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Mar 22, 2013 Configuring And Operating An OsiriX Teaching File Server Updated in December 2015 In this guidance document I’ll describe how to configure and operate an OsiriX-based Teaching File Server that will enable you to share your cases with colleagues. If you and your colleagues put your individual servers on an Internet-based network, each network member will, in effect, have a Teaching File consisting of the cases on all the servers. How this works will become apparent as you read this document. Contents. Hardware and Software Considerations. Network Considerations.

MicroDicom is a free DICOM viewer for Windows. MicroDicom is application for primary processing and preservation of medical images in DICOM format. It is possible to open DICOM images produced by medical equipment (MRI, PET, CT.). It is also possible to open other image formats - BMP, GIF, JPEG, PNG, TIFF,. Service Class Provider (C–MOVE SCP)..... Move Service Class User (C–MOVE SCU)....... Get Service Class Provider (C–GET SCP)........ Get Service Class User (C–GET SCU).......... Print Service Class User (C–PRINT SCU)........ 4.2.3 DICOM Listener.

Backing up the data on your Server. Getting and anonymizing DICOM cases. Configuring OsiriX on your Server. Understanding a JPEG 2000 Teaching Server Network. Querying a Server for Teaching Cases.

Exporting a case to share with colleagues Hardware and Software Considerations A Mac mini or iMac is fine as a Server. There is no need to utilize. To use OsiriX for the purpose described in this document, you’ll need to purchase the non-free version.

OsiriX Lite, the free version, has too many functional limitations, substantially increased since I wrote the first version of this guidance. Explore the for purchase options, including the possibility of a Site License for your department or practice. If you can afford it, purchase a device with a, and at least 8GB of RAM.

The combination of a SSD drive and El Capitan (the latest version of the OS X Operating System as of Late 2015) will optimize the serving of images. The average size of a Teaching Case on my Server is around 30-50 MB, the case being stored in a compressed state (JPEG 2000 compression). Many of my cases contain multiple CT, CT-PET and/or MR Series, each Series sometimes consisting of several hundred thin-section images.

If you choose a Mac mini, you can operate it via remote control (if necessary) using the VNC application that comes with OS X. Other third-party applications are available for this purpose but are not, as far as I know, better than Screen Sharing for this purpose. Note that you can use iCloud and for screen sharing as long as both devices are configured to use the same iCloud account. A guide for this is However, in my experience, this is not at all a reliable or efficient method.

I suggest the following password-protected configuration (System Preferences) for Screen Sharing: Here is an image of me working with my (non-local) Mac mini Server from home: For an OsiriX server, you need to institute a number of actions and specify particular system-wide preferences. General instructions and guidance are available Here is a summary of the things you should do: I want to be sure that OsiriX is always running and is restarted in the event of an elecricity failure or an unexpected application crash. I use the application for this purpose. Here is a sceenshot of it running on my server: If you use Lingon for this purpose, specify that OsiriX is initiated at login/load and is “kept running.”.

In System Preferences: Energy Saver, select “ Start up automatically after a power failure.” Move the slider for “Computer Sleep” to “Never” and select “Wake for network access.” Do not select “ Put hard disks to sleep when possible.”. In System Preferences: Users&Groups: Login items on your Mac, make sure that OsiriX is in the List.

If you use Lingon, then it need not be. If your Server is a Mac mini which is not connected to a display, go to System Preferences: Desktop&Screen Saver, and change the option on the Screen Saver to Never which otherwise sometimes interferes with Screen Sharing. Change your Destop Background to a simple solid color. In System Preferences, select automatic log-in (Users & Groups, Login Options, Automatic login). Activate the “Server mode” in OsiriX. This mode will hide the GUI, and OsiriX will never present a blocking window to the user (nobody will look at the server monitor to click the “OK” button). Go to OsiriX Preferences: Listener, Server mode.

