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RADIOLOGY
DICOM VIEWER
MedDream web DICOM Radiology Viewer has a rich radiology tool set, which includes regular tools such as: zoom, pan, windowing, magnifier; wide variety of measurements and advanced features, such as: Hanging Protocols, Cine mode, Reference lines, PET - CT Fusion etc.










The MedDream, html5 zero-footprint DICOM Viewer for PACS server/VNA ensures a prompt and reliable way to search, view, analyze and diagnose medical images, signals and video files from anywhere and on any device: computers, tablets and smart phones.
The MedDream Radiology DICOM Viewer has an extensive radiology tool set, which includes regular features such as:
Window. Image window level manipulation using the mouse or selecting from a list of available presets;
Pan. Moving the image within the image viewer, useful when image is larger than the viewer, after zooming for example;
Zoom. Increase/decrease the image;
Scroll. Scroll through the images of series by using mouse wheel, dragging vertically or with keyboard hot keys;
Rotate/Flip. Rotate the image right/left, flip it horizontal/vertical with possibility to revert the image to original orientation;
Magnifier. Magnify (enlarge) certain area of the image.
The MedDream DICOM Viewer advanced features and radiology measurements are:
Line. Draw and measure the length of a line;
Angle. Draw and measure an angle;
Cobb angle. Draw and measure a Cobb angle;
Polyline. Draw and measure the length of a polyline;
Area. Mark area of interest with a polyline and measure its area. The system can be configured to display additional intensity values: min, max, mean, and standard deviation values;
Ellipse. Draw and measure an ellipse, which calculates standard deviation and mean values in Hounsfield units;
Rectangle. Measure a rectangle area, min, max, mean, and standard deviation values;
Volume. Measure the volume of a 2D image. The 2D area is spun around a selected axis to form a 3D shape and the volume of the shape is then measured;

Height Difference. Measure the vertical distance and angle between the horizontal line and the line connecting the points;
CTR. Measure a cardiothoracic ratio to estimate a heart size;
Flatfoot. Foot longitudinal arch measurement to detect longitudinal flatfoot;
Goniometry. Measure the lengths of the femur, tibia, and femoral-tibial angular deformities;
TT-TG distance. Measure the tibial tuberosity to trochlear groove distance for quantifying the knee patellar instability;
HTO angles. Measure High Tibial Osteotomy angles for osteotomy surgery;

Spine labeling. Measurement to mark the vertebrae of the spine;
Vertebra Angle. Measure an angle between the user-drawn vertebra axis and the horizontal axis of the image;
Time-Intensity curve. Visualize the lesions' behavior by plotting the ROI intensity values over time after the administration of contrast material;
ROI. Mark and store ROI for study instance;
Closed Polygon. The ROI with curved lines;

Flexpoly. Mark flexible region of the image for which the area. The system can be configured to display additional intensity values: min, max, mean, and standard deviation values are calculated;

Pencil. Mark the area of the image with a free drawing;

Arrow. Mark the area of interest on image, video or multi-frame;
Text. Possibility to write, view, edit or delete text;
Myocardium ROI. Indicate the region of interest with Repulsor tool, possibility to edit contour and use a Brush tool to mark the desired areas between the contours;

