are using PHP 5 3 x VC9 build extension php5 4_meddream dll if you are using PHP 5 4 x 5 Specify date timezone in php ini Date Defines the default timezone used by the date functions date timezone America Chicago the list of possible values is at http www php net manual en timezones php 6 Edit APACHE HTDOCS_DIR meddream config php file Follow instructions inside the file 7 Restart Apache 8 Navigate to http 127 0 0 1 MedDream PACS meddream home php use MedDream PACS users to log in or use Show button in MedDream PACS web interface Linux install 1 Copy the meddream directory to MEDDREAM PACS INSTALL DIR php so that the result is MEDDREAM PACS INSTALL DIR php meddream e g in our machines it usually is home MedDream PACS php meddream Adjust permissions no less than 0777 for MEDDREAM PACS INSTALL DIR php meddream 0777 for MEDDREAM PACS INSTALL DIR php meddream log 077
9. cr rm 43 MedDream WEB DICOM Viewer v4 03 User s Manual Index 58 T EA meg 0 9 IEEE A E 3 NES 0 AS a el 54 V Let EDEN REI E O 45 viewngang analyzing lee EE 18 Viewing one or multiple studies oocccooonnccococonoconnnconononononcnnononnnnonnnnnn nnne nnn nne nnns sni sn nn RR sns sei sire aisi rises a nenne sess n serre 18 W A R 8 MedDream WEB DICOM Viewer v4 03 User s Manual MedDream WEB DICOM Viewer ir manufactured by Softneta UAB Softneta UAB Varniu str 1 LT 48310 Kaunas Lithuania MedDream WEB DICOM Viewer v4 03 User s Manual
10. display window on the left side O To maximize the Window Z To minimize the Window x To close the Window MedDream WEB DICOM Viewer v4 03 User s Manual 39 ECG module ECG module This module allows you to view DICOM ECG wave data This module can be used while MedDream is in demo mode in the commercial mode it is licensed L separately therefore existing customers will need an updated license se Qm amp Hg e S 8 ees Do amp O0 8 8 m a MUI Lomo root tyrimas testas2 Li tyrimas testas2 2013 07 24 FEER ji ji DES 4 ere Brass IHRE SERIES uses sieeioeas Eins Guaea IEEE ieee AER o bp HE KH EE 1 t 4 1 Li CET EE EE EE A EE EE esas DEE EE E GE EE SS HHH SE HHH i f F sisir HER E inating i i EHE SES i 1 IHE Hr H nnnsnnguus SE puer HEHEHE pres pup o un EEUU i j HIP 4H KH Po HEHEHHE Ehud r laj omm ee e SS NAS Pa YOR nr A 3 Zem T foe SS T h T A LI Figure 56 ECG view For ECG behavior is different e Measurement tools are changed into ECG measurement tools x E Ik QT points RR QT QTc Ge Delete All Figure 57 ECG measurements e Image manipulation buttons are disabled The Measurement button is used to measure fragment length in seconds mV and calculate BPM To measure e Select Measurements e Move the mouse cursor on the point you want e Press down and move mouse ov
11. documentation This user s manual describes the operation with MedDream WEB DICOM Viewer hereinafter MedDream Correct operation of the system is imperative for its safe and successful functioning You should therefore ensure that you are thoroughly familiar with the user manual before setting up and using MedDream for the first time The user manuals and other documentation enclosed with MedDream should be kept accessible to users at all times to ensure that the information required for the use of MedDream is readily available MedDream WEB DICOM Viewer is not intended to replace skilled and qualified medical professional The software should only be used by people who have been trained and is acquainted with its functions capabilities and limitations Users must be aware that the quality accuracy and correctness of the output data displayed on the screen printed or exported from MedDream depends on the quality accuracy and correctness of the input data the user s interface with the data the quality calibration and other parameters of printer or monitoring device MedDream has been tested extensively however it is possible that errors may remain emerge in the software Users must be aware of the potential for errors and in case of an error or for other assistance please contact Softneta UAB Customer support e write an e mail info softneta com MedDream saves images and studies together with patient organization and other informa
12. section Curve MPR calculation from the curve drawn on the original slice MPR lel o Q EY E yy Ru 8 X dese A 2 5mm 512 x 512 s 2012 12 18 18 00 20 hi E 1 d m d Y m Z 0 61x B 1 61 Z 1 07x B 2 0 W 100 L 40 ms W 100L 40 Figure 48 Curve measurement The curve is always shown in MPR1 Delete curve by pushing this option you will delete the curve E Fit to Screen button When you press this button the size of the image is automatically adjusted so that the image would fill the entire screen For example if only part of the image is visible on the screen MedDream WEB DICOM Viewer v4 03 User s Manual Multi planar reconstruction MPHR 34 choose this button to see the whole image displayed in the entire screen a 1 1 Resolution button allows you to restore the original image size Transform button allows you to rotate the image Options e Rotate Right to rotate the image 90 clockwise e Rotate Left to rotate the image 90 counter clockwise e Flip Horizontal to flip an image 180 over the horizontal axis E Flip Vertical to flip an image 180 over the vertical axis X Close This button closes MPR and the main screen opens again MedDream WEB DICOM Viewer v4 03 User s Manual Export and forward study 35 Export and forward study The button Forward is used to send the selected study to the remote device while the button Burn w
13. window In the main window press the Information window button Information window will display 1 Full product name Licensed to Current connections Modules Report ECG Video Valid to empty if there is no termination in time Update to date till the technical support and updates are provided Version Medical device class oe x SS A eS de Contacs Softneta UAB contacts About A Sof tneta Softneta UAB MedDream WEB DICOM viewer 4 03 1409 0100 Licensed to Company Mame Concurrent connections Unlimited Connected 1 Modules ECG Valid ta x Update to 2015 04 12 Version 4 03 1409 0100 2014 09 01 Medical device class Directive 33 42 EEC Class medical device Contacts Varniu str 1 http www saftneta cam LT 48310 Kaunas infocosoftneta com Lithuania Chester o Figure 73 MedDream Information window MedDream WEB DICOM Viewer v4 03 User s Manual 53 Table of Figures 54 Table of Figures KOUS 1 ee Un Te El ME C I UPPER 11 sU Search WING OW ETT D LEE 12 Figure ee EE 12 Figure 4 SCANCIACCOIGING Be EE 13 Figure 5 Search options Today Yesterday siio EE 13 Figure 6 Search according to A ee PE Pip REN ee Mita iR Pi E Vip MID M CMM DI E eU MU ileal 13 Figure 7 Mocdalilies search A ls T3 ligure o eer EE 14 FOUE 9 Study Selection ee E 15 IQUE SO Adding aS LIC tee p EP P 15 Figure 11 Opened Rn ite E te 15 Figure 12 Study Report icon location in Searc
