Basic Manual – syngo · for authorized users. They assume a basic knowledge of work-ing with PCs and software. 0.0 The graphics, figures, and medical images used in this operator

www.siemens.com/healthcare

Basic Manual – syngo

syngo MR D13

CT

Manufacturer’s note:This product bears a CE marking in accord

of regulation 93/42/EEC of June 14, 199The CE marking applies only to medico-tcal products introduced in connection wicom-prehensive EC regulation.

3 for medical products.echnical products/medi-th the above-mentioned

0. 0

ance with the provisions

syngo VE40A and higher

Overview of contents

Safety A

Basics B

Patient Data C

Evaluation D

Documentation E

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Table of contents

A Safety

A.1 General Safety Information

B Basics

B.1 Basic Functionalities

B.2 Standard Evaluation Methods

B.3 Siemens Virus Protection

C Patient Data

C.1 Patient Registration

C.2 Patient Browser

C.3 MPPS

D Evaluation

D.1 Viewing

D.2 syngo 3D

E Documentation

E.1 Filming

E.2 Camtasia

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Introduction 0.0

The operator manual for hardware and software are intended for authorized users. They assume a basic knowledge of work-ing with PCs and software. 0.0

The graphics, figures, and medical images used in this operator manual are examples only. The actual appearance and design of these may be slightly different on your system. 0.0

For the sake of linguistic simplicity, male and female patients are referred to as “the patient”. 0.0

General information 0.0 The program syngo® uses the operating system Windows XP®. 0.0

i 0.0

syngo® is a registered trademark of Siemens AG. 0.0

After you have switched on the computer, and before you start working you must log on as a user. 0.0

See Security Package booklet for further information. 0.0

Online help 0.0 The online help explains operation of the system software in detail. It is available at your workplace. 0.0

B 0.0

You can call up the online help by pressing the F1 key. 0.0

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Introduction

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PART 0.0

A S


afety

A.1 General Safety Information A.1-1

General information regarding the operating system, network security, display as well as system resources A.1-1

Basics: Multi-monitor operation A.1-4

Basics: Ending a work session A.1-5

Service functions: Service session A.1-6

Service functions: Remote service access A.1-7

Saving and exchanging data: Storing data on media A.1-9

Saving and exchanging data: Configuring the data transfer A.1-10

3D: Working in 3D A.1-13

Pixel Lens A.1-14

3D Fusion: SUV operation A.1-15

3D Multi-monitor operation: Data set registration A.1-16

3D Multi-monitor operation: 3D Series list A.1-17

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Safety

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CHAPTER A.0

A.1 G


eneral Safety Information

General information regarding the operating system, network security, display as well as system resources A.1

A.1

A.1

A.1

CAUTION A.1

The operating system may not support all characters for the received document. A.1

The display of the name e.g. the patient name may be incomplete or misleading. A.1

✧ syngo will not change the used characters (e.g. minority characters) even if it cannot display them. Use other attributes for identification if possible.

A.1

CAUTION A.1

Impermissible or faulty manipulations/ changes of the software or hardware or connection of the system to a network. A.1

Unauthorized access, damage to the equipment. A.1

✧ Make sure all necessary precautions with respect to the existing level of security are considered when adding a functionality or altering the shipped configuration.

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General Safety Information Safety

A.1

A.1

A.1

A.1

CAUTION A.1

Using syngo directly on a public or private network may lead to insufficient system performance. A.1

Degradation of system performance possible or unexpected system behavior. A.1

✧ Only use syngo in a secure and load-adapted network.

A.1

CAUTION A.1

Insufficient memory or disk space may lead to an instable or blocked system. A.1

System is not available in emergency cases. A.1

✧ Do not ignore the storage capacity warning icons.

✧ Do not ignore the warning message.

A.1

CAUTION A.1

The internal identification of patient data, e.g., studies, series, and images, uses the system time for generation of the patient identification. If it is necessary to turn the system clock back duplicate identified may be created. A.1

Data may be assigned to wrong patient. A.1

✧ If it is necessary to turn the system clock back for synchro-nization purposes, wait until the previous clock setting has been passed before creating new patient data.

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Safety General Safety Information

A.1

A.1

A.1

A.1

CAUTION A.1

The system blocks when the audit trail is filled (too many records, or too much drive space covered). A.1

In this case, it is not possible to work with the system. Emer-gency access is also not possible. A.1

✧ To prevent system blockage, someone must archive the log files and remove them from the audit trail on a regular basis. When the audit trail blocks the system, user with "BypassBlockedSystem" and the "Audit-Trail>Archive" privi-leges can login to the system and delete/archive the log files.

A.1

CAUTION A.1

Protection of data is changed. A.1

The access to the data is no longer possible. A.1

✧ If too few protections for data are available, the person responsible for user management in hospital should add user(s) to the group(s) until access is possible.

A.1

CAUTION A.1

Format of a MOD not recognized by the system. A.1

Loss of data possible. A.1

✧ Select Cancel in the Format Media dialog box displayed if the MOD might contain important data. Use MOD written on other systems only write protected.

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Basics: Multi-monitor operation A.1

A.1

A.1

CAUTION A.1

When working with several monitors, the patient name dis-played in the folder of a task card belongs only to this task card. Any other visible task card may contain data from another patient. A.1

Wrong diagnosis is possible. A.1

✧ Use patient demographics displayed in the image text for clear identification.

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Basics: Ending a work session A.1

A.1

A.1

A.1

A.1

CAUTION A.1

Switching off the computer in Stand-by mode or without shut-ting down. A.1

Loss of data, data corruption or system damage possible. A.1

✧ Shut down the computer before switching off.

A.1

CAUTION A.1

Switching off a device while writing to the device. A.1

Loss of all data and damage of media possible. A.1

✧ Never switch off a device while writing to the device.

A.1

CAUTION A.1

Switch user, shut down, logoff or restart without saving data. A.1

Possible loss of unsaved changes. A.1

✧ Save data before switching user, shutting down or restart-ing the system.

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Service functions: Service session A.1

A.1

A.1

CAUTION A.1

Service session (e.g. with limited access) running in parallel to data acquisition. A.1

Popup windows may appear and cause confusion. A.1

✧ Always close service UI when work is done, don’t minimize it.

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Service functions: Remote service access A.1

A.1

A.1

CAUTION A.1

Terminating remote service without consultation with the ser-vice engineers. A.1

Terminating the remote service ends all service processes and may cause system malfunctions. A.1

✧ Always coordinate termination with the service engineer before terminating remote service.

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Post processing applications A.1

A.1

A.1

CAUTION A.1

Patient mix-up is possible if different patients are open in differ-ent applications. A.1

The diagnosis and treatment may be made on the basis of incorrect information. A.1

✧ Check patient credentials in each application. Either close the patient in syngo post processing application or load the new patient as soon as you switch to another patient in PACS.

✧ Do not load another patient into syngo using the Browser while a patient is already loaded.

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Saving and exchanging data: Storing data on media A.1

A.1

A.1

CAUTION A.1

Reusing/reformat a MOD. A.1

Irretrievable deletion of all data stored on the media. A.1

✧ Ensure that no important data are stored on the MOD before reusing/reformat it.

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Saving and exchanging data: Configuring the data transfer A.1

A.1

A.1

CAUTION A.1

Lossy compression is selected for data transfer. A.1

Image quality of the lossy compressed images may no longer be adequate for diagnostic purpose. A.1

✧ Do not use lossy JPEG compression for sending data to a report or primary diagnosis workstation. Do not use lossy JPEG compression for archiving. Note: Application of lossy compression will be indicated in image text except if “No Text” is switched on.

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Presentation States A.1

A.1

A.1

CAUTION A.1

Wrong configuration of "Presentation State support" when con-figuring network nodes. A.1

Loss of post processing results. A.1

✧ When configuring network nodes, enable "Presentation State support" only after verifying the remote node for PR support.

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Evaluation of images A.1

A.1

A.1

CAUTION A.1

The evaluation of distances, angles and ROIs in 3D (VRT or SSD) and projection (plain-film X-ray or fluoroscopic) images can be inaccurate. A.1

Wrong measurement results, wrong diagnosis. A.1

✧ Do not use uncalibrated projection images to make critical measurements. Do not assume that the image calibration is correct.

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3D: Working in 3D A.1

A.1

A.1

CAUTION A.1

Measurements in projected images. A.1

False diagnostics possible. A.1

✧ Do not use measurements in projected images for diagnos-tic purposes.

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Pixel Lens A.1

A.1

A.1

CAUTION A.1

Use of pixel lens in the Viewer and in the 3D card. A.1

The pixel lens may display different values. A.1

✧ Be aware of differences in pixel lens measurements. The pixel lens measurement in the Viewer considers a rectan-gle around the clicked point, whereas measurement in the 3D card considers a cube surrounding the clicked point.

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3D Fusion: SUV operation A.1

A.1

A.1

CAUTION A.1

Image with earliest acquisition date and time is not included in the SUV calculation. A.1

Incorrect SUV calculation. A.1

✧ The SUV calculation is based on the earliest acquisition date and time in the selected and loaded data set.

✧ Make sure that the first image is included in the data set for correct calculation.

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3D Multi-monitor operation: Data set registration A.1

A.1

A.1

CAUTION A.1

Automatic registration for compare layout is not sufficient. A.1

Insufficient diagnosis basis. A.1

✧ Check registration and use manual registration functional-ity to re-adjust registration if automatic registration is not sufficient.

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3D Multi-monitor operation: 3D Series list A.1

A.1

A.1

CAUTION A.1

Unintentional loading of series of different patients in 3D Com-pare Mode. A.1

Possible mix-up of patient series and incorrect diagnosis. A.1

✧ Do not load data of different patients in 3D Compare Mode.

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Administration A.1

A.1

A.1

CAUTION A.1

Inaccessible system. A.1

User access may be prevented due to forgotten or unknown accounts or passwords, or wrong setup (for example, in case of an emergency). A.1

✧ Do not forget to define a general user account for emer-gency access and assign it to a group and a role both called “Emergency Access”.

✧ Define a local user account for emergency. The password for this account should never expire.

✧ Do not allow any user to change the password for this account.The users shall contact you immediately in case of problems.

✧ Recommendations: - set the following attributes for emer-gency accounts: password never expires and user is not allowed to set password. - define local accounts for emer-gency

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A.1

A.1

CAUTION A.1

Behavior of secured systems. A.1

The hospital’s security policy also effects the behavior of the syngo system in certain cases (for example. password strength requirements, enabled empty passwords, or lock-ing of an account after a specific number of failed logins). A.1

✧ Establish a user model for your hospital and verify it before the security system is activated.

✧ Establish a user model for your hospital and verify it before the security system is activated.

✧ Note that if you enable an empty password for the emer-gency account, this is enabled for all other users as well. Nethertheless, instruct the users to use good passwords.

✧ Always back up your system before enabling the security system and before any major changes.

✧ It is recommended not to remove the predefined privileges of the administrative accounts because otherwise the administrator may not be able to solve system problems like disk is full (Bypass and archiving audit trail needed) or no license available (Bypass and change password for remote service needed). At least user management privilege should be granted.(Remark: system privileges assigned to build-in groups will not be removed without explicit user confirmation.)

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A.1

A.1

CAUTION A.1

There is no undo! A.1

After activating the security system, access is limited to only the defined users.Once the security system is activated, it is not possible to deactivate it (instead, you would have to re-install the completed syngo system on the computer from scratch). A.1

✧ Make sure you have read and completed all preparatory steps.

✧ Back up your complete system as done after installation before activating the security system.

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PART A.1

B B


asics

B.1 Basic Functionalities B.1-1

Overview B.1-1

Configuration B.1-2

Setting the language B.1-2

Adjusting the date format B.1-3

Configuring applications B.1-4

Viewing the Event Log B.1-5

Scrolling B.1-6

Using the scroll bar B.1-6

Using the dog ear B.1-6

Using the symbol keypad for scrolling B.1-7

Switching to the next patient B.1-7

Selecting Images B.1-8

Selecting a single image B.1-8

Selecting images explicitly B.1-8

Selecting images up to the end of series B.1-9

Selecting complete series B.1-9

Deselecting images B.1-9

Using Image Text B.1-10

Text information in images B.1-10

Configuring image text B.1-11

B.2 Standard Evaluation Methods B.2-1

Windowing Images B.2-2

Setting the scope of selection B.2-2

Assigning predefined window settings B.2-2

Assigning specific window values B.2-2

Windowing with the mouse B.2-3

Restoring window values B.2-3

Zooming and Panning B.2-4

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Basics

Zooming and panning with the mouse B.2-4

Restoring the zoom factor B.2-5

Using the Blow up mode B.2-6

2D Evaluation B.2-7

Measuring distances B.2-7

Measuring angles B.2-8

Evaluating regions (ROIs) B.2-9

Evaluating pixels with the pixel lens B.2-10

Entering comments B.2-12

Deleting graphic and textual elements B.2-12

Filming B.2-13

Copy to Filming B.2-13

Exposing images B.2-13

Transferring Data B.2-14

Transferring images to the Viewing task card B.2-14

Exporting data to CD-R and DVD-R B.2-14

Sending data to network nodes B.2-15

B.3 Siemens Virus Protection B.3-1

Virus Infection B.3-2

Update Handling B.3-3

Information about a new update package B.3-3

Installing the update package B.3-5

Failure of installation B.3-6

Finishing the installation B.3-6

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CHAPTER B.0

B.1 B


asic Functionalities

Overview B.1

This chapter provides information about frequently used gen-eral tools and basic functionalities. These functionalities are sig-nificant for most of the clinical applications available on your system. B.1

i .1BNot all functionalities described within this chapter are available in all applications. B.1

i .1BTo print out files, e.g., reports, a printer must be installed. B.1

i .1BAfter printing files, the Adobe Reader has to be closed via File > Exit from the main menu of the Adobe Reader. B.1

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Basic Functionalities Basics

Configuration B.1

Setting the language B.1

Siemens supports the following user interfaces: B.1

❏ English (US)

❏ German (Germany)

❏ French (France)

❏ Spanish (Spain)

❏ Japanese

❏ Chinese (PRC)

syngo does not support local differences in languages. B.1

✧ Select Options > Configuration... to open the syngo - Configuration Panel.

B.1

✧ Double-click the Regional and Language Options icon in the syngo - Configuration Panel to open the Regional and Language Options dialog box.

B.1

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Basics Basic Functionalities

✧ Select the required language in the standards and formats area.

✧ Click the OK button to confirm the new language.

✧ Click the Cancel button and restart the system manually.

i .1BFor further information on changing the language or the sup-ported keyboard, contact Siemens service. B.1

i .1BYou must adjust the date format after each change of the Regional and Language Options settings. For details, please see (→ Page B.1-3 Adjusting the date format). B.1

Adjusting the date format B.1

It is recommended to use the following data formats: B.1

❏ For Western languages: dd-mm-yyyy

❏ For U.S. English: mm-dd-yyyy

❏ For Chinese and Japanese: yyyy-mm-dd

✧ Select Options > Configuration... from the main menu.

✧ Double-click the Regional and Language Options icon in the syngo - Configuration Panel to open the Regional and Language Options dialog box.

✧ Click the Customize... button on the Regional Options tab card, and select the Date tab card.

✧ Select the required entry from the Short date format selec-tion list, and confirm with OK.

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syngo VE40A and higher 0.0B.1-30.0


Configuring applications B.1

Depending on the application, it is possible to configure task cards, windows, and individual functions of the program to adapt them to your requirements. B.1

B.1

✧ Select Options > Configuration... from the main menu.

The syngo - Configuration Panel opens. B.1

B.1

✧ Double-click the icon representing the desired application to open the corresponding configuration window.

✧ Adapt the functions of the application to your individual requirements.

B.1

CAUTION B.1

Native Windows configuration window does not disappear while examination is started. The window remains visible as it is a dialog displayed by “Windows” and not a syngo dialog. B.1

This may cause confusion. B.1

✧ Avoid opening this dialog while radiation can be applied. In any case, the computer and the syngo system should never be configured during an acquisition.

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Viewing the Event Log B.1

✧ Select Options > Service > Event Log... to display the Event Log dialog box.

B.1

✧ Enter the Time or Time Range and select additional filter parameters to specify your search for log entries.

B.1

✧ Click the Go button.

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Scrolling B.1

Using the scroll bar B.1

✧ Click the different parts of the scroll bar or drag the slider.

B.1

(1) Display of first / last image(2) Display of previous / next row (stack mode: previous /next

image)(3) Display of previous / next page (stack mode: previous /next

image)(4) Scrolling through image stack. The current image number

is displayed.

Using the dog ear B.1

B.1

✧ Click the outer triangle of an image to scroll forward by one image.

✧ Click the inner dog ear to scroll back by one image.

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Using the symbol keypad for scrolling B.1

✧ Press the keys on the symbol keypad to scroll image by image, series by series, or study by study.

Switching to the next patient B.1

B.1

✧ Switch to the desired patient by clicking the patient folder.

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Selecting Images B.1

Selecting a single image B.1

✧ Click an image to select it.

— or — B.1

B.1

✧ Use the arrow keys of the keyboard to change the current selection.

Selecting images explicitly B.1

✧ Hold the Ctrl key down and click individual images (multi-select).

— or — B.1

✧ Hold the Shift key down to select several consecutive images.

All explicitly selected images have a continuous line border. B.1

B.1

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Selecting images up to the end of series B.1

✧ Select a single image.

✧ Select Edit > Select On Succeeding from the main menu.

Selecting complete series B.1

✧ Select an image from each required series individually.

✧ Select Edit > Select Series from the main menu.

i .1BWith Select On Succeeding, you have to select the first image of each required series to select all series completely. B.1

Deselecting images B.1

✧ Hold the Ctrl key pressed and click individually selected images again.

— or — B.1

✧ Select Edit > Deselect All from the main menu or select a single image.

B .1BIf none of the segments has a blue border, one or more images are selected in the background. B.1

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Using Image Text B.1

Text information in images B.1

In images, various information is displayed as image text. This text information identifies the patient and documents examina-tion and image parameters. B.1

With the Image Text Editor, you can define which text elements are to be displayed in the images. B.1

The image text is sorted by topic in the four corners of the image. B.1

B.1

(1) Scan and reconstruction parameters(2) Orientation labels(3) Patient and examination data(4) System-specific information and patient position(5) Scale bar(6) Window and pixel values and (for 3D images) orientation

cube(7) Image comment

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Configuring image text B.1

With the Image Text Editor you can define which text elements will be displayed in the images. B.1

✧ Select Options > Configuration... to open syngo - Config-uration Panel.

✧ Double-click the Image Text Editor button.

The Image Text Configuration dialog box opens. B.1

✧ Select the required image type from the View Name selec-tion list.

✧ Select the Customized Text option.

✧ Define the text elements to be displayed in the images by selecting and deselecting the corresponding check boxes on the left.

✧ Click the Apply button to apply your changes.

✧ Click the OK button to confirm your changes and to close the dialog box.

or B.1

✧ Click the Cancel button to discard your changes and to close the dialog box.

Applying bold typeface B.1 ✧ Select the desired text element in the preview image.

✧ Click the Bold icon.

