HERMES RAPID Run Anywhere Patient Image Display Version: Document Revision Date: Document Number: 2.1 27-December-2005 CD300.1_P14V2.1 0413 ©2006 Nuclear Diagnostics Nuclear Diagnostics Ltd. HERMES Medical Solution Unit E1 Springhead Enterprise 305 Mary Beth Drive • Park Greenville, NC • 27858 Kent DA11 8HH, UK Telephone 353 0050 manual and+1-252 the software itself isNorthfleet, copyrighted and all Tel: +44 (0)1474 328728 Facsimile (360) 604-1940 rights are reserved by Nuclear Diagnostics. Neither the software nor manual may Fax: +44the (0)1474 328718 Nuclear Diagnostics AB Skeppsbron 44 S-111 30 Stockholm, SWEDEN Tel:software +46 (0)8 190325 The described in this Fax: +46 (0)8 184354 Web site: http://www.hermesmedical.com E-mail: info@hermesmedical.com Rapid be copied or in any other way reproduced without prior consent in writing from Nuclear Diagnostics who reserve the right to make changes and improvements to the software and the manual at any time. Nuclear Diagnostics assumes no responsibility for loss of data. Nuclear Diagnostics assumes no responsibility for any results and diagnoses derived from using the program described or from information in this manual. The users of the software are solely responsible for its use and for the resulting diagnoses. Nuclear Diagnostics welcomes feedback from readers of this manual. Please report any errors in content or typography and suggestions for improvements by E-mail or fax. E-mail: info@hermesmedical.com Fax: 44 (0)1474 328718 NUD Hermes Documentation Rapid Page 2 Rapid Table of Contents Introduction ........................................................................................... 5 Input Data............................................................................................... 5 Input data Matching ....................................................................................6 Loading Studies .................................................................................... 6 Rapid For CD ...............................................................................................6 Rapid For PC/HERMES Working connection ...........................................7 Rapid Main Window ............................................................................ 10 Color / Threshold Limits ..................................................................... 12 Display Options................................................................................... 13 TCS Mode ..................................................................................................13 Non-TCS Mode ..........................................................................................15 Transverse Page .......................................................................................15 Coronal Page.............................................................................................16 Sagittal Page .............................................................................................17 Vertical TCS...............................................................................................18 Two Study Mode .......................................................................................18 Display study 1/2 .....................................................................................18 VOI options .......................................................................................... 21 VOI On/Off .................................................................................................22 Pixel values for a pixel or VOI..................................................................22 Average pixel and volume for a grown region .......................................23 Limitations regarding the use of SUVs...................................................24 Other Options ...................................................................................... 24 Snapshot Save ..........................................................................................24 Study Information .....................................................................................25 Print............................................................................................................25 Tools Page ........................................................................................... 25 NUD Hermes Documentation Rapid Page 3 Rapid General Tab ...............................................................................................26 Layout Tab.................................................................................................28 Movie Tab ..................................................................................................29 Calc Tab ...........................................................Error! Bookmark not defined. Print Tab ....................................................................................................30 Protocol Tab ..............................................................................................31 RAPID Preferences.............................................................................. 