MULTIX Impact: Image Postprocessing and Archiving Online Training

Welcome to the MULTIX Impact Image Postprocessing and Archiving Online Training! This course will describe standard procedures for image postprocessing and archiving. These procedures include how to use the different image postprocessing tools, setting an image flavor, image evaluation, printing and filming, and sending and archiving images to PACs.    Upon successful completion of this course, you will be able to: Understand how to use the different image postprocessing tools Summarize how to set an image flavor Explain basic steps in image evaluation Identify how to send and archive images to PACS Demonstrate how to setup filming and printing Congratulations! You have successfully completed the MULTIX Impact Image Postprocessing and Archiving Online Training. Listed below are the key points that have been presented in the course. Take time to review the material before proceeding to the final quiz.  Understand how to use the different image postprocessing tools The Process tools provide functions for changing the image display and annotating images These include adding a laterality label, adding and editing Texts, windowing an image, inverting the gray scale, cropping an image, zooming an image, flipping an image, rotating an image, undoing changes, saving changes Summarize how to set an image flavor Image Flavor Setting Click Flavor Setting. A confirmation dialog will be displayed if you have changed the window value without saving the in the Process tab Click Yes The image processed with default parameters is displayed To change the flavor of the image, click the flavor icon which you want for the image The image impression is changed to the chosen flavor If necessary, adjust the windowing of the image  ​Default Flavor Click the flavor icon that you want for the organ program Click Save as default Customizing Image Flavors Click Rad A confirmation dialog is displayed if you have changed the window value without saving in Process tab Click Yes Select Customized from the Set Property list Adjust the parameters until the image reaches your requirements Drag a slider or click an arrow The adjustable parameters include Contrast, Detail, Latitude, Noise, WC Shift, and WW Shift Click Save Params The parameter values are saved into the customized flavor setting Explain the basic steps in image evaluation Measure Angles Measure Distances Calibration Images Draw Arrows Mark images for sending Demonstrate how to setup filming and printing ​Select a Printer from the list Select a Film Size from the list Enter the number of Copies Click the Anonymous check box (if necessary) ​If the box is checked, no patient information will be printed on the film sheets Click the print exam protocol check box (if necessary) The exam protocol will be generated as a DICOM Secondary Capture image and this image will be printed in a separate film sheet Click the printer icon The images are sent to the selected hardcopy device/printer in the background Identify how to send and archive images to PACS Select a Target from the list. Click the DICOM Dose Report check box, if necessary. A DICOM Structured Report will be generated and sent with the image. Click the SC Image check box, if necessary. The exam protocol will be generated as a DICOM Secondary Capture image and this image will be sent with the image. Click the Send icon. The images are sent to the selected target in the background. During the transfer, this icon is displayed in the bottom left of the status bar. It can be clicked to check the job status. Select this link to view/print the downloadable course review material before proceeding to the final quiz. Please note that the learning material is for training purposes only!   For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training.   The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions.   Note:  Some functions shown in this material are optional and might not be part of your system.   Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country.  Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information.   The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages.   All names and data of patients, parameters and configuration dependent designations are fictional and examples only.   All rights, including rights created by patent grant or registration of a utility model or design, are reserved.   