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User Manual - BCF Technology

1. U to set the third point of the circle around the femoral head User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 117 190 edecom Communicating Imaging U to set the point on the acetabulum on the same side right in this example The value of the angle will be calculated at the end of the measurement U to set the second point of the circle around the left femoral head User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 118 190 Medecom Communicating Imaging 1 Y I T ao y 4 he T i we i a x que gt E i ver f 1 ad r s 2 r rJ A r i LE A i L i A 7 a Gs L 7 Y j E gt E amp U to set the third point of the circle around the left femoral head The 2 angles are calculated User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 119 190 E PHledecom Communicating Imaging 34 15 Adding a density measurement The following tool has to be selected to measure density 2 Warning The density of the scanner images is expressed in HF units For all other images there is density information but this has no relationship with the anatomical part displayed Density measurement is made in a 5x5 pixel micro region To start click on Ui in the location where the density measurement is to be made Move the cursor keeping U pressed down the density value changes
2. a Fi tedecom Communicating Imaging Redo the previous action to get the correct curve shape 29 2 4 Save the LUT I Click on bo to save the new LUT 29 2 5 Edit an old LUT Click on Da to select an existing LUT 29 3 Filterer edition Dynamic ET Low High Tai Coeff Coeff LJ i gt CI d See low Modify filter settings Threshold ERR medium Automatic Threshold high O 0 O Details Contrast Saturation Noise Filter Coeff Filter Filter Filter i gt gt a lt 3 ct low medium high O O 10 10 0 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 90 190 E Af tedecom Communicating Imaging Click on to apply the fitler on theactive image 29 3 1 Save filter Click on M to save the new filter 29 3 2 Edit an old filter Click on E menu to select the existing fitler The settings are loaded 29 4 Windowing The windowing is a part of the processing To change the filter O on the image The windowing will be saved in the processing 29 5 Cancel a processing Click on e to cancel a processing WARNING The windowing is also cancelled 29 6 Quit the processing editor Click on to leave the processing editor User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 91 190 E PHledecom Communicating Imaging 30 Adding a processed image You can save a new image after doing any processing on an original image The new added image will ha
3. User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 73 190 B PHledecom Communicating Imaging 25 Rotating the images 25 1 Presentation Rotating Image may allow basic geometrical actions to be carried out on images To a select a geometrical action click on keep U pressed down for one second the geometrical action toolbar opens mnt lt p gt Hi Rotation 90 degrees to the right Rotation 90 degrees to the left Cancels all geometrical actions carried out on an image Select the action to be carried out on the image Tip To apply the same action to all images for a CR or DX study click on 8 in the status bar Tip For scanner examinations CT IRM MR or mammography MG the geometrical action is automatically applied to all images in the series 25 2 Examples Original image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 74 190 E PHledecom Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 75 190 E Piitedecom Communicating Imaging 26 Applying a processing Processings are for example windowing panning zooming rotating video invert rotating Video Invert is selected to illustrate the examples below When the Apply to all open images icon on the status bar is activated Y the processing is automatically applied to all open images regardless of the images selected This icon is activated as a de
4. 11 PAN La t A 11 A e E o E oo 12 3 Other Requirements 13 3 1 Pre reg isite SOT ee cd dinaan ee ee ne de agent 13 gt IMA CONNEC CUO ne UD TT oi ie ion die DO a on 13 4 About this Guide 14 OO tn ie 14 A A Ag uo oO o E Mer nn id nus 14 As MOTOS TTE ID T iria 14 5 Overview 15 6 Toolbars Description 19 Dl ATI o e es 19 Grd loa LOODA AAA amsn ca dada A E E PEE FA ed ones 19 uo MAMIE OUT PODA PP RERUM 20 se AD o TOTEM 20 6 5 Measurement toolbar ss essensen sekret kt REE ER pruinas EL ERE ERE RENE REE c ona d eran pr adeo dni 21 7 Keyboard Shortcuts 22 til FUR DON EO a ee da on tee co ao de 22 Les FRO RO a ee S E eT 22 a POSTS le ale 6h cT O 22 7 4 Access to the context SA ea born ed rd DC dere edt PE Dd UE EE 22 Jeu DON Se SESS D D A D EM DEDE DS AMAN ENDE 22 PERS BEROEDE e PP o eee 23 dat BROWSING SSC UEC TT I III IIT 23 E TER EU T 23 FS Sejer MS MEE T II 23 Vd SILIO VO a a PREMIERE E IMS NEM DCHPUPID DA Mur 24 ss nn PP e re E 24 Jc ZOOM MOGE siones beni rara ads 24 E ee eee 24 7 14 Measurements and Annotations MOU Burriana rides 25 FAD o A A 25 Fuh SEO MOG nie iii ica 26 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 3 190 Medecom Communicating Imaging 8 Connecting to the station 27 9 The status bar 28 10 Study Window 29 10 1 Displaying PPP O RE RUIN EREN ERU REY PUT eR RA 29 10 2 DISHIay came
5. To set measured density press the CTRL key before releasing User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 120 190 E PHledecom Communicating Imaging 34 16 Calibrating the measurements To start click on U in the location where you wish to start the length measurement Then move the cursor keeping pressed down Once in the required location Calibration release The calibration Orientation Measure Apply to window opens Indicate the corresponding exact distance Image Click on OK so that the new Cody mm Fi h fa calibration is taken into account Qu Important Measurements made prior to calibration are not modified _ Cancel t dx 225 Pixels 34 16 1 Example Before calibration After calibration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 121 190 E Af tedecom Communicating Imaging 34 17 Adding an open angle measurement The following tool has to be selected to measure the angle Tip To obtain the complimentary angle keep the CTRL key pressed down and double click on the value of the angle The complimentary angle appears Repeat to return to the initial value Click on A Vienne in the area where you want to draw your first A Vienne Click on U and keep it pressed down j i while the cursor is moving Release to draw the first segment A O E o Move the cursor to the area of the start of the second segme
6. EJECT E lt SE Tip If the CD does not contain a DICOMDIR file but has DICOM images with the dcm extension use the directory path to find out the contents of the CD Tip The disk is automatically ejected if you exit the application while a CD is still locked in the reader User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 38 190 P Pledeco m 10 8 Virtual folders Virtual folders are useful to sort the studies regarding your needs For example you can group your studies by pathology Communicating Imaging 10 8 1 From the study list 10 8 1 1 Add a study to a virtual folder Select one or more studies from the list U AC the following dialog box opens Virtual Folders Virtual Folder Filter po 9 Oe Virtual Folder list Add the studies by checking the box from one or more virtual folders Tip If the virtual folder does not exist you can create it by typing the name in the text field and click on add Tip You can add new virtual folder from the configuration page see below Tip The virtual folders list will filtered regarding the text field Warning If you ve already added a study to a virtual folder and you ve made a selection in the study list with this study already added virtual folder will be displayed disabled 10 8 1 2 Displaying a virtual folder E a In the images source on ie Jon the virtual folder from the drop down list 10 8 2 From t
7. serie 1 1 8 image s Ph Tip A specific window setting may also be selected from the list available in the ay MENACE CT Abdomen CT Skull CT Pelvis CT Mediastinum CT Bone This solution is particularly useful for scanner images CT In the Options menu 4002 there is the option of defining and modifying the windows available in this menu HUILE 7 Click here to add additional windows Automatic window setting automatically adjusts the contrast and brightness depending on the contents of the image as a whole This is window setting per ROI for the entire image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 71 190 eco Some images contain DICOM Overlays which are additionnal information to display or hide DICOM overlays can be used for example to display annotations such as laterality or to display CAD result for mammography images To display DICOM overlays select the image and click on To display DICOM overlays select the image and click on x User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 72 190 Hd PHledecom Communicating Imaging 24 Processing a video inversion Select the image to be invert and click on q Tip To apply the same action to several images for a CR or DX study click on 78 in the status bar Tip For scanner examinations CT IRM MR or mammosgraphy MG the geometrical action is automatically applied to all images in the series Example
8. 36 Duplicating an image 30 1 Presentation During some examinations it may be interesting to duplicate an image to carry out for example some different actions on the same image or to use an image with several cuts Select the active image click on E or press CTRL D or select the Edit Duplicate image menu The duplicated image is displayed to the right of the original 36 2 Example On of the possible applications of the copy is to separate an x ray plate with two exposures stitutio name A A ET me l 359 004 45 g Lm T x E 35 P E E User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 142 190 a Fi ledecom Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 143 190 A PHledecom Communicating Imaging 37 Formatting_and printing a study on a film OPTION 37 1 Printing on paper or printing on film The printing mode gather the printing on paper and printing on film The scale on paper and on film are respected In the following chapter the word laser will be used for a DICOM laser and Windows printer The word film will be used for a film print and a paper print 37 2 Limitation Printing non DICOM images is possible but with some limitations For example the print zoom is not available because the image do not contain a pixel size information Non DICOM images are automatically adjusted to film layout 37 3 General matter
9. DICOM Informations me OC 1 2 20041002 131107 29 000004 dem gt JENCacheECR200741 2 20041002 131107 2 m T ize 5410 Ka Bis Per Peel 120 Photometiic onr e MONO 2 J attuo Epaule TRE e o Penbe FT WOI LUT wT No 121057 Luminosity 2048 1 2 20041002 131107 Contrast pion Empty i en MA ame lior ama Perel Spacing 02 10 2004 3 Time 0958 Accestion Humba Fertoming Physician M anf acturet Se a UID Descnphbon Moda M DICOM Dump Sene Humber User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 171 190 m Af tedecom All DICOM fields in the file may be displayed by clicking on the DICOM field button The text file display software appears with the list of DICOM fields Communicating Imaging El pm F m in pe j F gt a De et eee xui ee ce 1 ban F re Da III ELSE lsgr E dl m m FH S ah A E E iia Kal pauke P ga Empty 1D 1 E Dom ile Tag txt DBloc notes Fichter Editon Format Affiches 7 DATASET d 0007 0000 UL Len 4 Group engt hood value 176 IAEA 0002 0001 amp Len 2 Filev erainformationversion value Ow OB pt data I ra DE VI Len 28 Header SoPClassuip value 1 323 840 10008 5 1 4 1 1 1 1 0002 0003 UI Len 30 Header SOPINSE ANNE CUT D value 1 2 20041002 131107 29 000004 06002 0010 UI Len 20 Header Transfer Synt axuID value 1 2 540 1000
10. Fi ledeco m a EL mi Ekhm fiin hide jen Qu f hage Sam Hanpuiris Spion dich HT ian ma Al FE MEA Communicating Imaging AXIAL CURVE OBLIQUE 39 2 2 Panoramic mode Panoramic module allows you to visualize a curve reconstruction User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 163 190 E PHledecom i Adi MEI mE Erhum d en hida jon eche Sam Fungus Qpicn di Communicating Imaging ORIGINALE User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 164 190 E Fi tedecom Communicating Imaging 40 Features MPR features are described in the following paragraph 40 1 MPR Module icons MOS 30 Navigation o M oom ES Pe Export current view o B B ove9e SSS Eg Ba Oblique view 0 0 0 00 B moe J3 oo05 8 0 0 0Q OoO ny Define curve points 40 2 Define cursor 2D Cursor 2D allow to move into the reconstruct volume Those cursor follows a color conception Red axial view Blue sagittal view Green coronal view 40 3 Define Oblique The oblique could be defined into three view axial coronal sagittal To do it you have to right click on the wanted view User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 165 190 CT Image 18 01 09 2010 10 01 03 Empty WW WL 2712 1356 Zoom 87 Slice 150 300 0 25mm You can e Define oblique length thanks to the oblique ends 1 Define rotat
11. Modality M To 12 04 2007 Residence All hal Status All 1 Start the search with Patient and Study criteria 2 Return all search criteria to zero Click on xa to modify the modality filter Not all of the fields to be filled in to refine the search are active depending on the source of the images 10 3 3 Selecting images The study or image selection mode on the list is the same as that used for Windows e One left click on the mouse selects a specific study e Double click left on two lines by pressing SHIFT to select all lines between these two lines e Clicking left on several lines and keeping CTRL pressed down selects several lines e Double clicking on an study or a series loads the images in the viewer and closes the dialog box 10 3 4 Selecting thumbnails ecc Thumbnails are visible with and le sources They are replaced by generic icons in other sources User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 32 190 m AJ fMedecom Communicating Imaging Displaying thumbnails changes depend on the selected study method For scanner studies CT or MR only the first image in each series is displayed When the scanner study contains 4 series there will be 4 images displayed For all other modalities the list of thumbnails contains all images for the selected study The thumbnails have tooltips to place additional information over the image The content of these tooltips can b
12. ae A 11 SL bit LIL 3 For each image the following information are displayed Information on study and image e Ruler e Active image frame here with a with dot line Image selection box red square bottom right red square InstitutionName User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 18 190 a Fi ledeco m Communicating Imaging This manual describes MEDWS tools in a teaching mode by explaining simple actions for example How to do a video inversion User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 19 190 E PHledecom Communicating Imaging 6 Toolbars Description 6 1 Study toolbar 2 DA Open the most recent unread examination o series PA WH close active sertes SSCS L move to previously opened series Synchronise series available according to version Ee Ee Move to following open series Activation of print mode print mode according to version Eg Film formatter available according to version EL List of the status of the printing of the last films spooled printed error D cesare 6 2 Image toolbar Some icons allow an operating mode to be activated each mode has a function associated with the mouse Selection Mode layout of images in required order EI EZ Panning Mode movement within an image BR LA Zoom Mode Shutter Mode 0 00000 E Measuremen
13. edecom User Manual 3 1 1 version View Diag B Fi ledecom Communicating Imaging This document has been written by MEDECOM for its distributors and customers Information contained in this document is confidential Reproducing pages is not authorised without written consent from MEDECOM The distribution of the computer file is also subject to the same restrictions Copyright 2012 for MEDECOM SARL All rights reserved MEDECOM SARL 9 bis rue de Kerbrat 29470 PLOUGASTEL DAOULAS FRANCE 33 2 98 46 52 48 Web site www medecom fr Commercial information info medecom fr Technical support support medecom fr MEDWS complies with the Medical Devices Directive 93 42 EEC of 14 June 1993 modified by the directive 2007 47 EEC of 5 September 2007 CE Mark year 2012 0120 MEDVIEW and MEDDIAG are variants of MEDWS product User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 2 190 HH Tb ledecom Index Table Communicating Imaging 1 Information about security 8 L1 Hardware CORONA narrada ERES iK du 8 A Tog se CO NE OR Per PTS T Sc C te dette io Do ee choco 8 is Pacis DORA LEER E cine amis a best E die aies 8 a o e EE O O Eee MN RUM E 8 Lo ESSE iones 9 uos o as Mg AA ee er ere ere 10 A A ENE E 10 cmc la eet e o O Ir 10 Ae PS FEE o a ae TO TO tre indie OU T E releases 10 2 System requirements 11 p c
14. either by double clicking on the list of studies or by pressing on the import button Y User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 35 190 NK PHledecom Communicating Imaging 10 6 Searching for DICOM images in a directory and sub directories 10 6 1 Search The station searches for and displays information about DICOM images with the dcm file extension Lo In the image source bar See 10 3 1 click right on the small arrow on specify e The directory in which the search will be made e f the search includes sub files go w C Browse SubFolders Change directory Once the settings have been made click on to start the search Information in the directory number of images is displayed once the search has finished and the list of studies is updated The required actions can then be carried out with these studies for example displaying or importing them to a data base Images Source List Info on E Cache List 80 Studie s 968 Image s Selection 1 Studie s 9 Mo 10 6 2 Importing images Select the studies or the images you want to import Click on amp to start importing The import process run in background Check the import in the job queue in the User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 36 190 a Fi ledecom import tab Communicating Imaging Note In some case folders can have limited access rights for exemple My documen
