VARIOIMAGE MANUAL SCHAEF SYSTEMTECHNIK GMBH 01/2010

Transcription

1 VARIOIMAGE MANUAL SCHAEF SYSTEMTECHNIK GMBH 01/2010

2 Schaef System Engineering GmbH Falkenstraße 22 Germany Petersaurach Tel.: / Fax: / Copyright 2004 by Schaef System Engineering GmbH All rights reserved. Make sure that you have a written permission from the company Schaef System Engineering GmbH, to make a completely and/or partly copy of this manual with electronic and/or mechanical equipment, photocopiers, recording devices and/or otherwise. Make sure that you have a written permission from the company Schaef System Engineering GmbH, to spread further this manual. Important note All information and reference, which are contained in this book, were compiled by the authors after best knowledge and certain and examined by them with greatest possible care. With consideration of the product liability right we must point out however that content wise errors or omissions are not to be excluded completely. For any incorrect data authors and the company Schäf System Engineering GmbH cannot take over any obligation and adhesion.

3 CONTENTS Archives inquiry... 1 Selective inquiry for examinations... 1 Inquiry of today's examinations... 2 Inquiry of the examinations from yesterday... 2 Inquiry of the examinations from the last 7 days... 2 Image indication... 2 Retrieve an investigation... 2 Retrieve the selected patient, a study, a series or a single image from archive into the local data base Retrieve the selected patient, a study, a series or a single image directly to your screen... 4 Import DICOM-images... 5 Import a DICOM directory... 6 Import and show a Dicom directory... 7 Working on the local data base... 8 Refresh the overview of the local data base... 8 Filter function for the local data base... 8 Transfer selected examinations to the archive... 9 Store images on any data medium Delete examinations from the local data base Show examinations on your screen Show a selected investigation from local database on your screen The 'OVERVIEW' enables the user to switch between opened examinations Work with images Studies representation Representation of images Treatment of images Image steplessly increase and make smaller Change window width- and window level-value steplessly The full screen mode Adapt the image size to the visible area Select images for printing Setting images in different positions Select an image Shift an image Cut out an image area Label the images Measuring an image Emphasize an image area Schaef Systemtechnik GmbH - i - VARIOIMAGE

4 Remove or hide measurements and labels Make a copy of an image Reset the images Invert images Store current data as filter entry Work with filters Close all open examinations View DICOM header image information of the selected image Copy and insert the selected picture Store the selected image on data media Toolbars Local data base toolbar Viewer toolbar Printing toolbar Printing patient images Delete the contents of the print preview Merge Cine Stitch MPR VARIOIMAGE setup Setup "Viewer" Customer Multimonitor List Layout General 41 Setup "Dicom" Query/Retrieve Default Storage Class Provider Default Query/Retrieve Service Class Provider Setup "Printing" Printer 47 Topogram CT/MR General 48 Offset 48 Setup "Workflow" Workflow-Management Setup "Images" Default Display Mode CT/MR Special Schaef Systemtechnik GmbH - ii - VARIOIMAGE

5 Offset for Images without window width and level Setup "Icons" Icons 55 Setup "Labels" Info Labels Print Labels Reference Line Marker Label Measure Line Info-Label Config Setup "Buttons" Studies/Series Buttons Image Buttons Mammographik Setup "LocalDB" Local Database Setup "External" Add-Ons64 Shell Execute Dialing 64 External Components Setup Display Default Magnifying glass Supplementary applications Medical disc Paper scanner Digitizer Recording Tool Reporting Tool Schaef Systemtechnik GmbH - iii - VARIOIMAGE

6 VARIOIMAGE ARCHIVES INQUIRY SELECTIVE INQUIRY FOR EXAMINATIONS Enter a search word into the fields name, ID, Birthdate and/or Studydate, to start a search. Enter more search words, to get more detailed results. In the fields Name and ID a star (*) as wildcard can be used also. Example: The inquiry with the search word Mei* lists all patients, whose last name begins with mei. Example: The inquiry with the search words mei* (last name), (Birthdate) and (Studydate) lists all patients, whose name begins with mei, born on and were examined on Push Query button to start the search. 1

7 INQUIRY OF TODAY'S EXAMINATIONS Push Today button shows all patient examinations of current date. INQUIRY OF THE EXAMINATIONS FROM YESTERDAY Push Yesterday button, shows all patient examinations from yesterday. INQUIRY OF THE EXAMINATIONS FROM THE LAST 7 DAYS Push Week button, shows all patient examinations from the last 7 days. IMAGE INDICATION RETRIEVE AN INVESTIGATION RETRIEVE THE SELECTED PATIENT, A STUDY, A SERIES OR A SINGLE IMAGE FROM ARCHIVE INTO THE LOCAL DATA BASE. Note that the investigation, you want to show on your screen or you want to make changes on it, is loaded into the local data base. Select the patient, the study, series or the single image you want to retrieve into the local data base. Click on the plus sign (+), in front of the folders, opens the folders to select the contents 2