14. 159 c ANONOOOO 1112 BOTH HIPS 142 BOTH HIPS STIRCO 288 x 296 TL 2007 03 29 y 2007 03 29 J D X j Fr 6 Pv e b Da co B b 382 L 5008 UR Figure 19 Reference lines option MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 21 Manipulating images You can manage and analyze the study images according to the criteria you need The following buttons are used for this oe 2 pa B11 0 Figure 20 Image manipulation tools All manipulation buttons are disabled for video view L More about each of them e Button is used to adjust the Level Window contrast and brightness of the image A pop up menu appears MA my RE You can select one of the standard contrast settings Defaut Default a preset setting Auto Auto the system analyses the image and adjusts the brightness and contrast Abdomen 350 50 automatically Bone 2500 500 Abdomen a preset setting for abdomen studies Bone a preset setting for bone studies Cerebrum a preset setting for cerebrum studies Liver a preset setting for the liver studies Lung a preset setting used for studying the images of the lungs Mediastinum a preset setting for mediastinum studies Pelvis a preset setting for pelvis studies Posterior Fossa a preset setting for Posterior Fossa studies B Inverse 1 Inverse the user can inverse the image Cerebrum 120
15. 40 Liver 150 50 Lung 1500 500 Mediastinum 300 50 Pelvis 400 40 Posterior Fossa 250 80 Figure 21 Level Window button options ba Hand button allows you to position images within the pane This feature is especially useful when the image is larger than the pane as it usually is after zooming To move an image within the pane e Onthe Tools menu click Hand e Position the cursor over the image you want to move and click and drag the cursor around the pane to move the image e Release the mouse button to leave the image in its new position A Button is used to increase and decrease the selected image There are two ways to zoom in and zoom out of an image Press on the Keyboard to Zoom In and to Zoom Out press the left button on your mouse and drag it upwards to zoom in and downwards to zoom out c Fit to Screen button When you press this button the size of the image is automatically adjusted so that the image would fill the entire screen For example if only part of the image is visible on the screen choose this button to see the whole image displayed on the entire screen MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images ee 1 1 1 1 Resolution button allows you to restore the original image size Oe Transform button allows you to rotate the image Click the arrow to the immediate right of the Transform and select one of the options from
16. 7 for MEDDREAM PACS INSTALL DIR php meddream temp If you are updating an older version of MedDream a Please back up the old version so you can go back any time b Please do not replace the files you changed in the last version You must carefully synchronize the new version 2 From MEDDREAM PACS INSTALL DIR php meddream Copy and Replace applet php to MEDDREAM PACS INSTALL DIR php 3 From MEDDREAM PACS INSTALL DIR php meddream copy php5 2 meddream so to usr lib php modules if you are using PHP 5 2 x copy php5 3 meddream so to usr lib php modules if you are using PHP 5 3 x copy php5 4 meddream so to usr lib php modules if you are using PHP 5 4 x copy php5 2 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 2 x under a 64 bit OS copy php5 3 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 3 x under a 64 bit OS copy php5 4 meddream x86 64 so to usr lib64 php modules if you are using PHP 5 4 x under a 64 bit OS 4 Add to etc php ini file MedDream WEB DICOM Viewer v4 03 User s Manual Installing MedDream for MedDream PACS Quick Install 10 Windows and Linux extension php5 2_meddream so if you are using PHP 5 2 x extension php5 3_meddream so if you are using PHP 5 3 x extension php5 4_meddream so if you are using PHP 5 4 x extension php5 2_meddream x86_64 so if you are using PHP 5 2 x under a 64 bit OS extension php5 3_meddream x86_64 so if you are using PHP 5 3 x under a 64 bit
17. 89 et 41 ECG module di Scrollbar Button to adjust ECG data position Button to adjust ECG data zoom Is used to display remaining data By default first 5 seconds of ECG wave data is visible MedDream WEB DICOM Viewer v4 03 User s Manual 42 SR view SR view SR view enables to view structured reports SR Patient Study Manufacturer Completion Flag Verification Flag Content Date Time X Ray Radiation Dose Report observed 2012 03 02 09 37 44 Concept Modifier Observation Context Observation Context Observation Context Observation Context Observation Context Observation Context 4 Dose Record Observation Context 1 Observation Context CT Accumulated Dose Data 3 events 892 36 mGycm CT Acquisition 1 CT Acquisition Parameters 4 Dose Report Figure 61 SR window SR window displays standard structured DICOM reports SR window uses the following window action buttons Eu To display window on the right side EH To display window on the left side O To maximize the Window To minimize the Window MedDream WEB DICOM Viewer v4 03 User s Manual 43 PDF view 44 PDF view PDF view enables to view PDF files encapsulated in DICOM format wal L Nl YA y i ih Dow t ht med utl dtl d desc Aaen 23 00 03 00 OFC Report Amhythrria absoluta Figure 62 PDF window PDF window displays a standard PDF reader Some Web b
18. BFSC2BETD1A1BOAC 1391 MR 2007 07 1112 BOTH ANONOOOO 1159 SOOO0EE100 MR 2007 03 ea Es da Ra Be b Anonymized MR SHOULDER 1995 05 Figure 12 Study Report icon location in Search window To read a report e Select a study with the Report icon e open the study with double click on it e when the study opens the Report button will be activated in the Tools menu Figure 13 Report icon in the toolbar e Click the Report button once to open the annotation A report window will appear Report Study Time 2013 09 19 10 15 00 Study ID demo Report Time 2013 10 04 10 23 04 y Patient ID 0 57 EMO EM Patient Name SendToPACS EMO F 5 Pavilion Close Figure 14 Study report MedDream WEB DICOM Viewer v4 03 User s Manual Reading study reports e Press Close to exit the report window Complete annotation editing or printing of the study are available by clicking the button in the study wewws 6 Figure 15 Report icon in the study header It opens a separate MedReport window which can fully employ MedReport functions edit and print the study annotation This function is superseded by the Report module However even after installing the license that enables this module MedReport will still be called if it is integrated into MedDream You will need to disable the integration medreport root linkin config php in order to use the Report module instead M