The selected text is displayed in bold typeface. B.1

Showing and hiding image text B.1

✧ Select View > All Text to show the image text.

✧ Select View > Customized Text to show the predefined image text elements.

✧ Select View > No Text to hide all image text.

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Changing the format of the image text B.1

✧ Activate the Apply All checkbox.

— or — B.1

✧ Select specific image text elements in the preview area.

✧ Select the font size in the ScaleFactor selection list.

✧ Select the font color in the Color selection list.

✧ Click the B button to change the font thickness.

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CHAPTER B.1 S
B.2 M

tandard Evaluation ethods

This chapter provides information about frequently used gen-eral tools and basic functionalities. These functionalities are sig-nificant for most of the clinical applications available on your system. B.2

i .2BNot all functionalities described within this chapter are available in all applications. B.2

B .2BIf you are not familiar with the basic functionalities of the syngo software, refer to: (→ Page B.1-1 Basic Functionalities) B.2

Evaluation of images B.2

B.2

B.2

CAUTION B.2

The evaluation of distances, angles and ROIs in 3D (VRT or SSD) and projection (plain-film X-ray or fluoroscopic) images can be inaccurate. B.2

Wrong measurement results, wrong diagnosis. B.2


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Standard Evaluation Methods Basics

Windowing Images B.2

Setting the scope of selection B.2

✧ Select Image > Windowing On Succeeding to process all images up to the end of the series.

— or — B.2

✧ Select the series first if you want to window all images of a series.

i .2BAn explicit selection of images overrides Windowing On Suc-ceeding. B.2

Assigning predefined window settings B.2

✧ Select the images you want to window.

✧ Choose Image > Windowing and select a window setting from the submenu.

i .2BYou can modify the predefined window settings in the syngo - Configuration Panel. For more information, refer to: (→ Page B.1-1 Basic Functionalities) B.2

✧ Use the corresponding keys of the symbol keypad for fine adjustment of the window settings.

Assigning specific window values B.2

✧ Select the images you want to window.

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Basics Standard Evaluation Methods

✧ Choose Image > Windowing.

The Windowing dialog box opens. The current window values are preset. B.2

✧ Enter the desired window width (contrast of the image) in the Width field.

✧ Enter the desired window center (brightness of the image) in the Center field.

✧ Click OK.

The dialog box is closed. The new window values are assigned to the selected images. B.2

B .2BYou can see the current window values in the lower right-hand corner of the image B.2

Windowing with the mouse B.2

✧ Move the mouse up or down in an image with the center mouse button pressed to change the window center.

✧ Move the mouse right or left to change the window width with middle mouse button pressed.

Restoring window values B.2

✧ Select Image > Home Window to undo your changes.

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Zooming and Panning B.2

Zooming and panning with the mouse B.2

B.2

✧ Click the Zoom/Pan icon.

B.2

✧ Drag the mouse cursor up or down at the edge of the seg-ment to zoom the image.

B.2

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0.0B.2-4 syngo0.0


B.2

✧ Drag the mouse cursor within the center part of the seg-ment to pan the image.

B.2

B.2

✧ Click the Zoom/Pan icon to deactivate the Zoom/Pan func-tion of the left mouse button.

Restoring the zoom factor B.2

B.2

✧ Click the Home Zoom/Pan icon.

The last saved zoom factor of the images in the database is restored. B.2

or B.2

✧ Select Image > Zoom Factor... in the main menu.

The Zoom Factor dialog box is displayed. B.2

✧ Enter a predetermined zoom factor.

0.0



Using the Blow up mode B.2

✧ Double-click a segment to activate the Blow up view.

The blow-up mode displays the selected segment as a single large-format image. B.2

✧ Double-click the Blow up view again to return to the initial layout of the chosen segment.

B.2

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2D Evaluation B.2

Any graphic tool used for image evaluation is activated and switched off again by selecting it in the menu or by clicking the corresponding icon. B.2

B.2

Measuring distances B.2

i .2BIf you change the imaging parameters (for example, window, reconstruction parameter, FoV), it may influence the image impression. It can have effects on the start- and endpoints of distance measurements you select. B.2

B.2

✧ Click the Distance icon of the Tools subtask card.

B.2

CAUTION B.2

Measurements in projected images. B.2

False diagnostics possible. B.2

✧ Do not use measurements in projected images for diagnos-tic purposes.

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B.2

✧ Drag out a line between two points in the image while holding down the left mouse button to display the distance in the image.

B.2

i .2BThe information displayed is configurable. B.2

Measuring angles B.2

B.2

✧ Click the Angle icon to activate angle measurement.

B.2

✧ First drag out one line while holding the left mouse button down. The line represents the first leg of the angle.

✧ Draw another line for the second leg.

The angle size is displayed in the image. B.2

B.2

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i .2BYou must pull each line toward the vertex of the angle or away from the vertex of the angle. Otherwise the complementary angle with respect to 180° is calculated. B.2

Evaluating regions (ROIs) B.2

B.2

✧ Click the Circle or Rectangle icon on the Tools subtask card.

B.2

✧ Click the image and draw the ROI (rectangle or circle).

✧ Release the mouse button.

or B.2

B.2

✧ Click the Freehand ROI icon.

✧ Drag the mouse around the region of interest, and dou-ble-click the end point.

i .2BYou can also draw the region point to point by clicking with the mouse at each change of direction (polygon definition). B.2

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A statistical evaluation of the ROI is displayed. B.2

B.2

(1) Evaluated gray scale range(2) Highest and lowest gray scale value(3) Mean value and standard deviation

(4) Area of the ROI in cm2

(5) Number of pixels in the ROI

B .2BIf the loaded series contains images with different resolutions different values may result when calculating the area of an ROI.B.2

i .2BYou can configure the data displayed via the syngo - Configu-ration Panel. B.2

Evaluating pixels with the pixel lens B.2

You can display the average value of the gray values of a small surface area of 5 x 5 pixels together with the patient coordi-nates. B.2

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B.2

✧ Click the Pixel Lens icon on the Tools subtask card.

B.2

The cursor changes shape. The pixel value and the patient coor-dinates are displayed at the position of the cursor in the image.B.2

i .2BThe pixel marker does not reflect the measured area of 5 x 5 pix-els. The marker has a constant size and is independent of the zoom factor of the image. B.2

✧ Click the image to display the pixel values permanently.

Selecting and moving the marker B.2

You can move a fixed pixel lens marker that has been inserted. B.2

B .2BDo NOT copy pixel lens markers from image to image. B.2

Do NOT use the pixel lens when multiple images are selected. B.2

When copying a pixel lens marker, it will NOT be shown together with the respective patient coordinates, but rather at the same distance to the upper left corner of the image. B.2

✧ Deactivate the Pixel Lens function.

✧ Move the mouse pointer to the marking.

A large arrow cross is shown. B.2

✧ Press and hold the mouse button and move the marking with the mouse to the required position.

The gray value and the patient coordinates are updated. B.2

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Entering comments B.2

B.2

✧ Click the Annotation Text icon on the Tools subtask card.

The mouse cursor changes to a cursor with a small rectangle attached. B.2

✧ Click the position in the image at which you want to insert the text.

✧ Enter the text you want to insert.

Deleting graphic and textual elements B.2

✧ Click the graphic or text you want to delete or select Edit > Select > All Graphics to select all graphics and text in the image.

The graphic elements and text in all selected images are marked. B.2

✧ Select Edit > Delete Graphics from the main menu.

— or — B.2

✧ Press the Del key on your keyboard.

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Filming B.2

Copy to Filming B.2

✧ Select the images to be filmed in the Patient Browser or on the task cards.

B.2

✧ Click the Copy To Film Sheet icon.

i .2BYou can also select all images and results for filming via Edit > Select All in the main menu. This option is not available in all applications. B.2

Exposing images B.2

✧ Check the layout settings in the Filming task card.

B.2

✧ Click Expose Film Task to expose all images on the Filming card to film on a preset camera.

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Transferring Data B.2

Transferring images to the Viewing task card B.2

B.2

✧ Select the images and click the Load to Viewing icon to transfer images from the Patient Browser to the Viewing task card.

— or — B.2

B.2

✧ Select the images and click the Save and Load to Viewing to transfer images from the 3D task card to the Viewing task card.

Exporting data to CD-R and DVD-R B.2

B.2

✧ Click the Export data icon to export data to CD-R or DVD-R.

i .2BDepending on the configuration of your system the same icon is used for Archive To. B.2

The Export To dialog window opens. The available drives are displayed. B.2

B .2BA DICOM viewer is exported to the data carrier as well when exporting data to CD/DVD. You can view DICOM data at any time. B.2

B .2BThe name of the data label has to contain at least three letters. B.2

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Sending data to network nodes B.2

During installation, Siemens Service sets up various network connections as standard addresses in the network. B.2

✧ Select the data that you want to transfer.

B.2

✧ Click the Sending data to network node icon to send the data to the configured network node.

✧ Use Storage Commitment for Send/Archive actions to avoid deletion of images before you stored them. (Provided that your archive supports this functionality.)

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CHAPTER B.2

B.3 S


iemens Virus Protection

Siemens took preventive measures to keep computer viruses off your system. B.3

Nevertheless, data transmission within the clinic network or from external data media (for example, CD-ROM) can lead to virus infections on your system. B.3

The virus scanner is used to detect viruses as early as possible and thus avoid major damage. B.3

The virus scanner continuously checks files on the system for known viruses. B.3

As long as no virus is detected, it runs entirely in the back-ground. Your clinical work on the syngo MultiModality Workplace is not affected. B.3

As soon as a virus is detected, a message pops up including information on how to proceed. B.3

i .3BPlease contact your local Siemens Service, if you wish to order Siemens Virus Protection. Before it can be applied, Siemens Ser-vice must activate and configure it. B.3

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Virus Infection B.3

If the virus scanner detects a virus, a message window is dis-played. B.3

B.3

✧ Click OK to close the message window.

✧ Contact Siemens Uptime Services to receive all relevant information about this virus, before using your system again.

The information about the infection is automatically forwarded to Siemens Uptime Services. B.3

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Basics Siemens Virus Protection

Update Handling B.3

The required updating of virus patterns and scan software is accomplished by remote updates. B.3

B .3BMake sure that your remote connection to the Siemens Remote Service infrastructure is always active and running. Otherwise your system will not receive the latest updates. B.3

Information about a new update package B.3

When the system is started, it automatically checks whether a new update package is available. B.3

The software update package for a remote software update con-tains everything needed for the transfer to the system. The soft-ware package includes a transfer and installation procedure for a distribution with the system management. B.3

The software package provides an overview over dependencies between software packages: B.3

❏ If the new software package replaces a previous software package

❏ If another software package installation is needed

i .3BYou will have an overview over the different installed software packages via the remote software distribution. B.3

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If a new update package for your syngo MultiModality Workplace is available when starting the system, the dialog box Software Distribution / Installation is displayed. B.3

B.3

B .3BIf the Software Distribution / Installation dialog box is active, no other functions are available. B.3

If a new update package is downloaded during operation, an icon appears in the status bar of the screen. If a yellow exclama-tion mark is displayed next to the icon, it is strongly recom-mended to install installing the update immediately after com-pleting the current patient examination. B.3

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Basics Siemens Virus Protection

B.3

✧ Click the icon if you want to install the update.

The Software Distribution / Installation dialog box is dis-played. B.3

The upper part of the dialog box contains information on the new software package. B.3

i .3BIf you do not click any button in the Software Distribution / Installation dialog box, it is closed automatically after a certain time period. The time remaining is displayed in its lower area. B.3

Installing the update package B.3

It is recommended to carry out updates immediately after com-pleting the current patient examination. If you have to postpone any updates, make sure that you catch up on them as soon as possible. Otherwise the virus scanner may not be able to detect new types of viruses. Hotfixes offer enhanced protection of your syngo MultiModality Workplace. B.3

If you want to install multiple new update packages, install them one by one. B.3

As long as the new data is not installed, the Software Distribution / Installation dialog box is displayed after each system start. B.3

B .3BThe Accept Silent Installation for further SW packages of packagegroup... option is only available on the syngo MultiModality Workplace. B.3

B.3

✧ Click the Install button to install the new update package immediately.

Installation starts and its progress is displayed. B.3

or B.3

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B.3

✧ Click the Defer button if you do not want to install the new update package immediately.

or B.3

B.3

✧ Click the Defer All button if you do not want to install any new update packages.

The dialog box is closed without installation. If the installation was completed successfully, a corresponding message is dis-played. B.3

i .3BYou can view the installed update packages as well as the update packages that are available for installation in the Soft-ware Distribution / Installation dialog box. B.3

Failure of installation B.3

If the installation fails, a corresponding message is displayed. B.3

Siemens Uptime Services will search for the error cause and resolve the problem. B.3

Nevertheless you can continue to use your system without restrictions. B.3

Finishing the installation B.3

Finish the successful installation. B.3

✧ Click Close to close the Software Distribution / Installa-tion dialog box.

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PART B.3

C P


atient Data

C.1 Patient Registration C.1-1

Registering a Patient C.1-1

Registering a new patient C.1-3

Searching a patient in the database C.1-5

Performing an emergency registration C.1-6

Performing a multi-study examination C.1-7

Assigning Patients or Studies (Option) C.1-9

C.2 Patient Browser C.2-1

Displaying Patient Data C.2-4

Calling up the Patient Browser C.2-4

Updating the display of the databases C.2-4

Printing a data list C.2-5

Assigning Patients or Studies C.2-6

Assigning existing data C.2-7

Searching for and Selecting Patient Data C.2-9

Searching for data C.2-9

Filtering data C.2-9

Sorting data C.2-11

Searching for and retrieving patient data from storage media C.2-11

Using Patient Search function on remote network nodes C.2-12

Correcting Data C.2-18

Using the Correct dialog box C.2-18

Displaying a history of changes C.2-20

Storing and Sending Data C.2-22

Storing data on storage media C.2-24

Ejecting DVD/CD C.2-26

Exporting to a USB device C.2-27

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Patient Data

Obtaining the Local Job Status C.2-29

Sending data via the network C.2-29

Obtaining Network Job Status C.2-31

Importing Data C.2-32

Importing data from storage disks C.2-32

Importing data from the hard disk C.2-32

Importing data from a USB device C.2-33

Deleting Data in Patient Browser C.2-34

Deleting data manually C.2-35

Deleting data automatically C.2-36

Using the RecycleBin C.2-39

Protecting data from deletion C.2-39

Removing delete protection C.2-40

C.3 MPPS C.3-1

Controlling the MPPS C.3-2

Opening the MPPS dialog box C.3-4

Navigating between MPPS objects C.3-5

Saving an MPPS C.3-5

Finishing an MPPS C.3-5

Aborting an MPPS C.3-6

Sending Information back to HIS/RIS C.3-6

Closing the MPPS dialog box without any changes C.3-6

Checking the MPPS Information C.3-7

Completing the MPPS C.3-8

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CHAPTER C.0

C.1 P


atient Registration

Registering a Patient C.1

Before you can examine a patient with your system, register the patient. You can do that in one of the following ways: C.1

❏ Entering the new patient with all the patient data

❏ Selecting known patients from the database

❏ Using scheduler for preregistered patients or patients from HIS/RIS

❏ Registering an emergency patient

If a current examination is not completed, a corresponding dia-log box is displayed. C.1

A study is associated with each individual Requested Procedure.C.1

The following functionalities are described in the subsequent sections: C.1

❏ Registering a new patient

❏ Searching a patient in the database

❏ Performing an emergency registration

❏ Performing a multi-study examination

i .1CWhen Security Package is activated, you can register a patient only if you are authorized to do so. InvokeRegistration is the privilege that allows you to open the registration form and per-form registration. C.1

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Patient Registration Patient Data

C.1

C.1

C.1

CAUTION C.1

The internal identification of patient data, e.g., studies, series, and images, uses the system time for generation of the patient identification. If it is necessary to turn the system clock back duplicate identified may be created. C.1

Data may be assigned to wrong patient. C.1

✧ If it is necessary to turn the system clock back for synchro-nization purposes, wait until the previous clock setting has been passed before creating new patient data.

C.1

CAUTION C.1

The operating system may not support all characters for the received document. C.1

The display of the name e.g. the patient name may be incomplete or misleading. C.1

✧ syngo will not change the used characters (e.g. minority characters) even if it cannot display them. Use other attributes for identification if possible.

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Patient Data Patient Registration

C.1

C.1

Registering a new patient C.1

B .1CWith the Emergency button in the Patient Registration dialog box, you can start emergency registration at any time. C.1

C.1

CAUTION C.1

When working with several monitors, the patient name dis-played in the folder of a task card belongs only to this task card. Any other visible task card may contain data from another patient. C.1

Wrong diagnosis is possible. C.1

✧ Use patient demographics displayed in the image text for clear identification.

C.1

CAUTION C.1

Automatic registration for compare layout is not sufficient. C.1

Insufficient diagnosis basis. C.1

✧ Check registration and use manual registration functional-ity to re-adjust registration if automatic registration is not sufficient.

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C.1

✧ Click the Patient Registration icon to open the Patient Registration dialog box.

C.1

(1) Personal data of the patient (PATIENT)(2) Study-specific data (PROCEDURE)(3) Referral data (HOSPITAL)(4) Institution data (INSTITUTION)

✧ Fill out at least the fields, which are displayed in boldface type.

✧ Click the Exam button to examine the patient immediately.

or C.1

✧ Click the Preregister button.

The patient information is then saved for a later examination. C.1

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B .1CIf you preregister a new patient (or there is a HIS/RIS), you only have to call up the patient data from the scheduler database when you perform the examination. C.1

Searching a patient in the database C.1

You can select the required patient in the Patient Browser and then call up the Patient Registration dialog box. C.1

C.1

✧ Click the Patient Registration icon in the Patient Browser.

✧ Enter the patient data known to you in the corresponding entry fields.

i .1CWith asterisk (*), you can speed up data entry. C.1

✧ Click the Search button to start a patient search in the data-bases.

C.1

✧ Select the patient from the Patient Search list.

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✧ Click the OK button to accept the data.

✧ Click the Exam button in the Patient Registration dialog box to examine the patient immediately.

Searching a patient with multiple scheduled exami-nations C.1

Searching a patient with multiple scheduled examinations in the Register platform only returns the first scheduled examina-tion. C.1

You can change the preliminary identifiers after the examina-tion in the Patient Browser by Edit > Correct in the main menu.C.1

✧ Select the requested examination directly in the scheduler.

✧ Enter the first letter of the patient name to find the requested examination.

B .1CThe next entry starts with this letter until the requested exami-nation is found. C.1

Performing an emergency registration C.1

B .1CYou can only change the name of an emergency patient prior to sending the corresponding MPPS to the RIS. (→ MPPS) C.1

B .1CYou cannot change the name of an emergency patient before all raw data are reconstructed. No images will be transferred to the PACS. C.1

C.1

✧ Click the Emergency Patient icon in the Patient Browser.

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✧ Enter the date of birth and sex in the Emergency Registra-tion dialog box.

C.1

or C.1

✧ Skip these data with the Tab key.

✧ Click the Exam button.