8 Patient All images, from the selected patient, are loaded into the local data base. Studie (Study) All images, from the selected study, are loaded into the local data base. Serie (Series) All images, from the selected series, are loaded into the local data base. Einzelbild (single image) The selected image is loaded into the local data base. Push Retrieve button to load the selected investigation into the local data base. To retrieve an investigation might take some time, depending on the size of the investigation. Alternative options for retrieve images: Right click onto the selected investigation to open the menu. The menu Select Retrieve to load the investigation into the local data base. By pushing Enter button or double click on the selected item, investigation will be loaded to the local data base. 3

9 RETRIEVE THE SELECTED PATIENT, A STUDY, A SERIES OR A SINGLE IMAGE DIRECTLY TO YOUR SCREEN The Examinations can be retrieved directly on your screen. Images will be not stored into the local data base. If you close the investigation, you have to retrieve them again. Make sure that you have selected an investigation. Push Retrieve + View (R + V) button, to retrieve the investigation on your screen. To retrieve an investigation might take some time, depending on the size of the investigation. Alternative options for view images: Right click onto the selected investigation to open the menu. The menu Select Retrieve + View retrieves the investigation directly on your screen. 4

10 IMPORT DICOM-IMAGES With the option Import Dicomimage, DICOM-images can be retrieved to your local data base. Select the option Import Dicomimage from the submenu Import from the menu File. Open the folder where the DICOM-images are. Make sure that you have selected the desired DICOM-images and push Open button. The selected DICOM-images are loaded to the local data base. 5

11 IMPORT A DICOM DIRECTORY With the option Import Dicomdir, a DICOM-directory can be loaded to your local data base. Select the option Import Dicomdir from the submenu Import from the menu File. Open the folder where the file Dicomdir is. Make sure that you have selected the file Dicomdir, and push Open button. The selected DICOM-directory are loaded to the local data base. 6

12 IMPORT AND SHOW A DICOM DIRECTORY With the option Import Dicomdir & View, a DICOM directory can be loaded into the local data base and at the same time on your screen. Select the option Import Dicomdir & View from the submenu Import from the menu File. Open the folder where the file Dicomdir is. Make sure that you have selected the file Dicomdir, and push Open button. The selected DICOM-directory are loaded to the local data base and on your screen. 7

13 WORKING ON THE LOCAL DATA BASE REFRESH THE OVERVIEW OF THE LOCAL DATA BASE Push Refresh button to refresh the overview of the local data base. FILTER FUNCTION FOR THE LOCAL DATA BASE With the filter functions, desired studies can be found faster. Three filter functions (Modality, Today and Reporter) are available, which can be also combined. 1. Modality Only examinations of the selected modality are shown. 2. Today Only examinations of the current date are shown. 3. Reporter Only reported examinations of the selected physician are shown. 8

14 TRANSFER SELECTED EXAMINATIONS TO THE ARCHIVE New images, measurements, markings and/or inscriptions in examinations are not stored automatically in the archive. The images must be sent manually to archives. Push Send button to transfer the selected investigation to the archive. Alternative options for Send button: Right click onto the selected investigation to open the menu. Select the options Send or Send to, to transfer the selected investigation to the archive. The menu The option Send transfer the selected investigation to the archive. The option Send to allows you to transfer examinations to another archives. Example: How to setup more archives, go to chapter 6.2 "Setup 'Dicom'" This option needs SPECIAL RIGHTS on the archive, which can be assigned only by our service. Please contact our service, if you like to activate this function in your system. 9

15 STORE IMAGES ON ANY DATA MEDIUM The examinations contained in the local data base can be stored in any data medium (e.g. hard disc). Right click onto the selected investigation to open the menu. The menu The option Save to opens the dialogue window Nach einem Ordner durchsuchen. Select the folder where the selected investigation should be stored. DELETE EXAMINATIONS FROM THE LOCAL DATA BASE Examinations in archives remain unaffected. Delete those examinations from the local data base older than one day. Push Delete button to delete examinations older than one day. Delete selected examinations. Right click onto the selected investigation to open the menu. The option 'Delete' deletes the selected investigation. Delete all examinations. How to delete all examinations, go to chapter 8.8 "Setup 'LocalDB'" 10

16 SHOW EXAMINATIONS ON YOUR SCREEN SHOW A SELECTED INVESTIGATION FROM LOCAL DATABASE ON YOUR SCREEN. Select the patient, the study, the series or the single image you want to show on your screen. Click on the plus sign (+), in front of the folders, opens the folders to select the contents Patient All images, from the selected patient, are shown on your screen. Study All images, from the selected study, are shown on your screen. Series All images, from the selected series, are shown on your screen. Single image The selected image is shown on your screen. 11