32 RAPID Preference/Protocol file tags.................................................. 32 Printers Group ..........................................................................................32 common Group .........................................................................................33 oneStudyLoaded Group ...........................................................................33 twoStudiesLoaded Group ........................................................................34 movie Group..............................................................................................34 fusion Group .............................................................................................34 NUD extra Interfile Keys ..................................................................... 34 NUD Hermes Documentation Rapid Page 4 Rapid Introduction This program allows the display of tomographic data and MIP movie data. Its main purpose is to display and analyse PET tomographic data, but any tomographic datasets can be displayed. Fused PET/CT and PET/MRI images can also be displayed. RAPID comes in two version: RAPID for CD RAPID is primarily designed to allow users to view patient data on a standard PC without requiring repeated access to a HERMES workstation. This is accomplished by burning both the program and the patient data onto a standard CD-ROM from a Hermes workstation. The patient data is encrypted (an option requiring a user password for access) and can be viewed on a Windows-based PC by running the CD. The program can only be run form the CD RAPID for PC RAPID for PC is installed on the Windows based PC and can be used in there ways: • It can read and display DICOMDIR CD’s, Dicom data, ECAT data and Interfile data via a file chooser box. • Called from the HERMES JADE imaging environment to display Volume data • Read the HERMES working directly through a SAMBA file sharing network. RAPID for PC is node locked and needs a password from HMS/Nuclear Diagnostics. Features for both RAPID versions The program runs on a Microsoft Windows system. Supported Window versions are NT, Windows 2000 and XP. NOTE: Windows95. 98 and ME are not supported. Input Data 1. Two types of study can be loaded: • Transverse reconstructed studies If tomographic datasets are loaded without corresponding MIP movies, RAPID will generate MIP movies from the tomographic datasets if the user requests this. NUD Hermes Documentation Rapid Page 5 Rapid RAPID can ALSO load and show HERMES Image prints in the form of GIF/PNG/JPEG or animated GIF studies. The display is handled by an external utility. Input data Matching Up to four input studies can be loaded. The studies do not have to be marked in any specific order, but the program will try to match and order the data so that it has up to two datasets1. The method used is: 1. The program selects the first volume study selected, and then searches for another volume study. 2. The program locates a MIP or tomographic acquisition study that matches the patient name, patient ID, study ID, study date and study time of each volume study. The volume study and corresponding MIP MUST have the same head-feet size. This is necessary, as the MIP data is used as a map into the volume data. Loading Studies Rapid For CD Rapid will show a list of all Patient folders stored on the Rapid CD. Each line starting with a plus sign (+) is a Patient folder. Clicking on the plus sign will show studies belonging to that patient. 1 A dataset is one volume study and one MIP movie. The movie is optional. NUD Hermes Documentation Rapid Page 6 Rapid Click on the studies at the level below the patient name to choose studies for processing. Note that the order in which studies are selected determines the order in which they are displayed. A click outside patients or studies or on a selected study will de-select all. In the example above, a fused dataset THORAX PET/CT will be displayed with the CT study as the first study in Rapid. To start Rapid with the selected data click on the large icon at the top left. The column width can be adjusted by dragging the separator between the Labels. For example if the field “Organ” is too small, drag the border between the Organ and Label field with the mouse button down. On the top is a row of Buttons: Open All Open all patient folders and show all studies. Close All Close all patient folders Clear All Deselect all folders/studies Cancel Terminate selection and Rapid, if this is the initial search. Doc … Show the PDF manual in Acrobat. The Acrobat Reader must