1. Synapse Workstation Datasheets:Workstation Datasheets 8/26/08 3:33 PM Page 1
Synapse Release Version 3.2.1
Workstation Software
Application information permanently in the Synapse o Elliptical, rectangular and freehand
Synapse Workstation Software is the database, all tools are available to all ROI with calculated area, perimeter
multi-modality viewing software for users regardless of their physical location as well as mean and standard devi-
Synapse, Fujifilm’s Picture Archiving or health provider function. Synapse is ation of density
and Communication System (PACS). designed for the needs of the radiologist o Label palette for spine labeling
Synapse Workstation Software provides as well as clinicians, referring physicians, • Annotation save
viewing and manipulation of radiological technologists and administrators from the • Cine tool with speed and direction
data including images, reports, patient same user application with the same control, as well as support for cine of
status and clinical information. It also tools and user interface. multiple linked series simultaneously
provides for integrations to clinical appli- • Stack-in-Place – fast image stack
cations including dictation systems, RIS Image and Display Features scrolling via mouse control
and three dimensional processing appli- • Intuitive use of colors and layout for • Image bookmarking (annotated images
cations. It is a multipurpose, enterprise worklists, PowerJacket™, icons, and are auto-selected as bookmarks)
wide application used for Radiologist toolbars • Keyboard or mouse driven image series
interpretation, in-house clinical review • One hand Mouse Operation for navigation
and physician desktop image & informa- common manipulation tools: • Selectable image up-count
tion access. o Window/Level • Configurable page layout
o Zoom • Drag/drop for copy and paste to other
Synapse Workstation Software is an o Pan Windows applications
entirely web-based, thin-client application • Image Processing presets with keypad • Drag/drop to create Synapse shortcuts
using Internet technology at the founda- shortcuts by modality • Intelliscroll – synchronized stack
tion of its design. The only locally • CR Image Processing including navigation
installed component is an ActiveX Dynamic Range Control (DRC) and • Intellilink – Crosshair 3D navigation
control plug-in to Internet Explorer® on Multi-Frequency Processing (MFP) • Cross-sectional reference lines
Microsoft® Windows®. This design allows • CT Image Processing with DRC and • Monitor calibration for true size display
for a user interface that takes advantage sharpness enhancement • Lossless and lossy image
of the familiar functions of Internet • Zoom to 1x (acquisition pixel = display decompression and display
Explorer and Windows, such as Back, pixel) • Selectable image compression version
Forward, Links, Favorites and right-click • Zoom to Fit Window for initial display with support for
context menu while also providing power- • Interactive Region of Interest with changing version during display
ful imaging functions necessary in today’s zoom, magnification and window/level • Customizable modality specific
radiology department and beyond. • Rotation and flip overlays for patient, study and image
• Manual and DICOM image shuttering information (see release specification
As a thin-client application, Synapse is • Color display for detailed system defaults)
accessible by anyone connected to a • Annotations and Measurements including: • Synapse 3D – Integrated MIP/MPR
Synapse web server via the Intranet or o Line length and line ratio ruler reformatting application
Internet over standard HTTP or a secure o Curved line measurement • Context integration to 3rd party 3D
HTTPS (SSL) connection. While users in o Free text reconstruction products including:
Synapse can be assigned different securi- o Arrows
ty levels to access patient and study fold- o Density Values (Hounsfield Unit,
ers and are assigned different privileges Optical Density or Pixel Value
around their ability to save or modify depending on image type)

2. Synapse Workstation Datasheets:Workstation Datasheets 8/26/08 3:33 PM Page 2
o Terarecon o GE RIS-IC
o Vital Images Vitrea o Lanier VoiceWriter Reading Protocols (RPs)
o Voxar o 3M ChartScipt • RPs automate the display layout and
• Mammography Toolset o Magview (for MG) sequence of images for study and its
o Multiple CAD object support o MedQuist SpeechQ comparisons into multiple pre-defined
o CAD can be turned on/off inde- o MedQuist Ovation reading protocol steps
pendently from other annotations o MRS (for MG) • Template RPs are for automation and
o Mouseover tooltip displays CAD o Med Remote Dictate display of exams for diagnosis and
manufacturer, version and marking o MIS (for MG) review
type (calcification or density) o Nuance Powerscribe • Instance RPs specify the display
o CAD status displayed in image o Nuance Commissure arrangement for a particular study and
overlay o Envision 3000 are used for conferencing and collabo-
o Pixel Padding support o VoxReport rating on specific studies
o Quadrant view o Speech Technology • The best protocol is chosen on initial
o Image Linking allows propagation o iRecorder display and opening of a study
of window level, zoom and pan o PC Dictation • Users can choose a different protocol
changes o Agfa Talk Station from a pulldown list
o Crescendo DigiDictate-IP • Users can move forward or backward
Workflow Features o Spheris through protocol steps
• Reading protocols (detailed description o WinScribe • Each protocol step defines:
in the next section) • Reservations allow users to lock an o Page layout including monitor
• Customizable system populated work unread study for themselves or for location and covered monitor count
folders based on image, demographic, another user o Tile format for each viewport
census and other HIS/RIS/DICOM • Reservations Folder displays a list of o Apply tools settings (to all images
provided data reserved studies that can be sorted by or to selected images)
• Synapse installs with commonly used priority and dictated using F8/F9 macro o Overlay display status (on/off)
folders that can be duplicated and mod- • Study’s folder icon changes if a user o Application of image presets
ified to make site specific configurations already has a study locked o Whether to display the current
• Conference folders that can store short- • Subscription technology can: study only or with comparison(s)
cuts to any Synapse object for confer- o Monitor any Synapse folder for • RP steps can be reordered or deleted
encing, collaboration and other content changes • Four levels of matching for Template RPs
manually managed workflows o Cache the content locally for faster o All studies
• Folder columns can be sorted (up to 3 image access – particularly useful o Specific modality
sorts at once) and filtered using on for WAN-based teleradiology or o Specific procedure code(s)
screen query by example telediagnosis o Specific series combination using
• Auto-compare selection for relevant o Alert user to new content the DICOM series description
priors can autoselect “n” number of availability name to match the protocol
exams by one of the following criteria: o Automatically reserve the new • For series matching, like series names
o Same modality content for the alerted user can be standardized to be treated as a
o Same procedure code o Subscriptions can be reactivated match (e.g. “Head w Contrast” = “Head
o Related procedure code across when the user logs in from another With Contrast”)
modalities workstation at any time • MG (mammography) images are
o Related procedure code and same o Icon in Synapse folders indicates grouped at the image level as opposed
modality which studies have cached locally to the series level due to specific MG
• Unread workflow automation macro • Temporary storage of all webpages and workflow requirements
o F8 to start workflow from an images in local Internet cache • Match is specific to the monitor count
unread studies folder • Visual study indicator for studies defined in the RP
o F8 again to mark dictated and open completely stored in cache due to • For series matching, near match will
next available study subscription choose a reading protocol that is close
o F9 to skip and open the next avail- • MultiView allows one Synapse work- to an existing RP if series or image
able study station to be configured to access multiple names (MG case) are not an exact
• Barcode scanning workflow automation Synapse systems match to an existing RP
option • Optional sent status to allow for QC • Acceptable number of non-matches to
• Concurrency tracking and alerts to before exams are marked unread – establish a near match is configurable
eliminate duplicate, simultaneous reads configurable by modality • Non-matching series appear in a proto-
• Dictation system integration via serial • Option to hold MG exams for reading col step named “Extra Views”
port, XML or TCP/IP communication. for “n” minutes to allow CAD to process • Duplicate named MG images can be
At time of initial 3.2.1 release, supported and arrive stacked over one another with newest
3rd party dictation products include: image on top to support retake workflow
o Digital Dictation • Individuals can create their own user
o Dolbey Fusion level RPs
o MediSpeech

3. Synapse Workstation Datasheets:Workstation Datasheets 8/26/08 3:33 PM Page 3
• System level RPs can be created by • Internal CommonView displays all Administrative Features
administrators for use by all users studies for patients with multiple • Configurable auto logoff timeout
• Can be exported and imported between identifiers within the same database • Folder access is assignable by user or
Synapse systems • CommonView can display exact matches role
• Can be copied via drag/drop between using available identifiers (MRN or MPI) • Administration folders display system
users, from system level to user and • CommonView can be configured to metrics and anomalies
user to system level display near matches using configurable • Integrated Active Directory
• Can be deleted demographic criteria, such as name, authentication
• RP engine separates combined multi- DOB, gender, etc. • Desktop Synapse icon can be hidden
