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iQ-LITE 2 6 0 User Manual INT EN

1. re Screen tiling with series view and tiling on the image level Screen tiling options are accessible by Using the screen tiling button in the bottom toolbar Selecting the Tiling option in the Tools menu am The screen tiling function allows splitting the image processing area both on the series level and on D the image level On the series level the image processing area will be divided into the selected number of views On the image level the active view itself willbe divided into segments The same tiling options are available on both the senesand image levels 1x1 1x2 2x3 4x4 2x1 2x2 3x3 5x5 3x1 3x2 4x3 4x1 1x3 3x4 When accessing the screen tiling options via the Tools menu the same sub menu will open for the selection of the appropnate tiling NOTE When using tiling at the image level browsing will occurfrom one image to the next not from one page of images to the next page For example with a 2x2 image tiling images 1 through 4 will appear first When browsing forward images 2 through 5 will appear next instead of the next page of images with images 5 through 8 4 2 3 3 AUTOMATIC TUNG AND LOADING Automatic tiling During the loading process of a study the application counts the number of available senes and automatically divides the image processing area into the appropnate tiling The automatic tiling isactivated by default and cannot be deac
2. Shutter The shutter tool makes it possible to select a specific rectangular area of an image while NOTE The shutter cannot be used in combination with a user defined rotation Enter custom angle 4 2 20 10 ANNOTATIONS point the mouse at the area where the annotation should begin Longer annotations should start farther to the left While holding the left mouse button down drag the mouse to draw a line on the image to the area to be annotated When the mouse button is released an arrow will be displayed and the annotation dialog will open Annotation The annotation tool allows the userto make annotations on images To use this tool 7 x Here you can enter the annotation Cancel STAT 50 NA Annotation dialog iQ UTE 2 7 O User Manual INTEN 003R 48 Enter text and click OK Annotations are displayed only to the border of the image The longer the annotation the farther the arow should start on the left side The annotation text will begin at the starting point of the arow STAT 50 Ww Example of an annotation NOTE If no text is entered on the annotation screen the arrow will remain anyway This is implemented by design to allow foradding arowsthat denote specific areasin the image 4 2 20 11 OVERLAPPING OF MEASUREMENT VALUES In some cases especially when creating measurements and annotations within small structures measurements may end up very close to each o
3. Windowing dynamic button in the bottom toolbar While pointing to the image click the left mouse button and move the mouse up down and left nght Click the Tools menu and select Windowing While pointing to the image click the left mouse button and move the mouse up down and left nght When the windowing function is activated using the toolbar button or the menu item the shape of the mouse pointer will change to indicate the use of windowing 4 2 18 3 USING WINDOW PRESETS A second possible form of applying center window changes to images isto use pre defined window presets The iQ VIEW radiological workstation comes with a number of window presets Users can also define their own and add them to the presets list The configuration file in which these presets are stored is also copied to the medium during its creation Asa result any presets established in iQ VIEW are also available for use in iQ LITE Furthermore iQ LITE includes auto c ontrast functions and an ROI window IQ LITE 2 7 0 User Manual INTEN 003R 41 The window presets pop up menu can be accessed by right clic king the Windowing dynamic button on the bottom toolbaror by selecting Window presets in the Tools menu Auto Contrast Brain base Brain Skull Lung Mediastinum Abdomen Bones Custom Settings DOT Window Several standard window settings presets may be selected Brain base Skull Mediastinum Bo
4. menu Bog Image filter Upon activation a sub menu opens with the following options Sharpen Edge enhance Noise reduction Blur Low pass High pass The Reset option removes all applied filters and retums the image s to their original state Image Filter Imaqe sel Sharpen Edge enhance Noise reduction Blur Low pass High pass Reset 4 2 25 RESETTING CHANGESIN IMAGES 4 2 25 1 RESET If modifications made in an image are no longer needed or need to be changed it is possible to reset the changes and start anew The reset function is available both in the bottom toolbar Reset button and also by selecting Reset current view in the Tools menu Reset Selecting the reset function removes all changes made to an image and restores the original image e g if the image was windowed zoomed rotated In addition all measurements annotations and shutters are removed Modifications can also be deleted separately Please see section 4 2 20 12 Erasng measurements and annotations for further information IQ LITE 2 7 O User Manual INTEN 003R 56 4 2 25 2 CLEAR CURRENT VIEW Clear current view is used to not only remove changes made in an image but to empty an entire view in the image processing area To accessthis option a Click the Tools menu Select Clearcurent view The view willbe emptied and is left blank It can then be filled with a ne
5. Color remapping is particulary useful in nuclear medicine and it is for this reason that iQ UTE also providesa number of nuclear medical color schemes Using the Scope function described in section 4 2 5 4 Scope it is possible to apply colorschemes either to a whole senesorto an individual image only Select Image scope to apply a colorscheme only to a particular image Select Senesscope to apply a colorscheme to all images of the same series NOTE Colorremapping will be reset when the scope ischanged from senesto image orfrom image to senes The modifications can then be applied again according to the newly selected scope Colorremapping optionscan be accessed in one of the following ways Selectthe Colorscheme button in the bottom toolbar Click the Tools menu and select color scheme Color scheme offers several general options normal grayscale output B w inverted wl grayscale output B w negative color remapping Color remap and inverted color remapping negative colorremap In addition these NUC colorschemesare available Hotiron Gold Bone Blackbody Rainramp NIH Cardiac GE Color NIH Ce Spektrum 4 2 20 MEASUREMENTAND ANNOTATION TOOLS IQ LITE offers a variety of measurement and annotation tools that make it possible to easily add markings to images distances angles ROI etc These tools are available both astoolbar bu
6. Flip Rotate in the Tools menu IQ LITE 2 7 O User Manual INT EN 003R 53 Reset current view Flip vertically Flip horizontally 90 rotation clockwise 150 rotation 90 rotation counter clackwise Enter custam angle Flip rotate Activating the Flip Rotate function opens a sub menu containing all flipping and rotation options Flip vertically Flips the image vertically A specific marker is added to the text overlay to indicate the flipping Flip horizontally Flips the image honzontally A specific marker is added to the text overlay to indicate the flipping a 90 rotation clockwise Rotates the image in a 90 degree angle to the right 180 rotation Rotates the image ina 180 degree angle a 90 rotation counter clockwise Rotates the image in a 90 degree angle to the left NOTE To corectly read the markers given in the ovenay it is important to understand that for presentation states only horizontal flipping is defined Therefore when using vertical flipping asthe option iscalled in iQ LITE for better understanding the marker stated in the text overlay will include a honzontal flip and a 180 rotation which ts exactly the same asa vertical flip The marker states Flipped hor Rotation 180 Click Reset current view from the sub menu to reset the flipping and rotation changes The images will retum to their original position Altematively
7. The viewer opens automatically when the medium is inserted into the computer provided that the auto run command was written onto the medium and the auto run function is enabled on the system If the software does not start automatically select the corect drive e g CD DVD or memory stick drive in Windows Explorer and double click the file Lite exe to start the viewer manually The web content if bumed onto the CD in addition to the DICOM images and the IQ LITE viewer can be accessed by double clicking onto the INDEX HTM file 2 2 UCENSING OF iQ UTE The iQ LITE software doesnot need a particular license to run from a medium When you are provided with a patient CD DVD or memory stick you may open the viewer as often as you wish or need There is no limitation in running the software However the iQ UTE viewer is limited in functionality and features For the fully equipped radiological workstation including all features we recommend using IQ VIEW or iQ VIEW PRO If you are interested in purchasing either of these applications please contact IMAGE Information Systems Ltd or a local reseller Contact information to local resellers can be found at www image systems biz A tnal version of the software may also be downloaded at www image systems biz IQ LITE 2 7 O User Manual INTEN 003R 9 3 CONHAGURATION There is no need to configure the software before using it All necessary configuration settings are already provided
8. diagnosis archiving and communication according to Council Directive 93 42 EEC conceming medical devices and according to FDA 510 k Nevertheless diagnosis can only be made using special high resolution displays A be A IMAGE Copyright amp 2006 2011 IMAGE Information Systems Ltd Information Systems u All rights reserved All patient names used in this manual are completely fictitious The contents of this manual are the property of IMAGE Information Systems Ltd and may not be reproduced by any method electronic or photographic without the express wntten permission of the copynght holder Throughout this manual trademark names are used Rather than put in a trademark symbol at every occurence of the trademark name we state that we are using the names only in an editonal fashion and to the benefit of the trademark owner with no intention of infringing upon the trademark We assume no responsibility for inaccurate information or descriptions of third party products We are dedicated to improving and enhancing the software of our medical imaging and communication system Consequently the information in this manual is subject to change without notice Current information about product improvements can be found on the iQ VIEW homepage http www image systems biz products iq system pacs ig view html or IMAGE Information Systems Home Page www image syste ms biz Further inquinescan be addressed to info image systems biz Andr
9. 512 4mm_330hoy IMAGE Information Systems Ltd JE E 23 04 1972 Fef Ref f Perf ELI ID 230472 Study date 20 12 2005 KIT 2241279 Wied 7383 L TE 110 Position TR 3600 3 IMA 7 Slice pos 5 7 ST 4 0ram Zoom Factor x0 41 Example of a 45 custom angle NOTE Please note that it isnot possible to use the square and circular ROI measurements tools in imagesthat have been rotated to a custom angle If ROI measurements were made in an image before it isrotated the measurements will no longer be visible However they are not deleted and will be displayed again when the Image is rotated using a standard rotation setting 4 2 24 IMAGE FILTER For the post processing and quality improvement of images a number of image filters are available in the viewer IQ LITE 2 7 O User Manual INT EN 003R 55 Using the Scope function described in section 4 2 5 4 Scope it is possible to apply image filters either to a whole senesorto an individual image only Select Image scope to apply image filters only to a particular image Select Senes scope to apply image filters to all images of the same series NOTE Image filters will be reset when the scope ischanged from senesto image orfrom image to senes The modificationscan then be applied again according to the newly selected scope The available options can be accessed by clicking the Image filter button in the bottom toolbar or from the Image filter
10. NOTE For instructions on how to select images series and studies in the viewer see section 4 2 13 Selection of images senes and studies 4 2 28 DICOM HEADER INFORMATION The DICOM header of an image shows all DICOM related information about the current image in the image processing area blue frame such as patient information study senes and image information Additional Information includes meta tagsand other values defining the structure and display of the image The DICOM headercan be accessed by selecting DICOM header dump in the Tools menu or by using the default shortcut H in the viewer IQ LITE 2 7 O User Manual INT EN 003R 59 File Additional settings Image Filter Cine mode b Stack mode windowing d Series pop up list DICOM header dump Three different tables are available in the DICOM header viewer the List view the Tree view and the Summary 4 2 28 1 UST VIEW List view gives an overview of all available DICOM tags attributes and their values DICOM header viewer 3 x List view Tree view Summary DICOM attribute 0002 0013 Implementation ersionMame OFFIS_DOMTK_353 0008 0005 SpecificcharacterSet IO ID 100 0008 0008 ImageType DERIVEDISECONDARY MIND 0008 0016 SOPClassUID 1 2 040 10008 5 1 4 1 1 4 0008 0016 SOPInstanceUID 1 3 12 2 1107 5 2 6 149044 30000005122 107 122404600000022 0008 0020 Study Date 20051220 0008 0021 Ser
11. THE IMAGE PROCESSING AREA The image processing area is the main work area of the viewer window in which the loaded images are displayed and processed refer to section 4 2 Viewer Changes e g windowing zooming panning flip ping rotating etc and additions e g measurements and annotations to images are made in the image processing area When the viewer is opened with the selected data the studies are loaded into the image processing area as follows One study isloaded ona single display setup gt the study is displayed in the image processing area One study is loaded on a dual display setup gt the study is displayed in the image processing area of the primary viewer display only not spread across two displays Two or more studies are loaded on a single display setup gt the first study is displayed in the image processing area the otherscan be selected via their study tabs Two or more studies are loaded on a dual display setup gt the first study is displayed on the primary display the second study on the second display the otherscan be selected via their study tabs 4 2 3 1 RULER AND ORIENTATION INDICATORS The ruler on the right side of each view indicates the size of the displayed image also available in the Print manager The measurement is given in centimeters cm each segment comprising 1 cm the total length being 4cm The ruler is not shown if the Pixel Soacing attribute or Ultrasound region cali
