1. Synapse 3.2.1
MD Web Based Training

2. Yale New Haven Hospital Diagnostic Radiology

3. 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.

4. Accessing Synapse through MDLink
Access Synapse through MDLink.
Enter your username and password, then click on Enter.

5. Accessing Synapse through MDLink
Click on YNHH on the left side of the screen.
From the dropdown menu select Yalepacs.

6. Accessing Synapse through MDLink
Enter your username. Note that it must be preceded by “ynhh\”.
Enter your password.
Click on OK.

7. Accessing Synapse through MDLink
Click on the link to “View Images”.

8. 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.

9. 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.

10. 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.

11. 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

12. 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.

13. 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.

14. 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.

15. 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. A A B B C C

16. 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
Scroll through images using the wheel of the mouse.
Patient information, study date and page count are displayed in the corners of the image.

17. Right Mouse Click Tools
Access all tools for image manipulation with a right mouse click.
They all work in the same fashion:
Right click to display the menu
Left click on the desired tool
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.

18. 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.

19. Most Commonly Used Tools
Tools / Anonymize Text Overlay: Hides patient name and MRN. This tool should be used to maintain patient confidentiality when exporting images.
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”. 1 2

20. Power Jacket
Anytime you need to reopen the “Power Jacket”, click on any of the Synapse icons on the Synapse Toolbar.

21. Synapse Toolbar
Top Row: Synapse Icons. Clicking on any of these icons will open the “Power Jacket”.
Bottom Row:
Study Protocol for Study Display.
Protocol Steps. Changes the display format of the images.
Click on the arrow to step through the different display formats.

22. Synapse Toolbar
Clicking on an icon opens the “Power Jacket” to the respective area.
As last viewed.
To the Study Info page.
To the Study Report.
To the Notes section.
To Document section.
To the Study Thumbnails. They represent the images in the study. Left click drag and drop an image into a desired viewport. 1 2 3 4 5 6

23. 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.

24. 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.

25. 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.

26. Comparing Studies The two studies will display at the same time.
New
Comparison
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
Comparison

27. Comparing Studies In the Power Jacket
Bold Italicized Font: Original study
Bold Font: Comparison Study

28. Comparing Studies
To take compare off, click on “Compare Off” button. The original study is displayed alone.

29. 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.

30. ? Questions ?
If you have any further questions or would like more training on this application please