Viewer

MedVIEW Express
Copyright Notice
Copyright Notice
© Copyright 1996 - 2018 ASPYRA, LLC
All rights reserved. Information in this document is subject to change without notice.
Documentation updates will be provided in accordance with contractual agreements. The
information in this guide, including procedures, methods, and concepts herein, is the
proprietary property of ASPYRA, LLC, its wholly owned subsidiaries, and its licensers and
may not be reproduced, or transmitted in any form, for any purpose, without the express
written permission of ASPYRA, LLC.
The software described in this document is furnished under the software licensing agreement
discussed in contractual documentation and may be used or copied in agreement with the
terms of this license.
WARNING
The AccessNET™ system is intended for use only by qualified medical or systems
administration personnel. Users must be thoroughly trained and knowledgeable in the use of
the software and equipment. Use by unauthorized personnel can result in a breach of security
and could compromise patient care.
TRADEMARKS
MedVIEW®, CyberPRINT®, CyberMED®, CyberPATH®, and ASPYRA CyberLAB®are
registered trademarks of ASPYRA, LLC. in the United States and/or in other countries.
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Portions of AccessNET copyrighted by Intel Corp., Microsoft Corp., MultiTech Solutions
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Medical Dictionary Copyright 1999 Wintertree Software Inc.
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NET_MVX_V7.2.0_1 iii
Indications for Use
ASPYRA, LLC
888-731-0731
800-437-9000 (LIS)
Corporate Headquarters European Offices
PACS Manufacturing Location EU Authorized Representative
ASPYRA, LLC Aspyra Technologies, Ltd.
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Fax: (0)1342 310407
support-uk@aspyra.com
Indications for Use

The ASPYRA AccessNET PACS is a software device designed to operate on specified
off-the-shelf hardware and virtual environments. The device is intended to receive digital
images and data from various sources including CT scanners, MR scanners, Nuclear Medicine
(NM), PET, ultrasound systems, Computed & Direct radiographic devices (CR, DR),
secondary capture devices, scanners, imaging gateways, etc. as well as other DICOM
compliant modalities. Images and data can be captured, stored, communicated, processed,
printed, and displayed within the system and or across computer networks at distributed
locations.
Display and processing functions while viewing images include, but are not limited to,
adjustment of window and level, rotation, zoom, measurement of anatomical structures,
image stitching, image stacking, filtration of color images (e.g. removal of red channel),
annotation and measurement of regions of interest, inversion, rotation, flips, Multi-Planar
Reformation (MPR), and Maximum Intensity Projection (MIP). In addition, users can dictate,
edit, sign, and print reports.
The ASPYRA AccessNET PACS is indicated for the primary review of “For Presentation”
DICOM mammographic images. Lossy compressed mammographic images and digitized
film screen images must not be used for primary image interpretations. Mammographic
images for primary image interpretations may only be interpreted using an FDA approved
monitor that offers at least 5 MP resolution and meets other technical specifications reviewed
and accepted by FDA.
iv AccessNET MedVIEW Express Guide

Accuracy Statement
Accuracy Statement
In most cases with digital images, the image is received with calibration information provided
by the modality creating the images and ASPYRA’s PACS will display the image to match that.
We rely on the data received in the DICOM communications according to the DICOM
standard. For example the True size commonly used in CT, MR, and US being derived from
DICOM attribute 0028,0030, giving a measurement in “mm”. In the MedVIEW Training
Guide, Chapter 8, (beginning on page 17) we discuss the importance of calibrating the images
to an object of known size even if the calibration information is provided by the modality in
order to account for differences in technique that may have affected the actual dimensions vs
the reported dimensions and we have no way to determine the technique used during
imaging. If the information received in the DICOM attribute is wrong, our measurements will
be wrong as well, unless calibrated to an object of known size, as we are post processing
images based on the information received from 3rd party DICOM compliant systems.
ASPYRA’s PACS product bases measurement accuracy ranges on a 0.4mm margin of error
introduced by monitor calibration, user ability to place mark, and standard digital image
limitations. For example, Ellipse margin of error range is calculated using a + and – 0.4mm
for the short and long radius in Pi * Lr * Sr = A.
Revision History
This section contains a history of the changes made to this guide at each revision. It is
important that you use the guides intended for the software version you are using. For more
information about the current documentation available, contact ASPYRA at the address
shown on the inside cover of this manual.
Version NET_MVXG_V6.8
This is the original release of the AccessNET MedVIEW Express Guide.
NET_MVX_V7.2.0_1 v
Revision History
vi AccessNET MedVIEW Express Guide

Table of Contents
Chapter 1: Distribution Media ......................................................................................... 1-1

Patient Exam Formatting Options ....................................................................................................... 1-2
Accessing Stored Data ........................................................................................................................... 1-2
Exam Explorer ........................................................................................................................................ 2-1
Exam Folder Selection Panel ................................................................................................... 2-2
Patient Exam Selection Panel .................................................................................................. 2-2
Exam Viewer ........................................................................................................................................... 2-3
Exam Viewer Components ............................................................................................................ 2-3
Component Tiles ............................................................................................................................. 2-4
Image Workspace ...................................................................................................................... 2-7
Report ....................................................................................................................................... 2-12
Properties Panel ...................................................................................................................... 2-13
Key Image ................................................................................................................................ 2-14
Exam Content ......................................................................................................................... 2-15
Thumbnails .............................................................................................................................. 2-16
Application Menu Bar .......................................................................................................................... 2-17
Application Toolbar ............................................................................................................................. 2-18
Chapter 3: Working with Exam Images .......................................................................... 3-1

Image Layout ........................................................................................................................................... 3-2
Matrix Layout ................................................................................................................................... 3-2
Display Modes .................................................................................................................................. 3-2
Scrolling Images ..................................................................................................................................... 3-3
Image Text ............................................................................................................................................... 3-5
Resizing and Repositioning Images ..................................................................................................... 3-8
Magnify Image Tool ........................................................................................................................ 3-8
Pan/Magnify ..................................................................................................................................... 3-9
Magnify Region .............................................................................................................................. 3-10
Magnify Image Steps ..................................................................................................................... 3-10
Zoom ............................................................................................................................................... 3-11
Rotate and Flip ............................................................................................................................... 3-11
Adjusting Window / Level Settings ................................................................................................... 3-11
Image Invert .......................................................................................................................................... 3-14
Annotating Images ............................................................................................................................... 3-15
Copy to Series ................................................................................................................................. 3-18
NET_MVX_V7.2.0_1 vii
Table of Contents
Appendix A: Menu Bar Descriptions...............................................................................A-1

File Menu ................................................................................................................................................ A-2
Edit Menu ............................................................................................................................................... A-2
View Menu - Exam Explorer ............................................................................................................... A-3
View Menu - Exam Viewer .................................................................................................................. A-4
Workspace Menu ................................................................................................................................... A-6
Image Menu ............................................................................................................................................ A-8
Tools Menu ........................................................................................................................................... A-14
Window Menu ...................................................................................................................................... A-15
Help Menu ............................................................................................................................................ A-15
Appendix B: Workspace Context Menu Descriptions ...................................................B-1

Window/Level ........................................................................................................................................B-2
Zoom ........................................................................................................................................................B-3
Justify ........................................................................................................................................................B-4
Rotate ........................................................................................................................................................B-4
Flip ............................................................................................................................................................B-4
Pseudocolor .............................................................................................................................................B-5
Invert ........................................................................................................................................................B-5
Reset ..........................................................................................................................................................B-5
Image Processing ....................................................................................................................................B-5
Image Tools .............................................................................................................................................B-6
Annotation Tools ....................................................................................................................................B-7
Show Annotations ..................................................................................................................................B-8
Workspace ................................................................................................................................................B-9
Theater Mode ....................................................................................................................................... B-12
Copy As Scout To ................................................................................................................................ B-12
Copy To ................................................................................................................................................. B-12
Delete .................................................................................................................................................... B-13
Remove Series ...................................................................................................................................... B-13
Open Report ......................................................................................................................................... B-13
Properties .............................................................................................................................................. B-13
viii AccessNET MedVIEW Express Guide

Distribution Media chapter
Very often it is necessary to send exam data to another

1
physician or facility for additional review. To facilitate that
In This Chapter...
review and anticipate the possible needs of the exam recipient, Patient Exam Formatting Options....... 1-2
MedVIEW Express, a modified replica of ASPYRA’s PACS
MedVIEW workspace, has been included with the patient Accessing Stored Data ....................... 1-2
data.
A fully functional viewing solution, MedVIEW Express is
designed specifically for inclusion on CDs, DVDs, and USB
storage devices and can be launched and used from any
workstation with a Windows XP or Windows 7 operating
system.
MedVIEW Express can only run from the removable storage

device on which it is installed. Moving the viewer to another
location will result in an error message when you attempt to
launch MedVIEW Express.
Distribution Media
Patient Exam Formatting Options

Depending upon the viewing resources available to you, as well as your own preferences, the
facility preparing the CD, DVD, or USB storage device can save patient exam images in one
of three formats:
• AccessNET - this choice exports exams in ASPYRA’s native format, enabling any
ASPYRA PACS system or MedVIEW viewer to access the exam information. If you do
not have access to any of the ASPYRA AccessNET applications, MedVIEW Express will
be included on the storage device with the exam(s).
• DICOM - this option exports exam images in standard DICOM format, which can be
viewed using any DICOM compatible viewer, including MedVIEW Full, MedVIEW
Limited, and MedVIEW Express. If you do not have access to a DICOM compatible
viewer, MedVIEW Express will be included on the storage device with the exam(s).
• HTML - this selection is generally for use when the exam recipient has no access to
standard, clinical viewer solutions and does not require diagnostic images. When exams
are exported to portable storage media in HTML format, they may be accessed and
reviewed using a standard Web browser such as Microsoft Internet Explorer. MedVIEW
Express will not be included on the storage device when images are formatted as HTML.
Images exported in HTML format will be compressed using JPG and may display at
reduced quality.
If the facility preparing the viewing package for you is unsure of your viewing capabilities, patient
exams may be saved in all three formats and MedVIEW Express included.
When included with patient exams, MedVIEW Express resides as a separate line item within
the folder containing the exam(s) sent for your review. The type of image formatting
performed in transferring the images from the home facility to the removable storage
medium now in your possession determines how you will proceed.
Accessing Stored Data

When patient exams and MedVIEW Express are both burned onto a CD, the preparer may
set the viewer to autoload, which causes ASPYRA’s CD viewer (MedVIEW Express) to
launch automatically once the CD is identified by your computer.
If MedVIEW Express does not automatically launch, double-click the removable drive. A
quick inspection of the folder contents informs you of the image formatting used during the
transfer and if MedVIEW Express is available for use.
1-2 AccessNET MedVIEW Express Guide

Accessing Stored Data
Figure 1-1: Export Sample Displaying Viewer Executable and Available Image Formats
Depending upon the file formats designated when the patient exams are exported, you may
have up to three viewing options available from the CD. You may launch the CD Viewer
using the ViewExam.bat command; run a third party DICOM Viewer and open the
DICOMDIR file; or view an HTML formatted exam using your default internet browser by
double-clicking the AccessNET.html file. For examples of each of these files, see Figure 1-1
above.
If you access MedVIEW Express from a workstation on which MedVIEW is installed, the
MedVIEW splash screen will display. Sign in and you can use the full feature MedVIEW
Viewer to review, annotate, sign, and close exam images and reports.
 How do I view images using MedVIEW Express?

Neither AccessNET nor DICOM images can be opened through direct selection when
accessed from a portable storage device. For this reason, MedVIEW Express will always
be included with these images unless the facility preparing the exams for your review
knows that you have MedVIEW or another DICOM compatible viewing solution
available.
If MedVIEW Express does not automatically launch when an export CD is accessed and
if access to another viewer is not available:
1. Open the exam data from the storage device as described in “Accessing Stored Data”
on page 1-2 of this guide.
NET_MVXG_V7.2.0_1 1-3
Distribution Media
2. Double-click the Viewer executable indicated in Figure 1-1 above to launch

MedVIEW Express.
The splash screen appears and displays a download bar indicating the loading
progress of the viewer.
MedVIEW Express is engineered to open and display exams quickly from a CD. Typically
the program will launch and begin showing images within 20 seconds, but the speed of
your equipment must be considered. The opening and display timetable for MedVIEW
Express is based upon a CD reader that functions at 40X speeds. If the CD reader you are
using is slower than 40X, the time required to fully open and the viewer and display exams
will be increased.
3. Once the viewer is completely loaded, the Exam Explorer screen displays, providing a
listing of all included exams. For more information about the Exam Explorer window,
see “MedVIEW Express Exam Explorer Window” on page 2-2 of this guide.
The Exam Explorer screen only displays if multiple exams have been included in the
export. If a single patient exam is burned to CD for your review, that file will automatically
display, revealing its contents and viewer options.
4. Double-click an entry to invoke the MedVIEW Express Exam Viewer and review the
included exam images and documents. For more information about the Exam
Viewer, see “MedVIEW Express Exam Viewer” on page 2-3 of this guide.

MedVIEW
ExpressM chapter
2
edVIEW Express is intended as a
viable, diagnostic viewing alternative for users who do not
have access to a more traditional PACS viewer. Designed to
provide all necessary tools for review of patient exams and
associated documents, MedVIEW Express furnishes a
quantity of necessary tools that are accessible from a variety of
locations. For example, many tools accessed from the
application’s Menu and Toolbar are also available for selection
from the Workspace Toolbar and right-click Context Menu.
This apparent redundancy was purposely built into the
application as a means of providing you with an intuitive,
flexible viewing solution that could be used in whatever In This Chapter...
manner you find most effective.
Exam Explorer .................................... 2-1
MedVIEW Express is divided into two distinct sections: the Exam Viewer....................................... 2-3
Exam Explorer and the Exam Viewer. These two segments
provide you with comprehensive patient, exam, and image Exam Viewer Components ................. 2-3
data. Application Menu Bar........................ 2-17
Application Toolbar ........................... 2-18
Exam Explorer
Exam Explorer displays when multiple exams are included on
CD or storage device and MedVIEW Express is invoked
using the Viewer executable, as shown in Figure 1-1 on
page 1-3 of this guide. The Exam Explorer serves as a
compact work list from which specific exams may be selected
for review.
Figure 2-1: MedVIEW Express Exam Explorer Window
Exam Folder Selection Panel

MedVIEW Express may display AccessNET or DICOM formatted images. If the facility
preparing the exams for your review provides only a single formatting option, AccessNET or
DICOM, the panel will display a single folder identified by either Cache (AccessNET) or
Interchange (DICOM). If both types of images are included, both folders will display,
enabling you to choose which format you wish to review using MedVIEW Express. Simply
click the desired format and the exams listed in the Patient Exam Selection panel will alter
their display to indicate their image format.
MedVIEW Express defaults to the optimum format provided so there is little reason to change the
default selection.
Cache: (AccessNET)
Interchange: (DICOM)
Patient Exam Selection Panel

The Patient Exam Selection panel, as shown inFigure 2-1 on page 2-2, lists all exams included
on the portable storage device as individual entries. Each entry is detailed under a series of
column headers to provide identification data at a glance. The system defaults to a view of
preselected headers.

