PACS Web
Physician User Guide
Web1000 ver. 5.1
Radiology Informatics
For questions or comments, please contact: 343-Help (343-4357)
Updated March 6, 2016
Subject
PACS Web Access
Commonly Used Tools
Study Window
Search Wizards
Thumbnail Window
Display Window
Cine Viewer
Split Screen
Removing JAVA 5.0
Uninstalling Internet Explorer Version 7
PACS Web Access:
Supported web browsers
WEB1000 supports the following web browsers on the listed platforms:
Windows 2000 Professional, XP Professional, and XP Home

Netscape Navigator version 7.1

Microsoft Internet Explorer version 6.0 SP1
MS Vista and IE v.7 are not supported by PACS Web and may not respond as expected
as of 9/28/07. (See page 16 for instructions to remove IE v. 7.)
Access this URL through MS Internet Explorer:
http://pacsweb1.mc.vanderbilt.edu/
When prompted, enter your User ID and your password.
Please call 3-Help if you experience difficulties with passwords.
PACS Web should open to the Study Search Window:
There are 4 active windows within PACS Web:
1. Study Window
2. Thumbnail Window
3. Display Window
4. Report Window
Hint: If the Study search page does not display as shown, you may need to remove
JAVA 5.0 from your computer. (Click here for instructions.)
Commonly Used Tools
Study Page
Enable Lossy Compression reduces the
image quality to view images more quickly.
Click on Select Team to switch between the
teams you’ve been assigned to during the
same session without having to log out.
Click on Study Information to display all
information available for a study.
Download all images in a study to the local
hard disk on your computer. Pull All Images
allows you to view images more quickly.
To grant access to a study to users that may
not currently have the privileges to see, click
on Grant Access.
Click on Retrieve Report to obtain a full
report for a study, if one is available.
Image Page
To apply any changes made to one image to
all images in the current series at once, click
on Link before manipulating the image.
To adjust window center and width levels,
click on Adjust Window/Level and drag your
mouse across the image.
Use the Zoom Region tool to zoom in on a
rectangular region of the image to full screen
size.
Available only for CT images. Click on
Display Scout to show at exactly what point
in the body the image was taken.
Cine Mode shows images frame by frame in
succession. A floating toolbar with controls
is superimposed over the image.
Study Window
Study Toolbar:
This is the default window upon logging into PACS Web. Select a search criterion to find
a study to display. Up to five different criteria may be chosen to narrow your search. The
icons at the top of the toolbar assist in selecting or manipulating studies.
Common Toolbar Icons:
Search For Studies
Viewing Format
Enable Lossy
Compression
Delete Study
Study Information
Preferences
Online Help
Exit
To begin viewing studies, select your search criteria from the drop down menu in each of
the search windows. At least one and not more than five criteria may be used. Enter the
information available beneath each of the criteria you have chosen.
Search Criteria:
1. Date
2. Date Range
3. Referring Physician
4. Modality
5. Patient ID (MRN)
6. Patient Name
7. Accession Number
8. Patient Location
9. Body part
10. Status
11. Gender
12. Department
Select the location of the images. If a search is unsuccessful, change the location of the
images to All locations.
You may switch from one window to another by clicking on the desired
tab. Use the Study tab to select another exam.
Toolbars may be customized by selecting the Toolbar layout tab of the Preferences icon
Search Wizards
Routine and often repeated search criteria may be entered into a search wizard to
facilitate exam searches.
Search Wizards:
1. To program a Wizard in the Study Window, first clear the current search criteria
by clicking the Reset icon
.
2. Enter the search criteria and click the Wizard tool
3. You will be prompted to enter the name you
wish to assign to the search. Click OK.
(Checking Startup Wizard will activate this
wizard whenever you sign into PACS Web.)
.
You may also enter new wizards, edit existing wizards or delete selected wizards by
accessing the Preferences tool:
Select the Wizards tab to select the Wizard you wish to edit/delete. (Click the New
button to enter a new Wizard.)
Selecting the View images when study
matches finder criteria activates the
results of the search into the Display
window.
Edit the criteria for the selected wizard. Choosing the Startup Wizard option activates
that wizard upon login.
Thumbnail Window
The Thumbnail Window displays the selected study series in thumbnail format.
To view images in an exam from the Thumbnails page:
1. Perform a study search and highlight the study you wish to view. Click the
Thumbnails tab. Images from the study series will be displayed in the thumbnail
format.
2. Open/close each series by clicking the toggle arrow to the left of each series.
Select all images
Deselect all images
3. Select the image or images you wish to view.
4. Select the viewing format from the toolbar
Scroll through images in a series.
Display Window
The Display Window allows the user to view the selected study and manipulate the
images.
Viewing Images in the Display Window
To view images in an exam from the Study page:
1. Perform an inquiry and click on the Search for Studies icon.
2. Right click on the exam you wish to view and select View Images.
You may also select the display format to view the exam in that window.
Adjust Window level by moving the mouse while holding the left mouse button down.
This will adjust the window level for that image.
Image manipulation and measurement tools are found on the Floating Toolbar. Activate
the toolbar by Right clicking in the image.
Right click on the image again (off of the tools box)
will hide the tools box.
Hint: Options for the Floating toolbar can be
changed through the preferences icon of the Study
Page.
An image locator is available with a scrolling slice indicator for CT and MRI exams.
Activate the Scout Viewer by clicking
from the Display Window toolbar.
The floating scout window may be placed anywhere in the viewing window.
Cine Viewer
The Cine Viewer displays the series in sequential order at a preset rate. To activate Cine
Viewer, click the projector icon located on the toolbar.
Exam information is not available when viewing in Cine mode.
Control Cine Viewer by this
toolbar.
To exit Cine Viewer, click the projector icon.
Split Screen
Viewing images in Split Screen Mode:
Select the Split Screen Mode icon beneath the Study Window tab.
Exam scroll bar
Series scroll bar
Notice: individual display controls exist for each screen.
When more than one study is selected for viewing, Split Screen Mode will display a
different study in each window. You may scroll through the available studies using the
Exam Scroll Bar.
Different series in an exam may be viewed in a window with the Series Scroll Bar.
Different studies may be viewed side by side in Split Screen Mode. First, select the
exams you wish to compare from the Study tab. Hold down the Control key to
select more than one exam. Click on the display format or the Display tab to display
the exam. Select Split Screen Mode and use the exam scroll bar to switch between
exams.
Removing JAVA 5.0
If you see the screen above, after you log on to PAC’s Web please do the following steps:
1.)
2.)
3.)
4.)
5.)
Click Start
Point your mouse to Settings
Choose Control Panel
Select Add or Remove Programs
Look for J2SE Runtime Environment 5.0 Update 2, highlight and select
Remove. (See example on next page.)
6.) Make sure you have the JRE version 1.4.x.
7.) Restart your computer if prompted.
8.) Open the Java Plug-in from Control panel:
Select Java Plug-in from
your Control Panel list.
3
2
1
9.) Select the Update tab and uncheck the box “Check for Updates
Automatically”. Apply change and Close.
Uninstalling Internet Explorer Version 7
1. Click on Start—Settings—Control Panel
3
2
1
2. Click on Add/Remove Programs
3. Make sure the box next to Show Updates is marked
4. This may take a few minutes as it will load all the updates you have applied to
your computer.
5. Scroll down until you see the Internet Explorer Ver 7 update.
6. Click on it and click Remove Program.
7. When removal is complete, you will need to reboot your computer.