MiPACS Storage

MiPACS
Image Approval & Storage
deleting, saving, approving, & storing
digital images

POLICY
• to assure integrity and security, all digital
images must be saved, approved, and
stored to the DICOM server
• images that remain on the local server can
be modified or lost

Before Images are Approved
(see other How To Programs)
• images must in the correct template
• multiple templates of same examination
must be consolidated
• images must be mounted correctly
• series and study must be named correctly
• unexposed SP plates must be deleted
• undiagnostic images must be deleted

Image Status
• the status of images is found in the Task
Pane, under Series View

MiPACS icons
icon with red triangle, images not approved &
stored on local server
Icon all black, images approved but stored on
local server
icon with gold barrel, images approved &
stored on DICOM server

Non-Approved Images

Non-Approved Images
• marked with a top left red corner
• cannot be printed, exported, or copied

Non-Approved Images
• images must be non-approved to delete,
rearrange in template, or consolidate
• these tasks must be completed before
approval and sending to DICOM server

Deleting Non-Approved Images
• who can:
– dentists, residents, TAs,
and some hygienists
• how to:
1. highlight series or image
and click “X”
2. click delete on keyboard
3. select Tools>Delete

Approved Images

Approved Images
• image properties are locked
– contrast, brightness, rotation, template position
• cannot be deleted
• can only be approved with Approval rights
• can only Change Approval with rights

Who Can Approve Images?
• dentists, residents, TAs, &
some hygienists
• how to approve:
1. click on series to highlight,
click Save & Approve icon
2. Right click image, select
Change Approval

Change Approval of Images
• who can:
– dentists, residents, TAs,
some hygienists
• Change Approval
– approves Not Approved
– unapproves Approved
• NO EFFECT
• reverts to original on reopen

Error Messages when Approving
• anatomic description must be known to approve
• when using P1, Occlusal, or wrong template, the
following error message may pop-up

• click OK to error message
• in Task Pane, go to
Properties, Anatomic
information, Description
• click on None, when drop
down opens highlight
correct descriptor
• release mouse
• approve series

• or click OK to error message
• click blue Image Info icon
• or right click image and select show Image Info
• select Region, Modifier, and Laterality

Error Messages when Approving
• when approving scanned images or when
approving images moved to a new template, this
error message pops-up

• click OK to error message
• go to Properties, Object,
Conversion Type
• click on None, when drop
down opens highlight
correct descriptor
– Digitized Film
– Scanned Image
• release mouse
• approve series

Images are Approved but Not
Stored on DICOM Server
• a series can be approved but not sent to
DICOM server
• only time to approve and not store is when
DICOM server is down
• the icon is black without the yellow barrel

To Store on DICOM Server
• right click on series,
select Store to
DICOM server now
• click Store to DICOM
server on pop-up

Approved and Stored Images

Images Approved and Stored on
DICOM Server
• appear with gold barrel
• images cannot be altered, rearranged in
template, or deleted

Modifying and Saving Images
• if series is approved and on DICOM server
– modifications and annotations can be made
and series is renamed and saved as “derived”
series on DICOM
– the original series remains unchanged
• if series is not approved & on local server
– modifications and annotations will
permanently alter the original series

Deleting Series & Images
series approved & on DICOM server
• approved series can only be altered or
deleted by submitting request to:
– Dr. Conover conover@nova.edu
– Dr. Hogge mg1161@nova.edu
– Dr. Kodish jkodish@nova.edu

The End