How Picsara can be used in Pathology.
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Versatility
Can be used in many disciplines
Allows for MD co-operation
Allows various HW to be connected.
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Examples of where Picsara is used:
Dermatology
Pathology &
Other labs
Ophthalmology
Ultrasound
Endoscopy
Plastic Surgery
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Picsara
◊ Digital image management
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Client and server
Security
High performance
Multi user
Analysis
Integration with LIS & EPR
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Some Customer references
Healthcare
Karolinska University
Hospital, Stockholm
Sahlgrenska University
Hospital, Gothenburg
Sodersjukhuset, Stockholm
St. Erik Eye Hospital,
Stockholm
Numerous regional Swedish
Health Authorities
Industry & Research
Astra Zeneca
Karolinska Institute,
Stockholm
NASA
Volvo Aero
Sandvik
ABB Industries
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Picsara is extremely scalable
From
Single user
(at various departments)
(and/or LIS)
To
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Picsara vs PACS
Picsara
 Derives from imaging outside radiology
 EPR/HIS/LIS centric, rather than RIS
 Specified by non- radiologists. Optimized client.
 Handles files not yet specified by DICOM
 Designed to handle multiple disciplines and
departments in a hospital.
 Strong integration support, even non standard.
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Picsara integration
Picsara, full client
Case viewer
Client in client
 OCX/HL7/API/ActiveX/COM
 Executable with switches
 (Direct access to database or non-standard solutions.)
Server to server
 HL7/XML/DICOM or non-standard service solutions
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Security/ Departments
One database-one hospital
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Security/ Roles
Different roles in different departments
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Security/ Users
Built in user management or connect to AD/external directory.
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Security/ Audit trail and Statstics
Who did what, when and were?
How many images or documents are stored and where?
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Security/ Forms
Design forms for indivdual tasks or diciplines.
No programming needed.
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Analogue or digital video (DV). Live on-screen video.
This is typically used in Endoscopy.
Video as well as still images can
be recorded and stored.
Picsara’s capture feature allows for
integration with the buttons on the
handle to capture images or video.
It can also be combined with a
foot switch, if more buttons are
needed.
High Resolution Direct-X cameras
Real time native
control of camera,
(without TWAIN)
Fokus assistance
Images, video, documents…..
Picsara stores all kinds of files. Video can be edited and compressed to a preferred format.
Aperio solution with Sympathy LIS, Workflow.
3 steps to review images
Scenario 1
Enter ID number
(barcode reader optional, Scan!)
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Enter ID number
Photo button is lit if there are images. Press!
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FOTO
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Two screen layout
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Sympathy
Picsara/ Aperio
All slides open in a second, high resolution, window
with one click or select individual slides + enter.
One screen and Picsara client. Different types of images.
Scenario 2
FOTO
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Search result
Open sessions
FOTO
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Image/session type
Select folders to open
Open
Double click or drag to open
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FOTO
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Adding images with Macro stand, scenario 3
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Add picture
Picsara opens a new empty case. PAD, patient name etc. are automatically transfered from the LIS
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If the camera has a live preview,
It will show here automatically
Add information
Capture your images from your microscope or camera, analyse and sign.
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Capturing can be done with a foot switch, button on the microscope or by simple drag and drop
Additional features and examples
-All lenses can be calibrated for image analysis (one time event)
-Calibration will automatically follow the image no matter where it is opened.
-Each image is marked with the name and magnification of the lens (Free
text)
-An optional bar code reader attached to the microscope will read bar code
labels (stickers) on each lens to automatically select the correct
magnification and lens in Picsara on manual microscopes.
-Each input device is named and will be stored with the image
-All EXIF information (i.e. exposure date, type of camera, camera time etc) is
saved and can be searched.
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Collaboration
Due to Picsara’s ability to serve a whole
hospital or trust, it’s easy to share images
between various disciplines in a secure
manner. An example would be Endoscopy
and Pathology.
It’s possible to set up rights for a
Pathologist to for example only view
images in the Endoscopy department and
yet have full rights while in the Pathology
department and vice versa.
This can also be managed by the central
HIS system.
Endoscopy dept.
Pathology dept.
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Analysis
-In the basic version, simple area and length can be measured.
Options:
-The analysis module will give you more advanced features and measurements can be stored in the database
and/or exported to Excel. Interactive measurements with your own Excel templates can be performed.
- with the blob module you can threshold on light intensity (B/W analysis).
-The script engine will let you run scripts built with the scrip builder. This is where the advanced user can build
his own scripts involving colour analysis and other advanced features. The other users can then share the scripts
by using the engine.
-As a last step tailored analysis methods can be offered. Please contact your reseller for more info.
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Macro or exterior photo
There are a number of cameras that can be used for Macro images in
Picsara:
- Canon SLRs like 20,30 or 40D can be connected directly to Picsara via a
USB cable or wireless. This can be useful when doing autopsy for
example. With the camera connected you can always be sure not to mix
up images and memory cards.
- A video/DV camera can be connected for recording various procedures
for educational purposes. These films can be stored in a separate
department or form to avoid being mixed up with clinical images.
- A dedicated Macro stand with a HDV camera and foot controls for zoom
and grabbing is also available. This gives a high resolution preview on the
screen.
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