Exam Viewer
Exam Viewer
Once an exam is selected from Exam Explorer, all contained information displays within the
MedVIEW Express viewer. Comprised of a series of windowpanes, the viewer provides
immediate access to categorized exam content, patient demographics, exam reports, images,
image and annotation tools, and image thumbnails. For more details, see “Exam Viewer
Components” on page 2-3 of this guide.
Figure 2-2: MedVIEW Express Exam Viewer
Exam Viewer Components

Before learning how to use MedVIEW Express to review exam images and patient
information, it is important to understand the primary components of the MedVIEW
Express application window. While an application level Menu and Tool bar display across the
top of the viewer, the actual interface is divided into tiles, each identified by its own title bar.
There are a number of these tiles available for display, and ultimately the ones that you initially
see are contingent upon those selected by the facility preparing the exams.
Most frequently, MedVIEW Express is configured to initially display the Exam Content,
Report, Thumbnails, and Image Workspace tiles.
NET_MVXG_V7.2.0_1 2-3
Figure 2-3: MedVIEW Express Application Components
Component Tiles
The major elements of patient exams all display within separate tiles, many of which exhibit a
custom toolbar.
Each tile displays as a separate window within the MedVIEW Express interface and, when
initially accessed, each appears stacked within a column as shown in see Figure 2-4 on
page 2-5. This configuration consists of a fully extended Image Workspace tile with all other
pertinent display tiles accessible from their layered titled bars.
There is the possibility of four tiles being included in this initial stacked view: Report, Properties
Panel, Image Workspace and Key Images. While the Image Workspace and Properties Panel tiles
always display for an opened exam, the Report tile will only appear if the exam contains a report and
the Key Images tile will only show if the Reading Physician has designated key images within the
exam. For more information about workspace display tiles, see “View Menu - Exam Viewer” on
page A-4 of this guide.

Exam Viewer
Figure 2-4: MedVIEW Express Stacked Component Tiles

A single click on any of the available title bars expands the selected tile, collapses the one you
were previously viewing, and moves the remaining title bars to the top or bottom of the
interface as necessary. For example, selecting the Report title bar will display the contents of
the Report tile while dropping the Image Workspace and Properties Panel title bars to the
bottom of the screen.
To expand all available tiles and render them subject to manual resizing, simply double-click
any of the stacked title bars. Each tile then opens, enabling you to expand or decrease the size
of the tiles using your mouse as shown in Figure 2-5 on page 2-6.
NET_MVXG_V7.2.0_1 2-5
Figure 2-5: MedVIEW Express Unstacked Component Tiles
When first opened, the column at the left of the interface displays unstacked tiles, but the tiles in this
column can be stacked by double-clicking the title bar of any contained tile.
While the initial size and arrangement of all component tiles is set by system default, both are
easily adjusted, thus enabling you to design a sized and display composition best suited to
your own requirements.
Component Tiles can be resized using a variety of methods. You may simply position your
mouse-pointer over the frame edge of the tile you wish you resize and then, with the left
mouse key depressed, drag the frame to increase or decrease the size of the tile. Another
resizing option is available using the Minimize/Maximize window button at the upper right
corner of each tile. Selecting this option on any normally displayed tile instantly expands the
tile to fill the entire Exam Viewer display area beneath the application menu bar and toolbar.
Clicking the button a second time, returns the tile to its original size.

Exam Viewer
The relocation of the displayed tiles is accomplished by simply dragging and dropping a tile
by its title bar. Once selected and moved, the tile’s outline is visible as you shift around the
interface and automatically resizes to fit any location within the frame. Release the left mouse
key you depressed to perform the drag, and the tile will display in its new location at its
previewed size.
Image Workspace
The Image Workspace tile dominates the MedVIEW Express interface, as this is where
patient exam images are displayed and manipulated. The workspace is extremely flexible,
allowing you to designate the number and placement of displayed images, providing fast
access to image and annotation tools from a variety of locations, and furnishing an Image
Toolbar that provides specific image information and linking options directly from the
displayed image itself.
Figure 2-6: MedVIEW Express Image Workspace Tile
NET_MVXG_V7.2.0_1 2-7
The Workspace tile provides you with a toolbar that contains the most consistently used
layout, display mode, manipulation, and annotation tools.
When selected, the Matrix Layout button displays a popup window

that enables you to designate the number of image panes in the active
workspace.The Matrix tool allows you to designate the image display
layout for the workspace.
When scout images exist within an exam, this tool allows you to turn
the Reference Lines on and off.
Exam mode displays all exam images in sequential order within the
Image Workspace.
Series mode displays all images of a particular series sequentially in the

Image Workspace. A scout image with reference lines may also be
shown.
In Stack mode, all images within a series are organized in a single image
pane, one on top of the other so that you can view the images in
succession, like a film. When available, reference lines are shown
indicating the intersection position of orthogonal images from other
series in the workspace.
The Calibration tool allows you to specifically set or calibrate the ruler
measurement by allowing you to designate the scale at which the ruler
measures. For example, you mark out a specific length and then
stipulate the number of centimeters this space will include, thereby
enabling accurate measurements of large areas enclosed within a
limited viewing space. While available, the Calibration tool is not
usually needed, as calibration data is generally supplied with the images.
The Angle tool enables you to measure angles on an image.
When you resize an image, it may become too large to be completely

viewed within its pane in the Image Workspace. Should this occur, the
Pan tool allows you move the resized image around its pane and
thereby gain a complete view of the entire enlarged image.

Exam Viewer
This tool is the default setting when an exam is first accessed, enabling
you to “Select” specific workspace displayed images or any annotation
you’ve added to an image. It is prominently displayed as a function
tool, however, as it clears previous annotation selections from memory.
For example, if you have accessed the angle tool to measure a section
of any displayed image, this tool remains active until another is chosen
or you click “Select.”
The Ruler tool enables you to measure the distance between two points
on an image and displays the exact measurement in units of
millimeters, centimeters, or inches. Should your application of the
Ruler produce an automated measurement in “pels,” you may need to
use the Calibration tool described above.
The Ellipse tool provides measurements of Area, Circumference,

Average Tissue Density, and Standard Deviation of Density
measurements when applied to an image. When the image is derived
from a CT, the Average Tissue Density is measured in Hounsefield
Units.For PET images, the Standard Uptake Value (SUV) is provided.
Functioning just as a standard magnifying glass does when used with

printed film, the Glass tool allows you to magnify portions of a
selected image without altering the image’s actual size. Additionally, just
as with a real magnifying glass, moving this tool over the image
provides you with a dynamic field of magnification.
The Window/Level tool allows you to adjust the window/level settings

of selected images by clicking and dragging the mouse either vertically
or horizontally over a selected image.
Also available for the quick selection and application of desired tools are the Workspace
Context Menu and the Tool Picker Menu.
Workspace Context Menu

To accommodate the preferences of a wide variety of users, MedVIEW Express places tools
and display options at multiple locations. While a great many tools are available from
application and individual component tile toolbars, the Workspace Context Menu provides
single click access to a host of features that include all imaging function and annotation tools.
Access the context menu by simply positioning your mouse pointer anywhere within the
Workspace tile and right-clicking. The menu display is quite extensive and many function
categories are divided into sub-categories that open as flyouts from the main menu. For a
detailed description of all included tools, see “Workspace Context Menu Descriptions” on
page B-1 of this guide.
NET_MVXG_V7.2.0_1 2-9
Figure 2-7: Workspace Context Menu with Annotations Flyout
Tool Picker Menu

The Tool Picker Menu is also accessed with a mouse-click and provides instant access to a set
of tools selected specifically for the modality that created the currently viewed patient exam.
The assignment of which tools display based upon modality is conducted at the facility
performing the exam, and generally represent the tools most commonly required for image
evaluation. For example, the tool picker for an MR exam often includes the Select,
Pan/Magnify, Window/Level, and Ruler tools.
To display the Tool Picker menu, position your mouse over the Image Workspace tile and
click the middle mouse button or scroll wheel.

Exam Viewer
Figure 2-8: Tool Picker Menu (MR Exam Display)

From the available tools, simply click the one you wish and your cursor immediately
redisplays to include the selected tool icon. For a detailed description of all possible Tool
Picker Menu tools, refer to “Workspace Context Menu Descriptions” on page B-1 of this
guide.
Image Toolbar
When selected, the Image toolbar, shown in Figure 2-3 on page 2-4, displays in the
upper-right corner of each pane in the Image workspace. To toggle its display, select View 
Show Image Toolbar from the application menu bar.
While all the information conveyed through the Image Toolbar is valuable, perhaps the most
important is the red Referential button, which displays to inform you that the associated
image is not of diagnostic quality. So important is this feature that the “R” button will display
in conjunction with a non-diagnostic quality image whether the Image Toolbar is shown or
not. Non-diagnostic image quality can be the result of many factors that include the
application of lossy compression, the use of insufficient display resolution when viewing
mammography images, or the application of some form of image processing.
Acceptable compression rations vary from modality to modality. The Radiology Department in each
facility should determine compression rates based on acceptable image quality. For low resolution
images such as CT, MR, US, and NM, we recommend low compression settings. This compression
should not exceed 1:10. For high resolution images, you can use a higher compression ratio,
however, you should not exceed a compression ration of 1:30.
Only displays with FDA Approval for Clearance for final interpretation of mammography images may
be used for final interpretation of Full-field digital mammography. (See NEMA XR 22-2006 quality
control manual template for manufacturers of displays and workstations labeled for final
interpretation of Full-field digital mammography).
NET_MVXG_V7.2.0_1 2-11
When an image is diagnostic quality, the green Original button displays
on the Image toolbar. When the image is not diagnostic quality, the red
Referential button displays on the Image toolbar.
This button designates a selected image within a series or exam as a key

image. When pressed, the image is copied to the Key Image tile for
easy reference.
Click the Annotations button to toggle the display of any existing

annotations and overlays applied to images in the Image Workspace.
In addition, you can click the arrow to the right of the button to select
the specific annotations you want to view. This button is enabled only
when the active exam contains annotations or overlays.
The graphic on the Annotations button informs you of the existence
of annotations or overlays for the current image. An empty overlay
graphic indicates that the image is not associated with an overlay,
whereas an arrow graphic indicates that one or more overlays are
available for the image.
The Series Link button only appears on the Image Workspace toolbar
when the displayed image series are in Stack or Series mode. Once the
selected image series are linked, you can scroll all of the linked series in
the Image Workspace simultaneously using any of the scrolling
conventions.
Click the Series Link button to link image series in the same plane that
you have manually added to the Image Workspace. Press the Series
Link button again to unlink the image series from its group.
Additionally, you can click the down arrow to the right of the Series
Link button to link the selected series or link all image series that are in
the same plane. You can also remove a specific image series from a
series link, remove an entire image series link, or remove all image
series links.
Report
The Report tile displays a static version of a selected report or note, enabling you to review
the content but not conduct edits. Generally only a single report is affixed to an exam, in
which case, that document automatically displays in the Report tile by default. Should an
exam contain multiple reports or notes, however, the most current document initially displays.
You can easily view any other affixed reports by simply double-clicking the name of the one
you wish to review from its listing in the Exam Content tile. For more information, see
“Exam Content” on page 2-15 of this guide.

Exam Viewer
Figure 2-9: MedVIEW Express Report Tile
If a report does not exist for the exam you are reviewing, the Report Tile will not automatically
display.
Properties Panel
The Properties Panel tile provides a significant amount of information specific to the exam
you are reviewing. While not editable, the data displayed here includes Exam ID and Date;
Patient Name, ID, and Gender; Proc Code; Patient History; Exam Description, State, and
Read Status; and Physician data that includes Reading, Requesting and Other. While much of
this data is part of the detail included on Exam Explorer that is used to fully identify each
exam sent for your review, its presence within the Properties Panel enables you to recheck this
information without leaving the viewer interface.
NET_MVXG_V7.2.0_1 2-13
Figure 2-10: MedVIEW Express Properties Panel Tile
Key Image
Key Images are often designated by reading physicians to identify the specific images within a
larger exam that are most pertinent to a patient’s diagnosis. When Key Images are included in
an export file, they appear in the Key Image tile.

Exam Viewer
Figure 2-11: MedVIEW Express Key Image Tile
Exam Content
The Exam Content tile provides a great deal of information and can serve as an access point
for selected patient images and reports. The first two entries in the Exam Content tile furnish
demographic data for the patient and the corresponding exam. Other listed data includes the
listing of included Reports/Notes, the number of Image Series comprising the exam, with an
image by image listing that can be selected for inclusion within the Workspace.
Exam Contents presents its contained information as a data tree with each major information
division (Patient Name, Exam, Report, Image Series, etc.) displaying next to an
Additional Information box when supplementary data is available. To access this data, simply
click the Additional Information or plus-box next to the desired heading.
NET_MVXG_V7.2.0_1 2-15
Figure 2-12: MedVIEW Express Exam Content Tile
Additional information boxes may display at any level within the data tree and always behave
in the same manner. For example, when you open the Image Series box, you will find each
exam series listed individually adjacent to its own additional information box. Select this
second tier box to reveal a listing of every image contained within the selected series.
You may drag and drop images from the Exam Content tile directly into the Image Workspace, and
you may do this at the series or individual image level. Remember, however, that image series are
connected and that adding a selected image to the workspace in fact adds the entire series.
Multiple reports and/or notes are accessible from Exam Content under the Reports
additional information box. While the system initially displays the most current report/note
when an exam is opened, you can easily replace that default with any listed document by
simply double-clicking the report you wish to view.
Thumbnails
The Thumbnails tile displays mini-versions of exam series or images that provide a quick
reference for the size of the exam, its study makeup, and at what location within a study
currently displayed images are located.
The initial thumbnail display hinges on exam type. For example, CT, MR, US, and PET exams
are displayed in the thumbnails by series, with each series represented by a single image. When
the exam is a CR or DX, every image contained in the exam is displayed as a separate
thumbnail.