19. OPERTY DAMAGE MedDream is incompatible with the CD Viewer from Softneta DICOMDIR Viewer Both Viewer and MedDream may encounter licensing errors if CD Viewer runs on the same computer where MedDream is hosted Use a different machine to test the Viewer on a burned CD or temporally shut down the webserver that hosts MedDream MedDream WEB DICOM Viewer v4 03 User s Manual 36 Report module Report module 37 Complete annotation editing or printing of the study are available by clicking the button on the study header Note This module can be used while MedDream is in demo mode in the commercial mode it is licensed separately therefore existing customers will need an updated license Search ANONOOOD I11268BF5C2BE7D1A1B0ACD 158114 1 3 3 Plane Localizer Figure 52 An icon of a filled report It will open a report window REPORT HH ox TEMPLATES REPORT Insert gt gt Study ID ician Study Time 2013 09 19 10 15 00 i e Report Time 2013 10 04 10 23 04 Patient ID 015 SMS 9 2 History L Pavilion e Patient Name SendToPACS EM d Edit m Print v Birthdate 0000 00 00 lt lt Add Template Pavilion New Edit Delete s o D Figure 53 Filled report In the Report window you may edit and print the study annotation MedDream WEB DICOM Viewer v4 03 User s Manual Report module 38 REPORT HE Dx TEMPLATES REPORT Insert gt gt n uA ep insert gt gt
20. OS extension2 php5 4 meddream x86 64 so if you are using PHP 5 4 x under a 64 bit OS 5 Specify date timezone in php ini Date Defines the default timezone used by the date functions date timezone America Chicago the list of possible values is at http www php net manual en timezones php 6 MedDream PACS and Apache must run as the same user because newer versions of MedDream PACS create subdirectories with permissions too strict for different users 7 Edit APACHE HTDOCS DIR meddreamr config php file Follow instructions inside the file 8 Restart Apache 9 Navigate to http 127 0 0 1 MedDream PACS meddream home php use MedDream PACS users to log in or use the Show button in the MedDream PACS web system 10 ffmpeg is required in order to display thumbnails of MPEG2 DICOM files It is expected at usr bin ffmpeg Not every distribution has it Sometimes it is possible to download separate dependencies from sites like rpmfind net and install these manually 11 mkisofs is required for the Export command MedDream WEB DICOM Viewer v4 03 User s Manual Logging on to MedDream 11 Logging on to MedDream To log on to MedDream please do the following e Enter the address given by your administrator in your Internet Browser The following screen will appear cl Softneta MedDream F WEB DICOM Viewer Database Username Password Figure 1 Logging in e Enter the username you were given in the fie
21. Study ID Physician Study Time 2013 09 19 10 15 00 il demo M Physician v amp Diagnosis Report Time 2013 10 04 10 23 04 Patient ID 013 gH os zn Al History Patient Name SendToPACS EM Save Print v AAA j Birthdate 0000 00 00 e e Report vill be replaced vith the Selected Template Do you really want to replace the Report New Edit Figure 54 Report template replacement The following buttons are used in order to Insert the template The button is active only in Edit mode After pressing Insert button you are asked to confirm the action as the entire text will be replaced lt lt Add Template Add a template to the list Once you are satisfied with the content you can save it as a template either existing or new one Save a report Save button changes to Edit button once it is clicked Write a report edit mode Insert the nearby information into the annotation Le Print just the text or including all images Print with images uu Open an empty form of a template Enable editing of a selected template MedDream WEB DICOM Viewer v4 03 User s Manual Report module Delete Delete the selected template Template Template Group Select Group v Template Name test report Save J Cancel Figure 55 Template Also you can use the following Report window action buttons H To display window on the right side To
22. ay If you are looking for the studies that were done yesterday please click Yesterday v Ta 2013 10 15 FR Yesterday Figure 5 Search options Today Yesterday 4 The search can also be specified by selecting the method which was used to obtain the study images e ickthe field next to one or more methods devices that were used in the required study please look below for the meaning of the abbreviations For example if you want to find all images obtained by using Digital radiography devices you should tick the fields as shown below eee LJ ck ox io mr jor RF sc xa el cT e es MG uNM rx Re Jus xc Figure 6 Search according to modalities Moreover you can select all possible methods by clicking the All button or you can clear all the ticks by clicking None v ecu w cr wW Dx v ro Ww me v oT Y RF w sc v xa v cr v e v ws v um W ex v RG v us v xc None Figure 7 Modalities search All None Abbreviations CR Computed Radiography PX Panoramic X Ray CT Computed Tomography RF Radio Fluoroscopy DX Digital Radiography RG Radiographic Imaging ES Endoscopy SC Secondary Capture IO Ultra Oral Radiography US Ultra Sound MG Mammography XA X Ray Angiography MR Magnetic Resonance XC External camera photography NM Nuclear Medicine ECG Electrocardiography MedDream WEB DICOM Viewer v4 03 User s Manual
23. cd Softneta MedDream WEB DICOM Viewer USER S MANUAL version 4 03 2014 Softneta UAB Kaunas All rights reserved in the event of granting of patents or registration as a utility patent All names of companies and products mentioned in this users manual may be trademarks or registered trademarks References to products of other manufacturers are for information purposes only Such references are intended neither as an approval nor a recommendation of these products Softneta UAB accepts no liability for the performance or use of such products Other brand names software and hardware names used in this users manual are subject to trademark or patent protection The quoting of products is for informational purposes only and does not represent a trademark misuse This user s manual is protected by copyright Unless expressly authorized in writing dissemination duplication or other commercial exploitation of this documentation set or communication of its contents or parts of it is not permitted In case of infringement the violator may be liable to pay compensation for damages Specifications due to technical developments are subject to change This user s manual is not subject to the revision service Please contact the manufacturer or authorized dealer to request the latest edition of the manual Table of Contents 3 Table of Contents AEs 0 Te Re AA PM EU PER 3 Notes On Ihesiser En TE 4 Purpose and availabil