Continuous measurement. Possibility to activate the tool in order to repeat measurements several times.
Repulsor. The tool to adjust Closed Polygon;
Intensity. Measure Hounsfield units at a specific point of a CT study;
Horizontal line. Horizontal tool for NM modality studies;
Ruler. Show the rulers at the bottom and on the left side of the viewport;
Calibration line. Change the scale of measurement;
Show angles. Show all angles between intersecting lines;
Delete annotation. Possibility to delete all or selected annotations.
Save annotation. Possibility to save and display annotations.
The MedDream DICOM Viewer has Segmentation tools for marking the regions of interest in medical images, saving them:
Bounding Box. The tool allows marking the region of interest by drawing the bounding rectangular around it. Possibility to mark 2D or 3D bounding box segments.
Smart Paint. Marking the region of interest by drawing the contour on the image with free drawing tools. Adjustable radius and sensitivity. Possibility to use 2D and 3D modes.
Watch video tutorials how to use measurement tools of MedDream DICOM Viewer here.
The DICOM Radiology Viewer has an advanced layout features, main of them are:
Layout. Select from different types of layouts to view up to 12 DICOM instances at the same time;
Thumbnails. Change position of thumbnails on the screen;
Full Screen. Possibility to switch to full screen view and switch back;
Multi-image/series. Select how many images/series can be loaded in the active viewport;
Panels. Possibility to split viewports into up to 6 panels at the same time;
Panel toolbar. Provides quick access to: Hanging Protocols list, Next/Previous Comparison study, Layout, Overview Layout, Next/Previous page;
Patient History. Easy access to the entire Patient History. Possibility to filter the studies by ID, Name, Modality, Description, etc. Unique Year filter to filter the studies by the year;
Key Objects storing. Possibility to mark instances as KO and save them for later review;
Hanging Protocols. Describe how to lay out a set of DICOM images for faster diagnosis.
Previous Hanging Protocol. Button in the toolbar to quickly apply previous Hanging Protocol.
Next Hanging Protocol. Button in the toolbar to quickly apply next Hanging Protocol.
Watch video tutorials about layouts and multi image functions of DICOM Viewer:
Watch more video tutorials and learn about DICOM Viewer’s layout features here. The DICOM Radiology Viewer has also: split-view mode, related studies, multiple studies and multi-monitor support functions. To find more information, please read the product Specification file.
The MedDream Radiology DICOM Viewer also has the image manipulation features:
Reference lines. Overlaying reference lines allow to indicate the location of an image slice on another image of an intersecting pane;
Crosshair. Represents the intersecting planes of the selected point on the main study;
Align & Lock. The left or right image alignment and locking function while applying zoom or pan actions. Possibility to move labels and buttons to the opposite side;
Link scrolled series. The possibility to enable/disable simultaneous scrolling for each viewport. The modes of linking the series: Disabled, Manual, Automatic and Distance mode;
Sync Windowing. Optional same-series windowing synchronization;
Sync actions. Sync Windowing, Color Palette, Pan, and Zoom actions for the same series or for all viewports;
Color palette. Possibility to apply color palette for monochrome DICOM images;
Histogram. Showing how the data is distributed across different values for visual Windowing (W/L) changes. Y-axis zooming;
Cine Mode. Cine playback of multi-frame sequences with video seeking support;
Reset. Resetting the image’s view to the original state.
The MedDream DICOM Viewer also provides the possibility to select and apply VOI LUT: non-linear transformation created by medical modality.
Rebranding as white label product with vendor’s branding possibility:
Usage simplification:
The main supporting functions of the DICOM Radiology Viewer are as follows:
Orientation labels. Labels for tracking of image orientation when manipulating the study with the transformation tools;
Info Labels. Possibility to show/hide Info Labels in viewports;
Report. Possibility to write a report for a study;
Print. Possibility to print an active image;
Forward. Forward several studies at once and easily find devices while forwarding;
Export. Export multiple studies, save in different formats or burn them to CD/DVD/Dual Layer DVD;
Share. Possibility to anonymize and share studies (via DICOM Library).
More supporting functions of the DICOM Viewer, as search engine, DICOM print, burn, keyboard shortcuts, are described in the product Specification file.
Watch video tutorials about export and share functions of DICOM Viewer:
Watch more video tutorials about MedDream DICOM Viewer’s features by following the link.
The MedDream DICOM Viewer also has specific features including multi-frame and video support:
Live Share support. Diagnostic quality real-time-sharing functionality (conference mode);
Presenter tool. For marking an area of interest in the viewport during presentation. Presenter tools: Fading line, Fading arrow, Draw, Clear All, Laser Pointer and selecting from 5 colors and Whiteboard feature;
Multi-frame support. The US and XA multi-frames are shown in cine mode. CT/MR/MG/OPT/NM studies multi-frames shown as instance series;
Video support. MPEG-2 and MPEG-4 video support;
ECG support. Electrocardiography study support;
PDF support. Support for PDF modality;
SR support. Support for SR modality;
Non-DICOM support. BMP, JPG, TIFF, MPEG, PDF, and TXT files support;
PR Support. Support for Presentation State annotations;
Key Objects (KO) support. Possibility to mark instances as KO and save them;
CAD marks. Displaying CAD SR findings on mammography images.
DICOM Overlay. Showing DICOM Overlay in GUI.
Montage. Possibility to create a Montage of different instances and save it as secondary capture in a new series;
PET-CT Fusion. Possibility to combine the series of PET and CT types, thus linking the sites of radioactive drug concentrations with the anatomical patient structure;
Fusion. In addition to the PET series, CT, MR, and NM series may also be used for the Fusion feature;
Advanced PET Fusion. Opening multiple PET reconstructions;
Spin. Rotating the Sagittal/Coronal reconstructions around the X axis;
Construct 4D series. 4D Tool to create virtual series from the study series, where the data are sorted in space and then in time;

Digital Subtraction. Apply Digital Subtraction Angiography mask for XA images;
Color channels. Highlight a color component or a combination of them;
MPR. Multi-planar reconstruction with auto rotate Coronal or Sagittal projections.
The DICOM Viewer’s MPR (multi-planar reconstruction) features are:
MIST MIP features:
Watch video tutorial about MPR features of DICOM Viewer and learn how to work with MPR tools, apply measurements, use crosshair, etc.:
All features of the DICOM Viewer and other specifications are described in the product Specification file. For more information, please read more about the MedDream WEB DICOM Viewer.
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