PACS portalIn design

DICOM viewer preview

A concept of the ZAL viewer, drawn on a public lumbar MRI. The viewer is in design; voice reporting, at the workstation, is the part in clinical use today.

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MR lumbar spine without contrast

5 series · 85 images

DEMO^CONCEPTID DEMO-0001

4.0 mm

5.0 mm

SAG T2 TSE

Se 2 Im 8/15

4.0 mm Loc −9.0 mm

DEMO^CONCEPT

ID DEMO-0001

MR 1.5 T

W 848 L 465

Default

Zoom 224%

TR 3500 TE 94

SAG STIR (T2 TIRM)

Se 4 Im 8/15

4.0 mm Loc −9.0 mm

DEMO^CONCEPT

ID DEMO-0001

MR 1.5 T

W 290 L 170

Preset 2

Zoom 269%

TR 4510 TE 35 TI 170

Concept renderViewer: in designVoice reporting: in clinical use, at the workstationMRI images: Sudirman S, Al Kafri A, Natalia F, Meidia H, Afriliana N, Al-Rashdan W, Bashtawi M, Al-Jumaily M. Lumbar Spine MRI Dataset. Mendeley Data, v2, 2019. https://doi.org/10.17632/k57fr854j2.2. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Windowed, cropped, resized and annotated by ZAL; the patient labels and the prior study are placeholders. The site’s copyright notice does not cover these images, and no endorsement by the authors is implied.

Designed around how radiologists read

In design

The viewer is in design. The first three ideas come from practicing radiologists’ requests.

Concept render · MRI: Sudirman et al. 2019, CC BY 4.0 (credit above). This public case has no prior: screen 2 shows a placeholder.
The prior on its own screen
The prior study and its report will open on the second screen, beside the new exam.
Concept render · MRI: Sudirman et al. 2019, CC BY 4.0 (credit above)
Adjust a measurement instead of redrawing it
You will drag either end, move an end one pixel with the arrow keys or type the length, and Ctrl Z will undo a change.
Concept render · MRI: Sudirman et al. 2019, CC BY 4.0 (credit above)
A ruler that stays in your hand
The length tool will stay on after each measurement until you press Esc: no trip back to the toolbar.
SAG STIR (T2 TIRM)
Se 4 Im 8/15
4.0 mm Loc −9.0 mm
DEMO^CONCEPT
ID DEMO-0001
MR 1.5 T
W 290 L 170
Preset 2
Zoom 269%
TR 4510 TE 35 TI 170
A
P
S
I
Report
Draft, unsignedLumbar MR (mine)
Exam
MR lumbar spine without contrast.
Indication
From the order
ComparisonOn screen 2
MR lumbar spine, 2 years prior.
TechniqueDictating
Sagittal T1, T2 and STIR and axial T1 and T2 images of the lumbar spine were obtained on a 1.5 T system without intravenous contrast
Findings
Length: 5.0 mm (series 2, image 8).
Alignment
Vertebral bodies
Marrow signal
Conus medullaris
T12–L1
L1–L2
L2–L3
L3–L4
L4–L5
L5–S1
Paraspinal soft tissues
Impression
Dictate, or press Tab to jump here
MeasurementsAlt M puts the selected one in Findings
Length 5.0 mmSAG T2 Im 8/15Inserted
Length 4.0 mmSAG T2 Im 8/15
Listening0:07F4
Sign and nextCtrlEnter
Signs this report, then opens the next case in your reading order.
Concept render · MRI: Sudirman et al. 2019, CC BY 4.0 (credit above). The prior named under Comparison is a placeholder.
The report beside the images
Dictation will fill your own template beside the images, and one shortcut will insert a measurement.

Where each part stands today.

Voice reporting: in clinical use, at the workstation. It runs at the workstation today and will ship inside the ZAL PACS.
The viewer, the worklist, the cloud archive and the sign-in: in design.

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Solutions

Platform

Intelligence

Company

DICOM viewer preview

Designed around how radiologists read

The prior on its own screen

Adjust a measurement instead of redrawing it

A ruler that stays in your hand

The report beside the images

Where each part stands today.