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Home > Using eFilm > Using eFilm

Using eFilm
The following topics outline the components of the eFilm user interface:

• The eFilm workspace layout (see eFilm Window).

• The eFilm toolbar (see Using the Toolbar).

• eFilm tools (see Using Tools).

Home > Using eFilm > eFilm Window

eFilm Window
The main eFilm window is a workspace where you can view and work on retrieved images.

This window can contain more than one image at a time, each in a separate pane arranged in a grid. The
menu bar appears at the top of the window, and the status bar appears at the bottom (if enabled). By
default, the tool bar appears at the top of the window directly beneath the menu bar, but you can move it
by following the procedure outlined in Moving the Toolbar.

Home > Using eFilm > Using the Toolbar

Using the Toolbar

Tools in the toolbar are displayed based on the toolbar settings in the user’s profile (see Using Profiles)
and activated according to the selected modality type.

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To view the description of a tool, hold the cursor over its icon. Full descriptions of the tools can be found
in Using Tools.

NOTE: Select Toolbars > AutoHide to automatically hide the toolbar. This function is similar to
automatically hiding the Windows taskbar. If you move the cursor to one of the edges of the window, the
toolbar reappears along that edge.

This section describes how to:

• Move the toolbar (see Moving the Toolbar).

• Configure the toolbar (see Customizing the Toolbar).

• Access the Mini Bar (see Using the Mini Bar).

Home > Using eFilm > Moving the Toolbar

Moving the Toolbar

The toolbar does not have to remain at the top of the window; it can be moved to the bottom, left, or right
of the window in order to accommodate your preferences.

To move the toolbar

1. Do one of the following:

• Select the toolbar and drag it to a new location.

• From the Toolbars menu, select one of the default locations.

• Right-click anywhere in the toolbar and select one of the default locations.

The new location becomes the default for the toolbar.

Home > Using eFilm > Customizing the Toolbar

Customizing the Toolbar

If you do not want to view all of the tools in the toolbar, you can customize the tools that are displayed in
the toolbar either by clicking Customize on the Toolbars menu, or by right-clicking on the toolbar region
and selecting Customize.

NOTE: From the Toolbars menu, select Grayscale to convert the toolbar to grayscale. You can also
enlarge the toolbar icons by clicking Medium or Large on the Toolbars menu. You can also select these
options from the toolbar’s right-click menu.

The following tools cannot be removed from the toolbar:

• Search (see Using the Study Manager).

• Send/Receive Log (see Using the eFilm Network Queue).

• Open (see Opening Existing DICOM Files).

• Log In New User (see Exiting eFilm).

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• Create Scrapbook (see Creating Scrapbooks).

• Select All Visible Series (see Selecting Series).

• Select/Deselect All Images In Selected Series (see Selecting Images).

NOTE: The Remove button is disabled for these tools.

To customize the toolbar

1. Do one of the following:

• Right-click in the toolbar region and select Customize.

• Select Toolbars > Customize. The Toolbar Properties window opens.

2. Select the ALL tab to customize the toolbar globally.

3. Do the following as required:

• Select a button from the Current toolbar buttons list and click Move Up or Move Down to change the
position of the button in relation to other buttons.

• Select a button and click either Add or Remove to remove the button from the Current toolbar buttons
list or add it to the list.

Assigning Shortcut Keys

The Stack and Window/Level tools already have shortcut keys assigned to them. You can stack through images
in a series using the Page Up and Page Down keys, and easily apply window/level presets by pressing one of
the function keys between F2 and F12 (see Changing Window/Level Presets). You can assign shortcut keys to
other tools as well.

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NOTE: Some of the image navigation tools have assigned shortcuts keys, as well. For example,
pressing Home jumps to the first image in a series, and pressing End jumps to the last image in a series.