24. dDream PACS s Include external viewer functionality If you use the latter and still keep the viewer in the subdirectory DICOMDIR MedDream Export function might fail due to same files included twice The solution is to rename the subdirectory or move it somewhere outside the MedDream directory tree MySQL from XAMPP 1 8 for Windows if MedDream or MedDream PACS web interface connects to the database very slowly each attempt takes about 1 second then try adding bind address to my ini While still in demo mode you must remove the existing meddream lic after changing computer s host name any OS reinstalling the OS Windows or changing the MAC of any network card Linux A correct file will be created automatically Otherwise a commercial license generated from your meddream lic will not work Windows install 1 Copy meddream folder to C Program Files MedDream PACS php the result C Program Files MedDream PACS php meddream If you are updating older version of MedDream a Please back up the old version so you can go back any time b Please do not replace files you changed in last version You must carefully synchronize the new version 2 From C Program Files MedDream PACS php meddream Copy and Replace applet php to C Program Files MedDream PACS php 3 From C Program Files MedDream PACS php meddream copy php5 2 meddream dll to PHP INSTALL DIR ext if you are using PHP 5 2 x copy php5 3_meddream VC6 dll to PHP INSTALL
25. density of a CT image To measure the density e Select Intensity once e Move the mouse cursor over the point you want e The density of the point and its coordinates should be visible next to the cursor expressed in Hounsfield units HU ANONOOOO 1112 BOTH HIPS Locator 3 axis 2007 03 29 Es Im oT eg r Figure 25 Density measurement MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 24 To measure the distance e click on the Measure button and choose Line from the list e Place the mouse cursor on the starting point from which you want to measure the distance e Press and hold the left mouse button Move the cursor to the end point and release the button e The distance in millimeters or pixels in some images will be displayed in yellow l Figure 26 Line measurement Angle measurements allow you to display the angles between intersecting lines To display the angle measurements e Draw intersecting lines on the image e Onthe Tools menu click Measure button e Tick Show Angles Figure 28 Angle measurement option Figure 29 Angle measurement The Angle button is also used to measure an angle between any intersecting lines To measure an angle e Position the mouse pointer on the point from which you want to measure the angle Then press the left mouse button e Move the pointer to the second point the intersection point and pr
26. edReport PE E x TEMPLATES REPORT Insert StudyTime 2007 07 13 09 52 08 TRE LY egen z ReportTime 2007 09 12 20 27 39 Patient ID 07 K3700 9 b H ep Patient Name Anonymous Y Pavilion ve n l Birthdate 1970 10 02 Y lt lt Add Template Arial iy 2 8171 B Diagnosti Pavilion 07 K3700 Unknown DIS IO D Figure 16 MedReport The annotation of the study may be indicated by two different buttons D If the Report button is empty the annotation is also empty and the doctor can fill it If the Report button appears full the study annotation is already written and the doctor can edit or print it MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 18 Viewing and analyzing images Viewing one or multiple studies After opening one of the study series you can rearrange the preview window as you prefer First of all you can choose on which side of the screen left or bottom you want to see the icons of the images Just click button in the menu bar and change the preview window as you prefer Also you can choose how many panes with study images there will be in the window You can choose from one to nine panes with different images If you want to open more panes do the following e Click Screen layout on the menu bar BR e choose from the list how many panes you want For example if you need to see 4 screens with different images
27. er an ECG wave Figure 58 Measurements MedDream WEB DICOM Viewer v4 03 User s Manual ECG module The QT points button is used to measure wave QT points RR QT and QTc To measure e Select QT points e Move the mouse cursor on the point you want to set Q point and click e Move the mouse cursor on the point you want to set T point and click e Move the mouse cursor on the point you want to set last Q point and click double click also works Figure 59 QT points vm LL vm Change horizontal scale mm per second E 25mmij s a 1 Change vertical scale mm per mV A i0mm mVv i Display ECG annotation data Annotation m E Ox Machine Interpretation Statements E Machine Global Measurements Ventricular Heart Rate 60 Atrial Heart Rate 60 RR Interval 1000 P Duration 96 PR Interval 174 QRS Duration 94 QT Interval 376 QTc Interval 376 P Axis 29 QRS Axis 47 T Axis 39 Machine Median Beat Fiducial Markers P Onset 103 P Offset 151 QRS Onset 190 QRS Offset 237 T Offset 378 Rhythm Beat Fiducial Markers Manual Global Measurements Figure 60 ECG annotation You can use the following window action buttons as well H To display window on the right side EH To display window on the left side O To maximize the Window To minimize the Window MedDream WEB DICOM Viewer v4 03 User s Manual HRE 0 997 s QT 0 389 s OTc 0 3
28. er to return to previous style MedDream WEB DICOM Viewer v4 03 User s Manual Settings Update local settings Clear local settings 91 Update save local settings This option enables a particular workplace to have its own settings The browser must support local storage Clear all local settings on the browser After MedDream is reloaded for example by logging in anew global settings will take place MedDream WEB DICOM Viewer v4 03 User s Manual License registration 52 License registration This allows activating the software for legal use As a notification about the DEMO version appears click the Register button The registration button also appears in the Information window DEMO Version This is DEMO version of MedDream This version of Software can NOT be used for Medical Diagnostic Only one connection allowed purchase commercial version which does ve DEMO limits Figure 70 Demo notification The registration window will appear Fill in the form and press the Register button Register Organization Serial Figure 71 Registration window If you have entered correct information you will see a notification window that the license will be applied from the next login You must log off and log in again License will apply from the next login Figure 72 License application notification MedDream WEB DICOM Viewer v4 03 User s Manual Information window Information
