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Viewing Patient’s Current and Previous Orders In One Place

In this section, you will learn how to view patient’s current and previous orders in one place.

Step 1: On "Patient Search" page, you will see all patient orders at your account with patient name, patient id, patient other ids, modality, accession number, date and images information.

viewing patients current and previous orders

Step 2: Double click on the order you want to view the images. “View” page will be opened.

viewing patients current and previous orders

Step 3: You will see all the orders of the selected patient on the left side of the page by date order. The current order of the patient will be displayed on the top of the field and previous orders will be arranged under this order. You can see the date, time and modality information at the top of each order.

viewing patients current and previous orders

All the images and documents added to the order will be displayed under the order information. You can see the series of images or documents in any orders by clicking on it. You can hide an order by clicking the arrow button on the upper right side of it or you can hide all orders by clicking the arrow button on the upper left side of the field. After you hide the orders, you will only see the order information.

viewing patients current and previous orders

Step 4: If you want to refresh the field, click on "Refresh" button on the upper left side of the field.

viewing patients current and previous orders

Special Regions on Viewport, Lock/Unlock Function

In this article, you will learn about the special regions on viewport and how to use lock/unlock functions.

Step 1: On "Patient Search" page, all patient orders at your account will be shown. Double click on the order you want to view the images. "View" page will be opened. Click on "Tools" icon on the upper left side of the page. After you have clicked, tools section will be displayed.

Viewports has 4 different regions namely left, right, top and center. Left, right and top regions are called special regions and they can be activated/deactivated using lock/unlock function. If you move your cursor to the left of the viewport, mouse cursor changes to Zoom function. When you click on that special region and move your mouse downward/upward, it will zoom the image.

special regions on viewport, lock/unlock functions

If you move your cursor to the right of the viewport, mouse cursor changes to Scroll function. When you click on that special region and move your mouse downward/upward, it will scroll through the series images.

special regions on viewport, lock/unlock functions

If you move your cursor to the top of the viewport, mouse cursor changes to Rotation function. When you click on that special region and move your mouse to left/right, it will rotate the image or images in volume.

special regions on viewport, lock/unlock functions

If you move your cursor to the center of the viewport, mouse cursor changes to function selected from Functions toolbox. When you click on that special region and move your mouse, it will perform currently selected function from Functions toolbox. Below picture is taken when selected function is window level.

special regions on viewport, lock/unlock functions

Step 2: When you select a function and then click on “Lock” icon on the left side of the page, the icon will turn into blue color and special regions in the viewport will be deactivated.

special regions on viewport, lock/unlock functions

Only the center region will continue to function as selected from Functions toolbox. You can see the selected function at the bottom of your cursor.

special regions on viewport, lock/unlock functions

special regions on viewport, lock/unlock functions

special regions on viewport, lock/unlock functions

If you want to activate special regions click on "Lock" icon again.

special regions on viewport, lock/unlock functions

Changing Viewport Layout

In the next paragraphs, you will learn how to change viewport layout.

Step 1: On "Patient Search" page, all patient orders at your account will be displayed. Double click on the order you want to view the images. "View" page will be opened and you will see a single image on the viewport.

Click on "Tools" icon on the upper left side of the page.

Step 2: After clicking, tools section will be displayed.

You will see the layouts field on the lower side of the tools section.

changing viewport layout

On "Layouts" field, you can change viewport layout by clicking the icons. The first time you open the view page, you will see that the 1×1 icon which is blue color is selected because a single image is shown on the viewport. The figure in front of the cross mark indicates the number of rows and the one behind the cross mark indicates the number of columns.

changing viewport layout

Step 3: In order to change viewport layout, click on the icon with the layout image you need. If you want to create your own viewport layout, click on the ellipsis icon on the right end of the field. You can specify the number of rows and columns on the table shown.

changing viewport layout

If you click on the 1×3 icon, you will see the following view.

changing viewport layout

After clicking 1×3 icon, you will see that the viewport is divided into three equal parts and the first image is located in the first part. For loading other parts, click on the part you want to load the image, click on "Files" icon on the upper left side of the page to view the images and then click on the image you want to load.