be installed for this to work. Rapid For PC/HERMES Working connection Rapid will group valid data (transverse/Dynamic and Image prints) int patients groups and show those in a list view scrollable list. NUD Hermes Documentation Rapid Page 7 Rapid Each line starting with a plus sign (+) is a Patient folder. Clicking on the plus sign will show studies belonging to that patient. Click on the studies at the level below the patient name to choose studies for processing. Note that the order in which studies are selected determines the order in which they are displayed. A click outside patients or studies or on a selected study will de-select all. The Fields “Type” has a character for each data type that exists in the folder, T(ransverse), M(ip) and P(rint). For example the folder with the name PET KCPC has one or more of each data type supported,. In the example above, a fused dataset THORAX PET/CT will be displayed with the CT study as the first study in Rapid. To start Rapid with the selected data click on the large icon at the top left. The column width can be adjusted by dragging the separator between the Labels. For example if the field “Organ” is too small, drag the border between the Organ and Label field with the mouse button down. On the top is a row of Buttons: Open All Open all patient folders and show all studies. NUD Hermes Documentation Rapid Page 8 Rapid Close All Clear All Cancel Doc … Close all patient folders Deselect all folders/studies Terminate selection and Rapid, if this is the initial search. Show the PDF manual in Acrobat. The Acrobat Reader must be installed for this to work. NUD Hermes Documentation Rapid Page 9 Rapid Rapid Main Window The main window of RAPID is shown below. The images are displayed in 3 or 4 image panes, three if a volume study only has been loaded, and four if a complete dataset (volume and movie) has been loaded. 2 Figure 1: Main window, displaying a complete tomographic and movie dataset. On the far right is the MIP movie. From left to right are Coronal, Transverse, and Sagittal images. A click on the top left “RAPID” icon, will show version and build date of the RAPID program. Note: This logo is only shown if the screen is 1024*1280 or larger, due to space restrictions for smaller screens. Not the case in the screen snapshot above. To re-select new studies from the CD or WORKING, click on the icon with a minified head.. This will show the patient selection window. Depending on one of the property 2 The exact layout might be slightly different for type of data and minor revision changes. NUD Hermes Documentation Rapid Page 10 Rapid settings, either the new studies will overwrite the current images or a new instance of Rapid will be started. The List Box to the right (PET-CT) is to load predefined protocols. NUD Hermes Documentation Rapid Page 11 Rapid Color / Threshold Limits The color and threshold adjustment controls are located near the bottom in the left panel of the main window. The color and thresholds are adjusted separately for the TCS display and the MIP display. Two separate colour tables are used when FUSION is enabled. Toggling the FUSION button on/off will put the Fusion/Non Fusion color into the colour table combo box. An example of each is shown below. The user can switch from one to the other by simply selecting the appropriate tab. The values displayed in these snapshots are in percentages. The threshold units can be changed in the tools section of the program to absolute values. Right-click on either slider will bring up a popup menu: Percent Set threshold mode to Percent, e.g. 0-100% of image max Pixel Value Set threshold mode to Percent, e.g. 0-100% of image max MR/Win/Level Set threshold to level and width in pixel values. The level is from 0 and up. NUD Hermes Documentation Rapid Page 12 Rapid CT/Lung There are five preset CT levels that can be used. The name and window/levels are set in the Preference setup. The named in the menu above are the default names. The difference between the MR win/level is that here we have Hounsfield units, e.g. 0 is water and -1000 air. Display Options TCS Mode This option displays single T, C and S slices and a movie, if required. Figure 2: TCS Mode display The order in which the slices are displayed can be changed in the Tools page. The controls for each slice display and the MIP study are at the bottom of each image. The T, C and S images can be triangulated, by clicking over any point on any image or by dragging the centre of the crosshairs to a new location. The other 2 orthogonal slices will be updated accordingly. As the crosshairs are clicked, the pixel count value is displayed immediately underneath the crosshairs. For PET studies, the SUV value for that pixel are displayed, if this option is selected in the Tools page. NUD Hermes Documentation Rapid Page 13 Rapid The 3 single slice