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 Clinical Training
for Visage 7
®
Basic Features
Visage 7
Overview
Example of routine usage
Technical Architecture Overview
How to log into the server
How to load data
Screen layout, mouse bindings
Viewing 3D with MPR
Viewing 3D with VRT
2D lightbox viewer manipulation
Annotations and measurements
Crop tools
Applying color templates
Exporting Snapshots
Session management
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Visage Imaging
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Example Usage
Select & Load Study
Visage7 client server supports the clinical routine workflow. The usage of
the application can be described with
this example of a patient with a cerebral aneurysm. The workflow consists
of the following steps:
Select the patient from the list of patients that are stored on the server.
Quick overview
Get a quick overview of the patients
status by using the Multi planar reformat (MPR) viewer and the 3D viewer.
Focus on findings in 3D
Once you have located the Region of interest, zoom in and use the crop box to clip
away tissue that is blocking the view.
Export Snapshots and Report
Reach your diagnosis and take snapshots
of the visualization. Export the snapshots
back to the database or write a report that
embed the screen captures that you have
taken.
Visage Imaging Example Usage 3
Client Server Architecture
Visage7 is a powerful tool that enables
physicians to work with large radiological datasets over a network. The data is
collected from imaging modalities such
as CT and MR and is stored on the central node. Visage7 server can also be integrated with other DICOM installations
throughout the hospital. When the user
wants to read the radiological data, it
can be viewed from any computer that
is connected to the hospital network
using the ThinClient. With this program,
it is not necessary to transfer the large
datasets. The data can be viewed from
a remote place as if the user was sitting
in front of a workstation. Any existing
Clinic Network
PC (XP, Vista, Vista 64) or MAC can be
used as a thin client. The ThinClient can
be used to work with the images department-wide, hospital-wide or even
when connected through a Wide Area
Network connection with a minimum
bandwidth requirement of only 2Mbps
connectection.
Clinic Network & WAN
Visage
CS Server
CT Modality
VisageCS Thin Clients
Dicom Archive
MR Modality
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Client Server Architecture
Visage Imaging
Login Screen –
Windows and Mac OS
When you start the software, the first
thing you will see is the login screen.
Here you can specify which server you
want to connect to. You have to enter
your login and the password that was
provided to you by your administrator.
It is possible to choose from a list of
languages for the application. Just
select the drop-down menu and highlight the language you want the application to appear in.
Provided by your Administrator
Display language for the application
Visage Imaging Login Screen – Windows and Mac OS 5
Study Browser – Windows
Study Browser, View &
Export Windows
Study / Series List
Search Mask
Preview Window
Session List
The main application window has
three windows: study browser, view
and export. The study browser window is used to load image data into
the view window and to retrieve data
from connected Dicom nodes. It consists of a search mask where the
search criteria can be defined. The
patient list displays all patients that
match the current search. Frequently used search filters can be stored
as individual presets.
In the preview window, a snapshot
of the selected series is shown to
simplifiy the selection. In the lower
right corner, the session list displays
the series that the user has recently
been working on.
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Study Browser – Windows
Visage Imaging
For installations that are integrated
to an existing HIS, RIS, or PACS, there may be no Study Browser window
available, as the data will be loaded
directly into the View window from
the RIS/HIS/PACS.
Study Browser – Mac
The MAC client has the same functionality as the Windows client with only
a few differences in the user interface.
One of these differences is the method of switching between the diffe-
rent windows. On the MAC client, use
the Window menu from the MAC toolbar to switch between Study Browser;
View and Export windows.
Search Mask
Patient List
Session List
Preview Window
MAC toolbar
Browser, View & Export
Visage Imaging Study Browser – Mac 7
Search Mask
Query Button issues a search based
on search criteria –
Wildcards available (*,?)
The query button in the search mask
submits a query and the result is displayed in the study/series list. The
query can be narrowed to specific
search criteria:
The name and ID of the patient.
If incomplete names or IDs are entered, they are automatically appended with wildcards, so that also names starting with the entered letters
are found. E.g. type Mil in the patient
name box to find Miller, Milford, Miltner, or *mil to find all the above and
also Hamilton, or AB??34 in the patient ID box to find AB1234, AB0034,
and AB11345678.