15. tres par d faut MPR Parame tres par d faut MPR MPR Oblique MPR 3D MPR Courbe Quitter le mode MPR a You can display several volume projection result MIP minimum intensity projection Bones false color mapping to highlight bones Bones and skin false color mapping to highlight bones and skin Skin false color mapping to highlight skin Muscles false color mapping to highlight muscles You can decrease reconstruction volume area with 2D cursors 40 6 Panoramic definition Panoramic mode allow you to reconstruction a planar volume To do it a curve is needed You can Navigate in the reconstruct volume Export panoramic thanks to the action button Export current view User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 168 190 E PHledecom Communicating Imaging 41 Comparing images from different studies 41 1 Comparing different studies Studies may be compared at any time by using the examination comparison function i This mode is activated by clicking on mm the following window opens 3x3 The series number to be simultaneously displayed on the screen may be selected The maximum number of studies displayed is specified in the configuration options Using m mode the location of the series may be changed Example of the display in multi series mode p2WHESDOH EVA 0 PAYNE BCE QG Moving from one series to another is possible by clicking on or gt t
16. 190 PHledecom Search fields like patient name study date Images sources study list regarding the search result same patient study list Thumbnails list regarding the selection of the 2 previous lists Toolbar with all the available actions Communicating Imaging OU WN Warning Studies are written in bold when none image of the study has been opened if a new image of the study is received 10 2 Display same patient study Regarding the configuration the list is visible or not lt displays the same selected patient studies in the local database To open a study from the same patient check the box of the study Check boxes can be automatically checked regarding the configuration 10 3 Searching for and selecting images 10 3 1 Selecting image sources It is possible to display images from several sources or locations There are four different image sources for DICOM images eT met J P in the local or remote data base default function to be used in directories external disks USB keys e C CD ROM DICOM obligatory DICOMDIR file a le virtual folders 10 3 2 Searching for a study or patient on the list It is possible to search for a study or patient on the list using the different search criteria User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 31 190 E PHledecom Communicating Imaging Patient Search Name ID Study From Today
17. AA AAA e 168 42 Displaying DICOM information for an image 170 43 Deleting one or more images 172 44 Setting the station 173 aab MAO DE EE DSFS tulo e ato aia 173 PT TO T E MTM 173 2 3 CO ne da once FRU UN EL EO PUES IPEA dent den cent iia 173 zt Ple sagas UU Umm 174 es TT E A A DIUI 175 A PPP R EE EA 176 ARR O E EE A E KUNDE 176 aAA N e E A A do 2 E E Ci E T 177 QOEM MS EE 178 OO RO OO EE E IPSE UNTEN RUP 179 le la PAP ee a a a E A EET 180 2 I2 Image wol amas ea amas sensing aa aire aa re du RO ER RR 180 vm o m umm 181 45 Exiting the software 183 46 Software Revisions 184 LR MC OT me TT 184 A RU E E de ae de tom de de as do done de a 185 AAA An eee EI 186 OR MET A A o O A AA 186 ARI A REDEN ERE NEUEM AERE UN RENEE SEC AES 187 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 7 190 EN PHledecom 47 Revision 189 Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 8 190 B A fMedecom Communicating Imaging 1 Information about security Information about security is presented here in order to reduce risks when using the workstation 1 1 Hardware conformance The hardware used for MEDWS must follow the requirements defined in the corresponding section It is also important to read carefully and to follow the safety instructions linked to the material in order to decrease the risks of injuries from electric shock energy fire thermal hazards radiatio
18. Hip Displaysia measurement Norberg Olson angle 116 34 15 Adding a density measurement ssseeseeesesssee nnns nnn na aan 119 34 16 Calibrating the fressifeITieriLS idea ovi Qon ops ini Ride Rate lega iind vnda 120 34 17 Adding an open angle measulermielit sceau on eon e ERROR Gc a CK RE Roa cs 121 34 18 Adding a measurement of multiple open angles 122 34 19 Adding an angle measurement with an intersection 123 34 20 Adding an angle measurement siria rei 125 34 21 Adding a polygonal surface measurement 126 34 22 Adding a circular surface measurement used aia de a c He DC QOO RACER pd LER cn 127 34 23 Adding a length medsulsmiBTEs usiueaasuos vui dp dique EEN SERENE RESENS ENE NER SEES A 128 34 24 Adding a cardio thorax AA ces wen wURUCFE X W UR UVRERUFEXUE a 129 35 Adding annotations 130 a EET ee ee de oo Re ee 130 35 2 Quit measure and annotation AO ad manne ant de nie rr die 130 Cm omg PT T r 131 A TRI T TT 131 35 9 MOGI CIA Git dide PPP oo ae 131 255 MOVNO o AP nner ee eee a EUER ee eee 132 35 7 Adding a line with the middle marked 55e OP RECORDER ERE qi Gus o ERE oos ale ad ed hd 133 so a TREERE ni oo 134 35 9 Adding a cirele ron DOS at 135 Ta A RE E da E li nue 136 Bai a OOO O mm o TOT 137 SO 12 ole gla ar AAA re o Pe EE er err Te Er 138 35 13 Adding a line at rignt ANTES iia das 139 36 Duplicating an image 141 A A uo R n ee re 141 A E O
19. for the magnifying glass ce Warning For a mammography image MG mode the enlargement factor is not always taken into account f the image is reduced i e if the display zoom is below 100 the magnifying glass displays the non reduced image 100 zoom and the enlargement factor is automatically calculated f not i e if the display zoom is equal to or above 100 the magnifying glass displays the image with the enlargement factor specified in the dialog box User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 69 190 E S tedecom Communicating Imaging 22 Setting the image window 22 1 Presentation Setting the image window means the modification of its contrast and brightness This action is very important in the medical field because it highlights certain structures and areas in the image The software provides simple and powerful tools Tip It is possible to define each of the window setting modes To add optional menus to windows consulted Tip To activate rapid window setting press the SHIFT key at the same time as moving the mouse Tip To apply the same window setting to several CR or DX examination images activate the Apply to all open images icon S on the status bar Tip For scanner examinations CT IRM MR or mammography MG examinations the new window setting is automatically applied to all images in the series AC To activate the window setting mode for an im
20. patent SO aan den rd oro BON NE 30 10 5 Searching for and selecting IBIEEBE a a iii Nine 30 10 4 SUE Icons DES END HOR ae a ee de eee de re a a 32 10 5 Retrieving studies from a QUERY RETRIEVE server ss 34 10 6 Searching for DICOM images in a directory and sub directories 35 REE eo PIECON C Nw 3 10 8 Virtual TOME AA A RV PAR DERI RUPEE PRI o 38 Eom a iu AA ER E E E SE sea ot 40 10 10 Pushing a study toa DICOM SES OR a PRU E T Fine 41 OO OS IMAdES ERR S DIES IRIS its 42 10 15 C ODIO ON edi SEES DH Pd En FDDyRHN NEUE ERE QE TS 46 11 Displaying study reports 47 A nr UI a 47 11 2 de ru ILE O Un E O o O ES OO OR Ei 48 12 Importing images 50 13 Defining the active image 52 14 Display patient information 33 Lede PEER LS 12 RES REE KEE 53 13 2 POC Ca Uh RER RRS ninrin ETERN ire 54 15 Selecting one or more images 56 16 Changing the layout of the images 57 IE PP o NT TETTE TT T I ENES et tit ete 57 iE MN E a D 17 Moving inside an image panning 58 18 Using the stack mode 59 19 Setting a shutter for an image 60 15 6 oso Ae o 60 19 2 Selecting the shape of the Sullana 60 19 3 Modifying the SR ee ao 61 19 4 Moving the image in the diaphragm a be ei 62 20 Zooming an image 64 PO ea an Dem SE ES EET EDER de da De a co ne 64 20 2 OO WIEN THE MOUSE ee eee DTE OESTE 64 20 3 Zooming with the numeric KS 8 a ane es da ee a cat 65 20 4 Zooming with the status DE Sn ti
21. study is displayed The following points must always be checked when interpreting images to avoid mistakes e Patient Name 1 Laterality and view code 2 Study date and time 3 Study description 4 Series description 5 MG Image 71 1 Patient Anonyme F LOC 4 Mammographie depistage 4 vues y LCC 12 04 2006 13 29 09 3 D WW WL 4096 2047 HI gt Loom 16 Default patient information User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 54 190 Af ledecom Communicating Imaging If the image has been compressed at a point in its lifetime with a lossy algorithm and if corresponding information is found in the DICOM file a text Lossy image compression 01 and the corresponding ratio compression is displayed on the image If the image was not lossy compressed the text Lossy image compression 00 could be displayed DX Images Anonymous M U study Description 05 09 2011 10 28 35 WW WL 255 127 Zoom 22 Lossy compressed image 14 2 Technical Level By default technical level allows to display if the information exist in DICOM file some information such as Modality Constants used to acquire image Calibration used image was acquired Geometry or Fiduciary User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 55 190 MG Image 71 Patient Anonyme F LCC Mammographie depistage 4 vues 12 04 2006 13 29 09 LCC WW WL 4096 2047 Zoom 16 10 cm CENTRE DE S
22. to be selected to measure an angle with an intersection wu You may draw an angle with the following existing measurements elength measurement Line annotation ePerpendicular annotation eClosed angle measurement and goniometry measurement eHip height measurement Tip To obtain the complimentary angle keep the CTRL key pressed down and double click on the value of the angle The complimentary angle appears Repeat to return to the initial value Draw the measurement from which you want to measure an intersection angle Click on O and keep it pressed down while the cursor is moving Release U to draw the intersection segment NB The direction in which you create the intersection will define the angles measured Here the direction is as follows Click on the measurement segment shown to display the angle Boston ai the cursor and User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 124 190 Communicating Imaging The measured angle is displayed For information here the measured angle is shown User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 125 190 edecom 34 20 Adding an angle measurement The following tool has to be selected to be able to measure an angle measurement E Communicating Imaging Click on U in the location where you wish to draw the top of the angle Click on U and keep it pressed down while the cursor is moving Release U to draw the first segment M
23. 0008 1155 UI Len 38 ReferencedsoPInstanceuID Value 1 2 76 6 1 1 5 2 21 4 28240 END OF DATASET tee 50 Len O anaromicRegionsequence value SEQUENCE 0010 0000 uL Len 4 GroupLength0010 value 52 Care 0010 0010 PN Len 14 PatientsName Value Arthro Epaule z 0010 00 0 LO Len 6 PatientID value 131057 Porto 0010 0030 DA Len O Parterrsbirthbate value 00100 0040 C5 Len O Parientssex value 0018 0000 UL Len 4 Group engthoo18 value 128 00185 0010 LO Len ContrastBolusAgent value User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 172 190 a Fi ledecom Communicating Imaging 43 Deleting one or more images Select the images which are not to be displayed Then either e Press the key or click on X e Select the Edit menu Remove the selection NB This action does not delete images from the disk It only removes the image from the display First select the images which are no longer to be displayed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 173 190 E Pitedecom Communicating Imaging 44 Setting the station The options menu allows the simple and clear setting of all of the station s parameters Click on the options menu to open it then on options One section of the options is configurable by the user the other section maintenance is not accessible by authorised persons 44 1 Layout templates See chapter on lay
24. 1 MEDDIAG 3 1 1 OMEDECOM 24 190 m A fMedecom Communicating Imaging Full screen display of the active image Displaying all images 7 10 Panning Mode CTRL M Activate Panning mode Moving the image panning Centered image 7 11 Windowing mode CTRL W Activate Windowing mode t Changing the values SHIFT Rapid changing of the values Adjusting the window splitting using a ROI region of Bi interest on the KA ofthe Moving the image panning image Reload default contrast brightness values 7 12 Zoom Mode Rey Ain J Changing the zoom value y on the edges of the Moving the image panning image 5 Adjusting the zoom for optimal display of the current image in the window Enlarging current image Reducing current image Adjusting the zoom for optimal display of the current ENTRER i image in the window 1 number pad 100 Zoom 1 image pixel 1 screen pixel 7 13 Shutter Mode User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 25 190 m AJ fMedecom Communicating Imaging Draw a region of interest that define the shutter Moving the two opposing sides of the diaphragm at the em O If no diaphragm has been applied automatic diaphragm if not diaphragm RAZ on the edges of the Moving the image panning image 7 14 Measurements and Annotations Mode Activate Measurements and Annotations Mode i Displaying the Measurement Annotati
25. 1 display by on an image again to display all images Tip This mode is also used to change the places of the series when a multi series display is used 16 2 Example Release U the two images switch places User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 58 190 B Fi edecom Communicating Imaging 17 Moving inside an image pannin Panning allows the image to be moved inside the display window If for example the image is zoomed and only one section of the image is visible it is still possible to see the rest of the image by panning Panning is accessible in two different ways e Using Panning mode by clicking on E e f Panning mode is not selected by moving the mouse around the edge of the image window the cursor changes shape except in diaphragm mode In both cases e Click on U keep it pressed down e Move the cursor the image follows the movement of the cursor e Release U the image is fixed again Tip In panning mode S allows the image to be repositioned to the default location User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 59 190 B Fi edecom Communicating Imaging 18 Using the stack mode This mode is used for scanner CT or IRM MR examinations e To activate stack mode click on 4 e Keep U pressed down e Move the cursor up or down e Release U to work on the displayed image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 60 190 NK PH
26. 4 17 08 2010 09 56 00 09 07 2010 15 34 14 0 07 2010 12 13 20 09 07 2010 10 11 28 29 06 2010 14 35 04 13 04 2010 10 55 14 04 02 2010 16 03 21 04 02 2010 14 00 13 04 03 2009 10 54 00 30 01 2009 09 38 17 31 10 2008 09 13 32 09 07 2008 12 53 01 01 01 2008 11 03 16 1110 2007 12 52 52 25 03 1974 04 04 1977 25 03 1974 20 12 1958 21 11 1959 30 06 1958 13 11 1948 28 11 7009 06 10 1959 18 01 1934 18 10 2010 02 11 2008 16 02 1945 30 04 1972 Description de l examen Empty Poors POUMONS POLIONES Empty PMOS Empty Empty Empty Abdomen Cou Empty Unilateral Mammography Right MG Mammographie diagnostique BREMEN 5 LJ m ds LA d E i Stitching AUTO rachis 071126 MENTION ER CETTE The image display Zone contains the following elements 1 Toolbar to handle displayed studies 2 Image visualisation 3 Toolbar to handle displayed images User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 17 190 CCOITI T Css x ET Ir m i di Pons E pem zh MUNERE LR om RA np Sunes 1 ampar til LI POximage J Soe DX Image I Poumons U OF 10 2010 T5213 oF 10 2010 1533500 LE r SER ER LLL EN LT p POR 0X image PRO HU gt Poumons Comparatii F g U Poumona Comparatif g F al AR ESPERTI AN POUMONS y 14 08 2010 16 48 14 PELA hr J 4 s v D WW WL 2337272 WW WL 1499 302 f loom 22 ee k oom 20 ml j LL t
27. 43 24 H CaO WO 10 44 05 F j x I i i I I I I on mu hs quan En 1 Relerring ake 3 N Finaicixa pn Wo oe f rten Empr Completss Flag PARTAI Ven cztiaa Flag VERIFIED Labra Dare me 250 0547 E TUE CE Darren DELMAS ES LR ELE Compte Rendu POUMQNS 410007411494 VR robots iim 3i ure tan ques POLICE fre prof POS 1040 Cry ra Vd orsi ccn D c Die Hao rana gend E i 11 2 Configure Go to menu Options Configuration Select Reports The following settings can be changed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 49 190 Af tedecom Communicating Imaging Reports Load SR bv default Position ein a Floating dialog Cin the viewer Type DICOM SR OY text File User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 50 190 E A fMedecom Communicating Imaging 12 Importing images The workstation is able to convert TIF JPEG BMP GIF images into DICOM files The conversion in DICOM images allows to add demosraphic information into the image Though the DICOM image can be integrated into a PACS system To start importing the images click on in the serie toolbar If the button is not available go to workstation toolbar configuration to add to the serie toolbar The import dialog box is displayed New Study ds Weight ay 20070503151531 ol Ka Om Birth Date Height OF om 99 Study Series Operator s name Body Part d
28. 8 1 2 1 00072 0012 UI Len 18 HeaderImplementationclassuUID Value 1 3 76 6 1 1 5 1 1 00002 0013 5H Len 6 ver 5lonName value Empty 0002 0016 AE Len 12 seurceApplicarionEentityTitle value DIGITEC FSC 06008 0000 UL Len 4 Group engt hoods value 34304 00085 0008 cF Len 16 ImageType Value DERIVED PRIMARY 00058 0016 UI Len 28 Soeg lassuID value 1 2 640 10008 5 1 4 1 1 1 1 0006 0018 UI Len 30 soPInsrtanceurp value 1 2 20041007 131107 29 00000 Pabeni 40008 0020 DA Len 8 5tudyDat value 20041002 00085 0022 DA Len amp Acquisitionbate value 20040910 O0005 0030 TM Len 4 StugdyTime value 0958 40008 0032 TM Len 4 AcquisitionTime value 1017 0008 0050 SM Len O AccessionNumber value 00058 0060 cs Len Mca lity value nx 00058 0068 C5 Len 16 Presentat ionintent Type Value FOR PRESENTATION 0006 0070 LO Len 6 Manufacturer value Empty G 00058 0080 LO Len 16 InstitutionNamne value Instirurionwame bady 00085 0090 PN Len 6 Ref err inagPlysiciamsName value Empty 00085 1010 5H Len 6 Stat ionvane Value Empty ee 4088 LO Len 6 5tudyDescription value Empty 00085 1090 LO Len 6 Manut actur ersMode lName Value Empty 0008 2112 Len 90 Sourcelmagesequence value SEQUENCE DATASET R EL UI Len 28 Ref erencedsoec las SUTO value Te ht REI HT T
