iSite Enterprise Radiology PACS Training

iSite Enterprise Radiology PACS Training
iSite Enterprise
Radiology PACS
Objectives
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Login to iSite Enterprise
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Search for patients
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Select and view exams
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Manipulate the images
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Set up personal folders
iSite Enterprise
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Overview: Web-based medical image
distribution system that delivers
diagnostic-quality images to clinicians in
the healthcare environment
Used by: Referring Physicians, Surgeons
and members of the patient care team
Logging in to iSite Enterprise
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Use your Novell login
to access Citrix
Logging in to iSite Enterprise
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Select PACS from
your available icons
Logging in to iSite Enterprise
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Your username for PACS
is your Novell username
Access iSite PACS using
your Novell username
and password
Select Active Directory
from the “Log on to” drop
down list
Logging in to iSite Enterprise
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After login you will
see the Tip of the Day
To see additional
information, select
Next Tip, or by
pressing N on your
keyboard
Logging in to iSite Enterprise
„
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Close the pop up by
selecting Close, or
pressing the letter C
To disable this popup, uncheck the box
at the bottom of the
dialog box
Screen Overview
„After
closing the Tip of the Day you will see the iSite Enterprise Start-Up Window
Shortcuts Bar
Logout
Patient Search Options
Folders List
User Preferences
iSite Manual
Screen Overview
Shortcuts Bar: Customizable lists to frequently accessed folders, exams and filters
Shortcuts Bar
Screen Overview
Folders List: List of all the folders, filters and tools in iSite Enterprise
Folders List
Screen Overview
Patient Directory: Patient, exam search engine and sort function
Patient Search Options
Screen Overview
Preferences: User, System and Machine Preference dialog boxes
User Preferences
Screen Overview
Help: iSite Enterprise's user manual
iSite Manual
Screen Overview
Logout Button: Exit application and return to login window
Logout
Patient Search Options
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Default Query
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Patient Name
MRN
Exam Date (free text or drop down, date format is M/D/YYYY)
Patient Location
Patient Search Options
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Additional search criteria can be found with a
left-click on the “+” next to the word Query
Patient Search Options
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Expanded search options include;
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Accession
Modality
Referring Physician
Organization will always be UNM HSC
Patient Search
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Enter patient information and left-click the
Query button
Patient Search
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List populates with all patients matching your
search criteria
This will show you the patient jacket
Left-click the (+) to open the patient jacket
Patient Search
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After the left-click the (+) to open the patient
jacket, the (+) becomes an arrow listing all your
patient studies
Patient Search
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Within the patient jacket, exam status
symbols may be located to the left of the
exam details
Marked Read
Report available
Locked exam
!
Exception
Patient Search
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Double left-click on any study to view patients
images and reports
This will take you to the Exam Canvas Page
Exam Canvas Page
Exam Canvas Overview
Current Exams Opened
Patient Demographics
Patient Timeline
(History and Navigation Menu)
Exam Notes
Shelf Bar
Close exam and return to directory
Exam Canvas Overview
Current Exams Opened
• Displays total opened
Exam Canvas Overview
Patient Demographics
•Name
•Sex
•Birth Date
•MRN
Exam Canvas Overview
Patient Timeline
• Patient history and
navigation menu displays
all of the patient's
studies in iSite
Exam Canvas Overview
Exam Notes
• Clip board will
indicate when exam
documentation is
present
Exam Canvas Overview
Shelf Bar
• Exam specific menu
and information
Exam Canvas Overview
Close exam and return to directory
Patient Exams
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Hovering over a study
in the history timeline
will display further
details on the exam
Patient Exams
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The exam rack or
shelf bar shows image
and series details
Patient Exams
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First View is the
thumbnail view
Patient Exams
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Double left-click
on the
thumbnails to
expand the
image view
Patient Exams
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With the curser
over the image
you can scroll
through CT,
MRI and
Ultrasound
series
Patient Exams
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To move
between X-Ray
images use the
F8 and F9 keys
Patient Exams – Screen Overlay
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Screen Overlays
provide patient
and exam
information
Different screen
overlays are set
for each modality
type
F6 key toggles
screen overlay
on/off
Patient Exams – Screen Overlay
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F6 key toggles
screen overlay
on/off
Here is an image
with the overlay
turned off
Patient Exams – Exam Rack
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Exam Rack: The set
of images in a study
Navigating through
stacked series
1.