Performing a multi-study examination C.1

A multi-study examination is an examination based on multiple requested procedures (sent via RIS to the CT). For each requested procedure, an individual study will be created. In case of multi-study examination, e.g., contiguous areas, for exam-ple, thorax and abdomen, can be examined in one examination.C.1

✧ Select at least two requested procedures from the Sched-uler in the Patient Browser.

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✧ Open the Patient Registration dialog box by selecting Patient > Register from the main menu.

C.1

✧ Select a requested procedure in the Requested proce-dure(s) field.

✧ Select a study from the Study selection list.

The selected study is displayed in the Study list field and is linked to the previously selected requested procedure. C.1

✧ Click the Exam button.

A preview is displayed in the tomo segment showing the studies corresponding to the requested procedures with their series. C.1

B .1CIf you have already defined a combi scan-protocol, satisfying all requested procedures, only assign this single scan-protocol to the first requested procedure. C.1

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B .1CYou can append additional studies that are not linked to any requested procedure. You can do so by clicking the Add button, which will add an empty entry “-----” into the Study list. You can then assign a study from the Study selection list. C.1

Assigning Patients or Studies (Option) C.1

In the Patient Registration dialog box, you can modify the assignment of patient groups temporarily. C.1

This information applies to users performing daily routine oper-ations with patient data protected by the Security Package (HIPAA). C.1

You need the privilege Patient Registration > InvokeRegistra-tion to open the registration form and perform the registration.C.1

Assigning new data C.1 This modification of assignment of patient groups is valid until you log off. C.1

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✧ Select Patient > Register from the main menu of any task card to call up the Patient Registration dialog box.

The Patient Registration dialog box is displayed. C.1

C.1

✧ Enter the patient data at least into the fields, which are dis-played in boldface type.

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✧ Click the Patient Group button.

The Select Default Patient Group dialog box is displayed. C.1

C.1

✧ Check the group that you want the currently selected patient or study to be assigned to.

✧ Confirm your selection with OK.

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CHAPTER C.1

C.2 P


atient Browser

In the Patient Browser window, the hierarchical structure of the patient and examination data is displayed. Patient data from the databases and the connected drives is displayed. C.2

C.2

(1) Database and drives(2) Patient(3) Study(4) Series (selected)(5) Images (of selected series)(6) Navigation area(7) Content area

You can search for patient data to examine a patient again, or to review, film, or archive the images. C.2

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Patient Browser Patient Data

C.2

C.2

C.2

CAUTION C.2

Patient mix-up is possible if different patients are open in differ-ent applications. C.2

The diagnosis and treatment may be made on the basis of incorrect information. C.2

✧ Check patient credentials in each application. Either close the patient in syngo post processing application or load the new patient as soon as you switch to another patient in PACS.

✧ Do not load another patient into syngo using the Browser while a patient is already loaded.

C.2

CAUTION C.2

Patient folders containing data from other patient or series (for example, after patient merge, import of data from external media). C.2

The diagnosis or treatment may be made on the basis of incorrect information. C.2

✧ Check that data is assigned to the correct patient and series before using the data.

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Patient Data Patient Browser

C.2

i .2CIn the Browser Configuration, you can define icons to be dis-played in the tool bar of the Patient Browser window. You can call up the configuration via Options > Configuration... from the main menu and clicking the Patient Browser icon. C.2

You can search for patient data in the Patient Browser by navi-gating through the data levels, by mouse click, or by using the keyboard. C.2

You can speed up your search by sorting the data displayed, or by filtering the data displayed and only viewing a certain subset. (→ Page C.2-11 Sorting data) C.2

B .2CIf you are not familiar with the basic functionalities of the syngo software, refer to: (→ Page B.1-1 Basic Functionalities) C.2

C.2

CAUTION C.2

Not all graphic and evaluation results created by one software can be interpreted. C.2

Not all information from post processing available for diag-nosis. C.2

✧ A message box will inform you if not all information can be loaded and displayed. Please be aware when using such data for diagnosis. Use original application to view the post processing results.

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Displaying Patient Data C.2

Calling up the Patient Browser C.2

Use the Patient Browser to display patient data. C.2

C.2

✧ Call up the Patient Browser by selecting Patient > Browser... from the main menu.

— or — C.2

C.2

✧ Press the Browser key on the symbol keypad (Numeric: .).

Updating the display of the databases C.2

You can update the display of databases if necessary. C.2

✧ Select View > Refresh from the main menu.

— or — C.2

C.2

✧ Click the Refresh icon.

The display of the navigation and content area is updated. C.2

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Printing a data list C.2

If a printer is connected, you can print a list of examination data. When printing data, the information displayed in the contents area is processed. C.2

✧ Select Patient > Print List to print the data listed in the con-tents area.

For a list of patients, the content and the creation date of the list are shown in the header of the print-out. C.2

For all other data levels, the contents of the information area are printed out. C.2

Print-out is always in English. C.2

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Assigning Patients or Studies C.2

In the Patient Browser, you can modify the assignment of patient groups or studies. C.2

This information applies to users performing daily routine oper-ations with patient data protected by the Security Package (HIPAA). C.2

i .2CThe Security Package has to be installed on your system. C.2

C.2

C.2

C.2

CAUTION C.2

Rearranging series/images to another series may lead to wrong image information if the selected images/series are not compat-ible. C.2

Wrong diagnosis caused by wrong image information. C.2

✧ Correct the attributes which do not correspond first and then rearrange the series/images.

C.2

CAUTION C.2

Correcting/rearranging objects containing references. C.2

References may be lost. C.2

✧ Rearrange the entire hierarchical group containing all objects with references in order to maintain the references. Only references found within the selection will be adapted.

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C.2

Assigning existing data C.2

You need the privilege Patient Browser > Edit > Modify Patient Groups to assign patients or studies to patient groups. C.2

✧ Call up the Patient Browser by selecting Patient > Browser... from the main menu of any task card.

— or — C.2

C.2

✧ Press the Browser key on the symbol keypad (Numeric: .).

C.2

CAUTION C.2

If any Radiotherapy (RT) object is involved in a correction or rear-rangement, the references to and from other objects are not updated. The Correct and Rearrange function checks if any Radiotherapy objects are involved and prompts for confirma-tion. C.2

References between images and Radiotherapy (RT) objects may be lost. C.2

✧ Use the application(s) that were used to generate the Radiotherapy object for managing their references. First correct images (e.g. patient demographics) before using them within Radiotherapy.

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i .2CYou must close the syngo Security Configuration window to work with the Browser key on the symbol keypad. C.2

✧ Select the desired patient or study in the local data base.

✧ Select Edit > Modify Patient Groups from the main menu of the Patient Browser.

The Modify Patient Groups window is displayed. C.2

C.2

✧ Select the group you want the currently selected patient or study to be assigned to.

✧ Confirm your selection with OK.

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Searching for and Selecting Patient Data C.2

Searching for data C.2

✧ Scroll through the list of patients using the scroll bar until you find the required patient.

C.2

✧ Click the patient entry in the navigation area to view the information levels stored for this patient.

All the studies of this patient are displayed in the content area. C.2

i .2CIf View > Image Stamps is activated, all data objects are dis-played as image stamps on the image/data level. C.2

C.2

✧ Click a study in the navigation area to select it and to view all the associated series.

C.2

✧ Click a series in the navigation area to select it and to obtain an overview of all the images in the content area.

C.2

✧ Click an image in the content area to select it.

Filtering data C.2

✧ Select a filter using the Filter menu or the tool bar (if con-figured).

C.2

✧ Click the Not Archived icon.

Only the data which are not stored are displayed. C.2

C.2

✧ Click the Not Printed icon.

Only the data which are not yet printed are displayed. C.2

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C.2

✧ Click the Not Sent icon.

Only the data which are not yet sent to the network are dis-played. C.2

C.2

✧ Click the Not Marked icon.

Only the data which are not marked are displayed. C.2

C.2

✧ Click the Marked icon.

Only marked data are displayed. C.2

C.2

✧ Click the Not exported icon.

Only data which have not yet been exported are displayed. C.2

i .2CIf you do not find the specific patient data in a search, make sure that no filter is activated. C.2

Creating filter criteria C.2 ✧ Call up the Filter Specification dialog box to create your own filter criteria by selecting Options > Filter Settings... from the main menu.

These user-defined filters are placed in the Filter menu as addi-tional menu entries. C.2

Deactivating the filter C.2 ✧ Select Filter > Off from the main menu.

— or — C.2

C.2

✧ Click the Not Filtered icon.

All the data are displayed unfiltered. C.2

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Sorting data C.2

An easy and intuitive way to find patient data in the Patient Browser is by sorting it. Sorting speeds up the search for a par-ticular patient and the associated examination data. C.2

The procedure varies for the tree-view and the single-view mode. C.2

✧ Select a data level in the navigation area to display its ele-ments in the content area.

✧ Open the Sort menu, and click one of the sorting criteria stated.

i .2CIn case the selected sort order cannot be applied, the following default order is automatically used: C.2

❏ Patient Name❏ Study Description❏ Series Number❏ Instance Number

✧ Select Sort > Reverse Order to reverse the order of selected data level.

Searching for and retrieving patient data from storage media C.2

C.2

✧ Click the icon of a data medium in the navigation area to display all the patient data stored there.

i .2CSelect View > Source to hide or display storage media individu-ally in the navigation area. C.2

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✧ Search for, and select patient and examination data by clicking through the data levels in the navigation area.

C.2

✧ Click the Import icon to import the selected data into your local database.

i .2CYou can process only data stored in the local database. C.2

Using Patient Search function on remote network nodes C.2

With Patient Search and Search Selected, you can retrieve patient and examination data from workstations and long-term storage systems that are working with other DICOM program systems or previous syngo program versions. These systems are not displayed in the navigation area. C.2

i .2CFor information about DICOM structures and features, read the current DICOM conformance statement. C.2

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C.2

C.2

CAUTION C.2

If syngo receives images whereas but the study or series UID is already available in the local database, the data will be assigned to this locally existing patient. This happens regardless of the patient identification (name, date of birth, gender and patient ID) of the received images. Changes of patient information on other systems will not automatically change the patient infor-mation in syngo. C.2

Data retrieved from PACS or other nodes seems to be mis-aligned or lost, but are stored elsewhere in the database. C.2

✧ Keep in mind: Imported data will always be appended to the already existing patient on the local system, based on matching DICOM UIDs. If you imported data, but cannot find them on the local system under a certain name, use other criteria from the study or series to search for the imported data, or filter the data. To completely avoid these inconsistencies, always delete the local patient data after you have successfully archived them.

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✧ Select Patient > Search in the main menu.

The Patient Search dialog box is displayed. C.2

C.2

(1) Input fields for search criteria(2) Search details area(3) Information area(4) Series details list(5) Buttons(6) Status bar

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✧ Select in the Node selection list the network node where the data being searched for is located.

✧ Enter the last name or ID of the patient searched for (the wildcard * is supported).

— or — C.2

✧ Enter the study details, series details, or body parts in the search details area of the Patient Search dialog box.

✧ Click the Search button to start the search.

All patients and studies that were found are displayed in the information area. C.2

C.2

✧ Click a study if you want to have the corresponding series displayed.

The series are displayed in the series details list. C.2

C.2

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✧ Select a series in the series details list and click the Image List button.

The Image Search Results dialog box is opened. C.2

C.2

✧ Select one or more patients, studies, or series from the information, or search output area of the Patient Search dialog box. Select instances from the Image Search Results dialog box.

✧ Click the Import button.

The selected data is copied from the network node to your work-station and displayed in the navigation and content area of the Patient Browser. C.2

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Saving and loading search attributes C.2

✧ In the Type New Query Name selection list, enter a name for the search that you want to save.

✧ Click the Save button to save the search.

✧ From the Type New Query Name selection list, select the search that you want to load.

i .2CTo delete a saved query, you can select it in the Type New Query Name selection list and click the Delete button. C.2

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Correcting Data C.2

You can correct, add, or rearrange patient data and information already stored in the database. C.2

Using the Correct dialog box C.2

You use the Correct dialog box for correcting or modifying patient data and information. C.2

✧ Select the patient, study, series, or images that you want to correct in the navigation or content area of the Patient Browser.

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✧ Select Edit > Correct from the main menu of the Patient Browser.

— or — C.2

C.2

✧ Click the Correct icon on the tool bar.

The Correct dialog box opens. C.2

C.2

i .2CDepending on the data level, some fields of the dialog box are dimmed. C.2

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✧ Select the required tab, and correct the relevant data.

✧ Enter your name under Modifier's name or select your name from the selection list.

✧ Click OK to save the new data.

i .2CIf you want to correct data that is delete-protected, remove the delete-protection by selecting Edit > Remove Protection from the main menu. C.2

Displaying a history of changes C.2

You can view the modifications of patient and patient's exami-nation data in the Patient Browser. C.2

✧ Select the patient, study, series, or image stored in the local database whose history of changes you want to view.

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✧ Select Edit > History from the main menu of the Patient Browser.

— or — C.2

C.2

✧ Click the History icon on the tool bar.

The Correct & Rearrange History window is displayed. C.2

C.2

✧ Click OK to close the history display.

i .2CThe entries in the Correct & Rearrange History window are generated by the system. You cannot make changes yourself. C.2

If an object was moved, the entry is marked with > under Attribute. C.2

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Storing and Sending Data C.2

C.2

C.2

C.2

CAUTION C.2

Transferring manipulated non-square matrices/viewing seg-ments. C.2

Diagnostically relevant areas of images may be lost. C.2

✧ When manipulated images are exported or sent to another workstation, the related original images should be sent, as well. It is strongly recommended to base the final diagnosis always on the original images and not on modified or manipulated images.

C.2

CAUTION C.2

Misleading/misinterpretation of the storage commitment flags AC/SC. Storage Commitment means storage to hard disk but this may not fulfill or guarantee regulatory requirements about long term archiving. The committed objects can be deleted by users.C.2

As a consequence, loss of data within the required period for retention may occur. C.2

✧ Observe the regulatory requirements regarding long term archiving.

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C.2

Transferring data C.2 You can transfer data in several ways by using the menu items of the Transfer menu of each application card. C.2

i .2CDepending on your system configuration, not all described options may apply. C.2

✧ Click the Export to... menu item to transfer data, for exam-ple, to CD-R or DVD-R.

✧ Click the Send to... menu item to transfer data, for exam-ple, to other workstations and network nodes.

✧ Click the Export to Off-line... menu item to export data to the file system (directory on the local hard disk/File Browser or a connected USB memory device).

✧ Click the Record Off-line Files menu item to burn data from the CDBurn folder on CD selected by Export to Off-line....

C.2

CAUTION C.2

Systems that do not use storage commitment only report back to the sending system when the data has been fully received (flags A and S). A user or an auto delete mechanism at the send-ing system might subsequently delete the sent data. However, this response does not imply that the data has already been stored at the receiving system. C.2

In the case that the receiving system cannot store the data, the data might irrevocably be lost. C.2

✧ Double-check that the data is actually stored on the receiv-ing system.

✧ Use storage commitment whenever it is supported by the sending and receiving systems.

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✧ Click the Archive to... menu item to transfer data to the transfer targets configured by the Siemens Service (depending on your institution's archive system).

i .2CTransfer targets configured as Archive to targets will not be vis-ible in the selection list of the Send To dialog window when selecting the Send to... menu entry. C.2

Storing data on storage media C.2

You can store data on storage media, for example, CD-R, or DVD-R. C.2

B .2CCD-Rs and DVD-Rs are not suitable for long-term storage. C.2

C.2

C.2

CAUTION C.2

DVD-R Medium used for export/archive may get corrupted or may be not readable with other DVD devices. C.2

Loss of data or user perception of loss of data. C.2

✧ Configure and use local media only as ’archive’ media if the requirements regarding retention and readability are suffi-ciently fulfilled, e.g. the media are approved by the manu-facturer for archiving. Verify readability of the data on the medium before the data is deleted in the database.

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C.2

C.2

i .2CIt is recommended to clear all entries in the Local Job Status before transferring data. For more information, refer to: (→ Page C.2-29 Obtaining the Local Job Status) C.2

C.2

CAUTION C.2

When you simultaneously export data to a device (like CD-R or DVD-R drive) and try to read data from the same device with external (non syngo based) applications, one job or both jobs can fail (depending on the timing). C.2

A loss of data is possible. When data is being written to a drive, any external access at the same time will destroy the current write job and could even damage the storage disk. Data already stored on a multi session disk might also become unreadable. C.2

✧ Do not try to access the device with non syngo based appli-cations while it is writing data or reading data. To ensure successful writing or reading, check the Local Job Control to see if there are any write or import jobs in progress.

C.2

CAUTION C.2

A recording error may make a medium unusable. C.2

In multi-session mode, all data previously stored on that medium could be lost, too. If this happens, any archive flags set to this data in the database become invalid. C.2

✧ Only delete the data that you have archived on a media from the local database after you have successfully final-ized and verified the media.

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✧ Select the data that you wish to store in the navigation and content area of the Patient Browser.

✧ Select Transfer > Export to... from the main menu of the Patient Browser.

The Export To dialog box opens. C.2

✧ Select [CD/DVD-Writer] from the selection list of the Export To dialog box.

C.2

✧ Click the Export button to store the data on the default CD/DVD drive.

✧ Enter a unique designation for the CD-R/DVD-R in the dialog box displayed.

✧ Click the OK button.

Ejecting DVD/CD C.2

C.2

C.2

CAUTION C.2

A medium is not finalized. C.2

Another system/device may show this medium as empty or defective or the data of the last session is missing. C.2

✧ Use Eject with finalize to complete the work on this medium and to ensure that the medium is readable on other systems/devices.

✧ If a medium on which you expected to find data seems to be empty or defective or on which the last data is missing, try to use the original or another syngo system to finalize the medium for further read-only access.

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B .2CIf you do not wish to finalize the medium yet, eject the DVD-R/CD-R only by using Eject from... after the export is finished and not by using the Eject button on the DVD drive. C.2

✧ Select Transfer > Eject from... from the main menu of the Patient Browser

The Eject From dialog box opens. C.2

✧ Select [CD/DVD] from the selection list of the Eject From dialog box.

C.2

✧ Click the Eject button to eject the CD-R/DVD-R from the drive.

Exporting to a USB device C.2

You can export patient data, images, and reports to an external USB device. C.2

C.2

C.2

CAUTION C.2

Using USB devices without own power supply. C.2

The USB controller can be permanently damaged. C.2

✧ Use USB devices as recommended by the manufacturer of the device.

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C.2

✧ Connect the USB device.

✧ Select the data you want to export.

✧ Select Transfer > Export to Off-line... in the Patient Browser.

The Export To Off-line dialog box opens. C.2

✧ Select the USB drive from the Path selection list.

✧ Click the OK button to store the data on your USB device.C.2

C.2

✧ Click the USB icon in the status bar to eject the USB device.

C.2

CAUTION C.2

Plugging/unplugging USB devices during acquisition can make the system unstable which may affect other processes, such as running acquisition tasks. C.2

Loss of data, acquisition process disturbed. C.2

✧ Do not plug or unplug USB devices during acquisition tasks or other critical processes.

