After initiating a patient
search, the individual patient or a list of patients will be retrieved.
This is best illustrated in the following example:
Perform a search to generate the list of patients whose examinations were
performed since midnight of the current day by entering "1" in the "Number
of days covered" field of the query box.
After clicking "OK", the system will retrieve the patient
list. In this example, names and IDs have been intentionally blurred
to protect patient confidentiality.
Sort the patient list by clicking the headings at the top.
Patient Name - click here for alphabetical sort by last name
Patient ID - click here to sort by the patient medical record number
Date - click here to sort by date and time (24 hour clock)
ID - internal parameter, not helpful at present
Accession - VA is the only site with legitimate accession numbers = 6 digit
date plus hyphen plus case number
Ref. Physician - not too helpful; information is not always present
Use the vertical scroll bar at the right side of the patient list to locate
the patient. Select the patient by clicking on the line containing the
patient information; When selected, the line will turn blue.
Click on the "Choose" button at the top of the patient list to retrieve
the patient
examination list.
The patient examination list can be sorted by clicking the headings at
the top of the list.
Number - click here to sort by series order
For MR studies, these series represent different pulse sequence acquisitions.
The first 1 or 2 series are often locator scans.
For CT studies, these series represent different acquisitions (e.g., pre
and post contrast). The first few series are often scout views.
Label - not helpful at present
Modality - self explanatory
# Images - not helpful at present
Date - not helpful at present
Select a series by clicking on the series number and the line will turn
blue.
Click "Choose" at the top of the list to retrieve the image
list.
There are three important rectangular selection boxes just above the top
of the image list. On the left hand side, there is a "Select" box, on the
middle right there is a "Compression:" box, and on the right hand side
there is a "Quality:" box.
Select: use this box to select all images, no images, every 2nd,
3rd, 4th, 5th, or 10th image.
Note: to select the proton density weighted images from a multi-echo MR
acquisition, highlight slice number 1 and choose the "every 2nd" option
from the "Select ..." box. To select the T2 weighted images, highlight
slice number 2 and choose the "every 2nd" option.
In addition to the "Select ..." box, there are two buttons at the top of
the screen to allow selection of all or no images.
Compression: use this box to select the compression method.
Very Important: when retrieving images on campus choose "uncompressed".
When off campus, use "Lossless Progressive" to retrieve images.
Quality: this box is variably present; it is best left in "Default"
mode.
If the "Select All" button at the top of the image list is pressed, every
image in the series will be highlighted in blue.
To retrieve all of these images, select the "Choose" button at the top
of the image list.
If there are more than about 30 CT images, it is advisable to retrieve
a subset of the images.
To view minified
thumbnail images, select the "Icons" button. This is the recommended
method when retrieving image subsets.
Select the thumbnail images you wish to retrieve by clicking on them once.
The frames around the images will change from green
to yellow (this is hard to see).
You may use the "Select ..." dropdown box to choose subsets of images
(e.g., every 2nd image, every 3rd, etc.) from the thumbnail page.
Verify that the compression method is appropriate for your location:
off campus: lossless progressive
on campus: uncompressed
Click on the "Choose" button in the upper left hand corner of the window
to retrieve the images.
Images will be retrieved and displayed in a separate browser window. In
this example, images were retrieved using the lossy compressed method.
The images arrive in several groups. These groups of images are progressively
more detailed in terms of image quality. The level of image compression
is displayed in the upper-middle area of each image frame. A set of progressively
decompressed images can be viewed here: set
1, set
2, final
set.