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3	Merge Fusion Server The Merge Fusion Server by Eklin is a storage unit for our images “off site”. It is a safe and convenient way to hold large amounts of data. The information that is stored there must be sent there. It is a simple tool to allow Rdvm’s, clients, and in-house staff to view our images. The Fusion Server is not meant to be used for diagnostic evaluation!! I.e. You can not see reference slices for a CT scan.
4	Entering the Fusion Server From the michvet.com web-page hover over >>departments click on “Imaging Center Remote”
5	Logging on to Eklin Enter Logon name Enter Password Click Login
6	Finding a Patient Options Id # Patient name Description (lung, ocular, i.e.) Date (if known) Check CT or US or both you do not need all of the info. !!!! The amount of results per page can be modified.
7	Finding a Patient
8	Reviewing a Series Click the + to expand a file and – to shrink. In order to view a case, double click on one of the series. This will take you to the viewing screen.
9	Reviewing a Series
10	Reviewing a Series
11	Reviewing a Series or Study In order to view multiple patient studies you are able to open more than one window of the Eklin server, or you can use different layouts. The left hand side of the screen shows a shortcut to return to the search screen. It also lets you select which series you want to look at.
12	Reviewing a Series or Study
13	Viewing Different Series A history of previously viewed cases are shown on the left hand side of the screen. It is easy to “jump” back and forth from one series to the other by clicking on the desired case.
14	Contrast and Brightness The contrast and brightness are changed by using the window level option. When in use, the mouse pointer changes into a black/white sun. The brightness and contrast are monitored in the lower left hand of the screen. Ex. (W:1206, L:-334) from the previous slide. Click on the Window Level icon then click your left mouse button and hold down. When you move the mouse to left/right or up/down the window leveling changes. Just stop when you have the desired effect. REMEMBER WINDOW LEVELING TENDS TO BE AN INDIVIDUAL PREFERENCE.
15	Window Leveling
16	Pan and Zoom The pan and zoom options can be used for getting a closer look at a particular part of any image. Pan and zoom can be undone by hitting the reset button. Click on the Pan icon. By holding down the left mouse button you slide the mouse to display areas not currently in the field of view. When in use, the mouse pointer changes to a hand. Click on the Zoom icon, hold down the left mouse button and slide your mouse up and your image will continue to zoom in. When in use, the mouse pointer changes to a magnifying glass.
17	Pan Option
18	Zoom Option
19	Vertical and Horizontal Flip This feature is used when you need to change the look of an image. It allows you to view images as you would naturally. Not necessarily the way the data was collected. When you click on the Vertical or Horizontal icon the image will automatically flip. The image will continue to flip back and forth as long as you hit the icon.
20	Vertical and Horizontal Flip
21	90 Degree Turns This feature is used when you need to change the look of an image. It allows you to view images as you would naturally. Not necessarily the way the data was collected. When you click on the Right/Clockwise or Left/Counter Clockwise 90 Degree icon the image will automatically flip. The image will continue to flip as long as you hit the icon.
22	90 Degree Turns
23	Layouts Different layouts give the option of viewing up to four different cases on the screen at a time. Just chose which layout you would like to use by clicking on the Layout icon. Select the layout you would like to use then click on “apply”.
24	Layout Options
25	Changing between Patients, Studies, Series, and Images Every case that you have looked at in one sitting will be shown on the left hand side of the screen. You have the ability to jump back and forth between as many cases as you would like to. The modality does not make a difference. At any time if you need to look up another case just click on the SEARCH icon on the left side and select the necessary case. Double click and you are back in the viewing mode.
26	Changing between Patients, Studies, Series, and Images
27	Making Changes to a Study, Series, or Image You have the capability to change 1 single image or you can change every image within a study. Before you make any changes make sure that you click on the appropriate icon. Example: If you make a change in the windowing and you forget to click on the Check Series icon, your changes will only affect the one image and all the rest of the images will have the old setting.
28	Making Changes to a Study, Series, or Image
29	Refining your Images When you load a case into the viewing window, the computer does not bring in all of the information. If you want to see your image with “all” of the information, you click on the Refine icon and the computer will add all of the information by increments. Each time you hit the Refine icon a little more of the information is “filled in” until all the data is loaded. Reduces the image compression.
30	Refining your Images
31	Refining Your Images
32	Refining Your Images
33	Stacking you Images This icon will allow you to hold down the left mouse button and glide through your entire series without having to click on the Images icon for each image. This is a nice technique if you need to take a quick look at a case that you already have fresh in your mind. When in use, the mouse pointer changes to a “stack” of papers/images.
34	Stacking your Images
35	Looping your Images This icon allows you to view all of your images from a series one right after the other without you having to touch anything. The images go through at a rapid rate which doesn’t seem to allow you to slow down or speed up. If you are using this icon to help “study” images, DON’T.
36	Looping your Images
37	Reloading and Clear If you have made changes to your images and you want them to return to their original form, click on the “Reload” icon and the computer will reload your images from scratch. The Clear icon will only empty your screen of all the images. You will then need to reload the case that you need.
38	Reloading and Clear
39	Changing Between Patients You are able to change between patients by clicking on the desired patient on the left side of the screen. You are also able to change between patients by clicking on the Show Previous/Next Patient icons. This will enable you to quickly go back and forth between cases.
40	Changing Between Patients
41	Summary The Fusion Server is a simple tool used to view a case that needs to be examined when you don’t have hard copy films. It allows other people (off site or on site) to view your images. (if given access) Allows you to view the images from anywhere in the building. Allows you to store your patient information off site. Unlimited space for images. Ability to view images from AH or Southfield locations. (as long as images are being sent) Ability to store US, CT, DR (when applicable) and other modalities.
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