17 Push View button will show the selected investigation on your screen. This could take some time, depending on the size of the investigation. Alternative options for View button: Right click on the selected investigation will open the menu. The option View or View reverse shows the selected investigation on your screen. The menu The option View shows the selected investigation on your screen. The option View reverse shows the selected investigation in reverse order on your screen. Push Return button or double click also shows the selected investigation on your screen. 12

18 THE 'OVERVIEW' ENABLES THE USER TO SWITCH BETWEEN OPENED EXAMINATIONS. Text overview The text overview shows all opened examinations with names and date. Switch between the investigation by clicking on the desired investigation. Image overview The image overview shows all opened examinations with names and date. Additionally with the active investigation, the number of adjusted (standard four) preview Icons are represented, which indicates the investigation images or image numbers. with image preview: without image preview: How to change the preview, go to chapter 8.5 "Setup 'Icons'" 13

19 WORK WITH IMAGES STUDIES REPRESENTATION Push Study button, to switch between number of represented studies. 1.) single study 2.) 2 studies next to each other 3.) 2 studies one above the other 4.) 4 studies REPRESENTATION OF IMAGES Push Image Rows/Columns button, to switch between number of represented images. 1.) single image 2.) 2 images next to each other 3.) 4 images 4.) freely definable attitude TREATMENT OF IMAGES IMAGE STEPLESSLY INCREASE AND MAKE SMALLER Make sure that the desired image is selected. Use the mouse wheel to change the zoom. Move the mouse pointer on the appropriate area in the image, which you would like to represent increase or make smaller. Scroll the mouse wheel Forward Backward to increase the image to make the image smaller 14

20 CHANGE WINDOW WIDTH- AND WINDOW LEVEL-VALUE STEPLESSLY Move the mouse pointer onto the image, and keep pressed the right mouse button. Move the mouse as follows: vertically horizontal change window level value change window width value Make sure that the desired image is selected, if you use the option 'Window all together' (go to chapter 6.5 Setup "Images"). Only the window values of the selected image are transferred to the entire study. THE FULL SCREEN MODE Push F12 button to activate / deactivate the full screen mode. In the full screen mode you can use only the following functions for image treatment: Attitude of the window values (window width, window level) Attitude of the zoom Attitude of the representation mode Click onto an image to open the menu for changing the representation mode. Push Esc button to close the menu. Push Zoom 1 button to view the image in original size. ADAPT THE IMAGE SIZE TO THE VISIBLE AREA Push Stretch to fit button to adapt the selected image to the visible area. 15

21 SELECT IMAGES FOR PRINTING For print out, select the button located on the above left side of the image. Image isn't selected for printing Image is selected for printing How to print selected images, go to chapter 5.1 "Printing patient images" SETTING IMAGES IN DIFFERENT POSITIONS Push 90 left button, turn the image to the left. Push 90 right button, turn the image to the right. Push vertical reflect flip the selected picture vertically. Push horizontal reflect flip the selected picture horizontal. Transfer adjustment to all images Push All button to change the positions of other images. This will copy the position of the selected image to all images. Reset the adjustment of the selected image The option Normal in the menu Display reset the adjustments of the selected image. 16

22 SELECT AN IMAGE Select the image before working on it. Push Sel. (Select) button, activates the option select. Click on the image you want to select. Alternative option for Sel. (Select) button: Use the option Select from the submenu Mouse Functions in the menu Tools. SHIFT AN IMAGE Push Pan button, activates the option pan. Alternative option for Pan button: Use the option Scroll from the submenu Mouse Functions in the menu Tools. Click on the desired image and keep the left mousebutton pressed. Move the mouse in the desirable direction, in order to shift the image. CUT OUT AN IMAGE AREA A certain area of an image can be cut out. This area is inserted automatically as new image into the active investigation. Push Clip button, activates the option clip. Click on the desired image and keep the left mousebutton pressed. Move the mouse pointer, in order to define the appropriate area. After defining the appropriate area, release the mouse button, in order to insert the marked area into a new image. Made image manipulations at the original image aren't taken over. 17

23 LABEL THE IMAGES Label your selected image, in order to make attentive on a certain area of the image. Push Label button, to open the dialogue window Label Details. The menu Label Details in the overview. Label types: a straight line a free drawn line a text note an arrow a rectangle a free drawn line. The first and last point of the line are connected automatically a circle 18

24 text alignments: left center right Label attitudes: The size of the inserted label always adapts to the current zoom. The size of the inserted label remains unchanged on change of the zoom. The size and position of the inserted label are embodied firmly and remain unchanged with image manipulations. Further attitudes: Background of the marked area is visible / not visible. the line width Label forecolor Label backgroundcolor Character font and size. Click onto the text field to change the setup. Store changed setup. Close the dialogue window. 19

25 MEASURING AN IMAGE Push Meas. button to open the dialogue window Measure Details. The menu Measure Details in the overview. Measure types: the distance between two points. angular measurement. surface of a rectangle. surface of a circle. a free drawn line. The first and last point of the line are connected automatically. Label attitudes: The size of the inserted label always adapts to the current zoom. The size of the inserted label remains unchanged on change of the zoom. The size and position of the inserted label are embodied firmly and remain unchanged with image manipulations. 20