Application Menu Bar
Figure 2-13: MedVIEW Express Thumbnails Tile
The Thumbnails tile also features a toolbar that enables you to determine the way the
thumbnails themselves display.
When you place the Thumbnails in Series Display Mode, only the first
image of each included series appears as a thumbnail.
The Image Display Mode setting for Thumbnails creates a display

where a separate thumbnail appears for every image contained in the
exam. The first image of every series is outlined in dark green to serve
as a visual cue to your process through the exam.
Application Menu Bar

The menu bar always displays at the top of the MedVIEW Express application window and
contains commands that initiate actions within the viewer application. This is a complex
series of options that encompass exam access, interface appearance and function, and image
manipulation and annotation tools. Virtually all of the tools and features available from the
menu bar can be accessed from other locations such as the Application Toolbar, Component
Tile Toolbars, and the Workspace Context Menu.
For an itemized description of all the tools’ functions available from the menu bar, see “Menu
Bar Descriptions” on page A-1 of this guide.
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Application Toolbar
The Application toolbar displays at the top of the MedVIEW Express viewer under the menu
bar and contains tools that enable fast interface view changes, such as placing the viewer in
theater mode, opening and closing the Report, Exam Content, and Thumbnails tiles,
Inverting gray-scale color ratios on selected images, and accessing Help.
The Open toolbar icon is only active when the Exam Explorer is
displayed, as this option enables you to quickly open a highlighted
entry within MedVIEW Express. (While the icon is visible from within
the viewer, it is disabled in MedVIEW Express because exams cannot
be opened by the viewer.)
Closes the exam currently displayed within MedVIEW Express and

returns you to the Exam Explorer. (The Close icon is also available in
Exam Explorer and when used there closes the Exam Explorer
screen.)
Opens and/or Closes the Exam Content Tile, thereby providing you
with additional viewer space. This feature is also available from the
View Menu. For more information, see “View Menu - Exam Viewer”
on page A-4 of this guide.
Opens and/or Closes the Thumbnail Tile to provide you with

additional viewer space. This feature is also available from the View
Menu. For more information, see “View Menu - Exam Viewer” on
Opens and/or Closes the Report Tile to provide you with additional
viewer space. This feature is also available from the View Menu. For
more information, see “View Menu - Exam Viewer” on page A-4 of
this guide.
This tool enables you to open, delete, and even create new workspaces,
and while it functions, it is not recommended for use in MedVIEW
Express. Designed to display additional workspaces across multiple
monitors, that activity is not supported in MedVIEW Express and, if
employed, will only divide your interface and ultimately restrict your
viewing capabilities. This feature is also available from the View Menu
and the Workspace Context Menu. For more information, see either
“View Menu - Exam Viewer” on page A-4 of this guide or “Workspace
Context Menu Descriptions” on page B-1 of this guide.

Application Toolbar
When selected, Theater Mode closes every viewer element except the
image workspace, which is expanded to encompass the entire interface.
This display provides the greatest possible viewing area, and while the
Application Menu and Toolbar and the Image Workspace toolbar are
hidden in Theater Mode, the workspace context menu enables you to
easily manipulate images, apply annotations, and even escape the
Theater Mode interface. This feature is also available from the View
Menu and the Workspace Context Menu. For more information, see
either “View Menu - Exam Viewer” on page A-4 of this guide or
“Workspace Context Menu Descriptions” on page B-1 of this guide.
The Invert feature is only enabled when an image located within the
workspace is selected. When this is the case, click Invert to reverse the
color/gray-scale of the chosen image. Clicking Invert a second time,
returns the image to its original color/contrast view. This feature is also
available from the Image Menu and the Workspace Context Menu. For
more information, see either “Image Menu” on page A-8 of this guide
or “Workspace Context Menu Descriptions” on page B-1 of this guide.
The Reset option is only available when an image within the viewer
workspace is selected, and then is used to discard any alterations made
to that image and return it to its original condition. This feature is also
available from the Image Menu and the Workspace Context Menu. For
more information, see either “Image Menu” on page A-8 of this guide
or “Workspace Context Menu Descriptions” on page B-1 of this guide.
The Help button automatically invokes help files to assist you in

successfully navigating and using MedVIEW Express.
All toolbars displayed in MedVIEW Express are constructed with an Auto-Hide feature that allows
you to increase the available viewer workspace by closing selected toolbars until they are needed.
When Auto-Hide is enabled, the affected toolbar is invisible and displays only when your mouse
pointer approaches its normal display location. Conversely, when you move the mouse pointer away
from the toolbar, it again disappears from view. Auto-Hide is easily engaged/disengaged by
right-clicking a specific tool bar and selecting/unselecting Autohide Dock Area from the context
menu.
NET_MVXG_V7.2.0_1 2-19
Working with Exam chapter
Images
3
In This Chapter...
Image Layout...................................... 3-2
As a user of MedVIEW Express, you may be supplied with Scrolling Images ................................. 3-3
original, unaltered images or with reviewed images that have Image Text .......................................... 3-5
been annotated, resized and/or had window/level settings Resizing and Repositioning Images ... 3-8
adjusted. While a colleague’s alterations and annotations may
prove very helpful to your own review, it is just as likely you Adjusting Window / Level Settings.... 3-11
might want to view an image devoid of annotations, apply Image Invert...................................... 3-14
different window/level or contrast settings, perform your own
Annotating Images............................ 3-15
measurements, and alter orientation. The tools available
within MedVIEW Express enable you to easily perform these
and other modifications.
MedVIEW Express’s full complement of tools and system
functionality are defined in the appendices: Menu Bar
Descriptions and Workspace Context Menu Descriptions. For
more information, see “Menu Bar Descriptions” on page A-1
of this guide and “Workspace Context Menu Descriptions” on
page B-1 of this guide.
While MedVIEW Express provides access to a wide array of

sophisticated image display, annotation, and manipulation
tools, the exams viewed through MedVIEW Express are static
and cannot be altered and then forwarded to another location.
When you open an exam, MedVIEW Express displays each
element of the exam in a format established at the preparing
facility, but you may alter this view to construct a work
environment you find more appealing. Any of the tiles can be
sized by dragging the dividers between tiles or relocated by
simply dragging and dropping a selected tile by its title bar.
The images automatically displayed within the Workspace
reflect a predetermined matrix and hang mode, but these too
are quickly changed.
Working with Exam Images
Image Layout
Once an exam is displayed within MedVIEW Express, the images are arrayed in a matrix or
grid within the Workspace tile. The way the images are arranged and the actual number
displayed form the basis of Image Layout. MedVIEW Express provides a number of tools for
customizing the image layout view, all of which are accessible from the Application Menu Bar,
the Workspace Menu Bar, and the Workspace Context menu.
Matrix Layout
Matrix Layout specifically refers to the number and physical arrangement of exam image
panes displayed by MedVIEW Express. The initial or default layout is generally one
configured for the modality that created the images, but this display is easily altered.
 How do I change Matrix Layout in MedVIEW Express

1. Click the Matrix Layout button on the Image Workspace toolbar. (You may also
access the Matrix popup by selecting Workspace  Layout Panes from either the
Application Menu Bar or the Workspace Context menu.)
2. On the popup window, click the left mouse button on a disk to select the number of
rows and columns to display in the Image Workspace. For example, if you click the
third disk in the third column, the Image workspace will display three rows and three
columns.
To quickly resize an image to the full size of the Image Workspace, double-click the image.
To return to the former layout, double-click the resized image.
Display Modes
Display Modes enable you to control the way exam images display and advance within the
MedVIEW Express workspace. To apply a display mode, select an available configuration
using either the Exam Mode, Series Mode, or Stack Mode icons on the Workspace toolbar.
You may also access display mode options by selecting the Workspace option from the
Application Menu Bar or the Workspace Context menu.
• Exam Mode
Exam Mode displays all exam images in sequential order within the Image Workspace.
For example, if an exam has two image series and you select Hang Exam, all images in the
first series display in the Image Workspace followed by all images in the second series.
When using the Exam hang mode, all the images for the exam automatically display in the
image workspace and there is no need to click and drag the images from the Thumbnails
view to the Image Workspace.

Scrolling Images
• Series Mode
Series Mode (called Hang Series when accessed from either the Application Menu Bar or
Workspace Context Menu) sequentially displays the images of a particular series across all
available Image Workspace layout panes. For more information on additional Series Mode
access locations, refer to “Application Menu Bar” on page 2-17 of this guide and
“Workspace Context Menu” on page 2-9 of this guide.
If all series images cannot be displayed simultaneously, scrolling will advance the series,
causing the currently displayed images to be replaced by succeeding ones. When an exam
contains multiple series, changing the image series in the workspace is quickly
accomplished by dragging and dropping from the Thumbnail tile. Simply select any
displayed thumbnail from the new series you wish to review and drag it into the Image
Workspace. Regardless of which image is initially selected, the new series will replace the
one currently in the workspace and will display sequentially from the beginning. For more
information on Thumbnails, see “Thumbnails” on page 2-16 of this guide.
• Stack Mode
In Stack Mode, (called Hang Stack when accessed from the Application Menu Bar or
Workspace Context Menu) all images within a series are organized one on top of the
other so you can view them in succession like a sequence in a film. For more information
on additional Series Mode access locations, refer to “Application Menu Bar” on page 2-17
of this guide and “Workspace Context Menu” on page 2-9 of this guide. Stack mode is
often used to examine CT and MR images because you can view multiple series
simultaneously and display reference lines that identify their intersection on the
corresponding series.
To view another image series, click and drag a thumbnail from the series of your choice
from the Thumbnails tile into the Image Workspace. Regardless of which series image is
dragged into the workspace or how many images comprise the entire stack, the first
image in the series always displays and only a single workspace pane is occupied. Using
this method, you can add a series to an empty pane or instantly replace a currently
displayed series with one selected from the thumbnails. For more information on
Thumbnails, see “Thumbnails” on page 2-16 of this guide.
Because of the obvious comparative benefits associated with viewing multiple series in
Stack mode, MedVIEW Express also enables you to temporarily link stacked series,
regardless of plane or frame of reference, and thereby scroll through each simultaneously.
For more information, see “Workspace” on page B-9 of this guide.
Scrolling Images
Once images are added to the workspace, navigating through them is best accomplished by
scrolling, as this action advances images fluidly regardless of whether you are browsing a
single series or the entire exam. MedVIEW Express provides you with several methods for
scrolling, with the two most frequently used being the scroll wheel on your mouse and the
application’s scroll tool.
NET_MVXG_V7.2.0_1 3-3
 How do I scroll through images using my mouse?
1. Move your mouse pointer into the workspace.
If the workspace is organized in Exam or Series mode, no specific image or pane needs to
be designated, as the process of scrolling will advance you through either the entire study
or the displayed series. If the workspace is in Stack mode, however, place the mouse
pointer over the specific series you wish to scroll.
2. With the mouse pointer in the proper position, move the scroll wheel down, or
towards yourself, to advance the images sequentially, first to last.
3. Move the scroll wheel up, or away from you, to reverse the scrolling order.
 How do I scroll through images using the scroll tool?

1. Select the scroll tool from either the Workspace Context Menu (Image Tools) or
from the Application Menu Bar (Image  Image Tools).
2. Following the selection of the scroll tool, move your mouse pointer into the
workspace, remembering that in Stack mode you must place the pointer over the
specific series you wish to scroll. The pointer now displays as an easily recognizable
scroll icon, which can be seen in the illustration below:
3. Depress and hold the left mouse key and move your mouse to the right to advance
the images sequentially, first to last, or to the left to reverse the scrolling order.
You may also scroll through images using your keyboard arrow keys. Move your mouse
pointer into the workspace; select the series you wish to scroll; and then tap either the “Up”
or “Right” arrow key to advance the series one image at a time. To scroll backwards, tap
the “Down” or “Left” arrow key.

Image Text
Image Text
There are often many layers of information available to you when reviewing imaged exams.
The image captures themselves provide the bulk of that data, but there also may exist patient
and exam demographic information, image sizing data, and window/level settings. Image
Text is recorded by the modality used to produce the images at the instant an image is
captured and is displayed by MedVIEW Express at the four corners of the image.
Figure 3-1: Image Text in Verbose View

Additionally, if images were evaluated prior to being packaged for your review, they may
contain recorded annotations that highlight, identify, measure, or simply isolate specific
portions of an image. Numerous presentations or overlays may be created and saved for any
single image, therefore MedVIEW Express provides you with an option for viewing single or
multiple overlays simultaneously:
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Figure 3-2: Image in MedVIEW Express Displaying Two Overlays
When Image Text is displayed, applied overlays are identified at the lower left corner of the affected
image.
 How do I toggle Image Text?
As shown in Figure 3-1 on page 3-5, Image Text can provide much necessary detail
regarding exam elements but can potentially obscure essential portions of an image. To
eliminate any such distraction, MedVIEW Express provides display options that enable
you to turn off the image text function or incrementally reduce detail so that less image
space is obscured. When first accessed, your default view depends upon the default
settings established by the preparing facility; to adjust these settings:
The data defined within the boundaries of the Verbose, Concise, and Minimal designations
is determined by the facility preparing the exam. These categories are not defined by the
inclusion of any predetermined level of information. In other words, there are no hard and
fast rules dictating exactly what data is contained within any of the image text detail
categories.

Image Text
1. From the Application Menu Bar, select View  Show Image Text to access the
following flyout:
The Show option functions as the Image Text on/off switch. When Show is
unchecked, Image Text does not display.
2. To display text, make sure the Show option appears checked.
When Image Text is not selected, clicking any one of the detail level options (Verbose,
Concise, or Minimal) automatically selects and engages the Show option.
3. Select the Image Text detail level you wish to display. Once these selections are made,
the images displayed within MedVIEW Express instantly display text.
 How do I toggle Annotation Marks?

Multiple annotation overlays may be included on any number of images contained in an
exam, and these are easily displayed within MedVIEW Express. To display overlays:
1. Select Show Annotations from either the Workspace Context Menu or from the
Application Menu Bar (View  Show Annotations).
2. From the flyout, you may choose to select All Users, thereby displaying all created
annotations simultaneously, as shown in Figure 3-2 on page 3-6 of this guide; you may
hide all annotation overlays by selecting None; or you may choose to display overlays
based on creator by selecting from the list of users.
When Image Text is turned on, displayed annotation overlays are identified by user.
NET_MVXG_V7.2.0_1 3-7
Resizing and Repositioning Images

To more completely meet your requirements when reviewing imaged exams, MedVIEW
Express offers many different options for altering the size and position of displayed images.
Through the implementation of a variety of tools, you can alter zoom ratios, apply various
types of magnification, rotate images within the workspace, and flip images vertically and
horizontally.
Magnify Image Tool

The Magnify Image tool is similar to a standard magnifying glass that you use with printed
film. This tool is very useful when you need to resize a portion of an image without resizing
the entire image.
To use the Magnify Image tool, select the Glass Tool button on the Image Workspace toolbar,
then click and hold the mouse pointer over the image you wish to resize. For more
information on the Magnify Image tool, see “Image Workspace” on page 2-7 of this guide.
The Magnify Image Tool can also be accessed from either the Application Menu Bar or the
Workspace Context Menu. For more information see “Menu Bar Descriptions” on page A-1 of this
guide and “Image Tools” on page B-6 of this guide).