To assign shortcut keys to tools

1. Select a tool from the current toolbar button list (see Customizing the Toolbar).

2. In the Shortcut group box, click Set.

3. Press the key that you want to use for the shortcut.

4. After you choose a key you may also select one or more of the modifier key check boxes (for
example, Ctrl, Alt, Shift), and click OK.

5. You can now activate the tool using the assigned shortcut and modifier key combination.

Assigning Mouse Buttons

Any tool icon that includes an “L” or “R” requires either a left-mouse (L) or right-mouse (R) click to
perform its function. If neither letter is present, then use the left-click default. Buttons X1 and X2 can also
be used if they are available on your mouse.

To assign mouse buttons to tools

1. Select a tool from the current toolbar button list with mouse button capabilities (see Customizing the
Toolbar).

2. Select one of the options from the Mouse Button group box.

3. Click OK to save your changes and exit the dialog box or click Cancel to exit without saving any
changes.

Locking Tools

Two tools, Stack and Window/Level, are lockable. This means that, assuming that locking mode has been
enabled for the tool, if you click the assigned mouse button, the tool goes into “locked” mode. You can
then perform that tool’s operation using your mouse or trackball without needing to hold down the mouse
button. To exit locked mode, click the assigned mouse button again.

To enable or disable locking for a tool

1. Select either the Stack or Window/Level tool (see Customizing the Toolbar). By default, the “locked”
mode feature is initially disabled.

2. Select or clear the Lockable check box in the Mouse Button area.

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3. Click OK to save your changes and exit the dialog box or click Cancel to exit without saving any
changes.

NOTE: The customized toolbar is saved in your profile (see Using Profiles).

Defining a Mouse Move Map

A mouse move map enables you to assign a key to perform the same function as moving the mouse with
the selected tool. For example, you can assign the “U” keyboard key to increase the magnification of an
image.

To define a mouse move map

1. In the toolbar properties dialog box, select a button for which you want to map a keyboard button.

2. In the Mouse Move Map group box, click the direction arrow to which you want to map a keyboard
key. Existing mappings are labelled as follows:

NOTE: The buttons in the Mouse Move Map group box are only enabled for eligible tools.

3. Press the keyboard key that you want to perform the same function as moving the mouse with the
selected tool. The application confirms whether the mapping is eligible and notifies you whether the key is
invalid or is used by another tool. If there is no conflicting mapping, the keyboard key is identified on the
button face.

4. Click OK to save your changes and exit the dialog box or click Cancel to exit without saving any
changes.

Customizing Toolbars by Modality

To customize the toolbar by modality

1. To customize a separate toolbar for each modality type, select a modality tab.

NOTE: You can only select tools that can be assigned to mouse buttons. Tools that can be assigned to
the left mouse button are designated with a small “L” in the upper left hand corner of the tool icon; tools
that can be assigned to the right mouse button are designated with a small “R” in the upper right hand
corner of the tool icon.

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2. Add tools to the customized toolbar by selecting them from the Available toolbar buttons list and
clicking Add. Added tools appear at the bottom of the Current toolbar buttons list.

3. Remove tools from the customized toolbar by selecting them from the Current toolbar buttons list and
clicking Remove. Removed tools appear at the bottom of the Available toolbar buttons list.

NOTE: Some tools have shortcut keys assigned to them, which can be adjusted to suit your
preferences (see Assigning Shortcut Keys). You can also alter the mouse button selection for other tools
using the radio buttons (see Assigning Mouse Buttons).

4. Click OK to save your changes and exit the dialog box or click Cancel to exit without saving any
changes.

Home > Using eFilm > Accessing the Mini Bar

Accessing the Mini Bar

In addition to the main toolbar, you can also use the Mini Bar for quick access to commonly used tools.

By default, the Mini Bar includes the following six tools: Stack, Window/Level, Pan, Zoom, Probe
Tool, and Measurement Tool - Line. This tool set is predefined; tools cannot be added to the Mini Bar,
but if you remove a tool from the toolbar, it will not appear in the Mini Bar (for example, a tool only

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appears on the Mini Bar if it is part of the eFilm toolbar). If the toolbar is customized not to display any of
the tools in this set, then those tools are not displayed in the Mini Bar. All of the tools on the Mini Bar can
be assigned to either the left or right mouse button.

