Dicom Viewer Quick Reference Guide

1.1  Layout Tools

Image	Tool Name	Description
	Compose Layout	Used to utilize the Merge Cells tool, Saving Hanging Protocol, Save Study Structured Display tool, and the Delete Study Structured Display tool.
	Merge Cells	Used to combine multiple cells into a single cell.
	Save Hanging Protocol	Used to save the Hanging Protocol settings.
	Save Study Structure Display	Used to save any manipulation done when in the Compose Layout settings.
	Delete Study Structured Display	Used to delete a previously saved Study Structured Display.
	Change Series Layout	Used to change how the series is viewed.
	Change Study Layout	Used to change how to view the study.
	Delete Cell	Used to unload a series from the selected Image Box.

1.2  Window Viewing Options Tools

Image	Tool Name	Description
	Fit	Returns an image that has been zoomed in to the size of the original frame holding the image.
	One to One	Zooms in (or out) on an image so that it is displayed at the same resolution as the screen.
	True Size Display	Used to display the image to its physical size.
	Toggle Full Screen	Tool used to make the image into a full screen image.
	Sort Series	The Sort Series tool is used to sort a multi-frame/multi-image instance series.

1.3  Saving Images

Image	Tool Name	Description
	Print To PDF	Used to save a DICOM image into a local PDF
	Save as Derived	Used to save a processed image into a new series

1.4  Syncing Image Tools

Image	Tool Name	Description
	Link Images	Used to link all the images within a stack/series to change when one image is manipulated
	Link Cells	Used to link multiple series (image cells) for manipulation.
	Toggle Study Time Line	The Toggle Study Time Line tool is used to show all available series that are for the selected patient.
	Synchronize Series	Used to make all images in different series that have the same stack orientation to have the ability to be scrolled in sync.
	Stack	Used to convert multiple images into one stack that can be scrolled through.
	Scroll Frame	The Scroll Frame tool is used to scroll a frame at a time when viewing a stacked series in grid view.
	Scroll Row	Used to scroll a row at a time when viewing a stacked series in grid view.
	Scroll Column	Used to scroll a column at a time when viewing a stacked series in grid view.
	Scroll Page	Used to scroll a page at a time when viewing a stacked series in grid view
	Toggle Cine	Used to animate an image stack.
	Cine Player	Used to change the settings that are associated with the Toggle Cine tool.

1.5  Manipulation and Analysis Tools

Image	Tool Name	Description
	Line Profile	Used to see the intensity value underneath a line that is drawn on the image.
	Probe Tool	Used to identify the actual pixel value underneath the cursor, while also giving the (x,y) coordinates for location referencing.
	Stretch Histogram Color	Used to improve the contrast within the image. The image must be in color.
	Brightness/Contrast Color	Used to manipulate the brightness and contrast of the image. The image must be in color.
	HSL (Hue, Saturation, Lightness) Color	Used to manipulate the image by the Hue, Saturation, and Lightness. Image must be of color.
	Window Level	Used to adjust the brightness and contrast of an image.
	Custom Window Level	Allows custom brightness and contrast templates to be used to manipulate an image.
	Invert	Used to make the image the complete opposite color from what is displayed.
	Rotate Clockwise	Used to rotate images 90 degrees clockwise.
	Rotate Counterclockwise	Used to rotate images 90 degrees counterclockwise.
	Flip	Used to mirror an image horizontally.
	Reverse	Used to mirror an image vertically.
	Align Center	Used to center the image along the y-axis in the viewer
	Align Left	Used to bring the image to the left side of the viewer along the y-axis.
	Align Right	Used to bring the image to the right side of the viewer along the y-axis.
	Align Top	Used to bring the image to the top of the viewer along the x-axis.
	Align Bottom	Used to bring the image to the bottom of the viewer along the x-axis.
	Align Middle	Used to bring the image to the middle of the viewer along the x-axis.

1.6  Adjusting Image Viewing Tools

Image	Tool Name	Description
	Pan	Used to move the image around the area of the screen.
	Zoom	Used to zoom in on the image.
	Reload	Used to reset back to the original image.
	Shutter Object	Used to take a geometric mask of combined shapes in order to neutralize the display of pixels located outside of the shutter shape
	Enhance Edges	Used to detail the edges of an image in a clearer view
	Toggle Endodontic	Used to view the dental pulp in a clearer view.
	Toggle Periodontal	Used to view the gums in a clearer view.
	Toggle Dentin	Used to view the hard-boney tissue that is beneath the enamel.
	Spyglass	The Spyglass tool used to look at the image through a focused magnified image.
	Spyglass Invert	Used to look at the image through the invert function but in a more focused view than the whole image.
	Spyglass Clahe	Clahe stands for Contrast Limited Adaptive Histogram Equalization. The Spyglass Clahe tool used to view the magnified image in enhanced contrast.
	Spyglass Reveler	Used to view the magnified image through a specialized image processing filter.