Resizing and Repositioning Images
Figure 3-3: Example of Magnify Image Tool

To increase the zoom ratio of this tool, press and hold the left mouse button on an image to
activate the tool while:
• Rotating the scroll wheel on your mouse, or
• Clicking the right mouse button.
To decrease the zoom ration, press and hold the left mouse button to activate the tool while:
• Rotating the scroll wheel on your mouse or
• Pressing the Ctrl key on your keyboard and clicking the right mouse button.
Pan/Magnify
When you resize an image, it may become too big to fit within its pane in the Image
Workspace. Should this occur, the Pan/Magnify tool allows you to move the image within its
pane and simultaneously increase the zoom ratio for the image.
NET_MVXG_V7.2.0_1 3-9
To use the Pan/Magnify tool, select the Pan Tool button on the Image Workspace toolbar,
then move the image by clicking and dragging it so that you can view other areas. For more
information on the Pan Tool button, see “Image Workspace” on page 2-7 of this guide.
To increase the zoom factor of an image, activate the tool by pressing the left mouse key
while hovering over the image and then:
• Rotate the scroll wheel on your mouse or
• Click the right mouse button.
To decrease the zoom factor, activate the Pan/Magnify tool and:
• Rotate the scroll wheel on your mouse or
• Press the Ctrl key on your keyboard and click the right mouse button.
The Pan/Magnify Tool can also be accessed from either the Application Menu Bar or the Workspace
Context Menu. For more information, see “Menu Bar Descriptions” on page A-1 of this guide and
“Image Tools” on page B-6 of this guide).
Magnify Region
Accessed from either the Application Menu Bar or the Workspace Context Menu, the
Magnify Region tool allows you to resize a displayed image incrementally. For more
information on accessing the Magnify Region tool, see “Menu Bar Descriptions” on page A-1 of this
guide and “Image Tools” on page B-6 of this guide.
To use this tool:
• Position your mouse pointer over a specific location within a displayed image.
• Draw a rectangle over the portion of the image you wish to magnify by depressing and
holding the left mouse button and dragging it across the specific region.
• Release the mouse button to finalize your selection. MedVIEW Express immediately
redisplays the indicated area to the size of the image pane.
Magnify Image Steps

Accessed from either the Application Menu Bar or the Workspace Context Menu, the
Magnify Image Steps tool allows you to resize a selected image incrementally while subtly
adjusting the image’s center to reflect the area selected for magnification. For more
information on accessing the Magnify Image Steps tool, see “Menu Bar Descriptions” on page A-1
of this guide and “Image Tools” on page B-6 of this guide.
This tool can be used two ways: incrementally based on mouse clicks and progressively based
upon mouse movement. To increase an image’s magnification:
• Move your mouse pointer over a selected image.

Adjusting Window / Level Settings
• Click and release the left mouse key to increase the entire image by predetermined
increments or
• Depress and hold the left mouse button while moving the mouse to the right of the image
to increase the level of magnification in a progressive fashion.
To decrease the level of magnification:
• Hold the Ctrl key on your keyboard while you click and release the left mouse button to
reduce magnification incrementally or
• Depress and hold the left mouse button while moving the mouse to the left of the image
to progressively shrink the displayed image.
Zoom
Additional to the available magnification tools are a substantial number of applicable Zoom
settings available from either the Application Menu Bar or Workspace Context Menu. Set in
pre-determined increments ranging from 0.5x to 2.0x of an image’s true size, the zoom
feature provides you with instant alterations to image size based upon original image data. For
more information on the Zoom function and availability, see either “Image Menu” on
page A-8 of this guide or “Zoom” on page B-3 of this guide.
Rotate and Flip

MedVIEW Express enables you to easily orient images according to your preferences using
the Rotate and Flip display manipulation tools. While Rotate allows you to turn displayed
images within their pane in 90 degree increments, Flip literally reverses an image’s display
perspective vertically or horizontally. Both of these tools are available from either the
Application Menu Bar or Workspace Context Menu. For more information, refer to the
“Image Menu” on page A-8 of this guide or “Rotate” and/or “Flip” on page B-4 of this
guide.

The imaging modality that creates an image automatically determines the dynamic range of
gray-scale available in that image, but very often this default does not produce the best
contrast ratio for all viewers. Window/Level settings are easily altered by either manually
changing the contrast incrementally or by applying any number of Window/Level presets that
are available for use. MedVIEW Express provides you with two specific tools for
Window/Level adjustment: the Window/Level tool and the Window/Level ROI. The
Window/Level tool allows you to incrementally adjust an image’s settings using your mouse,
while the Window/Level ROI enables you to automatically set an image’s window level values
based upon the existing grayscale values in a specific region of that image.
NET_MVXG_V7.2.0_1 3-11
The number of images affected by the application of new Window/Level settings depends
upon the display mode in use at the time of the alteration. Any changes made to any image
displayed in Stack Mode will automatically be applied to every image in the stacked series,
whereas Window/Level changes made to single images displayed in Series or Exam mode will
only be applied to the designated image.
Window/Level modifications remain in effect, regardless of display mode changes, until you Reset
the defaults (ImageReset or Reset from the Workspace Context Menu) or close the exam.
 How do I adjust Window / Level settings using the Window/Level

tool?
1. Click the Window/Level tool on the Workspace Toolbar. A windowpane icon
displays next to your mouse pointer indicating the active window level tool.
2. Depress and hold the left button on your mouse and drag the mouse, vertically to
adjust window width and horizontally to adjust window/level, until the level of
gray-scale contrast is best represented for you.
3. When you have achieved the proper Window/Level contrast, release the mouse
button. The Window/Level tool is still engaged, but movement of your mouse will no
longer alter the contrast of the image.
4. Completely turn off the Window/Level tool by accessing the Select option from the
Workspace Toolbar or by pressing your keyboard’s Esc key.

 How do I adjust Window / Level settings using the Window / Level

ROI tool?
1. Select the Window/Level Region tool from the Image Tools submenu accessed from
either the Workspace Context Menu or the Application Menu Bar. For more
information about tool access, see “Image Tools” on page B-6 of this guide and
“Image Menu” on page A-8 of this guide.
Once selected, a windowpane icon displays next to your mouse pointer indicating the
active status of your selection.
2. Depress and hold your mouse’s left mouse key to draw a rectangle around the image
region that you want to view with optimal window/level settings.
3. Release the mouse button to apply the window/level settings designated by your
selection.
The Window/Level Region tool generally works best on conventional x-ray images where
the contrast differences are smaller than on CT or MR images. If the automatically
calculated window/level value does not produce the desired results, it means that very few
pixels with extreme values exist within the selected range. We recommend selecting a
different region or applying window/level settings with the Window/Level tool.
NET_MVXG_V7.2.0_1 3-13
 How do I change Window / Level settings using presets?

A Window/Level preset is a saved window width and level value that provides you with
an efficient means of applying common window/level setting to similar exam images.
Generally related by modality or similar body part, if presets have been created at the
preparing facility, they will be automatically associated with the exams packaged with
MedVIEW Express.
1. Select Window/Level from either the Workspace Context Menu or the application’s
Image menu. This selection produces a flyout, upon which are located any available
presets:
2. From the available presets, select the one you would like to apply.
3. The image reflects your selection immediately.
Image Invert
While not technically a Window/Level tool, MedVIEW Express’ Invert option allows you to
reverse an image’s grayscale or color values and thereby provide a contrast variant that may
provide greater image clarity. Any image may be inverted, including those to which other
contrast modifications, such as Window/Level and Pseudocolor have been added. For more
information on Pseudocolor, see “Pseudocolor” on page B-5 of this guide.

Annotating Images
 How do I invert an Image?

1. Hover your mouse pointer over the image you wish to invert.
2. From either the Workspace Context Menu or the Application Menu Bar select
“Invert”. For more information about accessing the Invert tool, see “Invert” on
page B-5 of this guide and “Image Menu” on page A-8 of this guide.
Clicking the Invert option instantly redisplays the selected image in the reversed color
scheme.
Annotating Images
MedVIEW Express includes a number of annotation tools that are easily applied to selected
images. These tools enable you to measure distances, angles, area, and circumference of
designated areas within an image.
The application of annotations differs depending upon the type that is used. For simple linear
measurements and basic area/perimeter/circumference measuring tools, a single click, drag,
and release of the left mouse button is all that’s necessary to place the annotation. Other more
sophisticated tools such as angles and polygons require more specific application that requires
the completion of one line and then the creation of another.
NET_MVXG_V7.2.0_1 3-15
Working in tandem with the application of annotations is MedVIEW Express’ Copy to Series
option, which enables you to select an applied annotation and automatically add it to every
image within a series.
This feature is applicable to all annotations (except Text Stamps, which automatically replicate
and Cobb and Rotational Angles, which defy linking due to their relationship with other
marks) but is especially effective when used with ROI tools that produce measurements.
MedVIEW Express also includes the ability to apply Text Stamps to MR and CT procedures
consisting of multiple images grouped by orientation. Used very often for spine labeling, this
feature allows you to add a predefined text stamp annotation to a single image and have it
automatically appear on all other images within the series that meet the criteria of the stamp.
For example, if you place an MR\Cervical Vertebrae stamp that is configured to display on all
images within 200 mm of the sagittal plane on one image, the stamp will automatically display
on every other series image fitting the spacial parameters stipulated by the stamp.
 How do I apply Ruler, ROI Ellipse and ROI Rectangle annotations?

1. Select the annotation you would like to use from the available icons on the Workspace
toolbar, the Workspace Context menu, or the Application Menu Bar. For more
information about the Workspace Context menu and Application Menu Bar access
points, refer to “Annotation Tools” on page B-7 of this guide and “Image Menu” on
2. Move your mouse over the image location you wish to isolate or measure.
3. Press and hold the left mouse button and create the annotation. As ruler, ellipse, and
rectangle annotations are being drawn the corresponding measurements are instantly
displayed.
Once any one of the above referenced annotations is added to an image, it may then be
resized or relocated within the image pane. Mean and Standard Deviation measurements
recalculate as rectangles and ellipses are moved, but the area and circumference of these
annotations remains unchanged unless the size of the annotation is altered. Due to the
specific point to point measurement derived from the ruler annotation, this mark may also
be moved, but never beyond its initial starting point unless it is resized.
 How do I apply Angle annotations?

1. Select the Angle tool Workspace toolbar, the Workspace Context menu (Annotation
Tools), or the Application Menu Bar (Image  Annotation Tools).
2. Move your mouse over the image location where you wish to apply the angle.
3. Click once to secure the vertex of your annotation.
4. Move the mouse in any direction away from the vertex and to any length, clicking the
left mouse button again to define a stationary line segment.

Annotating Images
5. With the completion of a line segment, the vertex functions as a pivot around which
you can rotate a third point, that when secured, will define the angle. You will notice
that as you rotate this final point around the vertex, the measurement of the created
angle displays.
6. Once you reach the desired angle, click the left mouse button to secure the final point
and complete the annotation.
 How do I apply a Cobb Angle?

The Cobb Angle tool allows you to measure the angle between any two non-parallel lines
and display the measurement on the image.
1. Select the Cobb Angle tool from the Workspace Context menu (Annotation Tools),
or the Application Menu Bar (Image  Annotation Tools).
2. Press and hold the left mouse button at the location of the beginning of the first line;
drag the mouse to the line end-point and release the mouse button.
3. Draw a second line using the same method.
4. Once both lines are added to the image, the measure of the angle between them
automatically displays.
If you wish to measure the angle between the second line and a third, simply draw a third
line on the image.
 How do I apply ROI Polygon annotations?

The ROI Polygon can be constructed to accommodate an irregular area and provides you
with a variety of measurements that include Area, Perimeter, Average Tissue Density, and
Standard Deviation of density. These measurements display automatically as the polygon
is being constructed, which is accomplished by using the following steps:
1. Select the ROI Polygon option from the Workspace Context menu (Annotation
Tools) or the Application Menu Bar (Image  Annotation Tools).
2. Move your mouse over the image location where you wish to apply the polygon.
3. Click once to create the first vertex of the figure.
4. Move the mouse in any direction away from this first vertex and to any length,
clicking the left mouse button again to create a second vertex. These two vertices,
joined by a line, form the first and principle side of the polygon.
5. You may continue to move your mouse around the image, creating additional vertices
with each single click of the mouse key. When you have completed the polygon,
double-click the final point.
NET_MVXG_V7.2.0_1 3-17
Copy to Series
One of the most time saving and effective tools for manipulating annotation marks is
“Copy to Series”. In accordance with its name, the Copy to Series feature allows you to
automatically reproduce a selected annotation and then affix it to each image in a series.
This fundamental behavior is applicable for any displayed image series, regardless of
Workspace display mode configuration.For more information on display modes, see
“Display Modes” on page 3-2 of this guide.
Display mode becomes vitally important, however, depending upon the functionality you
wish the annotations to possess and how they will be used.
Copy to Series in Exam, Compare, Image, and Series Modes

When Copy to Series is used on an image displayed in any mode but Stack, a duplicate of the
designated annotation is instantly applied to every series image, but the marks are not linked
and cannot be linked. Using Copy to Series in this manner simply speeds up the annotation
application process, but each mark remains an independent entity that must be moved, altered
in color or size, and deleted separately.
Copy to Series in Stack Mode

When used on a series displayed in Stack mode, the Copy to Series feature again immediately
attaches a copy of the selected annotation to each series image, but in this scenario, the marks
are linked. This auto-linking completely synchronizes the annotations, enabling you to
precisely relocate, resize, or delete every mark by altering only one. Additionally,
measurements taken may change depending upon annotation size and location. Moving the
linked annotation automatically updates the associated measurements.
While this is a convenient and time-saving option, its true worth is most obvious when used
in conjunction with measurement tools. The ability to apply an ROI tool once and garner
individual measurements from every image within the series makes this feature exceptionally
helpful.
 How do I use Copy to Series?

1. Select an annotation mark from the Workspace Context menu (Annotation Tools) or
the Application Menu Bar (Image  Annotation Tools).
2. Add the selected annotation to an image.