Mouse button requirements apply to the Mini Bar (see Assigning Mouse Buttons).

To access the Mini Bar

1. Hold the right mouse button and then click the left mouse button. The Mini Bar pops up in the area of
the window where you clicked both mouse buttons.

Home > Using eFilm > Using Tools

Using Tools
eFilm includes a large selection of tools to help you navigate and manipulate study images. This section
describes the tools located on the toolbar. The tools are grouped as follows:

• Main – access studies and save selected images (see Main Tools).

• Common – apply to all modality types, including window/level settings, layout settings, and other
image viewing tools (see Common Tools).

• Next/Previous – navigate between studies, series, and images (see Next/Previous Tools).

• Measurements – measure regions of an image (see Measurement Tools).

• Multiplanar – work with MultiPlanar Reformatting (MPR) images (see Multiplanar Tools).

• Image Manipulation – rotate, flip, and invert images, and related functions (see Image Manipulation
Tools).

• Image Processing – select and apply image filters (see Image Processing Tools).

• Volume – view and manipulate images in three dimensions (see Volume Tools).

Home > Using eFilm > Main Tools Search

Main Tools
Opens the list(s) of patient studies available for
Search
viewing.

Close Closes the current study being viewed.

Displays the status of studies currently being

Send/Receive Log retrieved remotely or being sent to another
device.

Opens DICOM image files from disk or

Open
network file system.

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Log In New User Logs you out of your eFilm session.

Create Scrapbook Creates a scrapbook of the selected images.

Home > Using eFilm > Common Tools Stack

Common Tools
Manually scrolls through images within a
Stack
series. You may define the sort criterion.

Adjusts the brightness and/or contrast of the

image. You may specify whether this is done
Window/Level
interactively or via lookup tables included as
part of an image header.

Alpha (Coherence)/Beta Adjusts the coherence and/or black/white bias

(Black/White Bias) settings of the image.

Magnifies the area of interest within the image.

Magnification You may define the percentage of
magnification.

Pan Repositions the images in the window.

Manually increases or decreases the image’s

Zoom
field of view.

Resets the original image settings after

Reset Image Settings manipulations, except the window/level
settings.

Hides or displays the study information and

Toggle Overlay
scale bar displayed in the window.

Enables you to add and position text in the

Add User Annotation
image.

Automatically cycles through the images in a

Cine
series.

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Displays series and images in various layouts

Screen Layout
on the screen.

Toggle Survey/Explode “Explodes” images to fill the screen and returns

Mode to the former layout.

Select All Visible Series Selects all series currently displayed.

Select/Deselect All Images Selects/deselects all images in the selected

In Selected Series series.

Displays more information about the patient

Show Study Information
and study.

If available, displays associated PACS or RIS

View Report information, such as the Fusion PACS™
Workstation Radiologist Desktop.
If available, moves the last study to the
Completed folder and displays the next study in
Create Report
the Start folder (Fusion PACS™ Workstation
Radiologist Desktop).

Thumbnail Opens the Thumbnails panel.

Marks or unmarks the selected image as a key

Mark Key Image
image.

Save Key Image Saves the marked images as a key images.

View Key Image Displays only key images in the current study.

Opens the HP Builder window or displays the

Hanging Protocol Builder list(s) of hanging protocols available for
viewing.

Image Fusion Fuses CT/PT images together.

Manually Split Multiphase

Splits a multiphase series into separate series.
Series

Enables you to label a spine using predefined

annotations (text only, or text with arrow).

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annotations (i.e., text only, or text with arrow).

Label

Mark Study as Read Enables you to mark a study as Read.

