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Anatomy of the Atlas

The atlas consists of a number of different constituent parts.

Series

A series is a stack of images. They should consist of a single modality, and be of the same body part and aquired at the same time. For example, a CT scan of the head, or an MRI of the knee.

Each series can be associated with an arbitary number of cases.

Cases

A case is the basic unit of the atlas. It should consist of one or more series, and be associated with a single patient.

Additional information can be added to a case, such as history, description, report, diagnosis and differential.

Collection

A collection is a group of cases. It can be used to group cases. Cases can below to more than one group.

A number of different collection types are available, including:

Review

A Review collection is used to group cases for the purpose of review or teaching sessions. It allows users to easily access a curated set of cases. No data is collected as part of the review, although it is possible for users to add a "Self Review" component.

Report

A Report collection is designed for cases that users are expected to complete a report for. This can be used for audit, teaching, or assessment purposes.

Question

A Question collection contains cases that are used for quiz or question-based learning. These cases may have associated questions and answers for self-assessment or examination.

Viva

A Viva collection is intended for oral examination practice. Cases in this collection can be used to simulate viva-style assessments. These are designed to be presented by the "examiner" and features a number of features to make this as easy as possible.

Viva (Local Viewer)

The local viva view opens a linked DV3D viewer in a separate window and lets you load complete cases, individual series, resources, and display sets without leaving the control page.

Use "Open Viewer Local" first, then use the Load buttons in the cases panel. The right-hand current-case panel tracks the active case details and injected question block for discussion.

Use "Enable Edit Mode" in the local viva page when you need quick access to case, series, or display-set edit links during preparation.

Uploading/creating cases

If set up, the easiest way to upload cases is to use the uploader tool. This can export, anonnyimize and upload cases from Insignia Insight, however it may need setting up manually. If this is not possible you can upload files directly to the site.

Setting up the Uploader tool

Requirements: Full Insight installation (not WebPacs)
Step 1: Download the uploader tool
This is available here
Step 2: Download insight integration xml file
Available here
Step 3: Integrate the uploader with PACs
Whilst in PACs open the settings menu with the keyboard shortcut 'Ctrl+Shift+C'. In the 'General' tab, select 'External Tools' and click 'Add'. Press the Import button and select the xml file you downloaded in Step 2. Modify the file to run path to point the uploader exe downloaded in step 1 (clicking on the 3 dots will allow you to browse and select this file). The remaining fields should have been set via the xml file and should not require modification.

Uploading without the uploader tool

If you have annonymised dicom files already exported you can uploading them directly on this page using this page

To do so you will have to first export the files from the PACs system.

Once uploaded the series will be available to be imported into cases

Cases

Ordering dicoms within a series

Depending on how dicoms are exported images within a stack may appear in the wrong order. This is apparent when viewing the stacks/series as jumping of images.

In most cases this can be fixed by re-ordering based on series metadata (usually slice location).

It is possible to reorder all the stacks in a case at once, or to reorder individual stacks.

Reorder all stacks in a case

Go to the case page, click "Manage Series" then "Order dicoms by slice location". This will reorder all the stacks in the case based on slice location.

Reorder individual stacks

More ordering options (if the above does not work) are available on the series page.

These can be accessed by opening the "Series info" section and selecting the appropriate button.

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