Whats New for Synapse 3.2.1

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Whats New for Synapse3.2.1
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General Information

• The Clinical Training for Synapse 3.2.1 will
  review the New features and enhancements
  according to 4 sections
• New GUI
• Workstation Features
• Mammography Features
• System Features

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Section I New GUI

• Section I will cover the following GUI updates
  changes
• Worklist changes updates
• New Toolbar(s) Icons
• PowerJacket changes updates

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Section IWorklist

• New Color Scheme Icons
• Numerical indicators are provided for
  multiple-sort criteria.
• New Indicators for Reservation, STAT, and Cached
  Study are displayed independently (no longer
  overlapping) for easier recognition.

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Section IWorklist
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Section IToolbar

• New Toolbar with additional options previously
  found on Explorer Tool menu
• The toolbar consists of two rows Icons and
  Reading Protocol selection.

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Section IToolbar

• New Synapse Toolbar - Improved Efficiency
• Added icons to options previously only found on
  the Explorer Tool Menu or thru Keyboard Shortcuts
• Updated Icons for PowerJacket Selection
• New Icons for Workflow and DICOM Options

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Section IPowerJacket

• Patient Age and Gender
• have been added to the
• Study Notes Reports
• page.
• Order has also been
• added to the Notes
• Report pages.

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Section IPowerJacket

• When the patient/study list is sorted by one of
  the columns, an arrow
• will be displayed to indicate the sorting order.

The selected study has green color background.
The study currently displayed in the Current
Study window has green bold italic font. The
study (or studies) currently displayed in
Comparison Study window has green bold non-italic
font.
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Section IPowerJacket

• The Study Info tab does not have the Order
  sub-tab anymore.

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Section IPowerJacket
The Order tab is only visible when the current
study has a document named Order.
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Section IPowerJacket

• Series tab has changed
• Green highlighted series currently displayed
  on the monitor(s)
• Grey highlighted series has not been
  displayed on the monitor(s)
• Not highlighted series was displayed, but is
  not currently visible on the monitor(s).

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Section II Workstation Features

• Section II will cover the following new
  workstation features
• New Hotkeys
• Alternate W/L configuration
• Annotations displayed in all RP steps
• Instance Save RP supports drag and drop content
• Multiphase MRI Series Splitting
• Additional User Options/ Properties
• DICOM Transfer toolset

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Section IINew Hotkeys

• New Hot Keys for improved workflow
• These new shortcuts simplify assigning the
  functions to custom mouse and keyboards

F7 Launch 3D Application
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Section IIDefault Mouse Window Level

• DEFAULT Setting
• Classic W/L is NOT checked
• This is the existing, Synapse W/L used in prior
  versions of Synapse.
• a) Move Mouse to Right ----gt Increases
  Contrast (Width Decreases)
• b) Move Mouse Up (cursor goes up on screen)
  Increases Brightness (Center Decreases)
• Only one convention can be in effect at a given
  time.

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Section IIClassic Window Level

• Classic W/L is checked
•  This is the Alternate method (different
• than usage in existing Synapse).
• a) Move Mouse to Left ----gt Increases
  Contrast (Width Decreases)
• b) Move Mouse Down (cursor goes down on
  screen) Increases Brightness (Center
  Decreases)
• Only one convention can be in effect at a given
  time.

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Section IIReading Protocols

• Annotations are displayed for all RP steps
• Annotations made while viewing images in any step
  of a reading protocol are now visible in the
  other steps of the protocol. The annotations are
  preserved for the SOP Instance during study
  viewing.
• Instance Save RP supports drag and drop content
• Additional series from comparison studies can now
  be included in the Instance Save Reading Protocol
  without registering the comparison study using
  Compare feature, allowing the user to drag and
  drop selective series from any study in the Power
  Jacket.