When an application on the Mac crashes, a Crash Reporter often comes up, asking you to respond and, optionally, to send a report to Apple. For a Server, you’re not there to respond to this. To prevent this from happening, open the Terminal utility, select-and-copy the following, paste it at the command line and hit “return”: defaults write com.apple.CrashReporter DialogType Server Like this: You can still see and inspect the Crash Reports in the Console app if you wish. If you ever want to change this back to the default mode, type this at the command line: defaults write com.apple.CrashReporter DialogType Developer Networking Considerations The Server needs to have a and the fastest connection speed to the Internet as reasonably achievable. There are three basic options for accomplishing this:. Locating your Server at home. Locating your Server at work.

Locating your server at a Home server One purchases a package from an Internet Service Provider that includes a Static IP address(es) and a certain bandwidth. Availability and affordability are considerations for this option. Server at work In this scenario, you server will be physically connected by ethernet cable to the wired hospital (LAN). Your IT department should be able to reserve a particular IP address for your server by means of so-called dynamically assigned static IP addresssing. Ask for this.

This is very convenient as you’ll then easily be able to send cases on your laptop to it from anywhere. My Mac mini Server is in my office and I DICOM-send cases to it from anywhere in the hospital such as the Reading Room where I work each day. If your Server’s LAN IP address is fixed you’ll also be able to start the OsiriX Web Server with that address as the Public address and the Web Portal will then always be available at that address, which you can then share with departmental colleagues. Your hospital may also provide a means to connect to the hospital network from the outside via a VPN application of some kind. If so, you’ll first connect to the network via the VPN and then have access to your Server via its fixed LAN address. The following image shows a browser-based VPN application I use to connect to my institution’s network: Connecting to your server In order to connect to your office Server, you can create a Virtual Private Network using an application called ZeroTier.

Review the on this website about this. In this scenario, your Server will be assigned a network-associated static IP address and other clients in the private network only will be able to connect to it. Your Server’s OsiriX instance may have multiple IP addresses simultaneously, one of which is your address on the ZeroTier One network, as shown in this portion of my Preferences:Listener panel: The advantages of this option are:. You will have access to your server at the hospital on a high-speed and high-bandwidth wired LAN. You’ll have your institution’s fast bandwidth connection to the Internet to facilitate retrieval of cases from the Server from outside the hospital.

You’ll be able to connect to your Server from anywhere (including outside the hospital) via Screen Sharing using the ZeroTier One network IP address. You’ll be able to connect to the Server’s OsiriX Web Portal via either the Portal’s LAN IP address (while at the hospital) or via the ZeroTier One network (while outside the hospital). You’ll not have to purchase a static IP address package from your Internet Service Provider Server at a Colocation Facility At first, this idea may seem silly as your computer has to be shipped to another physical location. However, there are entities that specialize in colocating Mac minis, such as and.

They provide you with a static IP address, and offer fast Internet connections at a reasonable price. You can manage your server remotely using Screen Sharing (or a VPN application they’ll provide you) as I mentioned above. Update: May 2014 I have moved my Mac mini from the hospital to a colocation facility—. The upload speed from there to the Internet is much faster than with the usual home setup, which is great for serving up cases. Here is a screenshot showing upload and download speeds at the facility. (You can test your own speeds at: beta.speedtest.net) Backing up the Server I strongly suggest that you employ two concurrent means of backing up your OsiriX Data Folder: 1) to an attached external disk utilizing software such as Time Machine and 2) to an account in the Cloud. Options for cloud storage are, and.

It’s easy to schedule automatic backups (once a day) with these. Getting and anonymizing DICOM cases If your PACS application permits you to export a case in with one click, the most efficient method is to ask your IT department to assign your laptop (or another device other than your Server) a static IP address as well, as I described above.

Then, register your OsiriX laptop as a DICOM-node on the PACS administration module. When your laptop is connected to the network via an ethernet cable, you will: 1) DICOM-send the case to your laptop OsiriX, 2) anonymize the case on your laptop, and 3) DICOM-send the anonymized case to your Server.

