RA1000 and Universal Viewer Workstation Installation ... · RA1000 and Universal Viewer Workstation Installation Differences P a g e 2 | 14 Centricity Universal Viewer (UV) is a web-enabled

RA1000 and Universal Viewer Workstation Installation Differences

P a g e 1 | 14


Contents Login Differences ............................................................................................................................................................ 2

Password Expiration ................................................................................................................................................... 2

Login Instances ........................................................................................................................................................... 2

Worklist and Study List Differences ................................................................................................................................ 2

Access to Most Used Worklists/Study Lists ................................................................................................................ 2

User-Created Worklists ............................................................................................................................................... 3

Searching within Worklists/Study Lists ....................................................................................................................... 3

Searching Entire Database .......................................................................................................................................... 3

Worklist/Study List Columns ...................................................................................................................................... 3

Worklist/Study List Sorting ......................................................................................................................................... 3

Number of Rows per Worklist/Study List ................................................................................................................... 4

Access to Patient History from My Desktop/Study List Page ..................................................................................... 4

Access to Reports and Notes My Desktop/Study List Page ........................................................................................ 4

Opening a Study .......................................................................................................................................................... 4

Viewport Definition .................................................................................................................................................... 5

Comparison Options ................................................................................................................................................... 5

Display other Studies as Comparisons with Images Displayed ................................................................................... 5

Presentation States..................................................................................................................................................... 6

Key Images Significant Images .................................................................................................................................... 7

Bookmarks .................................................................................................................................................................. 7

DDPs/Hanging Protocols ............................................................................................................................................. 8

Navigator .................................................................................................................................................................... 9

Series and Comp Menu Options ................................................................................................................................. 9

Window Level Presets................................................................................................................................................. 9

Image Flipped Indicator ............................................................................................................................................ 10

Exam Note Workflow ................................................................................................................................................ 10

Rejecting/Unrejecting Images Workflow .................................................................................................................. 11

Merging Studies/Patients Workflow ........................................................................................................................ 11

Tools.......................................................................................................................................................................... 12

Manual Folder/Worklist Workflow............................................................................................................................ 13

User-Specific Prompts .............................................................................................................................................. 13


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Centricity Universal Viewer (UV) is a web-enabled product that users can access from various locations including their home. When an update is introduced, the new version is automatically loaded when the user logs in (Administrative rights are required).

Login Differences There are a few differences pertaining to logging into the application. Users and passwords are still maintained/defined via the Centricity Administration Tool (CAT) to include password format and expiration period.

Password Expiration

When your password expires:

CPACS UV

You are automatically taken to the update password window.

When logging into an integrated RIS/CPACS workstation, RIS password change will automatically update CPACS Password.

Password has expired displays above the login window and you must re-enter your login information and click Change

Password. When logging into an integrated RIS/UV workstation, RIS password change will not update UV Password.

Login Instances

CPACS UV

Multiple logins with same username are allowed.

Only one login per username is allowed.

If logging in a second time, the first login is terminated.

Worklist and Study List Differences

Worklists in CPACS correlate to the UV Study List.

Access to Most Used Worklists/Study Lists


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User-Created Worklists

CPACS UV

Not available. Users can save searches to create study lists and create and save manual worklists via the Study List right-click menu Attach to worklist option, create button on the worklist selection window.

Searching within Worklists/Study Lists

CPACS UV

Search is available in each worklist column (e.g., MRN, Accession Number, etc.).

Use the Quick Search feature to search the entire database.

You cannot search within a study list.

Searching Entire Database

CPACS UV

Search using the All Exams worklist. Use the Quick Search feature.

Worklist/Study List Columns

CPACS UV

Worklist format is set for the facility and can only be edited by the System Administrator.

Ability to modify columns, which impacts all study lists, per user.

Worklist/Study List Sorting

CPACS UV

Initial sorting is determined when creating the worklist.

User can sort by one column at a time. Manual sorting is restricted for large worklists.