The patient‘s date of birth,
the accession date of the study or
the date when the data was inserted
into the database. It is possible to
search for either exact dates or ranges of dates.
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Search Mask
The modality the data was acquired with.
There are checkboxes for the most
common modalities such as CT, MR
and US but it is also possible to enter
other modalities in a field.
Specific Dicom tags.
You can search for datasets with entries in one of these fields: Accession
Number, Study Description, Referring
Physician‘s Name, Body Part Examined, Current Patient Location, Institution Name, Patient Comments, Performing Physician‘s Name, Reading
Physician(s) Name(s) and Study
Instance UID.
The Search mask can be reset to the
initial values using the reset button.
It is also possible to search in remote dicom nodes. In this case, it is not
possible to search for Modalities and
Dicom fields other than accession
Visage Imaging
number and study description. Study
States can be used to query specific
states such as interpretation status
and interpretation priority.
Labels can be assigned to specific
studies. This is useful for quickly finding studies for a meeting such as a
tumor board meeting. Load a study
by selecting the study then click the
View button above the query options
or by simply double clicking on a study or series.
Search Mask
View
Presets
Query
Name & ID
Date
Modalities
Dicom Tags
Study States
Labels
Visage Imaging Search Mask 9
Study States
To create a filter by study state, click
the “Study State” button. Place a
check on the desired state options
and click “OK”. When the “Query” button is selected the Study State filter
will query for the selected states. To
reset to default, click the red reset
arrow button to the right of the Study
State or Query buttons.
Open Study States
Check Study State(s)
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Study States
Visage Imaging
Study Labels
Labels can be assigned to desired studies. This can be useful for quick access to teaching studies or to access
studies at a later date. Select desired
studies and right click on one of the
selected studies to open the Labels
dialog box. Type a name for the new
label then save the label for access by
only your login (Private) or everyone
who has access to the selected data
(public).
Select Studies to be labeled
Right click, select Study Labels
Create label
Select access option
Visage Imaging Study Labels 11
Query Labeled Studies
To query labeled studies, type the label name in the “Labels” box then click
“Query”. The labeled studies will appear
in the study list to the right.
Select Query
for new labeled
studies
Type Study
Label
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Query Labeled Studies
Visage Imaging
Query Presets
Query Presets can be defined for any
combination of query parameters including Name; ID, Date and Modalities.
Example: If a users finds that they are
reading Mammo studies on a regular
basis, they can create a preset to query only Mammo studies, even create
a preset to include Mammo studies
for “Today”. If the user creates a preset with a label “Mammo” the preset
“Mammo” button will be placed on the
tool above the view screen. A single
click of the preset will query for the
preset parameters.
Select Query for
new labeled studies
Select query parameters
Name Preset
Visage Imaging Query Presets 13
Study List View
Dicom Nodes
Database Tab
Study List
Database Tab
3D Volume ready
Volume is converting
No volume available
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Study List View
Visage Imaging
Study List View
In the study list view, there is a tab for
each data source. The main data source is the database of the Visage7 server. In addition to this source, there is
also one tab for each Dicom node that
is connected to the Visage7 server.
In the study list, all studies that match
the current search are displayed. Next
to the patient name the ID, accession
number, modality image number, study description, accession date and
the study instance UID are displayed.
Note that the list contains all studies,
so if multiple studies of one patient
exist, they will be shown in separate
rows. To expand one of the entries,
click on the ‚+‘ sign to the left of the patient name. This reveals all series that
are part of this study. If this series is
a 3D volume, this is indicated by a
green ball in this line. If the displayed
ball is orange, this series is currently
being converted and can be accessed
at a later point. If no sphere is present,
this means that the series is either not
converted yet or can not be converted
because it is a 2D series.
series, just select this series and click
on view. The selected studies can also
be deleted from the database using
the „Delete“ button in the toolbar or
from the context menu. Note that not
all users are allowed to delete studies
from the server. It is not possible to
delete studies from remote servers.