C.2

CAUTION C.2

Removal of USB device without deactivation via software. C.2

Loss of data, damaged operating system, and damage of media possible. C.2

✧ Do not immediately unplug a USB device. Always use the software functionality for safe removal before unplugging.

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Obtaining the Local Job Status C.2

✧ Select Transfer > Local Job Status... from the main menu to obtain an overview of pending and active transfer jobs (importing and exporting).

— or — C.2

C.2

✧ Click the status bar on one of the icons for local data trans-fer.

The dialog box Local Job Status opens. C.2

C.2

Sending data via the network C.2

During installation, Siemens Service sets up various network connections (for example, Node 1 and Node 2) as standard addresses in the network. C.2

i .2CDo not configure non-archive nodes as longtime archive. C.2

✧ Select the patient, study, series, or the images in the navi-gation area or content area.

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C.2

✧ Press the Send to Node 1 key on the symbol keypad to send the data to the preconfigured network address.

or C.2

✧ Select Transfer > Send to... from the main menu of the Patient Browser.

The Send To dialog box opens. C.2

✧ Select the desired destinations from the selection list of the Send To dialog box.

C.2

✧ Click the Send button to send the data to the selected node.

i .2CSelect the network connections from a list in the Send To dialog box if you want to send data to: C.2

❏ An address other than the standard addresses❏ More than one user in the network simultaneously

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Obtaining Network Job Status C.2

✧ Select Transfer > Network Job Status... from the main menu to obtain an overview of pending and active network jobs (sending and receiving).

— or — C.2

C.2

✧ Click the status bar on an icon for remote data transfer.

The dialog box Network Job Status opens. C.2

C.2

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Importing Data C.2

Data from hard disk, DVD-R, or CD-R must be imported into the Local Database first before it is possible to load them into a task card. C.2

Importing data from storage disks C.2

✧ Insert the disk on which the patient or examination data is stored.

✧ Click the corresponding icon of the drive in the navigation area of the Patient Browser and select the required data.

✧ Select Transfer > Import.

The selected data is copied from the external storage disk to the database and placed at the corresponding position in the data-base. C.2

i .2CYou can watch the progress of the import process in the Local Job Status dialog box. For more information, refer to: (→ Page C.2-29 Obtaining the Local Job Status) C.2

Importing data from the hard disk C.2

You can copy objects, for example, images or series, from your local hard disk, or from a remote folder into the Local Database.C.2

i .2CYou can only import images in the DICOM format, for example, IMA files. C.2

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✧ Select Transfer > Import From Off-line... from the main menu of the Patient Browser.

The Import From Off-line dialog box is displayed. C.2

✧ Select the required drive and directory from the Path selec-tion list.

✧ Select the files you want to import.


The objects are imported into the database and appended to any existing patient data objects or a new patient folder is cre-ated. C.2

Importing data from a USB device C.2

✧ Insert the USB device on which the patient or examination data is stored.

✧ Select Transfer > Import from Off-line... in the main menu of the Patient Browser.

When the Import from Off-line dialog box pops up, ensure that the proper Path is selected (USB device). The files saved on the USB device should be displayed. C.2

✧ Select the files you want to import.


The selected data is copied from the USB device to the database and placed in the corresponding position in the database. C.2

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Deleting Data in Patient Browser C.2

C.2

C.2

C.2

CAUTION C.2

Systems that do not use storage commitment only report back to the sending system when the data has been fully received (flags A and S). A user or an auto delete mechanism at the send-ing system might subsequently delete the sent data. However, this response does not imply that the data has already been stored at the receiving system. C.2

In the case that the receiving system cannot store the data, the data might irrevocably be lost. C.2

✧ Double-check that the data is actually stored on the receiv-ing system.

✧ Use storage commitment whenever it is supported by the sending and receiving systems.

C.2

CAUTION C.2

The printed flag is set if the images are successfully transferred to the printer’s control. Not all printers (e.g., paper printers) may be able to solve printing problems themselves. C.2

Image printout may be lost. C.2

✧ Verify that the printouts are available before you delete images.

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C.2

Deleting data manually C.2

i .2CYou can delete patient data in the Local database only if no other application wants to access the same data. C.2

✧ Select the data that you want to delete in the navigation area or content area.

C.2

✧ Select Edit > Delete from the main menu.

— or — C.2

C.2

✧ Click the Delete icon on the tool bar.

✧ Confirm with Yes in the dialog box displayed.

C.2

CAUTION C.2

Deletion confirmation deactivated. C.2

Loss of data possible. C.2

✧ The option in the General tab to configure the Delete Con-firmation Dialog should not be switched off.

✧ Be careful when setting permissions to delete documents without check if flags are not set.

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B .2CYou can turn off the confirmation dialog box, when selecting Options > Configure Browser... from the main menu and deac-tivate the Confirm Deletion check box. C.2

Unprotected data is then always deleted immediately without confirmation. C.2

For this reason, this step is not recommended. C.2

Deleting data automatically C.2

You can configure the automatic deletion in the Auto Delete Configuration dialog box to be regularly performed if selected criteria are met. C.2

C.2

C.2

CAUTION C.2

Deactivation of the confirmation dialog for Auto Delete! C.2

Loss of data, delay of diagnosis or therapy. C.2

✧ The confirmation dialog for Auto Delete should always be switched on, especially on modalities. If the confirmation dialog for Auto Delete is switched off, Auto Delete will start without user confirmation.

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C.2

C.2

C.2

CAUTION C.2

Confirmation dialog for auto deletion is kept open for a long time on scanner systems. C.2

Loss of data if objects chosen for auto deletion are updated by acquisition when the confirmation dialog is open. C.2

✧ Do not keep the confirmation dialog open for a long time in parallel during a patient examination and close it before a patient registration.

C.2

CAUTION C.2

In Auto delete configuration, Sent flag is configured for rule Delete all Series with flags... . In Auto transfer configuration, auto transfer is configured to start when Sent flag is set. C.2

Loss of data if both functionalities start in parallel. C.2

✧ Do not use auto transfer rule with Sent flag and auto dele-tion rule with Sent flag in combination. Instead, use stor-age commitment whenever it is supported by the sending and receiving systems.

✧ If this combination is not avoidable, always cross-check if the data chosen for auto deletion is actually stored on the receiving system before confirming auto deletion

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i .2CTo open the configuration dialog box select Options > Configu-ration from the main menu and click the Auto Delete icon. C.2

If automatic deletion is not configured for regular deletion, you can always start it manually. C.2

✧ Select Edit > Auto Delete from the main menu.

If automatic deletion is activated manually or automatically, the Auto Delete dialog box is displayed. It asks you whether you want to delete the selected series or studies. Depending on the amount of data to be deleted, opening the dialog box may take up to a few minutes. C.2

✧ Click the Delete button to delete the corresponding data.

or C.2

✧ Click the Cancel button to close the dialog box without deleting.

✧ Click the Change Default Settings button to open the Auto Delete Configuration dialog box where you can modify the deletion settings.

✧ Click the Show list button to verify or change the data to be deleted.

The Patient Browser in list mode is displayed and all studies that fulfill the criteria are listed. You can now select and delete the studies. C.2

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Using the RecycleBin C.2

If configured, you can restore deleted data from the RecycleBin. The RecycleBin then appears as a separate database in the Patient Browser. C.2

C.2

✧ Click the RecycleBin icon in the Patient Browser to view the data that can be restored.

C.2

✧ Click the Restore icon in the toolbar to move the selected data to the Local Database.

✧ Select the Empty RecycleBin menu to permanently delete the data in the RecycleBin.

B .2CIf the RecycleBin is enabled, use Shift + Del to permanently delete data from the Local database. C.2

B .2CTo disable the RecycleBin select the checkbox Do not move data to RecycleBin in the Patient Browser. C.2

Protecting data from deletion C.2

✧ Select the data that you want to protect against deletion in the navigation or content area.

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C.2

✧ Select Edit > Protect from the main menu.

— or — C.2

C.2

✧ Click the Protect icon on the tool bar.

Removing delete protection C.2

i .2CDelete-protection always includes all lower data levels and the related entries of the higher data levels. C.2

✧ Select the delete-protected data in the navigation or con-tent area.

✧ Select Edit > Remove Protection from the main menu.

— or — C.2

C.2

✧ Click the Remove Protection icon.

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CHAPTER C.2

C.3 M


PPS

The exchange of information based on Modality Performed Pro-cedure Step (MPPS) closes the gap between the modalities and the HIS/RIS. The information documents the actions being per-formed for a patient. C.3

i .3CThe MPPS function is available by an optional software license. If this license is not available, only local MPPS management is possible, and no feedback is sent to the HIS. C.3

The MPPS component mainly handles the following: C.3

❏ Creating MPPS during patient examination

❏ Passing information to the HIS/RIS

❏ Updating the MPPS status to the HIS/RIS based on user interaction and automatic procedures

Thus a smooth clinical flow is ensured, billing, and other infor-mation is generated within the hospital system. C.3

i .3CThe MR system generates entries automatically in the MPPS, for example, generated series and contrast media consumed. You can also add information manually (for example, contrast medium with flow, volume, kind of contrast medium). C.3

An MPPS is typically created as a part of the patient registration process in which: C.3

❏ The HIS/RIS requests a worklist procedure, or

❏ the workstep is created directly at the modality for the examination or image acquisition.

During an examination, the modality sends a message indicat-ing the start and the end of the examination. As a result, you can call up the status of the examination at any time. C.3

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MPPS Patient Data

Following helpful features for integrating the modalities with the supervising information system in the hospital are provided:C.3

❏ Displaying the patient information for MPPS

❏ Viewing the action items for MPPS

❏ Viewing the billing information for MPPS

B .3CIn case you cannot edit the MPPS information, you do not have appropriate access rights. Security in syngo ensures that access to functions and data is always provided in accordance with the privileges and permissions granted to a user. C.3

Controlling the MPPS C.3

i .3CThe availability of buttons depends on the status of the MPPS. C.3

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Patient Data MPPS

Layout of the MPPS dialog box C.3

The Modality Performed Procedure Step dialog box consists of three areas: C.3

C.3

(1) PATIENT and STUDYareasPatient data C.3

Study description C.3

(2) Upper part of the MPPS areaData of the selected MPPS C.3

Input field for comments to the MPPS C.3

(3) Lower part of the MPPS area

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MPPS Patient Data

Examination data sorted by various aspects and displayed in three tab cards (not all of them may be available at your modality) C.3

Feedback to the HIS/RIS C.3 Information about status and changes of the MPPS is sent to the HIS/RIS every time you click one of the following buttons in the Modality Performed Procedure Step dialog box: C.3

❏ Completed

❏ Discontinued

❏ Send

Opening the MPPS dialog box C.3

In the Patient Browser, the MPPS series are marked by the fol-lowing flags: C.3

❏ IN PROGRESS: series refers to MPPS which is in Progress

❏ DISCONTINUED: series refers to MPPS which is Discontin-ued

❏ HIS or LOC: series belongs to an examination planned by RIS or locally

❏ se: MPPS message acknowledged by IS

i .3CThe usage of the DICOM service MPPS depends on the availabil-ity of the corresponding RIS system. Even if no RIS with MPPS service is connected, the MPPS icon is displayed in the Patient Browser. C.3

✧ Select the patient, the examination, or one of the associ-ated series or images from the Patient Browser.

C.3

✧ Click the Show MPPS icon in the tool bar of the Patient Browser.

The Modality Performed Procedure Step dialog box is opened. By default, the latest MPPS object is displayed. C.3

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Patient Data MPPS

Navigating between MPPS objects C.3

Before you conclude your work on the examination by archiving, check and add missing entries to the performance report. C.3

✧ Click the Next button to have the MPPS object displayed which is next in time.

✧ Click the Previous button to have the latest MPPS object displayed again.

Saving an MPPS C.3

✧ Click the Save button to save your changes of the docu-ment.

B .3CSaving an MPPS does not complete the examination. No mes-sage is sent to the HIS/RIS. C.3

Finishing an MPPS C.3

✧ Click the Completed button to close the MPPS dialog box when all data shown in the performance document are cor-rect, and complete the examination.

The MPPS is closed. A corresponding message is forwarded to the HIS/RIS. C.3

i .3CIf you consider further steps, you can at first save the document, and close it later. C.3

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MPPS Patient Data

Aborting an MPPS C.3

✧ Click the Discontinued button if the examination is can-celed.

The MPPS is closed. A corresponding message is forwarded to the HIS/RIS. C.3

Sending Information back to HIS/RIS C.3

✧ Click the Send button to mark the MPPS as being processed and to inform the HIS/RIS about changes in the MPPS.

i .3CThe Send button is displayed only, if an MPPS node is config-ured. C.3

Closing the MPPS dialog box without any changes C.3

✧ Click the Cancel button to close the dialog box if you only have opened the document for printing or viewing.

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Patient Data MPPS

Checking the MPPS Information C.3

✧ Click in the center of the status bar of the task card to check the corresponding entry in the History of Events.

A list of events is displayed. C.3

✧ Look for an entry in the list concerning the MPPS.

If you do not find such an entry, it is already removed, because the information was sent successfully to the HIS/RIS. C.3

✧ If you find an entry concerning the MPPS, click it.

B .3CIf an error occurred, a message appears. Check also the status bar at the bottom of the task card for any error information. C.3

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Completing the MPPS C.3

You can complete all MPPS of a patient or a study simulta-neously. C.3

Automatic completion C.3 In the Workflow tab card of the Examination Configuration dialog box, you can activate the checkbox Auto Complete MPPS. All MPPS are then automatically set to COMPLETED after all recon jobs were reconstructed and the patient was closed. C.3

Make sure that you printed all film sheets before closing the patient. Otherwise MPPS does not consider the film sheets any-more. C.3

Manual completion C.3 ✧ Select the study or patient.

C.3

✧ Click the Complete MPPS icon in the Patient Browser.

The status of all related MPPS is set to COMPLETED. C.3

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PART C.3

D E


valuation

D.1 Viewing D.1-1

Loading and displaying images D.1-2

Transferring images D.1-2

Loading multiple studies or patients D.1-2

Loading multiframe images D.1-3

Using the image-stripe or stack display D.1-4

Dividing the image area D.1-4

Scrolling images D.1-6

Changing image settings D.1-8

Selecting images D.1-8

Windowing images D.1-8

Zooming and panning D.1-9

Rotating and flipping D.1-10

Changing dimensions D.1-11

Using the interactive movie D.1-11

2D evaluation D.1-12

Annotating images D.1-12

Setting the font properties for evaluation text D.1-13

Deleting graphic elements and text D.1-13

Setting a shutter D.1-13

Working with grids D.1-15

Saving images D.1-16

Closing images, series, studies, and patients D.1-17

Closing selected images or series D.1-17

Closing the patient D.1-17

D.2 syngo 3D D.2-1

Loading Images to 3D D.2-1

Loading images via the Patient Browser D.2-2

Loading images from the Viewing task card D.2-2

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Loading images via the 3D Series List D.2-3

Loading enhanced 4D data sets D.2-5

Closing patients D.2-5

Setting the Image Orientation D.2-6

Using Standard views D.2-6

Controlling the in-plane orientation D.2-7

Activating the orthogonal view D.2-7

Moving a cut line D.2-7

Rotating a cut line D.2-8

Rotating a VOI D.2-9

Moving through the Volume D.2-10

Shifting with the mouse D.2-10

Generating Series of Images D.2-11

Setting the reference image D.2-11

Generating parallel ranges D.2-12

Generating radial ranges D.2-14

Generating curved images D.2-16

Generating curved ranges D.2-18

Storing Images D.2-20

Saving images and series quickly D.2-20

Storing with the dialog box 3D: Save As D.2-21

Filming Images D.2-23

Transferring Images D.2-24

Transferring images to the Viewing task card D.2-24

Changing the Display Mode D.2-25

Switching to MPR with changeable slice thickness (MPR Thick) D.2-25

Switching to Shaded Surface Display (SSD) D.2-26

Changing thresholds for SSD D.2-27

Setting Light Source D.2-28

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Defining the MIP slice thickness (MIP Thin) D.2-28

Defining a VRT slice thickness (VRT Thin) D.2-29

Setting a visibility mask D.2-31

Using Free View D.2-32

Common interactions D.2-33

Using the clip planes D.2-33

Using the clipbox D.2-36

Extracting a VOI D.2-37

Using the VOI clipbox D.2-37

Changing the size in clipbox mode D.2-38

Moving the clipbox D.2-38

Using the VOI Punch Mode D.2-39

Using 3D Editor D.2-43

Calling up the Object Editor D.2-44

Creating a 3D object with threshold D.2-45

Using the Undo function D.2-45

Using the Update function D.2-45

Using Region Growing D.2-45

Cutting out structures D.2-47

Using the Morphological Operations D.2-48

Using 3D Bone Removal D.2-51

Selecting body regions D.2-52

Refining segmentation results D.2-54

Selecting a display mode D.2-58

Saving the segmentation results D.2-59

Using the Fusion Function D.2-60

Loading image data sets D.2-61

Aligning image series D.2-63

Displaying overlaid images side by side D.2-67

Displaying overlaid images in Fusion mode D.2-68

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Evaluation

Editing the Fusion image D.2-69

Saving Results for non 3D Applications D.2-70

Using Fly Through D.2-72

Starting Fly Through D.2-73

Changing the display mode D.2-74

Changing Fly View volume settings D.2-75

Modifying viewing distance D.2-76

Moving in the Fly segment D.2-76

Using auto navigation D.2-76

Performing fly volume click D.2-77

Defining the path or flight along a path D.2-78

Working With Two Monitors D.2-82

Loading one data set D.2-82

Loading two data sets simultaneously D.2-82

Using the two-monitor display D.2-83

Performing a manual registration D.2-84

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CHAPTER D.0

D.1 V


iewing

On the Viewing task card, you can view the results of an exam-ination and evaluate it or prepare it for diagnostics. D.1

You can also use the Viewing task card to compare image mate-rial of different examinations and, depending on configuration, of different patients. D.1

You can first load the images using the Patient Browser or from the 3D task card into the Viewing task card. Here you can select one of various ways of arranging the image material and dis-playing it in a clear way for your diagnostic problem. D.1

You can then process and evaluate the images. D.1

❏ Change window values

❏ Enlarge, pan, rotate, and flip images

❏ Highlight regions of interest (ROIs) using drawing tools (cir-cles, rectangles, freehand regions)

❏ Provide them with comment texts

❏ Display measured values for pixel points or ranges

❏ Measure distances and angles on the images

You can then save the processed and evaluated images, print them, expose them on film or send them to other locations in your network. D.1

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Viewing Evaluation

Loading and displaying images D.1

Transferring images D.1

✧ Open the Patient Browser by selecting Patient > Browser... from the main menu.

✧ Select the patient, study, or series in the navigation or con-tent area of the Patient Browser.

i D.1

You can transfer the images of more than one patient, study, or series to the Viewing task card. To do this, use multiple selec-tion in the navigation or content area. D.1

D.1

✧ Click the Load to Viewing icon on the tool bar to transfer the associated images to the Viewing task card.

i D.1

The Patient Browser closes if the Close after Loading option is selected in the Options menu. D.1

Loading multiple studies or patients D.1

With Multi View, you can have multiple patients displayed simul-taneously in the Viewing task card. D.1

B D.1

Patients with different patient IDs, but otherwise identical data, are handled as different patients by the system. D.1

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Evaluation Viewing

D.1

✧ Click the Multi View icon on the View subtask card to acti-vate this display mode.