2.
3.
Mouse wheel
Select “C” on
keyboard for loop
Right – click for
context menu
Patient Exams - Context Menu
Single Image Menu
Series Image Menu
Right-click on
image for
context-menu
Patient Exams - Window Width/
Level
Options for changing
Window Width and Levels
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With the mouse, hold
down left button, move
mouse horizontally and
vertically
Right – click to open image
context menu
Patient Exams - Window Width/
Level
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WW/WL menu
Default WWL: Applies iSite
WWL values
Modality default: Applies
modality WWL values
Histogram Calculation:
Uses histogram calculation
to set WWL
Patient Exams - Measurement
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Tools to measure specific areas of an
image
Measurement menu:
„ Ruler: Linear measurements (pixel
or mm)
„ Angle: Degree measurement for
specified region
„ Region of Interest (ROI): Average
data value for a circular region of
an image
„ Freehand ROI: Similar to ROI but
allows free-hand selection of ROI
„ Point Value: The value of data
points at a specific point on the
image pixel
„ Measurement Palette: Floating
measurement palette
Patient Exams - Annotation
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Annotations are user
specific, they will not
effect the patient record
You may add symbols and
text to an image
Annotation sub-menu:
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Line
Arrow
Triangle
Circle
Text
Freehand
Spine Labeling:
Sagittal/Lateral Images
Patient Exams
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Left-click additional
exams on patient
timeline to open more
studies
Patient Exams
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Number of
open exams
will show on
Control Strip
Right-click to navigate
between exams
Patient Exams
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The patient history timeline shows exams in
different stages
Symbols and colors indicate exam status
Patient Exams
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All studies with an X
have no associated
images
A red X indicates
missing images
A green X indicates a
cancelled exam
Patient Exams
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Studies with I on the time
line have images
Green lettering indicates
no report
Blue lettering indicates a
report is available
Patient Exams
An additional documentation indicator is located at the
upper left of the thumb nail, a clip board will
display three different ways
1
2
3
Patient Exams
Blank Clip board = No Documentation
Patient Exams
Clip board with a yellow
note = A note has
been posted with
additional exam
comments
Open document with a
double left-click
Patient Exams
Clip board with
Red Lines = Final
or Prelim report
from Radiology
Open the
document with a
double left-click
Patient Exams
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If documentation
is present, leftclick on the clip
board to display
the file
Patient Exams
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Right-click on the
shelf bar for
additional options
Folders List
Folders List
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In the Folders List you may create a
personal folder
This folder is only seen by you
It can be used for your own needs,
for example, for rounds
Folder List
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To create a folder,
right – click on
Personal Folders
Choose Add new
Folder
Name folder, for
example, Port Chest
Folder List
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To use your folder, go back to the patient
directory
Locate patient and desired exam
Drag and drop the exam into the folder
Folder List
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Open to review items you put in your folder
You may also set you entire folder to
Anonymous with a right – click to your folder
Folder List
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The Anonymous folder turns blue and the patient data is
replaced by iSite generated info
Warning: Ultrasound and other modalities that have
patient data embedded on the image will not change,
only the iSite patient date will be anonymized
Folder List
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To return your folder to it’s original state, right –
click and uncheck Anonymous
Folder List
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You can review each study you viewed
in the “My History” folder
History cannot be deleted by the user
Additional Icons
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In the upper right corner are three additional
Icons
Additional Icons
User Preferences
Philips iSite Manual/Help
Logout
(to insure a proper logout use the X)
User Preferences
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Users have
several options
in the
Preferences
section
Default settings
are in place,
please review
your options in
this section
User Preferences
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Do not use the Change
Password option – your
password is your Novell
password which would
be changed using the
standard password
change web site
User Preferences
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Keyboard
shortcuts can be
reviewed
iSite Help
„
Here you can find useful
information on how the
system functions
*Please note, not all functions discussed in this manual are items implemented
buy the University of New Mexico Hospital Radiology Department
iSite Log out
„
Use the “X” to logout
from iSite will prevent
locked images and or
sessions
Would you like more?
„
If you would like additional information on
features and settings within iSite, please
sign up for the PACS iSite class offered
through CLT
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