Head Office #5 Sugar Creek Road Piedmont, Missouri Tel: , option 2, sub-option 8 Fax: Dragonfly@avimark.net.

Transcription

1 Head Office #5 Sugar Creek Road Piedmont, Missouri Tel: , option 2, sub-option 8 Fax: Dragonfly@avimark.net.

2 DragonflyPACS Contact Information Dragonfly Specialized Support Technicians Phone: option 1, sub-option 5 to: lab@avimark.net. Dragonfly Sales: Joyce Sutton Phone: Ext 351 Address: dragonfly@avimark.net Dragonfly Installer & Training Facilitator: Alfea Crenshaw Ext alfea.crenshaw@avimark.net Dragonfly Website:

3 The Dragonfly workflow shows and describes how to get the request generated in AVImark for the X-Rays that are to be taken. Then AVImark sends the job to the Modality work list with all of the client and patient information. The Image request then showing on the worklist can then be fulfilled by the shots being taken and the images are sent back to Dragonfly so that they can be viewed from within AVImark as thumbnails that open up the Dragonfly PACS viewer so that the diagnosis can take place. 3

4 Dragonfly Setup The Options for Dragonfly setup are found in the Advanced Options within Avimark. First Click on the Wrench speed bar icon at the top of the screen. Type in key word Dragonfly in the search field. 1. Active has to be set to true 2. Computer to GUID to Monitor Dragonfly PACS Request Status can be left blank because with the last update, it automatically searches when you open the radiograph tab on the medical history tab. 3. Dragonfly Local Pacs Program Path should be set to C:\dicomPACS. 4. Dragonfly Network PACS Program Path this is the path to the mapped network drive that is going to be located on all viewing stations. Should be N:\dicomPACS 5. Dragonfly PACS Imported Shots Treatment Code reconciles emergency captures with a patient in AVImark. 6. Dragonfly PACS Miscellaneous Shot Treatment Code The plan code on your modality that you would like to associate additional shots taken that were not ordered. 7. Dragonfly PACS Server should be set to the IP address on the PACS server with the path to the dicompacs folder. (ex \dicomPACS) 8. If writing a CD this option has been inactivated because cds can now be burned by using dragonfly internal software. 9. Location of BDT2Pacs.exe File should be set to C:\BDT 10. Minutes Between Status Checks this is the amount of time between queries for shots taken on the modality and associating them with the patient s medical history. 11. SQL Database should be set to AVImark 12. Wait Seconds After Starting up Dragonfly PACS set time for Dragonfly to open once you launch it from within the patient s medical history. 4

5 Additional Setup There are additional options to link your modality to AVImark in your Dicom Modalities. Go to your Work With menu and Click on Dicom Modalities Locate the modality type that you are using (e.g. Digital Radiography DR or Computed Radiography CR). Highlight the appropriate modality and over on the right where you have records for your modality you can do a Right-Click new and put in the AE title on your modality and description. Click the Plan Codes tab at the top. Right-Click, New and add in a shot code or Dicom plan code from your modality and make the description Radiograph Request. Click OK. 5

6 Associating Radiograph Codes with Dragonfly To associate a code with your modality within AVImark, go to Work With, Treatments. Find the treatment code for which you want to associate. Right-Click, Change on the Code. Click on the laboratory tab at the top. Right-Click, New and the source should be Dragonfly, the AE title should default to the AE title associated in the Dicom Modalities Table. In the shot description dropdown it should show all of your plan codes that were set up in the Dicom Modalities Table and by selecting this it will automatically fill in the code. Creating a Radiograph Request in AVImark To create a request in AVImark, go into the patient area for which you are creating a radiograph request for and do a Right-Click and go to Create Request. 6