✧ Use drag-and-drop to load multiple studies or patients (multi study layout).

✧ Drop each patient in a different study view.

Loading multiframe images D.1

When you load multiframe images, each multiframe is treated as a series. If you load a series consisting of several multiframe images and normal images, each multiframe image and each normal image will be loaded in a separate segment. D.1

✧ Load a single enhanced data object in all types of layouts into the Viewing task card.

B D.1

If images belong to different patients, the Viewing task card changes automatically to multi view layout. It is not possible to load two series of the same patient in stripe layout into the Viewing task card, even if one of the series contains an enhanced multiframe. D.1

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Using the image-stripe or stack display D.1

D.1

(1) Image Stripe display(2) Series Stack display

D.1

✧ Click the Image Stripe icon on the View subtask card to activate this display mode.

The loaded series and images are shown each in its own seg-ment. D.1

or D.1

D.1

✧ Click the Series Stack icon on the View subtask card to acti-vate this display mode.

All images of a series are stored in a stack one on top of the other. You can see the first image of each series. D.1

Dividing the image area D.1

A large format display is suitable to see diagnostic details while a small format display allows you to obtain an overview. D.1

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Evaluation Viewing

D.1

✧ Select a layout in the View menu.

The active view is marked with a checkmark. D.1

or D.1

D.1

✧ Select a layout with the icons on the View subtask card.

The corresponding icon is active. D.1

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Viewing Evaluation

Scrolling images D.1

✧ Scroll by using the operating elements of the Viewing task card.

D.1

(1) Scroll menu(2) Dog ears in the top right-hand corner of the images (except

Image Stripe display(3) Scroll bar on the right hand of the image area

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Evaluation Viewing

or D.1

✧ Scroll by using the keyboard.

i D.1

The following operating elements are available: D.1

❏ Keyboard keys Page Up and Page Down to scroll through the image stack

❏ Symbol keys of your keypad

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Viewing Evaluation

Changing image settings D.1

Selecting images D.1

You have the following possibilities to select the required images: D.1

❏ Select a single image

❏ Select individual images

❏ Select images up to the end of one series

❏ Select complete series

❏ Deselect images

✧ Refer to the basics for more detailed information (→ Page B.1-8 Selecting Images).

Windowing images D.1

D.1

You have the following possibilities to window images: D.1

❏ Set the scope of selection

❏ Window with the mouse and the keypad

❏ Restore window values

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Evaluation Viewing

✧ Refer to the basics for more detailed information (→ Page B.2-2 Windowing Images).

i D.1

In the image in which you are currently windowing, the changed window values are displayed immediately. As soon as you release the middle mouse button, the new window values are applied to all images of the same selection. D.1

Zooming and panning D.1

D.1

You have the following possibilities of zooming/panning images: D.1

❏ Zoom/pan with the mouse

❏ Activate the Blow up mode

❏ Restore the zoom factor

i D.1

With Tools > Capture Area, you can define an area in the image for zooming. D.1

✧ Refer to the basics for more detailed information (→ Page B.2-4 Zooming and Panning).

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Viewing Evaluation

Rotating and flipping D.1

D.1

B D.1

Orientation labels are rotated and flipped together with the image. Any annotations and graphics you enter are deleted when you rotate or flip an image. D.1

✧ Select the images that you want to edit.

D.1

✧ Click the Rotate 90 icon on the Image subtask card to rotate the image 90 degrees clockwise.

or D.1

D.1

✧ Click the Flip Vertically icon on the Image subtask card to flip the images vertically.

or D.1

D.1

✧ Click the Flip Horizontally icon on the Image subtask card to flip the images horizontally.

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Evaluation Viewing

Changing dimensions D.1

This feature is available for enhanced data sets having different dimensions. The data is loaded with the first dimension. To modify the order of the data set, proceed as follows. D.1

✧ Select Scroll > Change Dimension from the main menu.

The data sets will be sorted accordingly. D.1

B D.1

In multi view, Change Dimension will only be enabled if you have selected a frame of an enhanced data object. Change Dimension will be dimmed if you have selected frames of differ-ent patients. D.1

Using the interactive movie D.1

D.1

✧ Click the Interactive Movie icon on the View subtask card.

✧ Hold the left mouse button down in the image and move the mouse up or down to play back the movie forward or backward.

✧ Click the Interactive Movie icon again to terminate the Movie mode.

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2D evaluation D.1

To evaluate result images in the Viewing task card, you can measure distances and angles, and evaluate Regions Of Interest (ROIs). D.1

i D.1

ROIs (Regions Of Interest) are used to mark anomalies in the images and evaluate the gray scale within these regions statisti-cally. ROIs can be circular, rectangular, or freehand regions. D.1

✧ Refer to the basics for more detailed information (→ Page B.2-7 2D Evaluation).

i D.1

You can also measure the length of a structure, i.e., a blood ves-sel, by drawing the shape with a freehand line (Tools > Free-hand Distance). You can end this line with a double-click. D.1

Annotating images D.1

You can write up to 30 characters into a line, after that, line breaks are inserted automatically. D.1

i D.1

You can force a line break by pressing Shift + Enter. D.1

D.1

✧ Click the Annotation Text icon on the Tools subtask card.

✧ Click to the point in the image where you want to insert text.

✧ Enter the required text in the text field displayed and press the Enter key.

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Evaluation Viewing

Setting the font properties for evaluation textD.1

The font color and font size of evalution texts associated with a graphic object can be changed. D.1

✧ Right-click the selected graphic object and choose Font from the context menu or right-click the corresponding graphic tool icon on the Tools tab card.

B D.1

If you want to apply font properties to all types of graphic objects, activate the Select All Graphics checkbox. D.1

✧ Select the font color in the Color selection list.

✧ Select the font size in the Scale Factor selection list.

✧ Click OK to save your settings and exit the dialog box.

Deleting graphic elements and text D.1

✧ Select individual, several, or all graphic and text elements you want to delete.

i D.1

With Edit > Select > All Graphics, you can select all graphic ele-ments and text in the selected image segments. D.1

✧ Select Edit > Delete Graphics or press the Del key on your keyboard.

Setting a shutter D.1

You can hide irrelevant areas of the image. To do that, you place a shutter over the image. D.1

After that, only the area within the shutter is displayed and all the surrounding areas are displayed black. D.1

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i D.1

Only one shutter can be set in an image or multiframe image. When setting different shutters in different frames of a multi-frame image, the shutter in the first frame is taken into account.D.1

D.1

✧ Click the Shutter icon on the Tools subtask card.

D.1

✧ Place the mouse cursor in the corner of the area of the image that you want displayed.

The mouse cursor changes shape. D.1

✧ Hold the left mouse button pressed and drag a rectangle open for the shutter.

i D.1

By clicking the border of the image you can select a shutter which you can then move or resize. D.1

When you release the mouse, the area outside the shutter is dis-played black. D.1

D.1

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Working with grids D.1

As an aid to orientation and estimating the sizes and angles in images, you can display a grid in selected images. D.1

The grid consists of parallel, horizontal and vertical lines. The distance between the grid lines (grid width) can be adapted individually. D.1

The grid and grid settings are stored together with the images. D.1

Displaying a grid D.1 ✧ Select the image or images in which you want to display the grid.

✧ Select View > Scalegrid to display the grid.

D.1

Changing grid settings D.1 ✧ Click on one of the grid lines to select the grid.

✧ Call up Edit > Properties... in the main menu to display the dialog box Scalegrid Properties.

✧ Pick a new grid distance from the spin box Distance in the Scalegrid Properties card to change the grid width.

✧ Click on OK to accept the changed grid settings and close the dialog box.

If you zoom the images, the grid width is adapted to the new sizes. If you move the image center (panning), the grid is also moved. D.1

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Saving images D.1

D.1

✧ Select the images or series that you want to save.

✧ Select Patient > Save As....

✧ In the Save As dialog box, click the Save images in new series option.

✧ Enter the new series description in the text input field and confirm with OK.

or D.1

✧ Click the Append images to series option.

✧ Select the series in the selection list using the serial number and serial description and confirm with OK.

Saving window values only D.1 ✧ Select Image > Save Window Values.

The current window values are saved for the selected images. D.1

D.1

CAUTION D.1

Modifications in medical images are not saved automatically in the same way as image comment. Additionally, in case of a user switch where the new user has no adequate access rights, mod-ifications of the image text may also be lost. D.1

Image modifications may be lost. D.1

✧ Use Patient > Save as... in order to save the image with modifications as a new image.

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Closing images, series, studies, and patients D.1

You have two choices to close images in the Viewing task card:D.1

❏ Closing selected images or series

❏ Closing the Patient

Closing selected images or series D.1

✧ Select the images or series that you want to close.

✧ Select Edit > Clear Document(s).

The other images move up and the gap will be closed. D.1

Closing the patient D.1

✧ Select Patient > Close Patient.

— or — D.1

D.1

✧ Click the Close Patient button in the Patient subtask card.

All images are closed and removed from the Viewing task card. The patient folder in the control area is closed. D.1

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CHAPTER D.1

D.2 s


yngo 3D

The result of a tomographic examination is a sequence of images through a solid volume. By combining two-dimensional images, it is possible to obtain a three-dimensional display of the region of interest. D.2

In this three-dimensional display, you can work just like in a three-dimensional model. D.2

The basic software supports you in: D.2

❏ Generating new images

❏ Cutting out individual regions

❏ Extracting or masking out structures for a precise diagnosis

❏ Applying a wide range of evaluation functions for special diagnostic problems

syngo 3D provides you some alternative procedures for working with three-dimensional images. You decide with what method you want to begin as soon as you load images into the 3D task card. D.2

On the 3D task card, you then prepare your image material with the selected method, or you start another image processing pro-cedure. D.2

Loading Images to 3D D.2

The following criteria must be fulfilled for displaying a selection of images: D.2

❏ All images must originate from one patient and from one study.

❏ The number of images that you can process depends on the availability of an enhanced graphics card, and on configu-ration.

❏ All images must have the same x/y coordinates and FoV (Field of View).

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syngo 3D Evaluation

Loading images via the Patient Browser D.2

✧ Call up the Patient Browser by selecting Patient > Browser... from the main menu.

✧ Select one series or at least three images in the Patient Browser.

D.2

✧ Click the 3D MPR icon to start image processing as multi-planar reconstruction (MPR).

i D.2

In addition to the multiplanar reconstruction (MPR) described here, you can switch over at any time to: D.2

❏ Maximum intensity projection (MIP)❏ Surface shaded display (SSD)❏ Volume rendering technique (VRT)

For more information, refer to: (→ Page D.2-25 Changing the Display Mode) D.2

Loading images from the Viewing task card D.2

✧ Select at least three images or the series that you want to process.

D.2

✧ Click the 3D MPR icon to start image processing as MPR.

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Evaluation syngo 3D

i D.2

If you select no images in the Viewing task card explicitly, the entire content of the opened patient folder is transferred. That means all images of the patient are transferred. D.2

Loading images via the 3D Series List D.2

D.2

D.2

CAUTION D.2

If you load large data sets, the image pixel data will be down-sampled. D.2

The image quality may be insufficient. D.2

✧ Be aware of reduced image quality if indicated in image dis-play.

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The 3D Series List dialog box is displayed if: D.2

❏ The series you transferred is not suitable for 3D display

❏ You selected more than one series for processing

D.2

(1) Patient data(2) Series suitable for 3D display (valid list)(3) Series unsuitable for 3D display (invalid list)

✧ Double-click a valid series that you want to examine, or select the series, and click the Select button.

i D.2

Select Patient > Open Series List... to open the 3D Series List and access other series that you marked for examination. D.2

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Loading enhanced 4D data sets D.2

This feature is valid for enhanced data objects (CT multiframe, MR multiframe), if the same 3D volume is acquired at several time points. D.2

i D.2

During an examination, multiple 3D series with different phases are acquired. Each phase results in multiple images. These mul-tiple 3D series, acquired from different phases, comprise an enhanced 4D data set. D.2

✧ Load the enhanced 4D data set into the 3D task card.

The 3D Series List dialog box is displayed showing all valid phases. D.2

✧ Select and load the phases you want to view in the 3D task card.

The first selected phase is displayed by default. D.2

✧ Click the Next or Previous icon or use the selection list on the Navigation subtask card to navigate to other phases.

B D.2

Punching information will be maintained during the navigation between the phases. Overlay information (drawn ROIs etc.) will be discarded. D.2

Closing patients D.2

D.2

✧ Click the Close Patient icon in the lower part of the control area to close all currently displayed images.

All images are closed and removed from the 3D task card. D.2

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Setting the Image Orientation D.2

Using Standard views D.2

The standard views are used as a starting point for processing images. D.2

D.2

(1) Sagittal view(2) Transversal view(3) Coronal view(4) Output segment

✧ Select one of the three image segments in the image area of the 3D task card.

✧ Click the relevant icon of the Orientation subtask card.

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Controlling the in-plane orientation D.2

D.2

✧ Click the Orientation Control icon in the upper control area to enable the orientation control.

If the images are mainly sagittal or coronal, the head is dis-played at the top. If the images are mainly transversal, the images are displayed anterior at the top. D.2

i D.2

You can return to the standard view from any other view by clicking the Default Orientation icon. D.2

Activating the orthogonal view D.2

To display slices along the main axis of an organ, for example, the heart, you set the view in the reference image. D.2

D.2

✧ Click the Ortho Sync icon in the upper part of the control area.

Moving a cut line D.2

The reference lines indicate the position of two slice planes which are displayed in the two other segments. You can recog-nize which image corresponds to which cut line by the color of the reference lines and the frame around the segments. D.2

The arrows indicate the viewing direction from which you view a plane. D.2

✧ Click a reference line in an image and move it holding the left mouse button down to shift the cut line.

The corresponding slice plane is displayed in one of the other segments. D.2

or D.2

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D.2

✧ Use the dog-ears to move the slice forwards or backwards.

Rotating a cut line D.2

By rotating the cut lines, you create oblique planes (only one line is oblique) or double-oblique planes (both lines are oblique). Dotted lines indicate planes that are not perpendicular to the view displayed. D.2

D.2

An orientation cube is displayed on all images. It indicates the anatomical orientation of the reconstructed image. D.2

D.2

✧ Click the Free Mode icon to activate free mode.

D.2

✧ Click the line with the left mouse button and hold the mouse button pressed.

D.2

✧ Rotate the line around the central point.

✧ Click the active Free Mode icon to freeze the angle.

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Rotating a VOI D.2

D.2

✧ Click the Rotate Images icon on the upper part of the con-trol area.

The mouse pointer changes shape. D.2

D.2

✧ Tilt the VOI by moving the mouse up or down.

✧ Rotate the VOI by moving the mouse to the left or right.

i D.2

While you are rotating the VOI, the image is displayed with reduced quality. D.2

✧ Combine rotating and tilting by moving the mouse diago-nally.

D.2

✧ Spin the VOI by moving the mouse along the border of the segment, keeping the left mouse button pressed.

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Moving through the Volume D.2

You can move slice by slice forwards or backwards through the volume. The other segments are updated simultaneously. D.2

Shifting with the mouse D.2

Shifting with the mouse is an interactive equivalent to scrolling via the dog-ear. D.2

✧ Click in the segment you want to scroll.

D.2

✧ Activate the parallel shift function using the SmartSelect menu with a right mouse click.

The shape of the mouse cursor indicates the action performed. D.2

D.2

✧ To move slowly through the volume, press the mouse key and drag slightly upwards.

D.2

✧ To move faster through the volume, drag the mouse cursor further upwards.

D.2

✧ To move the image plane out of the volume, drag the mouse cursor downwards.

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Generating Series of Images D.2

D.2

Setting the reference image D.2

✧ Set up a view you require in one of the segments as the basis of further processing.

✧ Click that segment to select this view as reference image.

The selected reference image is displayed with a thick border. D.2

D.2

CAUTION D.2

The zoom factor for reference image display is selected such that the complete volume can be displayed. The preselected zoom factor influences the spatial resolution for reconstruction. The spatial resolution may be lower than the spatial resolution of the original images. D.2

Reduced image quality (lower resolution) due to default zoom level. D.2

✧ Center the relevant area and select a suitable zoom factor before starting calculation of ranges or resampling.

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Generating parallel ranges D.2

By using the Parallel Ranges icon you create a series of images parallel to a selected reference line. D.2

i D.2

In this mode, you can generate a parallel series of tomographic images at equal distance and with equal slice thickness. D.2

D.2

✧ Click the Parallel Ranges icon on the Settings subtask card.

The 3D: Parallel Ranges dialog box is displayed. D.2

D.2

i D.2

You can move the dialog box 3D: Parallel Ranges if it obscures the output segment (lower right segment). D.2

✧ Enter the number and the thickness of images to be gener-ated and confirm with the Enter key.

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✧ Enter the distance between the images and confirm the setting with the Enter key.

— or — D.2

D.2

✧ Move the starting or end line graphically in the reference image.

With the following icons you can generate a series, whose inter-section planes are horizontal or vertical in the center of the ref-erence image. D.2

D.2

✧ Click the Horizontal Ranges icon.

or D.2

D.2

✧ Click the Vertical Ranges icon.

D.2

✧ Click the Swap Range Order icon to reverse the existing image numbering of the series.

D.2

✧ Click the Constant Number of Images icon to keep the number of images constant when resizing the range.

✧ Move the mouse cursor to the centerline.

D.2

✧ Move the reference line to reposition the entire range.

D.2

✧ Rotate the reference line if you want to rotate the entire range.

✧ Click the Start button.

The series of parallel images is displayed in the lower right seg-ment. D.2

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✧ Save your new series, if the new series is as you require it. (→ Page D.2-20 Storing Images)

Generating radial ranges D.2

In order to view a range from different angles, you generate radial tomographic images. In this way, you simulate step-by-step rotation around a reference axis. D.2

D.2

✧ Click the Radial Ranges icon on the Settings subtask card.

The 3D: Radial Ranges dialog box is displayed. D.2

D.2

✧ Enter the number of images to be generated and confirm with the Enter key.

✧ Enter the angle between the images and confirm the set-ting with the Enter key.

— or — D.2

D.2

✧ Rotate the starting line, the center line, or the end line around the point of rotation.

D.2

✧ Move the entire range by moving the point of rotation.

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D.2


D.2

✧ Click the Constant Number of Images icon, and drag the start or end line of the graphic range object to another posi-tion.

D.2

The cut lines are distributed between start and end line. The dis-tance between the images is automatically adapted in that way a whole number of images can be calculated. D.2

✧ Click the Start button.

The series of radial images is reconstructed in the lower right segment. D.2

✧ Save your new series, if the new series is as you require it. (→ Page D.2-20 Storing Images)

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Generating curved images D.2

With this option, you can draw a cut line with any curvature inside the MPR image. This cut will be reconstructed and dis-played in the output segment. D.2

D.2

✧ Select the segment that contains your reference image.