Otherwise, you’ll have to use another method such as a USB thumb drive to transfer the case to your laptop. Remember: A non-anonymized case should not be on your Server at any time. Here is a screenshot of me sending a case to my laptop OsiriX directly from our Philips iSite PACS: I always have my laptop connected by ethernet cable to the LAN at the Workstation I’m working at, so I can do this as I perform my daily work in the Reading Room. If I have time right then, I’ll anonymize it, check the meta-data again to verify that the anonymization of personal information is complete, and DICOM-send it to my Server.

Otherwise, I’ll do this step another time. Anonymizing cases – three methods Using the OsiriX anonymizer Here is the scheme I currently use. It removes common sources of Personal Information, including that in Private Tags that vendors often employ. Add to these as necessary as you inspect the Metadata as I indicate below.

Important: When you use the 'Merge' command in OsiriX to merge all the Studies/Series of a particular case before anonymizing it, the component Studies will be split again when you DICOM-send or Retrieve it from the Server. This is annoying!

Prevent this by putting an appropriate number in the DICOM Tag 'StudyInstanceUID' as indicated above in the graphic. This number should be derived from your personal UID root (prefix) that you use for all the cases in your Teaching File(s). Review for information about getting this prefix and how to use it. The Diagnosis you insert should not be longer than 64 characters to comply with the Dicom Standard. With all the DICOM tags I’ve added to this scheme most cases are anonymized such that all personal information is removed.

But not always. Scroll through the Metadata of a Series of a case to be sure that none is left. If any remains, use the next manual method to remove it. You can also use the manual method to edit any particular field(s) in the DICOM Header (Metadata). The Manual Method OsiriX permits one to edit any particular field in the DICOM header.

This is a three-step process as indicated below:. Activate the editing function by clicking on edit. Double-click on an entry to edit it and hit return.

Edit other items as necessary. Click Apply specifying the Study level so that all the Series of the Case are changed.

Using Dicom Anonymizer to anonymize cases If you do not use OsiriX to anonymize a case, a great application to do this is Dicom Anonymizer. Indeed, it’s easiest to anonymize a case on your desktop with this before importing it into OsiriX. Review my on this web site for details on its use. Removing personal patient information embedded in an image Sometimes, for example, with an ultrasound image series, PHI is embedded in the image and cannot be removed by editing the DICOM header. In this case, the relevant portion of the image has to be removed, the resultant image saved as a separate Series, and the original Series deleted.

The process is as follows:. Define the area to be retained with the rectangular ROI tool. In the image below, I’m using this technique to exclude extraneous markers from a bedside chest radiographic image. The same process may be used for an ultrasound or nuclear medicine series containing many images.

Click on the Shutter Tool icon in the toolbar. If the icon is not there, right-click on the toolbar, choose Customize Toolbar and drag it there.

This image demonstrates what you see just before you invoke the Shutter Tool Next steps. Now that everything outside the ROI has been removed, use the Zoom and Pan tools to resize and center the resultant image as necessary in the window. Hit Command-E to save this as a new Series (named as you choose) in the case. For Image Format, specify as displayed in 16-bit BW before clicking OK. Delete the original series.

If you want to view an excellent video of this process applied to an ultrasound examination, do so right here (Credit: Dr. Mary Roddie, OsiriX U.K. User Group): If you have a single jpg” alt=“image with embedded personal information that you want to import into an OsiriX case, use the Preview application that comes with every Mac to crop out the information (or blacken it) and then import it into the case with the OsiriX menu item: Plugins.Database.JPEG to DICOM utility, specifying the Meta-data: from the selected study in Database window option when doing so. Configuring OsiriX on the server You need to configure certain items in OsiriX Preferences differently for a Server compared to a Retrieving Workstation.