29. A 2 F Documents partag s 5 Documents de Administrateur Dossier Disque local c Cr er un nouveau dossier Annuler e Click on to save 10 11 2 From the viewer 10 11 2 1 Saving an open image Select the image to be saved Go to the File menu Click Save in The following dialog box opens User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 44 190 B A fMedecom Communicating Imaging Enregistrer sous Enregistrer dans 3 Bureau e e Edy Mes documents ES Y Poste de travail Mes documents Favoris r seau r cents Bureau Mes documents Poste de traval lsr seau Nomduficher RcDLS 0210200 001pg z Type Fichiers JPEG jpg _ Annuler e Select the destination directory e Select the image format BMP PNG JPEG TIFF DICOM AVI RAW AVI format allows a sequence to be saved for example a cardiac echography sequence The station automatically adds the file name extension entered 10 11 2 2 Saving several open images Select the image to be saved Go to the File menu Click Save in The following dialog box opens Enregistrer sous Enregistrer dans 3 Bureau e ej Edy Mes documents 4 Poste de travail amp J Favoris r seau TEM HERE RCDLSB 02 10 2004 001 jpal y Fichiers JPEG jpg y Annuler e Select the destination directory a generic file name is proposed e Select the image format BM
30. A PP E o E E 141 37 Formatting and printing a study on a film OPTION 143 37 1 Printing on paper or printing on THEO sra oda NUN aa ne 143 BIS 1 143 ENE FANE E RTT t T T QD TI TUTTI 143 3724 THE print mode tool rz pur 144 A ana AP REA E LEER 145 21D SECO ed a D mom mem 147 Sr oes S MM POF Piel pss rs IR iii 147 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 6 190 n edecom Communicating Imaging 37 8 Defining cie RTT TT TT TET 148 2 29 Ss e tn poda A PEERS 150 AO AAPP O eee ewe ee ae ee 151 37 11 Finding out if an image has been printed is sssssesesensaemenenss site ocn 152 37 12 STOOP punted on FIN sine id io mio eus 152 CAER A REESE T TT TID TEES 154 38 Creating a Layout template OPTION 156 38 1 Creating a new layout template ccsseeeeeeeeeee eese ahh nn 156 38 2 Py WG a layout CONE ova 156 A A A Ter Cee ne eee 156 20 CONO eee ee eer ree et ee eet eee Serre de rer en aT Th ee ne errr Tr 156 39 MPR Module OPTION 158 CCELI cU P besos atone eas eaten Er E 159 Boies oD VOUM MOGE eat aan bas a can a ee eden Ima KIT 160 40 Features 164 ZB MPR Module L e O O nn 164 US lo a Or AD AA ao tE o On O CRIA wegen yee ane eaeeeatt 164 A DEI TDI a de O NAAA 164 404e DENNE A CUV A A o A 165 A EA A NE Oo E A 166 20 6 Panoramic d IBM aa 167 41 Comparing images from different studies 168 41 1 Comparing different SM nto tica cn rn oo nn 168 41 2 Comparing two CT MR SENS iaa
31. Af tedecom Communicating Imaging OKA E x Delete the layout from the layout selector Erase the layout New layout creation example P Click on to start drawing of a new layout Select the image the image that will be displayed in the first layout Move the mouse in the upper left corner of the first cell of the layout Hold U down and move the mouse to draw the first cell of HER the layout Release U to validate the new cell The active image is displayed in this new cell Do the same for each cell of the layout One all cells defined clicked on L apply and save the new layout User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 150 190 E PHledecom Communicating Imaging 37 9 Starting the printing 37 9 1 Printing on a laser Warning The MEDSpooler service needs to be started to allow printing Check in the Windows system tray bar near the clock if the following icon is visible If not click in the options of the workstation in the Services dialog box and click on start MEDSpooler LF Start printing by clicking on a confirmation dialog box opens you can disable the confirmation in the dialog box and a tool tip is displayed IE i Impression DICOM Impression de ZIZOU sur un film 20CMX25CM vers KC_DPRO_P001 192 168 20 160 The MEDSpooler icon in the system tray changes its color and a another
32. COM and Linear LUT These 3 LUT are editable the same way U On one of these 3 LUT to select it The center and the slope can be modified Place the mouse on the center of the LUT Center Modification y And move the mouse to the left or to the right User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 86 190 Eme Af tedecom Communicating Imaging Slope Modification Place the mouse away from the curve O And move the mouse to the left or to the right 29 2 2 Gamma O Sur GAMMA to select the GAMMA curve GAMMA curve modification Place the mouse on the curve User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 87 190 U Move the mouse to the top or to the bottom to change the gamma of the image Center Modification Place the mouse on the center of the LUT O And move the mouse to the left or to the right Slope Modification Place the mouse away from the curve User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 88 190 Hd Fo tedecom Communicating Imaging O And move the mouse to the left or to the right 29 2 3 Interpolation U On interpolated to display the interpolated curve Each point of the curve is editable Move the mouse above a point U nd move the mouse to change the point position User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 89 190
33. EDDIAG 3 1 1 OMEDECOM 62 190 NK Piledecom Communicating Imaging By moving the shutters use the handles on the shutter the white Squares to adjust the shutter Tip The shutters may be symmetrically moved left right or up down by keeping the CTRL key pressed own 19 4 Moving the image in the diaphragm Once the shutter has been applied the image may be moved within it Position the cursor on the rectangular image e Click on U and keep it pressed down while the cursor is being moved User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 63 190 E Af edecom Communicating Imaging It is possible to move the cursor vertically or horizontally Release once the image is correctly positioned in the shutter User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 64 190 B PHledecom Communicating Imaging 20 Zooming an image 20 1 Presentation To activate zoom mode click on T The zoom value is displayed in the status bar 2056 y Warning The zoom only modifies the image display Tip A new zoom may be applied to all images by activating the Apply to all images option on the status bar Tip For scanner examinations CT IRM MR and mammography MG the Apply to all images option is activated as a default Tip The number keys may be used to zoom Tip Automatic zoom is possible by clicking U Tip 1 1 or 100 zoom is possible 1 image pixel 1 scree
34. ENOLOGIE 28 KVp 52 9 mAs 529 msec LORAD COMP 0 46 mm 53 4N Hologic Selenia A F MOLYBDENUM MOLYBDENUM Op Op rateur DGM 0 205 mGy DEP 7 9 mGy IE 423 Technical Level with constant information User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 56 190 B Fi edecom Communicating Imaging 15 Selecting one or more images The image selection icon is located in the bottom right of each image E The image is not selected IB The image is selected Images may be selected for e Deleting them from the display they are not deleted from the hard disk e Regrouping them e Saving them in DICOM or JPEG e Carrying out a treatment There are two options to select or deselect all images e Edit Select Deselect All Menu e CTRL S There are three solutions if an active image is to be selected or deselected e Select in the Edit Select Deselect All Menu e Use the SPACE shortcut key e Click on the image selection icon User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 57 190 EH j Af tedecom Communicating Imaging 16 Changing the layout of the images 16 1 Presentation The layout of the images in each of the open examinations may be changed To do so click on By The Drag Drop mode is activated Click U on the image to be moved Keep pressed down Move the cursor to the required location Release U the two images switch places This mode also has a 1x
35. G See the chapter Exporting images for more details patient identification study description For all other formats meta When exporting images only the DICOM format preserves the meta information A information is loss 1 Printing A list of drivers is provided by default at the installation for DICOM printers A Those drivers are correctly configured according to the DICOM Conformance Statement of the printer they are tested and approved It is imperative to contact our customer service if you wish to connect a printer which is not on the provided list size The print zoom accuracy depends on calibration done by the acquisition station as detailed in the section Printing a study on a film When an image has been compressed with loss of information compared to the original image the text Lossy image compression 01 is printed on the image It is possible to define a printing zoom which is defined by reference to the real See section Format and print a study on a film to see an example 1 8 Stitching Stitching option allows the user to generate one single DICOM image from A several images with an overlap The result images must always be validated by the radiologist to validate the result of stitching algorithm Dedicated tools are available to validate the stitching and to correct dynamically the result image Please see the corresponding chapter for more details 1 9 Breast det
36. Gbps TCP IP network card 2 2 Screens 2 2 1 Diagnostic use If the workstation is used to visualize images for diagnostic the requirements for the screens to visualize images must meet the following CE mark for medical devices or FDA agreement DICOM part 14 conformance User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 12 190 P Pledeco m Minimal resolution 1280x1024 Recommended resolution 1600x1200 in true colors or 20 in grey levels Communicating Imaging 2 2 2 Simple use If the workstation is not used to visualize images for diagnostic the requirements for the screens to visualize images should meet the following Resolution 1280 1024 in true colors 32 bits 19 professional quality 2 3 Printers 2 3 1 DICOM Printers The workstation prints on DICOM lasers 2 3 2 Windows Printers The workstation prints on standard printer for a non diagnosis use The windows driver for the printer needs to be installed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 13 190 PHledecom 3 Other Requirements 3 1 Pre requisite softwares Adobe Acrobat Reader is needed to display the help on line 3 2 Internet connection To get the telemaintenance access an Internet connection is needed 3 2 1 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM Communicating Imaging 14 190 E PHledecom Communicating Imaging 4 About this Guide The manual follows some wri
37. HE Mt ERANE MATIVES IV 1 0 B31s WW WL 110 34 L WW WL 110 34 j T y l zoom 99 p I Zoom 99 j lice 123 245 ERN 4 l slice 256 L3 1075mm A 10 am CT Image 258 Crane Mj TImoge 258 p TI 1 Crane L M 2 04 02 2010 14 22 09 F hl Cou 04 02 2010 14 22 09 i hcl CRANE NATIVES IV 1 0 6315 IM i CRANE NATIVES IV 1 0 ats gm WW WL 110 34 en AAA WW WL 110 34 eh M Zo PRA F ia CR e LU en La Poor PRA P Slice 103 256 75 5mm Fl pour l aide en Digne HE Mol leme sell Hee Several viewing mode to visualize the reconstruct volume are available 39 1 1 Oblique mode Oblique mode allows you to cut trough volume with an angle different that standard views User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 160 190 E AJ fMedecom Communicating Imaging AMEL lt m Erhum d on Kbde jmen che iam Mgnpunes p d Ew ES ES es O PSO AD ts EE EARE El pois l ade en ligne PILA EI A E HEE 39 2 3D volume mode 3D volume mode allows you to visualize a study like a 3D volume with different rendering User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 161 190 Fi edeco m d a a Erhm din kede jen Ah qu imum Mgnpuitic Qpicn duh HT ian m d F pc ADO Communicating Imaging AXIAL 39 2 1 Curve mode Curve mode allows you to define a curve reconstruction User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 162 190
38. ICOM images it can be displayed on the image by changing overlay display level See the section Display patient information 34 1 3 Performing measurement The image should be displayed at least with a zoom of 100 when performing A measures Indeed precision of measures depend on the display zoom With a 100 zoom one pixel of the screen corresponds to one pixel of the image thus the maximum precision can be achieved it corresponds to the User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 102 190 E PHledecom pixel spacing of the image With a zoom greater than 100 one pixel on the image corresponds to several pixels on the screen thus it can be easier to identify the selected pixel but the precision of the measure is still the same With a zoom lower than 100 the precision of the measure decreases as one pixel on the screen corresponds to several pixels on the image Communicating Imaging The precision of the measure is also limited by the display of the result With the default configuration the result is displayed with 1 mm precision The user can choose to display the result with 0 1 mm precision 34 2 Presentation In order to add measurements to an image start by selecting an image in order to make User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 103 190 Fi edecom Communicating Imaging 34 4 Quality control In this chapter you ll find the measure calibration proc
39. Imaging 99 190 E Af tedecom Communicating Imaging 33 Unstacking a dynamic sequence AX T This tool s is used to unstack images from a video sequence It can be usefull to prepare print out Video sequence are mainly in RF US XA modalities Video sequences are easily identifiable on the viewer by the special tools on the overlay RF Image 2 Deglutition O 29 06 2010 DEGLUTITION WW WL 4096 2046 Loom 75676 Frame 2 Tips to browse quickly in the sequence you can use keyboard shortcuts N key Next image in the sequence B Key Previous image in the sequence C Key Select an image in the sequence 33 1 Unstack the whole sequence Open the sequence mm Press CTRL a The whole sequence will be unstack You ll see a maximum of 36 images in the viewer click on the next page to see more User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 100 190 zi PHledecom 33 2 Unstack selected images from the sequence Open the sequence Select in the sequence the images you want to unstack EF Communicating Imaging When the image is selected the icon is set to 03 When the selection is finished click on BA to unstack the sequence Only selected images will be unstacked User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 101 190 P Fi ledecom Communicating Imaging 34 Adding measurements to an image 34 1 Accuracy of measurements Accuracy of measurements de
40. MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 137 190 Hd PHledecom Communicating Imaging 35 11 Adding a text The following tool has to be selected to add a text It is possible to save a list of the most often used words in the list of key words to avoid having to search for them each time Cancel Free Text Position the cursor on the text and click ul RIGHT D STANDING LEFT STANDING ABED WITHOUT PREPARATION PRONE FLEXION EXTENSION EXTERNAL ROTATION NEUTRAL ROTATION INTERNAL ROTATION INTERNAL MENISCUS EXTERNAL MENISCUS Select a key word from the list or click on new text After having clicked on new text the following dialog box appears Type in the text If you want to add it to the list of keywords maximum 20 words click on the Add button Input or select in the list the text to be inserted Cancel LI Keywords List FLE ION E EXTERNAL ROTATION NEUTRAL ROTATION Din LE kg Use the buttons in the dialog box to manage the position of keywords or to delete them Input or select in the list the test to be inserted FLEXION Cancel This way you can select the order of key a words in the list aad Remove Ll mm INTERNAL ROTATIONS Pam Once the text has been selected it appears on the image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 138 190 oo Aiedecom Communicat
41. P PNG JPEG TIFF DICOM AVI RAW AVI format allows a sequence to be saved for example a cardiac echography sequence e Click on save The file names will have the following format generic name XXX ext For example if the generic file name is Edouard Dupont 03 06 2001 the station creates the following file names Edouard Dupont 03 06 2001 001 Edouard Dupont 03 06 2001 002 etc The station automatically adds the file name extension entered if it is not present User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 45 190 a Fi ledeco m 10 11 2 3 Saving displayed images in one file The station creates a resulting image from the images displayed on the screen e Display and format the images Contrast and brightness settings the magnifying glass diaphragm annotations and measurements will be taken into account e Click on Save the page in the File menu Communicating Imaging Save Page Page Size t Small 512 512 t Large 2048 2048 TN e Select the image resolution for the resulting image and click on Save e Adialog box invites the user to enter the file name Enregistrer sous Enregistrer dans 3 Bureau v e e Er I Mes documents EG d Poste de travail Mes documents Favoris r seau recents Bureau Mes documents Poste de travail qm D g Favoris r seau Nom du fichier RCDLSB 02 10 2004 001 jpal Y Type Fichiers JPEG jpg hd Annuler e Modify
42. Release U to redraw the segments The main segments can also be moved by selecting one of its ends Click on U and keep it pressed down while the cursor is moved Release U to redraw the segments User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 132 190 NK PHledecom 35 6 Moving a measure Communicating Imaging 35 6 1 Moving a text To move the text position the cursor on the text The cursor changes its shape Click on U keep U pressed down while the cursor is being moved Release Uto redraw the measurements in the new position 35 6 2 Moving an annotation To move the segment position the cursor on the line The cursor changes its shape Click on O keep it pressed down while the cursor is being moved Release U to redraw the measurement in the new position User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 133 190 NK PHledecom Communicating Imaging 35 7 Adding a line with the middle marked To draw a line with its middle marked following tool must be selected A Start by placing the cursor on the end of the line and click on MENU Then move the mouse keeping U pressed down Once the cursor is in the right position release O The line appears and the middle is indicated by a small line at right angles User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 134 190 E Af tedecom Communicating Imaging 35 8 Adding a circle The following tool must be s
