SRG Specialist Radiology + MRI Greenlane

InteleViewer on Ubuntu

2011-11-06T02:51:35Z

We offer referrring doctors online access to studies and reports with InteleViewer. Whilst InteleViewer is only offically supported on Windows and Mac (10.6+) platforms, it is possible to run InteleViewer under Wine on Ubuntu (Who knows, maybe other Linux distros too?). The following tutorial comes with no guarantee and is simply a proof-of-concept. It is in no way endorsed by Intelerad Medical Systems, nor should it be used in a clinical environment.

The following steps were performed on an Ubuntu 11.04 (Natty) desktop, running under Virtual Box in Mac OS 10.7. It should theoretically work with later releases of Ubuntu.

Firstly, you will need to install the Wine compatibility layer. To do so, open the Ubuntu Software Center and search for ‘Wine’. Next to the ‘Wine Microsoft Windows Compatibility Layer’ package, click ‘Install’

Once the installation of Wine is finished, open up your web browser and download the Windows 32-bit release of InteleViewer from SRG. The file can be found here. Save the file to somewhere accessible, such as your Desktop folder.

After the download has finished, open Terminal and do the following:

cd ~/Desktop/ wine InteleViewer-Setup-Windows-32-bit.exe

Wine will then be configured for first-use, and then load the InteleViewer installer. Continue through the installation as you normally would on a PC or Mac. The installer stalls on the ‘Shutting down dicom service etc’ part, but once it finishes it will continue just fine. I haven’t tried to use the DICOM service under Wine, so I left it uninstalled which is the default.

After the installation has completed, an InteleViewer icon will be on your Ubuntu desktop. Open InteleViewer as you normally would, and enter the settings for our PACS server: https://pacs.srgmri.co.nz

You will now be able to log in using your SRG credentials & access your patients’ images and reports!

Tendinopathy and Treatments Presentation

2011-08-24T03:48:58Z

Download the presentation handout for the 2011 Tendinopathy and Treatments evening at SRG

Download handout (PDF)

Send a study from OsiriX to your iOS Device

2011-08-21T21:28:37Z

With OsiriX on your Mac, you can wirelessly transfer studies to OsiriX HD running on your iPad, iPhone or iPod Touch. The following video tutorial will explain the required steps:

Installing and configuring InteleViewer on a Mac

2011-08-21T11:38:54Z

This video tutorial explains how to download, install and configure InteleViewer for Mac for use with our PACS servers.

You can download InteleViewer for Mac from our InteleViewer section. You will need to specify https://pacs.srgmri.co.nz as the server URL in InteleViewer.

Using OsiriX to view images on CD (Mac)

2011-08-21T11:29:59Z

Watch our video tutorial to learn how to open SRG CDs on a Mac with OsiriX

Avulsion Fracture of the Distal Triceps Tendon Insertion

2011-08-21T12:27:05Z

Patient presented to the radiology department after falling onto their left elbow while walking on rocks. The patient symptoms included an acute onset of pain and loss of power on extension. The ultrasound scan demonstrated an avulsion fracture fragment displaced 4cm proximally from the olecranon process and retraction of the long head of the triceps tendon. There was an extensive partial thickness tear of the medial head of the triceps tendon with intact deep fibres and a large haematoma.

Although a surgical approach is the usual treatment for this injury, the patient opted for a conservative approach. On orthopaedic follow up, the patient had improved strength and movement.

Avulsion of the triceps tendon is the most uncommon of all tendon injuries. A triceps tendon rupture represents only 2% of all tendon ruptures. A rupture may be partial or complete, with or without an olecranon fracture. The most common mechanisms of injury are a fall onto an outstretched hand or a direct impact.

Avulsion Fracture of the Distal Triceps Tendon Insertion

Use your iPad with IntelePACS

2011-08-21T12:00:50Z

With InteleBrowser, you can now use your mobile device to access studies directly from SRG. The following steps were performed on iPad, but and HTML-compliant web browser is capable of using the service.

For devices unable to run InteleViewer, such as iPads, or for computers without the application installed, we offer access to our IntelePACS servers with InteleBrowser.

InteleBrowser gives you limited access to studies and reports and is perfect for devices which are unable to run the full InteleViewer application. Read more about InteleBrowser →

Logging on to InteleBrowser

Open your device’s Internet browser (E.g. Safari) and point it to srgmri.co.nz/pacs (This is a shortcut to the full address, which is https://pacs.srgmri.co.nz)

Searching for a patient

When you login, you will be redirected to the search tool by default. If you are taken to another screen, click the ‘Patient Search’ text in the menu.