images and the movie can be stepped through manually or played as movies. The controls for the movie options are located at the bottom of each window. Å For Transverse Æ ÅFor Coronal Æ Å Æ For Sagittal Æ Å For movie The controls for each study type are the same. • The first number shows the slice number of the slice currently being displayed. • The up / down arrows cause the program to move through the slices in the direction selected in single step mode, provided a movie is not playing. • The buttons to the right of the arrows stop and start the movie respectively. • The slider to the right of the play button controls the speed of the movie. NUD Hermes Documentation Rapid Page 14 Rapid Non-TCS Mode Transverse Page Figure 3: Transverse slice display In this mode, the slices can be moved one slice at a time using the top set of arrows (By Image), one row at a time using the middle set of arrows (By Row), or one page at a time using the bottom set of arrows (By Page). Adjusting the value of the Images per Row option located under the color and threshold area, will change the number of images displayed per row. Summed images can be displayed, and slices can be skipped by any increment, by using the Add/Step option. For example, the user may add 3 slices together and step through the images 2 slices at a time. NUD Hermes Documentation Rapid Page 15 Rapid Coronal Page The options are the same as for the Transverse display page. Figure 4: Coronal slice display NUD Hermes Documentation Rapid Page 16 Rapid Sagittal Page The options are the same as for the Transverse display page. Figure 5: Sagittal slice display NUD Hermes Documentation Rapid Page 17 Rapid Vertical TCS This will display TCS slices together vertically (one on top of the other). The controls to move through the slices are located immediately to the left of the corresponding slices. Figure 6: Vertical TCS display Two Study Mode Display study 1/2 With this option the user can choose to display study 1, study 2 or both studies. The regular image manipulations (e.g. threshold, color table, number of images per row) will apply to the selected study. An additional control for relative position of the slices, allows relative manual slice repositioning/reorientation of the second study in order to perform manual alignment. This option appears if more than one study is loaded. NUD Hermes Documentation Rapid Page 18 Rapid The study to be viewed can be selected by selecting Views 1, 2 or 1 / 2. If two studies are being displayed, either a single color table and associated threshold controls, or two independent color tables can be used. If the 1 / 2 option is selected, two color tables are used, table 1 for the upper study, and table 2 for the lower study. Figure 7: Two study display, study 1 in the upper row and study 2 in the lower row. Full Screen Display Rapid can show a full screen (FS) large image of each of the image orientations T/C/S. It will also remember the positions where a FS image was last placed. This is mainly of importance for systems with multiple screens, where the physicals screens (monitors) constitute one large “screen”. Right click on an image in the vertical TCS will popup the FS image. It has a small set of controls to set thresholds, colour and slice. See the Handbook!. When launched it inherits the settings form the vertical TCS image, but can the independently be modified and the vertical TCS threshold are left untouched. Each right click creates a new FS window; an already existing window will not be replaced. NUD Hermes Documentation Rapid Page 19 Rapid To close a FS window, right click in it or hit the Escape key. Note: The FS window does not support Fused images Align When the Align button is selected, this window is displayed. The orientation and position of the lower image can be adjusted using the controls, in order to align upper and lower studies. If the slider is dragged, the lower image will be aligned as soon as the slider is released. Alternatively, the slider can be adjusted by clicking to with the arrows to the right of the slider, after which the Apply button must be clicked for the alignment to be applied. The Fusion option can be set on to assist alignment. Click on Reset to reset the lower image to its original position when loaded. Note If regions have been grown on the lower image, they will be removed when the study is aligned. A popup will warn that this will occur. NUD Hermes Documentation Rapid Page 20 Rapid Fusion When both studies are selected, the user may also fuse the images for display by clicking on the Fusion button. Once the fusion option has been selected, the user can vary the degree of overlay by using the overlay slider. When the slider is positioned to the far left, only the first study is displayed. When it is positioned to the far right, only the second study is