echo and multiphase MR series into • Study information includes study, • Drag/drop for study, image, series,
individual series on display patient and visit information patient merging or reallocating
• Synapse comes with default modality • Study information comes from an inte- • MSI push supported installation of
and mammography screening protocols grated HL-7 feed from the HIS/RIS or installed ActiveX control
the DICOM header • Weblink linking from other applications
Information Features • Report is accessible if one is available to Synapse using a structured URL call
PowerJacket™ (requires optional HL-7 integration for with specified context to patient, study,
Synapse to receive the report) image, etc. (optional feature)
• PowerJacket window enables access to
• PowerJacket integration to 3rd party • Windows and DICOM printing with
clinical information in Synapse for a
web-based RIS systems (optional color support and true size options
study
feature) • Workstation backwards compatibility
• PowerJacket includes access to
• Users with the appropriate privileges with 3.2.0 servers
o Comparison exams
can add notes to a study
o Study information
• Administrative users can delete notes DICOM Transfer
o Reports
• Notes can be created as voice files or text • To a datasource allows the user to transfer
o Notes
• Canned text notes can be configured by the contents of selected folders to any
o Documents
user other datasource
o Series
• Documents can be stored via drag/drop • To a teaching archive allows the user to
• Comparison exam list can be grouped by:
into the PowerJacket push images and DICOM key image
o Same modality
• Documents can be added via direct notes to teaching archives
o Related procedure code
scanning into Synapse • To media allows the user to save images
o Related procedure code and same
• Series picker displays all available as DICOM files which can be
modality
series for a displayed study anonymized before saving. Images can
• CommonView (optional feature) can be
• Individual series can be dragged from be buned directly to a local workstation
configured to automatically search
the PowerJacket Series picker to an CD burner
across multiple Synapse datasources for
available monitor viewport for display • To DICOM header allows a user to
relevant comparisons.
view the DICOM header associated
with an image
Workstation Operating System Support*
Operating System Vendor Browser Comments
Windows XP Professional Microsoft Internet Explorer 6.0 SP2 Video card and/or PC should support
with SP2 Internet Explorer 7.0 DirectDraw
Windows XP Tablet Microsoft Internet Explorer 6.0 SP2 Video card and/or PC should support
Internet Explorer 7.0 DirectDraw
Windows XP Home Microsoft Internet Explorer 6.0 SP2 Video card and/or PC should support
Internet Explorer 7.0 DirectDraw
Windows Home does not support
domain-based user authentication and
may lead to additional user
authentication dialog boxes to
maintain security.
Windows 2000 Professional Microsoft Internet Explorer 6.0 SP1+ Video card and/or PC should support
SP2 Internet Explorer 7.0 DirectDraw
XML parser V3.0 or higher is
required
* Windows Vista SP1 will be supported in a Service Release

4. Synapse Workstation Datasheets:Workstation Datasheets 8/26/08 3:33 PM Page 4
Supported Display Formats
Orientation Number of Image Display
Monitors
Landscape 1, 2 or 4
Portrait 1, 2 or 4
• For all configurations, an additional productivity monitor to the left (usually color LCD) is supported
• True size monitor configuration requires a monitor with square pixel spacing (horizontal pixel width = vertical pixel height)
• Image display monitors should be the same display resolution and color palette (grayscale, color, etc.)
CPU Requirement
Synapse workstation supports Intel compatible 32-bit CPU from Pentium-II and after. Synapse workstation software is evaluated on
single CPU Intel Pentium-II, Pentium-III, Xeon, Celeron, Pentium-IV Pentium D CPU platforms and on the AMD Opteron platforms.
,
If another type of Intel or AMD CPU platform is used with Synapse, a hardware qualification test specified in the release
specification should be performed before it is used in a live environment.
Memory Requirement
Diagnostic Workstation
Application Minimum Recommended Minimum
Recommendation
Memory 512 MB 1 GB 4 GB
Diagnostic workstations typically have other clinical applications with significant memory requirements. It is highly recommended
these workstations contain as much memory as possible on the hardware available on a 32-bit operating system (Windows 32-bit oper-
ating system can address up to 4 GB memory).
Internet Cache Size Requirement
Synapse uses the Internet Explorer internet cache for the temporary storage of image files and webpages. While there is no specific
cache size requirement, a small cache could force Synapse to retrieve images from the server multiple times even in one session.
Document Scanner Support
Direct scanning into Synapse requires a Microsoft WIA Specification Compliant scanner device.
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