12. a study in the curently active tile Last series in study opensthe last series in a study in the currently active tile Navigation within studies Next study opens the next study in the currently active tile if more than one study is loaded into the viewer Previous study opens the previous study in the currently active tile if more than one study is loaded into the viewer a Next study in study list loads the next study from the curent study list in the study browser into the viewer Previous study in study list loads the previous study from the current study list in the study browser into the viewer The hanging protocols navigation is disabled as the hanging protocols management is only included in iQ VIEW PRO Some of these navigation options are available as default viewer shortcuts see chapter 6 List of Shortcuts 4 2 11 SELECTING INDIVIDUAL SERIES FOR VIEWING In the viewer individual senes can be selected from the thumbnails in the senes preview bar Either double click or use drag and drop to transfer the senesinto an available view of the image processing area 4 2 12 COMPARISON OF STUDIES When more than one study is loaded into the viewer a switch can be made between the available studies by Changing tabs By clicking another study tab the images from the new study will load into the image processing area Newman Sandra 23 04 1972 MR SPINE from 20 12 2005 Trauma
13. allow the text to be changed IQ LITE 2 7 O User Manual INT EN 003R 50 4 2 20 14 COPYING MEASUREMENTS AND ANNOTATIONS This function is only available in iQ VIEW PRO Copy Offers the opportunity to copy measurements and annotations already made in one gt image to other images either of the same series or a different series This function may be particulary helpful in multi slice studies 4 2 20 15 CAUBRATION OF MEASUREMENTS SCALING OVERSIZE This function is only available in iQ VIEW and iQ VIEW PRO Calibrate The calibrate function calibrates measurements for CR images while considering the oversize in the images 4 2 21 MAGNIFYING TOOLS The regular magnifier is the magnifying tool used in iQ UTE iQ VIEW PRO includes an additional special magnifier window for magnifying regions of interest in a separate window This function is however disabled in 1Q LITE 4 2 21 1 THE REG ULAR MAGNIFIER The regular magnifier function can be accessed by clicking the Magnifier button in the bottom toolbar or by selecting Magnifier from the Tools menu Magnifier After selecting the magnifying function the mouse pointer tums into a magnifying glass By holding down the left mouse button while moving over an image the image area is magnified at twice its current size at the position of the mouse NOTE Measurementsand annotations made in an image are still visible using
14. are available by using the respective toolbar buttons in the bottom toolbar orthe Stack mode and Cine mode entnesin the Tools menu IQ LITE 2 7 O User Manual INT EN 003R 38 Additional settings Image filter Image selection Cine mode Start autoplay Stack mode Stop autoplay Windowing Direction Forwards Window presets Frame rate Backwards 4 2 17 1 STACK MODE The stack mode isalwaysactivated by default and can be used even if other processing functions CG are activated Browsing through images with the stack mode is possible in different ways With the following options one image after another of the series will be displayed which is useful when wanting to browse all the images of the series Use the mouse scroll wheel to move through a series This function is not available if scroll zoom is activated Use the up and down arrow keys on the keyboard to scroll to the next or previous images With the following options images of the senes will be skipped to move faster from one position in the senes to another Thiscan be useful if you wish to go to a particulararea quickly Select the Cine mode stack button in the tool bar or the Stack mode function in the Tools menu Then move the mouse up and down while keeping the left mouse button pressed to browse through a senes Use the scrollbar to the right of every view to scroll through a series of images by pulling the controlle
15. deactivated both from the button in the bottom toolbar and from the Text overlay entry in the Tools menu Text overlay Is used to hide the text overlay information that is activated by default Clicking this D button will toggle between activating and deactivating the text overlay 4 2 16 2 DISPLAY OF LOSSY IMAGE COMPRESSION If an image displayed in the image processing area has been lossy compressed this information will be shown in the text overlay provided that the necessary details were corectly stored in the image information Compression information will only display if the text overlay is activated Lossy compression Complete compression information of an image is shown in the DICOM header dump See also section 4 2 28 DICOM header information for more information IQ LITE 2 7 O User Manual INTEN 003R 37 LO POT PO OLS III 14 OIL ll UC 008 1110 boah 2 940 10008 5 1 4 21001 214 21104 5 8 5 455257 8566 00 Derivation Desorption een compression with JPEG full progression 12 bit JG quality factor BD c 008 2112 bv hi PU 2 840 10008 5 1 4 1 1 12 200 2 16 840 1 113669 632 3 25 NAN ATA SFI RFI FASE 1 4 2 16 3 BITMAP OVERLAY By default Bitmap overlay display is enabled If activated a potential bitmap ovenay in an image is displayed If the bitmap ovenay isnot needed simply deactivate this function It functions independently from the text overlay This functio
16. some image processing features such as zooming and panning have slightly changed in companison to earlier iQ LITE versions up to version 2 5 0c These adaptations were necessary to adhere to the specifications laid down in the DICOM standard 4 2 15 2 CLEARING PRESENTATION STATES It is possible to remove changes made to an image e g windowing zoom pan flip rotate etc These presentation states can be deleted using the Reset button in the bottom toolbar or by choosing Reset Current view in the Tools menu Altematively Clear presentation states in the Tools menu can also be used IQ LITE 2 7 O User Manual INT EN 003R 36 A reset will also delete measurements and annotations made in the images Additionally these can be deleted manually or by using the Tools menu For more details on the treatment of measurements please see section 4 2 20 Measurement and annotation tool 4 2 16 OVERLAYS AND LOOK UP TABLES Additional settings Image Filter Cine mode b Y Text overlay Bitmap overlay Embedded shutters Look up tables 4 2 16 1 TEXTOVERLAY The text overay provides patient study and seres information necessary to identify images displayed in the image processing area It is activated by default when images are loaded into the viewer This is done to insure that important information such as lossy image compression is always recognized by the user The text overay can be activated and
17. standard It is however possible to view an image smaller than its fit in size by applying a 1 1 zoom Panning images can still be done even if the images are not zoomed but are scaled to fit the screen This allows forthe adjusting of imagesto the same height in case one is displayed lower than the other 4 2 22 2 THE ZOOM PAN FUNCTION To zoom adjust the size or pan move images either click the Zoom Pan button on the bottom toolbar or select Zoom Pan from the Tools menu images using the mouse The middle area of the image actsasthe pan zone The mouse pointer tumsinto a hand icon when pointing there By clicking in the middle of the image and moving the mouse up down or right left the image will be moved The perphery of the image acts as the zoom zone The mouse pointertumsinto a magnifier icon when pointing there By clicking on the periphery and moving the mouse up and down the image can be easily zoomed S Zoom Pan When activated the zoom pan function can be used to dynamically zoom and pan N In addition a sub menu is available with different zooming presets The sub menu is accessed by right c lic king the Zoom Pan toolbar button or by nght clicking directly on the image processing area after having selected the function iQ UTE 2 7 O User Manual INTEN 003R 52 Fik in Le original 1 5 2x Fitin This is the default setting Images are scaled to fit
18. table header the available studies can be sorted by patient name modality patient ID study date etc in both ascending and descending order The sorting direction is noted in the column heading by an up ordown arrow and is reversed when the heading is clicked another time 4 1 1 3 SELECTING STUDIES AND SERIES The selection of studies in the study table follows the usual Windows logic of using CTRL and SHIFT for selecting Making selections at the senes level requires altemative methods Select an individual study either by clicking anywhere in the study entry or by clicking the checkbox in the first column Multiple studies can be selected together by either using CTRL to mark the studies separately or using SHIFT to mark all studies between the first item selected and the last one Altematively the checkboxes of the desired studiescan be selected in the first column Select an individual series by clicking the next to the study in which the series belongs and marking the checkbox in front of the desired seres entry To select multiple senes of one study simply mark the checkboxes of all required senes after displaying them by clicking the next to the appropnate study containing the senes Using the same method individual series from different studies can be selected Select all studies Right click the table header in the study table to open a sub menu where all studies available on the medium can be se
19. the magnifier 4 2 22 ZOOMING AND PANNING TOOLS Sometimes individual images or entire series need to be enlarged to improve the visbility of diagnostically relevant tissues and structures Moving images around in their views panning may also be necessary for example to adjust them for easier comparison to another series IQ LITE 2 7 O User Manual INT EN 003R 51 Using the Scope function described in section 4 2 5 4 Scope it is possible to apply zoom and pan changes to a whole seriesorto an individual image only Select Image scope to only change the zoom factoror position pan of a particularimage Select Seres scope to apply changesin the zoom factor or position pan for one image to all images of the same senes NOTE Any zoom and pan changes made will be reset when the scope ischanged from senesto image or from image to senes Zoom pan can then be applied again according to the newly selected scope 4 2 22 1 LQ0QM PAN HANDUNG WITH PRESENTATION STATES It is important to note that the zoom and pan features in iQ UTE have changed in companson to eanier software versions up to iQ LITE 2 5 0c Due to the presentation states PR now used to display and cache changes in DICOM images the zoom pan feature hasbeen modified to adhere to the specifications established in the DICOM standard Therefore zoom out will only scale down to a fit in size and not smaller since this is not defined in the DICOM
20. with the patient CD DVD or memory stick The software includes functions that can be customized fora running viewer session NOTE It might be necessary to cache some data from the patient CD DVD onto the local hard disk in order to correctly display certain objects Therefore make sure that the user has sufficient rights to temporarily wnte data onto the hard disk IQ LITE 2 7 O User Manual INTEN 003R 10 4 USE OF THE SOFTWARE APPLICATION 4 1 STUDY BROWSER IMAGE Information Systems iQ VIEW Patient CD E Modality Status Patient name Patient ID Date of birth Study date Referring phys Description m MR Newman Sandra 230472 23 04 1972 20 12 2005 Ref SPINE Series Description Body part Patient position Modality Series date Series time t2_tse_sag_512_4mm_330fov MR ti_tse5_sag_512_4mm_330fov MR 00000 t2_tse_tra_384_4mm_neu MR Image Image type Slice location Number of fra DERIVED SECONDARY M ND DERIVED SECONDARY MIND DERIVED SECONDARY MIND DERIVED SECONDARY M ND DERIVED SECONDARY M ND DERIVED SECONDARY MIND Image 1 Image 2 Image 3 Image 4 Image 5 Image 6 Image 7 Manual Cache images on harddisc No caching slower browsing but Faster access IQ LITE study browser 4 1 1 STUDY TABLE In the study table all studiesthat are available on the medium and registered in the DICOMDIR are listed When opening iQ LTE only the Study Table will be opened The Preview Icons panel is clos
21. 40 4218 1 ADDIVING WINDOW CINRANG CS EE 40 42182 Dynami WINGO WING WE 41 4 2 18 3 Using window presets u u ssssseserrr skete kk kk ELLLER REELLE E REELLE E REEL ELLER REELLE LEE ER EE LEE REELLE LEE REEL ELLLER REELLE 41 4 2 18 4 Fine tuning window mode ENEE 43 rs B LS HERE GE 0 07 8 12 heel 2 E 44 4 2 20 Measurement and ANNOTATION tools 44 4 2 20 1 Distance TEE TG 45 4 2 20 2 Rato measurements E 45 4 2 20 3 Perpendicular distance measurements ssssssrrrrssssrrrrrrsssrrnrrrrnnrestrrrrnntsserrnrnnnnsonrnrnnntsenonrnnnnnnnennnnnnt 46 4 2 20 4 Els EH E TTC ET EC 46 4 2 20 5 Cobb s angle measure Ments sssssereerr tk E LEE ELLLER ELLE LEE RE ELLLER REELLE ERE NERE ELLLER ELLLER ERE nnna 46 4 2 20 6 Square ROI measurements W u u ssssnserrrk kk kk kst ELLE LEE ERR REE E REESE ELLER REE REE E REELLE ELLLER REE ERE E SELE EEERER ERE nna 47 4 2 20 7 Circular ROI measure ments ENNEN 47 4 2 20 8 Polygonal ROI measure ments 1 sssssereer kt E LEE ELLLER ER ERE LEE REE EE LEE E REELLE ERE NERE ELLLER REELLE REEL ELLLER 48 ZO NEE neg EE 48 A2 LOLO PAO VAIO Soon ED AE EET ao cece kee 48 4 2 20 11 Overlapping Of measurement values ENEE 49 4 2 20 12 Erasing measurements and annotatons ENEE 50 4 2 20 13 Modifying measurements and ANNOTATIONS EEN 50 4 2 20 14 COPYING measurements and anpnotatons EEN 51 4 2 20 15 Calibration of measurements scaling overgzei ENEE 51 ALE MoA e a E 51 4 2 21 1 The regular ma L
22. Factor x0 87 EE een ge GE Informatio H Ref Ref Perf BLI n Systems Ltd FE Study date 20 12 2005 Position 4 IMA 7 Zoom Factor x0 58 Lines display IQ LITE 2 7 O User Manual INTEN 003R 25 Sometimes the scoutline appearsasa rectangle or parallelogram This happens when the section planes are oblique The following example shows this cleanly the third series is the reference series blue frame Scoutlines are applied to series 1 and 2 Since the section plane in series 3 is in a non orthogonal oblique relation to the other planes the scoutlines displayed in series 1 and 2 cannot be shown in a line but need to include the obliqueness They are therefore displayed as parallelograms Lines display including obliqueness Under certain circumstances the oblique lines disolay may complicate the onentation The iQ VIEW workstation offers a 3D position display for easier onentation not available in iQ LITE However another scoutlines mode may be used to additionally display the intersecting lines or to only display the intersecting linesand remove the display of the oblique plane projection refer to section 4 2 14 3 Scoutlines configuration In other cases a frame Sometimes incomplete is shown around a seres that seems to have been acquired in exactly the same section asthe reference senes This happens when the field of view and the section alignment are different or if a non orthogonal cross section w