Annotating Images
3. Once the annotation is applied, hover your mouse pointer over it and click the right
button to display a short Annotations menu.
4. Click Copy To Series to add the selected annotation to each series image and
automatically link the entire set.
The annotation will remain in place throughout the entire series until you delete it or close
the exam.
NET_MVXG_V7.2.0_1 3-19

Menu Bar Descriptions appendix
This appendix contains a centralized index you can use to

A
locate additional information about items available on
In This Appendix...
MedVIEW menu bar, which is located at the top of the File Menu ............................................A-2
MedVIEW application window.
Edit Menu............................................A-2
• File Menu
View Menu - Exam Explorer ...............A-3
• Edit Menu
View Menu - Exam Viewer..................A-4
• View Menu - Exam Explorer
• View Menu - Exam Viewer Workspace Menu................................A-6
• Workspace Menu Image Menu........................................A-8
• Image Menu Tools Menu .......................................A-14
• Tools Menu Window Menu ...................................A-15
• Window Menu Help Menu ........................................A-15
• Help Menu
File Menu
The File menu options enable you to quickly access, close, and re-access contained exams;
print selected images and reports; and quickly close MedVIEW Express.
• Close
Select the Close menu item to close the current item displayed in the MedVIEW Express
workspace.
• Explore Exams
Select the Explore Exams menu item to display the Exam Explorer. From the Exam
Explorer, you can view and select from the complete list of exams contained on the
portable storage device. For more information, see “Exam Explorer” on page 2-1 of this
guide.
• Print Images
Select the Print Images menu item to print any active images available within the
MedVIEW Express Workspace. This menu item is not available unless an exam image is
active. You may print to any printer connected to your viewing PC.
• Print Reports
Select the Print Reports menu item to print any active text or scanned reports available
within the MedVIEW Express Report tile. This menu item is not available unless the
currently displayed exam contains a report. You may print to any printer connected to
your viewing PC.
• Exit
Select the Exit menu item to close the MedVIEW Express application.
Edit Menu
The Edit menu contains commands that reverse and reapply actions performed in the
Workspace window. In addition, it also contains commands that add and paste items to the
Windows clipboard.
• Undo
Select the Undo menu item to reverse the last action performed to an exam. This menu
item assists you by altering its name to reflect the last action, such as “Undo Window/
Level Set” and “Undo Annotation Create.”
• Redo
Select the Redo menu item to reapply the last action reversed by the Undo command. As
with the Undo menu option, the Redo feature alters its name to reflect the last reversed
action, such as, “Redo Window/Level Set” and “Redo Annotation Create.”
A-2 AccessNET MedVIEW Express Guide

View Menu - Exam Explorer
• Cut
Select the Cut menu item to remove a selected annotation mark from MedVIEW Express
and add it to the Windows clipboard. After adding an mark to the clipboard, you can
then paste it to another displayed image, but this image must be active or selected before
the paste application can be performed.
• Copy
Select the Copy menu item to copy a selected annotation mark from MedVIEW Express
and add it to the Windows clipboard. After adding an mark to the clipboard, you can
paste it to another displayed image, but this image must be active or selected before the
past application can be performed.
• Paste
Select the Paste menu item to affix an annotation mark from the Windows clipboard to
an active or selected image within the current exam. A clipboard item can be applied
multiple times, as it remains on the clipboard until it is replaced by another mark through
the use of the Cut or Copy command or until you close either the current exam or the
MedVIEW Express application.
• Delete
Choose the Delete menu item to remove a selected annotation mark from an image
displayed within MedVIEW Express.
• Select All
Choose the Select All menu item to select all marks available in the active MedVIEW
Express workspace. This feature is selectable regardless of image display mode, but only
provides necessary functionality when multiple image series are displayed in Stack Mode.
In this arrangement, the Select All feature temporarily links all series stacks, allowing you
to synchronously scroll through each stack.
View Menu - Exam Explorer

The View Menu accessed from Exam Explorer provides referential detail about the exams
included on the CD or storage device, while furnishing a log of those contained exams that
have been opened.
• Refresh
This feature is not applicable for MedVIEW Express.
• Cancel
This feature is not applicable for MedVIEW Express.
• Properties Panel
When selected, this feature causes the Properties Panel to display. The Properties Panel
provides specific demographic data related to both patient and exam when an exam entry
in Exam Explorer is selected.
NET_MVXG_V7.2.0_1 A-3
• Open Exam List
At this portion of the menu, any open exams are individually listed by name.
• All Exams
When selected, this option displays a separate window that lists all exams currently
opened within MedVIEW Express.
View Menu - Exam Viewer

From the View menu, you can choose to display or hide components in the MedVIEW
Express application window. When items on the View menu display in the application
window, a check mark appears to the left of the menu item in the View menu.
• Exam Content
Select the Exam Content menu item to toggle the display of the Exam Content tile. The
Exam Content tile provides an itemized list of an exam’s contents in one location for easy
access. It also includes a list of related exams, if they have been included, to facilitate
navigation among the images and reports available in current and related exams and
reports. When the Exam Content tile is displayed, a check mark appears to the left of this
menu item. For more information, see “Exam Content” on page 2-15 of this guide.
• Report
Select the Report menu item to toggle the display of the Report tile. Using the Report
tile, you can review static copies of any report document associated with the exam. For
more information, see “Report” on page 2-12 of this guide.
• Properties Panel
Select the Properties Panel menu item to toggle the display of the Properties tile, which
displays additional patient and exam demographic information. For more information,
see “Properties Panel” on page 2-13 of this guide.
• Thumbnails
Select the Thumbnails menu item to toggle the display of the Thumbnails tile. The
Thumbnails tile displays small thumbnail graphics representing each image or image
series in the exam. These small thumbnails provide a preview of the exam images and can
help you select the images you want to view in the Image Workspace. For more
information about the Thumbnails view, see“Thumbnails” on page 2-16 of this guide.
• Key Image
Select the Key Image menu item to toggle the display of the Key Image tile. This tile
displays any image designated as a key image in the exam by the reading physician. A key
image is the saved presentation state of an exam image that is pertinent to the patient’s
diagnosis. For more information, see “Key Image” on page 2-14 of this guide.
• Image Workspace
The Image Workspace menu item enables you to open, delete, and even create new
workspaces, and while it functions, it is not recommended for use in MedVIEW Express.

View Menu - Exam Viewer
Designed to display additional workspaces across multiple monitors, that activity is not
supported in MedVIEW Express and, if employed, will only divide your interface and
ultimately restrict your viewing capabilities.
• Theater Mode
Select the Theater Mode menu item to view only the exam images in the Image
Workspace. When you select theater mode, MedVIEW Express removes all toolbars and
menu bars from the Image Workspace to increase the space available to display images.
While in theater mode, you can also access many of the image manipulation commands
by right-clicking anywhere on the screen and selecting an item from the Workspace
Context menu. You can return to the previous Image Workspace view by selecting
Theater Mode from the context menu.
• Window/Level Control
Select the Window/Level Control menu item to toggle the display of the
Window/Level Control, which allows you to manually adjust the window/level for
selected images.
• Audio Control
The Audio Control menu item allows you to toggle the display of the Audio bar, which is
used for playing audio clips for actual exams. This menu item is available only if an
exported exam contains audio.
• Show Annotations
Select the Show Annotations menu item to choose which, if any, annotations and
overlays to display for the active exam. Select the All Users menu item to display all
annotations and overlays recorded for the exam, or select the None menu item to hide all
annotations and overlays. In addition, you can select a specific healthcare professional’s
user name from the menu to display only the annotations and overlays associated with
that individual. This menu item is available only when the active exam contains
annotations or overlays. For more information, see “Image Text” on page 3-5 of this
guide.
• Show Image Text
Select the Show Image Text menu item to choose the level of informational text that
displays directly on the exam images. From the submenu, select Show to toggle the
display of the informational text. A check mark displays to the left of this menu item
when text displays on the images. From the submenu, you can select Minimal, Concise,
or Verbose to indicate the volume of information to display. For more information, see
“Image Text” on page 3-5 of this guide.
• Show Image Toolbar
Select the Show Image Toolbar menu item to toggle the display of the Image toolbar,
which displays in the upper-right corner of each pane in the Image Workspace. When the
Image toolbar is displayed, a check mark displays to the left of this menu item. For more
information, see “Image Toolbar” on page 2-11 of this guide.
• Open Exam List
This section of the View menu displays a list of exams open in MedVIEW Express. You
can move an exam to the top of the MedVIEW workspace by selecting an exam from this
list.
• All Exams
Select the All Exams menu item to open the Exams Selection Dialog, which displays the
complete list of all exams currently open in MedVIEW Express. From this screen, you
can select a listed exam for immediate display, close an individual exam, or close every
open exam.
Workspace Menu
The Workspace menu contains commands that affect the layout and configuration of the
active Exam window. This menu is available only when an exam is active in the MedVIEW
Express workspace.
• Hang Protocols
Predefined Hang Protocols top the options on the Workspace menu. Generally designed
as optimal viewing configurations for specific modality produced exams, these Hang
Protocols determine the visibility and positions of the exam tiles and may affect how the
images are displayed within the workspace. A check mark is displayed to the left of the
active hang protocol.
• Layout Panes
Select the Layout Panes menu item to display a popup window from where you can
select the number of panes displayed in the active Image Workspace. This menu item is
disabled if an Image Workspace is not selected in the Exam window.
• Show Scout
Select the Show Scout menu item to toggle the display of the scout image for the series
in the active Image Workspace. A scout image shows the location of image slices from
one plane by superimposing their position on an image taken from an intersecting plane.
This menu item is available only when the active Image Workspace is using Series,
Compare, or Stack mode.
• Show Series Control
When viewing an Image Workspace in Compare or Stack mode, select the Show Series
Control menu item to toggle the display of the individual navigation buttons for each
series in the Image Workspace. Using these control bars, you can navigate each series in a
workspace independently of other series.
• Chain Workspace
Select the Chain Workspace menu item to link all Image Workspaces in the active Exam
window together so they act as a single workspace. This feature allows you to view more
images from the same series simultaneously. This menu item is disabled if an Image
Workspace is not selected in the Exam window.

Workspace Menu
• Synchronize Workspace
Select the Synchronize Workspace menu item to synchronize the navigation of the
Image Workspaces in the active Exam window so you can click a single navigation button
to change the images displayed in each workspace. This menu item is disabled if an
Image Workspace is not selected in the Exam window.
• Series Links No Series Links
The Series Links  No Series Links appears on the Workspace menu when no image
series are currently linked on the Image Workspace. When image series are linked, the
No Series Links menu item is replaced with a list of link groups for the current and
related exams.
• Series Links Link Series
Select Series Links  Link Series from the Workspace menu to link more than one
image series that you have manually selected on the Image Workspace. You can only link
multiple image series when the image series are in Stack, Compare, or Series mode.
• Series Links Unlink Series
Select Series Links  Unlink Series from the Workspace menu to remove a specific
image series from a linked group of series.
• Series Links Remove Series Link
Select Series Links  Remove Series Link from the Workspace menu to remove the
linked group of series associated with the selected series.
• Series Links Remove All Series Links
Select Series Links  Remove All Series Links from the Workspace menu to remove
all linked series groups from the Image Workspace.
• Series Links Link All Series By Plane
Select Series Links  Link All Series By Plane from the Workspace menu to link all
image series that are in the same orientation on the Image Workspace—axial, coronal,
and sagittal.
• Hang Exam
Select the Hang Exam menu item to change the hang mode of the selected Image
Workspace to display all exam images and image series in sequential order. For more
information, see “Scrolling Images” on page 3-3 of this guide.
• Hang Series
Select the Hang Series menu item to change the hang mode of the selected Image
Workspace to display all images of a particular series sequentially in the Image Workspace.
For more information, see “Scrolling Images” on page 3-3 of this guide.
• Hang Compare
Select the Hang Compare menu item to change the hang mode of the selected Image
Workspace to display all images in one or more series in sequential order with each series
occupying one row of the Image Workspace. This hang mode can be useful when making
a frame by frame comparison of two or more image series. You can compare up to four
image series simultaneously.
• Hang Stack
Select the Hang Stack menu item to change the hang mode of the selected Image
Workspace to display all images within a series one on top of the other so you can view
the images in succession like a sequence in a film. For more information, see “Scrolling
Images” on page 3-3 of this guide.
• Hang Image
Select the Hang Image menu item to change the hang mode of the selected Image
Workspace to review individual images from one or more series or related exams in the
Image Workspace.
Image Menu
The Image menu contains commands and tools you can use to temporarily modify and
annotate exam images displayed within MedVIEW Express and is only available when an
exam is active in the workspace.
It is important to remember that while all annotation tools and image settings are available and
functional within MedVIEW Express, their application is only temporary. The images sent for review
via a portable storage device cannot be saved with your annotations.
• Window/Level  Modality Window/Level Settings and VOI LUT Sequences
Select Window/Level to display a submenu containing window/level values and VOI
LUT sequences provided by the imaging modality to optimize regions of interest within
exam images. Choose a window/level value or VOI LUT sequence from the submenu to
change the window/level of the images selected in the active Image Workspace.
• Window/Level  Window/Level Presets
Select Window/Level to display a submenu containing a numbered list of window/level
presets available for the active exam in the MedVIEW Express workspace. Choose a
window/level preset from the submenu to change the window/level of the images
selected in the active Image Workspace.
• Window/Level  Entire Image
Select Window/Level  Entire Image from the Image menu to set the window width
to the maximum range of grayscale contained in the images selected in the active Image
Workspace. When you apply this window/level function to multiple images, each image
is optimized separately.
• Window/Level  Control
Select Window/Level  Control from the Image menu to display the Window/Level
Control bar to enter specific window/level values for the selected images in the active
Image Workspace.

Image Menu
• Window/Level  Reset
Select Window/Level  Reset from the Image menu to reset the window/level values
of the selected images in the active Image Workspace to the saved values.
• Window/Level  Linear
Select Window/Level  Linear from the Image menu to set the window/level
grayscale distribution method to linear. When you select this distribution method,
MedVIEW Express applies the grayscale values evenly along the window width you
selected.
• Window/Level  Sigmoid
Select Window/Level  Sigmoid from the Image menu to set the window/level
grayscale distribution method to sigmoid. The Sigmoid setting better approximates the
image as it appears on film by providing more contrast than a linear function near the
ends of the window width range when the color values approach white and black.
• Window/Level  LUT
Select Window/Level  LUT to restore the original grayscale distribution using the
lookup table supplied by the modality. This option is only available if a LUT was provided
with the image(s).
• Window/Level  Edit Presets
Select Window/Level  Edit Presets to alter the presets supplied with MedVIEW
Express. Preset changes are not retained after MedVIEW Express is closed.
• Zoom  0.5x
Select Zoom  0.5x from the Image menu to zoom the selected image(s) in the active
Image Workspace to a zoom ratio of 0.5.
• Zoom  1.0x
• Zoom  1.5x
• Zoom  2.0x
• Zoom  To Window
Select Zoom  To Window from the Image menu to resize the selected image(s) in the
active Image Workspace to fit within their image panes.
• Zoom  To True Size
Select Zoom  To True Size from the Image menu to view the selected image(s) in the
active Image Workspace at their actual size. Actual size simulates the real-life size of the
subject in the image, and is only available if the image contains sizing information
obtained from the modality that captured the image. Select Zoom  To % True Size
from the Image menu to zoom to a specific percentage above true size. For example, if
you select the To 115% True Size menu item, MedVIEW Express displays the image at
115%.
True Size magnification is only accurate if the resolution of the display you are using has been properly
calibrated. For more information about calibration, see “Monitor Calibration” on page A-14 of this
guide.
• Zoom  Reset
Select Zoom  Reset from the Image menu to size the selected images in the active
Image Workspace according to the saved image size.
• Justify
Select the Justify menu item to designate how MedVIEW Express aligns the selected
images within their panes in the Image Workspace. You can choose to justify images to
the left, right, top, bottom, or center. If you choose to display informational text on the
images, MedVIEW repositions the image text according to the justification setting you
select.
• Rotate
Select the Rotate menu item to rotate the selected images in the active Image Workspace
90° clockwise (Right) or 90° counter-clockwise (Left).
• Flip
Select the Flip menu item to flip the selected images in the active Image Workspace 180°
along the horizontal axis (Vertical) or 180° along the vertical axis (Horizontal).
• Pseudocolor
Select the Pseudocolor menu item to display a submenu containing pseudocolor masks
you can apply to the selected images in the active Image Workspace. You can reset the
pseudocolor to the value saved with the exam by selecting Reset from the submenu. If
you select None, you will apply a grayscale pseudocolor to the selected image.
• Invert
Select the Invert menu item to reverse the grayscale of the selected images. Black areas
appear white and vice versa.
• Reset
Select the Reset menu item to reset the scale and rotation of the selected images to their
saved values. Any changes to the pseudocolor are also reset. Any changes to the window
width or window level are not reset.
• Image Processing  Stretch Contrast
Select Image Processing  Stretch Contrast to improve the contrast in 24 bit or 32 bit
color images. The Stretch Contrast tool determines the maximum and minimum values
of each color channel in the image individually and stretches the histogram to the full
contrast range. This enhances the contrast and brightness of the image’s RGB values by

Image Menu
stretching the lowest and highest values to their fullest range and adjusting the values in
between accordingly.
• Image Processing  Red Filter
Select Image Processing  Red Filter to remove the red channel from a color image.
Once you apply the red filter, MedVIEW changes the 24 or 32 bit color image to an 8 bit
grayscale image. Applying this filter to an image can provide a clearer view of certain
details.
• Image Tools  Select
Select the Image Tools  Select menu item from the Image menu to choose the Select
tool. To apply a change to an image, you must first select the image with the Select tool.
• Image Tools  Pan/Magnify
Select the Image Tools  Pan/Magnify menu item from the Image menu to select the
Pan/Magnify tool, which moves an image within its pane and adjusts the zoom factor of
the image.
• Image Tools  Magnifying Glass
Select the Image Tools  Magnifying Glass menu item from the Image menu to
select the Magnify Image tool, which is similar to a standard magnifying glass that you use
with printed film. This tool is very useful when you need to resize a portion of an image
without resizing the entire image.
• Image Tools  Window/Level
Select the Image Tools  Window/Level menu item from the Image menu to select
the Window/Level tool, which adjusts the window/level settings of selected images when
you click and drag the mouse either vertically or horizontally. Vertical movement alters
the window width and horizontal movement alters the window level.
• Image Tools  Window/Level Region
Select the Image Tools  Window/Level Region menu item from the Image menu to
select the Window/Level Image Region tool, which automatically sets the window/level
values for an image based on the grayscale values of a specific region on the image.
• Image Tools  Magnify Region
Select the Image Tools  Magnify Region menu item from the Image menu to select
the Magnify Image Region tool, which resizes a specific region on an image to the full
pane size in the Image Workspace.
• Image Tools  Magnify Image Steps
Select the Image Tools  Magnify Image Steps menu item from the Image menu to
select the Magnify Image Steps tool, which resizes an image within the image pane in
specific and small increments.
• Image Tools  Rotate
Select the Image Tools  Rotate menu item from the Image menu to select the Rotate
Image tool. With this tool, you can freely rotate an image to any angle.
• Image Tools  Erase
Select the Image Tools  Erase menu item from the Image menu to select the Erase
tool, which is useful for removing patient identification from images copied to teaching
files. You can save changes made to images with the Erase Image tool only if the images
are part of a teaching file.
• Image Tools  Stitch
Select the Image Tools  Stitch menu item from the Image menu to select the
ImageSTITCH tool, which digitally stitches two or more overlapping images into a single
continuous image covering large anatomical regions using markers or anatomical
reference points. The ImageSTITCH tool is an optional feature available with a
MedVIEW Full license.
• Image Tools  Calibrate
Select the Image Tools  Calibrate menu item from the Image menu to select the
Calibrate Image tool. Using the Calibrate Image tool, you can calibrate exam images that
do not include calibration information sent by the modality. To properly calibrate an
image, the image must contain an accurate scale ruler to provide a calibration reference.
• Image Tools  Scout ROI Select
Select the Image Tools  Scout ROI Select menu item from the Image menu to select
the Scout ROI tool. With the Scout ROI tool, you can use a scout image to zoom in on
image slices of interest.
• Image Tools  Scroll
Select the Image Tools  Scroll menu item from the Image menu to select the Image
Scroll tool. With the Image Scroll tool, you can easily advance to the next image and go
back to the previous image on your Image Workspace. This tool allows you to scroll
through and view multiple images in either Exam, Series, Compare, or Stack mode.
• Annotation Tools  Left Arrow
Select the Annotation Tools  Left Arrow menu item from the Image menu to select
the Left Arrow annotation tool. Using this tool, you can quickly “stamp” a left arrow
onto an image.
• Annotation Tools  Right Arrow
Select the Annotation Tools  Right Arrow menu item from the Image menu to select
the Right Arrow annotation tool. Using this tool, you can quickly “stamp” a right arrow
onto an image.
• Annotation Tools  Freehand Arrow
Select the Annotation Tools  Freehand Arrow menu item from the Image menu to
select the Freehand Arrow annotation tool. Using this tool, you can draw an arrow at any
angle to draw attention to a point of interest on an image.
• Annotation Tools  Note
Select the Annotations ToolsNote menu item from the Image menu to select the Text
Note annotation tool Use this tool to draw a rectangular box into which you can enter

Image Menu
text descriptions. This tool can be useful for temporarily adding a a note directly on an
image.
• Annotation Tools  Number Stamp
Select the Annotation Tools  Number Stamp menu item from the Image menu to
select the Number Stamp annotation tool. Using this tool, you can consecutively number
structures on an image. For example, you may want to use this tool to number vertebrae
or attach numbers to items you plan to discuss in a report.
• Annotation Tools  Text Stamps
Select the Annotation Tools  Text Stamps menu item from the Image menu to select
the Text Stamp annotation tool. Use this tool to stamp predefined text marks on an
image. The text marks are defined, stored, and presented by user, modality, and body
part.
• Annotation Tools  Ruler
Select the Annotation Tools  Ruler menu item from the Image menu to select the
Ruler annotation tool. Using this tool, you can measure the distance between two points
on an image. After measuring the distance, a dimension mark appears on the image.
• Annotation Tools  Angle
Select the Annotation Tools  Angle menu item from the Image menu to select the
Angle annotation tool. With this tool, you can measure angles on an image and draw a
measured angle. The measurement displays automatically on the image.
• Annotation Tools  Cobb Angle
Select the Annotation Tools  Cobb Angle menu item from the Image menu to select
the Cobb Angle annotation tool. With this tool, you can measure the angle between any
two non-parallel lines and display the measurement on the image.
• Annotation Tools  Rotation Angle
Select the Annotation Tools  Rotation Angle menu item from the Image menu to
select the Rotation Angle annotation tool. With this tool, you can measure the angle of
rotation between two or more lines that are drawn on different images, which are in the
same orientation. The measurement of the rotation angle displays automatically on the
images after you complete the measurement.
• Annotation Tools  ROI - Rectangle
Select the Annotation Tools  ROI - Rectangle menu item from the Image menu to
select the ROI-Rectangle annotation tool. With this tool, you can measure the area within
a rectangular shape on an image. For CT images, this annotation measures tissue density
and displays the measurement in Hounsfield units.
• Annotation Tools  ROI - Ellipse
Select the Annotation Tools  ROI - Ellipse menu item from the Image menu to
select the ROI-Ellipse annotation tool. Use this tool to measure the area within an
elliptical shape on an image. For CT images, this annotation measures tissue density and
displays the measurement in Hounsfield units.
• Annotation Tools  ROI - Polygon
Select the Annotation Tools  ROI - Polygon menu item from the Image menu to
select the ROI-Polygon annotation tool. Use this tool to measure the area within a
polygonal shape with multiple sides on an image. For CT images, this annotation
measures tissue density and displays the measurement in Hounsfield units.
• Annotation Tools  Highlight
Select the Annotation Tools  Highlight menu item from the Image menu to select
the Highlight annotation tool. You can use this tool to draw a semi-transparent rectangle
on images if your monitor displays 24 bit color or better. The Highlight tool can be
useful to highlight a specific area of interest on an image.
• Annotation Tools  Lines
Select the Annotation Tools  Lines menu item from the Image menu to display a
submenu containing tools you can use to draw straight, freehand, polyline, and polygon
line annotations on images.
• Annotation Tools  Masks
Select the Annotation Tools  Masks menu item from the Image menu to display a
submenu containing tools you can use to draw solid shape annotations on images. These
shapes include rectangles, ellipses, and polygons.
• Annotation Tools  Shutters
Select the Annotation Tools  Shutters menu item from the Image menu to display a
submenu containing tools you can use to draw attention to an area on an image while
hiding all other image data. These area shapes include rectangles, ellipses, and polygons.
Tools Menu
The Tools menu contains commands you can use to access external applications, set
workstation and user preferences, calibrate the monitors attached to your MedVIEW
workstation, and change your AccessNET password.
• System Settings
Select the System Settings to view or modify certain configuration settings associated with
MedVIEW Express. Most users will have little need to view or modify these settings.
• Monitor Calibration
Select the Monitor Calibration menu item to calibrate the resolution of the monitor on
which you are viewing MedVIEW Express to ensure that all images are displaying
accurately. This is a very necessary practice when images are to be viewed at True Size. If
accurate, True Size representation is not required, calibration is not important.

Window Menu
Window Menu
From the Window menu, you can rearrange and resize the screens currently open in the
MedVIEW Express workspace. You can also choose the screen you want to view.
• Cascade
Select the Cascade menu item to resize all open windows in the workspace and stack
each on top of the others with each window shifted down just enough to ensure that the
name at the top of each window remains visible.
• Tile
Select the Tile menu item to resize and show all open windows in the workspace tiled
vertically, where the content of all windows can be seen at one time.
• Arrange Icons
Select the Arrange Icons menu item to organize all minimized screens in the MedVIEW
workspace at the bottom of the MedVIEW window.
• Available Open Windows
This section of the Window menu displays all MedVIEW screens currently open. Select
an open screen from this menu to view it in the workspace.
Help Menu
From the Help menu, you can access the MedVIEW Express help system and view the
version and copyright information for MedVIEW Express.
• MedVIEW Express Help
Select the MedVIEW Express Help menu item to display the help system.
• About MedVIEW Express
Select the About MedVIEW Express menu item to display the version and copyright
information for MedVIEW Express.
Workspace Context appendix
Menu Descriptions
B
In This Appendix...
This appendix contains a centralized index you can use to
locate additional information about items available within the Window/Level .....................................B-2
MedVIEW Express Workspace Context Menu, which is
Zoom...................................................B-3
accessed by positioning your mouse pointer in the workspace
and performing a right-click. Justify..................................................B-4
This menu provides immediate access to a significant number Rotate .................................................B-4
of tools and functions that furnish you with more evaluative Flip......................................................B-4
control over exam images, and while all of the options
Pseudocolor........................................B-5
available from this location are active and applicable, the
inability to save image annotations and manipulations in Invert...................................................B-5
MedVIEW Express, may limit their actual use. Reset ..................................................B-5
Divided into logically associated groups, the menu initially Image Processing ...............................B-5
displays as a single column, but most of the menu headings,
Image Tools ........................................B-6
when touched, produce flyouts that provide access to a
specialized set of tools. Annotation Tools .................................B-7
• Window/Level Show Annotations ...............................B-8
• Zoom Workspace..........................................B-9
• Justify Theater Mode ...................................B-12
• Rotate Copy As Scout To .............................B-12
• Flip Copy To.............................................B-12
• Pseudocolor
Delete ...............................................B-13
• Invert
Remove Series .................................B-13
• Reset
• Image Processing Open Report .....................................B-13
• Image Tools Properties .........................................B-13

• Annotation Tools
• Show Annotations
• Workspace
• Theater Mode
• Copy As Scout To
• Copy To
• Delete
• Remove Series
• Open Report
• Properties
Window/Level
The Window/Level menu contains commands that provide you with a variety of options for
altering the Window/Level settings of selected images.
• Presets
Presets are specifically defined and saved window/level optimizations that can be
associated with a specific modality or body part. When available, these display as available
adjustments for images meeting the predetermined modality or body part criteria.
• Entire Image
The Entire Image option sets the window width to the maximum range of grayscale
contained in the image(s) selected in the active Image Workspace. When this
window/level function is applied to multiple images, each image is optimized separately.
• Control
The Control option displays a small control panel that provides you with a set of tools for
physically applying window/leveling adjustments either incrementally or by specific
measurement. Width, Level, and Scale slide bars enable you to gradually alter the While
Width and Level numeric fields at the right of each corresponding slide bar allow you to
enter specific numeric values and thereby alter window/level specifically. All changes
made to images using the Control option designations are immediately displayed as image
text at the lower right corner of each affected image.
• Reset
The Reset feature allows you to return images, on which window/level adjustments have
been made, to their original default condition. This feature must be applied to each
affected image individually unless the altered images are all part of a single image stack, in
which case, reset any associated image will automatically reset every image in the stack.
• Linear
The Linear setting is generally the most common gray-scale distribution method in
digital imaging. When you select this option, MedVIEW Express applies the gray-scale
values evenly along the selected window width. For linear window/level transformations,
the image text in the lower right corner of each affected pane is identified using the
format W xxxx L yyyy.
• Sigmoid
The Sigmoid setting typically provides more contrast than the linear function near the
ends of the window width range when the gray-scale values approach white and black.
B-2 AccessNET MedVIEW Express Guide

Zoom
This setting better approximates the image as it appears on film. When selected,
MedVIEW Express applies the gray-scale values for the window width and level you
selected using a standard Sigmoid function. For Sigmoid window/level transformations,
the image text in the lower right corner of each affected pane in the Image Workspace
identifies the window/level using the format W xxxx L yyyy SIG.
Zoom
The Zoom menu furnishes you with a selection of pre-configured magnification options.
• 0.5x
Resizes the selected image(s) to a .5x zoom ratio.
• 1.0x
Resizes the selected image(s) to a 1.0x zoom ratio.
• 1.5x
• 2.0x
• To Window
Resizes the selected image(s) to fit within the displaying image pane(s).
• To True Size
Resizes the selected image(s) to the actual, real-life size of the subject(s) in the image.
• To 105% True Size
Resizes the selected image(s) to 105% of its true size.
• Reset
Returns the selected image(s) to its default size.
NET_MVXG_V7.2.0_1 B-3
Justify
The Justify feature allows you to quickly align images and displayed image text within
workspace display panes.
• Right
The Right menu item positions the image flush with the right side of the image pane.
Any image text that normally displays on the right side of the image pane shifts to the left
side of the pane
• Left
The Left menu item positions the image flush with the left side of the image pane. Any
image text that normally displays on the left side of the image pane shifts to the right side
of the pane.
• Center
The Center menu item centers the image vertically and horizontally within its image
pane. Image text displays in its configured location.
• Top
The Top menu item positions the image flush with the top of its image pane. Any image
text that normally displays at the top of the pane shifts to the bottom.
• Bottom
The Bottom menu item positions the image flush with the bottom of its image pane. Any
Image text that normally displays at the bottom of the pane shifts to the top.
Rotate
The Rotate feature assists you in repositioning displayed images in 90 degree increments.
• Right
The Right option rotates the displayed image 90 degrees to the right.
• Left
The Left option rotates the displayed image 90 degrees to the left.
Flip
The Flip feature enables you to flip selected images 180 degrees.
• Vertical
The Vertical option flips a selected image 180 degrees along a vertical axis.
• Horizontal
The Horizontal option flips a selected image 180 degrees along a horizontal axis.

