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PACSTutorialforR2s
LaurenToney(R3)
7/8/13
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WhatisPACS?
PACS(PictureArchivingandCommunicaEonSystem)
UWandHMCPACSaremadebyG VAPACSismadebyAgfa(notatopicfortoday)
PersonalPACSMaclaptop(Osirix)iPad(seeSN)
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4tasksliebetweenyouand
masteryofPACS.
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Task#1
LogintoHMCPACSOpenCTc/a/p(accession#xxxxxx)PushexamtoUWPACSOpenexaminUWPACSUseyourwindow/leveltoolonthelateralscoutviewtodeterminewhatforeignbodywaspresent(andwhere)
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PushexamfromHMCtoUWMCPACS
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Task#1
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Task#1
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Task#1
LogintoHMCPACSOpenCTc/a/p(accession#xxxxxx)PushexamtoUWPACSOpenexaminUWPACSUseyourwindow/leveltoolonthelateralscoutviewtodeterminewhatforeignbodywaspresent(andwhere)
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Task#2
YouarestarEngyourfirstNeurorotaEon.OpenAcc#xxxxxx(acuteMCAterritorystroke)Recordthewindow/levelseZngsthatyouthinkbest
demonstratethestroke.Programyourwindow/levelNumPadshortcuts.
1-Chest/Abdomen:342/56
2-Lung:1500/-600
3-Bone:4000/300
4-Brain:
5-Blood:150/35
6-Stroke:30/30
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Task#2
Window/LevelNumPadshortcuts
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Task#2
YouarestarEngyourfirstNeurorotaEon.OpenAcc#xxxxxx(acuteMCAterritorystroke)Recordthewindow/levelseZngsthatyouthinkbest
demonstratethestroke.Programyourwindow/levelNumPadshortcuts.
1-Chest/Abdomen:342/56
2-Lung:1500/-600
3-Bone:4000/300
4-Brain:
5-Blood:150/35
6-Stroke:30/30
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Task#3
YouaretryingtodiagnoseappendiciEsonCT(acc#xxxxxxx)
Splityourlemonitorinto2verEcalpanels,andloadupcoronalsandsagialsineach(youhadtocallthetechtoaskforsagialreconstrucEons).
UseyourrightmonitorforaxialsWithineachpaneluseStackmodeFindtheappendicolithinall3planes
usingthespaEalcursortool.
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Task#3
Always
select
Stack
mode
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Task#3
YouaretryingtodiagnoseappenxiciEsonCT(acc#xxxxxxx)
Splityourlemonitorinto2verEcalpanels,andloadupcoronalsandsagialsineach(youhadtocallthetechtoaskforsagialreconstrucEons).
UseyourrightmonitorforaxialsWithineachpaneluseStackmodeFindtheappendicolithinall3planes
usingthespaEalcursortool.
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Task#4
Theright-clickbuononyourmouseisbroken,soyoucantgettoToolPalee.
Programkeyboardshortcutsforthe4toolstotheright.
Measureandannotateappendixonaxials.
Cliniciansarecomingdowntogooverthestudy.HideyourannotaEons(Ctrl-Y).
TheyaskfortheCTslicethickness(CTRL-I).Nowusethepointerarrowtodrawa
squarearoundtheannotaEonsanddelete
them.xtracredit:mailyourselftheimages
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Task#4
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Task#4
Theright-clickbuononyourmouseisbroken,soyoucantgettoToolPalee.
Programkeyboardshortcutsforthe4toolstotheright.
Measureandannotateappendixonaxials.Cliniciansarecomingdowntogooverthestudy.HideyourannotaEons(Ctrl-Y).
TheyaskfortheCTslicethickness(CTRL-I).Nowusethepointerarrowtodrawa
squarearoundtheannotaEonsanddelete
them.xtracredit:mailyourselftheimages
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Summary
Sendexamsto/fromHMCandUWPACS Openexambyaccession#orbyU/H#
RemembertocapitalizeUandH
Searchbynameifitsanoutsideorpushedexam Usemanualwindow/leveltool
ProgramNumPadwindow/levels
DifferencebetweenspliZngmonitoryandspliZng
individualpanels(Alwaysusestackmode).
HowuseusespaEallocalizertool Howtoprogramkeyboardshortcuts
CTRL-YandCTRL-IforhidingannotaEonsandseeing
examinfo(likeslicethickness)
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QuesEons?
Feelfreetoemail([email protected])withanyquesEons.
CheckoutS->Nforgreatresourcesandtutorials.