23. GDOM TEL UK 44 207 193 06 20 TEL GER 49 381 496 58 20 TEL US 1 213 985 35 20 FAX UK 44 207 976 48 97 FAX GER 49 381 496 5 82 99 FAX US 1 213 325 26 30 WWW IM AG E SYSTEMS BIZ INFO IMAGE SYSTEM S BIZ IQ LITE 2 7 O User Manual INTEN 003R 74
24. IQ LITE USER MANUAL Version 2 7 0 INTEN 003R Copyright 2006 2011 IMAGE Information Systems Ltd CE n IMAGE 77 Information Systems u TABLE OF CONTENTS O CECONFORMANGE SIA TEMEN RE 5 T INTRODUCTION H 6 Ted Jiem REG UMGING E 6 2 INSTALLATION AND LIC ENSING wivciscissiinesessectaencsntsinnecindacbesutiantssacununensastnucsuadeunusstssuiacucuseanssddeuuecnedaunseuiuunsucndudeneusasnenas 9 21 Asta la tons OSTE srei eiia ED E Oaa OE a EE AER 9 SEET E E ea EA E E E E A N 9 3 GCONFGURA TON WEE 10 A USE OF THE SOFIWARE APPLICATION Eks 11 Ar ane 11 ALE teehee cn et ES eae cae co FEED ENEDES TEE TEE ERE EEN E 11 4 1 1 1 Navigating the study table E 12 4 1 1 2 Sorting studies in the study ta Te TC 12 4 1 1 3 Selecting studies and E TEEN 12 4 1 1 4 Loading studies and series into the viewer 13 4 1 2 PREVIEW ICONS Pane l sesinin nanna aae Ea aai iea Saa a ERAN 13 Ge E C N DEE 13 A NN E 14 aW E EE 15 4 2 1 The series preview ba E 15 4 2 1 1 Information in the series preview Dar 16 4 2 1 2 Functions of the series preview Dar 16 4 2 1 3 Sze of series preview ba E 17 Aaa et ge Are E 17 4 2 3 The image processing area EE 18 4 2 3 1 Rulerand orientation mdicatoms ENNEN 18 ALB E ep HNG OO HOR ES orne rr nr RE RENEE EN E R EFA NE Ed EF Ea E 19 4 2 3 3 Automatic tiling and loading ENNEN 20 4 2 4 BO HS AA TRO BE SEE EEEE en 21 4 2 4 1 Fixing the bottom TO e e E 21 42 4 2 The default bottom too Un EE 22 423 THE SE FODE
25. Poly 03 10 1975 CR Lower Limb from 23 04 2002 H 4 If however compansonsare to be made between several series in different studies it is nec essary to keep the Current senesin the image processing area and only to add the desired senes from another study To accomplish this select the Sign in the series preview barto open the preview bar of the second study If more than two studies are loaded a sub menu will pop up so the appropnate study can be selected The second senes preview bar will show the senes thumbnails of the additional study The senes needed can now be dragged into the appropnate view in the image processing area Altematively a double click on the senes will load it into the curently active view Thisisan easy way to manage the companion of studies IQ LITE 2 7 O User Manual INTEN 003R 31 NOTE On dual display sytems with two studies loaded one willopen on the primary display while the other will automatically display on the second screen This makes it even easierto compare different studies with each other As an example to compare two studies in a 2x1 mode use the screen tiling function located either in the bottom toolbar or in the Tools menu and select the option 2x1 on the series level For more information see section 4 2 3 2 Screen tiling options The views in the image processing area will display the first study Place the series to compare into the left view To add the second study to the nght vie
26. R EE 22 4 2 5 1 Fixing the sid Tree Te ET 22 e Ee 23 saree eo tee were pce se tise E E A a R EET ieee 23 a aS e eee ree er oer er er ener TES erent er erence re ere eer eee en ee er SEER eee ere 24 ee De El 25 Ue DIO e E 27 A20 WS TS BAN EE 27 4 2 7 Closing the viewerand retuming to the study Dmweer ENEE 27 ALTA el 6 ge the VE NE E 27 4 2 7 2 Bringing the study browser to the fro nt ENEE 28 4 2 8 BE wi E nd Le E 28 IQ LITE 2 7 O User Manual INTEN 003R 2 4 2 8 1 Gettngupfevieweracmesebwodeplave ENNEN 29 4 2 9 Treatment of single frame and multi fra me mades ENEE 29 4 2 10 Navigating between images series and gdudles ENEE 29 2 101 The Na vig EEN den RL E 30 4 2 11 Selecting individual series for viewing ENEE 31 AZIZ EROEM 31 4 2 13 Selection of images series and guddes 32 CINTA dei e EE 33 ALLAL UNOS nl 33 AZAA SCO O E 33 4 2 14 3 SCOUTINGS con fig Ura e TEEN 35 4215 Presentation states in IO ER UI 36 4 2 15 1 Use of presentation states in OUER ENNEN 36 4 2 15 2 Clearing presentation E CHEN 36 4 2 16 Overaysand look up ta DIOS ecessssseeeeeeeesessseeeseeeeeesssseeseeeeessssseeeeeeeeeesessseeseeeeessssseeaeeesessssssanaeass 37 AZ TOT TEX OV Cle E 37 4 2 16 2 Display Of lossy image Comprmgeseion ENNEN 37 TB BE len an 38 42164 WO KUE He E 38 4 2 16 5 DICOM embedded shutters ENNEN 38 27 CNE HA SEK e e EEN 38 EL E ln Le 39 e Der Ee Gr MN NO te E 20 ZS WACO ICO OS sonnerie ke EUS ED ED iaaa aa ED aA aAa aa
27. VM 1 YR D5 1040 Patients4ddress YM 1 YR LO We 2100 Pregnancy Status M 1 YR U5 F 0011 Private Group WF 0018 Acquisition Group 0020 Study Module Group y 0026 Image Presentation Group F 0029 Private Group y 0032 Study Group F 0040 Modality Worklist Group y 0095 Private Group F 0099 Private Group W TFEO Pixel Data Group Save as XML Kales Tree view in DICOM header dump In Tree view it is not possible to modify individual attnbute values For modifications please use the List view Click the to open a level with its underlying sections and display all comesponding attributes with their respective values Click the to close an open level In addition the DICOM header data as displayed in the Tree view can be saved as an XML file to a directory of your choice Save as XML This file may then also be printed with the print functions provided by Windows printers IQ LITE 2 7 O User Manual INTEN 003R 61 4 2 28 3 SUMMARY In the Summary table it is possible to select an assortment of DICOM tags up to six whose values can be available ata glance Do note that since settings cannot be stored permanently on a medium any settings changed from the default will not be remembered forthe next start of the application As an exa mple the text fields or text overay displays for certain tags like Study comments may
28. age Select Senes scope to apply windowing changes made in one image to all images of the same series IQ LITE 2 7 O User Manual INT EN 003R 40 NOTE Window changesmade will be reset when the scope ischanged from senesto image orfrom image to series Windowing can then be applied again according to the newly selected scope 4 2 18 2 DYNAMIC WINDOWING Dynamic windowing isthe default form of window leveling in iQ UTE When windowing within a series dynamic windowing calculates the changes in the center window values based on the original center window values as they are stated in the DICOM information of each image As a consequence all images of a particular senes may have different center window values This most often occurs in MR senes where the contrast and bnghtness vary from image to image Example One image has onginal W C values of 700 300 and a second has onginal values of 730 310 If the window value of the first image is increased by 15 and the center value is decreased by 15 new 715 285 then the values of the second image will also be increased window and decreased center by 15 new 745 295 rhs Since dynamic windowing is on by default in iQ LITE this function is easily accessed in different Ke ways ria While pointing to an image click the center mouse button scroll wheel and move the mouse up down and left right This option is also available if other tools are currently selected Select the
29. an AVI file Export as AVI can be used to export a sequence of images e g an ultrasound series asa video file in the AVI format Select Export as AVI from the sub menu and the Save as video file dialog will open Save as video file Interframe delay Ce Current series 1000 ms election i Current selection a 360 H 512 no Compression sl Show compression settings Se Wad Adjust any settings as necessary Select between Curent series or Current selection for exporting Current series is the default selection NOTE The images will be converted into AVI in the order in which they were selected in the viewer Set the size of the video frame X and Y for width and height When changing one value the other will change accordingly to maintain the proportionsof the images Set the interframe delay in milliseconds The interframe delay defines the time that passes between two frames The lower the value the faster the individual frames will be shown Select Compression if the video file should be compressed By choosing a compression setting the file will become smaller and more suitable for inclusion in presentations NOTE The available options for compressing AVI files are dependent on the codecs installed on the workstation Asa result the list of compression options may differfrom station to station The manufacturer cannot guarantee the cor
30. an neither be removed nor configured To access the toolbar move the mouse to the left sde of the screen 4 2 5 1 FIXING THE SIDE TOOLBAR Usually the side toolbar is hidden to increase the space available for image display in the image processing area lt only appears when the mouse is moved to the left side of the screen However it is also possible to fix the toolbar so that it is constantly visible and does not automatically hide Do note that since settings cannot be stored permanently on a medium the settings will not be remembered for the next start of the application Additional settings Imaqe Filter Image Size of series preview bar Fixed bottom toolbar Fixed side toolbar Display setup iQ UTE 2 7 O User Manual INTEN 003R 22 To fixthe side toolbar Click the Additional settings menu Select Fixed side toolbar By moving the mouse to the left border of the screen the hidden side toolbar will open and offer the following functions 4 2 5 2 SYNC O Sync synchronizes different series at the current position even if the images of those series have 025 a different slice thickness Activating the button will synchronize all senes displayed in the image processing area Q All views are included in the synchronization each view will show a small icon in the upper nght comer to indicate its status To deactivate the function click the Off button at the bottom of the side toolbar r
31. arable processor Main memory at least 64 MB RAM 64 MB free RAM recommended Hard disk min 10 GB with DMA33 ability XGA 1024 x 768 or higher resolution video adapter 24 bit or 32 bit colororat least 8 bit gray output Analog colororgrayscale display 17 or 20 for demonstration high resolution monitor for diagnosis CD ROM or DVD ROM drive Keyboard and mouse orcompatible pointing device Adobe Acrobat Reader min version 6 0 IQ LITE 2 7 O User Manual INTEN 003R 6 NOTE We strongly recommend the Windows classic style on Windows XP Vista or 7 computers The user should be a local administrator on the computer Recommended system requirement are For Microsoft Windows XP Vista and 7 Refer to Microsoft Windows XP Vista and 7 hardware requirements 21 GHz 32 bit x86 or 64 bit x64 processor 21024 MB of RAM 20 500 GB fast local hard disk with DMA33 ability Support for DirectX 9 graphics and 32 MB of graphics memory XGA 1024 x 768 or higher resolution video adapter 24 bit or 32 bit colororat least 8 bit gray output Analog colororgrayscale display 17 or 20 for demonstration high resolution monitor for diagnosis CD ROM or DVD ROM drive Keyboard and mouse mouse with scroll wheel orcompatible pointing device Windows printer Adobe Acrobat Reader version 9 0 Specific system requirements for use with Unicode languages Japanese Russian etc include Fo
32. as used In thiscase the section plane is again Slightly oblique leading to this type of lines display This may occur especially in manually planned MRI exams Lines display with differences in viewport The application checks to see if the viewports the field of view plus the section alignment of the images are mostly identical tolerance limit 5 pixels If the viewport is within this tolerance limit no frame will be displayed IQ LITE 2 7 O User Manual INT EN 003R 26 NOTE For configuration ofthe scoutlines display projection mode and line weight see section 4 2 14 Orientation tools 4 2 5 6 OFF The Off button tums off the side toolbar functions Sync Bind and Lines 4 2 6 THE MENU BAR The menu baris divided into different sections File Tools Additional settings Image Filter Image selection Navigation Help File Tools Additional settings Image filter Image selection Navigation Help The main tools and functions listed in the menus are also available as toolbar buttons However since all tools are not available in the bottom toolbar it may become necessary to use the respective menu item instead Other functions are only accessible using the menus The individual functions of menu items are described in the respective sections of this user manual NOTE Some menu items are grayed out asthese functions are only available in the iQ VIEW or iQ VIEW PRO so
33. ate ssssssssrresssssserreesss 40 Cine mode etackl ENEE 39 Cine mode starting autoplayv ee eeeeesteeeeeeeeeees 39 Cine mode stopping autoplay ssssssssssesssssseressss 39 Closing the viewer 27 COIlOr PAMAP PING EE 44 Color remapping grayscale outp Ut 1 44 Colorremapping inverted grayscale output 44 Color remapping pvertedl EEN 44 Colorremapping nuclear color schemesS 44 Color schemes eege 44 Color schemes nuclear medicine 44 COMPANSON of sudies EE 31 Configuration of O HIE EEN 10 Custom motaton E 54 D DICOM header dump EE 59 DICOM header informa tion ssssssssssssssserrrrrrsserreren 59 DICOM header information list view 60 DICOM header information saving to XML 61 IQ LITE 2 7 O User Manual INTEN 003R DICOM header information summary eee 62 DICOM header information tree view 61 DIC OM IMAGEN cccccccccssssstseeeeesssssseseeeeeeeessssseeeeeeees 64 DICOM multi fra me mades EE 39 leefeg 64 DICOMDIR iQ UTE database E 11 Display eettmge EEN 28 Display settings dual display setup 29 E Exporting DICOM images to AVI M M W W sseseeererrrrnrrrrnee 57 Exporting DICOM imagesto AVI making settings eege 58 Exporting DICOM images to image formats 57 Exporting DICOM imagesto J PEG BMP TIFF RAW ER 57 Exporting DICOM images to video Tee en 57 F Flipping iMa e 53 PIID PING OPUON EE SE H Hardware requirements E 7 Hardware re
34. atively the Windows task bar can be used to switch from the viewer window tab to the study browser tab and backagain 4 2 8 DISPLAY SETTINGS The viewer application can be run ona Single or dual display system Additional settings Image filter Image selection Size of series preview bar b Fixed bottom toolbar Fixed side toolbar Display setup Single e IMAGE DISPLAYS setup IQ LITE 2 7 O User Manual INTEN 003R 28 4 2 8 1 SETTING UP THE VIEWER AC ROSS TWO DISPLAYS By default the viewer opens only on one display If two displays are available and they are connected to the computer the viewercan be set up to view across both displays To configure the viewer to use dual monitors Make sure that the viewer window isnot maximized no full screen Click the Additional settings menu and select Display setup Select Dual from the sub menu The viewer window will automatically resize to fit the two screens In the rare case that this does not happen automatically smply drag the window across the two screens by grabbing the window frame with the mouse Adjust the position and the size of the viewer window if necessary Do note that since settings cannot be stored permanently on a medium the dual display settings will not be remembered the next time the application is started The settings will only be used aslong asthe application is kept open Fie Fools Ach vr settings Fr noge sekter Navigon re
