Using the RPE from User Settings for MG Stacking

Introduction

Mammography (MG) stack protocols optimize the interpretation of mammography studies by displaying mixed sets of images from different mammography series and across comparison studies in one viewport. Stack protocols group images together in a viewport with a tile format of 1-up. You can scroll forward and backward through the stack one image at a time.

When you launch the Reading Protocol Editor from User Settings, you can edit or create one or more reading protocols independent of the Viewer or study information. Depending on your role and privileges, you can then save the reading protocol to yourself or other users.

Saving Reading Protocols

The options you have for saving a reading protocol in User Settings depend on your privileges:

• Manage System Reading Protocols privilege:
  • If you do not change the reading protocol name of the selected reading protocol, you can overwrite an existing system reading protocol or a user's reading protocol.
  • If you save a reading protocol with a name that already exists in the system, Synapse creates a new reading protocol and appends a number to the reading protocol name.
  • If you select a user-owned reading protocol and you save the reading protocol with the same name, Synapse removes the user-owned reading protocol and creates a system reading protocol.
• Manage Reading Protocols privilege:
  • If you do not change the name of the selected reading protocol name, you can overwrite your own reading protocols.
  • If you save a reading protocol with a name that already exists in the system, one of the following prompts displays:
    • A dialog box displays prompting you to confirm that you want to override the existing reading protocol, if the reading protocol can be overwritten.
    • A duplicate protocol warning message displays if you try to overwrite an existing reading protocol using the same name (as the existing reading protocol).

Prerequisites

• To save reading protocols for yourself, you must have the Manage Reading Protocols privilege.

• To save reading protocols for other users, you must have the Manage System Reading Protocols privilege.

Steps

1. Click Settings to open User Settings.
2. Select the Reading Protocols tab to display the RP Directory.
3. Double-click a reading protocol to open the Reading Protocol Editor.
4. Optional: Automatically create additional steps so all the images in the study are available in reading protocol steps.
1. Click the Reading Protocol Step drop-down list located on the Reading Protocol Editor toolbar. See Reading Protocol Editor Toolbar.
2. Select Organize Steps. A dialog box displays.
3. Select a reading protocol step from the list box.
4. Select the Autogen check box.
5. Repeat for different reading protocol steps.
6. Click Update.
5. Optional: Click the Reading Laterality  option in the Reading Protocol Editor toolbar. Synapse switches the reading laterality.
6. Change some, all, or none of these viewport options:

   If you want to do this...	Complete these steps...
   Determine which option displays in a viewport: Empty, All Images, Bookmark Images, or Stack. Note: Stack is only available for MG studies. When you select the Stack option, Synapse displays additional options.	From the Type drop-down list, select an option.
   Determine the types of MG view, such as ID + Mods that you want to stack. Note: Only available for MG studies. For breast tomosynthesis, you must use BT-Stack. If you drag and drop a BT series into a viewport and open the RP Editor and the BT-Stack, BT-Stack (ID-View), and BT-Stack (Modifiers) options are available in the View Content list, the All Priors option is not available in the Study Reference list.	From the View Content drop-down list, select an option.
   Determine if a current or prior (such as P1 and P2) series displays in the selected viewport. Note: If you select All Priors from the Study Reference list, the BT-Stack, BT-Stack (ID-View), and BT-Stack (Modifiers) options are not available in the View Content list.	From the Study Reference drop-down list, select an option.
   Change the tile format for the selected viewport. See Changing the Number of Images in a Viewport.	From the Tile Format drop-down list, select an option.
   Apply an interactive tool, such as zoom, to all of the images in the series or to the selected image in the series.	From the Apply Tool To drop-down list, select an option.
   Apply a selected zoom factor to a series. See Changing the Zoom Factor.	From the Initial Zoom drop-down list, select an option. Note: You must calibrate your monitor in order for some Initial Zoom options to work. See Calibrating Monitors for True Size Image Display
   Enable or disable text overlay information for all the series in a study. See Displaying and Hiding Text Overlays.	From the Text Overlays drop-down list, select an option.
   Display the right or left image in a viewport. Note: Available when Type is Stack.	From the Laterality drop-down list, select an option.
   Display a view code such as CC (Cranio-Caudal). Note: Available when Type is Stack.	From the View Code drop-down list, select an option.
   Skip a step in the Viewer when view content is missing. When you select this option and image content is missing, Synapse does not display this step. Note: Synapse skips steps whether or not you have selected this option when no series are available in a step. See Reading Protocol Editor Toolbar. Available when Type is Stack.	Select Skip step when view content is missing option.
   Justify the image to the right, left, or center. Note: Available when Type is Stack.	Select Image Justification. From the Image Justification drop-down list, select an option.
   Match a series based on the orientation of the patient, such as Left: A Top: R. Note: Available when Type is Stack.	Select Image Orientation. From the Image Orientation drop-down list, select an option.
   Display the quadrant view, such as Upper Outside. See MG Quadrant View. Note: Available when Type is Stack.	Select Quadrant. From the Quadrant drop-down list, select an option.

7. Click the Plus sign below the last option. Synapse displays a drop-down list .
8. Click the down arrow to display the following options. You can select multiple options.

   If you want to do this...	Complete these steps...
   Apply a preset to the series. See Applying a Preset to an Image.	Select Image Preset. From the Image Preset drop-down list, select an option.

9. Click Save . Synapse automatically adds your user name to the end of the reading protocol name.
10. Optional: Enter a different name for the reading protocol and then click the Save to drop-down list to select who will have access to the new reading protocol using the following information.

    If you want to do this...	Complete these steps...
    Save the reading protocol for you only.	Select My Reading Protocols. Note: This option is only available with the Manage Reading Protocols and Manage System Reading Protocols privileges.
    Save the reading protocol for all users.	Select System Reading Protocols. Note: This option is only available with the Manage System Reading Protocols privilege.
    Save the reading protocol for specific users, roles, or combination of both.	Select Other Users. The Select Other User dialog box displays. From the Role drop-down list, select a role or All users or type a user name in the search box. Select the role or user name from the left list. Click the arrow to add the role or user name to the selected right list. Note: Option only available with the Manage System Reading Protocols privilege.

11. Select Cancel to exit the dialog box without making any changes.

12. Click Save to complete the new reading protocol changes.

Results

Synapse saves the new reading protocol to yourself, other users, or roles depending on your privileges.

Additional Options

To open the Reading Protocols Editor from the context menu, right-click the selected reading protocol and select Open RP Editor.

Related Topics

Using the RPE from User Settings

Using the RPE from the Viewer with MG Stacking