When searching for a patient, it is easiest to search by either the accession number or the patient’s name. When searching by name, the correct format is Surname, first initial. E.g. bloggs,j

Type the name into the Patient Name field. You can type the first few letters of the patient’s surname and IntelePACS will show you all your patients who have a surname beginning with those letters. In this case, I am using patient Test, T

To further narrow down the results, you can specify more information in the search filters:

Specify a custom date range to see patients from a particular period, or filter the results based on modality. You could select more than one modality if you needed.

Press the button to load results.

Opening a patient’s images

Once you have searched for a patient, the results will show in a list below the search form. Tap (or click) on a patient’s name next to their corresponding study to see the series within that study.

The series within the study will be listed below that (Figure A). Tap a series in the list and then double-tap (with a slight pause in between) on the thumbnails button (Figure B).

Figure A: List of series within a study

Figure B: Select a series in a study & press the thumbnails button

Once you have pressed the thumbnails button, your images will load as JPEGS

The big upgrade: IntelePACS and InteleViewer at SRG

2011-06-05T09:55:16Z

At the beginning of the month, we began the long-awaited changeover from our aging CEDARA PACS to IntelePACS from Intelerad.

Many referrers will have received emails from us, giving them a bit of information about the new system & instructions how to set up their user accounts. Before we get into that, I want to go over exactly what this changeover means for referrers

What is a PACS? (A crash course in digital radiology)

When your patient arrives at SRG, one of our friendly receptionists will process their referral and add the patient into our COMRAD RIS (Radiology Information System). Without going into too much detail, the RIS is a complicated database system which handles appointments, radiology worklists, report storage and distribution, accounting etc.

One of our radiographers will then bring the patient through for their X-Ray, Ultrasound or MRI. The examination is performed and the study is then sent to one of our new IntelePACS servers along with the necessary information to identify the patient (provided by the RIS).

The PACSs are responsible for securely storing (and eventually archiving) patient images. Each study is matched up to a patient on the RIS, so the system knows exactly which images belong to which patient and who should have access to them. As a redundancy measure, we have multiple servers with exactly the same data.

What does this all mean to me as a referrer?

All of this behind-the-scenes stuff shouldn’t really be much of a concern to any of our referrers. The major advantages offered by this new system is in accessing and viewing your patients’ images.

Previously, you could access studies using webCOMRAD along with Cedara I-Reach to retrieve images from our PACS and view them. This was an adequate solution in the beginning, but the I-Reach application did have a number of limitations and shortcomings, such as flaky compatibility with WIndows Vista & Windows 7, incompatibility with Mac OS and a general sluggishness when loading cases. We hope to have resolved these issues with InteleViewer.

What are the main advantages of InteleViewer?

To be fair, you really have to use InteleViewer to appreciate all of the advantages. However, I have put together a brief list of key points:

Load studies faster than with webCOMRAD due to improved compression algorithms
Pre-load your clinics to allow for instant viewing when you have no or limited internet connectivity (PC only)
See annotated key images from our Radiologists
Access multiple historic studies for a given patient and compare images (provided you have been granted access)
Support for multiple monitors
An excellent toolset: Change contrast, pan, zoom, measure, stack, annotate, 3D cursor, invert etc..
Runs on Windows XP, Windows Vista, Windows 7, Windows Server 2003, Windows Server 2008 and Mac OS X

Registering for InteleViewer

We offer InteleViewer to all of our referrers free of charge as it is our preferred means of image distribution. Registering for InteleViewer is quite easy and only takes a minute. Click here to register online

We will then review your account and ensure that you can access your patients’ studies.

Download InteleViewer

To use the system, you will need the InteleViewer program on your computer. You may already be using a version supplied by another radiology practice, but we strongly recommend upgrading to our version which is the most up-to-date.

Once you have set up the software, all you need to do is add SRG to the list of bookmarks.

Adding the SRG bookmark

1) Open the program and click the ‘Edit Bookmarks’ button:

2) Click ‘Add’

3) Now enter the address of our primary PACS server, https://pacs.srgmri.co.nz and click ‘OK’. You can specify a custom server name if you wish.

4) Close the bookmarks window by pressing the ‘Close’ button.

You have now downloaded and configured InteleViewer for your computer. Once we have approved your account (which doesn’t take that long) you will be able to login and see your patients’ images!

Need assistance?

If you need any help applying for an account, downloading or adding our SRG bookmark, don’t hesitate to contact us. We are more than happy to visit you at your practice and configure the software on your computer. We can also spend 10-15 minutes with you, going over some of the key features which will be of use to you.

There is much more information about InteleViewer on our main website.