35. bration information is missing in the DICOM header of the image IQ LITE 2 7 O User Manual INTEN 003R 18 TI i S Newman Sandra t tse saq Siz _ 4mm 22Ulo Bl GE Information Systems Ltd E F 23 04 1972 by Ref Ref Pert BLI ID 230472 i h d Study date 20 17 2005 WTB l C34 WW TE 110 Position TR 3600 Ze CN 3 IMA Slice pos 5 7 ST 4 0mm f Zoom Factor 10 58 Image with onentation indicators The yellow markers in the images are onentation indicators These indicators help to determine the onentation of an image e g right or left top or bottom The indicators will remain in the correct position even if an image is flipped or rotated Indicators will be denoted as follows R nght L left H head F foot A antenor P postenor Combinations of these indicators are also possible 4 2 3 2 SCREEN MUNG OPTIONS When a study contains more than one senesora series includes several images it can be helpful to divide the image processing areas into several views Therefore it is possible to see several senes at once orto compare senes with each other In addition a series can be split within one view to display all of its images or to show the individual frames of a multi frame image These tiles can be individually selected by clicking them A blue frame is displayed around the selected tile IQ LITE 2 7 O User Manual INTEN 003R 19 3 Data p d d 3 IMA 7 STAT 5D Zoom factor x1 15
36. can either be played Forwards or Backwards Select the respective entry from the sub menu or move the controller in the cine control either to the right including the correct fra me rate for forwards playing orto the left including the conect frame rate for backwards playing Frame rate Using the entry in the cine mode sub menu several pre defined frame rates can be selected for the cine run 6 12 24 32 fps frames per second The default frame rate is defined in the DICOM header for multi frame images or is 25 fps for single fra me images The direction and the frame rate can also be adjusted in the cine control itself by moving the indicator bar while the cine is running 4 2 18 WINDOWING TOOLS In many cases the bnghtness and contrast for the DICOM images are already well set when the images are created at the modalities Sometimes however it might be necessary to change the window level of images e g when the senesistoo dark or the contrast isnot good enough to see specific tissues IQ LITE offers three ways of changing the center window level of DICOM images Dynamic windowing The use of window presets A fine tuning windowing mode 4 2 18 1 APPLYING WINDOW CHANGES Using the Scope function descnbed in section 4 2 5 4 Scope it is possible to apply window changes to a whole senesorto an individual image only Select Image scope to only change the center window valuesof a particular im
37. e Il CT 51 4222 ZOOMING and panning O0 sanne erne ERE ERE ER Ea Also area REG 51 4 2 22 1 Zoom pan handling with presentation gdates ENEE 52 IQ LITE 2 7 O User Manual INT EN 003R 3 5 6 4 2 22 2 The zoom pan function 22222222 sea REE LEES DELE SER ones usiadevoeudue sic evleseinnxeevabes wesatwncsedavndetutete 52 Be IE e IO OM EE 53 4223 Fippng and FO ta HOR e 53 42231 Te flip Frotte Tune IO EE 53 4 2232 Usno ei HE ear LA tioN EE 54 NS Ou 55 4 2 25 Resetting changes in Ee ET 56 keal PE EE 56 4225 Clear UR ER Eed 57 4 2 26 Exporting DICOM imagesto other image Tomate 57 4 2 27 Exporting DICOM images to printers ENEE 59 42 28 DICOM header inforna COM E 59 Dee lee BT 60 EE VIEN nee mere nee ee reer ere entre re E EE EEE E E EEEE 61 a E e nai e E 62 A229 HEBO HONS Ene 62 E NINO Sie E 64 MWS lat ae E 64 4 3 2 Printer paper format and onentation selec on 65 4 3 3 Image output and layout eelecHon ENNEN 65 4 3 4 Editing fad ES FOF lan dl e BE 66 4 3 5 Sese MOMMA E AARAA A A EET EET A OA EEN 68 LIST OF ABBREVIA TONS LEE EEN EEN EEN EEN aaia 69 USTOF SHO RIG UIS scsi a a E aa a aE aE aE aAa aaa E 70 JE 71 IQ LITE 2 7 O User Manual INTEN 003R 4 O CECONFORMANCE SIATEMENT IMAGE Information Systems Ltd does not accept liability for the illegal or improper use of the descnbed software see the End User License Agreement IQ LITE is part of IQ VIEW which is certified asa medical device forimage processing
38. e output selection 65 Print Manager IMAGE output sssssserrrssssrrerrreresse 65 Print manager layout selec Don 65 Print manager page controller Au 65 Print manager paper format selection 65 Print manager paper format ssssssssserrrsssserrrrrreesse 65 Print manager portrait landscape onentation 65 Print manager print layout cc eeessssteeeeeeeeeeeees 65 Print manager print onentation selection 65 Print manager printer selec tio NM 65 Print manager printing images senes studies 64 Print manager printing page header esses 65 Print manager printing text background 66 Print manager printing text overav 65 Print manager real size Print 1 esserne 66 Print manager scope on image level asss 66 Print manager scope on series level ees 66 Print manager Starting a print ob 68 Print manager Iwindowing renere rnrrner 67 Print manager zooming panning images 66 Printing DICOM mmeges EE 59 Printing DICOM images Windows print W 1 1 59 Purchasing IQ VIEW PRO EN 9 R Reset function clear Current view 57 Reset function reset button ee cesstteeeeeeeeees 56 Reset function reset CUITENT view 56 Resetting changes IN mades 56 Rotating IMAGES EE 53 Kateches el SE Rotation options using custom rotation 54 Ruler pixel spac mg 18 72 NO del Gel EVEN 18 S Scaling oversize for distance measurem
39. e reset If tiling is done at the image level and Image scope is used the image desired for modification may be selected by clicking the tile that displays that image A blue frame will be shown around the selected tile Now image processing functions such asfilters or flip rotate can be applied to the image IQ LITE 2 7 O User Manual INTEN 003R 24 4 2 5 5 LINES Fawn Corrs P 2 tel IETI RE EST NOTE Fer et d Per BL Em Ghri iie 20 15 IEN dl i L OU besen iiri KA D She d ee H a ci E 2 Pet et d Pet DP Gury ieie HI JE HEH i 1 Lines is a scoutpilot function for easier onentation within a study It is particularly helpful in multi sice studies taken from different section planes When activated the position of the current slice will be displayed in the otherseriesand section planes IQ LITE offers an additional onentation tool the scoutpilot For information about this tool see section 4 2 14 A Newman Sandra t2_tse_sag_512_4mm 330hmn F 23 04 1972 ID 230472 TE 110 TR 3600 Slice pos 5 7 ST 4 0mm 2 tse tra 384 4mm_neu AF TR 7010 Slice pos 132 5 ST 4 0mm tc Information Systems Ltd ME Ref Ref Perf BLI i Study date 20 12 2005 Onentation tools Newman Sandra F 23 04 1972 ID 230472 x 6 219 1W1245 l C577 TE 12 TR 650 Slice pos 5 7 ST 4 0mm IMAGE Information Systems Ltd CE Ref Ref Perf BLI Study date 20 12 2005 Zoom
40. e result isnot given in millimeters but in pixels pxl the pixel spacing is missing in the affected image or US Region Calibration for ultrasound images The pixel spacing or region calibration values are needed by iQ LITE to know how big a pixel isin the image This information is needed to calculate distance 4 2 20 2 RATIO MEASUREMENTS Ratio The ratio tool is used to measure a ratio between two distances To use the tool draw the first distance A and then the second B The result is given asa percent of A B The length of the two distances is also shown IQ LITE 2 7 O User Manual INT EN 003R 45 NOTE If the length of the lines is not given in millimeters but in pixels pxl the pixel spacing is missing in the affected image or US Region Calibration for ultrasound images The pixel spacing or region calibration values are needed by iQ LITE to know how big a pixel isin the image This information is needed to calculate the length of the two lines 4 2 20 3 PERPENDICULAR DISTANCE MEASUREMENTS This function is only available in iQ VIEW PRO Perpendicular distance The perpendicular distance tool is used to measure the short and long A axis of tumors in 2D Two distance linesare drawn in a right angle towards each other B 4 2 20 4 ANGLE MEASUREMENTS Angle The angle tool is used to measure an angle To measure angles draw the first line as if drawing a distance measuning line The second line d
41. eas Knopke MD Arpad Bischof MD Mike Thomas ensen MA October 2011 IQ LITE 2 7 O User Manual INTEN 003R 5 1 INTRODUCTION IQ LITE isa portable CD image viewer that enables the user to view manipulate and print images that have been exported from an iQ VIEW or iQ VIEW PRO Workstation or with IQ RO BOT A copy of iQ LITE is saved with each set of images bumed to a CD or DVD from iQ VIEW or iQ ROBOT It automatically opens when the CD or DVD is loaded on a PC provided that the auto run function is enabled on the system IQ UTE provides a convenient way for physicians and other medical professionals to copy and save patient studies images processed by an iQ VIEW Workstation When providing copies of these studies to refemng physicians and or patients iQ LITE provides an integrated simple way to view the information stored on the CD DVD without the use of any 3rd party software 1Q LITE is only permitted for diagnostic use if all applicable legal requirements in your country are met Please consult your authonzed local distibutor before using the application for diagnostic purposes 1 1 SYSTEM REQUIREMENTS Minimal system requirements are For Microsoft Windows XP Vista and 7 Refer to Microsoft Windows XP Vista and 7 hardware requirements PC with2 300 MHz min 1 5 GHz for cardiology processor clock speed single or dual processor system Intel Pentium Celeron family or AMD K6 Athlon Duron family or comp
42. ect functioning of the vanouscodecsand therefore recommends using the Windows default codec cvid Cinepak Codec The use of a conupted incompletely incorectly installed or incompatible codec may lead to undesired effects in iQ LITE After all options have been set click the Save as AVI button to give the file a name and start Se exporting the selected data asan AVI file IQ LITE 2 7 O User Manual INTEN 003R 58 4 2 27 EXPORTING DICOM IMAGES TO PRINTERS and structured reports already available on the medium can be sent to the Print manager where they can be printed on a connected Windows printer Images will be printed with all of their changes in presentation states measurements and annotations windowing zoom pan flip rotate colorremap etc Print manager All images that have been loaded into the viewer including secondary captures For more information about printing DICOM imageson paper printers please read chapter 4 3 Windows Print The print managercan be accessed in one of the following ways Click the File menu and select Prnt manager The entire study curently active in the viewer is transferred Altematively specific imagescan be selected in the viewer to be transferred Click the Print manager button available in the bottom tool bar to transfer the curent study ora selection to the print manager Use the default shortcut P for accessing the print manager window
43. ect the measurement or annotation to be modified The markers displayed on each measurement or annotation can then be used to drag and drop the measurement annotation into the correct postion The Modify function works as follows Distance measurements Grab the center marker with the mouse to move the whole line into a new position or use the start and end markers of the line to change the length and position of the starting and ending points Ratio measurements Use the start and end markers of the two lines to change the length and position of the starting and ending points Angle measurements Grab the center marker to change the position of where the two lines cross or use the start and end markers of each line to move the lines into the correct postion Cobb s angle Use the markers at the end of each line to corect the line postions The perpendicular lines willbe adapted automatically by iQ LITE Square and circular ROI Grab the center marker to move the whole area rectangular or elliptic al circular or use the line markers to change the size of the area Shutter Grab the center marker to move the whole shutter or use the markers in the upper left and lower right comersto change the shutter s size Annotations Grab the center marker to move the annotation and arrow to a new location or use the marker at the arrow tip to change the length and tip position The annotation text field will open after each move to
44. ed and may be opened if desired See below for further information on the use of the Preview Icons panel Ll Opens the iQ UTE user manual for consultation NOTE Acrobat Reader must be installed on the system to open and view the IQ LITE user manual which is availa ble asa PDF file directly on the iQ LITE medium MANUAL PDF IQ LITE 2 7 0 User Manual INTEN 003R 11 4 1 1 1 NAVIGATING THE STUDY TABLE The study table gives information about a study on three levels Study level the most important information provided at the study level such as patient name patient ID accession number study description refeming physician etc Sres level information about the available series in a study e g series description modality information etc Image level allows access to a preview of each image in a series including the possibility to use window leveling but also gives information about the number of frames in case of multi frame images e g US To see the next level undemeath a study click the box on the far left side This will open the study to show the various series including any relevant information By clicking on the to the left of a series the image level willopen revealing a table of all available images in that senes Li Clicking the arrow button beside an image will open the chosen image in a preview window 4 1 1 2 SORTING STUDIES IN THE STUDY TABLE By clicking the respective entry in the
45. ed to the text overlay of the affected image s denoting the modification A yellow frame around Text ovenay is visble when the text overlay is active This setting ison by default when a study is loaded into the viewer 4 2 4 1 FIXING THE BOTTOM TOOLBAR Usually the bottom toolbar is hidden to increase the space available for image display in the image processing area It only appears when the mouse is moved to the bottom of the screen However it is also possible to fix the toolbar so that it is constantly visible and does not automatically hide Do note that since settings cannot be stored permanently on a medium the settings will not be remembered for the next start of the application IQ LITE 2 7 O User Manual INTEN 003R 21 Additional settings Image Filter Image Size of series preview bar Fixed bottom toolbar Fixed side toolbar Display setup To fix the bottom toolbar Clickthe Additional settings menu Select Fixed bottom toolbar 4 2 4 2 THE DEFAULT BOTTOM TOOLBAR IQ UTE comes with a default bottom toolbar containing twelve general image processing tools as well as the Close viewer button While it is possible in iQ VIEW PRO to configure this toolbar this option is not available In the iQ UTE version ad IQ LITE toolbar 4 2 5 THE SIDE TOOLBAR The side toolbar contains additional functions that may be helpful to the user The buttons in this toolbar are fixed and c