29. er which is designed to aid professionals in everyday s decision making process connecting all the medical data into a unified and fast performing network MedDream ensures a fast and reliable way to search present and analyze the medical data images and video files on various devices computers smart phones tablets near future and so forth MedDream covers radiology cardiology oncology gastroenterology and many other fields of medical application It seamlessly integrates with various medical imaging devices such as ultrasound US magnetic resonance MRI positron emission tomography PET computed tomography CT endoscopy ES mammograms MG digital radiography DR computed radiography CR ophthalmology and so forth Core MedDream WEB DICOM Viewer uses are Replacement of hard copies e g film archives paper documents etc Remote access MDS provides a possibility to be mobile and work from any place in the world where the Internet is accessible More than one person can access and view medical records at one time Such functionality soeeds up the collaboration among the professionals So that a doctor in the hospital and a doctor that is in the different location may view the medical data and discuss about it simultaneously The patients medical history various studies and images are found much faster comparing to the conventional paper based methods MedDream can be used as a standalone WEB Viewer or integrated i
30. ess the left mouse button again e Then move the pointer to the end point and press the left mouse button once more MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 25 The Polyline button is used to measure the perimeter of more than one line To measure the perimeter The Area button is used to measure the perimeter and the area of a region of interest To measure the area The Volume button is used to measure the volume of the object Position the mouse pointer on the point from which you want to measure the perimeter Then press the left mouse button Move the cursor to the second point the intersection point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice The perimeter in millimeters will be displayed in yellow Figure 30 Perimeter measurement Place the mouse cursor on the point from which you want to select the region of interest Then press the left mouse button Move the cursor to the second point the intersection point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice Figure 31 Area measurement The area in square millimeters and the
31. gs Update local settings OK Cancel Figure 64 DICOM View settings In the DICOM View tab the following parameters are indicated No _ Single Le Always imd AutoStart Multi Frame Images LJ Mouse Wheel Multi Frame Images DICOM Flow preload all study images sequentially The image does not open automatically when the study is opened Is opened only if the study consists of one image The first image is always opened automatically Automatically start playing multi frame images Allow to scroll multi frame images with mouse wheel Cache all images in advance After an image is cached scrolling through adjacent images takes very little time But the entire study must fit into browser s memory MedDream WEB DICOM Viewer v4 03 User s Manual Settings Settings DICOM View Rows 1 Columns 1 Screen Layout Top Toolbar Width 100 Info Labels Thumbnails Position ess Reports Thumbnails Vertical bar 200 X 177 Toolbar series size Thumbnails Horizontal bar 280 x 150 Style series size Thumbnails Size 50 MIN 50px MAX 150px Thumbnails Single Click N Scale 1 Clear local settings Update local settings OK Cancel Figure 65 Screen layout settings In the Screen layout tab the following parameters are indicated Rows i Columns i Thumbnails Vertical bar Series size Thumbnails Horizontal bar Series size Thumbna
32. h wmd 16 Figure 13 Report ICON IN the ONDA L 16 Foure 14 oleis MH m 16 Figure 15 Report icon in the study header 17 FIUS TO MEA ot 17 PIQUE PON AV OU ZS EE 18 Figure 18 Drag arnd drop the image into the pane ss 19 Figure 1 Lock Soroll TUNCUO BEE Error Bookmark not defined FIGUKE 2 Oz Reference Mes OP MON DEE 20 PIQUE 2 1 Image manipulation 1001S E 21 Figure 22 Level Window button ODIOS EE 21 FIGUKE mg Transformation POSSIDIIE S EE EE E E ED DIEN 22 Figure 24 Inverted El te EEN 22 Foure z29 Meas rement tools E 23 Fig re 26 Density measurement sacseooiudeeenecs aute seid e a Ar aa A r Pe Aa ra ea 23 FIgure 2 7 LING Measurement EE 24 Lee Been EE 24 Figure 29 Angle measurement option Figure 30 Angle measurement 24 Figure 31 Perimeter measurement cccccesecccseeceeceeececceueeecceeeeeceuseeeseuseecsaeeeceascesseeeeesaeeessaseeeseeeessageesssgeeeseaeeesseneesseags 25 Figure 2 e En E EE 25 leift 33 Volume TheasBlremeblb se arce 25 FIGURE OAV IMG as Ue MN EOS TE TEL 26 Selfie ENN EE 27 MedDream WEB DICOM Viewer v4 03 User s Manual Table of Figures Figure 36 Figure 37 Figure 38 Figure 39 Figure 40 Figure 41 Figure 42 Figure 43 Figure 44 Figure 45 Figure 46 Figure 47 Figure 48 Figure 49 Figure 50 Figure 51 Figure 52 Figure 53 Figure 54 Figure 55 Figu
33. h resolution 5 megapixels etc monitor as an addition to an ordinary monitor you might need a larger font which also might be too large for the smaller monitor After adjusting the text size do not forget to adjust view dimensions so that on a smaller monitor the default size is still chosen This setting can be saved on a particular workplace among local settings a feature of the Web browser It can t be applied globally Therefore you will need to press the Update local settings button and log into MedDream anew MedDream WEB DICOM Viewer v4 03 User s Manual Settings 49 Settings Hospital info DICOM View Company Medical report info Screen Layout Info Labels Text Line time patientID patientName Reports Reports position ICH ECH CR Toolbar l l Style Clear local settings Update local settings OK Cancel Figure 67 Reports setting In the Reports tab the following parameters are indicated Write the Company s legal name department etc Company The values indicated in this field will be shown once the images are printed e g 20XX XX XX 0001 John Smith Text Line Reports positions ra the report is shown over the main layout cm the report is shown on the left side of the main layout the report is shown on the center of the main layout the report is shown on the right side of the main layout if MedReport is used instead of the bui