Pseudocolor
Pseudocolor
This feature allows you to apply Pseudocolor to displayed images, thereby creating greater
contrast within an image. When applied, the pseudocolor maps some or all ranges of
gray-scale values within the image to color values. When any of the menu options listed below
are selected, the defined color pattern is applied to the image.
• None
• Oil Film
• Dark Blue to Bright Red
• Green to Red
• Thermal
• Bright Rainbow
• Saturations
• Reset
The Reset option discards any applied Pseudocolor and returns the image to its original
default condition.
Invert
As the name indicates, this feature reverses the color or gray-scale presentation of any
selected image. As with most other MedVIEW Express tools, Invert can be used in
conjunction with other features. For example, following the application of a pseudocolor
mask, Invert can be used to reverse the shading of the pseudocolor.
Reset
When accessed, this menu heading overrides any applied image annotations or manipulations
and returns an image to its original default settings.
Image Processing
The tools contained in this menu selection are designed for use with 24 and 32 bit color
images and provide greater contrast values for more effective evaluation.
• Stretch Contrast
The Stretch Contrast tool determines the maximum and minimum values of each color
channel in the image and enhances the contrast and brightness of the images RGB (red,
green and blue) values by stretching the lowest and highest values to their fullest range.
• Red Filter
As its name implies, the Red Filter enables you to filter the color red out of a displayed
image to provide a clearer view of certain details. When the Red Filter is applied, previous
red coloration is displayed in grayscale.
Image Tools
Image Tools provides you with a complement of image manipulation options that include
various magnification, contrast, and relocation functions.
• Select
This feature disengages any previously selected image tool and enables you to select
alternative features within MedVIEW Express.
• Pan/Magnify
The Pan/Magnify option allows you to move an image within its pane and adjust the
zoom factor for the image.
• Magnifying Glass
This feature functions as a true magnifying glass, allowing you to resize a portion of an
image without resizing the entire image.
• Window/Level
The Window/Level tool enables you to adjust the window/level settings of a selected
image by clicking and dragging your mouse across the image face. Vertical movements
alter the window width while horizontal movements alter the window level.
• Window/Level Region
The Window/Level Region tool automatically sets the window/level values for an
image based on the grayscale values of a specific region on the image.
• Magnify Region
This feature enables you to select a specific region within a displayed image and instantly
resize that section to completely fill its display pane.
• Magnify Image Steps
This tool resized an image within an image pane in specific, small, incremental steps.
• Rotate
The Rotate tool enables you to freely rotate any displayed image by 90 degree turns.
• Erase
The Erase feature allows you to literally erase selected items from a displayed image.
• Stitch
This option, when applied to two or more overlapping images, digitally stitches the
images together to form a single, continuous image that covers a large anatomical region.

Annotation Tools
• Calibrate
The Calibrate feature allows you to calibrate displayed images that do not contain
calibration information sent by the modality
• Scout ROI Select
The Scout ROI tool allows you to use a scout image to zoom in on image slices of
interest.
• Scroll
The Scroll tool provides you with method for scrolling through image series and stacks
using right and left mouse movement.
Annotation Tools
MedVIEW Express furnishes a series of tools for the temporary application of image
annotation. Included in this assortment of applications are tools for isolating and/or
highlighting specified areas of an image, conducting measurements, and designating regions
of interest.
While all of the annotation tools described below function properly, it should be restated that the
exams transferred for your review using MedVIEW Express are completely referential in nature. You
may apply multiple annotations and manipulations to assist you in your review, but none of your
alterations can be saved or shared.
• Left Arrow
This option allows you to stamp a left pointing arrow on any displayed image.
• Right Arrow
This option allows you to stamp a right pointing arrow on any displayed image.
• Freehand Arrow
This option allows you to draw an arrow, at any angle, directly on the face of the image.
• Note
The Note option enables you to actually compose a sticky note for display on the face of
the image. This is more effective when used in MedVIEW, as the note cannot be saved
and used for communication within MedVIEW Express.
• Number Stamp
This option allows you stamp image structures/locations with consecutive numbers.
Again, this tool is used to best effect in MedVIEW, as the numbers cannot be saved and
used for reference within MedVIEW Express.
• Text Stamps
The Text Stamps feature enables you to stamp predefined text marks on an image.
• Ruler
The Ruler tool allows you to measure the distance between two points on a displayed
image.
• Angle
The Angle tool allows you to measure angles on a displayed image.
• Cobb Angle
The Cobb Angle tool enables you to measure the angle between any two non-parallel
lines on a displayed image.
• Rotation Angle
The Rotation Angle tool allows you to measure the angle of rotation between two or
more lines that are drawn on different images.
• ROI - Rectangle
With this region of interest tool, you can measure the area within a rectangular shape on a
displayed image.
• ROI - Ellipse
With this region of interest tool, you can measure the area within an elliptical shape on a
displayed image.
• ROI - Polygon
With this region of interest tool, you can measure the area within a polygonal shape on a
displayed image.
• Highlight
The Highlight tool allows you to draw a semi-transparent rectangle on displayed images
if your monitor displays 24 bit color or better.
• Lines
The Lines tool enables you to draw straight, freehand, polyline, and polygon line
annotations on displayed images.
• Masks
The Masks option allows you to draw solid shape annotations on displayed images.
• Shutters
The Shutters tool allows you to focus attention on a specific area within a displayed
image by obscuring every part of the image but the area designated for study. Shutters can
be applied in rectangular, elliptical, and polygonal shapes.
Show Annotations
If annotations have been attached to any of the images your are reviewing with MedVIEW
Express, the Show Annotations menu allows you to specify the exact overlay(s) you wish to
engage.

Workspace
• Specific User
Overlays are identified by the user name of the individual(s) who created them. Select a
specific user name to display the corresponding annotations made to the displayed image.
• All
Overlays may be displayed individually or simultaneously. If multiple overlays exist, select
the All option to display all of them at once.
• None
The None option allows you to hide any associated overlays and view an image in its
unaltered state.
Workspace
The Workspace menu contains commands that affect the layout and configuration of the
active Exam window. This menu is available only when an exam is active in the MedVIEW
Express workspace.
• Layout Panes
Selecting this option invokes a pop-up window from where you can define the exact
number of exam panes you wish to display.
• Show Scout
Select the Show Scout menu item to toggle the display of the scout image for the series
in the active Image Workspace. A scout image shows the location of image slices from
one plane by superimposing their position on an image taken from an intersecting plane.
This menu item is available only when the active Image Workspace is using Series,
Compare, or Stack mode.
• Show Series Control
When viewing an Image Workspace in Compare or Stack mode, select the Show Series
Control menu item to toggle the display of the individual navigation buttons for each
series in the Image Workspace. Using these control bars, you can navigate each series in a
workspace independently of other series.
• Chain Workspace
Select the Chain Workspace menu item to link all Image Workspaces in the active Exam
window together so they act as a single workspace. This feature allows you to view more
images from the same series simultaneously. This menu item is disabled if an Image
Workspace is not selected in the Exam window. Does this pertain to MedVIEW
Express?
• Synchronize Workspace
Select the Synchronize Workspace menu item to synchronize the navigation of the
Image Workspaces in the active Exam window so you can click a single navigation button
to change the images displayed in each workspace. This menu item is disabled if an
Image Workspace is not selected in the Exam window. Does this pertain to MedVIEW
Express?
• Series Links - No Series Links
The Series Links  No Series Links appears on the Workspace menu when no image
series are currently linked on the Image Workspace. When image series are linked, the
No Series Links menu item is replaced with a list of link groups for the current and
related exams.
• Series Links - Link Series
Select Series Links  Link Series from the Workspace menu to link more than one
image series that you have manually selected on the Image Workspace. You can only link
multiple image series when the image series are in Stack, Compare, or Series mode.
• Series Links - Unlink Series
Select Series Links  Unlink Series from the Workspace menu to remove a specific
image series from a linked group of series.
• Series Links - Remove Series Link
Select Series Links  Remove Series Link from the Workspace menu to remove the
linked group of series associated with the selected series.
• Series Links - Remove All Series Links
Select Series Links  Remove All Series Links from the Workspace menu to remove
all linked series groups from the Image Workspace.
• Series Links - Link All Series By Plane
Select Series Links  Link All Series By Plane from the Workspace menu to link all
image series that are in the same orientation on the Image Workspace—axial, coronal,
and sagittal.
• Hang Exam
Select the Hang Exam menu item to change the hang mode of the selected Image
Workspace to display all exam images and image series in sequential order. For more
information, see “Exam Mode” on page 3-2 of this guide.
• Hang Series
Select the Hang Series menu item to change the hang mode of the selected Image
Workspace to display all images of a particular series sequentially in the Image Workspace.
For more information, see “Series Mode” on page 3-3 of this guide.
• Hang Compare
Select the Hang Compare menu item to change the hang mode of the selected Image
Workspace to display all images in one or more series in sequential order with each series
occupying one row of the Image Workspace. This hang mode can be useful when making
a frame by frame comparison of two or more image series. You can compare up to four
image series simultaneously. For more information, see “Scrolling Images” on page 3-3
of this guide.

Workspace
• Hang Stack
Select the Hang Stack menu item to change the hang mode of the selected Image
Workspace to display all images within a series one on top of the other so you can view
the images in succession like a sequence in a film. For more information, see “Stack
Mode” on page 3-3 of this guide.
• Hang Image
Select the Hang Image menu item to change the hang mode of the selected Image
Workspace to review individual images from one or more series or related exams in the
Image Workspace. For more information, see “Scrolling Images” on page 3-3 of this
guide.
• Play CINE
Select the Play CINE menu item to automatically advance an image series or selected
range of images. This sequential automation provides a film like experience and is
especially useful when viewing a progression of images that are tracked by a separate
scout image. This option is only available when image series are displayed in Stack Mode.
• Play CINE (Rewind)
Select the Play CINE (Rewind) menu item to play through an image series or a selected
range of images in a repeating loop. This option is only available when image series are
displayed in Stack Mode.
• Play CINE (Reverse)
Select the Play CINE (Reverse) menu item to play through an image series or a selected
range of images and then play through them again in reverse (back and forth). This
option is only available when image series are displayed in Stack Mode.
• Stop CINE
Select the Stop CINE menu item to cease the play of images. This option is only available
when image series are displayed in Stack Mode.
• Increase CINE Speed
Select the Increase CINE Speed menu item to accelerate the play of images. This option
is only available when image series are displayed in Stack Mode.
• Decrease CINE Speed
Select the Decrease CINE Speed menu item to slow the play of images. This option is
only available when image series are displayed in Stack Mode.
• Reset CINE Range
Select the Reset CINE Range menu item to view the entire image range when using the
CINE tools. This option is only available when image series are displayed in Stack Mode.
• Limit CINE Range
Select the Limit CINE Range menu item to select a specific rang of images to play. Once
selected, the CINE Image Range screen displays, already containing the full number of
images contained within the selected series. In the Start Value field, enter the number of
the first image in the range you want to view. In the Stop Value field, enter the number of
the last image in the range you wish to view. Once both fields are edited, click OK to
reduce the range and then select Play CINE to review your selection. This option is only
available when image series are displayed in Stack Mode.
• Sample Frame Rate
The Sample Frame Rate option is not available in MedVIEW Express.
Theater Mode
The Theater Mode option dramatically alters the interface of MedVIEW Express in order to
provide you with the largest possible viewing area. When you select theater mode, all toolbars
and menu bars are removed from the application and the Image Workspace is expanded to
encompass the entire interface. While in theater mode, all image manipulation commands are
accessible from the Workspace Context menu, as is the option to close theater mode and
return to the default interface display.
Copy As Scout To
The Copy As Scout To option allows you to designate selected exam images as scout images.
Scout images are used to show the location of images from one plane by superimposing their
position on the scout image, which is acquired from an intersecting plane.
• All Series
Select the All Series option to designate the selected image as the scout for each image
series in the exam.
• Select Series
Choose the Select Series option and then select a specific series from the automatically
displayed submenu window to designate the indicated image as the scout for a particular
image series.
Copy To
The Copy To feature allows you to duplicate a selected image and copy it to:
• Clipboard
When copied to the clipboard, the image can be pasted to another application, such as a
Word document.
• New Series
The New Series option enables you to literally create a new series of images during your
viewing session. This series will not be saved when the exam is closed.