26 Further attitudes: Background of the marked area is visible / not visible. the line width Label forecolor Label backgroundcolor Character font and size. Click onto the text field to change the setup. Store changed setup. Close the dialogue window. Click with the mouse pointer in the desired image on the initial position of the measurements and keep the left mousebutton pressed, and move the mouse pointer up to the desired last point. If the necessary information are contained in the image. Range measurements are indicated in millimetres, angular measurements in degrees. 21

27 EMPHASIZE AN IMAGE AREA A certain area of an image can be emphasized, the remainder of the image is faded out. Push Shut button, to open the dialogue window Shutter Details. The menu Shutter Details in the overview. Shutter types: Emphasize a rectangle. Emphasize a circle. Marks a polygonal area in the image. Points defines the number of corner points, which can be set. Store changed setup. Close the dialogue window. 22

28 REMOVE OR HIDE MEASUREMENTS AND LABELS The made measurements and labels of the images can be removed or hidden at any time. If you remove or hide measurements and labels it affects all images in the investigation. Push Clear button to remove all measurements and labels. Push Hide button to hide all measurements and labels. MAKE A COPY OF AN IMAGE Make sure that you have selected the image you want to make a copy of. Copied measurements and labels can't be removed or hidden. Push Whole button to make a copy of the whole image. Alternative option for Whole button: Select the option Secondary Capture (Whole Image) in the menu Tools. Push Disp. A. button to make a copy of the shown area. Alternative option for Disp. A. button: Select the option Secondary Capture (Display area) in the menu Tools. RESET THE IMAGES The made manipulations (turn, reflect, window width and level, etc..) can be cancelled at any time. Push Reset button to reset the whole investigation into the original state. 23

29 INVERT IMAGES Push Invert to invert the selected image. STORE CURRENT DATA AS FILTER ENTRY Push W/L button, to open a dialogue window, to store the current window values. Please assign a freely selectable name for the filter adjustment(e.g. bone) and push OK button to store your filter. 24

30 WORK WITH FILTERS WINDOW WIDTH AND WINDOW LEVEL FILTER In the filter list, all filters are listed with name and value. Click onto the desired entry, to use a filter. The selected filter affects all images of the study. If the option Modality-specific Filter selected (go to chapter 6.1 "setup 'Viewer'"), only the filter entries are indicated, which agree with the modality of the indicated series. EDIT WINDOW WIDTH AND WINDOW LEVEL FILTER ENTRY'S Select the option Filter in the menu View to open the dialogue window Edit Filter. Make sure that you have selected the filter entry you want to edit or delete. Save: The selected filter entry is overwritten with the current data. Save as new: Stores the current data as new filter entry. Delete: Deletes the selected filter entry. 25

31 THE GAMMA CORRECTION The gamma correction designates the spreading change of brightness of an graphical representation. In the filter list, all filters are listed with name and value. Click onto the desired entry, to use a filter. The selected filter affects all images of the study. The filter list shows all sine values filter to change the brightness. Dialogue window gamma information: The dialogue window Gamma Information indicates graphically the sine curve actually set. with the slider you can change manually the sine curve positively or negatively. Keep the mouse pointer pressed over the slider, and move the slider to the left or right. 26

32 THE EDGE ENHANCEMENT During the edge enhancement, for example, the contrast is increased at edges (sharp-draw), i.e. to find edges and emphasize it. In the filter list, all filters are listed with name and value. Click onto the desired entry, to use a filter. The selected filter affects only the selected image of the study. In the filter list, all filters are listed with name and value. Push All button to transfers filter attitudes of the selected image onto the entire study. Push Edit button to open the dialogue window Edging Houndsfield to work on a filter entry. Push New button to open the dialogue window Edging Houndsfield to add a new filter entry. 27

33 CLOSE ALL OPEN EXAMINATIONS Select the option Close All in the menu View to close all open examinations. VIEW DICOM HEADER IMAGE INFORMATION OF THE SELECTED IMAGE The Dicom header image information is in each image and contains important information about the image, the patient and the equipment. All available information can be seen, and exported into a text file. Select the option Image Information in the menu View to open the dialogue window Dicom Image Header Information. Push Export to Text button to open the dialogue window Image Information Export. Select the desired folder and push the Save button. 28

34 COPY AND INSERT THE SELECTED PICTURE Images can be copied into the intermediate file and be inserted in all series, studies or also external programs (e.g. MS Word). If you close the investigation, in which you inserted the images, these inserted images are no longer available in this investigation. Select the option Copy in the menu Edit to copy the selected image into the intermediate file. Select the option Paste in the menu Edit to inset the image out of the intermediate file. STORE THE SELECTED IMAGE ON DATA MEDIA The selected picture can be exported in the formats Dicom, bit-map and JPEG. The formats bit-map and JPEG can be represented by all image viewer. Select the option Write in the menu File to export the selected image in the format Dicom. Select the option Export in the menu File to export the selected image in the formats Bitmap or JPEG. Select your desired folder at the dialogue window File save as and push Save button. In order to select between the format bit-map and JPEG, open the selection field Datatype and mark the desired format. 29