Copyright © Siemens Healthcare GmbH 2019 The Process tools provide functions for changing the image display and annotating images. The following tools can be found on the Process Tab: Adding a Laterality Label Adding and Editing Texts Windowing Inverting the Gray scale  Cropping Zooming Flipping Rotating Undoing changes Saving Changes   Image Postprocessing Tools Learn about different image postprocessing tools. Tab TitleTextTexts & Labels Adding a laterality label To add or change a left or right label: Click one of these icons Drag and drop the label to the required position in the image Adding texts To add predefined or free texts and position them in the image: Click the add text icon Select or enter a text item in the window and click OK Drag and drop the text to the required position in the image Changing Texts Click this icon Click the + or - icons or enter the required text size Click this icon again to confirm the changed text size The text size of all texts and the laterality label in the image is changed Deleting Texts Click the trash can icon Click the text item or laterality label in the image A confirmation dialog will be displayed Click Yes You can also right click the text item or laterality label to delete it   Cropping Manual Cropping After an image has been acquired or loaded for postprocessing: ​Select this icon to remove the cropping mask Select this icon and drag a region in the image to crop a rectangular region to redefine the shutter area Click this icon and select a film size from the list to crop a rectangular region for a film size to redefine the shutter area Select this icon and click the corners of the polygon region in the image and finish by a double-clicking to add a cropping mask Select this icon to fit the shutter area to the image display area The image is adjusted and centered to the cropping region and fit to the image display area Definitions: Shutter is the display area of the image and it is displayed with a blue frame Cropping mask is the processing area and it is defined by the result of cropping with a white frame After acquisition and without any manual cropping, the cropping mask is the size of the actual collimation and the shutter is the size of the image presented Image area outside the shutter cannot be sent, exported or printed   Zooming Using a magnifying glass Select this icon Click the detail in the image that you want enlarged The image around the position of the mouse pointer appears enlarged by a factor of 2 Zooming the image continuously Select this icon Drag the mouse cursor in the image up or down or rotate the mouse wheel The image is resized simultaneously Adjusting the image to the image display area Select this icon The image is resized so that the cropped area fits to the image display area Adjusting the image to 1:1 pixel display Select this icon The image is resized so that each monitor pixel corresponds to the one image pixel Panning Panning Select the panning icon Press the left mouse button and move the cursor in the image The image is panned simultaneously in both axes (behind the shutter) Flipping Flipping Select one of these or both icons The image is flipped according to flip axes that correspond to the vertical/horizontal axes of the monitor Note: left and right and/or top and bottom are swapped around   The flip indicator is displayed in the image Drag and drop the flip indicator to the required position in the image Rotating Rotating the image by +/- 90 degrees Select one of the 90 degree icons Rotating the image continuously Select the continuous rotation icon Enter the rotation angle or click -/+ Select this icon again Undoing Changes Undoing the last change Select this icon You can do a maximum of up to the previous 10 steps Restoring the state of the image Select this icon The initial state of the image after loading is restored Saving Accepting or rejecting an image Immediately after acquisition you can accept or reject the image If the image is okay: Click Accept If the image is not okay: Click Reject Select or enter a reject reason and click OK Saving an image After loading a previously acquire image, you can save the postprocessing you have made to the image or save a copy of the image To save the image: Click Save To save a copy of the image: Click Save As ​       Cropping Video Learn about cropping tools. Cropping Size Click this icon Select a film size from the list to redefine the shutter area Drag Crop Click this icon Drag a region in the image to redefine the shutter area Adding a Mask Click the cropping mask icon Click the corners of the polygon region in the image Finish by a double-click   In View mode, you can view your images, perform measurements, select images for sending and send them. The following tools can be used during image evaluation phase: Measuring Angles Measuring Distances Calibrating Images Drawing Arrows Marking Images   Image Measurement Tools Video Learn about image measurement and calibration tools.   