In order to load all series of a study,
select the study and click view or double-click on the study. To load only one
Session List
A preview of the currently selected study is displayed in the preview window
in order to facilitate the selection of the
series to be loaded. In the session list
the previous work that was saved can
be retrieved. The list displays either the
most recent sessions or the sessions
that belong to the study selected in the
study list. Double-clicking on one of the
sessions loads it into the view tab. With
the sessions, the loaded data as well as
the configuration of the tools is stored.
Preview
Session List
Visage Imaging Study List View 15
Session Menu
In the view window, you can save and
reload sessions through the session
menu which is part of the file menu.
When saving a session, you can select
between saving this session only for
yourself or for all users who have sufficient access rights to view this patient. If you save a session for all users,
you can also send a link to another
user via email. If the user clicks on the
link in the email, it will start the thinclient with the saved session.
Load / Save
Sessions
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Session Menu
Visage Imaging
Loading Options
You can select multiple studies and
series by pressing shift or CTRL while
selecting them with the mouse.
In order to view multiple series sideby-side, you can select the series,
right click on them to open the context menu and then select „View All
Series Side-By-Side“. This will open a
dynamic protocol with as many viewers as there are series selected.
Ctrl
From the context menu, you can also
search for all studies from the selected patient in the database. This faciliates the search for prior studies. Once
you have selected the series you want
to view, you can click on „Add to view“.
This will keep any series that was in
the viewer before and just add the
new ones to it. If you click on „View“,
the current series in the view tab will
be replaced.
Select multiple
Series / Phases
Context Menu
View Selction,
replace existing
Add to View
View Selected
Side-By-Side
Find all studies
Visage Imaging Loading Options 17
View Window – Overview
Window Selection
Menu
Toolbars
MPR viewer
Viewer Control
3D Viewer
Series Thumbs
Toolcards
The view window is the main work window of Visage7. The appearance can
vary depending on the display protocol that is selected.
The current protocol may have multiple layouts defined, and the user can
choose the appropriate layout tab to
switch the current views. The menu bar
is always present, from here you can
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Study Browser Window
select all functions. More frequently
used functions are also available in
toolbars that can be freely distributed
over the workspace. Sets of functions
that belong together are grouped in
tool cards on the right side of the
screen. The main screen is divided into
multiple viewers, in this case there are
three multiplanar views that show the
axial, sagital and coronal view of the
Visage Imaging
dataset. The fourth view shows a 3D
reconstruction of the volume. Each
viewer has a viewer control bar at the
bottom where the properties of this
viewer can be specified.
With the button selection (top right),
you can quickly get back to the study
browser window or go to the export
window.
Display Protocols – Selection
The way in which the image data is
presented is largely determined by
the display protocol that is chosen.
Display protocols define the type and
the layout of the viewer, what kind
of toolbars and tool cards are visible
and some other preferences. When
an image series is loaded, the appropriate protocol is chosen automatically.
If you want to change the current
display protocol, you can choose a
different one from the protocol menu.
Some of the protocols are specific to a
certain modality, e.g. CT.
Protocol Menu
Pre-Selected
Protocols
All Protocols
sorted by
Monitor Layout
Examples of the same dataset with different display protocols
Visage Imaging Display Protocols – Selection 19
View Window – Fullscreen
Each viewer can be brought to fullscreen mode by double-clicking inside
the viewer. If you double-click again,
the viewer is resized to the normal layout again.
Double-Click: Fullscreen
Double-Click again: normal layout
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View Window – Fullscreen
Visage Imaging
View Window –
Toolbar Manipulation
The toolbar is divided into several toolsets that can be moved individually.
Just grab a toolset at the dotted line
and drag it where you want to place it.
Dragging the toolbar to the right or left
border alignes them vertically. If there are many toolsets in one toolbar,
small horizontal arrows indicate that
the toolset can be expanded in order
to reveal more icons. A small triangle
facing downwards indicates that this
tool can be expanded. The list of all
available toolbars is displayed if you
right-click inside the toolbar area. Note
that some tools might not be available
to all users depending on the license.
Extend Toolbar
Right-Click: Toolbar List
Drop-Down Menu
Grab dotted line:
free floating
Create vertical Toolbars by dragging
to the left or right border.
