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- Page 1 User Guide for HTML5 Product release 8.0.0 Document number: DOC-0046692-A Last updated: 2020/12/09 Confidential and Proprietary...
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Page 2: Table Of Contents
Table of Contents Preface User Guide Revisions Fujifilm Disclaimer Statement Indications for use and regulatory status Important safety and security considerations Supported mobile devices and browsers Getting started Logging in Documentation and help Search interface Performing searches Browsing search results... - Page 3 User Guide for HTML5 Preface An introduction to this guide, important information about the software's regulatory status, as well as warnings, precautions, and other information about the software's intended use, capabilities, and limitation.
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Page 4: Preface
Synapse® Mobility User Guide for HTML5 Preface UIDE The Synapse® Mobility software is a medical image viewer that enables professionals — such as radiologists, physicians and other imaging experts — to view and analyze medical images and reports from anywhere using a remote connection, either over the internet or using the hospital's network. The software features an easy-to-use search interface, collaboration, and advanced visualization functionality such as: 2D viewing... - Page 5 Synapse® Mobility User Guide for HTML5 Preface About this user guide This guide is distributed with the Synapse Mobility software in electronic form. You may request a paper copy by contacting your system administrator. In this guide, any interactions that refer to clicks or double-clicks are interchangeable with taps and double- taps on touchscreen devices.
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Page 6: Revisions
Synapse® Mobility User Guide for HTML5 Preface EVISIONS Rev A, 2020/12/09 Initial release of 8.0.0 user guide Confidential and Proprietary DOC-0046692-A... -
Page 7: Fujifilm Disclaimer Statement
The information provided within this document is proprietary. Without prior written permission from FUJIFILM Medical Systems U.S.A., Inc., the duplication or reproducing this document in whole or in part is strictly prohibited. Without prior written permission from FUJIFILM Medical Systems U.S.A., Inc., disclosing the contents of this document, in whole or in part, to persons other than authorized personnel, is strictly prohibited. -
Page 8: Indications For Use And Regulatory Status
Synapse® Mobility User Guide for HTML5 Preface NDICATIONS FOR USE AND REGULATORY STATUS Product: Synapse® Mobility 8.0.0 UDI: (01)00854904006053(10)0800000 Year of Software Release: 2020 Indications for use The Synapse® Mobility solution is an enterprise medical image viewer used with off-the-shelf servers, web browsers, and specific mobile devices for the 2D display, multi-planar reformatting and 3D visualization of medical image data and reports. - Page 9 Manufactured by: Calgary Scientific Inc. Suite 200, 119 6th Avenue SW Calgary, Alberta, Canada T2P 0P8 +1.403.270.7159 www.pureweb.com Distributed by: FUJIFILM Medical Systems U.S.A., Inc. 81 Hartwell Avenue, Suite 300 Lexington, MA 02421 (800) 431-1850 www.fujifilmusa.com Confidential and Proprietary DOC-0046692-A...
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Page 10: Important Safety And Security Considerations
Synapse® Mobility User Guide for HTML5 Preface MPORTANT SAFETY AND SECURITY CONSIDERATIONS This section provide important information about the software's intended use, capabilities and limitations, as well as instructions to help you set up your device and your reading environment for optimal results. Because the Synapse®... - Page 11 Synapse® Mobility User Guide for HTML5 Preface Battery life You should be aware of expected battery life of the device under usage conditions relative to the anticipated duration of usage of the Synapse Mobility application and ensure that the device is adequately charged.
- Page 12 Synapse® Mobility User Guide for HTML5 Preface There are two patterns for assessing ambient light: TG18-CT and TG18-MP. These patterns were developed by the American Association of Physicists in Medicine (AAPM) Task Group 18 , whose purpose is to generate a document that provides guidelines to practicing medical physicists and engineers for in- field performance evaluation of electronic display devices intended for medical use.
- Page 13 Synapse® Mobility User Guide for HTML5 Preface header for the data set. Because of this, the software's measurements should be used for reference only until the accuracy of the DICOM header information can be verified or the image information has been calibrated through the use of a measurement instrument in the image.