35 TOOLBARS LOCAL DATA BASE TOOLBAR Push button to switch between the local data base (Data), the image representation (2D) and the printing representation (Print). show all patient examinations of the current date. show all patient examinations from yesterday. show all patient examinations from the last 7 days. start an archiv query. retrieve the investigation to your screen. load the selected investigation of the patient into the local data base. show the selected investigation on your screen. Delete examinations from the local data base those are older than one day. transfer the selected investigation to the archive. 30

36 Push button to start the Supplementary application Medical disk. start the Supplementary application Paper scanner or Digitizer. start a Supplementary application to open a dialler connection. refresh the local data base. start the Supplementary application Recording Tool. start the Supplementary application Reporting Tool. 31

37 VIEWER TOOLBAR Push button to switch between the local data base (Data), the image representation (2D) and the printing representation (Print). switch between number of represented studies. switch between number of represented images. represent the image in original size. adapt the selected picture to the visible area. turn the image to the left. reflect the selected picture vertical. reflect the selected picture horizontal. turn the image to the right. transfer the adjustments from the selected image to the entire investigation. select a image with the mouse button. shift the selected image. mark and cut out a area of the selected image. This area is copied into a new image. label your selected image, in order to make attentive to a certain area of the image. 32

38 push button to insert measurements into the image. emphasize certain area of a image. switch between the local data base (Data), the image representation (2D) and the printing representation (Print). load the whole study into the print preview. load the whole series into the print preview. load the marked images into the print preview. hide all information in the image. add a comment at the lower edge of the image. start printing. summarize different image formats of a print page to one image. delete the contents of the print preview. start the Supplementary application Recording Tool. start the Supplementary application Reporting Tool. 33

39 PRINTING TOOLBAR PRINTING PATIENT IMAGES All images can be selected for a print. How to switch to the print preview, go to chapter 4.2 'Viewer toolbar' PRINT STUDY Push Print study button to load the whole study into the print preview. PRINT SERIES Push Print Series button to load the whole series into the print preview. PRINT MARKED IMAGES Push Print marked button to load the marked images into the print preview. How to mark images for printing, go to chapter " Preselect images for printing ". MANUAL SELECTION FOR PRINT Print images from different series and studies together, is only possible if they have the same modality. The desired image can inserted by a mouse click or through drag and drop into the print preview. How to switch between 'Click' and 'Drag & Drop', go to chapter 6.6 "Setup 'Icons'" Window width and window level of each image can be changed in the print preview. 34

40 PRINTER SETUP The standard printer configuration (print format, Orientation, etc..) can be changed before each print. How to configure the printer, go to chapter 6.3 "Setup 'Printer'" START PRINTING Push Print button to start printing. DELETE THE CONTENTS OF THE PRINT PREVIEW If an image, or if all images are false in the print preview, they can be deleted from the print preview. DELETE ALL IMAGES FROM THE PRINT PREVIEW Push Clear button to delete all images out of the print preview. DELETE ONE IMAGE FROM THE PRINT PREVIEW Click into the desired image and select the option Delete in the menu, to delete the image out of the print preview. 35

41 MERGE Push Merge button to summarize different image formats of a print page to one image. CINE BUTTONS Load Scene: For loading a scene with the selected study. Save Scene: For saving the scene local on the system. Play: For playing the generated scene. Stop: For stopping the generated scene. CINE MODE No Loop: The video will play just one time. Looping: The video start again if it s on the end. Oscillate: The video will played backwards if it s on the end. CINE DISPLAY Performance: For a better performance (the image quality is not so good). 36

42 Quality: For a better quality (the performance is not so good). Play at Zoom to fit : The video will played as zoomed to fit. Play at 100% Zoom : The video will played with the original image size. FRAME Prev Frame: Click to get the previous frame. Next Frame: Click the get the next frame. STITCH Stitch: To stitch two images on the left side. Clear display: Clear the display on the left side. 37

43 MPR Load MPR: Reconstruct a MPR viewing display from any CT/MR series selected in the 2D viewing display. Move the green line (horizontal) or the yellow line (vertical) to change the slice in saggital or coronal view. 38