changing viewport layout

changing viewport layout

changing viewport layout

If you want to view images in the same series, after clicking on the series and seeing the first image of the series on the selected viewport part, you can scroll to navigate through the images in the series or you can use arrow buttons on the lower side of the image. You can display all the series by clicking the ellipsis icon on the lower right side of the selected viewport and select series by clicking on it.

changing viewport layout

After loading the images, you can select the image you want to edit by clicking on it. Once you have clicked, the frame of the selected part will turn into blue color. The cross section of the selected image in other images will be shown with yellow line.

changing viewport layout

Using Window Level, Pan, Zoom, Rotation, Thickness and Scroll Functions

In this section, you will learn how to use window level, pan, zoom, rotate, thickness and scroll functions.

Step 1: On "Patient Search" page, you will see all patient orders at your account. Double click on the order you want to view the images and then "View" page will be opened. Click on "Tools" icon on the upper left side of the page.

using window level, pan, thickness functions

Step 2: After you have clicked, tools section will be displayed.

using window level, pan, thickness functions

In the following paragraphs, common image editing functions namely window level, pan, zoom, rotate, thickness and scroll will be described.

Window Level

This is the default function in window level, pan, zoom, rotate, thickness and scroll group. When you open the tools section you will see that it is selected. If another function is selected and you want to return to window level function, click on "Window Level" icon. Also it can be selected from mini tools section.

using window level, pan, thickness functions

While “Window Level” is selected, click and hold on image. Move your cursor to left to decrease Window Center (increase brightness) value.

using window level, pan, thickness functions

Likewise, move your cursor to the right to increase Window Center (decrease brightness) value.

using window level, pan, thickness functions

While "Window Level" is selected, click and hold on image. Move your cursor to up to decrease Window Width (increase contrast) value.

using window level, pan, thickness functions

Likewise, move your cursor to downward to increase Window Width (decrease contrast) value.

using window level, pan, thickness functions

Pan

Click on “Pan” icon on the left side of the page. After clicking, the icon will turn into blue color.

using window level, pan, thickness functions

While “Pan” is selected, click and hold on image. Move your cursor to any direction to pan the image. When you move your cursor to the right, you will move the image to the right as can be seen in the image below.

using window level, pan, thickness functions

Zoom

Click on “Zoom” icon on the left side of the page. After clicking, the icon will turn into blue color.

using window level, pan, thickness functions

While “Zoom” is selected, click and hold on image. When you move your cursor downwards, image will be zoomed in (image will be bigger). Likewise, when you move your cursor upwards, image will be zoomed out (image will be smaller). Following image shows zoomed in image.

using window level, pan, thickness functions

Rotation

Click on “Rotation” icon on the left side of the page. After clicking, the icon will turn into blue color.

using window level, pan, thickness functions

While “Rotation” is selected, click and hold on image. Move your cursor to rotate the view up to 360 degrees. Following image shows rotated image.

using window level, pan, thickness functions

Thickness

Click on “Thickness” icon on the left side of the page. After clicking, the icon will turn into blue color.

using window level, pan, thickness functions

While “Thickness” is selected, click and hold on image. When you move your cursor downwards, thickness will be increased. Likewise, when you move your cursor upwards, thickness will be decreased. Following image shows thick image.

using window level, pan, thickness functions

Scroll

Click on “Scroll” icon on the left side of the page. After clicking, the icon will turn into blue color.

using window level, pan, thickness functions

While “Scroll” is selected, click and hold on image. When you move your cursor downwards, image index will be increased. Likewise, when you move your cursor upwards, image index will be decreased. Following image shows scrolled image.

using window level, pan, thickness functions

Using Negate, Rotate, Flip Vertical/Horizontal, Increase/Decrease Thickness, Zoom In/Out, Reset Functions

In this section, you will learn how to use negate, rotate, flip vertical, flip horizontal, reset functions.