Primary and secondary sorting is available. Sorting defined is for all study lists. Each user can change the default sorting

preference and/or change it on-the-fly.


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Number of Rows per Worklist/Study List

CPACS UV

1000 by default. Add more rows via Add More Rows button or the

slider bar.

200 by default. User can change the number of studies returned

per page at top of study list page.

CPACS UV

Use page navigation buttons to display next/previous pages.

Access to Patient History from My Desktop/Study List Page

CPACS UV

Use Patient Jacket palette. Right-click and select All Studies for Selected MRN.

Access to Reports and Notes My Desktop/Study List Page

CPACS UV

Work Mode Palette Report and Exam Notes buttons.

Report is also available in the Report palette.

Notes/Report button in study row or via right-click menu.

Opening a Study

CPACS UV

Double-click. Highlight exam row and click Display Exam.

Double-click (or Single-click in user preference).

Right-click and select View Selected Studies.


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Viewport Definition

CPACS UV

Change viewports via Monitor Regions Function Bar option.

Change viewports via the Edit Grid

tool drop- down menu.

Change each viewport from/to stack or page format via viewport title bar button.

Comparison Options

CPACS UV

Include Comparisons check box in Work Modes and Patient Jacket palettes (selected by default).

User preference in Configuration Tool, Preferences (set to Never by default). User can also select multiple

CPACS UV

studies and select Compare Selected Studies

(toolbar button and right-click menu option).

Display other Studies as Comparisons with Images Displayed

CPACS UV

Via Comparison/Series drop-down menus in viewport.

Via Patient Jacket. Via Navigator.

Open Patient Folder, select studies and click

Display. Via Navigator. Via Series Selector.


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Presentation States

CPACS UV

When saving an exam, a RPPS (requested procedure presentation state) is created. Only one RPPS per exam (can/will be overwritten if exam is saved again).

Name of applied PS is displayed in the monitor title bar.

Image numbers are not part of PS. When saving a PS the displayed image number is ignored. When applying a PS the image number is not changed.

GSPS is the only presentation state created. QCPS (quality control PS) is a priority GSPS and is

applied automatically regardless of Load

presentation state Done option setting. Indicator in front of the name of the applied PS is

highlighted in the Saved Presentation State menu.

Image numbers are part of PS. The image number displayed when you save the PS is the image number displayed when you apply the PS (regardless of whether changes were made to that image).

User preference to save RPPS when closing the study. RPPS is saved only if changes were made to the study.

User preference to save PS when marked as Dictated. GSPS is saved any time the study is marked as Dictated. PS name is D followed by date/time created.

Done option to save PS when marking as Done.

For one-click save PS, Quick Save GSPS button can be added to monitor region title bar.

QCPS is a one-click save. As noted above, the QCPS has priority over GSPS in UV.


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Key Images Significant Images

CPACS UV

You can create Significant images.

Significant images are grouped in the significant image series.

You can only create key images. There is only one key image set. Any images

marked as key is added to this one set.

Display (user) preference to mark image as significant when an annotation is created.

Navigator user preference to mark as a key image when a measurement (which includes annotations) is created.

Significant image series can be displayed via the Series drop-down menu.

Key image series can be displayed via the Series

Selector and via the Navigator.

N/A Done option to save key image when marking as Done.

System (user) preference can be set to display the significant/key image series first.

Significant/key images series can be displayed in a specific viewport via a hanging protocol.

N/A

Bookmarks

CPACS UV

Can be set to display automatically via Utilities Palette.

Can be set to save with one click via Utilities Palette, System Preferences.

Created/managed via the Display drop-down menu Bookmark Palette option.

Can be set to display automatically via Navigator options.

Can be set to save with one click via Navigator options.

Created/managed via the Bookmark Tool

option.