- Page 14 FUJIFILM Medical Systems U.S.A., Inc. designs, builds and runs its systems to make sure that all data about the authorized users and the patients is as secure as possible at any stage, both while it is processed and when it is stored.
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Page 15: Supported Mobile Devices And Browsers
Synapse® Mobility User Guide for HTML5 Preface UPPORTED MOBILE DEVICES AND BROWSERS The Synapse® Mobility client is accessed through a browser on your desktop or mobile device. The software is intended for diagnostic use from specific mobile devices and browsers. Supported devices and operating systems The following mobile devices running iOS and iPadOS are validated for use with Synapse Mobility: Phones... -
Page 16: Getting Started
User Guide for HTML5 Getting started Information about prerequisites, instructions on how to start a viewing session, and where to go for help. -
Page 17: Logging In
Synapse® Mobility User Guide for HTML5 Getting started OGGING IN This section will get you up and running with the Synapse® Mobility software in a few quick steps. Prerequisites Before you start using the application, check that you have the following: A browser and, if working on a mobile device, a validated device (see the list of Supported mobile devices and... - Page 18 Synapse® Mobility User Guide for HTML5 Getting started Starting a viewing session To start a viewing session and begin exploring the software, simply log in. To log in 1. Browse to the URL provided by your system administrator. 2. Enter your provided credentials in the appropriate fields. You should now see the Synapse Mobility interface and be able to interact with the software.
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Page 19: Documentation And Help
Synapse® Mobility User Guide for HTML5 Getting started OCUMENTATION AND HELP This user guide and other information are accessible from the software interface. To access documentation 1. Click the Documentation tool 2. Click the document you wish to view. Getting help Maintaining the application is the responsibility of the site where it is deployed, such as a hospital or other clinical environment. -
Page 20: Search Interface
User Guide for HTML5 Search interface A description of the search interface, including supported search parameters, filters to narrow down the search results, and available functionality from the search results list. -
Page 21: Performing Searches
Synapse® Mobility User Guide for HTML5 Search interface ERFORMING SEARCHES The product provides an intuitive and flexible search interface, allowing you to quickly find the studies or patients of interest. Depending on how the system administrator has configured the server, you can find patient records by performing either a study search or a patient search. - Page 22 Synapse® Mobility User Guide for HTML5 Search interface To select repositories 1. Click Select Repositories. 2. Fill the check boxes for the data repositories you wish to search. Patient search panel When the software is configured for Patient Search, you can use it to find, browse, and add selected patients to the document list.
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Page 23: Browsing Search Results
Synapse® Mobility User Guide for HTML5 Search interface ROWSING SEARCH RESULTS Once you have completed a search, the application displays a list of results based on your search criteria. If the application queried multiple PACS systems, it will integrate the query results together into a single unified list. - Page 24 Synapse® Mobility User Guide for HTML5 Search interface To collapse a search result entry Click the to the left of the entry. To select a search result entry Click the entry that you wish to select. It will appear highlighted when it are selected. To deselect search result entries Do one of the following: Click the selected entries.
- Page 25 Synapse® Mobility User Guide for HTML5 Search interface Selecting recently loaded studies Depending on how the system administrator configured the server, you may have access to a History section in the search panel. The history displays a list of recently loaded studies (the maximum number of entries in this list is also configured by the system administrator).
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Page 26: Using The Worklist
Synapse® Mobility User Guide for HTML5 Search interface SING THE WORKLIST The worklist contains all the studies of interest added from the search panel. Many of the operations that can be performed from the search results can also be performed from the worklist, including expanding studies to preview their content, and loading studies directly into the viewer. - Page 27 Synapse® Mobility User Guide for HTML5 Search interface On larger screens, the worklist will also be displayed to the left of the image viewer interface, but you can toggle it on or off. To expand the worklist Click the Expand Worklist tool.
- Page 28 Synapse® Mobility User Guide for HTML5 Search interface Worklist menus The worklist contains menus ( ) that provide access to other features. There are two menus: A global menu at the top, which provides the Close all option, to quickly clear the entire worklist.
