ASCOM DIGISTAT User manual

DIGISTAT®Image Bank
DIGISTAT®Version 4.3
User Manual
DIG UD IMB IU 0005 ENG V01
30 June 2017
ASCOM UMS srl unipersonale
Via Amilcare Ponchielli 29, 50018, Scandicci (FI), Italy
Tel. [phone] –Fax [phone]
www.ascom.com

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DIGISTAT®version 4.3
Copyright © ASCOM UMS srl. All rights reserved.
No part of this publication can be reproduced, transmitted, copied, recorded or translated, in any
form, by any means, on any media, without the prior written consent of ASCOM UMS.
SOFTWARE LICENSE
Your Licence Agreement –provided with the product - specifies the permitted and prohibited uses
of the product.
WARNING
The information contained herein is subject to change without further notice. ASCOM UMS
holds the right to make changes to all described products in order to improve its functions and
performance.
LICENSES AND REGISTERED TRADEMARKS
DIGISTAT®is produced by ASCOM UMS srl
http://www.ascom.com
DIGISTAT®is a Trademark of ASCOM UMS srl
Information is accurate at the time of release.
All other trademarks are the property of their respective owners.
DIGISTAT®product is marked according to 93/42/CEE directive (“Medical devices”)
amended by the 2007/47/EC directive.
ASCOM UMS is certified to UNI EN ISO 9001:2008 and UNI CEI EN ISO 13485:2012
standards for the design, development, production, installation and servicing of software.

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Contents
Contents ............................................................................................................................... 3
1. Image Bank...................................................................................................................... 4
1.1. Module selection................................................................................................... 4
1.2. Patient search and selection.................................................................................. 5
1.3. Main screen description........................................................................................ 5
1.4. “Examination details” screen................................................................................ 6
1.4.1. Images and videos thumbnails................................................................. 7
1.4.2. Display area............................................................................................ 10
1.4.3. Functions of the buttons......................................................................... 11
1.4.4. Videos .................................................................................................... 13
1.4.5. The command bar................................................................................... 14
1.5. Creating a new examination............................................................................... 15
1.6. How to grab images and videos.......................................................................... 16
1.6.1. Acquisition screen command bar........................................................... 18
1.6.2. Alternative grabbing procedure.............................................................. 20
1.6.3. Remote acquisition devices.................................................................... 21
1.7. Adding an image/video....................................................................................... 22
1.8. Examination report............................................................................................. 24
1.8.1. Adding a pre-defined code to the examination report............................ 25
1.9. Image Bank print functions ................................................................................ 27
1.9.1. How to create a print report (quick guide)............................................. 30
1.10. Deleting an image or video............................................................................... 30
1.10.1. Simultaneous deletion of several items................................................ 31
1.11. Image/video annotation .................................................................................... 32
1.12. Compare images ............................................................................................... 34
1.13. Video “editing” options .................................................................................... 37
1.13.1. Selecting and saving a video portion ................................................... 41
1.13.2. How to “trim” a video portion (concise procedure)............................. 45
1.13.3. How to grab a picture from a film (concise procedure)....................... 46
1.14. Coordinated use of Image Bank and Clinical Forms........................................ 46
2. Contacts.......................................................................................................................... 48

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1. Image Bank
i
For general and detailed information about the DIGISTAT®environment and the
instruction for use of the Control Bar software see the document “DIG UD CBR IU 0005
ENG V01 - Digistat Control Bar User Manual”.
The DIGISTAT®“Image Bank” module is a powerful and flexible solution for image and video
acquisition. It has been developed for departments whose main working tool is photo and video
documentation.
Image and video acquired from any standard video source can be easily archived and retrieved.
Patient reports are widely configurable. An integrated word processor makes it possible to associate
text notes to the images.
Image and video acquisition can be performed using either the mouse device or a remote control (a
footswitch , for example).
DIGISTAT®“Image Bank” can work in background: image and video acquisition by remote
control is active when the module is not selected.
1.1. Module selection
To select the “Image Bank” module:
click the corresponding icon on the lateral bar (Fig 1).
Fig 1
The main screen of the module will appear. The data displayed on screen refer to the patient
currently selected. If no patient is selected no value is displayed.

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1.2. Patient search and selection
To select a patient, if you are using for this purpose a DIGISTAT®software,
click the Patient button on the Control Bar (Fig 2 A)
The DIGISTAT®Patient Explorer module, if installed, will open; otherwise the patient search and
selection functions are accomplished by Control Bar. See the related technical documentation to
know the specific search and selection procedures.
If the patient search and selection software in use is not a DIGISTAT®software see the related
documentation.
!
If your Healthcare Structure doesn’t use a DIGISTAT®software for the patient search
and selection procedures, please refer to the specific related documentation.
1.3. Main screen description
When a patient is selected the main screen displays information about the previous examinations of
the selected patient.
Fig 2 - Patient selected