D.2

✧ Click the Curved Mode icon on the Settings subtask card.

The program changes to the drawing mode and the cursor changes shape. D.2

D.2

D.2

CAUTION D.2

Using non planar slice images for diagnostic purposes. D.2

Wrong diagnosis. D.2

✧ Be careful when interpreting orientation labels. Keep the shape of the curved cut and its orientation in the volume in mind.

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✧ Draw the cut line by clicking each point along the requested path with the left mouse button.

— or — D.2

✧ Draw a freehand line by pulling the curve while keeping the left mouse button pressed.

✧ Finish the line by double-clicking.

✧ Save your new series if you are satisfied with it. (→ Page D.2-20 Storing Images)

If you are not satisfied yet with the new reconstructed represen-tation, you can vary the cut lines in the working segment. D.2

✧ To display further parts of the cut line, move its starting point in the reference image (working segment) by drag-ging the arrow along the curve with the mouse.

✧ Move the whole line keeping the left mouse button pressed.

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Generating curved ranges D.2

With this option, you generate a series of curved cut images that are parallel to one another and are a defined distance apart. D.2

D.2

✧ Select a segment.

D.2

✧ Click the Curved Ranges icon on the Settings subtask card.

The dialog box 3D: Curved Ranges is displayed. D.2

D.2

✧ Draw a reference line by holding the left mouse button pressed.

D.2

CAUTION D.2

Using non planar slice images for diagnostic purposes. D.2

Wrong diagnosis. D.2

✧ Be careful when interpreting orientation labels. Keep the shape of the curved cut and its orientation in the volume in mind.

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✧ Double-click to finish drawing.

In the selected reference segment, the positions of the parallel curved tomographic images are shown graphically. D.2

✧ Enter the number and the thickness of images to be gener-ated and confirm with the Enter key.

✧ Enter the distance between the images and confirm the setting with the Enter key.

D.2


D.2

✧ Click the Constant Number of Images icon, and drag the start or end line of the graphic range object to another posi-tion.

The distance between the cut lines changes accordingly (is increased or decreased). The number of images remains the same. D.2

D.2

✧ Move the entire range by clicking the reference line and moving the mouse with the left mouse button pressed.

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Storing Images D.2

i D.2

You can have the new series stored automatically during recon-struction. D.2

Click the Enable auto-save option on the Ranges subtask card in the 3D Configuration dialog box. D.2

Saving images and series quickly D.2

✧ Select the desired image or any visualization in the output segment.

D.2

✧ Click the Save icon.

i D.2

When stored for the first time, a new series is saved in the local database with the name of the evaluation type (MPR, MIP etc.).D.2

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Storing with the dialog box 3D: Save As D.2

✧ Select the desired image or any visualization in the output segment.

D.2

✧ Click the Save As icon.

The 3D: Save As dialog box opens. D.2

D.2

✧ Enter the name of the physician who will diagnose the images into the Reading Physician field.

✧ Enter a comment text in the Comment input field if neces-sary.

✧ Click the Save all images in one series option to save all single images generated from a set of volume data in one series.

— or — D.2

✧ Click the Group all images by type option if you want to save images with different output types in your database sorted by the output type.

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✧ Enter a series name or select a name from the selection list.

✧ Confirm the settings with the OK button.

All selected images are stored in the new series. D.2

i D.2

The next images you generate or save are appended to the selected series. They are saved under this series name with the name of the evaluation type. D.2

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Filming Images D.2

✧ Select the desired segment.

D.2

✧ Click the Copy To Film Sheet icon of the control area.

— or — D.2

D.2

✧ Press the Copy To Film Sheet key on the symbol keypad.

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Transferring Images D.2

You can process selected images by going on to 2D processing or evaluation, or you can transfer the images to other locations in your clinic network. D.2

Transferring images to the Viewing task card D.2

D.2

✧ Click the Save and Load to Viewing icon.

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Changing the Display Mode D.2

The system allows you to switch from MPR to MPR Thick, MIP, MIP Thin, SSD, VRT,or VRT Thin whenever you want. D.2

i D.2

You also can switch to MinIP via selecting Type > MinIP in the main menu. D.2

i D.2

If you want to switch all segments, you must select and switch each one separately, one after the other. D.2

Switching to MPR with changeable slice thickness (MPR Thick) D.2

✧ Click the segment whose output type you want to change.

D.2

✧ Click the MPR Thick icon on the Type subtask card.

The value for MPR image thickness is displayed in the lower left corner of the image. D.2

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Changing the MPR thicknessD.2

D.2

✧ Right-click the MPR Thick icon.

The dialog box 3D: MPR Thick is displayed. D.2

D.2

✧ Enter an image thickness (in mm) in the dialog box 3D: MPR Thick.

✧ Click the Set as default button to set the entered image thickness value as default.

✧ Confirm with the OK button.

or D.2

✧ Click the Default button to use the preset image thickness.

Switching to Shaded Surface Display (SSD) D.2

✧ Select an image as reference image.

D.2

✧ Click the SSD icon on the Type subtask card.

i D.2

You can also transfer the images directly from the Patient Browser or the Viewing task card by selecting Applications > 3D > SSD. D.2

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Changing thresholds for SSD D.2

The system provides default settings for the threshold values for surface extraction, but you can alter them individually. D.2

D.2

✧ Right-click the SSD icon on the Type subtask card.

The 3D: SSD Definition dialog box is displayed. D.2

D.2

D.2

✧ Enter new threshold values in the input fields.

✧ Check the values by pressing the Enter key.

— or — D.2

✧ Move the slider with the left mouse button to the right or to the left to increase or reduce the threshold value.

— or — D.2

✧ Select your predefined threshold value pairs from the list Presets.

The new threshold values are immediately applied in the Low value or High value fields. D.2

✧ Click the High Quality button as soon as you found the desired threshold values.

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✧ Close the dialog box 3D: SSD Definition if you are satisfied with your evaluations.

The SSD display is now recalculated. As soon as the procedure is complete, you see a new SSD image which you can freely rotate.D.2

Setting Light Source D.2

D.2

✧ Click the Open Light Source icon inside the 3D: SSD Defi-nition dialog box to get a better display of the surface con-dition of anatomical structures.

✧ Select one of your predefined settings or use the sliders to set the desired values.

✧ Confirm your settings with the OK button.

Restoring light source set-tings D.2

D.2

✧ Click the Reset Light Source Direction icon to restore the original direction of the arrow.

Defining the MIP slice thickness (MIP Thin) D.2

✧ Select a reference segment and scroll through the slice until you reach the desired position.

D.2

✧ Click the MIP Thin icon on the Type subtask card.

The value for MIP image thickness is displayed in the lower left corner of the image. D.2

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Changing the MIP thickness D.2

D.2

✧ Right-click the MIP Thin icon on the Type subtask card.

The 3D: MIP Thin dialog box is displayed. D.2

D.2

✧ Enter the image thickness.



or D.2

✧ Click the Default button to use the default value for MIP image thickness.

i D.2

The selected setting is applied to all subsequent MIP Thin recon-structions. D.2

Generating series of MIP Thin images D.2

You can also generate different series of tomographic slice images by using your MIP Thin images. D.2

✧ For more information, refer to: (→ Page D.2-11 Generat-ing Series of Images)

Defining a VRT slice thickness (VRT Thin) D.2

✧ Select a reference segment and change the display of the image until it meets your requirements.

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D.2

✧ Click the VRT Thin icon on the Type subtask card.

Changing the VRT slice thickness D.2

D.2

✧ Right-click the VRT Thin icon on the Type subtask card.

The 3D: VRT Thin dialog box is displayed. D.2

D.2

✧ Enter the image thickness.



or D.2

✧ Click the Default button to use the default value for the image thickness.

i D.2

The selected setting is applied to all subsequent VRT Thin recon-structions. D.2

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Setting a visibility mask D.2

The visibility mask consists of all masks already created for a data set with VOI Punch mode or 3D Editor. For more informa-tion, refer to: (→ Page D.2-37 Extracting a VOI), (Æ Page D.2-43 Using 3D Editor) D.2

Existing masks are indicated by Manip (manipulated) in the upper left area of the image text. D.2

i D.2

If one of the modes VOI Punch or 3D Editor is active, the visibil-ity mask is automatically switched on. The Visibility Mask icon is dimmed. After terminating the mode, the mask remains switched on and the icon is undimmed. D.2

D.2

✧ Click the Visibility Mask icon on the Type subtask card.

The visibility mask is applied, and images are shown with masked out structures. D.2

i D.2

If you load the image, existing masks are applied automatically.D.2

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Using Free View D.2

Using the Free View function, you can isolate a part of the data set volume. For that purpose, use clip planes and the clipbox and in that way, hide the area you do not require. D.2

Activating Free View D.2

D.2

✧ Click the Free View icon in the Settings subtask card.

In the lower right segment, the volume is displayed in Free View. D.2

D.2

(1) Clipbox (white borderlines)(2) Clip Plane (red borderlines)(3) Clip Plane Slab Mode icon

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i D.2

The clipbox is displayed if you clicked the VOI clipbox icon. For more information, refer to: (→ Page D.2-36 Using the clipbox)D.2

Common interactions D.2

You can change the volume display in different ways: D.2

❏ By rotating the volume

❏ By zooming and panning the volume

✧ For more information, refer to: (→ Page B.2-1 Standard Evaluation Methods)

Using the clip planes D.2

You can change the position and reciprocal distance of the clip planes. D.2

✧ Select Edit from the main menu and deselect Hide Clip Plane Graphics to display the clip plane.

Rotating clip planes D.2 ✧ Select Orientation > Rotate Clip Plane from the main menu to rotate the clip plane.

Rotating objects D.2 ✧ Select rotate object from the SmartSelect menu to rotate the object.

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Pushing/pulling clip planes D.2

i D.2

Using the Push/Pull Clip Plane function you can manipulate the clip plane and objects in different ways: D.2

❏ You can push or pull the clip plane by moving the mouse over the clip planes inner area.

❏ You can rotate the clip plane by moving the mouse close to the clip planes border.

❏ You can rotate the object by moving the mouse outside the clip plane.

✧ Select Orientation > Push/Pull Clip Plane from the main menu.

✧ Select the active mode by moving the mouse cursor with the left mouse button pressed down.

Zooming/panning an object D.2 ✧ Select zoom / pan from the SmartSelect menu to zoom and pan the object.

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Changing the clip plane dis-tance D.2

You can determine the thickness of the volume displayed by entering a value for the clip plane distance. D.2

D.2

✧ Right-click the Free View icon on the Settings subtask card.

The 3D: Clip Plane Definition dialog box opens. D.2

D.2

✧ Enter a value for the clip plane distance.


Switching between clip planes D.2

D.2

✧ Click the Clip Plane Slab Mode icon in the free view seg-ment to toggle between one or two clip planes.

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Using the clipbox D.2

You can change the position and size of the clipbox. If you start the Clipbox mode and the Free View mode is active, the Free Clipbox mode is used. D.2

D.2

✧ Click the VOI Clipbox icon on the Settings subtask card.

The clipbox graphics is displayed in the free view segment. D.2

✧ Move the mouse cursor over the center of the clipbox side until the border frame of the clipbox side becomes high-lighted in blue.

✧ Drag the mouse cursor keeping the left mouse button pressed in order to shift the side of the clipbox.

i D.2

You cannot perform clip plane and clipbox interactions simulta-neously. D.2

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Extracting a VOI D.2

With a volume of interest (VOI), you extract a volume of diag-nostic interest to you, thus limiting the volume to be recon-structed to a partial volume. D.2

You can extract a VOI in the following ways: D.2

❏ Position and delimit a cuboid VOI (VOI Clipbox)

❏ Draw a freehand VOI (VOI Punch Mode)

i D.2

The views in the reference segments are perpendicular to one another, but they might not be perpendicular to the patient coordinate system. You can change these views at any time. For more information, refer to: (→ Page D.2-6 Using Standard views) D.2

Using the VOI clipbox D.2

D.2

✧ Click the VOI Clipbox icon on the Settings subtask card.

The entire data set with the default VOI delimitation appears in the output segment. The rectangle shows the preset delimita-tion of the VOI. D.2

✧ Select Settings > VOI Reset Clipbox from the main menu if you want to reset the size of the clipbox to the initial val-ues.

The reset is applied to all segments simultaneously. D.2

i D.2

If you start the Clipbox mode without being in Free mode, the rectangular clipbox mode is used. D.2

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Changing the size in clipbox mode D.2

D.2

D.2

✧ Click a boundary line of the clipbox and move the grab han-dle while holding the mouse button down.

Moving the clipbox D.2

D.2

✧ Place the mouse cursor on the edge of the selected VOI to change its position.

✧ Move the VOI while holding down the left mouse button.

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Using the VOI Punch Mode D.2

D.2

✧ Click the VOI Punch Mode icon on the Settings subtask card.

The dialog box 3D: VOI Punch Mode appears in the output seg-ment. Here, you find all the icons that you need for VOI editing.D.2

D.2

i D.2

When extracting VOIs, you can combine the output types MIP and SSD in different segments to extract and reveal the volume of interest more clearly. D.2

Drawing a freehand line D.2

D.2

✧ Click the Draw Contour icon in the 3D: VOI Punch Mode dialog box.

✧ Position the individual curve points in the selected segment with the left mouse button.

— or — D.2

✧ Draw a continuous line keeping the left mouse button pressed.

✧ Complete your line with a double-click.

The starting and end point of the line are connected. D.2

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Punching a freehand VOI D.2

D.2

✧ Click the Keep Inside icon.

D.2

The area outside the boundary is cut off. D.2

or D.2

D.2

✧ Click the Remove Inside icon.

D.2

The enclosed area is cut off. D.2

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Deleting a freehand line D.2 ✧ Click the line to select it.

✧ Press the Delete key on your keyboard.

i D.2

You can also delete a line by clicking the Draw Contour icon again. D.2

Undoing deletion D.2

D.2

✧ Click the Undo Last icon in the 3D: VOI Punch Mode dialog box.

i D.2

With Undo Last, you can restore areas that you accidentally deleted. D.2

Rejecting all steps D.2

D.2

✧ Click the Reset All icon in the 3D: VOI Punch Mode dialog box.

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Closing the VOI mode D.2 After performing the VOI Punch mode, the punch mask is auto-matically saved under the name “3D VOI Punch” within the series “3D Application Data”. D.2

✧ Click the Close button in the 3D: VOI Punch Mode dialog box.

— or — D.2

D.2

✧ Click the VOI Punch Mode icon on the Settings subtask card.

Now, every time you switch to MIP or SSD display and if you activate the Visibility Mask, the effective VOI is displayed. D.2

i D.2

If you close the VOI mode after undoing all processing steps, the punch object 3D VOI Punch is deleted. D.2

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Using 3D Editor D.2

The 3D Editor provides tools for marking and isolating structures of interest semi-automatically in three-dimensional space. These structures are referred to as objects. D.2

i D.2

The object is applied automatically when loading the images next time. D.2

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Calling up the Object Editor D.2

✧ Select Settings > Editor Region Growing to call up the 3D: Object Editor.

The 3D: Object Editor is opened in Region Growing mode. D.2

D.2

(1) Tool bar(2) Object list(3) Mode-specific tools (here: tools for thresholding)(4) General buttons

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Creating a 3D object with threshold D.2

✧ Select the threshold value suitable for your object.

✧ Fine-adjust the threshold values with the slider or the spin box.

D.2

✧ Click the Add to Object icon to start reconstruction of the object.

The reconstructed object appears in the result segment. The cre-ated object is listed as New object in the object list. D.2

D.2

✧ Click the New Object icon to create further objects.

Using the Undo function D.2

If the entries you made are incorrect, you can undo the last task, for example, Add to Object. D.2

D.2

✧ Click the Undo Last icon.

Using the Update function D.2

D.2

✧ Click the Update Masking icon after image manipulation to apply the changes of your object editing and to update the display.

Using Region Growing D.2

✧ Select an object in the object list.

D.2

✧ Click the Set Seed Point icon in the Region Growing win-dow area.

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D.2

✧ Click the relevant points in the working segment (upper right) to set seed points.

i D.2

You can set any number of seed points, drag them to different positions, and delete them via the Delete key on your keyboard.D.2

D.2

✧ Click the Draw Blocker icon to prevent the filling of certain parts of an object by the Region Growing function.

The image in the upper right segment switches to MIP display. D.2

✧ Use the MIP to draw a boundary line across the image area you want to define as a separator.

✧ Double-click to end drawing the blocker.

D.2

✧ Click the Replace Object icon to start reconstruction of the object.

D.2

The edited object appears in the result segment. D.2

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Cutting out structures D.2

With Object Punching mode, you can cut freely definable areas out of an object. D.2

D.2

✧ Click the Object Punching icon.

D.2

(1) Draw Contour(2) Keep Inside(3) Remove Inside

D.2

✧ Click the Draw Contour icon to draw a cut line.

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✧ Set the starting point of your contour with a mouse click and set further contour points with the mouse.

D.2

✧ Click the Keep Inside icon to delete structures outside the contour.

or D.2

D.2

✧ Click the Remove Inside icon to remove structures inside the contour.

Using the Morphological Operations D.2

You apply morphological operations to remove edge areas in the representation by eroding and dilating. D.2

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D.2

✧ Click the Morphological Operations icon.

The tools for the Morphological Operations are displayed in the 3D: Object Editor. D.2

D.2

(1) Erode Object(2) Dilate Object

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Eroding an object D.2 ✧ In the spin box, enter the surface thickness by which the object is to be eroded.

D.2

✧ Click the Erode Object icon.

The eroded object appears in the result segment. D.2

Dilating an object D.2 ✧ In the spin box, enter the voxel size by which the object is to be dilated.

D.2

✧ Click the Dilate Object icon.

The object is displayed with the relevant areas dilated in the result segment. D.2

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Using 3D Bone Removal D.2

For a precise diagnosis, the Bone Removal tool facilitates extracting or masking out structures. You can follow the work-flow given on the 3D: Bone Removal dialog box. D.2

To ensure a correct calculation, correct the mask by the follow-ing steps: D.2

❏ Adjust the threshold

❏ Adjust the segmentation strength

❏ Adjust the noise tolerance

❏ Add relevant parts, or remove unwanted parts manually from the bone mask

Safety advice D.2

D.2

D.2

CAUTION D.2

The semiautomatic algorithm used for bone removal may remove tissue (e.g., vessels, stents, or plaques) or leave bone fragments! D.2

Not all relevant structures of the tissue may be visible or unimportant fragments may impact further calculations. D.2

✧ Correct the masking by adjusting the threshold, the seg-mentation strength, and the noise tolerance.

✧ Add relevant items to or remove unwanted parts manually from the bone mask.

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Selecting body regions D.2

Safety advice D.2

D.2

D.2

✧ Click the Bone Removal icon on the Settings subtask card.

D.2

The blind Step 1: Select Region of the 3D: Bone Removal dia-log box opens. D.2

D.2

CAUTION D.2

The image is displayed with lower resolution when the bone and non-bone masks are being refined! D.2

Not all relevant structures of the tissue may be visible. D.2

✧ Verify the diagnosis after finishing bone masking on images with normal resolution.