43. Stitching o thumbnail to localize displayed area Two Print modes available simple and advanced MEDMAMMO o Breast detection for alignment of images o Breast Detection for video inversion o Breast Detection for windowing o 1 1 Quad Zoom with thumbnail to localize displayed area 46 5 2 Corrections Command Line execution with Accession Number User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 188 190 P Pledeco m Burning images with LUT Communicating Imaging Modifying patient information correct birthdate User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 189 190 Hd A fMedecom Communicating Imaging 4 Revision Latest manual revision 23 04 2013 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 190 190
44. age click on or use the contextual menu O Select the image where the window setting is to be changed It is then possible to change the window setting in several different ways 22 2 Window setting via the mouse Click on O Moving the mouse changes e The brightness on the horizontal axis e The contrast on the vertical axis User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 70 190 E Piledecom 22 3 Automatic window setting As a default images are opened with an automatic window setting To apply the automatic window setting again after having made modifications on the active image It is also possible to use the contextual menu Communicating Imaging 22 4 Window setting for a region of interest It is often necessary to adjust the window setting within an area of an image which is of diagnostic interest The software allows automatic and rapid adjustment by selecting a i region of interest ROI in an elliptical shape Position the cursor in the centre of the ROI press CTRL and keep pressed down click on U and move the cursor to adjust the radius of the ROI Release U and the CTRL key the software calculates the optimal window setting using the contents of the ROI and displays the image using the new parameters 22 5 Window setting using the icon bar The window setting values are displayed on the status bar F1 for Help W 4096 L 2048 37 Radio T ls 1 studyfes
45. ci EEN Referring Physician Filter Performin Physician Fill the fields to add information to your image Click on the Select Images User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 51 190 E PHledecom Communicating Imaging Ouvrir Regarder dans 5 chantillons d images Mes documents r cents 3 Bureau Callines jpg Coucher de soleil jpg Hiver jpg Mes E CE He N Select the images in the directory Click on open when done with the selection Click on OK to start the the import of images Imported images are displayed in the viewer and are available in the study list User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 52 190 CCOITI The active image is shown by a dotted line frame The colour is defined in configuration The active image is the first image when a series is loaded 1 1 L l l l l l L L I L l The keyboard arrows are used or the image is clicked on to define another image as the active image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 53 190 Patient information from DICOM files are displayed on each image in diagnosis mode Three levels are available Empty no information to display Patient only patient information Technical patient information and technical information Gi To change the level you can select the following icon G Information needed to identify the patient and the type of
46. configuration Scale of active image by default Scale of smallest image Scale of biggest image 37 6 Selecting the laser To select the laser click on the arrow on the right of the button The following menu is displayed with the list of all available lasers In this menu you can also select the Print to file option 37 7 Selecting the film format All available film format for the selected laser are displayed in the drop down list All combination of film size and orientation are displayed ee 4 Changing the film format change the film preview and modify all the images scales The list contents is defined during the installation by the support technician and is link to laser settings User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 148 190 ld Af tedecom Communicating Imaging 37 8 Defining layout 37 8 1 Selecting an existing layout I To select a new layout click on and select the one you want to use fl HEHEH ces LU EE E EH ES HEELE BLH GHE HHA REEE 37 8 2 Creating a new layout You can create new layout by using the layout editor Click on change to let space to the editor window to show fichier Editon Mode Zoom Affichage S rie Manipulation Options 2 Gm BRED gi Jj O HBH editor 6 2 4 Y 1 KE ay dg BB OBESE DEBT MN HESS ERE E da User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 149 190 E
47. dical Image Processing and Communication Software Bom LH Started MedDcms re exe DICOM Serveur Service FULL E 5 Started MED Spooler exe DICOM Print Spooler Service 2 nnd Started Start Stop User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 182 190 A Af tedecom Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 183 190 A PHledecom Communicating Imaging 45 Exiting the software There are three options to exit the software e Click on the icon e Click on the X in the top right of the main window e Pressing the ALT and F4 keys The confirmation dialog box opens MEDCOM 2 Quit the application Click on YES or No to cancel the action User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 184 190 a Fi ledecom Communicating Imaging 46 Software Revisions Software modifications are presented below Version numbers may not be sequential some version numbers are used for intern reasons only 46 1 3 1 1 Version 46 1 1 New features Folder source in study list handle DICOM images with any extension Linking images button to perform action on all displayed images Display study toolbar on two lines when needed Handle reception disaply and export of Multi Frame images US XA RF BT modality of any size MEDMAMMO o Identification of images with prior images and switch for display o Identification of images with similar images and switch
48. e intermalleolar distance at a tangent to the upper edge of the astragal The goniometry measurement is then displayed The measurements displayed are the angle of goniometry in addition to the length of the two segments and the middle of each segment To make a precise measurement use the available annotations Middle and perpendicular line and 3 point circle to construct the 3 references points 34 9 2 9 points mode With the 9 points mode drawing tips steps are displayed in the balloon window Click U to draw the three points of the circumscribed circle of the femur head User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 107 190 Communicating Imaging on U to draw intercondylar eminence line of the tibia Click U to draw the tangent to the femoral condyles Click on U to draw the inter malleolar segment tangent to the upper side of astragal The measure is done O 34 9 3 12 points mode With the 12 points mode drawing tips steps are displayed in the balloon window Click U to draw the three points of the circumscribed circle of the femur head Click on U to draw the intercondylar eminence line of the tibia Click U to draw the femoral intercodylar notch Click on U to draw the inter malleolar segment tangent to the upper side of astragal User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 108 190 Ti tedecom Communicating Imaging Click on U to draw the tangent to the
49. e image toolbar position e Selection the number of column available for the image toolbar Toolbars M Disposition Left Right Bottom Number of columns Auto F User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 180 190 zi Af tedecom 44 11 Study toolbar e Each user may specify the content of the Examination and Image tool bar e Selecting the icons in the study toolbar e Any change to the bar will apply to everyone if there is no user management Communicating Imaging Study List Study Database Separator MUA Next Study P Er Compare Series Close Serie Default Previous Serie 44 12 Image toolbar e Each user may specify the content of the Examination and Image tool bar e Selecting the icons on the Image tool bar e Any change to the bar will apply to everyone if there is no user management User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 181 190 E Af tedecom Communicating Imaging Modality Dx Empty Space Add gt gt lt Remove separator rm stack Up Inverted Glass Down Previous Page gt gt Next Page al Default ih 44 13 Services The list of services associated with the station may be displayed during operation It is possible to start or stop services Description IC Status MED Burner CD DVD Burner Software 2 4 Started MedCom Me
50. e right order Add measures and annotation to the images Select the film format Select film layout Scale the images Select the laser E e Print the film by clicking on ES 37 5 2 Printing parameters The printing parameters can be changed e The zoom of each image can be changed The zoom is the value of the print scale factor image size on the film vs true image size on the screen The selection of the laser if more than one printer are available Film format and orientation Number of film copy maximum is number of copy is 10 The interpolation used by the laser Printing to a file used during system tests it can be used also to save the image of the film in JPEG or DICOM 37 5 3 Working on the image All tools available in the visualization mode are available in print mode Working on the images is used to improve image quality and information windowing rotation processing shutter measures and annotation All this settings behave the same as in visualization mode Just use them in the image tool bar Select Mode arrange image order Panning Mode panning Moving the image inside its window 4 Windowing Mode Change contrast and luminosity on the image Zoom Mode Change image scale on the film User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 146 190 B Fi ledecom Communicating Imaging e Shutter Mode Shutter Mode display only one part of the image only one pa
51. e set in the configuration menu Patient Arthro Genou EE Study Description Empty Series 1 Ul Modality DX Image 1 Acquisition 10 15 Position f To select a thumbnail click on top of it and use the icons to carry out the required action See below for the meaning of the icons Double clicking on an image opens the corresponding image in the viewer To select several thumbnails select the first image then keep the CTRL key pressed down while the rest are selected thumbnails have not to be contiguous 10 4 Study Icons Description The toolbar will change regarding the images source and the configuration BB ah Es Display selected images in separate viewers if there are not from the same study serie a Display selected images in the same viewer if there are not from the same study serie x Update list of studies Isi Remove selected studies from the hard disk and the database User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 33 190 E AM edecom Communicating Imaging mi Locking the study preventing it from being deleted Copy export selected studies to DICOM format Anonymous DICOM or JPEG se in a selected directory Burning selected studies option a Import selected studies in the database _ Export selected studies to a DICOM C STORE server Add to a virtual folder Close the study window Several actions are accessible directly from the thumbnails e Display a selection o
52. easurement annotations Select Measure precision Select displayed statistics in the QA tool User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 178 190 E F PHledecom Communicating Imaging Measures Annotations Style Display statistics Font rea Modify Mean Standard Deviation Signal to Noise Ratio SNR j Minimum value Color Line Maximum value Prompt before deletion of measure or annotation Q Precision in mm e Precision in 1 10 mm 44 9 Study List Managing the study list columns e Adding columns e Deleting columns Managing date filters e Adding filters e Definition of the period e Deleting filters Managing the thumbnails list e Content of the tooltips e List sort order User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 179 190 Communicating Imaging Search Filters Series Tooltip Patient M Patient Name Study M Description Sereg M Modality M Description M Body Part Select Date Filter Patient Birth ate Patient Sex Patient Height Last 4 Weeks Patient Weight Delete Filter Properties Label Last Week Dapz 7 Image M Acquisition Time wi Study Description Accession Number institution Residence Report File Info Default Sort Thumbnails Sort Default List Image Number C Acquisition time 44 10 Toolbars e Selecting the study toolbar position Selecting th
53. ection On mammography workstation an automatic detection of the breast is processed If the detection fails and that a part of the image is not displayed it is possible to cancel the detection and to display the whole image Please see the corresponding chapter for more details User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 11 190 a Fi ledecom Communicating Imaging 2 System requirements This paragraph describe the system requirements for the workstation 2 1 PC The hardware must conform to the standards e IEC 60950 1 standard for safety e IEC 61000 3 2 IEC 61000 3 3 EN 55022 et EN 55024 standards for IEC Moreover it has to be linked to the earth during the installation with an additional fixed ground terminal It is also recommended to install the equipment with a backup power supply UPDS to avoid outage 2 1 1 Minimal configuration Operating system Windows XP Professionnal SP3 or Windows 7 Free disk space e 150 Mb for the software Hardware characteristics e 1Gbof RAM Processor Pentium Core 2 OpenGL 2 0 compatible graphic controller Chipset or graphic card 100 Mbps TCP IP network card 2 1 2 Recommended configuration Operating system Windows XP Professionnal SP3 or Windows 7 Free disk space 150 Mb for the software Hardware characteristics e 2 Gb of RAM Intel Pentium Processor G645 Dual Core 2 9GHz 3MB w Integrated HD Graphics OpenGL 3 1 compatible graphic card 1
54. edure to guaranty a good result The software take into account the file DICOM information The pixel size DICOM field number 0028 0030 is used for the measure computing However to trust the software we advised user to do periodic check after the software maintenance for example The length quality control procedure uses a leaded ruler on the X Ray panel Take the acquisition display the image in the software Measure the ruler with the length tool take 2 points as far as possible to reduce the measure error The measure error depends on the acquisition geometry ruler position compared to acquisition panel and the focal distance The error toleration depend on the operator A good error toleration is 1 mm for a 400 mm ruler A bigger variation should be taken into account immediately The operator should redo the procedure If the same variation is found the operator should call the technical service to solve the issue Warning The measurements are made using information contained in the DICOM files For an exact measurement place an object with a known size and calibrate the image Warning The minimum measurement size is 5 pixels The measurement is canceled if the size is below 5 pixels The line width can be changed from 1 pixel to 6 pixels see configuration for that We advise the 1 pixel width to keep visible the image The measurement error depend on the type of the measure and the pixel size The measurement error
55. elected to draw a circle or an ellipse i Start by placing the cursor on the centre of the circle and click on Then remove the cursor keeping U pressed down to draw the d ellipse Tip To draw a circle press CTRL while the cursor is being moved Once the circle or ellipse is the required size release O The circle or ellipse is drawn User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 135 190 Aiedecom Communicating Imaging 35 9 Adding a circle from 3 points To draw a circle from three points the following tool must be selected le The three points are three points on the edge of the circle This annotation may be useful to delineate the head of a femur Start by place in the cursor on the location of the first point and click on Repeat for the other two points The circle is drawn once the third point is in position User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 136 190 E Af tedecom Communicating Imaging 35 10 Adding a line One of the three following tools must be selected to draw a line Only the end of each line changes The principle for drawing it is Ely the same An example is given with the arrow Then move the mouse while keeping U held down Once the required location has been reached release O The line appears The result is as follows in the round end has been selected If no end has been selected the result is as follows User Manual
56. en nacre ere at und 66 21 Using the magnifying glass 67 Alle PP EL NE Qe 67 21 2 Using the PO PR a to ei aan 67 21 9 Freezing the magnifying lA a nee aa oi a dan 67 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 4 190 Medecom 21 4 Deleting a frozen magnifying glass eeeeeeeee nnne 21 5 Setting the magnifying dla SS ainia di 22 Setting the image window VPN PO ee er DEI 22 2 Window setting via the MOUSE ussiebevaan sbrisacisorei opi btiVP PP RUE d raaaian 22 3 Automatic window EBEN id 22 4 Window setting for a region of interest nnn 22 5 Window setting using the icon bar 23 Displaying DICOM Overlays 24 Processing a video inversion 25 Rotating the images 25 1 PresentatiOn eieeeeesesee nnnm hmmm hm hmmm nr rrr rr rrr nnns 25 25 lt 8 8 O o en en en err tT eT rT 26 Applying a processing 27 Applying a LUT A EO TT INS TREE P RE A se E E ne een ete ee en te Praa NEW LUT CPS D EEN 28 Applying a filter to an image AS LP AA ko REESE SERVERS uud pU MEUM MEE A DEA ZO SABEMOS A Monero pra Zo TE ARN occa areca DUO CORR a ee bee ep cml wane BORDURE PUDE EUR 204 Creaung New DOCS SIM nseries 29 Creating and editing image processings gor Loading THE CIO MITTIT ETENIM SAS LE a naine 293r mn LR 1g RES SI LATE TETTE e u9 LR na o o A a A aeg REN okne 29 6 Quit the processing SAIN nae pa DU DER FERE ab E ER Pk ubl Rr ERE Paco ag 30 Addin
