A Radiology Video

Sectra IDS7 PACS Training Summary

The video is a training guide for radiologists moving from Philips IntelliSpace Radiology/Radiator to Sectra IDS7 PACS, with Uniview serving as a browser-based viewer for other clinicians. It covers the basic reading workflow, worklist organization and filtering, and image navigation and presentation tools. Sectra is intended to work alongside KPHC/Health Connect and PowerScribe/PS360.

1. Launching IDS7 and Choosing the Right Role

• Launch Sectra from the desktop icon at the start of a shift. Health Connect and PowerScribe should start during the login process.
• Confirm that the IDS7 title bar shows the NCal Mammo Radiologist role, even if you do not read mammograms. The training says this role gives NCal radiologists access to the full toolset.
• To change roles:
  1. Log off and relaunch IDS7.
  2. Open More options and clear Automatically select last assignment.
  3. Log in and choose NCal Mammo Radiologist when prompted.
  4. Confirm the role in the IDS7 information window.

2. The Main IDS7 Windows

• Information window: Starting point for searching, worklists, patient history, requests, and reports.
• Matrix window: Primarily used to prepare and arrange images for viewing and to review a patient’s examinations.
• Image window: Used for clinical review and diagnostic interpretation, with image manipulation tools and layouts.
• Quick window: Provides a quick image view, mainly for technologist quality assurance or as a companion display on a non-diagnostic monitor.
• The image window’s right-click toolbox provides common modality-specific tools. The full right-click menu contains additional tools and lists keyboard shortcuts.

3. Standard Radiologist Workflow

The video presents a five-step workflow:

1. Find a worklist in the worklist tree or a worklist group.
2. Select a patient and exam. A single click selects the patient and shows their exams in patient history. The current exam is marked with a green arrow and background.
3. Open images by double-clicking an exam or using the images toolbar icon.
4. Review and manipulate images. Double-click a partition to enlarge it, scroll through images, and right-click for tools.
5. Start reporting. Reports do not open automatically by default. Use the Dictate button or press F11.

Additional reporting behavior:

• Auto Dictate opens a report when selecting a case. It can be toggled with the lightning-bolt button or, according to the module summary, F4.
• Auto Next Case advances to another case after a report is signed.
• Using auto modes while browsing or assigning multiple studies can open unwanted reports. For batch reading, the training recommends turning Auto Dictate off while assigning cases, then enabling it when ready to read.
• Report validation still checks required sections and specified formatting. Validation messages appear in PowerScribe and IDS7.
• A radiologist can create and sign a preliminary draft from the report view. A signed draft can be viewed in Uniview. If leaving an unsigned draft, choose whether to save or discard it when prompted.

4. Finding and Organizing Work

• Dynamic worklists (clipboard icon) refresh automatically with exams ready for reporting. Worklists are organized in folders by department and facility; regional lists are under NCal regional.
• Worklist groups collect frequently used lists near the top of the worklist tree. They can be organized for different rotations. A worklist can appear in multiple groups, and users can add or reorder lists by drag-and-drop.
• Worklist notifications can show counts, including how many exams are stat or urgent, helping radiologists decide when to switch lists.
• The current examination is the exam identified by the green arrow in patient history. Toolbar commands and new reports apply to it, though a report may include multiple exams.
• Priority values are stat, urgent, and routine. Stat and urgent cases have colored indicators. A reading mark can indicate that another user has opened an exam or its report.
• To find a patient or exam not on a worklist, use the search tool. Search can use MRN, name, date of birth, or accession number, in any order.
• The History worklist lists recently accessed exams, most recent first, up to 100. It cannot be cleared, deleted, or renamed.

5. Filtering Worklists and Search Results

• Use available quick filters to limit a worklist to exams matching selected criteria. Multiple quick filters show exams matching either selected filter. A blue banner indicates that filters are active and can be used to clear them.
• You can also type into the filter boxes under column headings. Filtering is not case-sensitive:
  • * stands for any number or type of characters.
  • ? stands for one character.
  • | separates alternatives, effectively allowing an “or” search.
• The same column-filtering approach can be used in patient history, including filters for modality or similar anatomy.