Step 1: On "Patient Search" page, you will see all patient orders at your account. Double click on the order you want to view the images and then "View" page will be opened. Click on "Tools" icon on the upper left side of the page. After you have clicked, tools section will be displayed.

In the following paragraphs, common image editing functions namely negate, rotate, flip vertical, flip horizontal, reset will be described.

Negate

In order to negate the image, click on “Invert” icon on the left side of the page.

using negate, rotate, flip functions

After clicking, you will see the inverted image on the viewport. Click again to return to see normal image.

using negate, rotate, flip functions

Rotate

Click on “Rotate 90 Degrees” icon on the left side of the page.

using negate, rotate, flip functions

If you click once, the image will rotate 90 degrees to the right. You can click twice to rotate the image 180 degrees, three times click to rotate it 270 degrees or four times click to rotate it 360 degrees (return to original plane). The image rotated 90 degrees is shown below.

using negate, rotate, flip functions

Flip Vertical

Click on “Flip Vertical” icon on the left side of the page to flip the image vertical.

using negate, rotate, flip functions

Once you have clicked, you will see the vertical mirror view of your image on the viewport.

using negate, rotate, flip functions

Flip Horizontal

To flip the image horizontal, click on “Flip Horizontal” icon on the left side of the page.

using negate, rotate, flip functions

After clicking, the horizontal mirror view of your image will be displayed on the viewport.

using negate, rotate, flip functions

Increase/Decrease Thickness

Click on “Increase Thickness” icon on the left side of the page to increase the thickness of the image by one level.

using negate, rotate, flip functions

Once you have clicked, you will see one level thickened image on the viewport. The more you click, the thicker the image.

using negate, rotate, flip functions

To decrease the thickness of the image by one level, click on “Decrease Thickness” icon.

using negate, rotate, flip functions

After clicking, thickness decreased image will be shown on the viewport.

using negate, rotate, flip functions

Zoom In/Out

Click on “Zoom In” icon on the left side of the page to zoom in the image by one level.

using negate, rotate, flip functions

After clicking, the image will be one level bigger. The more you click, the bigger the image.

using negate, rotate, flip functions

To zoom out the image by one level, click on “Zoom Out” icon on the left side of the page.

using negate, rotate, flip functions

After clicking, you will see that the image will be one level smaller. The more you click, the smaller the image.

using negate, rotate, flip functions

Reset

Click on “Reset” icon on the left side of the page. After you click on the icon, you will reset all the functions activities on the image and return to the original image.

using negate, rotate, flip functions

Using MPR Functions

In this section, you will learn how to use MPR functions.

Step 1: On “Patient Search” page, all patient orders at your account will be displayed. Double click on the order you want to view the images. “View” page will be opened. Click on “Tools” icon on the upper left side of the page.

using mpr functions

You will see the MPR field on the lower side of the tools section. You can select the image sequence on the viewport, change the image location and adjust the intensity projection of the image by using the icons in MPR field.

using mpr functions

Step 2: In order to select the image sequence, click on the icons on the first row of the field. Click on “Oblique” icon for a single image, “MPR1” icon for 1+3 vertical image sequence, “MPR2” icon for 1+3 horizontal image sequence and “MPR3” icon for 2+2 image sequence. If you click on the MPR1 icon, you will see the following view. The original image will be displayed at the top and the axial, the sagittal and the coronal images will be at the bottom respectively. The cross section of the original image in other images will be shown with yellow line.

using mpr functions

Dose edits on any image on the viewport will be applied to the other images. Special regions will also be active on the original image.

Step 3: You can change the image location by using the icons at the middle row in the MPR field. Click on “Front” icon to see the front image, “Back” icon to see the back image, “Left” icon to see the left image, “Right” icon to see the right image, “Top” icon to see the top image and “Bottom” icon to see the bottom image. You can also determine the image position from the shape of the icon. The following screenshot shows the right image.

using mpr functions

Step 4: In order to adjust the intensity projection of the image, use the icons at the bottom row of the MPR field. Click on “MIP” icon for the maximum IP, “MINIP” icon for the minimum IP, “AVGIP” icon for the average IP.The following image shows the minimum IP.

using mpr functions

Using Dose Link and Dose Unlink Functions

In this section, you will learn how to use dose link and dose unlink functions.

Step 1: On “Patient Search” page, you will see all patient orders at your account. Double click on the order you want to view the images and then “View” page will be opened. Click on “Tools” icon on the upper left side of the page.

using dose link and dose unlink functions

Step 2: After you have clicked, tools section will be shown.

In “Functions” field, click on “Link” icon on the left side of the page.

using dose link and dose unlink functions

Step 3: Once you have clicked on the link icon, dose edits on the current image will be applied to the other images in the series as can be seen below.

using dose link and dose unlink functions

using dose link and dose unlink functions

using dose link and dose unlink functions

Step 4: If you click on “Unlink” icon on the left side of the page, when you edit dose on the current image, it will not be applied to the other images in the series.

using dose link and dose unlink functions

Showing/Hiding Patient Information on Viewport

In this section, you will learn how to use show/hide patient information on viewport.

Step 1: On “Patient Search” page, all patient orders at your account will be displayed. Double click on the order you want to view the images and then “View” page will be opened.

On viewport, you will see the first image of the patient with the patient information on the upper left corner of it. The patient information part contains patient name, patient id, patient birth date and gender of the patient information respectively.

On the lower left corner of the viewport, you will see the image information such as sequence number of the image, the window width and window center values. These information can vary by medical image type.

Also, you can see the position of the patient according to the image by letters on the edges of the view.

showing and hiding patient information on viewport

Step 2: After you have clicked, tools section will be shown.

In order to hide patient information on viewport, click on “Tags” icon on the left side of the page.

showing and hiding patient information on viewport

Step 3: After clicking, all the information on the viewport will be hidden.

showing and hiding patient information on viewport

Step 3: If you again click on the icon, the information will be shown on the viewport again.

showing and hiding patient information on viewport

Viewing DICOM Tags

In this section, you will learn how to view DICOM tags.

Step 1: On “Patient Search” page, all patient orders at your account will be shown. Double click on the order you want to view the images and then “View” page will be opened. Click on “Tools” icon on the upper left side of the page.

Step 2: After clicking, tools section will be displayed.

In order to view DICOM tags of an image, click on “Get DICOM Tags” icon on the left side of the page in “Functions” field.

viewing dicom tags

Step 3: When you click on the icon, DICOM Tags form will be opened. DICOM Tags results are shown with tag, VR, Length and Value columns. You can sort the tags by clicking on these columns. The orders will be sorted accordingly the column you clicked on.

You will see “Record” section on the lower left corner of the form. The first figure in front of the parentheses indicates the total number of the tags. The figures in the parentheses indicate the first and the last row number of tags on the displayed page, respectively.

You can navigate through pages by clicking on “Previous” and “Next” button on the lower of the page. The figures between these buttons indicate the current page number and last page number, respectively.

For filtering the DICOM tags, fill “Filter” field on the lower right side of the form and the tags will be filtered automatically without having to click any command button. You can clear the “Filter” field to remove filtering.

viewing dicom tags

Step 4: If you want to close DICOM tags form, click on the cross icon on the upper right side of the form.

Viewing Limited User’s Patient Orders

Account owners can also create Limited User accounts that are connected to his/her account and give permission to other users so that they can upload DICOM images and clinical documents to his/her account.

Account owners see all of the Patients in his/her account. When patients are searched without selecting any option, all of the patients are searched and search result is displayed. Below image shows “DEMO USER PATIENT” which is uploaded by Limited User named “Demo User”.

viewing limited user's patient orders

Account users can search by using User criteria.

viewing limited user's patient orders

Limited users can login to system and search for patients. Only the patients that are uploaded by that user are shown.

viewing limited user's patient orders

Also you can view image in 3D. If you want to learn how to view in 3D read this article.

About

PostDICOM is the next generation PACS (Picture Archiving and Communication System) which is built using Cloud technologies. It provides advanced tools and services to be used by healthcare professionals.

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