57. f thumbnails Remove a selection of thumbnails Copy a selection of thumbnails to a directory Import a selection of thumbnails to a data base Export a selection of thumbnail to a DICOM C STORE server User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 34 190 NK PHledecom Communicating Imaging 10 5 Retrieving studies from a QUERY RETRIEVE server The QUERY RETRIEVE DICOM Q R function allows a compatible Q R server to be questioned and to locally retrieve images saved on the server using the search criteria such as the patient s name lt is recommended that the search criteria are restricted to their maximum as the operation may take some time 10 5 1 Activating the Q R mode e Enter the different search criteria e Select the server on which the search is to be made click right on the small arrow on the Q amp R button to display the list of available servers eo aT ja aie 7j e Press on to enter Q R mode and start the search Searching is displayed while the server is being questioned 10 5 2 Searching QUERY e Enter the different search criteria Patient Search Name ID Study From Today Modality M To 12 04 2007 Residence All ID Status All e Click on e Searching is displayed while the information is being sought 10 5 3 Importing studies RETRIEVE Importing studies may be carried out in two different ways
58. fault in CT and MR If the Apply to all open images icon is not activated a activate it or press the CTRL key to apply a processing to all images in the series For example press CTRL then a All images are video inverted When the Apply to all open images icon on the status bar has not been activated i and the CTRL key is not pressed during processing e f no image is selected the processing is only applied to the active image as in the example below e f several images are selected but if the active image is also selected the processing is applied to all selected images as in the example below User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 76 190 CCOITI i i i i i i i i i i i i l e f several images are selected but if the active image is not selected the processing is only applied to the active image as in the example below User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 77 190 P PHedeco m Communicating Imaging 27 Applying a LUT 27 1 Presentation Applying a LUT on an image modifies the display levels of the image and thus highlights some tissues compared to others E To us the LUT click on the button a list of the available LUT is displayed The brightness and contrast for each LUT may be adjusted in addition to the centre of rotation for the LUT curve Click on the required LUT it is automatically applied T
59. femoral condyles Click to draw the tangent to the tibial plateau The measure is finished 34 9 4 Modifying User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 109 190 NK J Redecom It s possible to modify the displayed Large Angle information of the goniometric angles Internal External Angle w Display Lengths Communicating Imaging Select the measure click on to By selecting in the contextual menu External Large angle By selecting in the contextual menu Internal large angle By selecting in the contextual menu Internal small angle By selecting in the contextual menu External small angle User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 110 190 E Af tedecom Communicating Imaging 34 10 Double goniometry measurement The following tool has to be selected to measure a double goniometry 1 NH The goniometry measurement corresponds to two simple goniometry measurements with a 9 points configuration and with an automatic display of extern or intern angles the angle is displayed with a negative value in case of varus and with a positive value in case of valgus Goniometry measurement allows angular deviations of both knees to be measured Drawing tips steps are displayed in the balloon window Click U to draw the three points of the circumscribed circle of the femur head Click on U to draw the intercondylar eminence line of the tibia Click U to draw t
60. for display o Identification of images with tomosynthesis images and switch for display TOMOSYNTHESIS Option o Scroll in frames for tomosynthesis images and display corresponding position TOMOSYNTHESIS Option o Identify relevant frames and navigate within relevant frames TOMOSYNTHESIS Option 46 1 2 Corrections DICOM images reception configuration to disable patient integrity Closing studies on third screen Study List dialog boxes position Displaying incrusted magnifying glass Date filter applied on virtual folders Load images from print job list Image export with annotations and measures Intersection angle printing Advanced stitching on 16 bits images Saturation filter on 16 bits images Burn status of studies Add default HP for MG LM images User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 185 190 P Fi ledecom Scale display for several MG images in Print Mode Communicating Imaging 46 2 3 1 0 Version 46 2 1 New features New database engine increasing performances Handle DICOM overlays display MEDMAMMO breast detection improvement 46 2 2 Corrections Job list crash Patient information modification Add a new version of automatic stitching algorithm Allow small difference on Pixel Spacing Tag for stitching Patient integrity improve handling of empty birthdates Loading images from job list queue Gono angle printing Improve calibration Burning images wit
61. g a processed image 30 1 CONQUE AERE ENS TTE 31 Modifying the layout 231 Procena ON ie 2x2 AM ri i 32 Adding a comment to the image 32 SS a dt DEG 322 REA a CONTRER na ee 2 eme a ten ocn EUA O Sc oes AAA SA 32 4 Modifying A A o ane ane tan ue REESE ERE re 234 5 Delete 3 SONNE uri a ird ati Vo au d da a a 33 Unstacking a dynamic sequence 33 1 Unstack the whole SUENO que ndr nSUSSEEEN DS KU qo Qa REAPER PIRE Communicating Imaging ee ee 70 71 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM edecom Communicating Imaging 33 2 Unstack selected images from the sequence se 100 34 Adding measurements to an image 101 34 1 Accuracy of TriedsureiePi Ss eosowesvuvi vs vd cintX uiis Cantor vw s cicOE acis Santi RA 101 COMPE OT AMM PQ A sears 102 34 3 Quit measure and annotation mode sans narrar aaa nn nnn 102 OO PO ee iT e 103 D eM EIS MERE T E PR em 103 So AOS ER RESEN E 103 34 7 Modifying a EOS visae PE PC O o M DIM M MUR 104 2qm 0 MOVNO Si T1 SES UID eo o eee ee ne ono nn euis sept a ae 104 34 9 Goniomeiry MESSI FEM I II T T DT QUNM IL da dan De ob oo 105 34 10 Double goniometry Measurement dp ed denda 110 34 11 Adding a difference in length measurement RS 112 34 12 Adding a difference in height measurement nnn nnn nnne 115 34 13 Adding Baby Hip Displasia Measurement ke kk kt kk REE nnnm nnn 114 34 14 Adding a Coxofemoral
62. g but not limited to physicians radiologists nurses medical technicians and assistants The following illustration presents an overview of the interface when used with two screens on the left is the Study List and on the right the images with the corresponding toolbars The study list contains the followings elements Search filters for studies Study list and corresponding information Pre visualisation of images from selected selected studies Tools for selection of image source Tools to handle selected studies transfer copy burn JU h uN User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 16 190 Communicating Imaging A mea EA e V Liste Info sur MyStation Liste 29 Examens 1809 Images S lection 1 Examenis 18 Mo Aujudtui Modat Au 25 04 2012 w Service Cey Hom du patient 1 Stitching AUTO Membre Poumors Comparati Poumors Comparat Poumons Comparatif 2 Panoramique Dentaire Poumon Comparatif 2 Mammo 4 Vues Agram Mammo 4 Vues Loc Mammo 4 Vues Degiutibion Basan de BE Rapport Nathalie Mammo Sein droit Mammo 4 Vues ligne Mamma prior Mammo MHulti mod ID Patient 120203 007 000 105107 0048 163507 164155 164201 123456 100132 100129108 1000094280 175144 630102065 9iicdc32p16trB 83759 4 Date Here 1510 2010 10 30 08 07 10 2010 15 28 27 13 09 2010 16 43 1 13 09 2010 11 01 59 01 09 2010 09 51 0
63. ge w DRIVE D w CD DVD P BET Hen X Then click on the burn button Cd If the image source is a data base See 10 3 1 the CD may be burned by using several image management modes Native image images will be burned as they have been received Treated image Images will be burned with all their modifications made on the Station contrast brightness orientation diaphragm filtering however annotations are not taken into account Treated and annotated image All actions carried out on the image are applied to the burned image Warning The modifications are final for treated images and treated and annotated images It is not possible to return to the original image using an image burned onto a CD For example it is not possible to delete annotations or cancel a filter User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 41 190 B PHledecom Communicating Imaging 10 10 Pushing a study to a DICOM station PUSH mode allows to push selected studies to another station equipped with DICOM C STORE The DICOM server configuration is accessible to installation and maintenance technicians Select the studies images to be transferred and the destination station accessible from the drop down menu on the PUSH button a w Native image Processed image Processed and Annoted image w DICOM Node Finally click on the button it is then sent lf the image source is the database images may be pushed using se
64. ge s Apply to all images mode selection E Locking the active series to prevent it being automatically closed ef 4 The number of open series The number of images in the active series User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 29 190 E Af edecom 10 Study Window 10 1 Displaying the study window Click on the appears y Study Lits Tedw Madaty 23 04 2011 Fano Minii Stitching AUTO racha Mammo Maitim CR DURE SSL LT Studes tom came patient 7 MG COPIER CE 16 24 The study list is divided in 6 zones ID Residence Status A Patient s ID LIU 1001 29 108 100005 715 175144 63010200 911cdc32pl c Mo Marmmog ape dons fue Date Time 13 04 2010 100355 14 03 02 2010 16 07 71 040022010 13 00 13 04 09 2009 10 54 00 30 01 2009 09 38 17 31 10 2008 09 13 32 OO 2008 12 533 02 01 2008 11 01 16 18 04 2007 11 14 01 da RA iaa Communicating Imaging Images Source ol Cy ak List Ina eni MyStanmon Let 29 Siua 1809 Images Brthadate ELA 06 10 1959 18 01 1934 im 10 2010 02 11 2008 16 02 1945 0 04 1972 30 04 1972 Selection Study Descrinbion Cou Empty Unilateral Mammograp MG Mlammograntue cia User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM icon or press F5 to display the study manager The following window Suns 235 Mo Fires mi E i LE J ka ED ae RI 30
65. h annotations ans measures Burning studies with deleted images Stitching module contextual menu for Gono angle JPEG Export Constrast limitation Study List traduction Saving identification configuration Intersection angle printing Correction on Change Tag Value plugin Crash when adding stitched image if configuration with Save Pagination Positionning of full image with thumbnail in stitching module Windows Print A3 format Save film session Configuration Remove icons on images when too much images displayed Dialog box for print confirm MEDCommand LOAD_STUDY_PRIOR Integrity conflict if patient name with double quotes User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 186 190 a Fi ledeco m 46 3 3 0 4 Version Communicating Imaging 46 3 1 New features Virtual folders to enables studies classification for later retrieval New measurements Dicom Server can keep images up to 500GB or more if option activated Image import is now performed in background MIP MPR module 3D Rendering Print allowed on Multiframe images with number of selected images information Stitching mode o Grid tool o Auto positionning in gonio measures o Panning tool through overview Direct view of availables printers in main toolbar with combo selector Save study with annotations Dynamic management for MEDMAMMO TouchScreen resolution 46 3 2 Corrections Dicom nodes port and aet configuratio
66. he length value appears 34 23 2 Length and middle Select the length tool 2 Click di in the place where you wish to start your length measurement Then move the cursor with U pressed down Once in the required location release O segment and the length value appears The segment middle is visible User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 129 190 B A fMedecom Communicating Imaging 34 24 Adding a cardio thorax index The following tool has to be selected in order to measure the cardio thorax index To start click on U in the area where you want to draw the first segment Click on and keep it pressed down while the cursor is moved Release to draw the first segment Move the cursor to the location of the start of the second segment Click ont and keep U pressed down while the cursor is moved Release O to draw the second segment Once in the required location release O The cardio thorax index is displayed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 130 190 E PHledecom Communicating Imaging 35 Adding annotations 35 1 Presentation To add annotations to an image start by defining it as an active image Then click on the tool bar to enter annotation mode You may then select the annotation which is to be added Some annotations may assist in constructing complex measurement goniometry for example On starting up the default drawing anno
67. he configuration page You can do some tuning from the virtual folders configuration page Go the workstation User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 39 190 E PHledecom Communicating Imaging configuration and select the virtual folder page Virtual Folders Virtual Folders List Dossier 1 Dossier 2 Dossier 3 Remove 10 8 2 1 Add a virtual folder y On add Type in the first line of the study list the new virtual folder 10 8 2 2 Rename a virtual folder Select a folder in the study list on the folder to be renamed Press Return to save the modification 10 8 2 3 Delete a virtual folder Select the folder in the study list U on Remove Warning there is no undelete feature User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 40 190 m AJ fMedecom Communicating Imaging 10 9 Burning a patient CD The patient CD contains study images in DICOM format According to the options it also contains JPEG images and a DICOM viewer to read the images on the CD without the need for additional software on any Windows 2000 2003 and XP compatible computer The CD is compatible with the DICOM standard Select the studies to be burned on the CD the burner to burn the studies and the type of media to be used CD or DVD or automatic in this case the software will select the best media regarding the studies size CJ BI O w Patient CD w Mative Image Processed Image Processed and Annoted Ima
68. he influence of the LUT on the image can be seen directly To cancel the LUT and to return to the default setting select Default at the top of the list The LUT dialog box may remain open permanently and therefore be available to the user It is possible to select a new image without having to close the dialog box To close it click on the close button in the LUT dialog box Printing takes the choice of LUT into account User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 78 190 E PHledecom 27 2 Example Communicating Imaging HAND 0 PID 102232 04 06 2004 15 44 58 Luminost Prime ilo nd alui Contrast I Image 003 f H itutionName I 2700x3384x i HAND 0 PID 102232 04 06 2004 15 44 58 D faut 5 01 5 02 5 03 05 04 05 05 LIH 0 LOU LOM 42 LOM 43 TH O1 M U2 THp TH J2 THX 14 TH THA J5 TH J6 THA J7 uminasil J entre de tatin _ontregt User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 79 190 Fi tedecom 27 3 New LUT creation New LUT can be created and modified using the processing editor see Editing processing chapter Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 80 190 E PHledecom Communicating Imaging 28 Applying a filter to an image 28 1 Presentation The workstation has 4 filters e Filter to improve the dynamics of the image e Filter t
69. he opened series which are not displayed are then shown To close a series click on X Up to 6 examinations may be open at the same time See options 41 2 Comparing two CT MR series The comparison mode also allows two CT or MR series to be compared according to the options By clicking on oa the synchronisation of the two series is activated depending on the position of the slices Moreover all zoom actions windows panning number of images displayed for one series shall be automatically applied to the other synchronised series User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 169 190 i PHledecom Only two series may be synchronised at the same time Communicating Imaging 2 MEDCOM Dour Gator Mode oom adege S re Manouaton prons 2 2 o 50 B sors com oc ER 88 ERES D Ml j de MR Image 004 012 AH MR Image 004 012 AH Slice Thickness 2 mm Slice Thickness 2 mm J 16 02 2005 16 02 2005 13 07 14 13 11 02 LUN FA Y jag ie pc I E E lt gt HE User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 170 190 E Fi tedecom Communicating Imaging 42 Displaying DICOM information for an image To display or hide information displayed on images click on the Display menu then on the Overlay menu To display DICOM fields for an image press the F9 key or click on the Display menu then on DICOM information menu The DICOM information from the active image will be shown
