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New Web1000 serves up images, matching reports

by Michael Irving
Emerald Communications and Training Committee
Want to view radiology studies?  Got a Web browser?  Then you’re good to go.  The newly improved Web1000 serves up images and matching reports through standard Web browsers such as Netscape and Internet Explorer. 

Manufactured by Agfa, Web1000 utilizes a very simple, three-step workflow. First, choose a set of query criteria to locate the studies that you are interested in. Query criteria include things like patient name, patient ID number and referring physician. Second, view the radiology studies that are displayed. The studies could be any combination of images and written reports. Finally, manipulate the images and engage in on-line conferences with colleagues who are viewing the same studies.  Manipulation tools include changes in magnification, split-screen review of related studies and image rotation and inversion.

The Web1000 system provides you with six types of pages. The first of these is the study page and corresponds to the first step in the three-step workflow —locating the studies you're interested in.

Through the study page you use a combination of up to six criteria and six constraints to locate your studies. A nifty search wizard guides you effortlessly through this process. From the list of studies that are displayed based upon your criteria and constraints, you proceed to select precisely the studies you are interested in.

As the name suggests, the thumbnail page displays all of the images of a series at a glance. Select specific images from the thumbnail page that you want to view at full size.

Now you are ready to get down to brass tacks with the image page.  The image page lets you view the images in many formats, to manipulate the images (such as magnification and rotation), to view a corresponding written report, and finally to initiate a conference with an online colleague.

The report page of Web1000 lets you view, save and print reports.  You would use the conference page to read and send messages to online colleagues and to manipulate an image for all the users involved in a conference. For example you might use a drawing tool to highlight a particular part of the image which is of interest and then type a corresponding message asking for comment about the highlighted section. Your colleagues would receive your message as well as the image containing your highlighted annotation. 

The sixth and final type of page in Web1000 is the preferences page. This page enables you to permanently customize your working environment for the current and all future sessions. 

Although Web1000 is accessed through the Web it is not an open system available for anyone to use. Radiology Services staff grants access permission to Web1000 to all staff with a legitimate need. In all cases users will be required to complete a confidentiality statement governing their use of the system.

How does Web1000 get used?
1. Reviews of difficult cases from home—for example the support of junior residents by attending physicians and senior residents.
2. Great teaching tool
3. To export pieces of images for research, teaching, papers, etc.
4. Simultaneous review of images in teleconferencing mode
5. Side-by-side comparison of patient images taken on two different
dates
6. Very useful to referring physicians

Web1000 Fast Facts

  • Went live Aug. 28, 2001
  • Minimum Web browser requirements—IE 5.0 (preferred) or Netscape 4.6
  • All radiology modalities and all images are available with the exception of mammography
  • Five weeks of history is held locally
  • There is a monitor quality test pattern that you will employ to tune your monitor for optimal viewing
  • For access to Web1000 and to receive a 15-minute in-service training session call 876-2525 (PACS help desk)
  • Read more about Web1000 on the Web at http://radinfo.musc.edu 
  • Access Web1000 at http://pacsweb.musc.edu