46. efer to section 4 2 5 6 Off Synchronizing only selected senes The synchronization of series is also possible by selecting multiple series in the image processing area The activated reference series is the view with blue frame To select additional series hold the CTRL key down while left clicking other senes views A second left click on a view with the CTRL key pressed will deselect a series Q The icon will be displayed for those views included in the synchronization The mouse wheel or 4 and WV arrow keys can now be used to scroll through the senes in a synchronized way The curently selected tiling scheme determines how many senesare allowed to synchronize with the reference series It is possible to switch between the reference senes and another or work within the images e g adding measurements adjusting the windowing without losing synchronization Q To exclude a view from being synchronized either click the icon within the respective view or left c lic k the view while pressing the CTRL key To deactivate the synchronization entirely click the Off button at the bottom of the side toolbar referto section 4 2 5 6 Off 4 2 5 3 BIND Using the Bind tool all currently loaded series of one study will be virtually bound together in one ka view This allows the user to scroll through all series without switching from one view to the next The view will automatically switch to the next senes when it reac
47. ents 51 So pe UNCON eebe 24 Scope on image level print managen 1 66 Scope on image level viewen EE 24 Scope on series level print manager 66 Scope ON Senes level viewer EE 24 Sc outlines configuration of 35 SEET ee 25 33 Screen tiling on image level 20 Screen tiling ON series level 20 Screen tiling option 19 SE OOO II EE 53 Selection of medes RRE 32 Selection of images clearing of 33 Selection of images marking of images 32 Selection of images within a eeneg 32 Selection of images within a gud 32 Selection of series for viewing u sssssseeererrrnrrner 31 Series preview Dar 15 Series preview bar FUNCTIONS Of u u sssssssssennnnee 16 Series preview bar infomation IN s es 16 Series preview bar size of 17 Series selection Uorviewing 31 Shutter FUNCTION E 48 Shutters embedded NENNEN 38 dde HO OUD GM E 22 Side toolbar Bind ees 23 Side toolbar FIXING Of EE 22 Side toolbar mes 25 Side toolbar OTT 27 Side toolbar GcCopel EE 24 Side toolbar anc 23 Single frame images treatment of 29 e lei K MOT Gerini Eoen e eeni dn sina 38 Stack mode browsing through senes 39 Starting IQ LITE AUTOMATIC all 9 Starting iQ UTE manually E 9 Study Dmweer ENEE 11 Sudy ta Dle 4 5 ia arses 11 Sudy tA DS asirini naia 17 iQ UTE 2 7 O User Manual INTEN 003R Support infomation EE 63 Support information Lac cCeeetol 63 SVMC FUN ETON cccxscesive
48. es Drag Drop With drag drop images can be moved into another position tile if a layout is chosen that contains more than one image per page Note however that images can only be moved within the filled tiles For example in a 3x3 tiling with only 6 tiles filled images can only be switched in the first 6 tiles The last 3 tilescannot be used To move an image point to it and hold the left mouse button down while dragging the image to the new tile When the mouse button is released the image will move into the new location and the following images will side to the nght down to make room Delete The delete function removes either single images or entire senes independently of the set scope image or series Upon activation the mouse pointer will change into an eraser symbol when hovering overan image The following options are available No deletion is possible if Image output is set to Current image If Image output is set to Current series only individual images can be deleted not the whole series f Image output is set to Curent study the option to Remove individual images or to Remove entire series appears when the tool isselected If Image output is set to Selection the entire selection of images is treated as if they are from one series The two options Remove individual images and Remove entire series will appear when the tool isse
49. ftware but not in the iQ LITE viewer These functions will not be described in this manual 4 2 7 CLOSING THE VIEWER AND RETURNING TO THE STUDY BROWSER 4 2 7 1 CLOSING THE VIEWER The viewer window can be closed in three different ways Click the x button in the upper nght comer of the window Selectthe Close viewer button on the left side of the bottom toolbar Clickthe File menu and select Close viewer iQ UTE 2 7 O User Manual INTEN 003R 27 Close viewer Closes the viewer window and retums to the study browser if placed on the same display 4 2 1 2 BRINGING THE STUDY BROWSER TO THE FRONT To retum to the study browser it is not necessary to close the viewer Both applications can run simultaneously and the study browsercan be brought to the front without specifically closing the viewer This is possible if the viewer and study browser are placed on different displays or if on a Single display the study browser window is smaller than the viewer window no full screen New studies can be selected from the study list and will automatically load into the viewer window Another method is to click the File menu and select Bring Study Browser to front This moves the study browser from the background to the front and placesthe viewer into the background Tools Additional settings Export imagers Post processing Print manager Bring Study Browser to Front Close viewer Altem
50. hes the last image in the current senes Two common examples would be to easily browse through brainstem and brain tissue as if they were one senes orto browse through a whole MRI with a lot of sequences IQ LITE 2 7 O User Manual INTEN 003R 23 4 2 5 4 SCOPE The Scope or viewport function determines whether changes made to an image e g windowing zoom pan flip rotate etc are applied only to the current image orto all images in the series The Scope sub menu is accessible by right clicking the Scope button or by hovering over the little black comer of the button with the mouse Once the sub menu is displayed select Sres to apply changeson the series level or Image to only change individual images Seles Senes scope Modifications made to the curently active image will be applied to that image as well as all other images in the senes This includes modifications such as windowing zoom pan flip rotate colorschemesand image filters Image scope Modifications made to the curently active image will only be applied to that particular image This includes modifications such as windowing zoom pan flip rotate color schemesand image filters NOTE The scope selected for one series will be used globally for all other series of the same study If the scope selected forone senesischanged while processing a different seres the scope based changes of the first processed senes will b
51. ies can be selected and the images of these series are displayed as preview thumbnails NOTE The preview thumbnails can only be displayed in the preview icons panel if the web content HTM pages including the J PEG images wasalso bumed on the medium 4 1 3 CACHING If Cache images on hard disc is activated at the bottom of the viewer images from the medium will temporarily be saved to the hard disc With this setting activated access of the images will initially take a little longer but browsing them afterwards will be faster If No caching is checked the images will be read directly from the medium and are not saved to a temporary directory on the hard disc Accessto such studies is faster but browsing is slower IQ LITE 2 7 O User Manual INTEN 003R 13 4 1 4 VIEWER To load a single study or series into the viewer select the study series and click the View button or double click the study series To load multiple studies or series into the viewer select them in the study list and click the View button For more information on how to select studies see section 4 1 1 3 Selecting studies and series Ly PF For detailed information on how to use the viewer application as well asa description of all available features and processing functions see chapter 4 2 Viewer IQ LITE 2 7 0 User Manual INTEN 003R 14 4 2 VIEWER File Tools Additional em Image filter Image selection Navigation Hel
52. iesDate 20051221 0008 0022 AcquisitionDate 20051271 0008 0023 ContentDate 20051221 Oppe 0030 StudyTime 080525 2765000 0008 0031 SeriesTime 081922 750000 0008 0032 AcquisitionTime 081506 989984 0008 0033 ContentTime 081922 765000 Oppe 0040 ACR NEMA OldDatasetType 0 0008 0041 ACR NEMA DataSetSubtype IMA NONE 0008 0050 AccessionNumber 100 Oppe 0060 Modality MR 0008 0070 Manufacturer SIEMENS 000s 0080 Institution Name IMAGE Information Systems Ltd DOG 0081 Institutionaddress 0008 0090 ReferringPhysiciansNarme Ref 0008 1010 StationName mrsp 00081030 Study Description SPINE List view in DICOM header dump IQ LITE 2 7 O User Manual INT EN 003R 60 4 2 28 2 TREE VIEW The tree view table gives a more structured overview of the DICOM tagsand values of an image The tags are collected into their respective attribute groups Groupscan then be opened to reveal the individual tags and values orclosed if not needed By default the various levels are closed List view Tree view Summary F 0002 Meta Element Group F 0008 Identifying Group y 0009 Private Group a t0010 Patient Module Group El B 0010 PatientsName YM 1 VD DN co 1 Newman Sandra Elf 0020 PatientID M 1 YR LO Sa i 230472 B 0030 PatientsBirthDate YM 1 YR D4 1 19720423 0040 Patients5ex YM 1 YR CS e 1010 Patients4ge YM 1 VR A45 fh 1030 PatientsWeight
53. ing the view in the image processing area down to the image you want to use as reference It must be the active image blue frame Then click the scoutpilot s refresh button to update the reference image Close Closes the scoutpilot window IQ LITE 2 7 O User Manual INTEN 003R 34 4 2 14 3 SCOUTLINES CONFIGURATION By default iQ LITE projects the section planes in its Lines and Scoutpilot display leading to the display of rectangles or parallelograms if the section planes are oblique It is also possible to modify the display settings by Adapting the projection mode Adapting the line weight The Scoutlines configuration isfound in the Additional settings menu Additional settings Image Filter Image selection Size of series preview bar Fixed bottom toolbar Fixed side toolbar Display setup Scoutlines confiquration Mode plane projection Autocontrast every image Mode plane intersection Mode plane projection and intersection Line weight 1 light Line weight 2 medium Line weight 3 strong Line weight 4 bold Different projection modes are available for both the Lines mode and the Scoutpilot window Mode plane projection This is the default setting If activated the scoutlines functions will display only the projection of the section planes Mode plane intersection If activated the scoutlines functions will display only the line
54. into the available view The higher the tiling the smaller the images will be displayed 1x onginal The images are displayed in their original size 1 5x The images willbe zoomed to one and a half times their size 2x The images willbe zoomed to two times their size a 2 5 The images willbe zoomed to two and a half times their size a 3x The images willbe zoomed to three times their size 4 2 22 3 THE SC ROLL ZOOM The Scroll zoom function is available in the Tools menu Once the feature is activated the scroll wheel of the mouse can be used to dynamically zoom the curently active image 4 2 23 FUPPING AND ROTATION TOOLS Images loaded into the viewercan be flipped rotated or both Using the Scope function descnbed in section 4 2 5 4 Scope it is possible to apply flip and rotation changes to a whole senes orto an individual image only Select Image scope to flip or rotate only a particularimage Select Series scope to apply the flip or rotation changes made in one image to all images of the same series NOTE Flipping and rotation will be reset when the scope ischanged from senesto image orfrom image to series The modificationscan then be applied again according to the newly selected scope 4 2 23 1 THE FUP RO TATE FUNCTION The flipping and rotation options are accessible by clicking the Flip Rotate button in the bottom toolbar or by selecting
55. is possible to mark imageson a series or study level Options include Selecta whole study or series Select every second image of a study or series Select every third image of a study or series Select every fourth image of a study or series It is further possible to mark the curently active image Select active image and to Clear current selection to reset all selections 4 2 14 ORIENTATION TOOLS Especially in multi slice studies such as CT or MRI exams onentation within the different section planes can be difficult This is where onentation tools such asscoutpilots and lines displays can be helpful iQ LITE offers several Onentation toolsto aid the users 4 2 14 1 UNES MODE The Lines mode in the side bar hidden on the left sde of the screen is essentially a scoutpilot function that simplifies the onentation in a study by displaying the position of the curent slice active frame within the other series and section planes It is particularly helpful in multi sice studies taken from different section planes Lines can be activated easily without having additional windows open which may impede the view in the image processing area NOTE For further details please referto section 4 2 5 5 Lines 4 2 14 2 SCOUTPILOT The scoutpilot tool isa position indicator that provides the user with positional information about images This function allows users to onent themselves within a senes The Scoutpi
56. lected However Remove entire series will remove all but the first image from the preview since at least one image must remain in the Pint Manager Once the delete tool is activated click the individual image or one that Is part of the senesto be deleted This only removes the image s from the Print Manager and does not affect what Is displayed in the viewer NOTE One image must always remain in the preview to avoid blank pnnted pages IQ LITE 2 7 O User Manual INT EN 003R 67 4 3 5 STARTING A PRINTJOB After selecting the various print options discussed above click the Prnt button to send the print am job to the selected Windows printer Wm IQ LITE 2 7 O User Manual INTEN 003R 68 5 USTOF ABBREVIATIONS J 2k AET C ECHO C FIND C MOVE CR CT DICOM DNS DX GUI HU IP LUT MG MOVE SCU MR NM OT Q R SCU RF ROI STORE SCP STORE SCU US J PEG 2000 Application Entity Title DICOM command for venfying the DICOM connection to another device DICOM command for searching studies DICOM command for moving studies Computed Radiography Computed Tomography Digital Imaging and Communication in Medicine Domain Na me System Direct X Ray Systems e g Angiography or Fluoroscopy Graphical User Interface Hounsfield Units Intemet Protocol Look up Table Mammography C Move as Service Class User Magnetic Resonance Imaging Nuclear Medicine Othe