Visage Imaging View Window – Toolbar Manipulation 21
View Window –
Toolcard Manipulation
More complex tools than in the toolbar
are located in the toolcard area. You
can hide and show the whole area
using the small horizontal triangles on
the border. Each toolcard area can be
populated with multiple toolcards, in-
dicated by a tab on the top of the area.
If you double-click on this tab, the toolcard will be freely moveable over the
whole screen. The downwards facing
triangle next to the tabs will produce
the list of all available toolcards.
Double-Click:
free floating
Toolcard Tabs
Toolcard List
Show / Hide
Toolcard Area
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View Window – Toolcard
Visage Imaging
Default Mouse Controls
Most of the interaction in Visage7 is
performed using the mouse. The default function of the left mouse button
is dependent on the type of viewer. In
a 2D viewer such as an MPR-viewer
or a Lightbox viewer, you can browse
through the slices with the left mouse
button. In a 3D viewer, the default is
to rotate the model. The manipulation
mode can be changed either by selecting the function it in the toolbar or by
pressing the associated function key.
The right mouse button can be used
to pan the image, the scroll wheel
can browse slices through the series,
pushing the scroll wheel in and moving
Default Settings (the
white arrow indicates
the default settings)
Click and drag RIGHT
mouse button to pan
any image
Click and drag left
mouse button to scroll
through the MPR views
Click and drag both
RIGHT & LEFT mouse
buttons to window
level
Scroll MOUSE WHEEL to
step through the slices
on the MPR views
Click and drag WHEEL
to zoom image
Click and drag LEFT
mouse button to rotate
the VR (3D) image
the mouse will zoom the image, and
clicking the right and left mouse button together and moving the mouse
will change the current window level
settings. The left mouse behavior depends on the current selected mode in
the navigation toolbar.
Alt
To target an object in a
viewer, hold the ALT key
then LEFT click on the
object. The crosshairs
will center on the object
in all view screens.
Visage Imaging Default Mouse Controls 23
Alternative Mouse Controls
The following functions are available to assign to the left mouse
Default Manipulation: Selecting this
function switches back to the default
mode depending on the viewer.
Rotate: You can rotate MPR views in
order to generate oblique slices or the
3D model to change the view. This function is not available when using the 2D
Lightbox viewer.
Pan: Using this function, you can
move the contents of the viewer. This
function is also available by pressing
down the right button.
Zoom: With the zoom, you can
change the magnification of the contents in the viewer. If you hold down
shift, the zoom is only applied to the
active viewer.
Window / Level: Here you can adjust the grayscale window and the
grayscale level. The window width is
changed by horizontal movements,
the center level is changed by vertical
movements. Press down both left and
right button to access this function.
Browse Slices: With this function
you can change the slice that is shown
in the current viewer.
Pick 2D/3D Point: Using this function in a 3D or MPR viewer will make
the MPR views intersect in the selected point.
Default Manipulation
Window / Level
Zoom
Pan
Rotate
Browse Slice
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Alternative Mouse Controls
Visage Imaging
Window / Level Adjustment
There are four ways to adjust the grayscale window level in the viewer
You can select the window level
function, press the left mouse button
and move the mouse in the viewer.
You can select a preset from the
window / level drop menu in the viewer
control.
You can select a preset using the
keyboard, 1..9 for the presets defined
in the protocol and Shift + 1..9 for the
presets defined in the DICOM data
You can set the focus on the window
/ level field in the tool card and type in
the desired value directly.
+
Move Mouse in Viewer
Select Preset
Type in Value
+
1 ... 9
1 ... 9
0
Presets from DICOM
Presets from Protocol
Reset to initial window/level
Visage Imaging Window / Level Adjustment 25
Text Annotation
In order to draw text into an image,
select the annotations tool from the
„Annotations and Measurement“ toolbar. Click on a position in the image
and move the mouse while holding
down the left button in order to draw
an arrow with the tip pointing towards
Arrow / Text
Annotation
the first point. Once you release the
mouse button, a dialog with the annotation properties appears. You can
change the color and the appearance
of the arrow. When you have finished
editing the properties, click OK and
the annotation will be displayed in the
Annotation Text
Font Properties
Drag: Draw
Annotation
Right-Click opens context menu
to deselect or delete Annotation
Del
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Text Annotation
image. If you want to delete an existing
annotation, select it and hit the „Del“
key on the keyboard. By right-clicking
on the annotation, you can invoke a
context menu that lets you de-select
or delete the annotation.