displayed. Figure 8: Fused display, with lower study displayed in colour and overlaid onto the upper study If two studies is loaded The MIP movie can show a fusion of the two MIP’s in the same manner as the slice Fusion. The Fusion controls are the same and are in the Movie tab. NUD Hermes Documentation Rapid Page 21 Rapid VOI options VOI On/Off To create a volume of interest, move the mouse to the centre of the area where a region is to be drawn. Selecting VOI On will then make a box appear on all 3 projections. The size of the box can be adjusted by moving the cursor to one of the sides of the box and adjusting using the mouse once the cursor has changed to arrows. This can be done in all planes. The volume of interest size will be maintained as it is repositioned by clicking with the mouse at a new location, and the maximum pixel and SUV values (if applicable) within the VOI will be updated. If 2 studies are selected, VOI data are displayed for both datasets simultaneously. In dual study mode, the right mouse button can be used to reveal the image information for the opposite study only inside the VOI. Pixel values for a pixel or VOI In TCS mode, the program will display the pixel value and the Standard Uptake Value (SUV)3 value (if applicable) underneath the mouse or in a volume of interest, providing all the data required to calculate the SUV is available in the data header. The formula used for calculating SUV 4 is: ⎛ Weight ⎞ SUV = PixelValue⎜ ⎟1000 ⎝ Dose ⎠ PixelValue Calibrated pixel value in Bq/cc Weight Patient weight in kg Dose Injected dose in Bq decay corrected to the time of injection. 1000 is the number of cc/kg for water (an approximate conversion of patient weight to distribution volume). The following criteria must be met for the SUV value to be calculated and displayed. 1. Pixel value in Bq/cc5 2. Patient weight in Kg 3. Injection time 4. Scan Start time 3 SUV Standard Uptake Value John W. Keys, Jr. Jour Nuc Med. Vol 36, No 10, p 1836-1839 4 Role of Nuclear Medicine in the Evaluation of the Solitary Pulmonary Nodule Stanley J. Goldsmith and Lale Kostakoglu Seminars in Ultrasound, CT, and MRI, Volume 21 Number 2,April 2000 5 For Gemini PET a special handling is sued, the native data is read from the Dicom data and proper Bq/cc can be calculated even if the Pixel unit is not Bq/cc in the header. NUD Hermes Documentation Rapid Page 22 Rapid 5. Injected dose in Bq 6. If injected dose is corrected to scan start The SUV display can be enabled in the Tools page if required. Average pixel and volume for a grown region A region can be grown within the volume of interest, based on an upper limit within the volume of interest. The grow limit can be set in percentage of maximum value, or in absolute SUV units, by clicking the Percent and SUV tabs respectively. This setting can be changed and the region recalculated at any time. Once the limit has been set, the user can select the Grow region option and the region will be calculated and the results displayed for average pixel value, average SUV (if applicable) and volume for the grown region. The software uses contiguous pixel levels to draw the region based on the thresholds set by the user. A sample region and results are shown below. The grown region can be displayed as solid colour, as hatched or as an outline, according to the setting of the Contour Format option in the Tools page. The grown region is then represented as a set of contours on the Coronal and Sagittal slices The SUV display can be toggled off in the Tools page if required. If 2 studies are loaded the results for both studies are displayed. With Volume of Interest OFF (VOI On deselected), the SUV and pixel values for the pixel underneath the mouse are displayed. With Volume of Interest ON (VOI On selected) the maximum pixel value and SUV value within the volume are displayed. NUD Hermes Documentation Rapid Page 23 Rapid VOI results Figure 9: Grown region within VOI shown in red, with count and SUV values displayed as indicated near top left of the main window. Limitations regarding the use of SUVs In the paper SUV: Standard Uptake or Silly Useless Value? 6 Dr Keyes suggests that SUVs are affected (with differences of up to 50%) by several factors, including: • Patient size • Standardized measurement times • Plasma glucose levels • Recovery coefficients and partial volume effects • ROI effects Other Options Snapshot Save Saves the current window as a bitmap image (.bmp or *.png) in the selected directory. 