57. lected orunselected atonce Unselect all studies IQ LITE 2 7 O User Manual INTEN 003R 12 NOTE Selected studies and seriesare marked blue In addition the checkbox of each study series in the first column willbe marked It is recommended that you select data either on the study level oron the series level When mixing study and series levels selecting seriesand studies by using the checkbox instead of a simple click into the line will be helpful to assure that the entire selection can be loaded into the viewer 4 1 1 4 LOADING STUDIES AND SERIES INTO THE VIEWER If only one study orone seres is selected from the study list one of the following optionscan be used Double click the study senesto load it into the viewer Selectthe study senesand then click the View button button to load the entire selection into the viewer Double clicking a selection will only load the study senes underthe mouse pointer If more than one study or series or combination of studies and series is selected click the View Mey 4 1 2 PREVIEW ICONS PANEL The Preview Icons panel can be opened and closed using the switch in the upper left comer of the panel vertical when the panel isopen and honzontal when the panelis closed The preview icons panel shows the preview images of the currently marked study orsenes If a study is marked previews of all series of that study are shown On the series level more than one ser
58. ller for bug reports technical advice etc NOTE Please note that a standard email client Outlook Outlook Express etc must be installed and configured to automatically open an email form IQ LITE 2 7 O User Manual INT EN 003R 63 4 3 WINDOWS PRINT 4 3 1 THE PRINTMANAG ER With iQ UTE DICOM image data can be printed using a Windows printer To output individual images series or studies the studies must first be loaded into the viewer Once loaded the print manager can be accessed by selecting Print manager from the File menu of the viewer The print manager window can also be accessed using the default shortcut P or by using the Print manager button on the bottom toolbar All methods lead to the print manager opening and transfeming the selected images into the preview Orientation Portrait a Paper format SINX10IN Printer WindowsPrint iserver XERC Newman Image output Current image Sandra 23 04 1972 MR SPINE from 20 12 2005 Current series Current study C Selection 37 Images Layout C ixi eo on ss ss r a e 3x4 C 4x4 C 4x5 oe 4 Pages Z i IV Print text overlay IV Print page header J Text background IV Reduce print job size Real size print Kat Print manager Changes made in images during their processing in the viewer are transferred into the print manager as well This allo
59. llow frame left mouse button while moving the mouse The mouse pointer tums into a hand when pointing to the middle of the image To enlarge the image point to the penphery of the image zoom zone and hold the left mouse button down while moving the mouse up to enlarge and down to minimize The mouse pointer becomes a magnifier symbol when pointing to the edge of the image The zoom pan will affect only the selected image or the entire senes depending on the scope selected image orsenes S Zoom Pan An image can be moved by pointing to the middle of it pan zone and pressing the NV IQ LITE 2 7 O User Manual INTEN 003R 66 NOTE Please note that due to the presentation states PR now used to display and cache changesin DICOM images the handling of zoom pan haschanged to adhere to the specifications laid down in the DICOM standard Therefore zoom out will only scale down to a fit in size and not smaller since this is not defined in the DICOM standard Panning continuesto workeven if the images were not zoomed first Windowing The brightness and contrast of an image can be manually adjusted by pressing the left mouse button and moving the mouse up down or left right while hovering overthe image The mouse pointer tums into a circle with a white and black side when the tool is activated Windowing changes will affect only the selected image or the entire senes depending on the scope selected image orsen
60. lot function is found in the Tools menu IQ LITE 2 7 O User Manual INTEN 003R 33 Scoutpilot t2 tse tra 384 4mm neu IMAGE Information Systems Ltd AE Ref Ref Perf BLI Study date 20 12 2005 X Y 337 347 W664 C288 TE 138 Position TR 7010 9 IMA 7 Slice pos 132 5 ST 4 0mm STAT 50 Zoom factor x1 77 Scoutpilot example The scoutpilot window can be moved to another position so that it does not hide the necessary views of the image processing area Simply drag and drop the window to the desired postion The size of this window however is fixed When opened the scoutpilot always shows the curently active image blue frame The image in the scoutpilot can be manipulated in the following ways Using the center mouse button or scroll wheel itis possible to change the window level By pointing to the border of the image the zoom zone the mouse pointer tums into a magnifier and allows zooming within the image While the mouse isa magnifier hold the left mouse button down and move the mouse up and down to zoom in and out respectively a While pointing in the center of the image the pan zone the mouse pointer tums into a hand Hold the left mouse button down and move the mouse to pan the image CH Refresh This button can be used to reset windowing zoom and pan changes made in the image or to select a new image asthe reference image To select a new image asthe reference image start by scroll
61. n can only be accessed by clicking Bitmap overlay in the Tools menu 4 2 16 4 LOOK UP TABLES By default Look up tables display is enabled iQ UTE is able to interpret potentially embedded look up tables in order to display a DICOM image the way it is displayed on the source machine another form of Center window information This function can only be accessed by clicking Look up tables in the Tools menu 4 2 16 5 DIC O M EM BEDDED SHUTTERS Shutters created with the viewer s shutter tool are handled as presentation states However shutters can also be embedded within the DICOM headerofan image and are therefore handled differently This may be the case with shutters created in images in the iQ VIEW Import dialog or with images to which shutters were already applied atthe modality By default Embedded shutters display is enabled As a result iQ UTE is able to interpret potentially embedded shutter sequences in order to hide a specific part of a DICOM image If the function is disabled the entire image will become visible again This function can only be accessed by clicking Embedded shutters in the Tools menu 4 2 17 CINE AND SIACK MODE Stack and cine mode make it possible to manually or automatically browse through all images of a series or even the complete study when used in combination with the Bind mode see section 4 2 5 3 Bind Both the stack and the cine modes
62. n image the image isthen displayed with all the visual specifications defined in that presentation state The advantage of using presentation states is that it is always possible to revert back to the original image since the underlying pixel data of the image is not modified but rather displayed differently 4 2 15 1 USE OF PRESENTATION STATES IN iQ UTE It is important to note that iQ VIEW which isthe basis for the iQ LITE viewer only supports its own presentation states While images retrieved from other DICOM stations may already contain presentation states iQ VIEW will not be able to make use of these presentation states Asa result iQ UTE media created with the radiological workstation can only contain PR files that have been created and stored with an iQ VIEW PRO station Presentation states of other manufacturers will be ignored during the export and will therefore not be placed on the medium PR created for studies within iQ VIEW PRO will be correctly used within iQ LITE In iQ UTE modifications made to an image e g window level changes zooming panning flipping rotating and adding of measurements and annotations will be treated asa presentation state They will however only be cached for the current viewer session and are deleted when the viewer is closed The next time the images are loaded they will be displayed again with their original pixel data NOTE Due to the use of presentation states in IQ LITE the handling of
63. nes Brain Lung Abdomen Additional or customized settings may be available if the iQ VIEW user has created other settings not initially included in the default list Custom settings Select Custom settings to change the existing presets or to add others A configuration window will open displaying the current presets From here presets can be added Add deleted or modified Clear and Change Once the necessary changes have been made click Save and exit to save any changes and close the custom settings window Please keep in mind that these settings cannot be stored permanently on the medium and will only be used aslong asiQ LITE remains open Window settings base Window name Window center Window width Clear Change Save and exit Default window presets IQ LITE 2 7 O User Manual INTEN 003R 42 ROI window ROI windowing appliesan auto contrast to a selected area It is mostly used for CR and RF imagesto generate an optimal contrast in the region of interest Select this option and then mark the ROI area by drawing a rectangle onto the image with the mouse The ROI window will then be calculated automatically Auto contrast Auto contrast applies an auto contrast on the current image with Image scope or on a whole series with Series scope only The other seres remain unaffected Additionally there is an auto contrast function available for applyi
64. ng an auto contrast to all loaded studies Once applied the auto contrast will remain in effect until being deactivated again Click the Additional settings menu Select Auto contrast every image Allimagesof the currently selected study will be displayed with an auto contrast Additional settings Image filter Image Size of series preview bar Fixed bottom toolbar Fixed side toolbar Display setup i Autocontrast every image NOTE The window presets can also be used in combination with tiling on the image level several imagesin one view This is possible with sope on the series and image levelsas well 4 2 18 4 FINE TUNING WINDOW MODE In most cases the regular dynamic windowing is sufficient for setting the brightness and contrast of an image to its best visual quality However iQ LITE also offers a mode with which it is possible to change the center window values in one step intervals This makes it possible to fine tune the windowing To use fine tuning Select Windowing dynamic as described in section 4 2 18 2 Dynamic windowing Press the CTRL key while moving the mouse at the same time to change the contrast and brightness iQ UTE 2 7 O User Manual INTEN 003R 43 4 2 19 COLOR REMAPPING Color remapping assigns a color to each gray tone of an image therefore rendenng any grayscale image MONOCHROME1 and MONOCHROME2 in color Using colors areas with low contrast can be better displayed
65. not be long enough to show all of the information contained in the field Another use would be to view private tags or Worklist procedure tags In both cases the Summary view offers an easy solution List View Tree View Summan StudvO escription 0008 1 030 7 SPINE Studvlonmments 0032 4000 tell STAT 50 ReferingPhysiciansh ame 0008 0090 T Institution ame 0008 0080 MM Ref IMAGE Information Systems Ltd SenesDescription 0008 1 OSE M e lnstitution ddress 00085 0081 IG ke zap 51 2 mm 330fov ReteringPhysiciansN ame 0008 0090 Stationh ame 00081010 StudyDescription 00081030 SeriesDesciption 0008 1 03E PerformingPhysiciansh ame 0008 1050 Operators ame 0008 1070 ManutacturersM odel ame 0008 1090 Example of DICOM tag selection in Summary view of DICOM header dump 4 2 29 HELP OPTIONS The help options are found under the Help menu ee User manual About User manual Opensthe iQ LITE user manual IQ LITE 2 7 O User Manual INTEN 003R 62 NOTE Acrobat Reader must be installed on the system to open and view the iQ LITE user manual which is included asa PDF file on the medium MANUAL PDF About Opens a window where version information about the iQ LITE software as well as contact information for questions or bug reports is displayed Clicking the window opensa support email fom that can be used to contacta local rese
66. nsfield Units HU In addition the results will state the standard deviation 4 2 20 7 CIRCULAR ROI MEASUREMENTS Circular ROI Measunng density in a selected elliptical circular area ROI is possible using the circular ROI tool To use this tool place the mouse in the center of the area to be selected hold the left mouse button down and drag the mouse outward from the center to create an ellipse circle around the desired area When the mouse button is released the mean maximum and minimum density values will be given For CTimages the results are automatically displayed in Hounsfield Units HU In addition the results will state the standard deviation NOTE A perfect circle not an ellipse can be achieved by holding the SHIFT key while drawing the ROI area with the mouse IQ LITE 2 7 O User Manual INTEN 003R 47 4 2 20 8 POLYGONAL ROI MEASUREMENTS This function is only available in iQ VIEW PRO Polygonal ROI Using the polygonal ROI tool it is possible to measure both the density and size of a selected freehand area 4 2 20 9 SHUTTERS blackening out the rest of the image The blackened out areas are not deleted from the image zt They are only hidden To use this tool place the mouse at the upper left comer of the area to view hold the left mouse button down and drag diagonally until the appropnate area isselected When the mouse button is released only the selected area will be visible
67. oes not necessarily have to intersect the first line The resulting measurement values represent the acute and obtuse angle 4 2 20 5 COBB S ANGLE MEASUREMENTS Cobb s angle isa method of measuring the degree angle of the spinal curve The technique to measure the scoliosis Curve consists of four lines constructing a geometnc figure Cobb s angle To use this tool first draw a line along the superior edge of the vertebra and extend the line into the margin of the X ray line A iQ UTE will automatically add the perpendicular line from line A downward The next step isto draw another line along the inferior vertebra Again extend it into the margin of the X ray line B until the perpendicular line upwards from line B meets the one from line A The angle that is formed by the two meeting perpendicular linesisthe Cobb sangle IQ LITE 2 7 O User Manual INT EN 003R 46 Heft bk Cobb sangle measurement 4 2 20 6 SQUARE ROI MEASUREMENTS Square ROI With the square ROI tool it is possible to measure the density in a selected rectangular area ROI To use this tool place the mouse at the upper left comer of the area to measure hold the left mouse button down and drag diagonally until the appropnate area is selected When the mouse button is released a rectangle will be drawn over the specified area and the mean maximum and minimum density values will be given For CT images the results are displayed in Hou