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Page 29: Viewer
User Guide for HTML5 Viewer An overview of the viewer interface and the supported view modes, and instructions for manipulating images and making the most of the viewer's many features. -
Page 30: Overview
Synapse® Mobility User Guide for HTML5 Viewer VERVIEW The viewer displays images and data, and provides tools for interacting with these images and data in various view modes. The main view, where you can see the image currently selected. The Data Panel tool. To access search, search results or the worklist. The top toolbar. - Page 31 Synapse® Mobility User Guide for HTML5 Viewer View modes There are three different modes to view data. The 2D view mode displays data in a two-dimensional format. It is the default view mode, and is always available, regardless of the type of image loaded into the viewer.
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Page 32: General Navigation
Synapse® Mobility User Guide for HTML5 Viewer ENERAL NAVIGATION This section describes the tools that are available from the user interface to perform general interactions, in other words the operations that are applicable to all view modes. For a description of mode-specific interactions, see 2D view mode 3D view mode , and... - Page 33 Synapse® Mobility User Guide for HTML5 Viewer Using mouse and keyboard You can navigate images in the viewer using the following methods on desktop devices with mouse and keyboard. These interactions work independently of the selected tool. To pan the image: 1.
- Page 34 Synapse® Mobility User Guide for HTML5 Viewer Applying presets For some images, window/level or color palette adjustments help get a clearer picture. To help you quickly make these adjustments on-the-fly, the software comes with pre-loaded presets for window/level and color palette. Which presets are available depends on the modality and view mode of the displayed images: In 3D view mode, window/level presets are available for all modalities In 2D and MIP/MPR view modes, color palette presets are available for NM and PT modalities,...
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Page 35: View Mode
Synapse® Mobility User Guide for HTML5 Viewer VIEW MODE The 2D view mode displays data in a two-dimensional format. It is the default view mode, and is always available, regardless of the type of image loaded into the viewer. In this view mode, you can view slices as they were originally acquired, flip/rotate, magnify, and scroll images, as well as play series as a continuous "cine"... - Page 36 Synapse® Mobility User Guide for HTML5 Viewer Linked Scrolling When scrolling is linked, images in different views that share a common frame of reference will scroll together. To link scrolling Click the Link Scrolling tool To manually link scrolling by slice Sometimes the data set does not contain slice position information and you must manually align the views visually by scrolling to the desired parts of the anatomy before linking the views.
- Page 37 Synapse® Mobility User Guide for HTML5 Viewer Scrolling through images You can scroll using either the Scroll tool or, when a tool other than Scroll is selected, you can scroll using mouse and keyboard or touch gestures. To scroll using the Scroll tool 1.
- Page 38 Synapse® Mobility User Guide for HTML5 Viewer To start scrolling Click the Play button . (You may start scrolling even while the data set is being buffered.) To stop scrolling Click the Pause button To adjust maximum framerate Click the fps button and adjust the slider to the desired framerate. To reverse scrolling direction Click the fps button and click to fill the Playback Reversed check box.
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Page 39: View Mode
Synapse® Mobility User Guide for HTML5 Viewer VIEW MODE The 3D view mode renders volumes in a in a three-dimensional format. A unique lens lets you penetrate through the volume and see the inside. There are also tools to remove obscuring material from the volume, allowing you to focus clearly on a specific anatomy or pathology. - Page 40 Synapse® Mobility User Guide for HTML5 Viewer Rotate feature The Rotate feature lets you quickly rotate a volume in any direction. To use the Rotate tool 1. Click the Rotate tool 2. Click the image, then drag in any direction. To rotate by using touch gestures Drag the image with your fingers Magnifying part of a volume...
- Page 41 Synapse® Mobility User Guide for HTML5 Viewer To adjust the magnification of the lens view 1. Position the mouse pointer over the magnified view. This selects the magnified view. 2. Do one of the following: Scroll the mouse wheel up to increase magnification. Scroll the mouse wheel down to decrease magnification.
- Page 42 Synapse® Mobility User Guide for HTML5 Viewer To reset the volume’s clipping planes and orientation Do one of the following: Click the Reset tool. Press the HOME key. To reset the volume’s clipping planes (desktop only) Press the G key. Using the scalpel tool You can use the scalpel tool to cut away obscuring anatomy with a much greater degree of precision than using clipping planes.