34. ilds of WampServer Under Linux a non TS PHP build is required This is related to a more common build of Apache the prefork The worker build is incompatible PHP 5 3 is built for Windows either with VC6 or VC9 runtime Take note which version you have and use a corresponding OI during installation as explained below Otherwise you ll get an error message like this one Module compiled with build IDZAPI20090626 TS VC6 PHP compiled with build IDZAPI20090626 TS VC9 These options need to match Under Linux the so file requires glibc 2 5 or later Under Linux MedDream PACS s custom libjpeg conflicts with standard libjpeg needed by the GD2 extension on which MedDream depends heavily at the moment You will need to disable the antispam image in order to log in to MedDream PACS web interface to do that place an empty file no antispam code near MedDream PACS exe You also won t be able to view DICOM images in MedDream PACS on the other hand MedDream adds a Show button to the web interface and thus can be used instead of the built in viewer During an upgrade it s recommended to use the included config sample MedDream PACS php as a template and then update the resulting config php according to the old one This will prevent misunderstandings like variable names which were suddenly changed Since 3 06 1103 3003 a DICOMDIR viewer in the subdirectory DICOMDIR is automatically included on export However an alternative way is to use Me
35. ill save the study to a CD To forward the study e Select the study you would like to send and click Forward ON e after pressing the button the forwarding menu appears Forward Patient ID DS EMO EM Patient Name SendToPACS FROST EM Study Date 2013 09 19 Study Time 10 15 00 Study Description SendToPACsS DEMO Forward To w Sose Figure 49 Study forwarding e choose a device from the list e Click Forward To To export the study to save it on a CD 3 e select the study that you want to write on the CD and click Burn e the Export menu appears Export Patient ID EROS EM Patient Name SendToPACS EMO F EM Study Date 2013 09 19 Study Time 10 15 00 Study Description SendToPACs DEMO cs Volumes ISO Image Burn Close Figure 50 CD burning e Press the button Export in Export Menu After a while two additional buttons will appear in the list below MedDream WEB DICOM Viewer v4 03 User s Manual Export and forward study Volumes I50 Image Burn VOLL Download ISO d Burn Now Close Figure 51 Export menu e You can choose one of two options in this window 1 Download ISO this option is used to download a CD image which can be burned to the disc later 2 Burn Now this option is used to write the file to a CD automatically You will need to install additional software MedDreamBurn and Active ISO Burner on each workplace CAUTION PR
36. ils Size Thumbnails Position Thumbnails Single Click Scale 200 x 177 280 x 150 Indicates the layout s number of rows maximum 3 Indicates the layout s number of columns maximum 3 Indicates the size of vertical and horizontal thumbnails series bar Indicates the size of the thumbnail minimum size is 50px maximum size 150px Set position of the thumbnail bar vertical left or horizontal bottom Once the button is activated a single click on an image icon will open the image otherwise a double click is required Set scale of toolbar buttons MedDream WEB DICOM Viewer v4 03 User s Manual Settings 48 Settings DICOM View Left Side Information Right Side Information Screen Layout 0020 0010 0010 0010 Info Labels nen 0010 0020 0028 0011 x 0028 0010 0008 103E Reports 0008 0020 0008 0030 Toolbar Style Font size 13 by default when 1920 x 1080 13 image size is more than Clear local settings Update local settings OK Cancel Figure 66 Info labels settings The Info Labels tab is used to indicate information from tags of a DICOM file that is shown over the image Font size 13 by default when 1920 x 1080 13 Set font size of info labels and other labels in the image view image size is more than when this view is larger than defined dimensions By default the size is 13 When using a hig
37. ity of documentation 4 QUestoHs Leben ln NEE 4 Explanation orsyimboels seus a dd cune dedo 5 IDIFOGHO ION EE 6 Minimal hareware Tedquiretiellls E 7 Ml ca A 7 Installing MedDream for MedDream PACS Quick Install Windows and Umus 8 Va IRIS o La CU t rtr n 8 CIS Vel eee LEE 9 EOGOING ONO Bleu WEE 11 SEAICIMONSIUGICS cm E c EE 12 lee Mere Tree 15 rie ie EI e YEO OMS E TE OO DO OO OD TELE 16 Viewlrg andanalvzing IITidg6es suiedisi a dut aubitad in dais 18 Viewing one or multiple siudies A 18 Comparing E tel 19 Jus eier Le ne E T A 20 Manipulating Mage NR EE TE Eme 21 Meas ring IMA e m E 23 Printing images and EE 29 Contex menu TUNCUON TEE PET eege Ee 30 SAVING MNAGSS 24s eT 30 Tote 31 MUIltieblanar reconstruccion MPR on Seat oic census cet Sats aeu e Uto ober Rear ia Uoc enum te qais a rM D eM MERO tuU Lure D 32 EXPOR ANG TORWANO SIWGY ete e P 35 Report OC NS oem 37 Been tele 40 A N 43 AO HR KHEN PER 44 nn a a a a a e 45 SIN EE 46 e deve cud de EE 52 NO MATO WIN COW Ec 53 o E O a R S E 54 ele 57 MedDream WEB DICOM Viewer v4 03 User s Manual Noetesontheusers manua III Notes on the user s manual Purpose and availability of
38. ld Username e Enter the password in the field Password If you forgot your password please contact your system administrator MedDream WEB DICOM Viewer v4 03 User s Manual Search of studies Search of studies 12 Search menu will help you to quickly find the studies you need We recommend using all possible search menu options in order to get the most accurate search results and save your time To find a study please follow these steps 1 Click Search in the top left corner of the window The following search screen appears Search Search Patient ID HE Ox w From 2013 10 03 Et Today Patient Name w To 2013 10 03 FRA Yesterday v ecc w cr W px v 1o v me vw or v RF v sc v xa No items Found Patient ID Name Study ID Accession Mod 1234 MOLISE MICKEY 103502 us 13851 L SPI ANSRODOO 10377 D z853815 MR 1235 Anonymized Ch E n7 ka7n0 0 Il i268BFSC2BE7TDIAIBD AC 1391 MF 5 1112 BOTH ANCOMODOO 1153 s n EEi100 MR 1111111 Anonymized MR 1111111 Anonumized HA 2 7431 Simpson Horner OT w cr wW es v wa v um wv PX W Ra v us v xc Description Time 2009 12 22 10 2008 05 10 14 2007 10 18 01 2007 2007 SHOULDER 1995 Cardiac Cathet 1394 All Hone 7 13 039 03 29 i2 05 01 153 10 16 08 3951 i8 dip az al Z 20 z 28 45 US ZU 10 DU Ar Figu
39. lt in Reports module then the fields Company and Text line are L not visible here and must be configured in MedReport itself MedDream WEB DICOM Viewer v4 03 User s Manual Settings Settings DICOM View Show Hide Screen Layout Search CG T n S gt Reports a Toolbar E Style Eel Clear local settings Update local settings OK Cancel Figure 68 Toolbar settings The Toolbar tab enables user to show the most commonly used buttons on the toolbar while the rarely used tools can be ie hidden Use arrows and to manage the shown and hidden tools you can also drag buttons with the mouse The button Ll hides the whole toolbar Settings DICOM View Style template Default v Delete Screen Layout Style name Default Rename Info Labels Buttons m Reports Selected buttons j D al E _ Backgrounds Style Labels E NEED Inputs I Menu E E i Data grids l Eg E E Image Labels Clear local settings Update local settings OK Cancel Figure 69 Style settings The Style tab serves to set the style color of backgrounds buttons etc for visualization on the desktop or for printout respectively It contains a list of variables that correspond to individual data input regimes OK Save global settings Close window On style change need to restart application in ord
