Instructions for Display of Imaging Studies Using Stentor isite

Transcription

1 Instructions for Display of Imaging Studies Using Stentor isite Open in Internet Explorer Log-In: Enter your user name (case Sensitive) and password (case sensitive) and press [return] or click on the Log-In button. (If you do not know your user name or password, left click on the "Access Request" link at the top of the page to access the form to request a user account. A patient selection window of studies performed today will appear:

2 Selecting Studies to View: Enter the first few letters of the patient s last name in the Patient Name box and press return ofr a list of today s studies. (If you are not sure when the study was performed, select the Study Date box and clear the "Today" entry by depressing any key. This will permit display of all studies performed over the past 2 weeks. Click on the "+" symbol on the left of a patient name to reveal the studies available for review. (Note: You can sort the patient list alphabetically with a left click on the Patient Name bar.) Move your mouse over any study. It will be highlighted. Clicking on the study will cause a check mark to appear in the square to the left of the study indicating that it is selected for review. You may select as many patients and studies as you desire. A green tab will appear at the top of the window with each selected patient s name. Left click on the green tab to reveal the imaging studies that you have selected, if you have selected more than one patient, you can switch between patients by alternating between tabs. The window now displays one or more rows of images. Each row is an imaging study and each window may contain more than one image. Note that the top bar above each image tells the date and time of the study, while the bottom bar indicates the study type and how many images are present in the stack. Image Manipulation: Zoom Image: To enlarge the image, left double click on the image and it will jump fill more of the screen. The scroll button on the mouse can be used to magnify / reduce the portions of the image near the cursor. Click on the "X" in the upper right corner to return the image back into the study rack. You may open multiple images at one time. Brightness / Contrast: While depressing the left mouse button, move the mouse over the image to change brightness or contrast, as desired. If there is more than one image in the window you have selected (e.g. CT or MRI), you can browse through the stack of images by pressing the up/down or right/left arrow keys on the keyboard or by adjusting the roller on a roller mouse equipped PC. To pan across an enlarged image, depress and hold the control (Ctrl) key on the keyboard while holding down the left mouse button over the image and slide in the direction your interested in.

3 To zoom in on a particular detail on an image, depress and hold the Alt key while depressing and holding the left mouse button and drag down or to the right. Release when you reach the desired result. Pan if necessary to capture the area of interest. Use the large slider bars on the outside of your browser window to reveal additional images for a study or additional studies that you have selected. For more detailed explanation and tutorials, click on the "?" in the upper right corner. isite Control Strip and Search Fields 1. Patient Name Tab 2. isite Preferences Button 3. isite Information 4. Logout Button 5. Sort and Search 6. Expanded Search 7. Patient List 8. Patient Directory Tab 9. Query 10. Patient Study List 11. Patient Study List 12. Patient Study 13. Select Patient Study 14. Patients mismatched from RIS

4 isite Enterprise Pop-up Menus

5 Mouse Control Reference Sheet Action Left Button Wheel Right Button Click Select and deselect N/A Activates pop-up menu images and/or series. Also releases any other mouse modes currently in effect. Double-Click Open image in a floating N/A N/A window In the Patient List, double-clicking a patient name will open the most recent exam available for that patient. Doubleclicking a patient-exam will open that exam. Note: these functions are only available when using isite on an internal network. Click + Drag On the image: Plain Films: N/A Drag vertically: window level Drag horizontally: window width On the image window: Used for moving images, series or exam rows within the exam rack. Pan Series: Fast Cine mode Alt key + Zoom N/A N/A Drag Control key Pan in zoomed in view N/A N/A + Drag Roll wheel forward or backward N/A Plain Films: Zoom into or out of the image at the cursor s location Series: frameby-frame review through slices Hold down the shift key while executing mouse or keyboard controls to temporarily disconnect an image from any links. N/A

6 Keystroke Up and Down Arrows Page Up and Page Down Control Key + Left mouse-button Drag Alt key + Left mousebutton Drag Action Plain Films: Zoom in or out of image at the cursor s location Series: Frame-by-frame review for image-series. When the arrow keys are held down the images will enter Fast Cine mode. Single-frame review for image series. Pan when zoomed in Zoom

