STEP BY STEP GUIDANCE FOR IMAGE FUSION IN MONACO

1. STEP BY STEP GUIDANCE
CT MRI FUSION IN MONACO
DR KANHU CHARAN PATRO

2. STEP-1
INHOUSE PROPERTY
• INHOUSE MRI
• INHOUSE CT
• IMPORT
• FUSE

3. STEP-2
OUTSIDE MRI
• INHOUSE CT
• REQUEST OUT SIDE MRI CD
• DICOM FORMAT
• FUSE

4. STEP-3
INSERT IN CD DRIVE

5. STEP-4
CLICK ON BROWSE ICON TO
IMPORT IN IMPORT WINDOW

6. STEP-5
AFTER CLICKING ON BROWSE
• IMPORT FROM CD DRIVE

7. STEP-6
BROWSE IT

8. STEP-7
IGNORE IT
• IF YOU FOUND THIS BAR ,
JUST CLICK ON IGNORE and
IGNORE

9. STEP-8
IDENTIFY THE MRI NUMBER
• AFTER IMPORT FIND OUT
THE MRI NUMBER

10. STEP-9
IDENTIFY THE MRI SEQUENCES
• Identify the sequences to
import
• No need to import all

11. STEP-10
SEE THE SEQUENCE PROPERTIES

12. STEP-11
IMPORT TO SAME CT NUMBER

13. STEP-12
DURING IMPORT RENAME IT
• Rename it
• Like T2/T1/FLAIR
• IT WIL NOT ALLOW SPACE
e.g – [T1 CONTRAST]
• CORRECT IS [T1CONTRAST]

14. STEP-13
RENAME IT AT YOUR CHOICE
• RENAMED

15. STEP-14
IMPORT IT
• IT MAY TELL NO ELECTRON
DENSITY
• JUST CLICK ON OK. AND
IGNORE

16. STEP-15
BOTH CT AND MRI IN LEFT PANEL

17. STEP-16
SEE IN THE PROPERTIES
• DETAILS OF IMAGE ID

18. STEP-17
LOADING MRI AS SECONDARY
• IF YOU RIGHT CLICK ON
IMAGES YOU WILL FIND
THIS WINDOW
• CT IS YOUR PRIMARY
• LOAD MRI AS SECONDARY

19. STEP-18
AFTER LOADING GO TO IMAGE
FUSION ICON

20. STEP-19
SELECT VOLUME OF INTEREST
• NO NEED TO MATCH
WHOLE BODY TO WHOLE
BODY
• JUST MATCH WITH YOUR
VOLUME OF INTEREST
• ADJUST THE BOX IN THAT
AREA IN ALL PLANES
[AXIAL, CORONAL,
SAGGITAL]

21. STEP-20
START AUTOMATIC FUSION

22. STEP-21
AFTER SELECTING VOLUME OF
INTEREST
• CLICK ON AUTOMATIC
FUSION
• YOU MAY GET THIS BAR
• JUST CLICK YES

23. STEP-22
AFTER THE CLICK AUTOMATIC
FUSION
• YOU WILL GET THIS BAR
• CLICK ON RESTART BUTTON
MANY TIMES TILL NO AUTO
IMAGE MOVEMENT IN THE
FUSED IMAGES

24. STEP-23
DRAW CONTOUR ON CT
• PATIENT
• LENS
• EYE
• BASILAR ARTERY

25. STEP-24
HANDLING THE IMAGE
MOVEMENT
• IF YOU WANT TO CHECK
THE PROPER FUSION ,
ENSURE THAT YOU HAVE
ACTIVATED ICON PAN
• OTHERWISE AGAIN IMAGE
FUSION WILL LOST

26. STEP-25
CORRECTING ROTATION
• SEE TH CURSOR OUTSIDE
THE CIRCLE
• ADJUST IT FOR ROTATIONAL
ADJUSTMENTS

27. STEP-26
A FUSED IMAGE
• VERTICAL SCROLLING
• SEE THE FUSION

28. STEP-27
CHECKER BOARD SCROLL
• PLEASE SEE THE PAN ICON
SHOULD ACTIVATED

29. STEP-28
A FUSED IMAGE
• SEE THE EYE. OPTIC NERVE,
LENS AND BASILAR ARTERY
DONE CONTOURING ON CT
MATCHING WITH MRI OR
NOT?

30. ACKNOWLEDGEMENT
• DR P S BHATTACHRAYYA
• DR C R KUNDU
• DR V K REDDY
• DR P MADHURI
• MR A C PRABU
• MS SUBHRA DAS
• MR A SRINU
• DR ANIL KUMAR