6 SUV: Standard Uptake or Silly Useless Value? John W. Keyes, Jr JNM; Vol 36; No 10, p.1836-1839 NUD Hermes Documentation Rapid Page 24 Rapid Study Information Shows a popup window with patient and study related information. The study related information includes the radiopharmaceutical used, dose administered and other header information. Figure 11: Patient Information window Print Prints an image of the application window. A click on this button will show the program manuals as a PDF file. This requires the Acrobat Reader to be installed. Tools Page To enter the tools page, click on the tab with the above icon. The Tool page has a six page tab dialog. NUD Hermes Documentation Rapid Page 25 Rapid General Tab The maximum size of the Rapid window: By default Rapid will use all available space, which for a very large screen (or dual monitor system) does not make sense, then this settings can be used to limit the program window size. If this option is ON, the saved properties (preferences) will be read, otherwise the default properties are used. The HERMES Volume display can save Window/Level and color table hints in the studies. When Rapid finds such hints AND this property is on, they will be honored. When new studies are selected, this setting determines whether the existing RAPID display should be retained or not when new patients are selected. Multiple Rapid sessions can be active and clicked up from the Windows taskbar. NUD Hermes Documentation Rapid Page 26 Rapid The window background can be set to AUTO to follow the current colour table. Automatic is the recommended setting. . The threshold (window leveling) and be set to percent, pixel value or MR or CT windowing mode. (Window/Level). Note that the CT style has 1000 to be water but the MR mode is the pixel values. The VOI data activated while mouse move (button down) or is released. If the SUV data shall be displayed or not. NUD Hermes Documentation Rapid Page 27 Rapid Layout Tab . The order of the projections on the TCS page can be changed here. The options are displayed here from left to right T=Transverse C=Coronall S=Sagittal This controls how the cross appears on the TCS page. The options are shown below. Full cross mode the lines are visible on the entire image and meet at the center Full cross Incomplete cross mode the lines are visible on the entire image except at the center where they would meet. Partial cross mode, the lines are only visible at the edges of the image frame The order of the images displayed.. . NUD Hermes Documentation Rapid Page 28 Rapid The grown region contour can be set to filled-in, semi-filled or nonfilled. Movie Tab Where the movie shall be positioned. If the movie shall be displayed or not. Can be changed anytime. The uses can choose if a MIP movie shall be created from the volume data. If the movie shall have separate colour tables or not.. NUD Hermes Documentation Rapid Page 29 Rapid Print Tab The margins (in pixels) for the printed page and the default Windows printer name. NUD Hermes Documentation Rapid Page 30 Rapid Protocol Tab Load/Save or Delete protocols. All operations will be on the protocol with the name in the Protocol Name text field. The protocols cane also be loaded with the list box in the upper left corner on the main window (PET_CT) CT Window/Level Tab Here the five preset CT window/Level settings cane be defined by name and actual NUD Hermes Documentation Rapid Page 31 Rapid RAPID Preferences In the folder with the RAPID.exe file (either on the RAPID CD or in the installed folder for Rapid for PC) is the default preferences in the file rapid.xml. This file will be read at program start, and IF the preference readlocalPref is true, the program will check for local preferences from C:\Rapid\Preferences\rapid.xml.7 By this local preferences for colours and other layouts can be stored and honoured. The defeat the ability to read local preferences, set the readlocalPref tag to false in the initial preference file. One can also store protocols under a given name and reload them, Works more or less like the stored Preferences, except that some items is executed at program start and have no meaning. The Protocol Option is reached from the Tool Page. The Protocol option can be disabled with a tag disableProtocols in the initial preference file. To save a setting as a local preference, make ALL adjustments on settings, colour tables and all other settings, click on Save Preferences and they will be saved. The old local preference is overwritten. Protocol set-up is done the same way, but the save is done to a specific name. RAPID Preference/Protocol file tags The preference/protocol are xml files with groups for different sections and tags for induvidual options. NOTE THAT XML IS CASE SENSITIVE, e.g. CrossMode is NOT crossMode. Printers Group Key name printerTopMargin printerBottomMargin Value Type Integer Integer Comments Top margin for the printer output in pixels Bottom margin for the printer output in pixels 7 A detailed description on the Preference file syntax is at the end of the document. NUD Hermes Documentation Rapid Page 32 Rapid printerLeftMargin printerRightMargin Integer Integer Left margin for the printer output in pixels Right