Delete Selected Annotation
Visage Imaging
3D Viewer – Annotation and Keyview
The same annotations that can be
used in the 2D viewers can also be applied in 3D viewers and MPR viewers.
You can create a text annotation or a
measurement. The annotation will not
be visible with a different setting of the
camera. Along with an annotation, the
camera position is stored in a key view.
These key views are used to retrieve
the camera position that was used during the measurement. You can cycle
through the stored key views with the
buttons F11 and F12.
If you right-click on in the 3D viewer, a
context menu will open with the following entries:
Previous Key View
This sets the camera settings to the
previous stored key view.
Previous Key View
This sets the camera settings to the
next key view in the stored list.
Store Key View
Using this function, you can store a
Key View without having to create an
annotation.
Recall Key View
This opens a list where you can select
a Key View from all stored Key Views.
Delete Key View
Lets you delete a key view.
Context Menu
Use F11 and F12 to change Key Views
N
Annotation
K
Store Keyview
Visage Imaging 3D Viewer – Annotation and Keyview 27
Distance Measurement
& Line Profile
After the annotation, the distance
measurement is the most commonly
used measurement tool. In order to
measure the length of an object in the
image data, click on the measurement
tool or hit “D” on the keyboard. After
clicking on the first and last point of
the measurement, a line will be drawn
between those points and the distance will be displayed.
You can display the densitiy curve
along the line of measurement using
the line profile toolcard.
Distance
Line Profile Toolcard
K
Note that the accuracy of the distance measurement is depending on
the accuracy of the underlying image
and the accuracy that you select the
points.
Store Keyview
Selected Measurement:
Del
Delete Measurement
Edit Properties
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Distance Measurement
Visage Imaging
Region of Interest Measurements
With the region of interest (ROI) measurement tools, you can measure the
density (e.g. Houndsfield units for CT)
of the underlying image.
Three tools are available
Elliptical ROI – Shows the area, mean,
maximal and minimal density values.
Circular ROI – Shows all the properties of the elliptical ROI plus the radius
of the ROI.
Point ROI – Shows the density value
of one point.
After a right-click on the ROI, the context menu is displayed. The menu
enables you to hide and show the ROI
name and its statistic. You can also
show the statistic in the corner of the
viewer, detached from the ROI name.
The annotation that is connected to
the ROI can be freely moved across
the viewer.
A ROI measurement can be deleted either by selecting delete from the context menu or by hitting the „del“ key
while the measurement is selected.
Ellipse
Circle
Point
Move Circle and Ellipse Annotations
by dragging the text
Context Menu
Visage Imaging Region of Interest Measurements 29
Angle and Density M
easurements
To perform an angular measurement,
select the function in the toolbar and
click inside the viewer to define the
first line. Move the mouse while holding down the button and release the
button to define the angle point. Then
move the mouse again and click on
the image to define the second leg. The
angle between the defined lines will be
displayed in the image. With the Measure Density tool, you can measure
the Hounsfield units of a point in the
Measure Density
Angle
Drag
1st Click
2nd Click
Selected Measurement:
Del
Delete Measurement
Edit Properties
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Angle and Density Measurements
Density Display
Visage Imaging
image data. Select this tool and click
on a point in the image. The Hounsfield
value and the coordinates of this point
are displayed in the lower left corner of
the image.
Additional Angle Measurements
Additional angle measurements include the Cobb Angle and the disconnect
lines angle measurement tools. For
both of these tools, you click on the
starting point of the first line, drag the
mouse and release at the ending point,
then do the same for the second line.
Disconnected Lines – Angle Measurement
Cobb Angle
The Cobb Angle tool allows the user to
create many lines, and the user needs
to toggle this mode off before going back
to the previous mouse behavior.
The disconnected lines angle measurement tool always assumes two lines.