Enables you to select an eFilm advanced

eFilm Advanced visualization plugin (requires separate license).
Visualization Tools See "Advanced Visualization Plugins" on
page 261 for more information.

Home > Using eFilm > Next/Previous Tools

Next/Previous Tools

Previous Study Loads the previous study from the exam list.

Next Study Loads the next study from the exam list.

Loads the previous series within the selected

Previous Series
exam.

Next Series Loads the next series within the selected exam.

Previous Image Loads the previous image of the series.

Next Image Loads the next image of the series.

Loads the previous layout of the hanging

Previous Layout
protocol.

Next Layout Loads the next layout of the hanging protocol.

Home > Using eFilm > Measurement Tools

Measurement Tools
Gives a pixel, standard uptake value (SUV), or
Probe Tool
Hounsfield unit value for a given point.

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Measurement Tool - Arrow Draws an arrow.

Measurement Tool - Line Measures linear distances.

Measurement Tool - Ellipse Measures an elliptical region of interest.

Measurement Tool - Show Measures an angle between two intersecting

Angles lines.

Erases all measurements from all images in a

Clear Measurement Tools
selected series.

Calibrate Measurements Manually calibrates images.

Displays the cardiothoracic ratio on the image,

along with both heart midlines and the thorax
diameter.

Intended for use only with CR or DX

Posterior‐Anterior (PA) studies.

Cardiothoracic Ratio
with both heart midlines and the thorax
diameter.

Intended for use only with CR or DX

Posterior‐Anterior (PA) studies.

Home > Using eFilm > Multiplanar Tools

Multiplanar Tools
Shows the location of all the images with
Show All Reference Lines
reference lines.

Show First and Last

Shows the location of the first and last images.
Reference Lines

Show Current Reference Shows the location of the currently active

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Line image.
Synchronizes images that are related to each
other spatially and scanned during the same
Auto Series Synchronization exam. The application does not synchronize
images from the same patient from different
studies.

Manual Series Locks series belonging to the same patient

Synchronization together by image location.

Synchronizes points between images and

3D Cursor
planes.

Measurement Tool - MPR Creates an MPR series from a 2D image.

Auto-Generate Orthogonal Creates two orthogonal and one oblique MPR

MPR Tools series from a 2D image.

Home > Using eFilm > Image Manipulation Tools Flip Horizontal

Image Manipulation Tools

Flips the selected image from left to right about
Flip Horizontal
the vertical axis.

Flips the selected image from top to bottom

Flip Vertical
about the horizontal axis.

Rotate 90 Degrees Counter Rotates the selected image 90 degrees counter

Clockwise clockwise.

Rotates the selected image 90 degrees

Rotate 90 Degrees Clockwise
clockwise.

Inverts the color of the images so that they are

Invert displayed either as black on white or white on
black.

Improves the contrast for greater definition of

Digital Subtraction
vessel structures (only available for 16-bit XA
Angiography
images).

Toggle Shutter Applies or removes modality shutter.

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Match Displayed Field of

Matches all images on the same plane.
View

Home > Using eFilm > Image Processing Tools Apply Image Filter

Image Processing Tools

Applies the filter/image manipulation effect to
Apply Image Filter
the selected image.

Restores the image’s original settings prior to

Reload Original Image
the image filter application.

Change Filter Settings Adjusts the filter/image manipulation settings.

Loads a new user-defined filter/image

Add New Filter
manipulation effect into eFilm.

NOTE: You cannot use filter tools with MG (mammography) images.

Home > Using eFilm > Volume Tools View 3D

Volume Tools
Renders the selected series using the specified
View 3D
3D mode.

Crop Volume Crops away unwanted parts of a volume.

Rotates the volume about the screen’s

Rotate Volume
horizontal and vertical axes.

Toggle Stereo Toggles the stereoscopic display mode.

Generates an MPR from a plane applied to a

Volume MPR
volume.

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Enables you to assign colors to pixels in a

Opacity Settings
volume.

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