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IDEXX Web PACS* SpecialtySoftwareQuick reference guideIDEXX Web PACS Specialty Software quick reference guide

Proprietary rights noticeInformation in this document is subject to change without notice. Companies, names, and data used in examples are fictitious unlessotherwise noted. No part of this document may be reproduced or transmitted in any form or by any means, electronic, mechanical,or otherwise, for any purpose, without the express written permission of IDEXX Laboratories. IDEXX Laboratories may have patents orpending patent applications, trademarks, copyrights, or other intellectual or industrial property rights covering this document or subjectmatter in this document. The furnishing of this document does not give a license to these property rights except as expressly providedin any written license agreement from IDEXX Laboratories. 2021 IDEXX Laboratories, Inc. All rights reserved. 06-0015678-00*IDEXX Web PACS is a trademark or registered trademark of IDEXX Laboratories, Inc. in the United States and/or other countries.Chrome and Google are trademarks of Google, Inc. DICOM is the registered trademark of the National Electrical ManufacturersAssociation for its standards publications relating to digital communication of medical information. Windows is either a registeredtrademark or a trademark of Microsoft Corporation in the United States and/or other countries.IDEXX Web PACS Specialty Software quick reference guide

ContentsGetting started. 4Setting your default browser.4Setting up and using multiple monitors . 5How multiple monitors work together .5Setting up multiple monitors.5Applying window presets for CT scans. 6Working with multiplanar reconstruction mode . 7Synchronizing files. 8Capturing a screenshot . 9Paging through images . 10Customizing the toolbar and mouse. 11Customizing the toolbar.11Customizing the mouse buttons.11For more information. 12IDEXX Web PACS Specialty Software quick reference guide3

Getting startedIDEXX Web PACS* Specialty Software combines the benefits of full-featured, cloud-based IDEXXWeb PACS with the advanced features of a specialty DICOM* viewer.These features include: Multi-monitor supportMultiplanar reconstructionWindow presetsFile synchronizationScreen capturePage-through image viewingYou can also customize the viewer toolbar and your mouse buttons.Requirements for IDEXX Web PACS Specialty Software:Google* Chrome* browser24 GB RAMSetting your default browserTo download the Chrome browser:Go to google.com/chrome and click Download Chrome.To set Chrome as your default browser (when using Windows* 10):1. In the Type here to search box (lower left corner of your computer screen) type Default appsand press Enter.2. In the Default apps list, find the Web browser item, and then click the browser name under it. Alist of available browsers opens.3. Click Google Chrome.IDEXX Web PACS Specialty Software quick reference guide4

Setting up and using multiple monitorsYou can display the Advanced Viewer on multiple monitors. Remember: You must be using theChrome* browser.How multiple monitors work together The first instance of the Advanced Viewer will open on your primary monitor, replacing the IDEXXWeb PACS* Home page. It will display the number of images you’ve specified in the monitorsettings (see instructions, below). Any images not displayed on the main monitor will open on the next monitor. Clicking Backin the Advanced Viewer on any monitor will close the viewer on all monitors.Notes: Only the first instance of the Advanced Viewer (i.e., the one displayed on the primary monitor)will display the action panel down the right edge of the viewing window and the thumbnails atthe bottom. Images from the Reference Image Library appear on the primary monitor only. The Interactive Collaboration feature works on the primary monitor only.Setting up multiple monitors1. Connect the monitors to your computer, and start IDEXX Web PACS.The first time you open the Advanced Viewer you will see a yellow banner stating that noavailable monitors were detected. The message includes two links needed to activate themonitors. Tip: You can close this banner and reopen it later from Viewer Settings , if needed.2. Click the IDEXX viewer extension link (to store your monitor setup preferences); then click theIDEXX viewer theme link (to change the default Chrome window border from light to dark).3. In the upper left corner of your browser, click4. Open a study and click Viewer Settingsto refresh the browser.in the upper right corner of the window.5. Click the Monitors tab on the left.Note: If you see a message thatthe IDEXX viewer extension hasbeen updated, click the link toinstall the update.6. Set the following options: Select Multi Monitor. Select the total number ofmonitors you want to use. Under Default # of Images per Viewer, drag in the grid to select a value, orselect Always load all images to display up to 16.7. Close the window and click Backto redisplay the Home page.IMPORTANT: You must redisplay the Home page to activate the new settingsIDEXX Web PACS Specialty Software quick reference guide5