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D.2

✧ Click the Body icon or on the Head icon to select the appro-priate mode for Bone Removal.

D.2

✧ Click the Bone icon to extract bones, for example, for frac-ture analysis.

i D.2

For Fracture mode, the Bone icon is pressed by default. D.2

✧ Select Advanced >> to modify the predefined threshold HU value which depends on the selected volume type.

D.2

The Advanced >> dialog box is enlarged. D.2

✧ Move the slider to change the default threshold HU value.

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i D.2

Only values above the threshold HU value are considered for fur-ther processing. D.2

The setting of the HU value remains valid until you modify it. D.2

✧ Click Default to return to the initially preset value.

✧ Click Store to save this setting locally as new default value.

As soon as the appropriate segmentation mode has been selected, preprocessing starts. D.2

i D.2

It is recommended to verify the image after finishing bone masking to ensure that all relevant structures of the tissue are visible. D.2

Refining segmentation results D.2

D.2

Upon completion of Step 1: Select Region, the blind Step 2: Refine is displayed automatically. D.2

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D.2

✧ Click the Set Marker icon to define a structure as bone or non-bone.

i D.2

By holding the space bar on the keyboard you can place multiple markers in succession. Then it is not necessary to click the Set Marker icon again for each marker. D.2

✧ Click a structure misinterpreted as non-bone to add bone to the bone mask.

A marker is set, the selected structure is highlighted in blue. D.2

✧ Click a structure misinterpreted as bone to remove bone from the bone mask.

A red marker is set. The selected structure is not highlighted any-more. D.2

✧ Drag the markers to the required position to move them in plane.

Markers are displayed in all views as long as you perform Step 2: Refine. You can place them in any view (MPR or VRT), select, or delete them. D.2

Adjusting the parameters for automatic segmentation D.2

You can modify the Segmentation Strength and the Noise Tol-erance by using the Advanced >> function of the 3D: Bone Removal dialog box. D.2

B D.2

This function is intended for experienced users only. D.2

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✧ Select Advanced >> to adjust the global parameters for automatic segmentation.

D.2

The Advanced >> dialog box is enlarged. D.2

✧ Move the Segmentation Strength slider in order to modify the default value of 50.0 to refine the accuracy of segmen-tation.

i D.2

If you selected Fracture analysis, the Segmentation Strength slider is dimmed. D.2

✧ Move the Segmentation Strength slider in the direction of the 0.0 value if you want to leave nearly all bones unmarked.

— or — D.2

✧ Move the Segmentation Strength slider in the direction of the 100.0 value to mark nearly all structures above the pre-defined HU as bone.

✧ Move the Noise Tolerance slider in order to modify the default value to refine the HU value difference between fused objects.

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i D.2

The adjustment of the Noise Tolerance affects the fusion of objects: the higher the noise in the images, the higher the HU value has to be. D.2

All structures recognized as bone structures are highlighted in blue in MPR view and in transparent blue in VRT view. D.2

i D.2

Only structures with a HU value above the set threshold value (default 175 HU) are recognized as bone. Objects with a value lower than the adjusted value are not marked as bone. D.2

✧ For a more detailed view, double-click a segment to activate the Blow up view.

Undoing the segmentation correction D.2

The functions Undo All, Undo, and Redo apply to all modifica-tions of global parameter settings. By using the Undo and Redo functions you can undo up to 20 refinement steps. D.2

D.2

✧ Click the Undo All icon to cancel all previous segmentation corrections and to return to the initial segmentation result.

D.2

✧ Click the Undo icon to cancel any previous segmentation correction step by step.

D.2

✧ Click the Redo icon to restore the previously canceled seg-mentation correction.

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Selecting a display mode D.2

✧ Before finishing the bone segmentation, make sure that all relevant bone structures for diagnosis are marked and extracted correctly.

✧ Click Step 3: Finish of the 3D: Bone Removal dialog box.

D.2

The blind Step 3: Finish is displayed. D.2

D.2

✧ Click the Bone icon to display bone structures.

D.2

✧ Click the Highlight icon to display the segmentation result in color.

D.2

✧ Click the Non bone icon to display non-bone structures.

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i D.2

❏ For Body and Head mode, the Non bone icon is activated by default, and bone structures are masked out.

❏ For Fracture mode, the Bone icon is activated by default, and non-bone structures are masked out.

D.2

✧ Click the Both icon to display bone and non-bone struc-tures.

The settings for the display mode remain valid even when the blind Step 3: Finish of the 3D: Bone Removal dialog box is closed. D.2

i D.2

You can change the display mode at any time, by calling up the 3D: Bone Removal dialog box again. D.2

Saving the segmentation results D.2

D.2

✧ Click the Save icon to save a bone mask that includes the bone segmentation results.

The segmentation results are applied automatically when load-ing the images next time. You need to activate the Visibility Mask for that after loading. D.2

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Using the Fusion Function D.2

B D.2

Due to CT and secondary series images (e.g. MR) referring to dif-ferent coordinate systems the secondary image set might not be visible right after loading for Fusion. In this case use the Zoom/Pan function to zoom out of the fused MPR and move the mini-mized image to the edge of the image segment until both image sets become visible. In “Visual alignment” mode of the Fusion Registration, manually superimpose the image sets before doing Auto Registration. D.2

The function Fusion allows you to combine the results of differ-ent acquisition techniques or acquisitions performed at differ-ent times by overlaying them. D.2

Fusion evaluation requires two volume data sets: The reference series serves as an anchor for subsequent overlaying of the two image data sets. The model series is aligned spatially on the ref-erence series. Both image series should cover approximately the same examination range. D.2

D.2

D.2

CAUTION D.2

Using fused images for diagnosis. D.2

Incorrect diagnosis. D.2

✧ Do not use fused images for diagnosis if the history of manipulations is not well known.

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Loading image data sets D.2

D.2

✧ Select the series you want to use as reference images in the navigation or content area of the Patient Browser.

D.2

✧ Click the 3D MPR icon on the tool bar of the Patient Browser.

✧ Select the series you want to use as model images in the Patient Browser.

D.2

CAUTION D.2

Unintentional loading of series sets of different patients in Fusion Mode. D.2

Mix-up of patients and incorrect diagnosis. D.2

✧ Do not load data of different patients in Fusion Mode.

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D.2

✧ Click the Fusion icon on the tool bar of the Patient Browser.

The images of the loaded reference and model series are dis-played as overlays in the first three segments. D.2

D.2

(1) Image area three orthogonal views of the loaded images D.2

(2) Control area icons for editing and displaying images D.2

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Aligning image series D.2

As soon as the image series has been loaded into Fusion you can align them in orientation and rotation. D.2

Using registration matrix D.2 You can save intermediate steps or the final result of a Fusion registration by saving the corresponding registration matrix. You can also assign the initial or the default matrix. D.2

i D.2

The next time you load two series, the last used matrix is auto-matically applied. D.2

D.2

✧ Click the Registration icon in the Image subtask card.

The 3D: Fusion Registration dialog box opens. D.2

D.2

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Using the alignment with landmarks D.2

Both loaded image series are made to match using suitable ref-erence points (distinguished structures). D.2

D.2

✧ Click the Landmarks icon in the 3D: Fusion Registration dialog box.

The functions of Landmarks are displayed. D.2

D.2

(1) Buttons for setting and editing reference points(2) List of reference points

✧ In one of the reference segments, move the crosshair to the desired reference position.

✧ Define the associated reference point on the model side and apply the reference pair with Add.

✧ Repeat both steps for at least two additional reference points.

Using visual alignment D.2

D.2

✧ Click the Visual Alignment icon in the 3D: Fusion Regis-tration dialog box.

✧ Use the direction and rotation arrows to visually align the model series with the reference series.

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i D.2

You can also use the mouse to adjust the model series to the ref-erence series. D.2

Using surface matching D.2

With Surface Matching, you align the model images with the reference images on the basis of threshold values correspond-ing to a specific tissue structure. D.2

D.2

✧ Click the Surface Matching icon in the dialog box 3D: Fusion Registration.

The functions of Surface Matching are displayed. D.2

D.2

The reference series is displayed in the two left segments and the model series in the two right segments of the image area. D.2

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syngo 3D Evaluation

✧ Enter threshold values and click the Register button.

As soon as you started overlaying, the Register button changes into Define. D.2

i D.2

After registration has finished (or was stopped), Define can be clicked to go back to threshold definition mode D.2

Using automatic registration D.2

With Automatic Registration, the model series is automatically aligned with the reference series. You can choose between Pre-cise registration and Fast registration. D.2

B D.2

It is important to roughly align the model series in the segments with the reference series. D.2

D.2

✧ Click the Automatic Registration icon in the dialog box 3D: Fusion Registration.

The functions of the Automatic Registration are displayed. D.2

D.2

✧ Select Precise registration or Fast registration.

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✧ Click the Register button.

The two image series are now recalculated to match and align with each other. D.2

Applying overlaying D.2

✧ Click the OK button to merge the reference and the model series into a single data set.

Displaying overlaid images side by side D.2

D.2

✧ Click the Side by Side icon on the Image subtask card.

The left image area is used to display the reference images and the right area for the model images. D.2

D.2

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syngo 3D Evaluation

✧ Use the coupled mouse pointers to compare the data sets synchronously.

Displaying overlaid images in Fusion mode D.2

D.2

✧ Click the Fused MPR icon on the Type subtask card to switch to fusion mode.

The two image data sets are displayed in different colors. The overlaid image data set is displayed as it is for Visual Alignment in three orthogonal views. D.2

D.2

✧ Select a segment and click the required display mode if you want to change the display mode. (→ Page D.2-25 Chang-ing the Display Mode)

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Editing the Fusion image D.2

✧ Select Fusion > Fusion Definition... from the main menu.

The 3D: Fusion Definition MPR is displayed. D.2

D.2

Mixing Ratio D.2 ✧ Pull the slider with the left mouse button in the direction of the data set whose intensity you want to increase.

Using the Color Lookup Ta-ble D.2

✧ Select the color representation you want in the selection list for the reference or model data set (LUT=Lookup table).

Changing Window Values D.2 ✧ Move the slider or the edge of the slide to change bright-ness (C = center value) and contrast (W = width value).

i D.2

With nuclear medicine images, you can move the Window Value slider beyond the limits of the range displayed in the dia-log box. D.2

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Masking D.2 ✧ Click the Advanced >> button to display the masking sec-tion and define individual visibility thresholds for the refer-ence and for the model series.

Saving Results for non 3D Applications D.2

You can save 3D Fusion results for common viewing applica-tions, such as the syngo Viewing or MagicView. These viewers are used to compare the original with the fused images. D.2

You have to store 2 or 3 different series of images with the cor-rect position, thickness, and orientation. D.2

❏ The first series consists of a 3D range from the reference series.

❏ The second series consists of a 3D range from the model series.

❏ The third series consists of a 3D range of images fused from the two series.

Resampling data D.2 ✧ Select Fusion > Resample Data from the main menu if you want the data to be resampled.

Depending on the configuration, three new series with position, thickness, orientation, and resolution of the reference series are created. They are stored in the Local Database together with the registration matrix. D.2

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Creating ranges in Fusion mode D.2

D.2

✧ Click the Parallel Ranges icon on the Settings subtask card.

The 3D: Parallel Ranges dialog box opens. D.2

D.2

✧ Select the output type of the reference series, and set the desired range parameters.

✧ Confirm with Start, and save the calculated range.

✧ Do the last step without changing the range parameters.

✧ Select first the output type of the model series, calculate the range, and save it.

B D.2

Do not change the range parameters or the range graphic dur-ing these steps. D.2

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Using Fly Through D.2

Fly Through is used to visualize cavities such as colon, bronchial system, and arteries from positions within the volume. D.2

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Starting Fly Through D.2

D.2

✧ Click the Fly Through icon in the Settings subtask card.

The Fly view appears in the segment at the lower right, and the Fly View Volume (FVV) is displayed in the reference segments. D.2

D.2

(1) Main menu, extended by Fly-specific items(2) Control area for easy call-up of functions(3) Image area, subdivided into four segments(4) Status bar for feedback and error messages

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Changing the display mode D.2

D.2

✧ Click the SSD icon on the Type subtask card to enter the SSD mode.

D.2

✧ Click the VRT icon on the Type subtask card to enter the VRT mode.

Changing the display mode settings D.2

✧ Right-click the SSD icon to change the settings for SSD (fly view).

or D.2

✧ Right-click the VRT icon to change the settings for VRT (fly view).

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Changing Fly View volume settings D.2

The Fly View Volume (FVV) represents the current field of view of the virtual camera and determines the area visualized in the Fly segment. You can modify the FVV in the image segments with the mouse. D.2

D.2

(1) Standing point(2) Viewing point(3) Clipping point

The Standing Point represents the virtual camera. This is where the pyramid-shaped field of view starts. D.2

The Viewing Point is situated at the point of intersection of the reference lines of the reference segments and is the point of anatomic relevance to the image plane. Thus, the viewing direc-tion is the connecting line from the standing point to the view-ingpoint. D.2

The Clipping Point is the point of intersection of the Viewing Direction and the Back Clip Plane. D.2

✧ Shift the viewing point (2) to move the entire FVV.

✧ Shift the standing point (1) or the clipping point (3) to rotate the FVV.

✧ Drag the edges of the FVV to increase or reduce the viewing angle.

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Modifying viewing distance D.2

✧ Select Settings > Fly View Volume... in the main menu.

D.2

The 3D: Fly View Volume dialog box opens. D.2

✧ Change the distance between standing point and viewing point via the spin box.

Moving in the Fly segment D.2

D.2

✧ Activate the rotate around viewing point, rotate view, push / pull functions via the SmartSelect menu with a right mouse click.

✧ Modify the view in the Fly segment while holding the mouse button down.

D.2

✧ Click the Zoom/Pan icon in the upper part of the control area and drag the image center in the Fly segment to the desired position.

✧ Click a position in the Fly view to center this position in the segment center.

Using auto navigation D.2

During auto navigation the virtual camera moves along a line calculated by the system for this cavity. D.2

✧ Via SmartSelect, select and activate the auto navigation mode in the Fly segment.

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✧ Click and drag the mouse.

Navigation speed is controlled by vertical movements of the mouse. D.2

i D.2

You can stop, save images or set path points with the Mark (Numeric: 3) key of your keyboard at any time during auto nav-igation. D.2

Performing fly volume click D.2

✧ Click into the Fly segment to perform an auto navigation to the 3D click point.

The 3D click point has the coordinates of the first surface pixel below the clicked position. D.2

D.2

✧ Click the Home Zoom/Pan icon if you want to return to the initial values.

i D.2

By a rotation and a continuous movement of the FVV the clicked position becomes the viewing point and is shifted to the middle of the segment. Viewing distance and angle do not change. D.2

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Defining the path or flight along a path D.2

✧ Select Settings > Fly Path Planning... in the main menu.

— or — D.2

D.2

✧ Right-click the Fly Through icon.

D.2

The 3D: Fly Path Planning dialog box opens. D.2

i D.2

The Path selection list contains the names of all paths created for the currently loaded series. The most recently created path is selected and visualized in the reference D.2

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D.2

✧ Click the Insert Point icon of the 3D: Fly Path Planning dia-log box to add a new point to the path.

D.2

✧ Click the Remove Point icon to delete a point of the path.

D.2

✧ Click the Fly Backwards or Fly Forwards icon if you want to move through the volume along the path.

— or — D.2

✧ Use the Position torch to move along the path.

D.2

✧ Click the Stop Flying icon to stop the flight.

✧ Enter a new name

Saving the current version of the path D.2

D.2

✧ Click the Save Path icon if you want to save the current ver-sion of the path.

The path is saved. An existing path is overwritten. D.2

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syngo 3D Evaluation

i D.2

The path points and also the type of output image (SSD or VRT) are saved. When you reopen the data set in Fly Through, the path settings are restored. D.2

Saving a new path D.2 ✧ Enter a new name in the Path field to save a new path.

— or — D.2

✧ Select the path in the Path selection list to overwrite an existing path.

✧ Click the Save Path icon if you want to save the current ver-sion of the path.

The path is saved. D.2

i D.2

It is possible to save more than one path. D.2

Saving images while flying D.2

D.2

✧ Click the Save Images while Flying icon in the dialog box if you want to save the images automatically during the flight.

Clear path D.2

D.2

✧ Click the Clear Path icon to remove all points of the cur-rently selected path.

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Deleting a path D.2 ✧ Select the path you want to delete in the Path Name selec-tion list.

D.2

✧ Click the Delete Path icon.

Hiding path D.2

D.2

✧ Click the Hide Path icon if you want to fade out the path.

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Working With Two Monitors D.2

The 3D Dual Monitor option allows you to use two monitors for displaying images. D.2

i D.2

Fusion is not applicable on a two monitor system, but will use only one monitor. D.2

Loading one data set D.2

✧ Select one series in the Patient Browser, in the Viewing task card.

The content of the output segment is displayed in Blow-up mode on the secondary monitor (except for Fly Through and Bone Removal). D.2

Loading two data sets simultaneously D.2

You can use the Compare mode to compare pre- and post-stud-ies, or to compare contrast and non-contrast images. D.2

✧ Select two series of one or two patients acquired with the same modality in the Patient Browser, in the Viewing task card, or from the 3D Series List with the Ctrl key.

i D.2

Some image series within the section Valid Series of the 3D Series List are marked with a blue font. You can additionally select them for loading to 3D simultaneously. D.2

✧ Load the series to 3D.

The Compare mode starts automatically. The more recent data set is displayed on the primary monitor. D.2

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Using the two-monitor display D.2

On the primary monitor, usually three MPR images are dis-played; on the secondary monitor a projected volume image (VRT) is displayed in a large segment. D.2

D.2

The Compare mode allows to display two aligned data sets, one on each monitor. You can use it to compare pre and post studies or to compare contrast and native images. D.2

D.2

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syngo 3D Evaluation

Performing a manual registration D.2

As soon as two suitable image series have been simultaneously loaded, an automatic registration is performed. The series on the secondary monitor is spatially aligned with the series loaded on the primary monitor. D.2

D.2

✧ Click the 3D: Compare Mode Registration icon in the Image subtask card.

The 3D: Compare Mode Registration dialog box is displayed. The segments are in manual alignment mode. D.2

✧ Adjust the images of one data set so that they show the same anatomical or pathological structure of interest as the other data set.

i D.2

For adjusting data sets you can use, for example, dog-ears, ref-erence lines, shift mode, or rotate mode. D.2

D.2

✧ To save the registration as matrix to the local database, enter a name in the Registration Matrix entry field, and click the Save Registration icon.