6. Image-Window Navigation and Comparisons

• Image partitions are individual image panels. A layout is similar to a hanging protocol, while a display protocol is a sequence of layouts.
• Navigate between layouts with the left/right arrow keys or the layout controls. Use the up/down arrows to move among prior exams; the current exam remains unchanged when comparison series are advanced.
• Prior exams are color-coded by recency: newest comparison in mustard, then persimmon, raspberry, and grape. The current exam is identified by a green arrow; a green-border option can also highlight current-exam images.
• Thumbnails show the exam’s series. A blue dot indicates that a series has not yet been opened in an image window, not that it has not been reviewed. A green outline indicates that a series is displayed in a partition.
• Use thumbnails to drag series into partitions, or use the on-screen mini monitors to place them. The patient-history tab in the image window provides access to the patient’s exams.
• Older studies may need to be retrieved from the archive. The training says two years of image data were loaded before go-live, six years should be available for new exams, and older images can be retrieved using the archive control.

Comparison reporting change: Populating the PowerScribe comparison field is semi-automated and uses the semicolon key. The field updates when priors are displayed, but does not automatically update to say that no priors are available after they are removed; this needs to be handled manually. Updates may take several seconds.

7. Additional Image-Navigation Tools

• Image-information selectors can change the series or exam shown without leaving the image window. Depending on the command, a new exam can be applied to one partition, the current layout, or the entire presentation.
• The training gives these series shortcuts:
  • F7/F8: Move to the previous/next series set across the layout.
  • F9/F10: Move the series in an individual partition.
• Holding the right mouse button while scrolling moves through a series and can also be used to move between series. The middle mouse button can be used to swap series between partitions or drag a series out to clear a partition.
• Create key images with / and reset with *. Use . and , to move forward and backward through the key-image stack.
• Activate the spine labeler with Y. The guide says labels propagate across the exam; to remove them, return to the original series where labeling was performed.
• For localization, L activates the localizer and X activates the crosshair. Localization depends on a matching prior series being available. Shift+S hides the scanogram overlay.

8. Preparing Tumor-Board Presentations

The demonstrated method uses a static worklist to store selected cases and their custom presentations:

1. Create a static worklist for the tumor board; it is marked with a thumbtack icon.
2. Open the exam in the matrix window and clear the existing presentation state.
3. Choose the monitor and partition arrangement, place images, and add layouts as needed.
4. Make any required annotations in the image window. The training cautions that these annotations are not private to the user and may be visible to anyone who later views the images.
5. In the information window, add the exam to the static worklist.
6. Check Save current presentation before confirming so the custom layout is preserved.
7. Repeat for other cases, then reopen them from the worklist to verify the saved presentations.

Speakers and Sources Featured

• Charlie, Secure Transmissions team representative 756 — introduces the Sectra transformation.
• Mabel, Secure Transmissions team representative — introduces IDS7 and the core workstation workflow.
• Pooja, Secure Transmissions representative 258 — covers the information window and finding cases.
• Denise, Secure Transmissions representative 189 — covers worklist groups and daily worklist features.
• Amber, Secure Transmissions representative 314 — covers filters and filtering demonstrations.
• Gloria, Secure Transmissions team representative 411 — introduces module two and image-window navigation.
• Farm Dog, Secure Transmissions Content Officer — explains image comparisons, layouts, and comparison-field behavior.
• Reza, Secure Transmissions team representative 536 — introduces in-depth exam navigation and additional image tools.
• Unidentified narrator(s) in embedded Sectra training clips.
• Brief interruption: A voice identifies as Mabel and addresses “Agent 444”; the exchange appears to be an incidental production-style interruption.
• Background music and singing appear between sections; the lyrics are not part of the radiology instruction.