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User Instructions
V 2.1.0 R1
0482
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Table of Contents
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0. CE Conformance Statement
IMAGE Information Systems Ltd. does not accept liability for the wrong or
unprofessional use of the described software (see the End User License
Agreement).
iQ-LITE is part of the iQ-VIEW, which is certified as a medical device for image
processing, diagnosis, archiving, and communication according to Council
Directive 93/42/EEC concerning medical devices and according to FDA 510(k).
Nevertheless, diagnosis can only be made using special high-resolution
monitors.
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1. Introduction
iQ-LITE is a portable CD image viewer that enables the user to view,
manipulate and print images which have been exported from an iQ-VIEW or
iQ-VIEW PRO Workstation.
A copy of iQ-LITE is saved with each set of images and automatically opens
when the CD or DVD is loaded on a PC.
iQ-LITE provides a convenient way for physicians and other medical
professionals to copy and save patient studies/images processed by an iQ-
VIEW Workstation. When providing copies of these studies to referring
physicians and/or patients, iQ-LITE provides an integrated, simple way to view
the information stored on the CD/DVD – without the use of any 3rd party
software.
Warning: When receiving medical image data, make sure you know whether
compression has been used. If images were lossy compressed, an information
will be shown in the text overlay of the image when displayed in the viewer.
Also the DICOM header data indicates the form and rate of compression.
Those images have no diagnostic quality and should not be used to make
medical findings!
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2. Using iQ-LITE
2.1.2 Caching
• If “Cache images on hard disc” is activated, the images from the CD-
ROM or DVD will be temporarily saved to the hard disc. It will therefore
take a little longer until they can be accessed.
• If “No caching” is checked, the images will be read directly from the CD-
ROM or DVD and not saved to a temporary directory of the hard disc.
Access to such studies is faster but the browsing is slower.
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2.1.3 Viewer
To view a study, click the checkbox on the left side of the study you
wish to view and then select the “Viewer” button or simply double-
click on a study.
You can select more than one study (multi-select). Simply select
every study you want to open and then click on the “Viewer” button.
For more information on how to use the viewer, see section 2.2 Viewer.
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2.2 Viewer
In the iQ-VIEW Viewer you select individual series via thumbnail in the series
preview bar. Either double-click or simply use Drag&Drop to transfer the series
into the image processing area. On right-click over a thumbnail a list of all
series will pop up, here you can select the series by name (series description).
The series preview also indicates the number of images that are included in
each of the series.
When more than one study is loaded you can switch between the studies by
changing the tab. Selecting the green-colored “+” sign on another tab changes
only the thumbnail in the series preview bar to the selected study. This is an
easy way to compare studies.
To compare two studies in a 2:1 mode, click the “Tile-Screen” button in the
tool box (see below for more information) and select 2:1. The left tile-screen
window will display the first study, the right one at first nothing. To add the
second study to the right window, click the green-colored “+” of the tab with
the name of the second study. This will change the thumbnails to the series of
the second study but leaves the main window alone. Now drag and drop the
desired series to the right window.
A click on the little magnifying glass on the tab opens a sub menu with
available DICOM archive servers. Choosing one of the given DICOM servers
will start a query for more examinations of the same patient (search for
existent studies with the same patient ID) as the study currently loaded. This
feature is an easy and fast help intended for looking for prior studies.
Images can be marked or unmarked, using the checkbox in the upper right
corner or the shortcut “S”. To mark an entire series or study click “Image
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selection” in the dropdown menu and select the corresponding entry. A series
can also be marked/unmarked by using the shortcut “Ctrl + S”. Marking an
image will add it to a collection that can be either printed or exported.
The yellow markers in the images are orientation indicators. Those indicators
help to determine the orientation of an image, e.g. right or left, top or bottom.
Those indicators will remain in the correct position even if an image is flipped
or rotated:
R = right
L = left
H = head
F = foot
A = anterior
P = posterior
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The complete compression information is shown in the “DICOM Header
Dump”.
Those images have no diagnostic quality. Do not use them for making medical
findings!
To the right of every tile you find a scroll bar that can be used to scroll
through a series of images by pulling the controller up and down. Of course,
you can also scroll through the images by moving the scroll wheel of your
mouse.
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Img.4 Lines display including virtual lines
• “Off” = all features (Sync, Bind, Tile and Lines) will be disabled.
“Open study browser” = closes the viewer and opens the study
browser; to return to the study browser it is, however, not necessary
to close the viewer; both applications can be run simultaneously, e.g.
a new study can be chosen from the study browser and are automatically
updated in the viewing application
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right-click on the “Cine mode” button to select “Start autoplay”, “Stop
autoplay” and to choose the “Frame rate”. The images in both cases are
shown in a sequence.
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Img.5 annotation dialog
Enter the text (displayed only to the border of the image; the longer the
annotation the farther on the left side you should start) and press ‘OK’. The
annotation will be displayed at the starting point of the arrow.
Measurements and annotations can not be stored permanently with the iQ-
LITE viewer, but it would be possible to print them from the Print Manager.
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“Mirror/Rotate” = a click on the “Mirror/Rotate” button opens a
menu where you can choose between flipping images (“Flip
horizontally”, “Flip vertically”) or rotating images (90°, 180° or 270°
rotation clockwise). To rotate the image at a self-chosen angle, select
“Enter custom angle” and enter the wanted angle. Selecting “Reset current
view” will reverse all mirror/rotate changes made to the image and return the
image to the original.
“Reset” = resets all changes made in the image (e.g. if the image
was windowed or measured) and returns to the original image.
“Export” options:
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Make the necessary adjustments:
• selection between current series or current selection
• the size of the movie frame (X and Y)
• the frame time in milliseconds, defining the time passing between two
frames.
“Save as AVI” = press this button to export the selected data as
AVI file.
Note: Potential changes in the image after use of the “Windowing” function
will be ignored when exporting the image. It will be exported using its
original DICOM settings. To export the image together with its done
changes, choose “Print manager” to open the print manager dialog and
select “WindowsPrint: Printer Dummy”, make any other necessary settings
and press “Print”. This will give you the opportunity to save the image as a
JPEG in a directory using your intended resolution.
- “Print manager” = can be used to print a file on a Windows printer; a
preview is shown (for more information see section 2.3 Windows Print)
The shortcut “P” accesses the print preview directly from the viewer
window.
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“Tools” options:
The “tools” menu does have several options that can also be found in the “tool
box”. Please see the explanation of the functions for the following tools in the
corresponding tools of the tool box above:
- “Cine mode” = Cine mode (stack), including the respective sub-menus for
starting and stopping the autoplay, for direction and the frame rate.
- “Windowing” = Windowing
- “Magnifier” = Magnifier
- “Zoom/Pan” = Move/Zoom
- “Color scheme” = Color scheme; a left click on “Color scheme” opens a sub
menu with options
- “Mirror/Rotate” = Mirror/Rotate; a left click on “Mirror/Rotate” opens a sub
menu with options
- “Measure distance” = Measure => Distance
- “Measure angle” = Measure => Angle
- “Measure ROI density” = Measure => ROI
- “Annotation” = Measure => Annotation
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- “Text overlay” = Text overlay
- “Tiling” = Tile-Screen; a left click on “Tiling” opens a sub menu with
options for a tile screen
- “Reset current view” = Reset
- “Size of series thumbnail bar” = with this function you can set the size of
the series preview bar
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- “Monitor” = lets you choose between a single or dual monitor configuration
- “Autocontrast every image” = displays images in the auto contrast mode
(histogram equilibration - see windowing)
- “Automatic tiling” = the application counts the number of available series
of a loaded study and automatically divides the image processing area into
the appropriate tiling. To become effective, the viewer must be restarted.
- “Auto loading” = the viewer automatically loads the different series of one
study into the preset tiling: e.g. the first series when working with a 1x1
tiling, two series with a 2x1 or 1x2 tiling. In combination with “Automatic
tiling” all available series are loaded automatically in the appropriate tile.
- “Image sort order” = makes possible a TEMPORARY change in the order in
which the images of a series are displayed. => ONLY IN iQ-VIEW / PRO!
- “3D Localizer (press ALT key)” = ONLY IN iQ-VIEW / PRO!
With the “image selection” button it is possible to mark either a whole series
or a study or clearing the currently made selection.
Marking a series or study will add it to a collection that can be either printed or
exported.
“Help” button:
A click on the “Manual” button opens the iQ-LITE manual for consultation.
In the “About” window you receive information about the iQ-LITE software
version as well as contact information in case of questions or bug reports.
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2.3 Windows Print
The main part of the print manager shows the preview of the image(s) to be
printed.
In the drop-down menus in the upper part of the screen, the printer, paper
format and orientation must be entered:
- “Printer” = choose the printer you wish to use to print out the images. You
can decide between different Windows printers if more than one is installed
on your workstation.
- “Paper format” = choose the paper format in which you would like to print.
- “Orientation” = gives you the option between portrait or landscape
orientation for printing
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On the right side of the screen several options are given regarding output and
layout:
- “Image output” = lets you choose what to print out, either current image,
current series, current study or a selection made in the viewer by marking
images
- “Layout” = here you can decide how many images you wish to print out on
one page
- Clicking on “Print text overlay” and/or “Print page header” will add text
overlay and/or page headers on the print-outs
Pressing the button “Printer settings” after choosing a specific Windows printer
gives you the opportunity to change the settings of that printer.