1.7  Annotation Images and Measurement Tools

Image	Tool Name	Description
	Select	Used to have a default cursor.
	Arrow	Used to draw an arrow.
	Point	Used to create a small circle with an x in the center.
	Rectangle	Used to create an outline of a rectangle.
	Ellipse	Used to create an outline of an oval.
	Curve	Used to draw a line that will have a curve in it.
	Line	Used to create a line.
	Free Hand	Used to create a line in any direction on the x,y-axis plane.
	Polyline	Used to create a straight line in any direction within the x,y-axis.
	Polygon	Used to create a polygon in any shape.
	Text	Used to create a text box that will overlay on the image.
	Note	Used to create a sticky note that will be displayed on the image.
	Highlight	Used to create an area that will be highlighted.
	Text Pointer	Used to create a text box and an indicating line.
	Ruler	Used to measure the actual distance from one point to another on an image (Refer to Measurement Tools).
	Poly Ruler	Similar to the Ruler tool but used for non-linear measurements (Refer to Measurement Tools).
	Protractor	Used to measure angles (Refer to Measurement Tools).
	Calibrate Ruler	Used to measure an object of known size and then to manually put in the length of the object.
	Show/Hide Annotations	Used to toggle all of the annotations on the image, on and off.
	Delete Annotations	Used to delete selected annotations.
	Clear Annotations	Used to remove all the annotations from a single selected image just by clicking the button.
	Clear All Annotations	Used to remove all the annotations on an entire series.
	Save Annotations	Used to save any annotation to a selected image.
	Load Annotations	Used to export the series.

1.8  3D Imaging Tools

Image	Tool Name	Description
	Cross Hair	Provides a cross hair on the Axial, Coronal, and Sagittal planes that move in sync with each other providing the same location.
	Show Reference Line	Shows the intersection of the selected image within an orthogonal/oblique stack (3D image).
	Show First and Last Reference Line	Shows where the first and last image in the Image set are located.
	3D Cursor	The 3D Cursor tool is used to locate a point on an image in different image boxes.
	VRT (Volume Rendering Technique)	VRT stands for Volume Rendering Technique. The VRT tool used to make a solid 3D rendering of the 3D image set selected.
	MIP (Maximum Intensity Projection)	MIP stands for Maximum Intensity Projection. The MIP tool used to make a MIP 3D image of the 3D image set selected.
	MPR (Multiplanar Reconstruction)	MPR stands for Multiplanar Reconstruction. The MPR (3D) tool used to cut the 3D rendered image into the sagittal, axial, and coronal planes.
	3D Settings	Used to change the General, MPR/Volume settings for the 3D object within the MPR window.
	Panoramic	Used to create and view images through paraxial slices.
	Rotate 3D Object	The Rotate 3D Object tool used to rotate the 3D image.
	Head Orientation	Used to turn the 3D rendered image to be viewed anatomically from the head looking down to the feet.
	Feet Orientation	Used to turn the 3D rendered image to be viewed anatomically from the feet looking up the head.
	Left Orientation	Used to turn the 3D rendered image to be viewed anatomically from the left side looking right.
	Right Orientation	Used to turn the 3D rendered image to be viewed anatomically from the right side looking left.
	Anterior Orientation	Used to turn the 3D rendered image to be viewed anatomically from the anterior to posterior side of the object.
	Posterior Orientation	Used to turn the 3D rendered image to be viewed anatomically from the posterior to the anterior side of the object.

1.9  DICOM Imaging

Image	Tool Name	Description
	Toggle Overlays	Used to toggle the main DICOM tags on and off.
	Show DICOM	Shows a complete list of the DICOM information that is associated with the image.

1.10  Audio Tools

Image	Tool Name	Description
	Waveform Basic Audio	Allows for any audio notes associated with the DICOM file to be listened to.

1.11  Exporting Images Tool

Image	Tool Name	Description
	Export	Used to save DICOM images locally