D.2

✧ To delete a stored matrix, select a name from the Registra-tion Matrix list, and click the Delete icon.

i D.2

You cannot delete the initial matrix. D.2

After automatic registration and possible manual corrections of the registration both data sets are correlated. This means that any action performed on one data set is also performed on the other one. D.2

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PART D.2

E D


ocumentation

E.1 Filming E.1-1

Transferring Images to Filming E.1-2

Selecting Images and Sheets E.1-4

Selecting film sheets E.1-4

Selecting an entire film job E.1-5

Editing Film Jobs E.1-6

Creating a layout E.1-6

Changing the layout E.1-8

Windowing images E.1-9

Copying and moving images or film sheets E.1-10

Deleting images or film sheets E.1-11

Showing or hiding image text and graphics E.1-12

Selecting another camera E.1-13

Exposing on Film E.1-14

Exposing a film sheet E.1-14

Exposing a film job E.1-14

Associating layouts to a study, series, or protocol E.1-15

Assigning a film layout E.1-16

Canceling a film layout assignment E.1-17

Deleting a layout E.1-18

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Documentation

E.2 Camtasia E.2-1

Opening the Camtasia Recorder E.2-2

Capturing a Video E.2-3

Selecting the capture area E.2-3

Starting capturing E.2-4

Pausing capturing E.2-5

Stopping capturing E.2-5

Deleting the current video E.2-5

Adding annotations and effects during recording E.2-6

Saving the Video File E.2-8

Defining the output options E.2-9

Playing the video file E.2-11

Opening the AVI files E.2-11

Workflow Example E.2-12

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CHAPTER E.0

E.1 F


ilming

You can expose the images of an examination on film or print them on paper for documentation and reporting. E.1

E.1

E.1

E.1

CAUTION E.1

The image quality on paper printouts might be reduced so that the printouts may not be sufficient for diagnosis. E.1

Wrong diagnosis possible. E.1

✧ Only use images on film for diagnostic purposes. You may use printouts for diagnosis if the printer has been evaluated and released for this purpose by the manufacturer.

E.1

CAUTION E.1

Using Scalable Page Mode may reduce the image quality. The resulting image quality may no longer be sufficient. The scal-able page mode does not support real size. E.1

Wrong diagnosis possible. E.1

✧ Be aware of image quality reduction if scalable page mode is configured.

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Filming Documentation

E.1

Transferring Images to Filming E.1

✧ First select the images that you want to film in the Patient Browser or on the task cards.

E.1

✧ Click the Copy to Film Sheet icon.

— or — E.1

E.1

✧ Press the Copy to Film Sheet key on the symbol keypad (Num Enter).

E.1

CAUTION E.1

The evaluation of distances, angles and ROIs in 3D (VRT or SSD) and projection (plain-film X-ray or fluoroscopic) images can be inaccurate. E.1

Wrong measurement results, wrong diagnosis. E.1


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Documentation Filming

Filming images with Win-dow 1 and Window 2 E.1

By performing the following workflow steps you can film images with Window 1 and Window 2, either interleaved or appended. E.1

✧ Select Options > Configuration... from the main menu of any task card.

✧ Double-click the Filming Layout icon on the syngo - Con-figuration Panel.

✧ Activate Copy series (for Double Window) on the Series tab card in the Filming Layout dialog box and confirm with OK.

✧ Copy the images from the Patient Browser or Viewing via Copy to Film Sheet icon, main menu, or keyboard key.

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syngo VE40A and higher 0.0E.1-30.0


Selecting Images and Sheets E.1

In order to select images and sheets for filming, you can: E.1

❏ Select one or more images

❏ Select complete series

❏ Deselect images

Selecting film sheets E.1

✧ Click the border of the film sheet to select all the images it contains.

E.1

or E.1

0.0

0.0E.1-4 syngo0.0


✧ Click the border of the first film sheet of your choice hold-ing the Ctrl key down.

E.1

✧ Page to another film sheet using the dog-ears.

✧ Extend your selection by a single film sheet (hold the Ctrl key depressed).

— or — E.1

✧ Extend your selection by all the film sheets in between (hold the Shift key depressed).

Selecting an entire film job E.1

E.1

✧ Click the opened film job to select all the film sheets with all images of this job.

E.1

The folder icon of a selected film job is highlighted (blue). All the images of this job are shown with a continuous blue line border.E.1

0.0



Editing Film Jobs E.1

Creating a layout E.1

You can create new layouts or open existing layouts and edit them. E.1

✧ Select Options > Configuration... from the main menu and double-click the Filming Layout Editor icon.

The Filming Layout Editor dialog box with the default layout 1x1 is displayed. E.1

✧ Click the Create button.

The Create Regular Layout dialog box is displayed. E.1

You can define the number of rows and columns of the new lay-out E.1

✧ Press the left mouse button and drag over the segments.

✧ Select the desired number of rows and columns.

B .1EThe maximum number of segments for divisions is 10 horizon-tally and vertically. E.1

✧ Release the mouse button.

The selected division is displayed in the title bar of the dialog box. E.1

✧ Click the OK button to confirm the new layout.

Merging segments E.1 ✧ Press the Ctrl key on your keyboard and select the segments you want to merge.

✧ Click the Merge button.

The selected segments merge into a single segment. E.1

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steidl2

Note



Splitting segments E.1 ✧ Select the segment you want to split.

✧ Right-click and select the required division mode from the context menu, e.g., Split Horizontally.

The segment is split accordingly. E.1

Saving layouts E.1 ✧ Click the Save button if you are finished.

✧ Enter a name for the new layout.


B .1EIf you want to create more layouts, create all layouts first, then restart the application after all desired layouts are done. E.1


✧ Restart the application.

You will find the new layouts in the selection list on the Filming task card. E.1

i .1EIf you decide to edit a layout, click the Open button in the Film-ing Layout Editor, and select the desired layout from the selec-tion list. Now you can perform all actions mentioned before (merge, split). E.1

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Note



Changing the layout E.1

With the layout of the film sheet, you define the number and size of the segments on a film sheet. E.1

i .1ETo change the size and position of an image within the seg-ment, select Image > Zoom/Pan. E.1

✧ Select individual images or a film sheet or select an entire film job.

E.1

✧ Click the Layout subtask card on the Filming task card into the foreground.

✧ Select a layout from the Layouts selection list in the lower right control area.

✧ Click the icon for a film layout to display the selected images in this format.

✧ Select Properties... in the context menu for additional lay-outs, if necessary.

✧ To display a preview of the selected layout, activate the Pre-view checkbox.

The preview is displayed instead of the text elements list E.1

i .1EIn the Filming Layout Editor, you can create new layout divi-sions for selection. To do so, select Patient > Filming Layout Editor from the main menu and create and edit new layouts according to your needs. E.1

After restart of the application the new layouts are available in the Film Properties dialog and the Layouts selection list. E.1

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Including an Information Segment E.1

You can display an information segment as the first image of the series. It contains patient overview and common information. E.1

✧ Select Patient > Filming Layout... from the main menu.

✧ Activate the Information Segment check box on the Series tab card in the Filming Layout dialog box.

i .1EYou can change the content of the Information Segment with the Image Text Editor. You can open the Image Text Editor by selecting Options > Configuration... in the main menu. Then, double-click the Image Text Editor icon. E.1

Windowing images E.1

B .1EIf you use the function (F) keys on your keyboard for windowing images, the windowing is only applied to the selected images but not on the whole series. Select the Select series menu entry from the context menu first to change the windowing value on the whole series. E.1

✧ Refer to (→ Page B.2-2 Windowing Images).

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Copying and moving images or film sheets E.1

✧ Select the images/film sheets that you want to copy or move.

✧ Select Edit > Copy in the main menu.

— or — E.1

✧ Select Edit > Cut in the main menu.

✧ Select the image immediately after where you want to insert the selected images.

✧ Insert the images with Edit > Paste in the main menu.

i .1EIf you only want to move images within a film sheet, you can also do that easily by drag-and-drop. In this case, deselect the Zoom/Pan icon. E.1

i .1EIf you want to add new images from the Patient Browser to a film job, you can do that easily by drag-and-drop. The images are inserted into the film job in front of the target segment. E.1

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Deleting images or film sheets E.1

✧ Select one or more images or film sheets.

✧ Select Edit > Delete in the main menu.

— or — E.1

E.1

✧ Click the Delete icon or press the Del key on the keyboard.

i .1EYou can also delete images with Film > Clear Document(s) in the main menu. In this case, the segments of the deleted images remain empty. Use Film > Repack afterwards to reorga-nize the film sheet or the entire film job (gaps are filled again). E.1

As long as Film > Repack remains checked, empty segments will be refilled automatically after operations such as drag & drop, Delete, and Cut (“automatic Repack”). E.1

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Showing or hiding image text and graphics E.1

E.1

✧ Click the All Text icon on the Images subtask card to have all image text information exposed on film.

or E.1

E.1

✧ Click the Customized Text icon to have only part of the text information exposed on film.

i .1EIf you want to set Customized Text, you can call up the Film Properties dialog box with Properties... in the context menu. E.1

or E.1

E.1

✧ Click the No Text icon to hide all text information in the segments.

E.1

✧ Click the Show Graphics icon on the Images subtask card to display graphics (e.g., ROIs) and annotations.

or E.1

E.1

✧ Click the Hide Graphics icon to hide graphics and annota-tions.

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Selecting another camera E.1

E.1

✧ Click the Camera subtask card on the Filming task card into the foreground.

or E.1

✧ Select Film > Change Camera... to call up the Change Camera and Film Size dialog box.

E.1

✧ Select a camera from the list.

i .1EThis selection list contains all the cameras connected to your system. E.1

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Exposing on Film E.1

Exposing a film sheet E.1

✧ Select one or more film sheets in the Filming task card.

✧ Select Film > Expose Film Sheet to process only the selected film sheets.

Exposing a film job E.1

E.1

✧ Click the Expose Film Task icon as soon as you want to expose one of the film jobs in the queue.

i .1EYou can call up the Film Job Status dialog box by selecting Patient > Film Task Status from the main menu or click the Film Job Status icon on the Filming task card. In the dialog box, you can get information about film jobs that are waiting to be executed for each camera and printer. E.1

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Associating layouts to a study, series, or protocol E.1

In the Filming Study Layout dialog box, you can assign a spe-cific layout to a study. It can either be a layout you have created yourself, or one that has been created by Siemens Service dur-ing configuration of your system. E.1

✧ Select Options > Configuration... from the main menu and double-click the Filming Study Layout icon.

The Filming Study Layout dialog box is displayed. E.1

E.1

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Assigning a film layout E.1

You can only assign one specific layout to each study, series, or protocol. This layout is then automatically used for filming the corresponding images. E.1

You can assign a layout by selecting a study, series, or protocol stored in your system and the required layout, and then linking the two. E.1

If a layout other than the standard layout is already assigned, you must first cancel this link before you can assign a new study-specific layout. E.1

Selecting a film layout E.1 In the Film layouts selection list, you will find a list of the avail-able layouts. E.1

✧ Select the required film layout from the Film layouts selec-tion list.

Selecting a study/series/pro-tocol E.1

In the Available Studies area, you can see a list of the studies with their series/protocols. E.1

✧ Click the “+” symbol in front of a study to display the series/protocols associated with it.

i .1EYou can only select entire studies if they are not subdivided into series/protocols. In such cases, the “+” or “-” symbol in front of the entry is missing. E.1

✧ Click a study, series, or protocol to select it.

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Linking the layout E.1

E.1

✧ Click the Down arrow icon to assign the layout to the selected entry.

As soon as you have assigned a study-specific layout, the corre-sponding study, series, or protocol is entered in the Studies/ Series linked to selected layout list. Here you can see for what studies, series, or protocol the displayed layout is set. In the Cur-rently linked layout column in the Available Studies area, you can see which layout is linked with a certain study. E.1

B .1EIf an image belongs to a study linked to two layouts (one for study/series and one for study/protocols), the layout assigned to the protocol will be chosen when sending the image to the film sheet. E.1

Canceling a film layout assignment E.1

If you want to assign a different study-specific film layout to a study, series, or protocol you must first cancel the old layout assignment. E.1

✧ Select the relevant study, series, or protocol in the Studies/Series linked to selected layout list.

E.1

✧ Click the Up arrow icon.

The standard layout is now assigned to the study, series, or pro-tocol again and you can assign a new study-specific layout. E.1

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Deleting a layout E.1

Your system can store and manage up to 100 layouts. Therefore, you should regularly delete those film layouts that you do not require any longer to make space for new study-specific layouts.E.1

✧ Select a layout that you do not require any longer from the Film layouts selection list.

✧ Click the Delete Layout button.

The entry is deleted from the list. E.1

B .1EYou cannot delete the standard layout. E.1

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CHAPTER E.1

E.2 C


amtasia

Camtasia is a separate software tool that allows you to film your desktop activities. E.2

You can save these recordings as AVI files for documentation and presentation purposes. E.2

Furthermore you have the possibility within the Camtasia soft-ware to choose between several additional tools depending on your requirements. E.2

B .2ETo ensure an accurate run of the single Camtasia functionality, only start one action at a time. E.2

i .2EYou find additional information about the Camtasia recorder by clicking the Help button. E.2

i .2EAfter the installation of the Camtasia software, new menu entries are added to the main menu of the task cards and the Patient Browser menu. E.2

The following tools are integrated in the Camtasia software: E.2

❏ Recorder: to capture AVI files

❏ Player: to play AVI files

❏ Producer: to edit AVI files

❏ Effects: to add objects, such as callouts, arrows, text, and WMF images to an AVI video

❏ MenuMaker: to create an attractive menu where you can launch your files

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Camtasia Documentation

Opening the Camtasia Recorder E.2

✧ Select Applications > Desktop > Camtasia Recorder.

The Camtasia Recorder dialog box opens. E.2

i .2EThe entire Camtasia Recorder dialog box and the menu of the Camtasia Recorder dialog box is visible only if the Standard view is selected. By default Minimal is selected and only the title bar and the icon bar is displayed. E.2

E.2

✧ Click the Toggle View dropdown list and select Standard.

E.2

✧ Select the required tool from the Tools menu.

The corresponding dialog box of the selected tool opens. E.2

i .2EThe Tools menu entries on the Camtasia Recorder dialog box are only available on the syngo MultiModality Workplace. E.2

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Documentation Camtasia

Capturing a Video E.2

✓ For capturing a video, call up the Camtasia Recorder.

Selecting the capture area E.2

You can select the capture area by clicking the arrow button next to the Record button. E.2

i .2EA bullet in the dropdown list shows you the currently selected capture area. When you pass over selectable areas they are high-lighted. E.2

E.2

✧ Select Screen to capture the entire screen.

or E.2

✧ Select Window to capture a selected object in the screen, e.g., a screen segment, dialog box, subtask card, etc.

✧ After clicking the Record button, click into the selected object to capture it.

or E.2

✧ Select Region to capture a user-defined region.

✧ After clicking the Record button, click and drag the mouse cursor over the area you want to capture.

or E.2

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✧ Select Fixed Region... to capture a pre-defined region.

The Fixed Region dialog box is displayed. E.2

E.2

✧ Define the size of the fixed region using the options in the Fixed Region dialog box.

Starting capturing E.2

E.2

✧ Click the Record icon in the toolbar after selecting the cap-ture area to start capturing.

— or — E.2

✧ Press F9.

During the recording process, the Camtasia Recorder dialog box is visible. Move the dialog box as far as possible out of the region of interest to make sure it is not captured in the video. E.2

✧ Click the top of the dialog box, and keep the mouse button pressed while moving into another screen area.

i .2EIf you selected either Window or Region as your capture area, click the Record button, and mark the area you want to capture.E.2

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Calling up the minimized Camtasia dialog box E.2

If you minimized the Camtasia dialog box, you cannot reopen it as usual. E.2

✧ Select Applications > Desktop > Camtasia Recorder to reopen Camtasia.

Pausing capturing E.2

E.2

✧ Click the Pause icon in the toolbar to pause the capturing process.

— or — E.2

✧ Press F9.

Stopping capturing E.2

E.2

✧ Click the Stop icon in the toolbar to stop capturing.

— or — E.2

✧ Press F10.

Deleting the current video E.2

E.2

✧ Click the Delete icon in the toolbar to delete the currently captured video.

The recording pauses and a message box are displayed. E.2

i .2EAfter confirming the message dialog box any captured frames are discarded. E.2

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Adding annotations and effects during recording E.2

During AVI recording, you can add various annotations and effects to the file which is being recorded. E.2

✧ Select Effects > Options to open the Effects Options dia-log box for defining the several options.

E.2

✧ Add the features you want to have displayed in your video.

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i .2EYou can add the following features to your video: E.2

❏ Date and time❏ Caption❏ Watermarks❏ Auto-/highlights❏ Cursor effects❏ Audio effects❏ Zoom & pan effects

E.2

✧ Select the corresponding menu entry in Effects to activate the features.

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Saving the Video File E.2

During recording, the video is stored as an AVI file. It is stored automatically in the offline file system under C:\Med-Com\temp\CDR_OFFLINE. E.2

E.2

E.2

E.2

CAUTION E.2

Using another directory for Camtasia data files. E.2

Data disk is full and no further examination possible. Files can not be deleted by the user anymore. E.2

✧ Use only the configured directory for saving the Camtasia data files.

E.2

CAUTION E.2

Due to Camtasia screen capturing the data disk fills up. E.2

Examination is no longer possible or examination may be aborted. E.2

✧ Only use Camtasia for short recording sequences. Don't use Camtasia for recording in parallel to the acquisition.

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E.2

Defining the output options E.2

E.2

E.2

CAUTION E.2

Using results from Camtasia for diagnosis or reading. E.2

Wrong diagnosis due to inadequate image quality. E.2

✧ The results from Camtasia are only intended to be used for training and communication.

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✧ Select Capture > Output > File to save the captured video as AVI (video) file.

✧ Select Tools > Options > File to set the name and the stor-age location of the video file.

i .2EThe AVI files you create, can be imported, or edited in any third-party application that supports the AVI format. E.2

or E.2

✧ Select Capture > Output > Live to make the video available to any live encoding process running on your computer.

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Playing the video file E.2

With the Camtasia Player, you can play the results of filming your desktop activities. E.2

✧ Select Tools > Camtasia Player in the Camtasia Recorder dialog box to open the Camtasia Player dialog box.

Opening the AVI files E.2

✧ Select File > Open.

E.2

✧ Select the desired AVI file.

✧ Confirm the selection by clicking the Open button to start playing the movie.

0.0



Workflow Example E.2

You can record your desktop activities on any application card. E.2

✧ Load a Head Angiography data set into the 3D task card.

✧ Apply a VRT preset on this data set.

✧ Select Applications > Desktop > Camtasia Recorder.

The Camtasia Recorder dialog box opens. E.2

✧ Select the capture area.

E.2

✧ Click the Record icon in the toolbar.

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✧ Click into the segment you want to record your desktop activities in.

Recording starts. E.2

E.2

✧ Start working in this segment.

E.2

✧ When you finished, click the Stop icon in the toolbar to stop recording.

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C.0

www.siemens.com/healthcare

© Siemens AG 2010-2012Order No.

06/2012

Global Siemens Headquarters

Siemens AG Wittelsbacherplatz 280333 MuenchenGermany

Global SiemensHealthcare Headquarters

Siemens AGHealthcare SectorHenkestrasse 12791052 ErlangenGermanyPhone: +49 9131 84-0www.siemens.com/healthcare

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Legal Manufacturer

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Documents

Basic Manual – syngo · for authorized users. They assume a basic knowledge of work-ing with PCs and software. 0.0 The graphics, figures, and medical images used in this operator