70. he tangent to the femoral condyles Click on U to draw the inter malleolar segment tangent to the upper side of astragal User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 111 190 E Af tedecom Communicating Imaging Apply the same steps for the second leg Measurement is done User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 112 190 3 Af tedecom Communicating Imaging 34 11 Adding a difference in length measurement The following tool has to be selected in order to measure the difference in length To start click on U in the area where you want to draw the first segment Click on and keep it pressed down while the cursor is moved Release U to draw the first segment Move the cursor to the location of the start of the second segment Click vj and keep U pressed down while the cursor is moved Release U to draw the second segment Once in the required location release O The difference in length between the two segments is displayed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 113 190 Ti tedecom Communicating Imaging 34 12 Adding a difference in height measurement The following tool has to be selected to measure length JH To start click on in the location where you want to start the height measurement Height measurement is horizontal only Then move the cursor while keeping U pressed down to the second height measurement point Once in the re
71. he two buttons below may be used to change the display format Display all open images from the series on the screen Selection of the display matrix User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 95 190 P Pledeco m Communicating Imaging Click on b the following window opens select the layout this represents the screen matrix format Click U to enter the new layout Warning A maximum of 36 images per screen is possible To obtain the default display click on HH e f no image is selected the software automatically calculates the matrix format to display all images e f several images are selected the software automatically calculates the matrix format to only display the selected images In this case images are ordered in the same order as the image selection the first image selected will be the first image displayed etc Images are automatically deselected during a new display as well as by clicking on HE The software displays all open images again User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 96 190 E PHledecom Communicating Imaging 32 Adding a comment to the image You can add a comment to the active image The comment will be saved in the DICOM tag 0020 4000 using the button if the button is not available you can add it using the Configuration menu Options Toolbar Image 32 1 Add a comment Select the image to which you want to add the co
72. ing Imaging 35 12 Adding a rectangle The following tool must be selected to draw a rectangle X Start by placing the cursor on one of the corners of the rectangle and click on O Then move the cursor keeping pressed down to draw the rectangle Once the rectangle is the required size release O The rectangle is then drawn User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 139 190 mE Communicating Imaging 35 13 Adding a line at right angles To draw a line at right angles the following tool must be selected Start by placing the cursor at the end of the first segment and click O Then move the cursor while keeping down to draw the first segment appears as well as the segment at right angles Then move the cursor to move the segment at right angles Click on U to draw the second segment Once it is in the required area release d The first segment 35 13 1 Perpendicular segment extension Starting from a basic perpendicular annotation it s possible to lengthen the half segment Set the mouse cursor over the intersection The cursor shape will be as shown User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 140 190 a Medecom Communicating Imaging U Pressed down and move the mouse to lengthen the segment Release _ to finish the annotation User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 141 190 E Piledecom Communicating Imaging
73. ion angle thanks to the angle controller 2 Define oblique position thanks to the oblique center 3 It s possible to navigate to a perpendicular way of the oblique thanks to the oblique Export images parallel to the oblique thanks to the action button Export several images For all these actions oblique view is modified A curve could be defined into three view axial coronal sagittal To do it you have to right click on the wanted view to define first point of the curve The other points have to be defined and you finalize the curve with a double click User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 166 190 CT Image 18 Panoramique Dentaire 01 09 2010 10 01 03 Empty WW WL 2712 1356 Zoom 87 Slice 214 300 15 75mm You can Modify definition point on acting on them Modify curve normal position on acting on the center of its center Delete curve with double clicked on it Create the panoramic thanks to the action button Curve reconstruction 3D mode allows to have a global view of the volume To visualize it 3D mode is needed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 167 190 B Fh ledecom Communicating Imaging MIP CT Image 18 Os 01 09 2010 10 01 03 Os et peau Peau WW WL 2712 1356 Muscles Zoom 87 D filement Fen trage Panning Zoom Mesures Annotations Rotation 3D Export MPR Copie d image i Reconstruction courbe Param
74. is below 1 The measurement error do not take into account the whole acquisition workflow only the DICOM image 34 5 Tips e To add a measurement on top of a measurement or existing annotation press SHIFT while you are drawing the first point on the new annotation e To select a measurement move the cursor over the measurement the measurement changes colour and the cursor changes shape depending on the actions available for that measurement e To delete a measurement place the cursor on the measurement Double click with the left button on the mouse to delete it 34 6 Deleting 34 6 1 One measure e Position the cursor on the annotation e to delete User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 104 190 E H tedecom 34 6 2 All measures and annotations Click on X 34 7 Modifying a measure Communicating Imaging Each measure has construction points that can be modified By moving the mouse on this points you can modify the measure For example the length measurement Position the cursor on the line The cursor changes shape Click on U keep it pressed down while the cursor is being moved Release O to redraw the measurement in the new position and update its value 34 8 Moving a measure 34 8 1 Moving a measure s text To move the text position the cursor on the text The cursor changes shape Click on U keep U pressed down while the cursor is being moved Release Oto redraw the
75. ity only used for ultra sound images allows the contrast and brightness to be automatically corrected for each US image O O O O oOo User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 177 190 E PHledecom e 1x1 format o Specification of the tilt in 1x1 mode for the window splitting mode o Specification of the tilt in 1x1 mode for the shutter mode o Specification of the tilt in 1x1 mode for the magnifying glass mode o Specification of the tilt in 1x1 mode for the measurement mode Communicating Imaging Display Studies List Save Always Show Studies List Save Pagination Refresh Studies List 10 SEC W Save image parameters List Contrast 240 Save Display Settings Study Information Overlay Font Multi Seres Tat line Maximum number af aj 4 select Font loaded studies Ex Patient ID Layout 1x1 US Images Study Description E Windowing Mode When opening US images apply end line automatic correction W Study Date Shutter Made w Study Description Magnification Made Contrast 100 Body Part Measures Mode inozit 100 x Iw Series Description Scroll Mode Wi incl ES 44 8 Measurements Selection of the font to be used for displaying measurement annotations on the screen Activation de of the dialog box to confirm the deletion of the measurement annotations Selection of the colour of the measurement annotations Selection of the line thickness for the m
76. ledecom Communicating Imaging 19 Setting a shutter for an image 19 1 Presentation To activate shutter mode click on tei or select the mode with the contextual menu using v The shutter may be used to improve the reading of an image on the screen masking blank areas displaying one detail only or to prepare for printing Warning When a shutter is applied to an image this is automatically zoomed in the optimal manner Tip The automatic shutter may be used to automatically mask the image s white borders Check the accuracy of the automatic shutter in the DICOM printing in the options menu 19 2 Selecting the shape of the shutter The station has three different shutters shape e Rectangular default diaphragm e Circular e Polygonal To select the shutter shape click on O to display the contextual menu and select the type of shutter The blank squares placed around the image are used to change the shutter Rectangular User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 61 190 E PHledecom Communicating Imaging Polygonal 19 3 Modifying the shutter The shutter may be modified in several different ways e By directly drawing the shutter e By moving the side of the shutter 19 3 1 By directly drawing the diaphragm Click U in the area of the shutter and keeping U pressed down move the cursor to draw the shutter Release to apply the shutter User Manual MEDVIEW 3 1 1 M
77. measurements in the new position 34 8 2 Moving a measure To move the segment position the cursor on the line The cursor changes shape Click on U keep it pressed down while the cursor is being moved Release O to redraw the measurement in the new position User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 105 190 E PHledecom Communicating Imaging 34 9 Goniometry measurement The following tool has to be selected to measure goniometry i The goniometry measurement can be done in 3 different modes depending on the number of drawing points 3 points mode 9 points mode default mode 12 points mode WARNING for each measurement the measured angle is defined by the user as described in 34 9 4 This configuration is saved for the next measurements Tips To change mode go to Option Configuration Measures Annotations and select the right mode Goniometry measurement allows angular deviations of the knee to be measured Centre of the femur head Radiological centre of the knee joint User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 106 190 E PHledecom Middle of the intermalleolar distance at a tangent to the upper edge of the astragal Communicating Imaging 34 9 1 3 points mode To start click on U to position the cursor in the centre of the femur Then click on U to position the radiological centre of the joint Finally click U to position the middle of the of th
78. mment Click fie The following dialog box opens Image Comments serie 1 image 1 Type the text Click on validate The comment is added The icon is added in the bottom right corner of the image meaning this image has a comment i TEA EIER 32 2 Read a comment Comments can be displayed automatically or manually depending on the configuration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 97 190 B A fMedecom To select the mode Communicating Imaging Options gt configuration gt Preferences gt Show image comment when loaded 32 2 1 Automatic Load a study Each comment is displayed in a tool tip window d E Image Comments w i Motes 32 2 2 Manual Hi Click on the icon to display the tool tip window Image Comments w B Notes 32 3 Closing a comment Click on the closing cross on the tool tip Image Comments w B Notes 32 4 Modifying a comment Select the image Click on Be z to open the following dialog box User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 98 190 Hd A fMedecom Image Comments serie 1 image 1 Cancel Modify the text Click on validate to save the modification 32 5 Delete a comment Click on to open the following dialog box Image Comments serie 1 image 1 Cancel Click on clean and Validate The icon is removed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM Communicating
79. n Dicom Routing with a filter on DICOM Tag Update of area measure Correct DICOM Tag Photometric interpreation when creating images Install on Japanese OS Image display in Russian language Keep print layouts when updating a version 46 4 3 0 2 Version 46 4 1 New features Windows Print with same user interface as DICOM Print Print Mode Burner fully integrated no need for NERO installation anymore Automatic Dicom Store when adding Stitched images and modified images Allowing ES Modality MEDMAMMO Additional Touch Screen to improve workflow User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 187 190 a Fi ledecom 46 4 2 Corrections Crash du spooler Communicating Imaging Spooler Crash Error message when Nero is not installed is now removed Using keypad for manual stitching Performing stitching on images with overlays Removing lengths on gonio angle measure Duplicating an image in shutter mode shutter plots visible Printing several images with a correction LUT Printing MG images with correct alignment 46 5 3 0 0 Version 46 5 1 New features New image display engine o Reducing image flickers o Improving Zoom rendering o Displaying measure results dynamically o Windowing on color images Windowing and Image processings now available on all types of monochrome images not only DICOM New measures o Baby HIP Dysplasia o Alternative advanced gonio angle
80. n hazards and chemical hazards Finally it is important to understand that the material could be sensitive of electromagnetic interference 1 2 Image communication Communication with DICOM nodes must be checked at installation Then the person in charge of the installation should be aware of any modifications in order to update the configuration of the station 1 3 Patient Information Confusion on patient identity is a usual source of errors when using workstations A To reduce these errors information on patient is displayed on each image patient s name study date patient s orientation laterality if present in DICOM image The prior studies are also identified See the section Display patient information for further details 1 4 Image display A Image quality for each acquisition modality must be validated by the radiologist If the station is used for diagnosis it is highly recommended to check the display of pattern images every day to detect failures dead pixels calibration error which can lead to a bad image display Verify the viewing conditions especially for ambient brightness and the screen viewing angle Display the pattern TG18 QC Options Display calibration images Check the following steps as described on following illustration 1 In the 16 concerned squares all the lowest brightness must be visible 2 Grey levels from 5 to 95 must be visible 3 Black white transitions d
81. n pixel by clicking on U 20 2 Zooming with the mouse Select the image to be zoomed Click on U and keep it pressed down To zoom forward enlarge move the cursor vertically upwards To zoom backwards reduce move the cursor vertically downwards User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 65 190 nu Aiedecom Communicating Imaging During the zoom action the image is not recalculated with the interpolation for a time difference A pixel effect may appear on the image Release U when the required zoom is achieved The image is redrawn using the interpolation mode 20 3 Zooming with the numeric keypad To return to automatic zoom 2 on the image or press ENTER on the numeric keypad or KE 7 click on e To enlarge the image use the key on the numeric keypad e To reduce the image press on the numeric keypad User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 66 190 m j Af tedecom 20 4 Zooming with the status bar Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 67 190 E Af tedecom Communicating Imaging 21 Using the maanifying alass 21 1 Presentation The magnifying glass allows an area of the image to be enlarged The magnifying glass may be used in two different ways 3 For a diagnosis directly on the screen 4 For a diagnosis on film by freezing the magnifying glass To activate the magnifying glass click
82. nt Click on U and keep it pressed down while the cursor is moving Release U to draw the second segment Warning The measured open angle cannot exceed 90 Once in the required location release 9 The angle between the two segments is displayed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 122 190 Aiedecom Communicating Imaging 34 18 Adding a measurement of multiple open angles The following tool has to be selected to measure the angle ed Tip To obtain the complimentary angle keep the CTRL key pressed down and double click on the value of the angle The complimentary angle appears Repeat to return to the initial value Click on U in the location where you want to draw your first segment Click on o and keep it pressed down while the cursor is moving Release Uto draw the first segment Move the cursor to the location of the start of the second segment Click on and keep it pressed down while the cursor is moving Release U to draw the second segment Once in the required location release O The angle between the two segments is displayed Move the cursor to draw the new angle 2 to enter the measurement You may draw as many angle as you want Warning The open angle must not exceed 90 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 123 190 a Aiedecom Communicating Imaging 34 19 Adding an angle measurement with an intersection iv The following tool has
83. o improve the contrast of the image e Filter to improve the details of the image e Filter to improve the saturation of the image Each filter can be combined with the 3 others The user can create new filters using Settings in the filter menu see below Tip After having used the image s dynamic filter a re adjustment of the window is often necessary Tip It is possible to apply several filters to one image one filter for the details and one for the filter for example 28 2 Applying a filter e Select the image e Click on E3 for to display the filter menu settings Reset Filter Constrast Constrast Constrast Details Details e Select the type of filter and its intensity sedie Dynamic Dynamic Dynamic saturation saturation Saturation e To cancel a filter processing on an image click on Cancel processing User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 81 190 P Af tedecom Communicating Imaging 28 3 Examples 28 3 1 Using contrast Without filter 28 3 4 Using details Without filter User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 82 190 A Medecom Communicating Imaging 28 4 Creating new processing To create and modify processing see the chapter Processing Editor User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 83 190 B PHledecom Communicating Imaging 29 Creating and editing image processings The processing edi