7 This will open the DICOMs window. Within this window, highlight the appropriate shot description with a Left-Click and click the Space Bar to select it. Now select a Doctor from the drop-down to assign the request to and click done. In the notes window that comes up, simply enter any notes that the technician taking the X-Rays should have concerning the shots (skull, left leg, front left paw etc.) This will place the request in the patient s medical history and send the request to your modality (CR, DR, etc.). On your modality, open the worklist to find the request that was generated. 7

8 Fill the request and send the images back to Dragonfly. Now go back into the patient medical history record and find the request that was entered, highlight it and click the radiograph check box in the lower left corner to open and see the thumbnails of the shots taken. From within the radiograph requests status window to view the images and launch Dragonfly simply Right-Click on one of the images and you will have 3 choices. View this image, view study with this image, and view all images for this patient. Click on one of these options and it will launch Dragonfly with the viewer. There are additional options that can be accessed if by Right-Clicking in the area below where provider, AE Title, Description etc. 8

9 1. Edit will allow you to Undo or Redo any changes made in this window. 2. View will allow you to customize columns, view entry history, refresh, show hide preview panel etc. 3. View images will allow you to view the study or all images for the patient. 4. Send to Web will allow you to publish the photos to a website for more diagnosis. 5. Burn to CD or Folder is to burn the study or photo to CD or to a Flash drive. 6. Digital Imaging Send is to send the image(s) to your Dicom Recipients that are saved. 7. is to the image(s) in jpg format. You must have setup within AVImark to use this function. 8. Request Status allows you to set the status back to requested or to check for completed status. 9

10 Overview of Tools Tools and Shortcuts Icon Functionality Shortcut Section: Annotations / Measurements Measures distances Measures angles Adds text Draws arrows Deletes single annotations Edits, changes or moves single annotations Hides or shows all entered annotations Draws elliptical shapes Deletes all annotations from an image Calibrates images Measures open or closed polygon shapes Draws a rectangle for the calculation of the black border Measuring hip dysplasia in canines Insert TPLO Measurement VHS According to Buchanan measuring Heart for enlargement 10

11 Icon Functionality Shortcut Section: Image selection Selects images, pick-up tool Selects all images Removes selection from all images Sorts and displays all selected images in numerical order (only within series) Removes all images from the display Space Removes single image from the display Standard cursor (deactivates the selected tool) X Escape (Esc) Allocates tools to the right mouse button Cogwheel function for synchronous scrolling through series Scrolling through a series (also in the grid) with holding left mouse button 11

12 Icon Functionality Shortcut Section: Zoom Magnifying glass, enlarges image details 100 percent representation of the image, i.e. 1 image pixel equals 1 screen pixel Enlarges the selected image Adjusts image size to selected grid M Num block: x Num block: + Num block: - Adjusts the image or document to display width Representation of the image in original size (only after calibration of the monitor) Activates and deactivates the black border Zooming with the left mouse button Section: Image acquisition and output Print images Ctrl + P Exports images F2 Imports images F3 Creates a patient CD including viewing software Scans documents or films Starts video image acquisition / video recording Opens the statistics dialog Teleradiology: send images and findings to other DICOM recipients Creating different reports Change to PMS (patient management system) Starts external dictat ion environnent 12

13 Icon Functionality Shortcut Creates copies of images CD import: Import of data from patient CD s, other data media and listings into the DragonflyPACS archive Copies an image to the clipboard Inserts an image from the clipboard 13

14 Icon Functionality Shortcut Section: Continuation Image acquisition and output Web sharing of images and findings with selected users Configuration of the settings for the specified tools Section: Image administration Opens the patient and statistics information dialog Archives new or imported images Starts patient and image search F9 Deletes images or allocates new patient data to images Adds new patients and calls up work list F10 Study or image preview for the activated patient F8 Recovers not yet archived images Sets the diagnostic status in database; (mark as seen) Creation, sign and review of findings to the current study Executes the daily visual check Login and/or logoff to the DragonflyPACS viewer Archives the current image as a snapshot Section : Filters / Dynamics Inverts the image within the magnifying glass LUT (Look Up Table) within the magnifying glass Relief filter within the magnifying glass Definition filter within the magnifying glass 14

15 Icon Functionality Shortcut Specialised filter within the magnifying glass Soft focus filter within the magnifying glass Ideal contrast filter (available for magnifying glass only) Inverts the whole image Section: Continuation Filters / Dynamics Relief filter applied to the whole image Definition filter applied to the whole image Specialised filter applied to the whole image Soft focus filter applied to the whole image Automatic image optimisation Displays predefined window / centre values (from DICOM tags and other sources) Window levelling with the left mouse button Removes all filters and adjustments displays original image Other: Configuration of the settings for the specified tools Exits DragonflyPACS Hides or shows navigation and tool bars Hides or shows further tools in a section Help function Lists all DICOM tags incorporated in the image Maximises the DragonflyPACS application window 15

16 Icon Functionality Shortcut Minimises the DragonflyPACS application window LUT (Look Up Table) applied to the whole image from Within Dragonfly Step 1 Create Folder on Desktop (EX: ) Step 2 Open Dragonfly and Under the Management tool click on Archived Image Icon Step 3 To find the client/patient images to you will use the Patient Administration window, Click on Owner, Animal and type in the client last name and patient name. Once found select the line entry and choose images you want to . 16

17 Step 4 Export Images...Under the Images In/Out Tools choose or F2 Step 5 Click on your option of current image etc., then browse to find the folder that you created to from and select the image format. Step 6 Close out of Dragonfly and Open . You will then be able to attach the images from the folder. Creating Patient CDs Burn to CD or Folder - Allows you to designate a CD RW or a thumb drive to burn the images. A lightweight Dragonfly DICOM Viewer will be included. To burn a CD your computer must have a CD burner installed. 1. Within the Radiography Request Window of AVImark Right Click and Choose Burn to CD or Folder 2. You have a choice of Choosing from All Images or From Study 17

18 3. When you make your choice Dragonfly will open with the Create Patient CD window. 4. Under the Choose the Images to Export select Current Image or All Loaded Images 5. If you only want to burn a CD for the existing client/patient click, Use Current Compilation 6. To burn the images onto the CD select, Export to CD 18

19 Select the current image or all of the images for the patient. Click the Add Data to Compilation Click your option to export to CD or export to USB keydrive. Either option will either create the cd or burn it to your flash drive. If you want to add more images to the compilation later, you can use the save option and it will save what you have added thus far and additional images can be added. 19

20 TPLO (Tibial Plateau Leveling Osteotomy) Measuring Function The implemented functions in Dragonfly PACS also include the measuring tool for TPLO (Tibial Plateau Leveling Osteotomy) crucial ligament operations in veterinary medicine. It was necessary to implement this function, since crucial ligament ruptures in canines are increasingly treated by changing biomechanics, using osteotomy an operation procedure involving precision cutting through the bone and securing it in a changed position by means of plates and screws, with a view to permanently correct displacements. The TPLO measuring tool helps to determine the existing slope of the tibial plateau and its theoretical optimization. The TPLO provides the surgeon with a promising method to treat crucial ligament ruptures in canines, allowing the patient to walk again without any pain within a short period after the operation. 20

21 TTA (Tibial Tuberosity Advancement) Measuring Tool The TTA measuring technique for treating crucial ligament ruptures in canines is one of the numerous functions of Dragonfly PACS. When applying TTA (Tibial Tuberosity Advancement) as opposed to TPLO, osteotomy is applied to the non-load-bearing part of the tibia. Accordingly, the TTA measuring tool is used to apply the translated length measurements at the tuberositas tibiae. 21

22 Distraction Index The distraction index measures how loose the hip joints are and is thus an important measuring instrument to assess hip dysplasia. The distraction index serves to determine the displacement of the femoral head from the joint socket of the hip joint. This measuring function provides an easy tool for veterinary medicine to assess this displacement 22