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Page 43: Mip/Mpr View Mode
Synapse® Mobility User Guide for HTML5 Viewer MIP/MPR VIEW MODE The MIP/MPR (maximum-intensity projection/multiplanar reconstruction) view allows you to see and interact with cross sections of 2D images. A MIP/MPR image has three orthogonal views. For easy identification in the interface, each view is framed in a color-coded border: Green - sagittal Blue - coronal... - Page 44 Synapse® Mobility User Guide for HTML5 Viewer source data, and could vary depending on the data set (if the data was generated in a different language, for example). In MIP/MPR view mode, patient orientation is indicated using an interactive orientation widget in the bottom right of the image.
- Page 45 Synapse® Mobility User Guide for HTML5 Viewer To directly triangulate a point Hold CTRL and click on a desired point in any of the strip views. (Hold CMD and click on Mac) The following double oblique view was created using these methods. Using curved MPR You can assign the curved MPR view to the main view by double-clicking the curved MPR view, as seen in the following example.
- Page 46 Synapse® Mobility User Guide for HTML5 Viewer To define a centerline Do one of the following: Hold down the left mouse button and draw the centerline in any of the views. (desktop only) Draw the centerline by dragging your finger on any of the views. (touchscreen only) Define a centerline by clicking points in any of the views.
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Page 47: Measurements And Annotations
Synapse® Mobility User Guide for HTML5 Viewer EASUREMENTS AND ANNOTATIONS The application provides tools for making measurements and adding annotations, as described in this section. On touchscreen devices, use the precision loupe to magnify finger placement for pixel-level precision of measurements and annotations. - Page 48 Synapse® Mobility User Guide for HTML5 Viewer To make linear measurements 1. Select the Linear tool. 2. Click the first point on the image and drag to the second endpoint and release the mouse button. To make ROI measurements 1. Select the ROI tool. 2.
- Page 49 Synapse® Mobility User Guide for HTML5 Viewer Manipulating measurements While any measurement tool is selected, you can select and make changes to existing measurements. To select a text box Click on the text box. To select measurements Click anywhere on the measurement or markup. (Ensure that the mouse cursor becomes a hand before clicking.) To select endpoints on measurements Click on an endpoint.
- Page 50 Synapse® Mobility User Guide for HTML5 Viewer Using the precision loupe The precision loupe is available on touchscreen devices only. It enables touchscreen device users to interact with the view with pixel-level precision. When measurement or annotation tools are selected, the precision loupe appears as a magnification of the region directly under the user’s finger, with a single pixel centered in the cross-hairs.
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Page 51: Configuring The Display Settings
Synapse® Mobility User Guide for HTML5 Viewer ONFIGURING THE DISPLAY SETTINGS This section describes how to configure the viewer's display settings, such as the level of metadata displayed and the quality of the images. Configuring the level of metadata The default display setting will automatically set the metadata display level based on the size of the image view. - Page 52 Synapse® Mobility User Guide for HTML5 Viewer Toggling the display of GSPS/CSPS data Some data sets may contain measurements and annotations saved from another viewing system, such as as GSPS (Greyscale Softcopy Presentation State) or CSPS (Color Softcopy Presentation State) information.
- Page 53 Synapse® Mobility User Guide for HTML5 Viewer Alternatively, 1. While in the viewer, select Display Settings from the settings menu. 2. Select the New Window tool 3. Drag and resize the second window as desired. To save the multi-monitor configuration 1.