Delete
• Specific Displayed Image

This option allows you to add a selected image from one series to another during your
viewing session. This addition will not be saved, however, once the exam is closed.
Delete
The Delete option enables you to delete selected images from the displayed image series as
viewed within the MedVIEW Express workspace during your session. Because you cannot
truly alter the images or exams sent for your review using MedVIEW Express, this option
only deletes the image from the viewer during your current session.
Remove Series
The Remove Series option allows you to quickly delete an entire image series from the Image
Workspace.
Open Report
This feature is not functional in MedVIEW Express
Properties
The Properties option displays a multi-tabbed interface that provides a host of referential
detail regarding the images contained within a viewed exam.
Index
A Clipboard
Copying Contents .................................................. A-3
Angle Annotation Tool .......................................... A-13 Cutting Contents .................................................... A-3
Annotations Pasting Contents ................................................... A-3
Angle Tool ............................................................ A-13 Closing
Calibrate Image Tool ........................................... A-12 Exams ................................................................... A-2
Cobb Angle Tool .................................................. A-13 MedVIEW .............................................................. A-2
Ellipse Mask Tool ................................................ A-14 Cobb Angle Annotation Tool ................................ A-13
Ellipse Shutter Tool ............................................. A-14 Compare Hang Mode
Freehand Arrow Tool ........................................... A-12 Applying ................................................................. A-7
Freehand Line Tool ............................................. A-14 Navigation Tools .................................................... A-6
Highlight Tool ....................................................... A-14 Copy Tool ................................................................. A-3
Left Arrow Tool .................................................... A-12 Cut Tool .................................................................... A-3
Number Stamp Tool ............................................ A-13
Polygon Mask Tool .............................................. A-14
Polygon Shutter Tool ........................................... A-14 D
Polyline Tool ........................................................ A-14 Deleting
Rectangle Mask Tool ........................................... A-14 Selected Text from Text Reports ........................... A-3
Rectangle Shutter Tool ........................................ A-14
Right Arrow Tool .................................................. A-12
ROI - Ellipse Tool ................................................ A-13 E
ROI - Polygon Tool .............................................. A-14 Edit Menu
ROI - Rectangle Tool ........................................... A-13 Copy ...................................................................... A-3
Rotation Angle Tool ............................................. A-13 Cut ......................................................................... A-3
Ruler Tool ............................................................ A-13 Delete .................................................................... A-3
Straight Line Tool ................................................ A-14 Overview ............................................................... A-2
Text Note Tool ...................................................... A-12 Paste ..................................................................... A-3
Text Stamp Tool ................................................... A-13 Redo ...................................................................... A-2
Viewing .................................................................. A-5 Select All ................................................................ A-3
Application Components ........................................2-3 Undo ...................................................................... A-2
Application Menu Bar ............................................2-17 Ellipse Mask Annotation Tool .............................. A-14
Application Toolbar ...............................................2-18 Ellipse Shutter Annotation Tool ........................... A-14
Audio Reports Erase Image Tool .................................................. A-12
Audio Control Bar .................................................. A-5 Exam Content View
Displaying .............................................................. A-4
C Exam Explorer
Viewing .................................................................. A-2
Calibration Exam Hang Mode .................................................... A-7
Calibrate Image Tool ........................................... A-12 Exams
Monitors .............................................................. A-14 Closing Exams ...................................................... A-2
Chain Mode Saving ....................................................................2-3
Overview ............................................................... A-6 Viewing in Exam Explorer ..................................... A-2
NET_MVXG_V7.2.0_1 C-1
F Image Workspaces
Chain Mode ........................................................... A-6
File Menu Changing Matrix Size ............................................ A-6
Close ..................................................................... A-2 Displaying Image Toolbar ...................................... A-5
Exit ........................................................................ A-2 Displaying Image Workspaces .............................. A-4
Explore Exams ...................................................... A-2 Navigation Tools .................................................... A-6
Overview ............................................................... A-2 Synchronizing ........................................................ A-7
Print Images .......................................................... A-2 Images
Print Reports ......................................................... A-2 Calibrating ........................................................... A-12
Flipping Images Inverting ............................................................... A-10
Exam Images ...................................................... A-10 Printing .................................................................. A-2
Freehand Arrow Annotation Tool ........................ A-12 Red Filter ............................................................. A-11
Freehand Line Annotation Tool ........................... A-14 Resetting Orientation ........................................... A-10
Stretch Contrast .................................................. A-10
H Viewing Informational Text .................................... A-5
ImageSTITCH Tool
Hang Modes Overview ............................................................. A-12
Compare Mode ..................................................... A-7 Invert Image Tool
Exam Mode ........................................................... A-7 Exam Images ...................................................... A-10
Image Mode .......................................................... A-8
Series Mode .......................................................... A-7
Stack Mode ........................................................... A-8 J
Help Justifying Images .................................................. A-10
Opening ............................................................... A-15
Help Menu .............................................................. A-15
About MedVIEW .................................................. A-15 L
MedVIEW Help .................................................... A-15 Left Arrow Annotation Tool .................................. A-12
Overview ............................................................. A-15 LUT, Applying to Images ........................................ A-9
Highlight Annotation Tool .................................... A-14
I M
Magnify Image Region Tool ................................. A-11
Image Hang Mode ................................................... A-8 Magnify Image Steps Tool .................................... A-11
Image Menu Magnify Image Tool
Annotation Tools ............................... A-12, A-13, A-14 Using ................................................................... A-11
Flip ...................................................................... A-10 Matrix Layout Tool .................................................. A-6
Image Processing ............................................... A-10 Measurement Tools
Image Tools ................................................A-11, A-12 Angle Tool ............................................................ A-13
Invert ................................................................... A-10 Calibrating Images .............................................. A-12
Justify .................................................................. A-10 Cobb Angle Tool .................................................. A-13
Overview ............................................................... A-8 ROI-Ellipse Tool ................................................... A-13
Processing ...........................................................A-11 ROI-Polygon Tool ................................................ A-14
Pseudocolor ........................................................ A-10 ROI-Rectangle Tool ............................................. A-13
Reset ................................................................... A-10 Rotation Angle Tool ............................................. A-13
Rotate .................................................................. A-10 Ruler Tool ............................................................ A-13
Window/Level .................................................A-8, A-9 MedVIEW
Zoom ............................................................A-9, A-10 About ................................................................... A-15
Image Processing Closing .................................................................. A-2
Red Filter ..............................................................A-11 System Settings .................................................. A-14
Stretch Contrast .................................................. A-10 Menu Bar
Image Scroll Tool .................................................. A-12 Edit Menu .............................................................. A-2
Image Toolbar ......................................................... A-5 File Menu ............................................................... A-2
Image Workspace Help Menu ........................................................... A-15
Series Links ..................................................A-7, B-10 Image Menu .......................................................... A-8
C-2 AccessNET MedVIEW Express Guide

Tools Menu .......................................................... A-14 ROI - Rectangle Annotation Tool ......................... A-13
View Menu ............................................................ A-4 Rotating
Window Menu ..................................................... A-15 Images ........................................................A-10, A-11
Workspace Menu .................................................. A-6 Rotation Angle Annotation Tool .......................... A-13
Menu Bar Descriptions ........................................... A-1 Ruler Annotation Tool ........................................... A-13
Modality Window/Level Settings ........................... A-8
Monitors
Calibrating ........................................................... A-14 S
MPR/MIP Integrated Tools Scout Images
Displaying .............................................................. A-4 Scout ROI Tool .................................................... A-12
Viewing .................................................................. A-6
Search Lists
N Selecting All Entries ............................................... A-3
Navigation Selecting
Series Control Bar ................................................. A-6 All Images in the Workspace ................................. A-3
Number Stamp Annotation Tool .......................... A-13 Single Images in the Workspace ......................... A-11
Series
Linking ..........................................................A-7, B-10
O Linking By Plane ...........................................A-7, B-10
Opening Removing Linked Group ...............................A-7, B-10
On-Line Help ....................................................... A-15 Removing Linked Series Groups ..................A-7, B-10
Unlinking .......................................................A-7, B-10
Series Hang Mode
P Applying ................................................................. A-7
Pan/Magnify Tool ...................................................A-11 Navigation Tools .................................................... A-6
Paste Tool ................................................................ A-3 Stack Hang Mode
Polygon Mask Annotation Tool ........................... A-14 Applying ................................................................. A-8
Polygon Shutter Annotation Tool ........................ A-14 Straight Line Annotation Tool .............................. A-14
Polyline Annotation Tool ...................................... A-14 Synchronization Mode
Presets for Window/Levels .................................... A-8 Applying ................................................................. A-7
Printing System Settings .................................................... A-14
Images .................................................................. A-2
Reports .................................................................. A-2
Properties T
Viewing on Properties Panel ................................. A-4 Text Note Annotation Tool .................................... A-12
Pseudocolor Text Reports
Applying ............................................................... A-10 Deleting Selected Text ........................................... A-3
Text Stamp Annotation Tool
Overview ............................................................. A-13
R Thumbnails View
Rectangle Mask Annotation Tool ........................ A-14 Displaying .............................................................. A-4
Rectangle Shutter Annotation Tool ..................... A-14 Tools Menu
Redo Tool ................................................................ A-2 Monitor Calibration .............................................. A-14
Report View Overview ............................................................. A-14
Displaying .............................................................. A-4 System Settings .................................................. A-14
Reports
Printing .................................................................. A-2
Resetting U
Image Orientation ................................................ A-10 Undo Tool ................................................................ A-2
Window/Level ........................................................ A-9
Zoom Factor ........................................................ A-10
Right Arrow Annotation Tool ............................... A-12 V
ROI - Ellipse Annotation Tool .............................. A-13 View Menu
ROI - Polygon Annotation Tool ............................ A-14 All Exams ............................................................... A-6
Audio Control ......................................................... A-5 Tile ....................................................................... A-15
Exam Content ....................................................... A-4 Window/Level
Image Workspace ................................................. A-4 Displaying Control Bar ....................................A-5, A-8
MPR/MIP ............................................................... A-4 Modality Window/Level Settings ............................ A-8
Open Exam List ..................................................... A-6 Presets .................................................................. A-8
Overview ............................................................... A-4 Resetting ............................................................... A-9
Properties Panel .................................................... A-4 Window/Level Image Region Tool ....................... A-11
Report ................................................................... A-4 Window/Level Tool .............................................. A-11
Show Annotations ................................................. A-5 Windows Clipboard
Show Image Text ................................................... A-5 Copying Contents .................................................. A-3
Show Image Toolbar ............................................. A-5 Cutting Contents .................................................... A-3
Thumbnails ............................................................ A-4 Pasting Contents ................................................... A-3
Window/Level Control ........................................... A-5 Workspace Menu
Viewing Chain Workspace .................................................. A-6
Annotations ........................................................... A-5 Hang Compare ...................................................... A-7
Audio Control ......................................................... A-5 Hang Exam ............................................................ A-7
Exam Content View ............................................... A-4 Hang Image ........................................................... A-8
Exam Explorer ....................................................... A-2 Hang Series ........................................................... A-7
Image Toolbar ....................................................... A-5 Hang Stack ............................................................ A-8
Image Workspaces ............................................... A-4 Layout Panes ........................................................ A-6
MPR/MIP View ...................................................... A-4 Overview ............................................................... A-6
Properties Panel .................................................... A-4 Show Scout ........................................................... A-6
Report ................................................................... A-4 Show Series Control .............................................. A-6
Scout Images ........................................................ A-6 Synchronize Workspace ........................................ A-7
Text on Images ...................................................... A-5
Thumbnails View ................................................... A-4
Window/Level Control Bar ..............................A-5, A-8 Z
VOI LUT, Applying to Images ................................. A-9 Zoom
Actual Size ............................................................. A-9
Magnify Image Region Tool ................................. A-11
W Magnify Image Steps Tool ................................... A-11
Window Menu Magnify Image Tool ............................................. A-11
Arrange Icons ...................................................... A-15 Pan/Magnify Tool ................................................. A-11
Available Open Windows .................................... A-15 Resetting ............................................................. A-10
Cascade .............................................................. A-15 Specific Factor ....................................................... A-9
Overview ............................................................. A-15 Window Size .......................................................... A-9


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MedVIEW Express

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Indications for Use

iv AccessNET MedVIEW Express Guide

vi AccessNET MedVIEW Express Guide

Chapter 1: Distribution Media ......................................................................................... 1-1

Chapter 3: Working with Exam Images .......................................................................... 3-1

Appendix A: Menu Bar Descriptions...............................................................................A-1

Appendix B: Workspace Context Menu Descriptions ...................................................B-1

viii AccessNET MedVIEW Express Guide

Very often it is necessary to send exam data to another

MedVIEW Express can only run from the removable storage

Patient Exam Formatting Options

Accessing Stored Data

1-2 AccessNET MedVIEW Express Guide

 How do I view images using MedVIEW Express?

2. Double-click the Viewer executable indicated in Figure 1-1 above to launch

1-4 AccessNET MedVIEW Express Guide

Application Toolbar ........................... 2-18

Exam Folder Selection Panel

Patient Exam Selection Panel

2-2 AccessNET MedVIEW Express Guide

Figure 2-2: MedVIEW Express Exam Viewer

Exam Viewer Components

2-4 AccessNET MedVIEW Express Guide

Figure 2-4: MedVIEW Express Stacked Component Tiles

2-6 AccessNET MedVIEW Express Guide

Figure 2-6: MedVIEW Express Image Workspace Tile

When selected, the Matrix Layout button displays a popup window

Series mode displays all images of a particular series sequentially in the

The Angle tool enables you to measure angles on an image.

When you resize an image, it may become too large to be completely

2-8 AccessNET MedVIEW Express Guide

The Ellipse tool provides measurements of Area, Circumference,

Functioning just as a standard magnifying glass does when used with

The Window/Level tool allows you to adjust the window/level settings

Workspace Context Menu

Tool Picker Menu

2-10 AccessNET MedVIEW Express Guide

Figure 2-8: Tool Picker Menu (MR Exam Display)

This button designates a selected image within a series or exam as a key

Click the Annotations button to toggle the display of any existing

2-12 AccessNET MedVIEW Express Guide

Figure 2-9: MedVIEW Express Report Tile

2-14 AccessNET MedVIEW Express Guide

Figure 2-11: MedVIEW Express Key Image Tile

2-16 AccessNET MedVIEW Express Guide

Figure 2-13: MedVIEW Express Thumbnails Tile

The Image Display Mode setting for Thumbnails creates a display

Application Menu Bar

Closes the exam currently displayed within MedVIEW Express and

Opens and/or Closes the Thumbnail Tile to provide you with

2-18 AccessNET MedVIEW Express Guide

The Help button automatically invokes help files to assist you in

While MedVIEW Express provides access to a wide array of

 How do I change Matrix Layout in MedVIEW Express

3-2 AccessNET MedVIEW Express Guide

 How do I scroll through images using my mouse?

1. Move your mouse pointer into the workspace.

 How do I scroll through images using the scroll tool?

3-4 AccessNET MedVIEW Express Guide

Figure 3-1: Image Text in Verbose View

Figure 3-2: Image in MedVIEW Express Displaying Two Overlays

 How do I toggle Image Text?