Basic User Training for PACS http://www-nmcp.mar.med.navy.mil/DINPACS/Radiology/Synapse_CBT.ppt

1. Overview of Synapse

2. Nmed(hospital pc) Logon Procedures

2. Nmcpmeddev(Pacs workstation) Logon Procedures

3. Synapse “search” feature 1. 3. 2. 4.

3. Synapse “search” feature NOTE: When accessing the search feature, make sure you are using Classic Start Menu

4. Synapse help 1. Open Synapse 2. Go to Help 3. Click on Synapse Help 4. Another box will open up

5. Synapse folders Under the User’s folder You can create, rename, delete folders Create a folder under a folder View the folder tree Add items in the User’s folder

6. Select a folder All recent studies - contains all studies occurring within the last seven days. This list is sorted by the Study Date and Time. All studies - contains a list of all studies Dictated studies – Contains a list of studies that have been marked “Dictated” by the radiologist within the last seven days. Sorted by Study Date and Time. All Patients – contains all patients which have or will have a study performed.

6. Sorting methods Sorting is designed as an aid for filtering. Click on one of the columns(Patient Name, Accession Number., etc.). Ascending and Descending order If there is an error about having is too much data, you will need run the filter again.

6. Filtering methods

6. Folder tree view

7. Referred Studies Contains a list of studies requested by the ordering radiologist or clinician.

8. Open a Study Highlight study and double click on the study row. The study/series images are displayed. For series, the first image for the series appears. Multiple users can access the same study simultaneously

9. Navigating through images Images are organized by a “page” concept. Click on mouse wheel up to scroll one row or image forward and down to scroll one row or image backward. Keyboard can be used to scroll: Page up scrolls one page backward. Page down scrolls one page forward Left arrow scrolls one column backward Right arrow scrolls one column forward Up arrow scrolls one row backward Down arrow scrolls one row forward Home returns to the first row with the first image End goes to the last row with the last image

10. Synapse Menu bar Power Jacket – Patient Master Information Jacket and all information associated with the selected patient Study Information (ALT + I) Reports (ALT + R) Notes (ALT + N) Documents (ALT + U) Series Picker (ALT + E) Dictate, Next (F8) Skip, Next (F9)

11. Power Jacket

12. Moving series and images by drag and drop Move entire series: Click and hold left mouse and drag and drop into another window. Create a copy of a series in another window

13. Page layout

13. Tile Format With the cursor on an image, click the right mouse button to access the Image Tool menu

14. Viewing notes Move the mouse to top of the window to display the Explorer Toolbar and left click on the Notes icon. Or open Power Jacket and left click on the Notes icon (ALT + N)

15. “Back” vs. “up” folder buttons Clicking the BACK button, enables user to go back a page.

16. Log off Procedures Manual log off – Click the File menu in Explorer tool bar and select Log off Synapse. Right mouse-click on the Synapse icon and select “Log off Synapse.”

17. Synapse Pocket Guide Locating a study Filtering Search feature http://www-nmcp.mar.med.navy.mil/DINPACS/SynapsePocketGuide.pdf Locating a study Filtering Search feature Accessing Patient and Study Information Synapse Toolbar Icons Reading Protocols Hot key shortcuts Image navigation

Any Questions or Issues? Pacs Team (757) 953 – 1162 Pacs Duty Pager (757) 314 - 0519