40. ng images and series To print images series press Print button which is in the middle of the Menu bar enabled for images There are two options of printing e e amp b Print E Print Series Figure 37 Printing options Press Print option to print the selected image area view Press Print Series to print whole series images only Then choose the number of images per page one two or four Print setup EEES OK Cancel Figure 38 Selection of number of images on a page MedDream WEB DICOM Viewer v4 03 User s Manual Context menu functions Context menu functions You can open a context menu with functions Save Images Cine mode MPR by clicking the right button on the diagnostic image Cine mode MPR Settings Global Settings About Adobe Flash Player 11 8 800 94 Figure 39 Context menu Saving images Select Save Images in the context menu and also select a preferred format in the pop up menu JPG or DICOM Then select to save an image or a series of images Save e Format r Save Active Lei JPG MP4 Le Save Active Image Video bel DICOM O Save Active Series Figure 40 Saving images Press Save and choose a folder where you prefer to save the images in your computer Press Save again Rer 0 el Save in A OptomedWorkstation Y o P ES iv n Name Date modified Type d J
41. nto PacsOne PACS dcm4chee Archive Conquest PACS ClearCanvas PACS systems Moreover MedDream can be adapted to client s PACS system and easily integrated into RIS HIS workflow MedDream has multiple functions such as search of studies viewing analyzing saving exporting forwarding images and videos etc Measuring function is approximate and cannot be used for diagnostic purposes e MedDream cannot guarantee the accuracy of calibration data received from the modality Moreover Softneta cannot guarantee that the manual calibration which is performed by users is done accurately MedDream WEB DICOM Viewer v4 03 User s Manual Minimal hardware requirements 7 Minimal hardware requirements Parameter 2 38GHz or higher x86 compatible 10 GB RAID 1 RAID 5 RAID 10 Network Interface 100 Mbit s Minimal software requirements e Microsoft Windows XP SP3 32 bit and 64 bit Windows Server 2008 32 bit and 64 bit Windows 7 32 bit and 64 bit Windows 8 32 bit and 64 bit or Windows Server 2012 32 bit and 64 bit e Internet Explorer 8 0 or later Mozilla Firefox 17 or later Google Chrome or Opera MedDream WEB DICOM Viewer v4 03 User s Manual Installing MedDream for MedDream PACS Quick Install 8 Windows and Linux Installing MedDream for MedDream PACS Quick Install Windows and Linux Under Windows a thread safe TS 32 bit PHP build is required The DLLs included won t work with a 64 bit PHP like in 64 bit bu
42. perimeter in millimeters will be displayed in yellow Place the mouse cursor on the point from which you want to measure the volume Then press the left mouse button do not hold it and move the cursor to the second point and press the left mouse button again Then move the cursor to the third fourth etc points and each time press the left mouse button again When you reach the last point click the left mouse button twice in order amp to show the height of the object Figure 32 Volume measurement MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 26 The VTI Velocity Time Integral button is used to measure the distance which the blood was ejected over a period of time e Place the mouse cursor on the point from which you want to measure the velocity time integral e Then press the left mouse button do not hold it and press the cursor to the second point and press the left mouse button again e Then move the cursor to the third fourth etc points and each time press the left mouse button again e When you reach the last point click the left mouse button twice in order to end the measurement l 12 Left Double Click to finish measurement 1 Left Click to Start mesurement 3 Left Click 9 10 11 Left Click 2 Left Click Click 4 Left Click 5 6 7 8 Left Click Figure 33 VTI measurement e The velocity time integral is measured in centimeters NOTE this button is ac
43. re 2 Search window cancel 2 Select search settings the default search settings are usually set to the search by Patient ID or Patient Name To specialize the search you can use two different search settings If you wish to change the search settings just click the arrow to the immediate right of the header and choose the criterion you need from the list Patient ID PMiatID Patient Name Study ID Accession Number Description Referring Physician Reading Physician Figure 3 Search filters The criteria are as following e Patient ID enter patient s ID number in the search field e Patient Name enter the patient s name or surname in the search field e Study ID enter the study number e Accession Number MedDream WEB DICOM Viewer v4 03 User s Manual Search of studies 13 e Description enter few keywords from the study description e Referring Physician please indicate to which doctor the study was sent e Reading Physician please indicate which physician has opened and analyzed the study 3 To specialize the search further please select the period when the study could have be done You will activate the date search fields by ticking the From and To fields W From 2013 10 15 Hi v To 2013 10 15 En Figure 4 Search according to dates To see the list of the studies done during the current day please click the button Tod
44. re 56 Figure 57 Figure 58 Figure 59 Figure 60 Figure 61 Figure 62 Figure 63 Figure 64 Figure 65 Figure 66 Figure 67 Figure 68 Figure 69 Figure 70 Figure 71 55 Eeer DREI Lee 27 Cobb angle measurement asnon a a a 27 FTL MMC el ode s EE 29 Selection of number of images on a page cccccccssseecceceeeceeeeececeeeesaeeeeceeeeeeseueeeeeeeeeeeaeaseeeeeeessseeeeceeeesssaeeeeeeeeees 29 Sem moni E ET E LE eS 30 EENEG Ee 30 Saving elei Ee EE 30 Opening Gine Mode TURCO siii T Em om ETE ms 31 PAVING lIMAGeS aS One MOVE e err rp 31 MER Tame Selec O a AS 32 Loading MP A A ee naminaacadataitan a e N 32 VE ER MP reelle 33 LEET eene 33 SUYO AAN o ds Le e bed 35 ODIN O it o CE 35 EXPO OA U emer eta ee E cc m 36 EEN 37 A A I 37 Report template elen LE E 38 IE njelzi um arabic 39 GCCY ec ere 40 EE EE 40 UE a O O 40 A T PME NINE 41 ECHAN lIOE stam tit tote cda ettet Dese aan 41 Sn A aa 43 EE A RO AU A PE CO A IUE A 44 Ui Bi 45 DICOM View Settings serere ica 46 Screen layout seting E 47 Tilo re eve xe dee EE 48 Repons SENING EEN 49 MOC IO 101 plo CEP EE T T R ED T E ER 50 SIMI eis HIIS ERE TET PETI 50 DEMONO C ANON RE TO D T 52 MedDream WEB DICOM Viewer v4 03 User s Manual Table of Figures 56 Foure 12 Registra die ia WING EE 52 Figure 73 License application notification socia ii dd dd idas ld i 52 Figure 74 MedDream Information windOw
