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This toolbar can be customized just like the database window toolbar, but with other available items, which are reviewed in this section.

Main Tools

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This item allows you to choose the mouse interaction effect for the right and left mouse buttons. By clicking on one of these buttons, you assign the corresponding tool to the currently selected mouse button (through the bottom radio buttons).

The following tools are available: WL/WW, Pan, Zoom, Rotate and Scroll; the additional ROI tools are: Length, Angle, Rectangle, Oval, Text, Arrow, Open and Closed Polygon, Pencil, Point, Brush, Axis, Dynamic Angle, Perpendicular Lines, Repulsor and Selector. The ROI tool button function changes through the pop-up button on the right side.

The WL/WW, Pan, Zoom, Rotate and Scroll tools allow you to navigate the series, while the other tools allow you to measure and quantify data through ROI creation and interaction. Refer to the ROIs section for more information about the available ROI types.

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While the image data is fixed, you may choose to display it differently. Through this toolbar item you may adjust the WL/WW (Window Level and Window Width, a.k.a. window center and width), the CLUT (Color Look-Up Table) and the opacity table applied to the data.

WL/WW adjustments are a very common concept in DICOM viewers, allowing you to map a particular range of data values to the displayed range. CLUTs and opacity tables are another common feature, allowing you to filter the mapped values through a color/opacity table, thus displaying data in a more intuitive way, depending on the anatomy and modality.

The presented pop-up buttons present the available presets, along with some additional tools.

Image ModifiedAs described earlier, this popup button allows you to launch a reconstruction viewer for the currently displayed dataset.

Data Export

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This button opens the DICOM Send interface, allowing you to send the displayed dataset to a configured DICOM node. Along with other options, you can choose to send the currently displayed image only, or the entire series.

Image ModifiedThis button allows you to save the currently displayed dataset as a new DICOM series. Along with other options, you can choose to send the currently displayed image only, or the entire series.
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This button allows you to save the current presentation state to your OnePacs account or to load a previously saved presentation state. It is only enabled if the selected study is recognized by the OnePacs system. It requires a running and configured OnePacs Study Retriever app.

To save the current presentation state, simply click the button and the PR saving interface will appear. To apply a previously saved PR, click and hold the button, and a menu will appear. By choosing an item in the menu, the corresponding PR will be applied to the viewer.

Image ModifiedThis button captures the displayed image and adds is to your Photos app library.
Image ModifiedThis button allows you to create a movie file with the current dataset.
Image ModifiedThis button captures the displayed image and attaches it to a newly created email message in the Mail app.
Image ModifiedThis button triggers the DICOM print interface.

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Status, Comments and Key Images

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This item has multiple functions, all related to the displayed image key flag and to key images in the displayed series.

The top-left button is linked to the key flag of the current image: you can toggle this flag by clicking the checkbox. The top-right label indicates how many images in the current series have their key flag set. The pop-up button allows you to display all images in the series, or only those that are marked as key.

Image ModifiedThis item allows you to set the displayed dataset status and comments.

Information

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This button opens the information page for the displayed dataset.

This button is only enabled if the study is recognized by the OnePacs system. It requires a running and configured OnePacs Study Retriever app.

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This button opens the report for the displayed dataset.

This button is only enabled if the study is recognized by the OnePacs system and if a report is available for it. It requires a running and configured OnePacs Study Retriever app.

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This button opens the report edition page for the displayed dataset.

This button is only enabled if the study is recognized by the OnePacs system. It requires a running and configured OnePacs Study Retriever app.

Image ModifiedThis button displays a list of all ROIs in the displayed image: their name, area and volume, if applicable.
Image ModifiedThis button opens a meta-data browser for the displayed image.

Navigation

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This button toggles position synchronization between open viewers.

Additional synchronization options are available in the Synchronization submenu of the Viewer menu.

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This button toggles the displayed dataset animation. When active, the current stack is automatically scrolled.

Scrolling options can be set through the Rate toolbar item. These two items are dedicated to animating the series stack in its third dimension, normally Z but sometimes time or another dimension.

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This item allows you to set the options for the auto-play feature, activated through the Browse item.

You may define the frame rate, and whether or not to loop over to the beginning of the series when the last frame is reached.

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These buttons allow you to display the current dataset by recombining pixels from different images into new images, displaying the result in the current viewer. This is a basic form of MPR: instead of displaying a reconstruction that is made on-the-fly, this function recomputes the new slices and lets you browse them as if these were the original dataset.

Image ModifiedThis button displays a floating panel that allows you to reposition the data in 3D space. By adjusting the dataset position, you can manually register two datasets. However, only position shifts are allowed, no rotation or scaling.
Image ModifiedThis button displays a floating panel with a basic 3D volume rendering reconstruction.
Image ModifiedThis item allows you to browse the displayed dataset in the fourth dimension, normally time. It also allows you to toggle the animation in this dimension, and its frame rate.
Image ModifiedThis button displays a floating panel that displays thumbnails for the current dataset images, like a film.

 

Data

Image ModifiedThis button transforms the selected Rectangle ROI into a clipping rect. Only the values inside this rectangle will be rendered.
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This button opens an advanced interface that allows you to set specific pixel values.

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This button allows you to display the SUV values for the current PET dataset.

A dedicated interface will allow you to revise the SUV calculation parameters, and to choose how the results will affect the loaded dataset.

Image ModifiedThis button reloads the dataset from storage, undoing all changes that were applied to it.

Presentation

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This button toggles the propagation of visual adjustments between open viewers.

Additional propagation options are available in the Viewer menu.

Image ModifiedThis button flips the displayed image horizontally.
Image ModifiedThis button flips the displayed image vertically.
Image ModifiedThis button inverts the display order of images in the current dataset.
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Others

Image ModifiedThese buttons allow you to switch to the previous or next patient, in the order displayed in the database window.
Image ModifiedThis pop-up button allows you to switch to another series of the same patient.
Image ModifiedThese buttons allow you to switch to the previous or next series of the same study, in the order displayed in the database window.
Image ModifiedThis pop-up button allows you to choose how windows should be positioned on the screen, and repositions windows accordingly.
Image ModifiedThis button repositions the viewer windows so they occupy the available screen space.
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This button closes all viewer windows and brings the database window to front.

Image ModifiedThis button opens a panel that allows you to define a new mask ROI by using a region growing segmentation algorithm.
Image ModifiedThis button toggles the display of Cobb angles in Length ROI information boxes.
Image ModifiedThese items separate other items with blank spaces that have a fixed size.
Image ModifiedThese items separate other items with blank spaces that have a dynamic size that is automatically adapted to the toolbar size.

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