68. opensa sub menu with all other available studies for selection On dual display syste ms the second preview bar is automatically shown on the second display A click on the plus button can be used to open further loaded studies For this button the second preview bar must additionally be open It is used to close the second series preview bar on single display systems It is not possible to close the second preview bar when working with dual displays iQ UTE 2 7 O User Manual INTEN 003R 16 4 2 1 3 S OF SERIES PREVIEW BAR Depending upon the needs of the user it is possible to configure the size of the series preview bar More space can be given to the image processing area by reducing the size of the preview bar On the other hand better viewing of the imagesin the preview barcan be achieved by enlarging its size Additional settings Image Filter Image selection HE Size of series preview bar Small Fixed bottom toolbar Medium Fixed side toolbar Large Display setup b Hide Show To set the size of the series preview bar Click the Additional settings menu Point to Size of series preview bar so that the additional side menu appears Selectthe desired size of the series preview bar Small Medium or Large To either hide or show the senes preview bar Click the Additional settings menu Pointto Size of series preview bar so that the additional side menu appears Hide o
69. option will put a black bar behind all elements of the text overlay so that the white text overlay will always be readable even if the images are very bright Reduce print job size In the standard Windows print mode print jobs from iQ LITE can sometimes become very large up 100 MB This may lead to longer transmission times to a Windows pnnter or buffer overflow errors if the printer does not have enough memory Checking the Reduce print job size may prevent these issues by transmitting less data to the printer NOTE A reduction of the print job size isachieved by reducing the resolution and may lead to lower quality printouts on some printers Real size print Using the Realsize print option it is possible to print images on a DICOM printer in real size 1 1 print This function is only available in iQ VIEW PRO 4 3 4 EDITING IMAGES FOR PRINTING The editing of images in Print manager can be done on the image or series level except for drag drop and the deletion of images The selection ismade using the Scope buttons at the top of the screen Image scope Select scope on the image level if modification window or zoom pan should only happen to a single image Senes scope Select scope on the senes level if the entire senes should be modified window or zoom pan Various tools can be used to edit the images shown in the preview windows The active tool is displayed with a ye
70. p 13 l 13 e lle Series preview bar Tabs Vv Newman Sandra 23 04 1972 MR SPINE from 20 12 2005 __Proton Osos 24 01 1977 CT Thorax from 21 02 2005 O GE Information Systems Ltd ae Re of Re ef I Perf BLI Study date 20 12 2005 D Side ei Ji lice pos 5 7 ST 4 0mm IMAGE Information Systems Ltd Ref Pe Image processing area 3 x z IPA PA D Bottom toolbar V SBVALFEOFEE IQ LITE viewer window 4 2 1 THE SERIES PREVIEW BAR The series preview bar can be used to get an overview over the studies loaded into the viewer It gives information about the senesof the loaded studiesand allowsthe navigation between studies WARNING The series preview bar of iQ LITE can only display up to 99 series It isnot possible to corectly load studies that contain more than 99 senes In those very rare cases where such a study isprovided on the medium you may select a number of series in the study browser to load into the viewer instead of loading the entire study IQ LITE 2 7 O User Manual INTEN 003R 15 4 2 1 1 INFORMATION IN THE SERIES PREVIEW BAR The viewer will display either one or two series preview bars On a single display system just one preview bar willbe displayed when only one study is loaded into the viewer If several studies are loaded at first only one preview bar will open with the series information of the first study but it is possible to open a second one displaying the next stud
71. p i EES a mars Nowman Sandra 23 04 1972 MA SPINE from 20 12 2005 man Sandra Two studies loaded in a dual display setup 4 2 9 TREATMENT OF SINGLE FRAME AND MULTI FRAME IMAGES Multi frame and single frame DICOM images are treated equally The stack and cine mode functions work for both series of both can be shown in a sequence It is also possible to display the individual frames of a multi frame image sequence in different tiles to select specific framesand to export or pnnt them 4 2 10 NAVIGATING BETWEEN IMAGES SERIES AND STUDIES The viewer offers a vanety of ways to navigate between different images senes and studies loaded into the viewer They can be accessed using the Navigation menu IQ LITE 2 7 O User Manual INTEN 003R 29 4 2 10 1 THE NAVIGATION MENU The options in the Navigation menu may be used to navigate within a senes study or all studies loaded in the viewer In addition either the next or previous patient study from the current study list in the study browser can be loaded into the viewer Hel Next image Previous image Next multi frame object in series Previous multi Frame object in series First image in series Last image in series Next series Previous series First series in study Last series in study Next study Previous study Next study in study list Previous study in study list Next hanging protocol Previous hanging protocol Navigation wi
72. quirements Windows Ab 7 Hardware requirements Windows Vista MM 7 Help OD gel 62 High resolution deplavs EE 5 I GO CS TMC E 55 Image filter blue 56 Image filter edge enbancel 56 Image filter high paeel EE 56 Image filter low PASS EE 56 Image filter noise red uC Don 56 Image filter reset OF ENER 56 Image filter sharpen EE 56 Image preview Study browser ssssssssssesssssrrrresssen 12 Image processing area oeeecceceeessstseeeeeessssssteeeeeeeeeeeees 18 Installation of O HIE EN 9 IQ LITE database DICOM DIR nn 11 L Licensing of iQ LITE ENN 9 Lines FUNCTION EEN 25 33 Lines function sc outpilot fupncDonl 25 71 List of SIO MEG UTS 1 usseseerersee skt k tk EL ERE E LEE ERE EL ERE REE EE LEE 70 Look up tables support of 37 Look up tables use oft 38 M Magne E 51 Magnifying Tools ENEE 51 Magnifying tools regular magnifier 2 51 Measurement tools NEEN 44 Measurement tools angles EE 46 Measurement tools calibration of measurements eege 51 Measurement tools Circular RON c0000ceeeeeees 47 Measurement tools clearing of all measurements EE 50 Measurement tools clearing of last measurement E 50 Measurement tools Cobb s angles 46 Measurement tools copying measurements 51 Measurement tools distanc es 45 Measurement tools erasing measurements 50 Measurement tools modifying measurements 50 Measurement tools overlapping valuesl 49 Measurement
73. r Title other DICOM storage class Query Retneve as Service Class User Radiographic Fluoroscopy Region of Interest DICOM store as Service Class Provider DICOM store as Service Class User Ultrasound IQ LITE 2 7 O User Manual INT EN 003R 69 6 LSTOFSHORICUTS ADDmONALKEY KEY nem Im Opensprintmanagerwindow SSS CTRL When used in combination with a mouse click in un activated viewer tile s of different senes will mark the tile s Can be used to synchronize different series Marking Unmarking ofa single image C RL HS Marking Unmarking of a whole study Opens DICOM header dump window S iQ UTE 2 7 O User Manual INTEN 003R 70 7 INDEX A Give ldethr ele BE 44 48 Annotation tool copying annotations 0 51 Annotation tool erasing annotations 50 Annotation tool modifying annotations 50 Application Entity WHC E 69 Automatic loading Of mees 20 Automatic tiling Of studies EEN 20 B Bind series FUNCTION EE 23 Bitmap Overlays display of 38 BO OM TOD ID TE 21 Bottom toolbar default 1 22 Bottom toolbar fixing of 21 Bringing study browser to front E 28 C SG MIN e BE 13 Calibration of measurements cccceeeseestteeeeeeeees 51 GNE MOU O E 38 Cine mode cine Control 1 seeren 40 Cine mode pausing autoplav 39 Cine mode playing Of eenesl 39 Cine mode setting direction sssssssssrressseererreesse 40 Cine mode setting frame r
74. r show the series preview bar by selecting either Hide or Show Altematively this can be done using the switch on the left border preview bar You can easily hide or show the series preview bar by using the switch on the left side of the series 4 2 2 THE STUDY TABS Between the series preview bar and the image processing area a tab bar is displayed that contains a study tab foreach study curently loaded into the viewer Newman Sandra 23 04 1972 MR SPINE from 20 12 2005 Trauma Poly 03 10 1975 CR Lower Limb from 23 04 2002 H Each tab states information about the study to easily identify a study It contains if available Patient name Patient date of birth Kind of study modality information Study description Study date IQ LITE 2 7 0 User Manual INTEN 003R 17 The tab ofthe curently active study in the image processing area is highlighted in light blue Clicking another study tab will load the study into the image processing area on dual display systems image processing area of the primary display If all tudy tabs do not fit on the screen use the arrow buttons JE to navigate By default iQ LITE automatically sorts the studies loaded together into the viewer according to the study date and time starting with the most current study and ending with the oldest The study tabsare listed in the same order with the most current study displaying first on the pnmary display 4 2 3
75. r up and down For more navigation options see section 4 2 10 Navigating between images senesand studies 4 2 17 2 CINEMODE With DICOM multi frame images e g angiographic or ultrasound images as well as single frame CG images e g CT MR the series can be run automatically as a sequence Either nght click the Cine mode button in the bottom toolbarorselect Cine mode from the Tools menu to access the cine mode sub menu kl Start autoplay Cine mode will begin playing automatically A separate cine mode player cine control opensto control the cine playing DI Pause autoplay The pause button temporanly suspendsthe cine play A second click restarts the cine play from where it was paused Ci Stop autoplay The stop button stopsthe cine play and closesthe cine control IQ LITE 2 7 O User Manual INT EN 003R 39 Cine control oo 24 Frm s NOTE IQ LITE can display up to 50 frames persecond The actual speed that can be reached when displaying imagesin a cine loop dependson the system resources If the Fm s display tums red the requested speed cannot be reached due to system limitations A limited text overlay will be shown during the cine run to save resources The Cine contro can be moved to a different part of the screen by clicking anywhere in the gray area of the control and dragging itto another position Further settings Direction The cine
76. ra correct display of patient and study information in the study list and in text overlays information on DICOM level the original DICOM data has to be comectly encoded with the appropriate DICOM character set e g for apanese DICOM sets encoding in the DICOM character sets ISO 2022 IR 13 ISO 2022 IR 87 and or ISO 2022 IR 159 NOTE A complete list of all generally supported specific character sets i e DICOM objects already encoded witha specific character set can be found in the main application s iQ VIEW DICOM Conformance Statement Nevertheless the adherence to the above mentioned system requirements still remains Please also pay attention to the hardware requirements for the supported Microsoft Windows versions Microsoft Windows XP http www microsoft com windowsxp pro evaluation sysreqs msp x Microsoft Windows Vista http windows mic rosoft com en US windows vista products system requirements Microsoft Windows 7 http www microsoft com windows windows 7 get system requirements aspx IQ LITE 2 7 O User Manual INTEN 003R 7 The web contenton the CD can be viewed using the following web browsers Intemet Explorer Version 4 01 and above Firefox version 1 0 and above IQ LITE 2 7 O User Manual INTEN 003R 8 2 INSTALLATION AND LICENSING 2 1 INSTALLATION OF iQ UTE The iQ LITE software is usually provided ona patient CD DVD or memory stick It does not need to be installed
77. s where the section planes cut intersect each other Mode plane projection and intersection If activated the scoutlines functions will display both the projection of the section planes and the intersection lines The line weight may be changed to adapt to a higher or lower display resolution For high resolution displays it may be more comfortable to use bolder lines The following options are available Line weight 1 light Line weight 2 medium this isthe default setting Line weight 3 strong Line weight 4 bold Please note that the user defined settings are only available for the current iIQ LITE session Do note that since settings cannot be stored permanently on a medium any settings changed from the default will not be IQ LITE 2 7 O User Manual INTEN 003R 35 remembered forthe next start of the application Thus it may be necessary to configure the scoutlines display again 4 2 15 PRESENTATION STATES IN iQ LUTE Presentation states PR are independent DICOM SOP instances containing information on how a particular image should be displayed The presentation state may contain for instance windowing zooming and panning values information about rotation or flipping and other visual display elements defined in the DICOM standard What presentation states do not contain is pixel data Therefore PR can only be used in combination with an existing DICOM image When a presentation state is applied to a
78. the general Reset button on the bottom toolbar or the menu item Reset Current view found in the Tools menu can be used to reset the modifications Note however that the latter options also remove all other modifications made to the image s NOTE When rotating or flipping zoomed images any zoom or pan changes will be reset This also applies to the Reset current view function within the flip rotate context menu However it is possible to re apply the zoom afterthe image hasbeen rotated 4 2 23 2 USING CUSTOM ROTATION In cases where the rotation presets are not sufficient or the images only need to be adjusted slightly e g to tum them upright a customized rotation can be helpful iQ UTE offers the option to rotate images in a user defined way by using the Enter custom angle option in the Flip Rotate sub menu IQ LITE 2 7 O User Manual INT EN 003R 54 Flip Rotate To rotate the image to a specific angle select Enter custom angle from the sub menu A dialog box opens where the desired angle can be entered Either type the angle in the text box or use the up and down anows to choose the corect angle then click Accept The image and all images of the same series if series scope is chosen will be rotated accordingly The image isrotated clockwise Enter rotation angle i x Enter the rotation angle in degrees 45l Accept Cancel Newman Sandra t2_tse sag