Image Evaluation Tools in View Mode Learn about image evaluation tools in view mode. Checklist TitleChecklist TypeChecklist ContentViewing ImagesHTML Changing the Image Display Layout Click one of these icons ​ Paging Images Click one of these icons - or - Use the scroll bar - or -  Rotate the mouse wheel Zooming an ImageHTML Using a magnifying glass Click this icon  Click the detail in the image that you want to enlarge The image around the position of the mouse pointer appears enlarged by a factor of 2 Zooming the image continuously Click this icon  Drag the mouse cursor in the image up or down - or -  Rotate the mouse wheel The image is resized simultaneously Adjusting the image to the image display area Click this icon  The image is resized so that the cropped image fits to the image display area Adjusting the image to 1:1 pixel display Click this icon  The image is resized so that each monitor pixel corresponds to one image pixel Panning an ImageHTML Confirm the image has been cropped or zoomed Click this icon Press the left mouse button and move the mouse cursor in the image The image is panned simultaneously in both axes (behind the shutter) Flipping an ImageHTML To flip an image: Click one or both of these icons The image is flipped according to the flip axes that corresponds to the vertical/horizontal centers axes of the monitor  The flip indicator is displayed in the image To reposition the flip indicator, drag and drop the flip indicator to the required position in the image Measuring AnglesHTML To measure angles: Click the Measure Angle Icon Click the vertex point of the angle in the image Click the end point of the first line of the image Click the end point of the second line in the image Measuring DistancesHTML To draw a distance line: Click the ruler icon Click the first point of the distance line in the image Click the second point of the distance line in the image Note: The distance measured and shown on the display does not match the real geometric size of the object before calibration is performed Deleting MeasurementsHTML To delete a single measurement: Click this icon To delete all measurements: Click this icon Calibrating ImagesHTML To perform calibrate images: Click the Ellipsis (...) icon Select Measurement Calibration Click Geometry or Fiducial  To calibrate by geometry: Check/enter the Source-Image Distance (SID) in cm Check/enter the Table-Object Distance (TOD) in cm Click Calibration To calibrate by a known distance: Click the first point of calibration line in the image Click the second point of the calibration line in the image Enter the exact distance in mm Click Calibration Drawing ArrowsHTML To draw an arrow: Click the Ellipsis (...) icon Select Arrow Click the start point of the arrow in the image Click the end point of the arrow in the image Storing an ImageHTML To store an image, click the save icon.  Note: If you save a modified image, the original image will be overridden. Marking ImagesHTML Marked images are shown with a blue dot in the center at the left-hand side of the image. To mark the displayed image: Click this icon  To unmark the displayed image: Click this icon  To mark all images of the study: Click this icon  To unmark all images of the study: Click this icon  Displaying Exam ProtocolHTML All acquisitions performed on a patient are logged in the exam protocol.  To display the exam protocol, select the highlighted icon. DICOM Information Learn about DICOM information.  Click this icon to Display the DICOM Image Information    Check the following settings: View mode At least one send/archive destination has been configured by Service Images have been prepared and marked for sending Procedures for Sending Images to PACS Select a Target from the list Click the DICOM Dose Report check box, if necessary A DICOM Structured Report will be generated and sent with the image Click the SC Image check box, if necessary The exam protocol will be generated as a DICOM Secondary Capture image and this image will be sent with the image Click this icon   The images are sent to the selected target in the background During the transfer, this icon is displayed in the bottom left of the status bar It can be clicked to check the job status  Sending Images & Archiving Learn about sending and images archiving. Procedure for Sending & Archiving Images Select a Target from the list Click the DICOM Dose Report check box, if necessary A DICOM Structured Report will be generated and sent with the image Click the SC Image check box, if necessary The exam protocol will be generated as a DICOM Secondary Capture image and this image will be sent with the image Click the send icon The Images are sent to the selected target in the background   In Print mode, you can view and arrange your images on virtual film sheets, adjust image sizes, select the hardcopy device or printer, and send the images to be printed as hardcopies.  To print images, verify the following: Image station is in Print mode At least one hardcopy device or printer has been configured by Service Film sheets have been arranged Images have been adjusted in size and view   Printing Images Video Learn about printing images. Printing Procedure ​Select a Printer from the list Select a Film Size from the list Enter the number of Copies Click the Anonymous check box, if necessary If checked, no patient information will be printed on the film sheets Click the print exam protocol check box (if necessary) The exam protocol will be generated as a DICOM Secondary Capture image and this image will be printed in a separate film sheet (note: the layout for the clinical image can only be 1x1) Click the printed icon The images are sent to the selected hardcopy device/printer in the background   Arranging Film Sheets Learn about arranging film sheets. Slide NumberText BlocksCalloutsAudio ScriptImage File1In Print mode, your images are displayed on virtual film sheets. You can select the layout for the film sheets. You are also able to adjust the size and view of each image.  Click on a specific film sheet to select and display a film sheet. In Print mode, your images are displayed on virtual film sheets. You can select the layout for the film sheets. You are also able to adjust the size and view of each image. Click a specific film sheet to select and display a film sheet. 2Arranging Film Sheets Change between portrait and landscape mode Change the film sheet layout Create a child layout Rejecting a child layout CalloutsChange between portrait and landscape modeChange the film sheet layoutCreate a child layoutRejecting a child layoutWhen arranging film sheets, you have the option to change between portrait and landscape mode, change the film sheet layout, create a child layout, or reject a child layout. Rollover the highlighted image areas to learn about the corresponding icons that enable arranging film sheets.3Arranging Film Sheets Repack film sheets Changing the order of images on the film sheets Adding a film sheet Deleting a film sheet Deleting an image from a film sheet CalloutsRepacking film sheetsChanging the order of images on the film sheetsAdding a film sheetDeleting a film sheetDeleting an image from a film sheetAdditional functions that can be used when arranging film sheets include repacking film sheets, changing the order of images on the film sheets, adding a film sheet, deleting a film sheet, and deleting an image from a film sheet. Rollover the highlighted image areas to learn about these additional icons that enable arranging film sheets.4Changing the image size on the film sheet Zooming an image continuously Panning an image Adjusting to the segment Adjusting the same magnification Applying true size CalloutsZooming an image continuouslyPanning an imageAdjusting to the segmentAdjusting to the same magnificationApplying true sizeThe following features can be used to change the image size on the film sheet: zooming an image continuously, panning an image, adjusting to the segment, adjusting the same magnification, and applying true size. Rollover the highlighted image areas to learn about the corresponding icons that can be used to change the image size on the film sheet. 5Changing the image view on the film sheet Rotating an image by +/- 90 degrees Hiding or showing image text in preview layout Inverting gray scales CalloutsRotating an image by +/- 90 degreesHiding/showing image text in preview layoutInverting gray scalesIn order to adjust the image view on the film sheet, the image can be rotated by plus or minus 90 degrees, you can hide or show the image text in the preview layout, and invert grey scales. Rollover the highlighted image areas to learn about the corresponding icons that can be used to adjust the image view on the film sheet. After an examination or importing data, the study/patient and image data is stored in the Examined Patients list.  To display the images of studies, click the study or multiple studies that you wish to display and then click the drop down arrow. Images can be imported in private format and DICOM Computed Radiography (CR) or Digital X-ray (DX) format. Images in private format (*.ecm) can only be imported together with DICOM format files (*.dcm) If private format images exist on the storage medium, they are invisible in the import dialog box, but they will be imported with DICOM format images Deleted studies are moved to the Recycle Bin. Studies can be restored from the Recycle Bin or deleted permanently.   Importing Files & Folders Learn about importing files and folders. Tab TitleTextImporting Single Images Click this Browse the drive/folder which contains the desired images Click the image file (*.dcm) - or - Press the Ctrl or Shift key and click multiple image files (*.dcm) Start the import by clicking OK Click Abort to cancel the import When the transfer is finished, a confirmation dialog is displayed Click OK and the Examined Patients list is updated automatically   Importing a Folder of Images Click this icon Browse the drive/folder which contains the desired images Click the folder to import Click OK A confirmation dialog is displayed Start the import by clicking OK Click Abort to cancel the import (if necessary) When the transfer is finished, a confirmation dialog is displayed Click OK and the Examined Patients list is updated automatically Note: The transfer can take time depending on the volume of data   Exporting Studies & Images Learn about exporting studies & images. Tab TitleTextExporting to the File System When