7 How to... Quickly load or unload an exam Expand an image or image-series Adjust Brightness and Contrast (Window Width and Window Level) Resize image windows or examrows Select and deselect images or imageseries Release any current mouse mode Access an image pop-up menu Pan Zoom Frame-by-Frame Review for Series Fast-Cine Review for Series Invert brightness and contrast Flip an image around the x or y axis Rotate an image clockwise or counter-clockwise isite Enterprise Features Reference Sheet Action Right-click the exam listing in the Patient History Timeline and select Load/Unload exam. Double-click the left mouse button on the desired image or imageseries. Left click the image and drag the left mouse button horizontally or vertically, respectively. Default WW/WL, Histogram Calculation and Modality Default values are available for all modalities through the pop-up menus. CT exams will also display preset Window/Level values through the pop-up menu. These values include the Default WW/WL, Abdomen, Brain, Bone, Liver, Lung, Mediastinum and any other custom Window/Levels created by the isite System Administrator on a site-by-site basis. Place your cursor on the window's borders or on the exam-row's bottom margin, left-click and drag. Left mouse-button click on the desired image or image-series. Left mouse-button click. Right mouse-button click on the desired image or image-series. Plain Films: With a wheel-mouse, click and drag the wheel-button. With a two button mouse, click the left mouse-button and drag the mouse while holding down the Control Key. Series: Click the left mouse button and drag the mouse while holding down the Control Key. Plain Films: With a wheel-mouse, roll the mouse wheel back and forth. With a two-button mouse, click the left mouse-button and drag the mouse while holding down the Alt Key. Series: Click the left mouse-button and drag the mouse while holding the Alt Key. With a wheel-mouse, roll the mouse wheel back and forth. With a two-button mouse, press the up and down arrows keys. With a wheel-mouse, click and drag the wheel button. With a twobutton mouse, hold down the up and down arrows keys. Right-click on an image and select the Invert function from the pop-up menu. Deselect in the same manner. Right-click on an image, select the "Flip/Rotate/Sort" function from the pop-up menu and then choose either "Flip Vertical" or "Flip Horizontal" from the sub-menu. Right-click on an image, select the "Flip/Rotate/Sort" function from the pop-up menu and then choose either "Rotate 90 CW" or "Rotate 90 CCW" from the sub-menu.

8 counter-clockwise Sort an image series Annotate an image with text or symbols Measure lengths, angles or regions of interest Auto-link expanded images Convert an MR slice into a Scout View View a series with Multi-image mode Open a clone-image in a floating window Copy to the Windows Clipboard Apply spine labeling to an MR of the back View exam information View the available presentation states for an exam Minimize all images in a exam row Close an exam Change between Horizontal and Vertical Rack Modes Resize a exam row CCW" from the sub-menu. Right-click on an image, select the "Flip/Rotate/Sort" function from the pop-up menu and then choose "Table Position Ascending","Table Position Descending","Image Number Ascending" or "Image Number Descending." Access these tools through the pop-up menu by right-clicking on an image and selecting the "Annotations" item. Access these tools through the pop-up menu by right-clicking on an image and selecting the "Measurement" item. Expanded CT or MR images will auto-link when their margins are placed side by side. Left-click on the image's top margin or bottom annotation area and drag images margins edge to edge. Right-click on an image and select the "Show Scout Lines" function from the pop-up menu. To view a series with several slices displayed simultaneously in one window, right-click the series and select the desired configuration from the Multi-image mode pop-up menu option. Right-click an image and select Clone Window from the pop-up menu. Right-click on an image, select the "Save Image..." function from the pop-up menu then choose the "To Clipboard" option from the submenu. Right-click on any MR series which includes the vertebrae and select the Spine Labeling option from the Annotations sub-menu. Click the image where you would like labels inserted in conformance with the Spine Labeling dialog. reports button, then open "Exam Information" from the pop-up menu. If you are in Vertical mode, right-click the top margin to the right of the reports button to access the menu. reports button, then open "Presentation States" from the pop-up menu. If you are in Vertical mode, right-click the top margin to the right of the reports button to access the menu. reports button, then select "Minimize Images" from the pop-up menu. If you are in Vertical mode, right-click the top margin to the right of the reports button to access the menu. reports button, then select "Close Exam" from the pop-up menu. If you are in Vertical mode, right-click the top margin to the right of the reports button to access the menu. reports button, then select "Horizontal Rack" or "Vertical Rack" from the pop-up menu. If you are in Vertical mode, right-click the top margin to the right of the reports button to access the menu. Place your cursor on the margin of the exam-row. The cursor will change to a resize cursor. Click and drag the margin to the desired height (or width if you are working in vertical rack mode).

9 Reorder images in a exam row Print to paper Save image to file or to clipboard Logout Place your cursor on the image's gray top margin or bottom annotation area, left-click and drag to a new location. Right-click on an image and select the "Print to paper" function from the pop-up menu. Right-click on the image you wish to save and select the "Save Image" function from the pop-up menu. Select "to clipboard" or "to file". Click the Logout Arrow Button in the upper right-hand corner of the isite Control Strip.