The scenario is analogous to that in your department: Your PACS Server delivers images on demand to Workstations; the former is equivalent to your OsiriX Teaching File Server and the latter are the devices retrieving images from it. The options you should specify in your OsiriX Preferences are indicated on the following screenshots from my Server: Do not choose the option to broadcast the existence of your Server via the Bonjour protocol. If you do, any person with OsiriX on the network may see your Server’s Dicom-node parameters (AE Title, IP address and Port) by hovering the cursor over it in the Sources List and try to query your Server for cases via the Query/Retrieval window, as explained further below: Instead of this, you could manually add it to the List of Shared Databases on your laptop’s OsiriX as shown here: When you specify “WADO” above, you’ll need to specify additional items as indicated here: It's very important to specify retrieval using the.Original Syntax. which is JPEG 2000. If you do not, the server will decompress the images before sending them diminishing the transfer efficiency.

In addition, the decompressed images will then remain on the server in a decompressed state, slowing the retrieval speed for subsequent retrieval requests. Osirix Web server Understanding a JPEG 2000 Teaching Server Network As I alluded above, transmission of data over the network is facilitated by the use of data compression with the JPEG 2000 algorithm. This should not be conflated with the production of jpg” alt=“format images.

Editing

It is a compression scheme that permits lossless and lossy compression. The degree of compression may be stipulated in OsiriX Preferences:General. The default values may be changed to achieve greater compression, without a perceptual difference in quality. I highly recommend you do this as it will allow you to store more images on your storage medium and your cases will be retrieved faster over the network. Review the for details. Here is the default compression scheme I suggest you use: Just get in the habit of right-clicking on a case after you’ve anonymized it and choosing “Compress DICOM files.” For best performance and transmission efficiency, the network should be configured such that all aspects involve the JPEG 2000 transfer syntax. The intended result is that decompression of the images for viewing will occur once only: after the data have been received by the requesting Workstation.

When using the (Web Access for Dicom Objects) protocol for retrieving cases from a server, one should specify, as indicated in the graphics above, transmission via the Original Syntax (Send Transfer Syntax) which, in turn, should be specified (in Preferences: Locations) as JPEG 2000.

OsiriX HD User Manual. Table of Content. OsiriX HD is an application written for iOS devices. Copyright 2011-2014 Pixmeo SARL The Database button displays the list of studies stored locally on your iOS device. Tap on any of them to display the list of Series it contains. In the Series list, tap a thumbnail to load the Series in the Viewer.

The loaded Series will appear in the database with a little green viewer icon, making it easier to locate. Adding Images To add images please refer to the section. Available as In-App Purchase You can use the device camera to add secondary captures to a study. To do so, open the study and tap the '+' button at the bottom of the series list. If needed, unlock the 'Create secondary capture' feature (via In-App Purchase). You will then be able to choose a photo from your photo library or to take a picture with the camera. A new series will be created with the selected image.

Deleting Series Series can be manually deleted from a Study. To do so, tap and hold the thumbnail of the series to be removed. An alert will ask you to confirm the deletions of the selected series. Limitations OsiriX HD cannot display images greater than 1536x1536 pixels. To display images with one dimension greater than 1536 pixels, OsiriX HD will resize the image to make it smaller or equal to 1536. In that case, OsiriX HD will display the following warning message. Image NOT at full resolution.

Here is a quick description of the Viewer features:. The toolbar, located on the top, contains:. Display a list of all series available in the current study.

You can drag the series in the viewers (this is useful if two viewers are displayed). Only available on iPad. Display or hide the second viewer. Only available on iPad.

Window level/width presets for CT (Abdomen, Bones, Brain, Lungs and Full Dynamic). Orientation: Axial, Sagittal, Coronal. The tools: image manipulation, length measurement and area measurement. Meta-Data: All the DICOM fields of the current image are displayed in a table. Send the entire DICOM series to a DICOM node. See.

The image view area contains several labels: Patient Name, Series Description, Window Level & Width, Zoom factor, Angle of rotation. Note: tap on any label to lock the setting to the current value (lock the rotation to 0° for example).

Locked label are gray, unlocked ones are white. A slider at the bottom of the image to scroll through the image stack. Two arrow buttons at the extremities of the slider to go to next/previous image. If you keep you finger pressed on these buttons it will continuously scroll through the stack (cine mode). By quickly pressing two times on the right arrow button, the images will scroll automatically. Press once again to stop the automatic mode, to return to the manual mode.