exporting to USB memory: Plug a USB memory device with enough free storage capacity into the USB jack Wait a moment Click the study to export in the Examined Patients list (to select multiple studies, use the Shift key or click the check boxes of the desired studies) Click this icon Click Browse Browse to the drive/folder which shall contain your images Click the folder to export to Click OK Select the File Format Click Create DICOM Dir for DCM and ECM format, if necessary Click Anonymous, if necessary Click Export You can click Cancel to abort the export When the export is finished, a confirmation dialog is displayed Click OK To view files are already stored, click Open browse the drive/folder which contains your images Exporting to CD/DVD Place a writable CD/DVD with enough free storage capacity in the drive Wait a moment Click the study to export in the Examined Patients list To select multiple studies, use the Shift key or click the check boxes of the desired patients Click this icon Select the File Format Change other Burn Setting if required Click Burn   Recycling Bin & Deleting Studies Learn about recycling bin & deleting studies. Tab TitleTextRestoring Studies Restoring Studies from the Recycle Bin Click the study to restore in the Recycle Bin List To select multiple studies, use the Shift key or click the check boxes of the desired studies Click this icon A confirmation dialog appears Click Yes   Deleting Studies Deleting Studies from the Recycle Bin Click the study/studies to delete in the Recycle Bin List To select multiple studies, use the Shift key or click the check boxes of the desired studies Click this icon A confirmation dialog appears If you want to finally delete the selected studies, Click Yes   Emptying the Recycle Bin Emptying the Recycle Bin Click this icon A confirmation dialog appears If you want to finally delete all the studies in the Recycle Bin, click Yes   In Postprocessing mode, you can process and annotate your images with the image processing functions. The following tabs are available for postprocessing: Process Tab contains functions for changing the image display and annotating images Flavor Setting Tab & Rad Tab are organized by organ programs in which the imaging system provides several sets of pre-defined image impressions or flavors based on postprocessing parameters to address different preferences in image quality and presentation   The Rad tab enables you to adjust the image impression and save the adjusted results for the current image. Click Rad A confirmation dialog is displayed if you have changed the window value without saving in the Process tab. Click Yes Select a Set Property Select SIGMOID in the LUT Curve Type dropdown menu Adjust the parameters until the image reaches you requirements by dragging a slider or clicking an arrow To reset the parameter value to the initial status, click Reset Params   Customized Flavor Learn about customizing an image flavor. Editing Image Flavors To define one customized flavor for each organ program: Click Rad A confirmation dialog is displayed if you have changed the window value without saving in Process tab. Click Yes Select Customized from the Set Property list Adjust the parameters until the image reaches your requirements Drag a slider or click an arrow Contrast: Increasing the value amplifies the image and therefore enhances the difference of grey levels Detail: Increasing the value makes fine structure more visible Latitude: Increasing the value reduces dynamic range and makes more grey levels visible at the same time Noise: Increasing the value suppresses more noise and makes the image smoother WC Shift: Increasing the value increases the brightness of the image WW Shift: Increasing the value decreases the contrast of the image Click Save Params The parameter values are saved into the customized flavor setting.   The system provides four sets of pre-defined image impressions or flavors for each organ program. They include: Standard Smooth High Contrast Finely Detailed After each acquisition, the image displaying on the screen is the one processed by the default flavor setting parameters. You can select one of the four flavors, edit the default image flavor, and define one customized flavor for each organ program.    Image Flavor Setting Learn about image flavor setting. Image Flavor Setting Click Flavor Setting A confirmation dialog will be displayed if you have changed the window value without saving in the Process tab Click Yes The image processed with default parameters is displayed To change the flavor of the image, click the flavor icon which you want for the image The image impression is changed to the chosen flavor If necessary, adjust the windowing of the image by: Dragging the WCShift (window center) slider Dragging the WWShift (window width) slider Clicking an arrow Default Flavor To change the default flavor for an organ program: Click the flavor icon that you want for the organ program Click Save as default