44 VARIOIMAGE SETUP Select the option Options in the menu View to open the dialogue window Options. SETUP "VIEWER" 39

45 CUSTOMER Customer Name Enter the name of the physician or hospital. This information are shown in all images. MULTIMONITOR Multiple Monitors Startup left position This option should be activated only with a multi-monitor system. The following setups must be configured after activation. The initial position of the INTVERVIEW 2D from left edge. The initial value is necessary if monitor combinations are used. Example: Color monitor Greyscale monitor Greyscale monitor Calculation: Screen resolution (color monitor) x 15 = initial position Startup top position The initial position of the INTVERVIEW 2D from above. initial position: 0 Screen resolution (color monitor) x 15 = initial position Startup width The initial width of the VARIOIMAGE. initial position: 0 Screen resolution (color monitor) x 15 = initial position Startup heigth The initial heigth of the VARIOIMAGE. initial position: 0 Screen resolution (color monitor) x 15 = initial position If the initial position of startup width and startup heigth is zero, VARIOIMAGE starts in full screen mode. 40

46 LIST LAYOUT Backcolor Fontcolor Gridlines Altern. Row Color Font Folder Layout The backcolor of the tables. The fontcolor of the tables. Seperate the entries via small lines between the list entries. Choose the color of the alternative row color which do you see in the Grid Layout. Choose the font of the list entries. The folder Style of the table 'Local Database. Grid Layout The folder Style of the table 'Local Database. You have to restart your VARIOIMAGE after changing the setup Folder Layout / Grid Layout. GENERAL Modality-Specific Filter Maximum archive patient list Language 5 MP Display Activates the sorting of the window width and window level of filter entries to modality. Setup how many patients can be loaded into the local data base. Choose the program language. The program have to be restarted after changes. Will be needed if you have a 5 MP Display for a better view. VIEWING AREA Backcolor Choose the background colour of the dicom viewer. 41

47 STUDY LIST OFFSET Autosize Height Top Choose a automatical size for the list entries. Choose manually the height of the list entries. Choose manually the top value of the list entries. PIXEL / INCH Horizontal per Inch Vertical per Inch Horizontal pixel value for mammography. Vertical pixel value for mammography. 42

48 SETUP "DICOM" In this register, all necessary data for the DICOM communication are registered. 43

49 GENERAL Fundamental setups which VARIOIMAGE needs for the DICOM communication. Local AET IP Port Receive asynchrony Setup the Application Entity Title (AET) with the VARIOIMAGE identifies itself at other Dicom nodes. Setup of the TCP/IP port at which VARIOIMAGE is attainable for other Dicom nodes. (standard port 104) Asynchronous receipt makes it possible that more Dicom nodes can send at the same time to VARIOIMAGE. With asynchronous receipt transmission rate decreases, because several connections must be administered at the same time. QUERY/RETRIEVE These setup is needed for the execution for Dicom Query/Retrieve. Local AET Move AET Application Entity Title (AET) with the VARIOIMAGE identifies itself at other Dicom nodes. Application Entity Title (AET) to that the Dicom nodes sends. DEFAULT STORAGE CLASS PROVIDER These setups are necessary to archive images with DICOM-send. Node/IP Address IP Port Remote AET Network name or IP address of the archive. Setup of the TCP/IP port at which the archive is attainable for other Dicom nodes. (standard: Port 104 or Medistore Port 1111) Application Entity Title (AET) of the archive. 44

50 DEFAULT QUERY/RETRIEVE SERVICE CLASS PROVIDER These setups are necessary for the query/retrieve of images from the archive. These setup usually are equal to those at Default Storage Class Provider Use retrieve directly to memory Makes it possible to show images from the archive, without storing these into the local data base. Retrieve directly to memory on doubleclick Retrieve directly to memory via C-GET Archive is Medistore2000 Write Sendlog Show Dicom-Login Menue Dicom-Echo on picture-click only Makes it possible to show images from the archive on double click, without storing these into the local data base. Switch between the transmission methods C-GET and C-MOVE. This setup adds a direct transfer at the Application Entity Title (AET) of VARIOIMAGE (e.g. Viewer2Direct). This Application Entity Title (AET) have to be admits at the archive. Choose it for logging the send activities in an extra send log. Choose to see the DICOM log in an extra window. Activate an DICOM echo, which is send, if the overview is changed from local data base to archive. Not each archive can answer accordingly to an echo. Medistore2000 can answer this echo accordingly. VARIOIMAGE is blocked for 60 seconds, wait for an answer coming from archive. 45

51 SETUP "PRINTING" In this register one or more Dicom printers can be registered. The configured adjustments (print format, Orientation, etc.) can be adapted before each printing. 46

52 PRINTER These setups are necessary for print DICOM images. Printer Alias Node Name/IP Address Port Number AE Name Calling AE Name to Use Bit Depth Print Format Orientation Film Size Magnification Type Back Color Save Name of printers, with which it can be selected in VARIOIMAGE. Network name or IP address of the printer. Setup of the TCP/IP port at which the printer is attainable for other Dicom nodes. Application Entity Title (AET) of the printer. setup of the AET, with which VARIOIMAGE identifies itself at the printer. Bit depth of the printer (8 or 12 Bit) setup of the print format, how many images are printed on one side or film (standard: columns,rows). switch between the page layout portrait (portrait format) or landscape (landscape format). setup the film size, on which is printed. setup the magnification type. setup the background colour of the print preview. store setup of the selected printer. 47