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Page 54: Additional Features
User Guide for HTML5 Additional features Instructions related to additional features such as real-time collaboration, study sharing and study forwarding. Many of these features are only available if they are enabled by the system administrator. -
Page 55: Displaying Related Studies
Synapse® Mobility User Guide for HTML5 Additional features ISPLAYING RELATED STUDIES Related studies are studies with the same Patient ID as the study that you can currently viewing in the worklist. Having a list of related studies is useful when choosing series to display in split view layouts. See Selecting a layout Depending on server configuration, related studies may be displayed automatically, or you may need to explicitly select this option. -
Page 56: Downloading Studies
Synapse® Mobility User Guide for HTML5 Additional features OWNLOADING STUDIES This feature downloads all the files that comprise the study into a compressed format (.zip). The content is then available for importing in a different PACS. This feature relies on the web browser's functionality; and therefore the download behavior and the location of the downloaded content will depend on which web browser is used. -
Page 57: Forwarding Studies
Synapse® Mobility User Guide for HTML5 Additional features ORWARDING STUDIES The study forwarding feature allows you to send patient data (the selected study) to another institution. For example, this could be used in a primary stroke center to forward patient data to a comprehensive stroke center. -
Page 58: Sharing Studies
Synapse® Mobility User Guide for HTML5 Additional features HARING STUDIES The study share feature facilitates sharing studies with other clinicians. The Share Study action enables you to share study information through third-party services, like BEAM or DatCard. You can access this feature by clicking on the Share Study button in the worklist menu for the desired study in the worklist. -
Page 59: Collaborating In Real-Time
Synapse® Mobility User Guide for HTML5 Additional features OLLABORATING IN REAL TIME Collaboration functionality enables you to share the current viewing session with other users on the web or on mobile devices. From the collaboration panel, you can also access Spaces by PureWeb , if your institution subscribes to it. - Page 60 Synapse® Mobility User Guide for HTML5 Additional features Managing permissions A list of participants will be visible in the collaboration panel. The host can grant or revoke permission for participants to interact with the session. To toggle a participant's ability to interact with the session Click the Interact tool beside the participant's name in the collaboration panel.
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Page 61: References
User Guide for HTML5 References The references section provides additional information about some of the features discussed in this guide. -
Page 62: Series And Other Data Types
Synapse® Mobility User Guide for HTML5 References ERIES AND OTHER DATA TYPES The table below summarizes the types of content that can be included in studies. Series Series are how the DICOM model organizes images, based on modality and timestamp. A series can contain one or more images. - Page 63 Synapse® Mobility User Guide for HTML5 References Audio files A sound file, for example a dictated report. When you load a audio file, a dialog box opens, where you can control file playback and volume. Videos The application can play any non-DICOM video file included in a study. Waveform data The application can display waveform data, such as results from electrocardiogram (12- Lead ECG) tests.
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Page 64: Keyboard And Mouse Shortcuts
Synapse® Mobility User Guide for HTML5 References EYBOARD AND MOUSE SHORTCUTS On desktop browsers, you can quickly get around the interface with the following keyboard shortcuts. Keyboard shortcuts are based on the location of the letters on an English US keyboard layout. - Page 65 Synapse® Mobility User Guide for HTML5 References Shortcut Function Return to default slice Window/Level presets (all modalities except NM and PT) PERIOD Color palette presets (NM and PT modalities) Invert intensities Invert intensities Toggle magnifying glass LEFT ARROW Scroll up RIGHT ARROW Scroll down UP ARROW Navigate one image stack up in a multi-stack series...
- Page 66 Synapse® Mobility User Guide for HTML5 References Shortcut Function Click and Drag Rotate ALT-Mouse Wheel Rotate about horizontal axis Left Lateral view Right Lateral view Posterior view Anterior view Superior view Inferior view Invert intensities Reset clipping panes Toggle lens tool Toggle clipping planes Enable scalpel Undo scalpel...
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Page 67: Default Presets
Synapse® Mobility User Guide for HTML5 References EFAULT PRESETS The tables below list the default presets. However, system administrators may have configured different presets for your application. Default presets in 2D and MIP/MPR view modes In 2D and MIP/MPR view modes, color palette presets are available for NM and PT modalities, and window/level presets are available for all other modalities. - Page 68 Synapse® Mobility User Guide for HTML5 References Default presets in 3D view mode Presets in 3D view mode are achieved by applying different colors to one or more virtual "materials", to more effectively visualize the different tissues. The presets that are provided by default are as follows: Default Color Preset BoneGhost CT Airway...
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Page 69: Intelligent Layouts
Synapse® Mobility User Guide for HTML5 References NTELLIGENT LAYOUTS By default, the application will automatically load images in the optimal layout based on the device screen size, modality, and number of series in the study. The default layouts are summarized in the table below. Where applicable in the table below, the images will display either side-by-side (1x2 layout) or top-bottom (2x1 layout), depending on device orientation.
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