margin for the printer output in pixels common Group Key name maxWindowHeight Value Type Integer maxWindowWidth Integer newInstance Boolean readLocalPref Boolean honourWLHints Boolean windowBackgroundMode Integer crossMode Integer isCOrderReverse isSOrderReverse isTOrderReverse tcsDisplayMode Boolean Boolean Boolean Integer SUVValuesOn VOICalcAsMouseMoves disableProtocols Boolean Integer Boolean Comments Max allowed width in pixels for the Rapid window. If the actual size is smaller then this value the window will adopt to the smaller size. Max allowed height in pixels for the Rapid window. If the actual size is smaller then this value the window will adopt to the smaller size If a new study is re-selected it shall start a new instance of rapid or overwrite the existing one. Shall the stored local preferences be read (C:\rapid\preferences\rapidrc.xml) If a input data has hints on the threshold/window settings, if those values shall be used. How the window background shall be painted: 0: White Background, 1:Black 2:Same as the colour table first element colour The mouse pointer type 0: Full cross, 1:Incomplete Cross, 2:Partial cross, 4: No cross. NOTE:: 3 is not valid! False: Back->Front, true: Front->Back False: Bottom->Top, true: Top->Bottom False: Right->Left, true: Left->Right Layout of the TCS images. Value 0-5 corresponds to left to right (Transverse, Coronal and sagittal image):: tcs,tsc,cts,cst,stc,sct True: Disable the SUV values display True: Do calc as mouse is released True: Disable all protocol handling oneStudyLoaded Group Key name cAddImages1 cSkipImages1 sAddImages1 sSkipImages1 tAddImages1 tSkipImages1 splashPerRow colortable1 thresholdMode1 Value Type Integer Integer Integer Integer Integer Integer Integer Integer Integer cAddImages1 cSkipImages1 sAddImages1 sSkipImages1 Integer Integer Integer Integer NUD Hermes Documentation Comments First Study: Coronal, Add # of images 0-.. First Study: Coronal, Skip # of images 1-.. First Study: Sagittal, Add # of images First Study: Sagittal, Skip # of images First Study: Transverse, Add # of images First Study: Transverse, Skip # of images Number of images per row in the splash display Colour table 0-99 for first study For first study: 1: Percent, 2: Pixel value, 3:Windowlevel First Study: Coronal, Add # of images 0-.. First Study: Coronal, Skip # of images 1-.. First Study: Sagittal, Add # of images First Study: Sagittal, Skip # of images Rapid Page 33 Rapid twoStudiesLoaded Group Key name cAddImages1 cSkipImages1 sAddImages1 sSkipImages1 tAddImages1 tSkipImages1 cAddImages2 cSkipImages2 sAddImages2 sSkipImages2 tAddImages2 tSkipImages2 splashPerRow Value Type Integer Integer Integer Integer Integer Integer Integer Integer Integer Integer Integer Integer Integer Comments First Study: Coronal, Add # of images First Study: Coronal, Skip # of images First Study: Sagittal, Add # of images First Study: Sagittal, Skip # of images First Study: Transverse, Add # of images First Study: Transverse, Skip # of images Same for study # 2 Same for study # 2 Same for study # 2 Same for study # 2 Same for study # 2 Same for study # 2 Number of images per row in the splash display movie Group Key name colortable1 colortable2 separateMovieTable movieCreateMode Value Type Integer Integer Boolean Integer moviePositionAtRight viewMovie Boolean Boolean Comments Colour table for first movie Colour table for second movie True: No separate colour tables for movie Movie generation mode, applicable when movie is generated out of the transverse dataset. 0: Never Create movie, 1:Only second Movie, 2: Create both, 3: Ask for create movie Move to the right or left (true) If the movie shall be shown (true) fusion Group Key name imageColorTable overlayColorTable opacity Value Type Integer Integer Integer Comments Colour table for base image in fusion mode Colour table for overlay in fusion mode Opacity (0-100) for the overlay. 0: No overlay seen Value Type Integer Integer String Comments Hounsfield Level for ct-window number n Window Width for ct-window number n Window Name for ct-window number n ctLevels Group Key name CtLevel[n] CtWidth[n] CtWinName[n] NUD extra Interfile Keys NUD has added some private keys to the Interfile to handle PET data. NUD/uid code NUD Hermes Documentation A unique UID as in Dicom Rapid Page 34 Rapid NUD/Patient Weight [kg] Patient weight in kilograms. NUD/PET SUV Factor Factor to convert pixel value to SUV NUD/activity Dose injected in Bq NUD/activity start time Dose Start Time NUD/radiopharmaceutical Radiopharmaceutical NUD/isotope half life [hours] Isotope half-life in hours. NUD/Pixel Value Units Pixel value units (Bq/cc) NUD/rescale intercept Pixel offset to add to Image NUD/rescale slope Factor to multiply pixel values to get TRUE pixel value True Pixel Value = StoredPixel*slope + intercept. NUD Hermes Documentation Rapid Page 35