Image Manipulation The image manipulation tool allows you to change the window level and width, zoom in and out, rotate and pan the image. This tool is selected by default. With one finger, you can:.

Change the window level, by moving vertically. Change the window width, by moving horizontally. Pan the image ( Only if the wl/ww label is locked).

Double tap to toggle the zoom level between 100% and fit-to-screen. Swipe left/right to go to previous/next Series. With two fingers, you can:. Pinch to zoom in and out. Rotate the image (if the angle label is unlocked - which is the default).

Pan the image. Only available on iPad By pressing on this icon, a list of all series and studies available for the current patient is displayed. You can either press on a thumbnail or drag and drop the thumbnail on the view where you want to display the series. If two views are displayed (see ), you have to drag and drop the thumbnail to change the content of the second viewer. Only available on iPad You can either display a unique viewer or two viewers on the screen. By displaying a second viewer, you can compare a different study of the same patient, or you can view two series of the same study.

If the series are from the same study, and if the 3D references are available in the DICOM files, the cross reference lines are displayed:. The first and the last slice of the series is displayed with a yellow line. The current slice is displayed with an orange line. To change the content of the viewers, use the series selection button (see ). You have to drag and drop the thumbnail to change the content of the second viewer by using the series selection button. Tapping on the orientation button allows you to change the orientation of the series. Keep tapping on the button to cycle through the 3 orientations: Axial, Sagittal and Coronal.

Axial Sagittal Coronal Only available on iPad Available as In-App Purchase You can fuse pre-registred PET-CT series. To do so, open the CT series and the PET using the. Once the 'PET-CT blending' feature is unlocked (via In-App Purchase), the PET series will be fused on the CT series. Measurements Two different tools are available: length and area. The length measurement tool: Define a line between your 2 fingers.

Once the line has been created you can refine it by simply moving its extremities, or move it (if you grab it by its center). The area measurement tool: Define a circle between your 2 fingers. Once the circle has been created you can move it with one finger. For both tools:. When you tap on a measurement, a colored area appears around it. This is the area where you can place your finger to manipulate it.

You can double tap anywhere (but not on the measurement) with one finger to erase it (and then start over). When you use these tools, an information bubble appears. This bubble displays the data of your measurement (such as length, area, mean, standard deviation, min and max values).

You can move this bubble using one finger and minimize it with a double tap (single tap on the mini-bubble to maximize it). To change the color of the measurements, see the section. OsiriX HD being a DICOM compliant device, all transfers are done through the DICOM protocol. These protocols are supported: C-STORE SCP, C-GET SCU, C-MOVE SCU, C-FIND SCU, WADO. In order to add your iOS device to an existing DICOM network, you will need:. A DICOM network accessible through WiFi or 3G/4G, including through VPN.

Your iOS device to be able to connect to the DICOM network Once your device is connected to the network, you will need to declare it as a DICOM node on the DICOM network. If you have a Mac running OsiriX 3.8 (or higher), you can directly go to. Otherwise, you will need to get the following information and ask your network manager to add your iOS device to the DICOM network:. IP address. Listener AETitle. Listener Port This information is available in the 'Q&R' tab of OsiriX HD: Once the device is declared as a DICOM node, it can receive images from other DICOM workstations on the network. Of course, OsiriX HD needs to be launched on your device in order to listen to incoming DICOM communications.

DICOM Q&R configuration OsiriX HD supports the standard DICOM Query and Retrieve protocol. This feature allows you to search for and retrieve images from a PACS server or a DICOM-compliant Workstation from your device and directly download them to OsiriX HD database on your iOS device. To enable this feature, you will need to specify a new 'DICOM Server' (such as a PACS Server) in your DICOM Q&R list. First you will need to ask you PACS or IT manager the following information about the DICOM Server you want to connect to:. The server's IP address,. the port number it uses for DICOM communications.

and its AETitle. To add the new DICOM server to your list, proceed as follows:. Tap on the Q&R button of the tab bar. Tap on the 'Edit' button (upper left corner).

