The document describes the workflow for displaying and manipulating 2D medical images in a viewer. The key steps involve querying and retrieving studies from a modality or PACS, storing them in a database, displaying them, optionally doing post-processing, and sending processed images back to the PACS. It provides details on opening, merging, synchronizing and manipulating multiple images and series, as well as tools for annotations, fusion, registration and preferences.

1. 2D Viewer Workflow
Query & Retrieve from a modality
Store the study in the Database
Display the study
Do some post-processing
Generate post-processed images
Send them back to your PACS for archiving
Query & Retrieve from a modality
Store the study in the Database
Display the study
Do some post-processing
Generate post-processed images
Send them back to your PACS for archiving
Display the study

2. 2D Viewer
Workflow

4. Displaying a study
From the Database Window:
Double-Click in the list (Return key)
Double-Click on the thumbnail
Double-Click in the Preview pane
2D-3D Viewer icon
From the Query & Retrieve window
Double-Click in the list (Return key)
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAME
PATIENT NAMEPATIENT NAME

5. Multiple Viewers
Select multiple thumbnails in the Database
window, then press Return key / 2D-3D
Viewer icon
Use the thumbnails bar (same patient):
Cmd-Click to create a new window
Go back to the Database window:
Cmd-D to display the Database window

6. Merge/Split Series
Merge series:
select series + “Open
Merged Selection”
Open a subset of a
series:
Open an entire study
(all series) :
option
alt
+
shift+
4D Dataset
You can choose to open a specific time or a
specific location, by using the 2D-3D Viewer
icon + Option-key
Useful for perfusion MR or perfusion CT
acquisitions

7. Workspaces
A workspace keeps track of:
the open series
the position of the windows
Workspaces
Save the workspace:
click the database icon
Load a saved workspace:
double-click on the study
in the database list
You can save/load/delete
workspaces from the 2D
Viewer menu
Hanging Protocols
If there are no workspace for a study,
OsiriX will use the hanging protocol rule
specified for the modality
See ‘Protocols’ in Preferences

8. 2D Viewers tricks
Thumbnails bar
Thumbnails bar

9. Thumbnails bar
Quickly navigate in studies of the same
patient
Red : current displayed series
Yellow : series displayed in another window
Green : the fused series with the displayed
series
Double-Click in the window to display the
current series (Red)
Synchronization
between windows
Propagate Settings:
WL & WW
Origin X-Y (Pan)
Scale (Zoom)
Rotation
Sync Series:
Image position (Z direction)
Synchronization
between windows
Propagate Settings
Sync Series
Sync
Propagate

10. Studies Synchronization
for comparison
Quickly identify the
displayed series
Quickly identify the
displayed series
ARTIFIX
11.04.05 10:45
Thorax 1CTA_THORACIC_AORTA_G
GOUDURIX
20.04.04 13:32
Specials 1_CORONARY_CTA_COMB
control

11. Magnetic Windows
option
alt
Magnetic Windows
3D Point : double-click

12. Lens : focal 4x zoom
shift
Shortcuts
Draw a ROI on
all images
shift

13. Draw a ROI on
all images
shift
Delete ROIs
Delete selected ROIs:
Delete all ROIs in the current series:
delete
command ⌘ delete+
ROIs as Key Images
Only key images
Key images only
Only key images
Export
Send
Print

14. Fusion
PET AV-BR (105)
Fusion
Fusion

15. Automatically
Fuse & Defuse
command ⌘
shift
F+
Merge two series with different orientation
Manual Registration

16. Apply a filter
Sort a series according
to a DICOM field
Sort a series according
to a DICOM field

17. Merge two images into one image
Annotations

18. Annotations
tab
cmd ⌘
+ cmd ⌘
–++

19. Preferences