53 TOPOGRAM CT/MR VARIOIMAGE offers the possibility to print on every CT/MR image a topogram. Include Topogram on every Image Topogram Size Activates/deactivates to print on every CT/MR image a topogram. Size of the printed topogram. Left Position of the topogram from the left. Top Position of the topogram from the top. CT Offset Level Offset of the window level in order to adapt the topogram to the image. CT Offset Width Offset of the window width in order to adapt the topogram to the image. GENERAL Extended printer setups. Use capture for zoomed Select this option to print only the visible area of the image from the image indication. Print no labels no labels will be printed. Print comment on image(s) To print a comment to the image at the lower edge. Merge multiple images to one before printing Summarize different image formats of a print page to one image. Include address field after merge Include address field after merge OFFSET Offset-values for optimal print quality. Printing level Window level of the printing images. Printing width Window width of the printing images. 48

54 SETUP "WORKFLOW" The Workflow management offers e.g. to indicate the status of the examinations or to assign new examinations to different physicians. 49

55 WORKFLOW-MANAGEMENT The workflow management can be activated only with the Medistore2000 Dicom archive. Use Workflow-Management Node Name / IP Address Activates the workflow management. Network name or IP address of the workflow server. standard: Medistore2000-archive IP-Port Remote AET Logged on user is default Show Log out button Automatically log out Status on local database only Status query timer Setup of the TCP/IP port at which the workflow server is attainable for other Dicom node. not in use Activates the automatic filtering of the local data base for the announced user. Show button Log out, in order to log out the present user. Activates the automatic log out of the user, as soon as a screensaver starts. Choose for refreshing the state only in the local database (in the list at the state column). Choose in which interval the state of the study will be refreshed (in the list at the state column). 50

56 SETUP "IMAGES" Setup the treatment of the images. DEFAULT DISPLAY MODE Setup default display mode for the images in dependence of the modality of the images. Push Edit or Add button to edit an existing entry or create a new one. 51

57 Modality: Designates the modality. Cols & Rows: Set how many columns and rows are shown on the screen. Smoothing: Different kinds of edge smoothing are available. Window all together: Activate to window all images together. Modality-LUT: Activates the applications Lookup Table (LUT), if it's available in the image. Load per Series: Activates the possibility to represent an investigation divided into series, e.g. to compare different series. VOI LUT: Choose VOI-LUT if you want to allow LookUp Table in the images. Gamma-Correction: Gamma correction of represented images. Load by Order: setup of the assortment sequence while loading the images. If no setup is given, as standard the serial number and mask number are used. 52

58 CT/MR SPECIAL Different necessary setups in the CT/MR special mode. Columns Rows Window all Number of columns in the CT/MR special Number of rows in the CT/MR special Activates to window all images together. OFFSET FOR IMAGES WITHOUT WINDOW WIDTH AND LEVEL setup default values of window width and window level, which used if a image doesn't contain window width and window level in the DICOM header. Window Width Window Level setup window width setup window level 53

59 SETUP "ICONS" Setup the view of miniature images in the Iconbar. 54

60 ICONS Enable Icons activates the view of miniature images in the iconbar. active inactive miniature images image numbers Rows Columns Size Use Click Use Drag + Drop number of icons in rows number of icons in columns Size of the icon buttons in pixel. This setup is ineffective in the multi-monitor configuration, in order to receive the screen symmetry. Push Icon button to show the selected image on the screen or at the print preview. Use Drag and Drop to show the selected image on the screen or at the print preview. 55

61 SETUP "LABELS" setup the information's, which are indicated in the images. To change the setup of the colour and character font, click on the appropriate colour or text field. INFO LABELS Info Forecolour Info Font Hide Labels on startup Forecolour of the information in the images. Font of the information in the images Hide the labels on startup. 56

62 PRINT LABELS Print Forecolour Print Font Forecolour of the information in the images. Font of the information in the images. REFERENCE LINE Colour Choose colour of the line which shows the location of the image. MARKER LABEL Colour Show HU Show Sigma Colour of the marker. Activate this option to indicate the Houndsfield units with area measurements. Choose if the standard deviation of the selected ROI shall be visible. MEASURE LINE Measure value by click Choose if the measure line shall be visible on the image by click on a mouse button. 57

63 INFO-LABEL CONFIG Altogether 18 information fields in the corners of each image can be indicated, in each case to 4 above on t left and on right sides, as well as in each case 5 at the bottom left hand and right corners. A text can be entered to each field which is indicated in front of the value. The most frequent necessary values can be selected directly. If a value needed and it is not available in the selection, the value OTHER has to be selected. Afterwards the position in the Dicom header is queried (Group/Element). If you don't need a field you must select the value Empty and let the text field empty as well. If you don't like to print information's, print may not be marked. The field day is needed application-internally for identification, and can not be changed. 58

