synapse 3.2.1 md web based training. yale new haven hospital diagnostic radiology
TRANSCRIPT
Synapse 3.2.1
MD Web Based Training
Yale New Haven HospitalDiagnostic Radiology
Overview
Synapse is a web based application used for storing and visualizing diagnostic images.
This tutorial will demonstrate how to login, locate studies, view and manipulate images, review available reports and compare exams.
The Help feature will enable you to find answers to any questions you have.
Accessing Synapse through MDLink
Access Synapse through MDLink.
Enter your username and password, then click on Enter.
Accessing Synapse through MDLink
Click on YNHH on the left side of the screen.
From the dropdown menu select Yalepacs.
Accessing Synapse through MDLink
Enter your username. Note that it must be preceded by “ynhh\”.
Enter your password.
Click on OK.
Accessing Synapse through MDLink
Click on the link to “View Images”.
Synapse Folders
You will see a list of folders and your name listed as the last folder.
Search for your patient in the “All Patients” folder.
Accessing Synapse using the Synapse Icon
If the Synapse icon is on the desktop, double click on the icon to access Synapse.
This will display the Synapse folders with your name listed as the last folder.
Search for your patient in the “All Patients” folder.
Synapse Folders
You will see a list of folders and your name listed as the last folder.
Search for your patient in the “All Patients” folder.
Locating a Patient When first opened, the “All
Patients” folder lists all the patients in the database, in no particular order.
You can search by: Patient Name Patient ID (MRN) Gender Date of Birth
Locating a Patient To search by name, type in
any portion of the last name, comma, and a portion of the first name in the empty field below the patient name header. Hit the “Enter” key.
In this example, 2 patients were located with the name entered.
Double click on the correct patient name to view the list of studies for this patient.
Patient Information
All studies for the patient will be listed.
Click on a column header to SORT the list in order. In this example, the arrow on the “Study Date Time” header indicates the list is sorting exams chronologically.
Double click on the study to view the images.
Viewing the Study
The “Power Jacket” will automatically display on top of the images.
The “Power Jacket” represents the patient master jacket, listing all Radiology studies chronologically.
The displayed study is listed in Bold Italicized font.
Power Jacket Icons A. Study Info: Patient
demographics.
B. Report : If a report is available, view by clicking on this icon.
C. Series: Displays thumbnail of study series.
Close “Power Jacket” to view the images.
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C
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Viewing Images Left click on an image to activate the
study. The image will be outlined with dots as shown here.
Scroll through images using the Up/Down arrow keys on the keyboard
-OR- Scroll through images using the Page
Up/Page Down keys -OR- Scroll through images using the wheel
of the mouse.
Patient information, study date and page count are displayed in the corners of the image.
Right Mouse Click Tools Access all tools for image
manipulation with a right mouse click.
They all work in the same fashion:1. Right click to display the menu2. Left click on the desired tool3. Left click and move the mouse to
activate the tool.
When you let go of the mouse, the tool disappears. Right mouse click again to get back to the tools.
Most Commonly Used Tools Window/ Level: Changes contrast and density.
Zoom: Enlarges entire image.
Pan: Only works when image has been zoomed. Allows visualization of the entire image despite zoom factor.
Ruler: Line measurement.
Image Presets: Preconfigured values for window level (contrast/density) of images. These are modality specific.
Scale, Rotate, Flip: Image Orientation.
Most Commonly Used Tools
1. Tools / Anonymize Text Overlay: Hides patient name and MRN. This tool should be used to maintain patient confidentiality when exporting images.
2. Exporting Images: “Copy to Clipboard” saves a single image for use in other applications; i.e. Powerpoint, Word, Paint.
Anonymize all images prior to using “Copy to Clipboard”.
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Power Jacket
Anytime you need to reopen the “Power Jacket”, click on any of the Synapse icons on the Synapse Toolbar.
Synapse Toolbar
Top Row: Synapse Icons. Clicking on any of these icons will open the “Power Jacket”.
Bottom Row: 1. Study Protocol for Study
Display.2. Protocol Steps. Changes
the display format of the images.
3. Click on the arrow to step through the different display formats.
Synapse Toolbar Clicking on an icon opens the
“Power Jacket” to the respective area.
1. As last viewed.2. To the Study Info page.3. To the Study Report.4. To the Notes section.5. To Document section.6. To the Study Thumbnails.
They represent the images in the study. Left click drag and drop an image into a desired viewport.
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Returning To The Exam List After viewing an exam, click on
the “Up Folder” button to move up a folder level, back to the study list.
To select a different study of the same patient, double click on the study from the list and display images.
To view a study on a new patient, click on the "Up Folder” button again to go up another level to “All Patients”. Search for the new patient.
Synapse Search Tool The “Synapse Search” tool can be
used to locate a study.
Right mouse click on the Synapse desktop icon.
Enter the criteria for the search.
Search options are: Patient ID (MRN) Patient Name Accession number.
Click on “Find Studies” button.
Comparing Studies To compare 2 studies on the
same patient:With 1 exam displayed, open
the “Power Jacket” by clicking on any of the Synapse Icons.
Highlight the comparison study and click on the “Compare” button.
-OR- Double click on the
comparison study in the “Power Jacket”.
Both studies will be displayed simultaneously.
Comparing Studies
The two studies will display at the same time.
A gray box surrounds the date of the Comparison study, for easy identification as displayed in the second slide.
The date of the Current study is displayed in basic font.
Old
New Comparison
Comparison
Comparing Studies
In the Power Jacket
Bold Italicized Font: Original study
Bold Font: Comparison Study
Comparing Studies
To take compare off, click on “Compare Off” button. The original study is displayed alone.
On Line Help
1. At the top of the screen display, locate the Help button.
2. Select “Synapse Help”.
3. Type in content for search.
Click on topic to review Help information.
? Questions ?
If you have any further questions or would like more training on this application please email: