User Guide & Features

Enables dynamic adjustment of DICOM image brightness and contrast using mouse drag. Quickly switch between predefined presets (CT Abdomen, Lung, Bone, Brain, COVID-19) or create custom W/L values. Includes WW/WL from Region — select an area and automatically compute optimal values based on pixel intensities.

Interactive zoom with scroll wheel or pinch-to-zoom on touch screens. Pan with click-and-drag or Ctrl+right-click. Real-time rotation of images for viewing from different orientations. Fit-to-window and 1:1 pixel mapping with a single click.

Rapid navigation through entire 3D volumes with configurable looping and frame skip. Cine mode auto-plays multiframe series (cardiac US, dynamic MRI) at adjustable FPS with play/pause and step controls. Manual frame-by-frame navigation also available.

Seven configurable grid layouts including single view, side-by-side, stacked, and asymmetric configurations. Hanging protocols automatically populate viewports with related series based on study type and modality. Prior/current study comparison with synchronized scrolling.

Apply predefined or custom color palettes optimized for different modalities and anatomies. Quick-select presets like CT Abdomen, CT Lung, CT Bone automatically set appropriate W/L values. Interactive range slider for limiting color mapping to specific intensity ranges.

Displays DICOM metadata (patient name, study date, image position) directly on the viewport. Orientation markers (L/R, A/P, S/I), scale bar with real measurements, and segmentation mask markers. Configurable dark/light theme, compact navbar, and per-study display preferences.

Line, angle, Cobb angle, and bidirectional tools with automatic pixel spacing calibration from DICOM metadata. Results displayed in millimeters. Bidirectional measurement for RECIST-compliant lesion sizing in oncology follow-up.

Rectangle, elliptical, and freehand polygon ROI tools. Each computes area (cm²), mean/min/max pixel values, and standard deviation. Freehand drawing for irregular anatomical boundaries. ROIs can be converted to overlays or exported for research.

Click to display exact pixel intensity (HU in CT). Drag Probe continuously samples along a path to identify intensity gradients and tissue transitions. Border Magnify creates a zoomed inset view with location indicator for simultaneous detail and context.

Customizable arrow and pointer tools for indicating specific anatomical findings. Numbered labels (1, 2, 3...) and custom text annotations for documenting multiple findings in sequence. Eraser tool for selective removal of individual markups without affecting image data.

Create structured annotations for ground truth labeling including Mass, Calcification, Architectural Distortion, Global/Focal Asymmetry, and Surgical Scar. Each annotation captures laterality, view position, coordinates, and clinical comments. BI-RADS breast density classification (A-D) with per-laterality assessment.

Automatically generates three orthogonal slices (Top/Axial, Left/Sagittal, Front/Coronal) from volumetric DICOM data. Interactive crosshair-linked panes with synchronized scrolling. Oblique plane reconstruction for off-axis visualization. Thick-slab MPR with configurable slab thickness.

GPU-accelerated volume rendering creates interactive 3D surface models directly from DICOM data. Supports rotation, zoom, and pan of the 3D model. Cinematic rendering options for photorealistic visualization. Can render from single series or composite renderings.

Add measurement points and anatomical landmarks to MPR and VR renderings. Distance measurements between landmarks with metric extraction. Useful for quantitative 3D anatomy assessment, preoperative planning, and longitudinal monitoring.

Download 3D mesh files generated from segmentation or VR rendering in common 3D formats. Export all surfaces at once or individual labeled structures. Enables integration with surgical planning tools, 3D printing workflows, and external CAD applications.

Access SAM2 (Segment Anything Model 2) for interactive point-based segmentation — click to add positive/negative prompts. Domain-specific predictors for Lungs, Abdomen, Pancreas, and Total Body Segmentator run full-series automatic segmentation. Results displayed as color overlays with adjustable opacity and editable contours.

Interactive brush tool (1-100px) for painting and erasing segmentation masks with undo/redo and layer-aware editing. Specialized editing layout combines 2D stack view with real-time 3D VR surface rendering, so corrections are immediately visualized in 3D.

Store edited masks with metadata (timestamp, creator, properties) for persistence and later retrieval. Download masks as DICOM RTSTRUCT files for radiotherapy planning, NIfTI for research pipelines, or standard image formats. Masks can be reloaded and refined in future sessions.

Automatic detection of anatomical landmarks (joint centers, vertebra centroids) from volumetric data. Extracted landmarks are used to compute clinical metrics, indices, and parameters displayed in structured tables with temporal tracking for longitudinal studies.

Comprehensive dashboard showing all studies organized by patient. Advanced search with filtering by patient name, ID, accession number, modality, date range, body part, and study size. Expandable rows show series details. Supports selection and bulk operations with configurable column layouts.

Browser-based file upload with drag-and-drop support. Accepts DICOM files (.dcm) or archives (.zip). Batch upload with progress tracking. Optional DICOM anonymization strips personal identifiers (names, IDs, birthdates) while preserving clinical data.

Query connected PACS servers for studies matching patient/study criteria. Filter by patient ID, name, study date, modality, accession number. Retrieve full studies or individual series. Supports C-STORE, C-FIND, C-MOVE, WADO-RS, and STOW-RS protocols.

Intelligent download scheduler prioritizes actively displayed images while maintaining background series progress. Resumable downloads with automatic retry. Per-series and per-image progress percentage. Streaming HTTP protocol optimizes bandwidth for large studies.

Comprehensive table view of all DICOM tags and values for the selected image. Search and filter tags by name or value. Navigate between instances to view instance-specific tags. Essential for technical review, troubleshooting, and quality assurance.

Column Visibility Picker lets you choose which columns to display (Patient Name, ID, Modality, Study Date, Body Part, Description, etc.). Drag column edges to resize widths. Click any column header for ascending/descending sort with context-aware direction (dates newest-first, names A-Z). Column preferences persist across sessions.

Unified search bar accepting free text or structured key:value queries (e.g., modality:CT, patient:Smith). Smart chips visualize active filters. Combine with AND/OR logic for complex queries. Date range search supports relative keywords ('today', 'last week', 'last 3 months'). Search results update in real time.

Click to expand a study row and view thumbnail previews for every series. Each thumbnail shows the series description, modality, and instance count. Click a thumbnail to open that series directly in the viewer. Expandable rows provide series-level detail without leaving the dashboard.

Intelligent series grouping collapses related series — Digital Breast Tomosynthesis (DBT) Tomo, Synthetic 2D, and Raw Projections are grouped under the parent study. Toggle visibility of processing and raw series to declutter the dashboard. Grouped series can be expanded individually when needed.

Generate shareable links with configurable expiration and optional password protection. Each link displays a QR code for instant mobile scanning. Manage all active share links from a dedicated panel — view creation date, expiration, access count, and delete links when no longer needed. Complete audit trail for compliance.

Multi-item selection with individual checkboxes or select-all. Perform batch operations including download with optional anonymization, study/patient deletion with confirmation, bulk sharing, and export. Pagination with configurable items per page (10, 25, 50, 100) for efficient navigation of large archives.

Create shareable links for clinicians, consultants, or researchers without system accounts. Links can have expiration dates and optional password protection. Shared viewers get read-only access to specified studies. Complete audit trail of all sharing activity.

WebSocket-based real-time synchronization of viewer state, annotations, and tool selections across users. Cursor tracking and presence indicators show who is viewing what. Built-in pointer tools for live case discussion. Ideal for tumor boards and MDT meetings.

Rich text editor for medical reports. Auto-populate with extracted measurements, landmark values, and AI analysis results. Include viewport screenshots. Export as PDF or DOCX. Template support for standardized reporting workflows.

Capture and download the current viewport view including overlays, annotations, and measurements as PNG or JPEG. Print layout mode arranges multiple images in DICOM Print-compatible format with patient demographics and study information.

Full ISO 13485:2016 certification covering design, development, and delivery of medical imaging software. Regular audits and continuous improvement processes. Compliant with EU MDR and international medical device regulations.

User authentication with email/password or SSO integration. Role-based access control (RBAC) determines which users can access specific studies, perform administrative functions, or use advanced features. Support for multiple authentication backends.

All data encrypted at rest and in transit. Comprehensive audit logs track every study access, annotation, download, and administrative action with timestamps and user identification. GDPR Article 30 compliant records. Exportable for compliance reporting.

Manage user accounts, assign roles, and configure permissions. Organize studies into collections with retention policies and archiving. Batch operations for multi-study management. System notifications and alerts for important events, upload completions, and analysis job status.

Connect to existing on-premise or cloud PACS from Philips, GE, Siemens, Fujifilm, and Agfa. Full support for DICOM networking (C-STORE, C-FIND, C-MOVE) and DICOMweb (WADO-RS, STOW-RS). Gateway mode for hybrid cloud deployments. Automatic routing rules for multi-site configurations.

HL7v2 ADT and ORM message processing for patient and order synchronization. FHIR R4 ImagingStudy and DiagnosticReport resources. Bidirectional exchange of patient demographics, study metadata, and results. Automatic clinical context synchronization.

Well-documented API for study upload, retrieval, sharing, and management. API tokens with OAuth 2.0 authentication. Webhooks for event-driven integration — trigger external workflows on study upload, analysis completion, or annotation events. Supports custom integration with third-party viewers and applications.

HTML5-based viewer runs 100% in the browser. Compatible with Chrome, Firefox, Safari, and Edge. No Java, Flash, or ActiveX required. Works behind firewalls and on locked-down workstations. Instant access from any device with a browser.

Adaptive layouts reorganize tools and viewports based on screen size. Tablet view uses compact menus. Mobile view uses drawer menus and full-screen panels. All tools and features accessible on every device size.

Native multi-touch support without plugins: pinch zoom, two-finger pan, swipe between series, long-press for context menus. Complete keyboard shortcuts for tool activation, layout switching, image navigation (arrow keys, page up/down), and measurement tools.

Automatically caches downloaded DICOM series to local browser storage. Continue viewing and basic annotation on cached data without network connection. Automatic synchronization of changes when connection is restored.