Tap on 'Add new Node' in the 'DICOM Query & Retrieve Servers' section or on the green 'plus' button. Enter all the parameters of the server (Address, Port, AETitle and Retrieve Mode, as described above). The 'description' field can be anything understandable. Tap 'Save'.

Tap 'Done': Your new server is now in the list! Fixed IP address?

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When you download images from a DICOM Query & Retrieve request, you will require a fixed IP address, if you use the C-MOVE SCU protocol. You will not require a fixed IP address, if you use the C-GET SCU or WADO protocols. In most situations, your iOS device will have a different IP address when you turn it on, or when you switch to or from a different network protocol (WiFi, 3G/4G, VPN). Most VPN will provide a different IP address, but in rare cases, VPN can be configured to have always the same IP address (ask your IT manager for more informations).

Hence, it is highly recommended to use the C-GET SCU or WADO protocol, instead of the C-MOVE SCU protocol, if the distant DICOM Node supports them. OsiriX for OS X supports all these protocols.

DICOM Q&R usage You can now select the DICOM server that was added to the list. On the next screen you will be able to set the search criteria (filter) for retrieving the images you want from the remote server or workstation. The fields that can be used for search criteria are:. the patient's name. the accession number.

the study description. the patient's ID. the referring physician. the institution name. the patient's birth date. the modality. the acquisition date You can fill multiple criteria for more selective search.

Then tap the 'Query' button in the lower right corner. The result of your search will be displayed as a list of studies. You can also create presets (aka filters): for example, you can have a filter for CT for the modality and Today for the date.

Simply add a word in the 'Add as.' Area, and your preset is created. You can then press on it to apply it. To delete a preset, tap the 'Edit' button in the upper right corner. To retrieve a particular Study, select it in the list and tap the 'Retrieve Study' button located in the lower right corner. To retrieve one or more Series of a Study, select the Study from the list and the select the Series (a green check mark will be display) and tap the 'Retrieve Selected Series'. The new images will progressively be transferred and added to your local database (tap the 'Database' tab to select them for display).

OsiriX HD supports DICOM C-Store SCU protocol. That means you can send DICOM images stored on your OsiriX HD database to any DICOM nodes, including another OsiriX HD iOS device, OsiriX, a DICOM viewer, or a PACS server. To send an entire DICOM series, simply display it in the Viewer. Then press the Send icon, located on the upper right position in the toolbar. Select or add a DICOM Node destination.

The images are sent in the background. Sending images from the Mac to the iOS device To send images from your Mac:. Make sure that the Mac and the iOS device are on the same WiFi network (same sub-net).

On the Mac: Turn on 'Search for other DICOM Nodes over Bonjour' (in OsiriX Preferences Locations). On the iOS device: Turn on Bonjour (in Settings OsiriX HD). When OsiriX HD is open on your iOS device, it will appear in the 'Sources' list of OsiriX on the Mac. To send images, you simply have to drag and drop them on the device in this list. Requesting images from the Mac on the iOS device From the 'Q&R' tab, you can directly ask your Mac to send you images:.

Make sure that the Mac and the iOS device are on the same WiFi network (same sub-net). On the Mac: Turn on 'Publish my DICOM node over the network through the Bonjour protocol' (in OsiriX Preferences Listener). On the iOS device: Turn on Bonjour (in Settings OsiriX HD). Then go to the 'Q&R' tab of OsiriX HD on the iOS device. Your Mac will appear in the servers list. If your Mac is not on the same subnet, you can still add it manually using the 'Edit' button of the 'Q&R' interface.

Once you get your Mac on the list, select it and you will be able to remotely browse the content of its OsiriX database and transfer images that you need. Limitations When you send images to your iOS device, you should keep in mind that:. WiFi or 3G/4G transfers on the iOS device are not fast. The device resources (CPU, memory and storage) are limited. It is not a workstation. Each time you sync your iOS device with your computer, iTunes makes a back up of it.