Applying window presets for CT scansThe Advanced Viewer includes predefined window settings (presets) for CT scans. Presets areavailable for abdomen, blood vessels (angio), bone, brain, chest, and lungs.You can also add your own presets, if needed (see instructions below).To apply an existing window preset:1. Open a CT series in the Advanced Viewer.2. Click Window Level/Invertinterest. Presets, and then select the preset for the anatomy ofTo create a custom preset:1. With the series open in the Advanced Viewer, click Window Level/Invert2. In the Custom row at the bottom of the presets list, click Add Presets.3. Enter the window level and window width values. Tip: Use the up/down arrows to increase ordecrease the values incrementally.4. Select Save to Custom Presets, enter a preset name, and then click Apply to apply the valuesto the current image.To delete a custom preset:Click the X to the right of the preset name at the bottom of the preset list. Note: You cannot deletethe default presets.IDEXX Web PACS Specialty Software quick reference guide6

Working with multiplanar reconstruction modeIMPORTANT: Multiplanar reconstruction (MPR) mode is active only when a CT or MRI is displayedin the Advanced Viewer. When MPR mode is active, the MPR mode icon will turn bluewhen youhover the mouse pointer over it.Hardware requirements for MPR mode:Minimum of 24 GB RAMTo use MPR mode:1. Open the series, and then click MPR modeto display the series in three planes.2. To use the MPR mode tools: To change the view in one plane, click and drag the axis lines in the other planes. To rotate the image for an oblique view, select Rotatein the toolbar, and then click anddrag an axis line to rotate the image in the other two planes. To determine Hounsfield values for a region of interest or a tissue, click Probethen click and draw a closed shape around the region.The software displays the mean and standard deviationof the Hounsfield units for the enclosed area.3. Use the Window/Leveltools as needed: Window/Levelsimultaneously., Overlay, and, and Zoomadjusts the values in all three planes Overlaydisplays DICOM tags in the corners of theviewer window. Zoomenlarges or minimizes the image in thecurrently selected plane.Other standard tools are not available while you are using MPR mode.4. To close Multiplanar view, clickin the upper right corner.IDEXX Web PACS Specialty Software quick reference guide7

Synchronizing filesThe Sync Lock tool lets you play multiple files simultaneously. This can be useful, for example, whencomparing pre- and post-contrast.You can synchronize the files automatically (for CT and MRI files only; files must be the sameanatomical type) or manually.Tip: To change from manual to automatic synchronization, or vice versa, you must first deselect theprevious tool before selecting the new tool.To synchronize files automatically:1. Open the patient study in the Advanced Viewer.2. Click Compareand then select the desired number of viewing panes.3. Click in the first pane and select the thumbnail for the series you want to appear there. Click ineach additional pane, selecting a thumbnail for each one.IMPORTANT: Each pane must display the same type of anatomy To synchronize files that havedifferent anatomy, use manual synchronization (see below).4. If the Manual Sync Locktool is selected, deselect it.5. Click the Automatic Sync Lockaligns and synchronizes the files.tool and click the play arrow. The software automatically6. (Optional) Use the Zoomand Window/Levelapply to all series at the same time.tools on any file as needed. The tools willTo synchronize files manually:1. Follow steps 1–3 above.2. If the Automatic Sync Locktool is selected, deselect it.3. Adjust the files manually until comparable areas appear in each pane.4. Click the Manual Sync Locksimultaneously.tool and click the play arrow. The files will now playIDEXX Web PACS Specialty Software quick reference guide8

Capturing a screenshotThe Snapshottool lets you capture a screenshot of any image displayed in the AdvancedViewer, including non-DICOM* images, such as JPG or PDF files. The image will be captured justas it appears, including any visual adjustments or annotations you’ve made. Snapshots are a usefulway to save information like vertebral heart score (VHS) calculations or anatomical measurements.1.With the image open in the Advanced Viewer, click Snapshotin the toolbar.A thumbnail of the snapshot, bordered in green and displaying a camera icon, appears next tothe original thumbnail.2.Double-click the snapshot thumbnail to open the JPG image.IDEXX Web PACS Specialty Software quick reference guide9

Paging through imagesYou can quickly display the next or previous image in a study, without selecting an image thumbnail.1.Look for a small vertical gray bar on the right and left edges of the viewing window; hover themouse pointer over the bar to display an arrow.2.Click the arrow to display the next (or previous) image.IDEXX Web PACS Specialty Software quick reference guide10