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Section IIMRI MultiPhase Series Splitting

• MRI series are now split by Echo and by Temporal
  Properties

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Section IIMRI MultiPhase Series Splitting
During this grouping, a logical decision is made
based on the contents of a series on how to best
group or split up the images. Below is table
of contents of a series and how the series will
be split
n more than 1
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Section IIMRI MultiPhase Series Splitting
The following properties of MR images will be
used to group the images into the appropriate
series

• The following rules are used in this order to
  determine MR grouping
• Group all images by series UID.
• Group each series UID group by echo number.
• Group each echo number group by the temporal
  position identifier. An exception to rule 3 is if
  the number of unique temporal positions is equal
  to the number of images in the echo group, then
  that group will NOT be grouped by temporal
  position. The reason for this exception is the
  temporal position may be an increasing series and
  this would create numerous single image groups,
  which would not be beneficial to the user.

Each group is then sorted alphabetically using
series UID, echo Number, then temporal position.
Note Splitting of MRI studies using the echo
number or temporal position is specific to each
study. Therefore, saving instance reading
protocols is supported but is disabled for
template reading protocols.
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Section IINew Display Properties

• The following options were added to the Synapse
  Workstation
• Image Display Property Page
• Enable MG Image Linking
• Classic W/L
• Initially Show CAD
• Initially Show Text Overlays
• Initially Anonymize Text Overlays
• When this option is checked, text overlays will
  be Anonymized initially on study displayed.

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Section IINew Display Properties

• IntelliLink for MG
• When this option is checked, the MG Common Frame
  Of Reference functionality described in the
  section prior will be enabled.
• When this option is not checked, the MG Common
  Frame Of Reference described below will be
  disabled and no linking will occur across images
  with the same MG CFOR.

• Classic W/L
• Switches between two window leveling conventions
  as described previously.

• Initially Show CAD
• When this option is checked the CAD results and
  markings will automatically Display
• When this is not checked the CAD results will be
  hidden until user chooses to display results.

• Initially Show Text Overlays
• When this option is checked, text overlays will
  be initially displayed.
• When this option is not checked, text overlays
  will not be initially displayed.

• Initially Anonymize Text Overlays
• When this option is checked, text overlays will
  be Anonymized initially on study displayed.

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Section IINew PMJ Properties
The settings on Synapse view settings property
page related to the display of power jacket have
been moved the Power Jacket Settings page.
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Section IINew PMJ Properties

• In addition to the power jacket related
  checkboxes originally displayed on the Synapse
  view settings property page, two new checkboxes
  have been added.
• Always for displayed Study when Show Notes is
  selected
• Show order for displayed study opens the
  Scanned document named Order in a new tab of
  the Power Jacket, independent of the Study
  Information tab

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Section IIDICOM Transfer Toolset

• The DICOM Transfer Toolset has 3 new
  options
• Transfer to Teaching Archive
• Writing of DICOM data to Media
• View DICOM Header

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Section IIDICOM Transfer Toolset
to Teaching Archive tab allows user to push
images DICOM Key Image Note to teaching
archives
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Section IIDICOM Transfer Toolset
to Media tab allows the user to chose
destination to write DICOM files of the currently
displayed study Record to CD Or Copy to local
file system (flash drive or local machine)
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Section IIDICOM Transfer Toolset
DICOM Header tab allows the user to interrogate
the DICOM Header of the currently selected image
in Synapse Or the user can specify to view the
header from any DICOM image by selecting View
From File
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Section IIIMammography Features

• Section III will review the new Mammography
  Features
• Image Linking
• Pixel Padding Support
• Quadrant View
• View Code Sequence Modifier Support
• Multiple CAD Support

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Section IIIMammography Features

• Linking of MG images during manipulation
• Multi-Study Level
• Zoom
• All images in the CFOR will be zoomed to the same
  fraction of True Size provided all Display
  monitors are calibrated.
• Pan
• All images in the CFOR will be panned relative to
  the chest wall. For example if the Right CC is
  panned to move away from the chest wall, the Left
  CC will be panned the same amount in the opposite
  direction away its chest wall.
• Quadrant View
• All images in the CFOR will be zoomed to same
  quadrant number (1 to 4) but the quadrant
  rectangle used to zoom is relative to each image.
  