The more images you have on the device, the slower the back up will be. OsiriX HD supports the File Sharing function of iTunes: you can easily copy files from your computer to your iOS device, through your USB connection. If you need to copy large amount of files, this function is faster than transferring the images through DICOM protocol on a WiFi network.

You can copy different types of files with this function:. DICOM files (extension.dcm). ZIP files (extension.zip), containing multiple DICOM files. This function allows you to import multiple files at the same time. Indeed, the File Sharing function supports only files, not folders.

Password protected ZIP are also supported. DICOM Nodes List file (extension.plist), as exported in OsiriX for OS X: PreferencesLocationsSave as.

This function allows you to quickly add a complete list of DICOM nodes. More informations about iOS File Sharing is available. You can use OsiriX HD as an application helper for other applications installed on your iOS device.

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For example, this function is useful if you receive an email containing a zip file with DICOM files, if you want to open DICOM files from your Dropbox account, or if you want to view a DICOM file directly from Safari. Password protected ZIP are also supported. Currently there are four MIME types supported:. application/dicom (extension.dcm) This is a single DICOM file. OsiriX HD will automatically import the file in the database. application/osirixzip (extension.osirixzip) This is a zip file containing DICOM files. It can be password protected.

This kind of files is produced by OsiriX for OS X. OsiriX HD will automatically unzip the file, and import the files in the database. application/zip (extension.zip) This is a zip file containing DICOM files. It can be password protected. OsiriX HD will automatically unzip the file, and import the files in the database. application/dcmURLs (extension.dcmURLs) This is a text file containing a list of WADO URLs. OsiriX HD will automatically download all these URLs and import the files in the database.

Copy files (a folder containing DICOM files, compressed in a zip file) or a DICOM file, with the '.dcm' extension in your Dropbox account. Launch on your iOS device. Press on the file, and wait until the file is downloaded on your iOS device. Select the lower left icon. Choose 'Open In.' .

Choose 'Open in OsiriX HD' in the list. OsiriX HD is launched, and after few seconds, the images will appear in the database.

In iOS, an application is able to “bind” itself to a custom URL scheme. Using that scheme you can launch this app from a web browser or from another application on the device. This feature allows to integrate OsiriX HD to virtually any other iOS app or web site. In current version three methods are supported through the osirix:// URL scheme:. downloadURL: this function allows to ask to OsiriX HD to download a file from an URL. Example: osirix://? MethodName=downloadURL & URL='There are three parameters:.

methodName is 'downloadURL'. This field is mandatory. URL is the URL where to access the file. Currently only zip files or DICOM files are supported.

Display is a boolean value, indicating if the study has to be selected and opened, after the download is complete. This parameter is optional. findObject: this function allows to display or delete any studies stored in the OsiriX HD database. Example: osirix://? MethodName=findObject &request=(name CONTAINScd 'KNEE') &table=Study &execute=Open There are four parameters:. methodName is 'findObject'. This field is mandatory.

request is a SQL query string. See and database tables (used in Albums filters) of OsiriX for OS X for more information. table is the table on which the SQL query string is applied. There are three levels: 'Study', 'Series' or 'Image'. execute is the order to apply to the result.

There are two options: 'Open' or 'Delete'. retrieve: this function allows to send a Q&R order to a DICOM node to retrieve and display a study. Example: osirix://? MethodName=retrieve &serverName=Minipacs &filterKey=PatientID &filterValue=296228 There are four parameters:. methodName is 'retrieve'. This field is mandatory. serverName is the exact name of a DICOM node, as displayed in the 'Q&R' tab of OsiriX HD.

filterKey is the DICOM field name for the Query (C-FIND SCU). Multiples fields are supported: PatientsName, ReferringPhysiciansName, InstitutionName, Comments, AccessionNumber, PatientID, StudyDescription, PatientBirthDate, StudyInstanceUID and StudyID. filterValue is the value associated to the filterKey field. You can use DICOM wildcards, such as.?