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DDPs/Hanging Protocols

Both CPACS and UV have “traditional” protocols. UV also has smart reading protocols (SRPs), which is a system that learns from the user’s hanging preferences by considering over 50 parameters from the study and scenario, and offers the best matching SRP based on the user’s reading preferences. This allows multiple options for each exam based on a variety of scanning parameters used to acquire the image set.

Below are the differences for “traditional” protocols in CPACS and UV.

CPACS UV

DDPs can be created by arranging the study/studies and clicking Save DDP in the DDP drop-down.

DDPs can also be created via Utilities, DDP Setup. DDPs are procedure-specific (user selects

procedures to link to DDP-procedure list driven by selected body parts).

Comparisons are considered for same modality studies only.

Favorite DDP list is configured in Utilities Palette, DDP Favorites. Favorite DDP list is not modality- specific – all selected display regardless of the modality of the opened study.

HPs can be created by arranging the study/studies and clicking Save in the HP drop- down list.

HPs can also be created via the HP Tool/Editor. HPs created via the HP Editor must be linked to the desired layout.

HPs are layout-specific – they must be attached to the layout. Matching strings can be used to link the layout to certain procedures.

Comparisons are first considered for same modality and then revert to other modalities as defined in the HP.

HPs linked to layout – all HPs applicable for the displayed study and scenario display for selection in the HP drop-down menu (modality- specific).


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Navigator

Feature CPACS UV

Display Automatic display configured in Utilities Palette, System Preferences.

Can manually open:

With Navigator tool button.

Double- click in monitor region.

Via shortcut key.

Automatic display configured per layout.

Can be opened in specific viewport as part of the protocol.

Automatic display can be suppressed via the protocol.

Can manually open:

With Navigator tool button.

Via shortcut key.

Pin Pin button in Navigator. Click and drag Navigator to pin arrows. Pin in Navigator to minimize.

Other Studies for

Patient In Timeline, select Comparisons and All

Historical. In Timeline, filter by modality and/or

relevant studies. In Study Selector, filter by modality

and/or relevant studies.

Reports Not available in Navigator. In Timeline, click underlined date. In Study Selector, click Report icon.

Ability to Group

Images on-the-fly Use button above thumbnails. Not available.

Navigator

Preferences In Utilities Palette, System Preferences. In Navigator Options.

Series and Comp Menu Options

CPACS UV

Two buttons:

Comp – lists all exams for the patient Series – lists series in that exam

The Study Selector provides single-click to access both comp exams and the series with the exam.

Window Level Presets

CPACS UV

Limited to six modality-specific and four generic window/level presets.

Defined in the Utilities palette, View Preferences. Access via:

Image Functions menu

Shortcut keys

Unlimited number of presets can be defined and attached to each layout.

Access via:

Series menu

Shortcut keys

Space bar to move to next


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Image Flipped Indicator

CPACS UV

Always displays in middle left side in the viewport.

Always displays in the upper middle right in the viewport.

Exam Note Workflow

CPACS UV

From Workmodes Palette:

Exam Notes button Right-click menu

From Study List:

Study List button Study List right-click menu option

CPACS UV

Patient Jacket Palette

From Viewer:

Icon in viewport

From Image Viewer:

Icon can be added to Main Menu or Toolbar Patient Folder

Open automatically with exam, set in Utilities Palette, System Preferences.

Turn on via Navigator Options, User preference.

User privileges to hide notes. Can only hide notes from CAT (requires user privileges).


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Rejecting/Unrejecting Images Workflow

Action CPACS UV

Reject Images Use selector tool to select images to reject.

Use Select All option in Image Functions menu.

Select images to reject

Use Select tool in Main or Series menu.

Select odd images in active series, Select even images in active series, or Select/Unselect all options in Series menu.

Unreject Images From the Reject Analysis folder, select images to unreject.

On the Study List, right-click and select Unreject All Images.

Merging Studies/Patients Workflow

CPACS UV

Use the Exam Manager

Access via the Utilities Palette, Exam Manager tab.