79. ther and the calculated values may overlap Since this makes values diffic ult to read iQ UTE will automatically move the valuesto avoid an ovenap To insure that each value can still be matched to the measurement where it belongs a red frame is put around any value that was moved and a line connects the value to the comesponding measurement IQ LITE 2 7 O User Manual INT EN 003R 49 4 2 20 12 ERASING MEASUREMENTS AND ANNOTATIONS Clear The clear tool can be used to erase individual measurements or annotations made in an image To use this tool select the Clear function then click the measurement or annotation to be erased After it tums red click again the item to remove the measurement or annotation Other deleting functions are available in the Tools menu Clear all measurements All measurements made in all studies loaded into the viewer are removed with one Click a Clear last measurement The last measurement made in an image is removed NOTE All measurements and annotations made in a senes one view can be deleted by using the Reset button or by selecting Clear presentation states from the Tools menu However both tools will reset ALL changes in the active senes not only the measurements and annotations 4 2 20 13 MODIFYING MEASUREMENTS AND ANNOTATIONS Modify The modify tool allows current measurements and annotations to be modified To use Is this tool sel
80. thin a senes Next image opensthe next image of the series in the curently active tile Previous image opensthe previous image of the series in the curently active tile Next multi frame object in series used for series consisting of several multi frame objects Instead of switching from one frame to the next next multi frame object in series will jump to the next object in the series independent of the number of frames in the current object If single frame objects images are included in the senes they willbe consdered an object as well Previous multi frame object in senes used for series consisting of several multi frame objects Instead of switching from one frame to the previous previous multi frame object in series will jump to the previous object in the series independent of the number of frames in the current object If single frame objects images are included in the senes they willbe consdered an object aswell Firstimage in series opensthe first image of a senesin the curently active tile Last image in series opensthe last image of a series in the curently active tile IQ LITE 2 7 O User Manual INTEN 003R 30 Navigation within a study Next series opensthe next senesin a study in the curently active tile Previous series opens the previous series in a study in the curently active tile First series in study opens the first senesin
81. tivated a Automatic loading The viewer automatically loads the different series of one study into the preset tiling e g the first senes when working with a 1x1 tiling two series with a 2x1 or 1x2 tiling In combination with Automatic tiling all available senes are loaded automatically in the appropnate tiles The automatic loading isactivated by default and cannot be deactivated IQ LITE 2 7 O User Manual INTEN 003R 20 Additional settings Image filter Image Size of series preview bar d Aukocontrast every image Automatic tiling Automatic loading 4 2 4 BOTTOM TOOLBAR The bottom toolbar offers the opportunity to easly access the most important image processing functions with just one click 9 IQ LITE toolbar Moving the mouse to the bottom of the screen will display the bottom toolbar The individual functions of the buttons are described in the respective sections of this user manual Some buttons have settings that are accessible by right clic king the button When a tool is selected a yellow frame appears around the button to show that it is currently active In some casesthe yellow frame can also indicate that an image wasmodified using a particular function A yellow frame around Colorscheme means that color scheme changes were made to an image e g inverted A yellow frame around Flip Rotate indicates that an image has been rotated or flipped Additional indicators will be add
82. tools pemendicular distance 46 Measurement tools Polygonal ROI cesses 48 Measurement tools RAtiOS ccccccccceessssssssssssteeees 45 Measurement tools euttermg EEN 48 Measurement tools square BOU 47 Menu of aar meer tra ner mnceir int moran rere er irr se 27 Menu bar Additional settings section 27 Menu bar File eechonl EEN 27 Menu bar Help sec tion EE 27 Menu bar Image filter section 27 Menu bar Image selection section 1 27 Menu bar Navigation section E 27 Menu bar Tools sec ton 27 Multi frame images treatment of 29 N Navigation options Wiewer 29 30 Navigation options within a SENS 30 Navigation options within a study e 31 Navigation options within several studies 31 O Orientation mdicatormg EEN 18 19 Orientation oos 33 Orientation tools lines model 33 Orientation tools sc outlines configuration 35 IQ LITE 2 7 O User Manual INTEN 003R Orientation tools sc outp lot EE 33 Overays support of 37 P Pan handling with presentation states nn 52 Pan OP TONS E 52 Parn ZOMG eege 52 PANNING IMAGES EE 51 Presentation states Cleaning of 36 Presentation states desc moon 36 Presentation states support of 36 Preview ConspDanel EE 13 PANE Me Ma Le 64 Print manager deleting ima ges3 sssssssssserresssesn 67 Print Manager idrag dp 67 Print manager editing images for pnnting 66 Print manager imag
83. ttons and menu entres The measurement and annotation toolscan be accessed in the following ways Click the Tools menu and select Measurement tools to accessthe sub menu displaying all functions Select the Measurement tools button on the bottom toolbar A nght click on the button or hovering over the little black comer opensa sub menu all measurement and annotation functionscan be found IQ LITE 2 7 0 User Manual INTEN 003R 44 Distance ay Ratio E Ferpendicular distance Angle fal Cobb s angle Square ROI Circular ROI Er Folygonal ROI _ Shutter Li Annotation Fa Clear T Modify ER corr NOTE Measurements and annotations can be applied to rotated and mirored images Only images with square and circular ROI measurements that were rotated at a custom angle are excluded If ROI measurements are made in an image before it is rotated these measurements will no longer be visible afterthe rotation However the measurements will not be deleted and will become visible again when the image is rotated using a Standard rotation The same appliesto drawn shutters 4 2 20 1 DISTANCE MEASUREMENTS Distance The distance tool is used to measure a distance To use the tool point to the position where the measurement should begin and hold the left mouse button down while dragging the mouse to the end point Releasing the mouse button will show the results in millimeters NOTE If th
84. view of the viewer window blue frame Curent seres the senesin the active view of the viewer window Curent study the active study Selection a selection made previously in the viewer by marking images With this option it is possible to pnnt several complete studies or parts of different studies See section 4 2 13 Selection of images series and studies for more information on how to make selections Layout The layout determines how many images will print on a single page Up to 5x5 images may be selected Page controller The page controller gives information about how many pages will be needed for printing the selected images If more than one page will print the slider bar can be used to navigate between viewing the different pages Drag the slider to the desired page or click in the page controller bar to the left or right of the indicator to move one page ata time in the respective direction Print text overlay The text overlay forthe images will be printed if checked Print page header The page headers with the patient information will be printed if checked IQ LITE 2 7 O User Manual INTEN 003R 65 NOTE If images from more than one study patient are selected for print the page header will only print the details of the first tudy To avoid confusion be sure to keep the Print text overlay activated and deactivate the Print page header Text background Activating this
85. w open the second senes preview bar by using the button in the series preview bar and select the correct study if more than one is available This will disolay the senes thumbnails of the second study but does not change the display in the Image processing area Now drag and drop the desired series into the right view 4 2 13 SELECTION OF IMAGES SERIES AND STUDIES When images senes or studies are to be exported to another image format e g J PEG BMP TIFF or RAW a video file AVI ora Windows printer it is sometimes necessary to first mark these images for export This is the case when the following types of files are to be exported Only specific images either from one or several senes Several but not all series of a study Data from different studies Individual images can be marked or unmarked by clicking the box in the upper nght comer of each view When an image is marked the box will tum red Further selection options are available in the Image selection menu Triage selection Navigation Help Study Select whole study Serie Select every second image Select active image Select every third image Clear current selection Select every Fourth image Navigation Study Loe o Select whole series Select active image Select every second image Clear current selection Select every third image Select every Fourth image IQ LITE 2 7 O User Manual INTEN 003R 32 Using the Image selection menu it
86. w series 4 2 26 EXPORTING DICOM IMAGES TO OTHER IMAGE FORMATS DICOM images loaded into the viewercan be exported to other image formats J PEG BMP and TIFF as well to an AVI video format for use in a case presentation iQ UTE will export the images aswell asthe modifications applied to them measurements and annotations windowing zoom pan flip rotate color remap etc Export options are only available asa menu entry To export images click the File menu and select Export image s A sub menu offers the following possibilities Current image exports only the currently active image blue frame Whole series exports the entire series where the current image belongs Whole study exports the complete study currently active in the viewer All studies loaded exports all studies curently available in the viewer Current selection exportsa selection of images series or studies A selection must be made before using this export function Export to AVI allows the exporting of either the current series ora previously made selection of images into an AVI video file Tools Additional settings Image Filter Image sele Export images Current image Post processing Whole series Print manager Whole study Bring Study Browser to Front All studies loaded i Current selection Close viewer Export as AI IQ LITE 2 7 O User Manual INT EN 003R 57 Exporting images to
87. ws the images to be pnnted with their modifications e g added measurements and annotations window level changes flipping rotation zZoom pan IQ LITE 2 7 O User Manual INT EN 003R 64 4 3 2 PRINTER PAPER FORMAT AND ORIENTATION SELEC TION The printer paper format and onentation must be selected from the drop down menus in the upper part of the print manager screen before printing Printer Select the appropriate printer for printing the images Any local or networked Windows printer can be chosen NOTE Please note that in general printouts of DICOM images particularly paper printouts may not be of a diagnostic quality and should therefore not be used to provide diagnostic findings For higher quality printouts the use of PostScript printers is recommended Clicking the Printer settings button after selecting a specific printer brings up the typical K Windows printer propertiesto change settings forthe printer Paper format This option is only available for DICOM print As DICOM print is not available in iQ LITE this option is grayed out Orientation Choose between portrait or landscape orientation for printing The print manager preview is changed accordingly 4 3 3 IMAGE OUTPUT AND LAYOUT SELECTION On the right side of the Print manager screen several options are available regarding the output and layout Image output Select what to print Current image the one in the active
88. y In the series preview bar all available series of a study are displayed with one thumbnail representing each series The series curently active in the image processing area will be shown with a yellow frame in the series preview barforeasier onentation Each series thumbnail displays a number that coresponds to the number of images included in the seres In case of multi frame images the number of available frames will be displayed 4 2 1 2 FUNCTIONS OF THE SERIES PREVIEW BAR The series thumbnails in the preview bar can be used to populate the views in the image processing area both on single and dual display systems by Dragging a senesfrom the preview barto an available view of yourchoice Double clicking a senesthumbnail to load it into the currently active view blue frame Below isa description of the various buttons that may be found in the series preview bar They are only visible if more than one study is loaded into the viewer gt Clicking the forward button will open the next study in the image processing area on the primary display in dual display systems lt Clicking the backwards button will open the previous study in the image processing area on the primary display in dual display syste ms Clicking the plus button on single monitor systems opens a second seres preview bar with the thumbnails of the second study loaded into the viewer If more than two studies are loaded a click on the plus button
89. zsverssecusesseavsctssvisevencveraseresesssnsucsncas 23 Synchronizing different ees 23 System requirements MINIMA sssereenererrrnrrner 6 System requirements recommended 1 7 System requirements web browsers ceeeeeeees 8 T Testing IQ VIEW DROEN 9 Text overay MMmM Gu ssssseeeerrre skete RE ERE LEE REE E ELLE REE EE LEE E ELEG 37 Text overay activation of 37 Text overlay deactivation of 37 Text overlay display of lossy image compression 37 U gn EC Isncrtsensscectecseaessencrestracsseasewessvecevenseessets 11 62 User manual access from study browser 11 User manual access from viewer 62 V VIEW TOO I EE 14 AE 14 15 W Windowing applying window changes 40 Windowing auto contra st E 43 Windowing creation of window presets 0 42 WINGOWING CYNAMIC cccceeetseeeeeeeessssteeeeeesseseesenees 41 Windowing fine tuning model 43 Windowing ROI window EE 43 Windowing static le 40 Windowing using window presets s 40 41 leie WING TOO E 40 Wind OWS PANE Gergusetgeguegeugsehergeeusehageggeeegeegegugdiegegegiiegegg 64 Windows print reducing print job size 1 66 Z Zoom handling with presentation states 52 ZOOM OD UO INS asiaa aE iKi na Ni ni i 52 Zoom options scroll zooml EE 53 ZOOM ZONE E 52 ZOOMING Wmedes EE 51 73 IMAGE INFORMATION SYSTEMS LID OFFICE 404 41H FLOOR ALBANY HOUSE 324 326 REGENT STREET LONDON W1B 3HH UNITED KIN

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