Visage Imaging Additional Angle Measurements 31
3D MPR Viewer – Navigation
The three Multiplanar views (MPR) are
orientated perpendicular to each other.
Around each MPR viewer there is a
border in a different color. In the other
MPR viewers, the position of the slice
is indicated by a line in this color. You
can change the position of the viewing
plane by clicking on the line and moving it with the mouse. If you click near
the center, where the two lines intersect, you can move both image planes
at once. In order to move the images
so that the intersection of the two lines is in the middle of the viewer, you
Center Viewers
Red Viewer
Blue Viewer
Green Viewer
Move Center
Move Line
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2D View – Assignments
Visage Imaging
can select the „Center View“ function
in the toolbar. You can toggle between
a crosshair that covers most of the
screen and one that leaves the middle
of the screen unobstructed with the
keyboard shortcut „x“.
X
Partially Show / Hide Crosshair
3D Viewer – Thick Slices
The thickness of the slice that is displayed in the MPR viewer can be adjusted dynamically. You can change the
thickness by selecting and dragging
the „Thick Slice Handles“, two arrows
that are pointing towards the slice indicator. While dragging the handles, the
current slice thickness is displayed
next to the indicator line. The thickness
can also be chosen from a list of presets in the viewer control bar.
There are different modes for the display of the MPR viewer
Thin MPR – In this mode, the thickness of the slice is equivalent to the
slice thickness that the volume was
acquired with.
Maximum Intensity (MIP) – The displayed image is the maximum intensity projection through the volume.
Minimum Intensity (MinIP) – The
displayed image is the minimum in-
tensity projection through the volume.
Average Intensity (AvIP) – The displayed image is the average intensity
projection through the volume.
Inverse – All displayed pixels are
inverted. This option can be combined
with any of the above options.
Change only affects one viewer
Alt
T
+
Change Thickness
Toggle Thick Slice
Thick Slice Handle
Current Thickness
Mode Selection
Thin Slice
Maximum Intensity
Minimum Intensity
Average Intensity
Inverse
Thickness Presets
Visage Imaging 3D Viewer – Thick Slices 33
3D MPR Viewer – Oblique Slices
The MPR viewer can be rotated to show
oblique slices. You can either rotate
the view by grabbing one of the rotation handles on the indicator lines or by
selecting the rotate tool and moving it
over the MPR view.
The indicator cube in the lower left
corner shows the orientation of the
current image. If you press the key “V”
while rotating, you will rotate in the
plane of the current viewer.
+
Rotate out of Plane
+
+
Rotate in Plane
V
The orientation of the active viewer can
be changed to one of six predefined orientations in the toolbar, they are also
reachable by the first letters as keyboard shortcuts:
Orientation Presets
Reset Orientation
A – Anterior view R – Right view
P – Posterior view H– Head view
L – Left view
F – Feet view
These functions work also for the 3D
viewer.
Rotation
Handle
Indicator Cube
Preset Shortcuts:
A
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3D MPR Viewer – Oblique Slices
P
Visage Imaging
R
L
H
F
2D Tiled View
The tiled viewer is designed to view
2D Dicom images. It consists of several tiles where images of the selected
series are displayed. You can select
from different layouts in the layout
section of the protocol. If you want to
set one tile to full screen, you can do
this by double-clicking on it. The normal tiled view is restored by doubleclicking again.
Select 2D Protocol
Viewer Tiles
Series Thumbnails
Visage Imaging 2D Tiled View 35
3D Viewer – Crop Box
Another useful tool is the Crop Box
which aids in isolation of a specific area
of interest. The position and size of the
crop box is indicated by the orange reference lines on the MPR views. Grab
any of the reference lines to resize the
crop box. The box can be moved to a
position. Grab the inside of the box and
move it to the desired position. You can
also grab a corner of the box to rotate it.
In the 3D viewer, only the anatomy that
lies inside the box is displayed.
Crop Box
Rotate
Expand
Move
Cropped
3D View
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3D Viewer – Crop Box
Visage Imaging
3D Viewer – Crop Slab
A Thick Slab with MIP display can be
created by selecting the slab option
and turning on the MIP mode from the
viewer control. The MIP image can be
rotated using the left mouse button
and translated using the scroll wheel.