• Same Study
• Window Level
• All images in the CFOR will be window leveled
  with the same Center and Width. This includes the
  operations Interactive W/L, Preset (with W/L),
  Invert, Revert and Display As Acquired.

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Section IIIMammography Features

• Support for DICOM Pixel Padding and Pixel Padding
  Range
• If DICOM Image files contain padded pixels as per
  the DICOM specification, these pixels will now
  always be displayed black even when the image is
  Window Leveled or Inverted.
• An image can now also have a pixel padding range
  specified in the DICOM header file. Any pixels
  having values in this range (inclusive) will be
  considered padded pixels and will always be
  displayed black
• Padded pixels stay black when W/L is applied

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Section IIIMammography Features

• With this release, Images containing padded MG
  images can be viewed by Breast Quadrants.

The resultant quadrant zoom rectangle used is
relative to the images VCS and where the Chest
Wall is located.
Quadrant 1 Q1 Upper quadrant as displayed
closest to the Chest Wall. Quadrant 2 Q2
Upper quadrant as displayed farthest from the
Chest Wall. Quadrant 3 Q3 Lower quadrant as
displayed farthest from the Chest Wall. Quadrant
4 Q4 Lower quadrant as displayed closest to
the Chest Wall.
In this diagram, notice location of a given
quadrant (e.g. (Q1) is different for LCC RCC)

• Please note that the Displays must be calibrated
  to True Size to use Quadrant View functionality

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Section IIIMammography Features

• The user selects quadrant view by selecting the
  Q keyboard key.
• If quadrant view is not currently in effect, the
  image will be zoomed to quadrant 1. Subsequent
  keystrokes will advance to next quadrant Q2, Q3,
  Q4 then no quadrant (zoom to fit).
• Next quadrant displayed is a function of what the
  current quadrant is. All images in the MG CFOR
  will be affected by the quadrant change.
• Quadrant information will also be saved when
  saving Reading Protocols.

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Section IIIMammography Features

• Additional MG DICOM tag supported
• For 3.2.1, images will grouped by the following
  image attributes

Standard mammography views can now be categorized
by using the laterality and view code sequence in
addition, views like implant displacement (ID)
will be categorized by the view modifier code
sequence tag(0054,0222).

• In addition, the Series Standards version 2 will
  be updated to reflect the additional mammography
  views for cleavage and implant displacement views.

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Section IIIMammography Features

• CAD Structured Reports associated with
  Mammography (MG modality) DICOM images CAD object
  support
• Synapse will support the display of CAD
  Structured Report findings from R2 and iCAD.
• The workstation will ignore the CAD SR results
  belonging to vendors other than R2 and iCAD.

FDA Approval pending for R2 CAD Fuji Images
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Section IVSystem Features

• Section IV will review the following System
  Features
• 3D Snapshot / Restore support
• Internal CommonView

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Section IVSystem Features
3D Snapshot / Restore support Synapse will store
the Snapshot Series created by integrated 3D
application.
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Section IVSystem Features
The saved series will be used when 3D app is
launched from Synapse, allowing for quick
rendering of the selected study.
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Section IVSystem Features

• Internal Common View
• Internal Common View is defined as a list of
  studies presented in the Synapse Power Jacket
  belonging to the same patient from within a
  single data source determined by the configurable
  search algorithm.
• This feature will allow patient matching, inside
  the PMJ, when the patient may have different
  Medical Record Numbers or other unique
  identifiers in Synapse that were assigned from 2
  or more connected systems.

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Thank You If you have a question or concerns,
please contact John C. Lincoln's HelpdeskJohn
C. Lincoln Helpdesk Support602-870-6060 ext
1442John C. Lincoln Helpdesk Pager602-213-4626
John C. Lincoln PACS E-mailjclpacs_at_jcl.com