If the Q&R order find and retrieve one or more studies, OsiriX HD will automatically display the first study when it receives the first image. It's recommended to use the WADO retrieve mode for the DICOM node. Indeed, in the WADO mode, only the missing images will be downloaded, and if the study is already in the OsiriX HD database, nothing will be downloaded, sparing bandwidth and useless downloads. This feature allows to use OsiriX HD as a complementary viewing program to any EMR, RIS, HIS. The settings of OsiriX HD can be found in the 'Settings' application of your iOS device.

Activate Dicom Editing Osirix Free Trial

It contains the following options:. Listener AETitle & Port. This is where you can change these information. These are capital settings if you want to receive images from a DICOM Workstation. Listener Preferred Syntax. Because network performances are limited on iOS devices, OsiriX HD supports compressed syntaxes such as JPEG or JPEG2000, lossless or lossy.

It is highly recommended to use JPEG2000 syntax (faster, better, smaller). Listener Timeout. This value is the number of seconds that OsiriX HD will wait before giving up when a communication stops, fails or blocks.

Listener Encoding. Bonjour publishing (On/Off). Allows the device to automatically appear in OsiriX on the Mac. DICOM Overlays. Display DICOM overlays, if available, on the images. SUV Conversion. Allows to automatically convert PET images to SUV values, based on the specified DICOM field for the 'Acquisition' time.

Image Sorting. Choose how the images are sorted in a series: by Instance Number, by Slice Location or by Acquisition Time. Series Sorting.

Choose how the series are sorted in a study: by Series Number or by Acquisition Time. Invert PET and NM images.

Allows you to automatically see PET and Nuclear Medicine images as white on black, instead of black on white. JPEG Color Space. For Color JPEG DICOMs, use JPEG photometric value, instead of DICOM photometric value. Allows you to choose the colors of the measurements. Enable Cine Loop (On/Off).

Max number of Studies. Choose the maximum amount of studies to be stored in the database before deletion. Oldest Study. Choose the maximum amount of time a study should be stored in the database before deletion. If you activate this feature, your entire database will be saved on iCloud, including all DICOM images. JPEG2000 compression protocol is supported on all 'retrieve' modes: C-MOVE, C-GET and WADO. It greatly increases network performances.

If you use OsiriX for OS X: for JPEG2000 with C-GET, don't forget to activate in OsiriX for OS X: Preferences Listener: Preferred Syntax: JPEG2000 Lossless and Lossy, instead of Explicit Little Endian. For the WADO protocol, the default stored syntax (original syntax) will be used. That means these files need to be stored as JPEG2000 on the server, to be retrieved as JPEG2000. For C-MOVE, the defined syntax in OsiriX HD listener will be used (by default JPEG2000): see. If you transfer and store non-anonymized DICOM files to your iOS device, you have to care about security!

There are a few small settings that can transform your iOS device in a safe storage media:. In OsiriX HD Settings - Turn off iCloud sync, to avoid storing DICOM images on your iCloud account. In iOS Settings - General, activate Passcode Lock. In iOS Settings - General, activate Auto-Lock with the Erase Data function on. In iOS Settings - Mail, Contacts, Calendars, activate the iCloud 'Find My iPhone'.

This will allow you to remotely wipe your iPhone, if you lost it. If you receive or exchange DICOM files with Dropbox, emails., use password protected ZIP files: OsiriX HD supports these protected files. If you experience crashes with OsiriX HD on your iOS device, you can help us solve those issues by sending us your crash reports. These crash reports are stored on your iOS device at the time of the crash. When you sync your device with iTunes, the reports are copied to your computer to the following folder:. If you are using a Mac: /Library /Logs/CrashReporter /MobileDevice/.

If you are running Windows XP: C: Documents and Settings Application Data Apple computer Logs CrashReporter. If you are running Windows Vista: C: Users USERNAME AppData Roaming Apple computer Logs CrashReporter MobileDevice The files will start with the name of the application and contain a date stamp. All crash reports starting with 'OsiriX HD.' Might be helpful for us. Please send your crash reports to If you can't find the answer to a question in this Manual, please e-mail us.

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