64 SETUP "BUTTONS" Button Size: Select the size of the Studies / Series button. Delete Button: Select which images shall be deleted (e.g. Images older than 1 day, ). Hide ToolTip on Viewer buttons: Hide the ToolTip on the viewer buttons. The ToolTip show you a little description of the selected button. Hi-Color Icons: Choose Hi-Color Icons on the buttons. 59

65 STUDIES/SERIES BUTTONS Definition of the buttons, which are indicated in the toolbar. In each case 4 buttons can be indicated, which it make possible to change the column and row allocation fast. Set default Push Set default button to reset to standard setup. IMAGE BUTTONS Definition of the buttons, which are indicated in the toolbar. In each case 4 buttons can be indicated, which it make possible to change the column and row allocation fast. Set default Push Set default button to reset to standard setup. MAMMOGRAPHIK Show Mammographic- Buttons Button Caption Width Height Push Set default button to reset to standard setup. Choose the caption of the mammographic-button. Choose the width of the mammographic-button. Choose the height of the mammographic-button. 60

66 SETUP "LOCALDB" Clear and setup local data base 61

67 LOCAL DATABASE Clear local database All examinations in the local data base are deleted. Manual refresh only Activates the automatically refresh of the local data base. activate inactivate automatically refresh push refresh button to refresh the local data base manually Clear local Database on Viewer close Activate the automatic deletion of the images from the local data base if you close VARIOIMAGE. Maximum local Database size (Gbyte) Auto-delete imagefiles older than days (on midnight) Maximum size of the local data base on the hard disk. Delete old entries in the local data base automatically around midnight. The investigation date is unimportantly. Image Storage Directory Select in which folder the images in the local database shall be copied on your local computer. Database consistency check Choose to do a consistency check of the database. The consistency check compares the images in the image storage directory with the entries in the local database. 62

68 SETUP "EXTERNAL" Setup external applications in VARIOIMAGE. The switching surfaces, of the applications, in the toolbars are only activated after input the application path and restart VARIOIMAGE. 63

69 ADD-ONS Medical Disk Reporting Tool Recording Tool Digitizing Tool Application path to medical disc Application path to reporting tool Application path to recording tool Application path to digitizing tool SHELL EXECUTE Button Caption Application Path Application Title Caption of the button Execute at the toolbar. Application path to external application. Application title of the external application. DIALING Application Path Application path to a dialler application, which assign the connection to a DICOM archive. EXTERNAL COMPONENTS Stop dataset service on exit Choose for stopping the database service on exit. The database service works in the background. Stop receiver service on exit Database parameters Receiver parameters Choose for stopping the receiver service on exit. The receiver service works in the background. Choose the database parameters. Just authorized user are allowed to change it. Choose the receiver parameters. Just authorized User are allowed to change it. 64

70 SETUP DISPLAY DEFAULT Copy all Frames as separate images Use lossless compression Shutting image(s) automatically Copy Image without labels Choose if all frames shall copied as a separate image (e.g. a multi frame image with three merged images are three separate images). Choose for compress of the images in the Image Storage Directory. Choose for shutting image(s) automatically (e.g. a white border around the image will be removed). Choose for copying images without labels. 65

71 Create new Series UID for captured images Display vertical scale Show Overlays Selected Borderwidth Apply Presentation State Choose for generating a new Series UID for captured images. Display vertical scale ruler. Choose for showing overlays. Choose the border width of the selected images. Choose for applying the presentation state. MAGNIFYING GLASS Enabled magnifier on the 3 rd mousbutton Choose to enabled the magnifier on click on the 3 rd mouse button for zooming in the image (3 rd Mouse button = click on the mouse wheel). Zoomfactor Magnifier size Choose the zoom factor for the magnifying glass. Select the magnifier size via the slide bar (small < > big). SUPPLEMENTARY APPLICATIONS All in the following specified supplementary applications aren't part of the basic package and must be requested separately. MEDICAL DISC Medical disc provided a patient CD from one or several selected patients with only one mouse-click. The DICOM images of the examinations, and the web pages to view the images with an web browser, are burned on a CD. The provided MeDi Viewer on the CD allows you to manipulate the images with standard functions (e.g. window width and window level etc.). Additionally hardware needed: CD/DVD Burner 66

72 PAPER SCANNER Investigation reports and other further documents can be scanned and sent to the archive. Make sure that you have selected the investigation you would like to assign these documents. These documents can be loaded and shown like images. Additionally hardware needed: Scanner DIGITIZER The digitizer application is to digitize films. The DICOM images will be sent to the archive and/or to the viewer workstation. Additionally hardware needed: Film digitizer RECORDING TOOL You can make an digital report to an investigation with the recording tool. This report can be sent to the archive. Additionally hardware needed: sound card headphone microphone REPORTING TOOL You can make a written report to an investigation using the reporting tool. This report can be sent to the archive. 67