VistARad for Surgical Providers

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VistARad for Surgical Providers

• Course 857H

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Introduction

• John Christensen
• VistARad Lead Developer
• Washington OIFO
• Gerald Perry
• VistA Imaging Project Team
• VALU IT National Training and Education Office
• Cliff Sorensen
• VistA Imaging Project Team
• VALU IT National Training and Education Office
• John Di Lorenzo
• PACS/ VistA Imaging Administrator
• Southern Arizona VA Health Care System

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Lets Get Started-Dont Be Intimidated!

• PC Log-in using your own Windows acct
• 2 monitor configuration is common
• VistARad icon- picture of small chest x-ray
• Double click on the icon
• Log in using your VistA acct.
• Manager Window and Main Viewer
• Minimize other windows

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VistARad Manager
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Workstation Settings

• Configuration changes that you make on one
  VistARad workstation will follow you wherever you
  go.....you will not have to make the same changes
  at each similarly configured workstation (i.e.
  ICU vs. OR vs. clinic workstation)
• Monitor Configuration-
• One Monitor vs. Two Tool bar / Monitor button
• Manager Window Settings
• Manager Tab - Dictation Tab (enable/disable)
• Exam Request
• Font Tab (change the font size of report text or
  Manager Window)
• Element Tab (can change measurement text
  magnify 100)
• Hanging Protocol Tab - Enable Priors if desired

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Manager w/ Patient Displayed
Report button only need to seethe report?
AccessHealthSummary
Multiple ways to open exams depending on need
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Basic Image Manipulation - Tools

• Most of the basic tools can be initiated with a
  button on the tool bar

Or, use right mouse click for the drop down
menu Note Rt. mouse click also turns off
the active tool
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Basic Image Manipulation - Tools

• Window/Level
• Changes the contrast brightness of the image.
• How to change W/L
• Click Button, then drag on image with Left mouse
  button.
• Both horizontal and vertical movement will change
  the W/L (i.e. appearance) of the image.
• Or, use a shortcut
• Hold the right mouse button down and drag on
  image.
• Need to get back to the original image...try
  using the
• Auto W/L button, or Reset Image
  drop-down menu
• Scale
• Changes the size of the image

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Basic Image Manipulation - Tools

• Flip-
• Changes the image position from right to
  left and/or
• top to bottom
• Center horizontal line placement
• Above Vertical Below Horizontal
• Rotate-
• Changes the image position 90 degree
  rotation
• Center vertical line placement
• Right Clockwise Left
  Counter-clockwise

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Basic Image Manipulation - Tools

• Sharpen-
• Changes the image appearance sharpen brings out
  bone detail such as ribs non-radiopaque tubes,
  line placement, CT lung vessels
• drag left sharpens right smoothes
• Note F number
• Sharp Zero normal - Smooth
• F numbers 1-3 are most useful

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Basic Image Manipulation - Tools

• Invert-
• Changes the image appearance what is black turns
  to white, white to black.
• Measure/Length
• Measure/Angle

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Open/View Exams

• Hanging Protocols-
• VistARad system settings are configured to
  automatically
• open exams in a particular layout (number of
  images
• displayed per monitor as well as the
  layout of each
• monitor
• The system will also open comparison exams
• ? User Preference to enable/disable this
• via Settings, Hanging Protocol Tab
• All of this with one single mouse
  click

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Hanging Protocol

• What if hanging protocol does not work?
• Change a HP via the Manger Window
• What is a Template?
• Change the template
• Preview Window dragging from Preview to the
  monitor

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• Lets get started with Hands-On!

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• If you have a question...write it down and we
  will take questions at the end.
• Log-In and make workstation setting changes.

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Open/View Exams

• Open a Chest X-ray (pt I0006)
• Open-
• Double click on exam
• Change Size
• Change W/L
• Apply Sharpness
• Auto W/L
• Find the Report and/or Exam Request
• Close using the Close button on the Manager
  window.

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Open/View Exams

• Open an Abdomen exam (pt I0007)
• Open-Using the Open button
• Multiple exams opened, verify dates
• Change Size
• Change W/L
• Apply Sharpness
• Auto W/L
• Find the Report and/or Exam Request
• Close via the File Cabinet button on tool bar

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Open/View Exams

• Open a CT Exam (pt I0037)
• Scroll thru images
• Open a comparison exam (i.e. cxr)
• Find the comparison exam via Browser
• Double click on image to change size
• Measure
• Demonstrate how to set-up Pre sets
• Magnify
• Close Exam

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Open/View Exams

• Open MRI exam (pt I0020)
• Arrange stacks (drag/swap)
• Link stacks
• W/L
• Auto W/L
• Close Exam

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Start to Finish Its Simple

• Log in to PC
• Double click on the small chest x-ray icon
• Log into VistARad with your VistA account
• On Manager, click Patient Lookup, enter
  patient last initial and last 4
• Double click on the exam you want to open-wait a
  moment for exam to load (see Open/Reserved Exams
  window).
• Clicking on the image minimizes any windows that
  may be blocking it
• Use the wheel on your mouse to scroll through the
  images
• To close the study, click the file cabinet
  (close/update exams) icon at the top of the
  Viewer screen
• Log out of VistARad - go to file (top left),
  Exit VistARad

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Additional Assistance Needed?

• Contact your facility VistA Imaging/PACS
  Coordinator
• Use the Help option in VistARad
• Refer to VistARad Quick Reference
• Questions?