Via Study List right-click menu by selecting which study is the source and which is the destination.

Via the standalone application, which can be reached via the CPACS Study List icon or a URL.

Via the standalone application

Access as a standalone application (URL). Via the Utilities Palette.

Via the standalone application

Access via the CPACS Study List icon. Access via a URL.


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Tools

CPACS UV

User can configure Tool Palette per modality via Utilities Palette, Tool Preferences, Tool Palette.

Main toolbar can be configured per modality (layout) per user via the Layout.

Right-click to show Tool Palette or tool list menu. Right-click Series menu can be configured per modality (layout) per user via the Layout.

Users can configure the default left and middle mouse button tools.

Scroll wheel set to scroll, press and hold scroll wheel can be configured per user via right-click Tool Palette display – click and drag L / M to the middle of desired tool.

Users can configure left mouse button via hanging protocol.

Right mouse button is W/L. Scroll wheel to scroll. Press and hold scroll wheel to zoom.

Cross-Reference:

In Image Functions menu. Multiple clicks to X-ref all viewport. Is saved as part of DDP.

Cross-Reference:

Tool button. Icon in viewport title bar:

Single-click to select single viewport.

Double-click to X-ref all viewports.

Is saved with layout.

Spine Labeling:

Accessed via the Image Functions menu. Label can be propagated on cross-referenced

series (i.e., corresponding label on secondary view (sagittal to axial)).

Label is placed only on the one set of images – it is not propagated to all images in the series.

Spine Labeling:

Accessed via the Series menu. Does not place a corresponding label on cross-

referenced series. Label is propagated on all images in the series.

Native MIP/MPR is not available. Native MIP/MPR:

Ability to open MIP/MRP in up to three viewports in a viewing instance.

Can launch automatically with HP and/or SRP.

Native PET/CT is not available. Native PET/CT:

Sites that do not have Advantage Workstation (AW) integration can use the native PET/CT feature for fusing PET and CT series.

The advanced PET/CT toolset provides more extensive features for this modality.


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Manual Folder/Worklist Workflow

Feature CPACS UV

Adding Exams To add exams to manual folder:

From the Workmodes Palette:

1. Select exam(s).

2. Click Add to Folder.

3. Select the folder to which you want to add the exam(s).

From Image Viewer:

In viewport, right-click and select Add Exam(s) to Folder.

In viewport, right-click and select Add Image to Folder.

To add exams to worklist:

From the Study List:

1. Select exam(s).

2. Right-click and select Attach

to Worklist.

3. Select the worklist to which you want to add the exam(s).

o Select a UV-created worklist.

o Select Assign to CPACS Worklist to select from the user’s CPACS-created manual worklist.

From Image Viewer:

Not an option.

Removing Exams To remove exams from a manual folder:

From Workmodes Palette:

1. Select the manual folder.

2. Highlight the exams.

3. Click Remove Exams from

Folder.

To remove exams from worklist:

1. Select the worklist.

2. Select the exam(s) to remove.

3. Right-click and select Detach

from Worklist.

To remove exams from a CPACS manual folder:

1. Initiate a new search for the manual folder.

2. With the search results displayed in the Search results tab, select Unassign from CPACS Worklist.

Unrejecting

Images From the Reject Analysis folder, select images to unreject.

From the Study List, right-click and select Unreject All Images.

User-Specific Prompts

CPACS UV

Utilities Palette, System Preferences:

Save Changes to Current Exam when Closing Exam

Done Options:

Save presentation state for primary

Save for local comparison also


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CPACS UV

Prompt user if all series have not been displayed before closing exam

Save key images

Navigator Options, % Images Display Indicator:

Show a message ‘Mark as Dictated’ when action is selected and one or more images for the primary study have not been displayed.

Documents

RA1000 and Universal Viewer Workstation Installation ... · RA1000 and Universal Viewer Workstation Installation Differences P a g e 2 | 14 Centricity Universal Viewer (UV) is a web-enabled