45. rowsers have built in readers in other cases the workplace needs additional software like Adobe Acrobat Reader PDF window uses the following window action buttons H To display window on the right side Ka To display window on the left side O To maximize the Window To minimize the Window MedDream WEB DICOM Viewer v4 03 User s Manual Video view Video view Software enables to view video files MPEG2 and MPEG4 H 264 encapsulated in DICOM format 2013 08 29113155195 1 2 3 100 x 100 2013 08 29 11 31 55 Figure 63 Video player Video is played with the standard video player available in Flash MedDream WEB DICOM Viewer v4 03 User s Manual 45 Settings Settings To change settings of MedDream click Settings button 46 in the toolbar This button is displayed for the database administrator only In MySQL it s root in Microsoft SQL Server sa with DCMACHEE it s also possible to use the internal user account admin In some configurations like SQLite3 DICOM WADO and FileSystem where any login or password is accepted you will need to use root too The Settings window will open Settings DICOM View AutoOpen First Image e No Single Always Screen Layout L AutoStart Multi Frame Images Info Labels Reports L Mouse Wheel Multi Frame Images A ad DICOM Flow preload all study images sequentially A Clear local settin
46. the pop up menu i mmm g e Rotate Right to rotate the image 90 YAA bn clockwise Ae Rotate Right Sh Rotate Left e Rotate Left to rotate the image 90 counter Ak Flip Horizontal clockwise z fli ertica e i e i a Flip Horizontal to flip an image 180 about Figure 22 Transformation possibilities the horizontal axis e Flip Vertical to flip an image 180 about the vertical axis Inverse This button is used to invert the image To invert the image press the button once If you press the button second time the image returns to the previous state Figure 23 Inverted image Channels Highlight a color component or a combination of them in the image by showing selected color in white shades and other colors in black This tool is enabled for image view JEF Set scroll enables to scroll images by draging mouse on image from one side to other i Mis Enables or disables the image smoothing MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 23 Measuring Images Measuring function is approximate and cannot be used for diagnostic purposes Allows you to measure the images in number of ways The main measurement button is Measure E m DI A E J Show Angles Angle Polyline Area Volume WTI STD Cobb Angle Calibration Intensity Kle yOPe CRP Delete All Figure 24 Measurement tools The Intensity button is used to measure the
47. tion while saving to the local database and exporting from the Viewer Users must ensure that the data will not be accessed by unauthorized people T MedDream measuring functions are approximate and cannot be used for diagnostic purposes Questions and comments If you have any questions or comments regarding this user s manual please contact Softneta UAB Customer support MedDream WEB DICOM Viewer v4 03 User s Manual Explanation of symbols used The symbols used in this daily workflow refer to important safety information which warn against possible health risks or fatal injuries and contain useful notes Whenever you see these symbols read the accompanying information carefully and observe all safety notes and information in the user manual daily workflow and on the device labels Indicates a hazardous situation which may result in a fatal or serious bodily injury if the appropriate safety precautions are not heeded Indicates a hazardous situation which may result in a minor injury if the appropriate safety precautions are not heeded CAUTION PROPERTY DAMAGE Indicates possible device damage if the appropriate safety precautions are not heeded Information hints and advice for a better understanding of the instructions to be observed in the operation of the instrument MedDream WEB DICOM Viewer v4 03 User s Manual Introduction 6 Introduction MedDream WEB DICOM Viewer is a Flash based package for PACS serv
48. tive only for the images of US modality The STD standard deviation button is used to measure average deviation of pixels in a square area 10 by 10 mm e Place the mouse cursor on the place that you would like to measure STD MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images 27 Z 0 42x W 500 L 50 Figure 34 STD measurement The Calibration button is used to change the scale of measurement e Press the Calibration button and pop up window will appear Callibration 10 mm 100 Apply Close Figure 35 Calibration function e Inthis case 10mm corresponds to 100 pixels if O will be left in the empty space the initial settings will be shown The Cobb angle button is used to measure angle between lines To measure angle e select Cobb angle measurement e select the image e Click on image and lines will appear in the middle of image e You can drag lines line points and move all lines simultaneously by moving the white dotted line Figure 36 Cobb angle measurement The Delete All button is used to remove all measurements at once To remove the measurements e Select the image from which you want to remove all measurements MedDream WEB DICOM Viewer v4 03 User s Manual Viewing and analyzing images e click Measure e Select Delete All MedDream WEB DICOM Viewer v4 03 User s Manual 28 Printing images and series 29 Printi
49. which is in the bottom right corner of the search results window w Add Open Cancel Figure 10 Adding a study 3 Click Open 4 Go back to the search results by clicking the Search button that is in the top left corner 5 Select the next study you want to open and repeat steps 1 3 that were mentioned above Keep doing this till you open enough studies that you need for your analyses After selecting all the studies you will see all study series displayed in the pane on the left When you select the study and click on it you will see the image icons of the study series Search ehy GL p ANONOO000 I 268BF5C2BE7D1A1B0ACD 158114 Ld 1 3 3 Plane Localizer Figure 11 Opened multiple studies In order to navigate through the study series just click on the header to activate it and see the image icons MedDream WEB DICOM Viewer v4 03 User s Manual Reading study reports 16 Reading study reports In the search results window you can notice that some of the studies have annotations reports This is indicated by the Report icon which appears in the first column Search Search Patient ID v _ From ud Patient Name MM _ To HH ece cR Dx 1o Mj mR Jor RF jsc xA cr jEs _ MG NM PX RG jus XC Patient ID Name Study ID Accession Mod Description Date Tin 13851 L SPI ANONOOOO 10377 CC285815 MR 2008 05 07 K3700 HII26S
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