To edit the images as shown in the preview on the main part of the screen,
you can use the tool buttons:
“Move/Zoom” = after clicking on the button you can move an image
by clicking into the center of it and moving it while holding pressed
the left mouse button. To zoom the image, simply click with the left
mouse button into the periphery of the image and move the mouse
up (to enlarge) and down (to minimize) while holding the button pressed.
“Reduce print job size” = sometimes Windows print jobs (in the standard
Windows print mode) can become very big (up 100 MB), which may lead to
longer transmission times to a Windows printer. Tick the checkbox to reduce
the size of the print jobs.
Note: A reduction of the print job size, achieved by reducing the resolution,
may lead to a lower quality of the printouts on some printers.
After you made your selection and the layout and are ready to
print, just press the “Print” button.
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3. List of Abbreviations
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4. Index
3 L
3D Localizer (press ALT key) ........... 19 Look-up tables .............................. 18
LUT ............................................. 12
A
M
Adjust image size .......................... 14
Annotation function ....................... 13 Magnifier.................................14, 17
Auto contrast................................ 13 Mark images ................................... 9
Auto contrast mode ....................... 19 Marking an image.......................... 10
Auto loading ................................. 19 Marking series/studies ................... 19
Autocontrast images ...................... 19 Measure angle .........................13, 17
Automatic tiling............................. 19 Measure distance .....................13, 17
AVI files (export)........................... 15 Measure ROI............................13, 17
Mirror/Rotate ...........................15, 17
B
Monitor ........................................ 19
Bind series ................................... 11 Monitor configuration ..................... 19
Bitmap Overlay ............................. 18 Move zone.................................... 14
C Move/Zoom ....................... 14, 17, 21
Multi-frame images........................ 12
Cashing ......................................... 7
O
Choose frame rate......................... 13
Cine mode (stack) .............. 12, 13, 17 Open study browser....................... 12
Clear all measurements.................. 18 Opening manual in Viewer .............. 19
Clear last measurement ................. 18 Orientation (portrait/landscape) ...... 20
Color remapping ........................... 13 Orientation indicators..................... 10
Color scheme........................... 13, 17 Overlay ........................................ 15
Creating secondary capture images.. 18
P
Custom angle ............................... 15
Paper format ................................ 20
D
Preview.......................................... 7
Delete ......................................... 21 Print images/series/studies ............. 20
DICOM Header Dump..................... 18 Print layout................................... 21
Display of virtual section planes....... 11 Print manager ..........................16, 20
Drag&Drop ................................9, 21 Print page header .......................... 21
E Print preview ................................ 16
Print text overlay........................... 21
Edit images for printing .................. 21 Print with preview.......................... 16
Export as AVI ............................... 15 Printer ......................................... 20
Export images.......................... 15, 16 Printer settings ............................. 21
F R
Flipping images ............................. 15 Reducing print job size (Windows print)
G ............................................... 21
Report ......................................... 15
Grayscale output ........................... 13 Reset......................................15, 18
H Reset current view......................... 18
ROI ............................................. 13
High-resolution monitor.................... 5 ROI density .................................. 17
I ROI window .................................. 13
Rotating images ............................ 15
Image output................................ 21 Ruler ........................................... 10
Image processing area .......... 9, 12, 15
Image rotation.............................. 12 S
Image selection ....................... 10, 19 Save as AVI.................................. 16
Image sort order (change of) .......... 19 Save images as JPEG ..................... 16
iQ-LITE database............................. 7
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Scoutpilot................................ 11, 18 Toolbox........................................ 12
Series preview bar......................9, 18 Transfer ......................................... 9
Series thumbnail bar...................... 18
U
Shortcut “Ctrl + S” ........................ 10
Shortcut “P” ................................. 16 Unmark images............................... 9
Shortcut “S” ................................... 9 V
Shutter function ............................ 13
Single-frame images ...................... 12 Viewer ............................ 8, 9, 12, 20
Sorting images (changing sort order) 19 Virtual section planes ..................... 11
Store measurements in database..... 18 W
Structured reports ......................... 15
Study browser ...........................7, 12 Window........................................ 13
Study table..................................... 7 Window leveling ............................ 13
Synchronize different series ............ 11 Windowing ................... 13, 17, 19, 21
Windows Print ............................... 20
T Windows Printer ............................ 20
Tab ............................................... 9 Z
Text overlay ............................ 15, 18
Tile ............................................. 11 Zoom .......................................... 14
Tile-Screen.......................... 9, 15, 18 Zoom zone ................................... 14
Tiling ........................................... 18 Zoom/Pan .................................... 17
Tool bar ....................................... 11
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