84. o not have to present jaggy or transition artefact blinks or blur User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 9 190 MM Ti tedecom Communicating Imaging pixel of the screen that is to say when the display zoom is 100 For a smaller zoom images are sub sampled which means there is a loss of information In diagnostic mode display zoom is displayed as overlay on the image Caution in print mode the print zoom is displayed Display of images is optimum when one pixel of the image is displayed on one original image the text Lossy image compression 01 is displayed on the When an image has been compressed with loss of information compared to the image See section Display patient information to see an example 1 5 Measures The accuracy of measure depends on the following points detailed in the A section Add Measures of the user manual Image resolution User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 10 190 m AJ fMedecom Calibration done by modality station Communicating Imaging Conditions of creating measure on the workstation 1 6 Exporting Images When exporting images the following formats use a lossy compression which A means that an amount of data contained in the original pixels is discarded JPEG AVI For grey level original images with pixels saved on more than 8 bits per pixel the following formats will also result in a lossy compression BMP PN
85. on p the magnifying glass mode is activated the cursor becomes a magnifying glass The magnifying glass mode can also be activated by the contextual menu using O 21 2 Using the magnifying glass Click U on the image keep the button pressed down move the cursor to move the magnifying glass over the image If f is released the magnifying glass disappears Click on U keep the button pressed down move the cursor to the region of interest Press the CTRL key release O release the CTRL key The image is printed with the magnifying glass NB Only one magnifying glass may be set per image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 68 190 B A fMedecom Communicating Imaging 21 4 Deleting a frozen magnifying glass Click O on the image release U the magnifying glass disappears 21 5 Setting the magnifying glass To open the dialog box for to configure the magnifying glass use the contextual menu using and selecting the Config the magnifying glass menu Magnifying Glass Setup Size size of the magnifying glass Factor Enlarging the magnifying glass BS Type Shape of the magnifying glass round or E H square EE Border Displaying a line around the magnifying glass to make it stand out Froperties Shape dise ponon It is possible to set the magnifying glass for all images with the Magnifying Glass Options menu or on each Border image using the contextual menu
86. on contextual menu and possible selection of associated functions Definition and modification of Measurement Annotation Position of the cursor on the annotation t on an annotation n the centre moving the annotation On the ends modifying or editing a text SHIFT Drawing an annotation on top of an existing annotation CTRL y On an angle moving an angle branch on the edges of the Moving the image panning image 1 B Deleting the annotation measurement Deleting the selected annotation or measurement C Active angle Displaying the additional angle value 7 15 Magnifying Glass Mode CTRL L Activate Magnifying glass mode CTRL L Activate Invert Magnifying glass mode t Displaying the magnifying glass CTRL t Incrustation of the magnifying glass on the edges of the Moving the image panning image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 26 190 a PHledecom Communicating Imaging Displays the contextual menu to configure the magnifying glass 7 16 Scroll Mode Key J Action O BEEN NE Scroll images to first image Scroll images to last image on the 2 of the Moving the image panning image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 27 190 E PHledecom Communicating Imaging 8 Connecting to the station The station allows user and preference management The user is authenticated each time the software is
87. one single image ALT F4 7 3 Clipboard Shortcuts CTRL C Copy active image to clipboard CTRL X Copy active image to clipboard AND delete viewer 1 4 Access to the context menu The context menu allows faster access to the different application functions using just one right click anywhere on the image This menu is automatically modified depending on the active mode y Displaying the context menu and functions associated on image with selected tool 7 5 Browse studies Display next study corresponding to study list filter B Display previous study corresponding to study list filter User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 23 190 Hd PHledecom Communicating Imaging 7 6 Browsing images The previous image becomes the active image A WE Moving the active image to the preceding line in matrix format Next page oS O Y Moving the active image to the following line in matrix format PAGE UP Previous workflow step PAGE DOWN Next workflow step 7 7 Browsing sequences F Miri current displayed image 7 8 Actions on images CTRL Application of the action for example video invert to all images The mouse operating mode depends on the active mode 7 9 Selection Mode Moving an image click on the image to be moved and release in the location where it is to be inserted on the edges of the Moving the image panning image User Manual MEDVIEW 3 1
88. out template 44 2 Processing Processings Filters List Constrast Constrast Details Details Details Dynamic Dynamic Dynamic Saturation Saturation Saturation This option allows the processing to be managed e Add Modify Delete Order 44 3 Windowing This option allows the contrast brightness windows to be managed e Add e Modify e Delete To add a new window e specify its name text User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 174 190 Af tedecom e on which modality it is available e its level and its width numbers and level Windowing Modality Dx E Mame width Level po 44 4 DICOM printing e Adjusting the zoom of the printing e Adjusting the automatic shutter Communicating Imaging Modify Delete di e The DICOM printing dialog box display may be selected User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 175 190 E Af tedecom Communicating Imaging DICOM Print Preferences oe Set custom print scale on button F5 EX Automatic shutter pr cision i m d E Confirm before printing 44 5 Magnifying glass e Allows the default magnifying glass settings to be defined when it is first used on an image The magnifying glass parameters may then be changed for each image Magnifying Glass Sze Size Medium pizels Factor 2 Type fe Square t Round A
89. ove the cursor to draw the second segment Click My to finish drawing the angle Tip To obtain the complimentary angle keep the CTRL key pressed down and on the value of the angle The complimentary angle appears Repeat to return to the initial value User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 126 190 E Piitedecom Communicating Imaging 34 21 Adding a polygonal surface measurement Then mover the cursor and clickU each time you wish to add a point to the polygon To finish the polygon El the drawing and the value are displayed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 127 190 Aiedecom Communicating Imaging 34 22 Adding a circular surface measurement The following tool has to be selected to measure a circular surface s To start click on U in the location where you wish to place the centre of the ellipse Then move the cursor the ellipse becomes larger Release U to draw the measurement and the value of the surface User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 128 190 m TP tedecom Communicating Imaging 34 23 Adding a length measurement Length tool has 2 different measures One simple measure One measure with the segment middle select the right measure Warning the last used tool is saved for future use 34 23 1 Length Then move the cursor with U pressed down Once in the required location release O segment and t
90. pends of several parameters Image resolution Calibration done by acquisition workstation Conditions for measurements on workstation 34 1 1 Image resolution The measurement accuracy depends of image resolution that is to say the size of a pixel The measurement accuracy is up to the size of a pixel 34 1 2 Image calibration a on which modality the calibration done by the acquisition workstation can be No calibration The information of pixel size present in DICOM images corresponds to the pixel size at the level of the sensor This pixel size do not take into account the geometric magnification The measurement accuracy depends on the acquisition geometry In such case the uncertainties on measurement is about 10 Geometry Calibration The information of pixel size present in DICOM images take into account a calibration for a given distance to the sensor The measurement done on objects which are to given distance of the sensor and close to central ray is pretty accurate The uncertainties on measurement is about the size of pixel Fiducial Calibration The information of pixel size present in DICOM images take into account a calibration done with a measure on a know size object visible on the image The measurement done on objects which are the same distance of the visible object and close to central ray is pretty accurate The uncertainties on measurement is about the size of pixel If information about calibration is present in D
91. ppearance Border High Quality User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 176 190 A Fi tedecom 44 6 Communicating Imaging Preferences General options 44 7 Selecting the layout of the tool bars Sensitivity of the mouse to speed up or slow down window splitting for example Activating the writing of the debugging file Type of format for JPEG files and the associated quality factor loss of information Type of interpolation when enlarging or reducing images Unit for the ruler Authorisation to switch off the computer when the software is switched off The active frame colour thickness and shape i Preferences Mouse sensitivity Windowing sensitivity 10 EX pixels windowing Factor 1 Huler zoom Logging Lm Interpolated Better Quality Enabled t Inch t Duplicated Faster Active Image Frame Color Thickness Shape Display List of examinations Adjusting the refresh speed of the list Adjusting the colour of one line on two improved visibility on the list Recording image parameters shutter brightness contrast Recording page set up information image layout and Viewer cut position List of studies which are always displayed in the event of several monitors Multi series of the maximum number of series open at the same time 1 to 6 Selection of the overlay font displaying information around the image in the viewer US specific
92. quired location release O The height measurement and value appear User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 114 190 Aiedecom Communicating Imaging 34 13 Adding Baby Hip Displasia Measurement Select the baby hip displasia measurement tool A You need 4 points to build this measurement U To set the right Y cartilage point In this example the right Y cartilage is selected You can follow step by the step construction of the measurement with the help balloon on the image NN User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 115 190 D set the left Y cartilage point as shown in the help ballon To set the left Y cartilage point as shown in the help balloon 4 N i S i a LI d VM 1 P PO LI j t z m To set the right cotyl roof point MM Ti tedecom Dp N U To set the left cotyl roof point The measure is finished Communicating Imaging ry FI Lm 1 E lf E j gt y gt User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 116 190 MH Aiedecom Communicating Imaging 34 14 Adding a Coxofemoral Hip Displaysia measurement Norberg Olson angle Select the following tool vy You need 8 points to build this measurement U to set the set first point of the circle around the femoral head For example start on the right side You can follow the instruction with the help balloon on the screen
93. r printer ra Date Time 12 04 2007 15 38 17 Arthra Epaule DRYPFR OC Mo 5CM Printed Warning If printing fails the status column indicates the error for example Error in establishing a connection There is the option of starting a new print job by selecting the films to be printed and then clicking on the Reprint button All or some of the films on the waiting list may also be deleted Warning The printed status means that the film has been well transmitted to the laser It does not mean that the film is ready to be picked 37 11 Finding out if an image has been printed To find out if an image has been printed look to see if the image contains the print icon Image not printed Image printed 37 12 Information printed on film On each film a stamp is printed with some indications about the patient the study the institution Warning e If the images are coming from the same study only one stamp will be added for the whole film e If the images are coming from different studies even the same patient each image will have a stamp Additional information can also be printed for each image to display for example acquisition parameters such as entrance dose If the image has been compressed at a point in its lifetime with a lossy algorithm and if corresponding information is found in the DICOM file a text Lossy image compression 01 and the corresponding ratio compression is printed on the film as sho
94. rt of the Shutter Mode display only one part of the image re Se unt a umi ad information on the mages D ee eur be freeze for printing Duplicate an image ME Open image processing menu n en the geometric manipulation tool bar E video invere S 34 Open the LUT dialog box density curves Reset image to default settings The size of the measures and annotations texts will be the same on the screen and on the film In print mode they are displayed in black and white Tips To work precisely on an image double click on the image to display the image 1x1 Once you ve done the processing double click again on the image to go back to the last layout Select the Select mode to the enable this feature before double clicking 3 5 4 Print scale In print mode the print scale is tuned by using the zoom button E The scale displayed corresponds to the size on the film For example 100 means that 1 cm of the image will be 1 cm on the film itll be a true size printing A Zoom accuracy depends on calibration done on acquisition workstation MN on which modality the calibration done by the acquisition workstation can be No calibration The information of pixel size present in DICOM images corresponds to the pixel size at the level of the sensor This pixel size do not take into account the geometric magnification so the print magnification is exact for an object located on the sensor The physical measuremen
95. s The workstation has 2 operating modes the visualization mode and the print mode gt a To switch to print mode click on de To switch back to the visualization mode click on the same button The last selected mode is selected when opening a new exam The print mode is dedicated to the film set up In this mode the user works directly on the film For example the displayed scales correspond to the scales on the final film Every change like film format or film orientation are immediately taken into account the workspace is modified It is a WYSIWYG mode What You See Is What You Get User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 144 190 4 Bero DE Re 20 x 25 Print the film or select the laser cf 37 6 Selecting the laser or the windows printer L4 20x25 Y Select film format and orientation cf 37 7 Apply same zoom on each image of the film cf 37 5 4 BR Select film layout cf 37 8 User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 145 190 B A fMedecom Communicating Imaging Display the layout templates manager cf 38 Display the layout creator cf 37 8 2 Display the print queue cf 37 10 37 5 Film preparation 37 5 1 Steps Select images to be added to the film in the study list Tune the images windowing shutter processing Sort the images in th
96. started depending on the configuration and if his her preferences are found If not all users share the same preferences There are three user authentication methods e The station does not authenticate users e The station uses the user name and the Windows password to load the user profile e The station manages the users and each user has a name and password given by the station s administrator The user name is displayed on the status bar when it is known Nu Fi ledecom User Password Cancel User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 28 190 m AJ fMedecom Communicating Imaging 9 The status bar The status bar is located at the bottom of the station s main window F1 for Help W 4096 L 2048 37758 Radio m H 1study ies serie 1 1 8 image s It contains information drop down lists and icons When the cursor moves over one of the station s icons on the examination or image tool bar the status bar displays a message on the left which states the action linked to this icon 77 er PER The other fields on the status bar represent from left to right W 4096 L 2048 3 7 Radio The list of layout templates The value of the active image window and the list of specific windows The zoom size of the active image display and the list of specific zooms The user name identified on the station if authentication is active x af 1study ies serie 1 1 8 ima