You can change the thickness of the
slab by holding the Alt-key and the
middle mouse button. Toggle the slab
on and off with the hotkey „T“.
Crop Slab
Rotate
Expand
Move
Lock Crop
Alt
T
+
Thickness
Toggle Slab
Rotate
Translate
Visage Imaging 3D Viewer – Crop Slab 37
3D Viewer – Remove Tool
There are two options for manually removing anatomy. This is done by simply drawing a line around an object.
Selecting the Remove Inside option removes anything inside the line drawn.
Selecting the Remove Outside option
will remove anything outside the line
drawn. If a mistake is made click the
Reset button to return to the original
image.
Select Remove Tool
Draw Contours
Remove Inside
Remove Outside
Undo last Contour
Reset
Exit Tool
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3D Viewer – Remove Tool
Visage Imaging
3D Viewer – Color Templates
The settings of the 3D viewer can be
changed using 3D templates. The templates hold numerous configurations
and a color profile that is used to display the volumetric data. A snapshot
for each template indicates what the
settings look like. When you select a
template by clicking on it, the 3D viewer will reflect the change. You can
adjust display for the specific patient
using the window level function.
Template Toolcard
Templates
Visage Imaging 3D Viewer – Color Templates 39
3D Viewer – Create Snapshots
In order to create a snapshot, select
the snapshot function from the
toolbar and click on the viewer you
want to create the snapshot from.
The image from this viewer is then
available in the export tab. You can
toggle the image overlay texts and
elements by hitting the spacebar.
This is useful if you want to hide the
patient specific information. You can
create either a snapshot of one viewer or of all viewers seperately or from
all viewers together. Measurement
functions like distance measurement
automatically create a snapshot of
the active viewer.
Snapshot All in One
Snapshot One Viewer
Snapshot All Seperate
40
3D Viewer – Create Snapshots
Visage Imaging
3D Viewer – Export Snapshots
The export window is the third button
in the upper right. The screenshots
you have created before are displayed
as small icons in a list on the left side.
There are two possibilities to export
these images, they can be send to a
Dicom Server or saved on your local
client computer. Note that this func-
tion can be disabled by the administrator for some or all users. If you use
the „Send“ button, you will be presented a list with all configured Dicom
servers for you installation. The last
item on the list is titled „Database“,
this is the Visage Database server you
are currently working on. If you select
to store the snapshot on your local
computer, a file dialog pops up where
you can specify the location of the file.
You can choose from three different
file formats, you can save the file either as a Jpeg image, Png image or in
Dicom format.
Select Snapshot
Use Shift & Ctrl to select multiple Snapshots
Send as Dicom
Dicom Server
Save as File
Visage Imaging 3D Viewer – Export Snapshots 41
Snapshot Viewer
The snapshot viewer allows the user to
view all current snapshots in full resolution. Double click on a snapshot and
a new window opens up. The green left
and right arrows at the bottom of the
viewer allow you to scroll through the
snapshots. The red X at the bottom of
the viewer allows you to delete the
current snapshot.
Double click
to open
snapshot viewer
42
Snapshot Viewer
Visage Imaging
Outlook to advanced functions
Vessel analysis with interactive tracing
Functional analysis of the left
ventricle
Automatic removal of bones in legs
Fusion display of multiple series
Brain Perfusion Analysis
Visage Imaging Outlook to advanced functions 43
Native 3D/4D
Thin Client Anywhere
Universal Viewer
Thin Slice Access
RIS
Clinical Applications
PACS Anytime Distributed Storage
EU Contact / Manufacturer
US Contact
Corporate Headquarters
Visage Imaging GmbH
Lepsiusstrasse 70
12163 Berlin, Germany
Phone: +49 30 700 968-0
Email: [email protected]
Visage Imaging Inc.
Toll Free: 888-3D-VISAGE (1-888-338-4724)
Andover MA: (978) 319-4641
San Diego CA: (858) 546-4727
Email: [email protected]
Pro Medicus Limited
450 Swan St.
Richmond VIC 3121, Australia
Phone: +61 3 9429 8800
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