97. t and Annotation Mode jo Magnifying Glass Mode Tile Stack Mode Some icons allow an action to be taken with the images Zoom Full Resolution 1 image pixel 1 screen pixel If the print mode is active 1 cm on the image 1 cm on the film 2 Zoom Fit fits image in the viewport Ca Duplicate an image MO E Open the filtering toolbar User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 20 190 E PHledecom Communicating Imaging Activation of stitching Open the toolbar for geometric handling A E ATT AT move to previous page EN veoma SOS e E R Delete active image or selected images from the viewer t i Rotate 90 degrees to the right Rotate 90 degrees to the left Cancel all geometric actions carried out on an image o K X pelete all measurements and annotations User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 21 190 E PHledecom 6 5 Measurement toolbar Communicating Imaging jw Measure a length Measure a difference in length between two segments b NM y Delete all measurements and annotations o Exit measurement annotation mode User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 22 190 a Fi ledecom Communicating Imaging 7 Keyboard Shortcuts 7 1 Function Keys 7 2 Files Menu Shortcuts CTRL O Open a file CTRL E Save the active image in a file CTRL G Save all images displayed in
98. t on the film of an object located to a given distance of the sensor do not take into account the radiological magnification Geometry Calibration The information of pixel size present in DICOM images take into account a calibration for a given distance to the sensor The print magnification is exact for all object located to this given distance and close to central ray Fiducial Calibration The information of pixel size present in DICOM images take into account a calibration done with a measure on a know size object visible on the image The print magnification is exact for all object located at the same User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 147 190 E PHledecom distance of this object and close to central ray Communicating Imaging If information about calibration is present in DICOM images it can be displayed on the image by changing overlay display level See the section Display patient information Click on to get directly the 100 scale Click on to adjust the image to layout selected Click on T to tune dynamically the image scale Warning The scale information is different if you re in print mode or in visualization mode In visualization 10076 means that one pixel of the image correspond to one pixel on the screen The print scale and the display zoom are not linked 37 5 5 Apply an identical scale To apply the same scale on every images on the film click on The applied scale depends on
99. tation is Then the last annotation selected remains the default annotation while the station has not been turned off To select another drawing annotation use the mouse to click on the button located under the text annotation annotations tool bar then opens 35 2 Quit measure and annotation mode Click on 0 to go back to normal mode User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 131 190 E Piitedecom Communicating Imaging 35 3 Tips e To add a measurement on top of a measurement or existing annotation press SHIFT while you are drawing the first point on the new annotation e To select a measurement move the cursor over the measurement the measurement changes colour and the cursor changes shape depending on the actions available for that measurement e To delete a measurement place the cursor on the measurement Double click with the left button on the mouse to delete it 35 4 Deleting 35 4 1 One measure e Position the cursor on the annotation e to delete 35 4 2 All measures and annotations Click on X 35 5 Modifying an annotation Each annotation has construction points that can be modified By moving the mouse on this points you can modify the annotation measure For example the line with right angles The location and the size of the segment at right angles can be changed place the cursor on the segment Click on and keep pressed down while the cursor is moved
100. the default file name then click on Save Below is an example of the resulting image saved with this method Presentation on the screen User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 46 190 NK Af tedecom Communicating Imaging EBBE LL Resulting image 10 12 Configuration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 47 190 E PHledecom Communicating Imaging 11 Displaying study reports The workstation can display study report DICOM file SR and text file 11 1 Display Select in the study list a study that contains a SR 2511197474 175144 Nathalie Georgette 11 Mammo 4 Vues Magnified 66f2bb27p101 12 Mammo 4 Vues Spot c 911cdc32p16c 13 Stitching 50 mm Arnaud 084339 14 Mammo 4 Vues report 154275 15 4 Vues 10 16 Mammo prior 83750 17 Mammo Multi mod 54 Mammo Multi mod S ries 1 Image 1 nage Image 1 17 06 20 04 03 20 31 10 70 31 10 70 22 10 70 21 10 70 16 10 70 09 07 20 01 01 20 18 04 20 Select the whole study to display the images and the report The report will be displayed using the following configuration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 48 190 Communicating Imaging F urne Fche Len Po foe fete da Bp oe Aem Ai Empey 552 2m ES lt gt m 2 ra OX Image 1 Georgette F T Empty OX image 1 Georget F gt cm m Empty 41 d 04 03 2009 10
101. ting convention to get an easy reading 4 1 Mouse icons e U Left button on the mouse o Double click on the right button on the mouse e O Right button on the mouse O Mouse wheel o Mouse wheel upwards y Mouse wheel downwards 4 2 Abbreviations The manual uses some keyboard abbreviations CTRL Control key CTRL C Control key C key SHIFT SHIFT key ALT ALT key 4 3 Notations Tip Tips are used to indicate information which may be helpful for the reader Warning Warning messages indicate an important information for the reader Please read carefully the explanation which if not read could result in error conditions User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 15 190 E Fi tedecom Communicating Imaging 5 Overview The MEDWS software MEDVIEW MEDDIAG MEDMAMMO is intended for selection display manipulation and media interchange of medical images including mammograms It can show images from different modalities and interfaces to various image storage and printing device using DICOM or similar interface standards Lossy compressed mammographic images are not intended for diagnostic review Mammographic images should only be viewed with a monitor approved by FDA for viewing mammographic images For primary diagnosis post process DICOM for presentation images must be used The MEDWS software MEDVIEW MEDDIAG MEDMAMMO is typically used by trained professionals includin
102. tion indeed they highly depend on the encoding of original images bits per pixel Sample per pixel and on the content of each image JPEG Facteur de qualit Facteur de qualit Facteur de qualit 95 85 75 Compression ratio 12 25 35 10 11 1 From the list of studies It is possible to save studies from the list e Select the studies series or the thumbnails directly to be saved e Select how they will be exported DICOM DICOM Anonymous JPEG or AVI w DICOM DICOM Anonymous JPEG AVI c Change directory F DICOM keeps the same file name as that in the data base It is an identical copy of the file in the data base DICOM Anonymous deletes all demographic information and replace some descriptions using the following dialog box User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 43 190 a A fMedecom Communicating Imaging Anonymize Patient Mame ER Patient ID 122410 Study ID 1222101 Study Description Empty Apply to all studies Cancel JPEG AVI saving images saved in this way are compressed into JPEG or AVI format for sequences all DICOM information is lost the JPEG file name takes the patient s name e Select the destination directory for the images Rechercher un d ssier Select a directory Bureau Mes documents E 3 Poste de travail amp w Disque local C Lecteur DVD RW D amp DATA 1 E 3 amp DAT
103. tool tip is displayed Printing to KC DPRO P001 192 168 20 160 X ZIZOU on 8INX10IN Film The printing is processed in background though you can continue to use the workstation In special cases printing can slow down some processing 37 9 2 Printing to a file un If you want to save the film into a film click on Prit infie select Print to a file and LY click on Depending of the extension chosen the printing file will be in JPEG or DCM A tool tip will be displayed also User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 151 190 E PHledecom 37 10 Printing status Once the printing has been launched the printing task is saved into the print queue Communicating Imaging click on to show the dialog box Pri Treat Madia Burr Re display the film in the viewer Reprint the selection Delete the selection from the list 5 X Delete all films from the list Close the window Each line displays the film status e The print is Spooled before starting to print um Date Time 1270472007 15 38 17 Arthro Epaule DAYPRO 20CMx25CM spooled User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 152 190 E PHledecom Communicating Imaging e The status changes during printing Printing um Date Time 12 04 2007 153817 Arthra Epaule DHYFRU 2ZOCMe25CM Printing in progress e Printed is displayed once the job has been transferred to the lase
104. tor helps with the creation of combine processing between e LUT e windowing e filters Processing can be saved for further use WARNING Processing are not burned into the images Each time an image is opened if there is a processing attached the processing is applied making the loading slower WARNING Processing can be burned in the images when buring on a CD or pushing to another DICOM node if the option is checked processed image WARNING LUT are saved in the DICOM image only during acquisition and dicomisation WARNING To combine a LUT with filter save the LUT first 29 1 Loading the editor e Select one image MZ e Click on F to open the procesing menu select Settings The following dialog box opens User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 84 190 InstitutionName Empty Patient Poumons 2 F Empty In the left side the image to be processed in the toolbar all the tools for processing L A L The LUT and the image histogram are displayed in the rectangle Jf CO HD Sigmoid CO Gamma DICOM Sigmo d Interpolation _ Linear Click on I to open the LUT list The LUT curve is modified User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 85 190 B A fMedecom The LUT is automatically applied to the left image There are 5 different LUT Communicating Imaging Sigmoide HD Sigmoide DICOM Linear Gamma Interpolated 29 2 1 Sigmoide HD DI
105. ts Import task will succeed only if rights on those folders are changed To do such modification use the windows explorer right click on the target folder select security tab then add medecom postgre user to the defined user list User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 37 190 m AJ fMedecom Communicating Imaging 10 7 Reading a DICOM CD 10 7 1 Reading the CD DVD This mode allows media CD DVD containing files written by DICOM to be read i e with a DICOMDIR file listing all DICOM images on the media If there are several readers click right on the small arrow on CR the reader bog L containing the CD can be selected MM Click on og Start searching the DICOM CD Once the search has finished the number of images found is shown and then the list of Studies can be used to carry out the required actions with these studies for example importing them into a data base 10 7 2 Importing images Select the studies or the images you want to import Click on to start importing The import process run in background Check the import in the job queue import tab Tip The CD is locked in the reader the reader s EJECT button is deactivated 10 7 3 Ejecting the CD DVD The CD DVD is locked in the reader The CD DVD is ejected by displaying the drop down menu on the CD DVD reading icon Click on the Eject menu to open the CD reader w i J j ba 4 E paar v D
106. ual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 156 190 PHledecom Communicating Imaging 38 Creating a Layout template OPTION 38 1 Creating a new layout template Layout templates allow numerous repetitive tasks to be speeded up during film formatting They operate like a macro or a script To save a layout template start by opening a study which will be a reference study Perform all the usual actions with this study e Layout selection Format selection Addition of annotations Adjusting scales and diaphragm Once all of the actions have been carried out save the layout template by clicking on 22 and click on Add a layout template The dialog box opens allowing the name of the layout template to be entered Layout Templates Mame Kned TN 38 2 Applying a layout template Genoux Click on he to display the list of available layout templates sjouter un examen compose Warning As the template does not take into account the location of the images it is necessary to pre position the images before applying the template 38 3 Annotations Regarding the configuration of the layout template annotations can be added By default only text annotation is set To set the annotations go to the layout template configuration page 38 4 Configuration Press F8 or go to menu Options Configuration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 157 190 E Af tedecom Communicating Imaging La
107. ve all the processing and depending on the workstation configuration the measure annotation burn in For adding a new image click on 30 1 Configuration 30 1 1 Adding the button If the button is not present in the image toolbar click in the menu select Option Configuration Toolbar Image Add the button B 30 1 2 Adding measure annotations burn in Click on the menu Options Configuration Preferences Click on the box When inserting a image burn 30 2 Example Open one study Select one image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 92 190 LENA re mmn as r E p er em ec en enira 93 190 Communicating Imaging E Af tedecom Do manipulations on the image Add some annotations Add the new image by clicking on Without option measure annotation burn in the image User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM E PHledecom Communicating Imaging InstitutionMa Add the new image by clicking on With option measure annotation burn the image Original image restored with default values User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 94 190 Image display is carried out as a matrix The format for opening the series is different depending on the series mode CT and IRM 2x2 on screen MG presentation of mammography examination CR DX US XA all images in the series T
108. veral image management modes e Native image Images are pushed as they have been received e Processed image Images are pushed with all their modifications made on the Station contrast brightness orientation diaphragm filtering however annotations are not taken into account e Processed and annotated image All actions carried out on the image are applied to the pushed image Measures and annotations are burned in image Warning The modifications are final for treated images and treated and annotated images It is not possible to return to the original image using an image burned onto a CD For example it is not possible to delete annotations or cancel a filter User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 42 190 m AJ fMedecom Communicating Imaging 10 11 Exporting images When exporting images the following formats use a lossy compression which A means that an amount of data contained in the pixels is discarded JPEG AVI For grey level images with pixels saved on more than 8 bits per pixel the following formats will also result in a lossy compression BMP PNG patient identification study description For all other formats meta When exporting images only the DICOM format preserves the meta information A information is loss Here are some indications about the compression ratio obtained with JPEG lossy compression depending on the compression parameters These results are given as an indica
109. wn on the film below If the image was not lossy compressed the text Lossy image compression 00 could be printed User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 153 190 A Af tedecom Communicating Imaging User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 154 190 Lossy image compression 01 Ratio 6 88 MEDECOM Institution Dr Doctor Anonymous 18 06 1942 05 09 2011 The content the position and the style of the stamp can be modified by the technician during the installation However if image was compressed corresponding information is always printed Press F8 key or go to menu Options Configuration User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 155 190 E PHledecom LONE Communicating Imaging Preferences Set max print zoom 100 Set custom print scale on button 75 2 9 Automatic shutter precision 2 2 To Confirm before printing d Display frame number Multiframe Identical Zoom Reference Focused Image Q Minimum Q Maximum e You can define the max print zoom default value is 100 e User zoom is not used e auto shutter precision can used for adjusting the auto shutter sensibility regarding the images e Check the box to display the confirmation printing dialog e Display the sequence image number when preparing a print e Zoom used when clicking on Lasers and Windows printers configuration is for authorized people only User Man
110. yout Templates Layout Templates List Layout Templates Preview Up Down Availables Annatatians Allowed annotations in layout templates Perpendicular Lines Rectangle Ellipse Circle from 3 Points You can delete rename and sort layout templates You can add or remove visible annotations in the layout template User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 158 190 Switching to the MPR mode is available for CT MR studies You have to click on the MPR button as shown in the following screenshot JA MES Erhum fiten hida jon che ian o Fungus dpi dd 3 Crane M Cou g CRANE NATIVESIV 1 0 B31 y Kh 04 02 2019 14 22 09 P uw wi T0 34 doom 193 Slice 1 245 85 3mmn a Fl pou Fade en T ree WL FL r a ef ol lemmer rel Me MPR interface is activated you ll have an access on the different features of MPR User Manual MEDVIEW 3 1 1 MEDDIAG 3 1 1 OMEDECOM 159 190 Hd A fMedecom Communicating Imaging 39 1 MPR GUI The MPR interface allows you to do several operation on the volume To switch to the normal view you have to click on the Exit button The different features are explained in the features paragraph EDT E Ekher Edison bjd Zoom Affiches Him Mnpuinien Qphone Aida Coline Qatar n cS mm TCT Image 258 A crane M CT Image 258 Crane M 04 02 2010 14 22 09 um Cou I 04 02 2010 14 22 09 Pap Cou 7 CRANE MATIVES IV 1 0 B31s 1 i

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