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In the example shown in Fig 2 the patient name is Angelo Rossi (Fig 2 A); his examinations are
represented by the boxes indicated in Fig 2 B. Each box refers to an examination. The examination
date and type are displayed within the box. Each box is a button. Click the button to access a screen
containing all the information (text, images and videos) of the specified examination. To display the
data of a previous examination
click the corresponding button.
Button number 2, for instance, displays the data referring to the colonoscopy recorded on the
10th/06/2004.
1.4. “Examination details” screen
The “Examination details” screen makes it possible to display all the data referring to a selected
examination (images, videos and textual data).
Fig 3 - Examination detail: colonscopy
The screen is formed by three main areas:
1) the area containing the images and videos thumbnails (Fig 3 A);
2) the images and videos display area (Fig 3 B);
3) the command bar (Fig 3 C).
Image and video display area
Images and videos
preview
Command bar

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1.4.1. Images and videos thumbnails
On the left a small preview (thumbnail) of each image and video is displayed (Fig 4). For the videos
the first frame is displayed as preview.
Fig 4 - Preview, thumbnails
To display the full picture or video
click the thumbnail referring to the chosen image or video.
The thumbnail will be highlighted yellow (Fig 5 A). The image or video will appear, in full size, on
the right (Fig 5 B).

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Fig 5 - Image selection
Thumbnails referring to images are characterized by the symbol (Fig 6)
Fig 6 - Image
Thumbnails referring to videos are characterized by the symbol (Fig 7).

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Fig 7 - Video
After the selection of a thumbnail referring to a video the corresponding video is immediately
played on the display area.

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1.4.2. Display area
The central part of the screen displays in full size the selected images and videos (Fig 3 B, Fig 8).
Fig 8 - Display area
Six buttons on the bottom-left corner make it possible to operate on the images and change their
display mode (Fig 8 A).
The selected button is highlighted in sky-blu. In Fig 8, for instance, the selected button is .

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1.4.3. Functions of the buttons
!
WARNING!
The procedures described in this paragraph can be performed with the fingers only
when using a “touch-screen”. It is otherwise necessary to use the mouse device,
moving the mouse pointer while keeping the left button clicked.
1.4.3.1. No option is selected - the button
When the button is selected none of the special display options is activated.
1.4.3.2. Zoom - the button
The button makes it possible to zoom-in and zoom-out. To zoom
select the button. The button is this way highlighted.
Touch the image and move the finger horizontally on the touch-screen.
Move the finger left to right to zoom in. Move the finger right to left to zoom out.
1.4.3.3. Rotate - the button
The button makes it possible to rotate the image. To rotate the image
select the button. The button is this way highlighted.
Touch the image and move the finger horizontally on the touch-screen. The image rotates by
90° clockwise.
1.4.3.4. Brightness - the button
When the button is selected it is possible to adjust the brightness of an image. To do that
select the button. The button is this way highlighted.
Touch the image and move the finger horizontally on the touch-screen.
Brightness is increased when movement goes left to right. Brightness is reduced when movement
goes right to left.

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1.4.3.5. Contrast - the button
To adjust the contrast of an image
select the button. The button is this way highlighted.
Touch the image and move the finger horizontally on the touch-screen.
Contrast is increased when movement goes left to right. Contrast is reduced when movement goes
right to left.
1.4.3.6. Magnifier - the button
When the button is selected an image magnifier makes it possible to enlarge selected portions
of the image. To use the “Magnifier”
select the button. The button is this way highlighted.
Touch the image. The image portion located near the finger is this way magnified.
Move the finger to the area that must be magnified.
1.4.3.7. Grab - the button
When the button is selected it is possible to “grab” the image and move it around the display
area. This function can be used to display the image portions that are not currently displayed when
the image is too large to be fully displayed within the area. To do that
select the button. The button is this way highlighted.
Touch the image with a finger.
Move the finger around. The image moves together with the finger.

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1.4.4. Videos
Four further buttons, making it possible to operate on the video reproduction, are present when
playing a video (Fig 9 A). Their presence depends on the video format.
Fig 9 - Coronarography
The button (Play) plays the video.
The button (Pause) pauses the video.
The button (Stop) stops the video.
The button makes it possible to watch the video frame by frame. To do that
select the video.
Select the button on the display area. The button is this way highlighted.
Touch the image and move the finger horizontally.
When the finger moves left to right the video goes forward. When the finger moves right to left the
video goes backwards.
i
Righ- click the image displayed to open a menu containing additional display options.
Fig 10
The possible options are:

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zoom;
dither;
anti alias;
smooth;
image info.
1.4.5. The command bar
The command bar (Fig 11) contains the function-buttons making it possible to perform different
actions.
The different functions are briefly described in this paragraph. The detailed procedures will be
described later in the paragraphs indicated here.
Fig 11 - Command bar
Use the Grab button to acquire an image or a video (see paragraph 1.6).
Use the Add button to acquire an image/video from an external source (see paragraph 1.7).
Use the Report button to display the examination clinical report (see paragraph 1.8).
Use the Print button to print the examination documentation (see paragraph 1.9).
Use the Delete button to permanently delete one of the images/videos (see paragraph 1.10).
Use the Annotation button to add a note to the image/video (see paragraph 1.11).
Use the Store button to store the currently selected image for comparison with other stored images
(see paragraph 1.12).
The Store button is present on the command bar when no image is stored already. In case there is at
least another image stored the button changes and becomes Compare.
Use the Compare button to access a specific screen making it possible to compare the image
currently displayed with the ones previously stored. This screen is described in paragraph 1.12, Fig
50.
The command bar changes when a video (instead of an image) is selected. When a video is selected
the Trim button is displayed instead of the Store and Compare buttons (Fig 12 A).
Fig 12
The Trim button gives access to a set of tools making it possible to perform various actions on the
video (as, for instance, cut and save specific video portions, extract frames etc…). These tools are
described in paragraph 1.13.
Use the Save button to manually save in a user-specified folder the image currently selcted. Click
this button to open the usual “save” window of the operating system in use.
Use the Visits button to go back to the patient examinations list (Fig 2).
When no image or film is selected the command bar looks like in Fig 13.
Fig 13

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The Multi button (Fig 13 A) is enabled, making it possible multiple selection of videos and images
for quick deletion (see paragraph 1.10.1 for the procedure).
1.5. Creating a new examination
To create a new examination
select the patient. See paragraph 1.2 for the patient selection procedure.
The Image Bank main screen opens. The patient’s previous examination (if existing) are displayed
on the left.
Fig 14 - New visit
Click the New Visit button (Fig 14 A).
The “Examination details” opens. The screen is empty (Fig 15). A new visit is created
independently from image and video acquisition.
Fig 15 - New visit
Six buttons are on the command bar.

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Use the Grab button to acquire an image or a video (see paragraph 1.6).
Use the Add button to acquire an image from an external source (see paragraph 1.7).
Use the Report button to display the examination clinical report (see paragraph 1.8).
Use the Print button to print the examination documentation (see paragraph 1.9).
Use the Visits button to go back to the patient examinations list (Fig 2).
Use the Multi button for multiple selection (see paragraph 1.10.1).
The new examination is recorded independently from any image/video acquisition and any report
specification. A new visit-button has already been created on the examinations list screen (Fig 16
A).
Fig 16
1.6. How to grab images and videos
!
WARNING!
This paragraph describes the images and videos acquisition procedure to be used when
no specific acquisition device is installed.
Images and videos can be grabbed by remote controls as pedals or manual swithces,
radio-controls etc… If this is the case see paragraph 1.6.3 and the specific hardware
documentation.
When a remote acquisition device is in use the DIGISTAT®Image Bank module can
be activated in background as well. That is: module selection is not necessary to images
acquisition.
It is necessary to select, on the module, the relevant patient and visit.
To grab an image/video
Select the patient (See paragraph 1.2 for the patient selection procedure).

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Select the examination under which you want to record the new videos/images; otherwise
create a new visit, if this is the case (the examination selection procedure is described in
paragraph 1.3, the new examination creation procedure is described in paragraph 1.5).
Click the Grab button. The images/videos acquisition screen opens (Fig 17).
Fig 17 - Grab images and videos
The central part of the screen displays the images coming from the acquisition devices. On the left
there are three large buttons.
Click the button (Fig 17 A) to acquire the image currently displayed and create a
picture.
The image is this way saved and becomes visible on the “Examination detail” screen (see Fig 3 for
an example) referring to the selected patient and visit.
Click the button (Fig 17 B) to start video acquisition.
When the acquisition is in progress the screen changes in the way displayed in Fig 18: the Begin
button is selected and the Stop button is enabled.

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Fig 18 - Video acquisition
Video acquisition goes on until the “stop” button is clicked.
Click the button to stop the video acquisition (Fig 18 A).
The video will be saved an will become visibile on the “Examination details” screen referring to the
selected patient and visit (Fig 3 shows an example).
1.6.1. Acquisition screen command bar
The command bar of the “Acquisition screen” (Fig 19) contains three buttons.
Fig 19 - Acquisition screen command bar
Use the Close button to close the “Acquisition screen”and display again the “Examination
details”screen (Fig 3).
Use the Device button to select the acquisition device from an existing list. To do that
click the Device button. The list of all the available devices is displayed on the left (Fig 20
A).

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Fig 20 - Device selection screen
In the example shown in the figure only one device is available.
Click the name of the wanted device. The name is this way highlighted.
Click the Ok button on the command bar (Fig 20 B).
The system will go back to the “acquisition screen” (Fig 17). The wanted device will be selected.
The Setup button makes it possible to access the acquisition devices configuration
functions.
Click the button to display the specific device configuration window. The kind and the functions of
the configuration window depend on the specific device selected. Fig 21 shows an example.

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Fig 21 - Acquisition devices configuration
1.6.2. Alternative grabbing procedure
A configuration parameter makes it possible to set a different images and videos acquisition
procedure.
!
Refer to your system administrator for the configuration alternatives.
When this procedure is activated the click on the Grab button on the command bar does not bring
to the page shown in Fig 17. The page referring to the selected visit remains displayed instead (Fig
22).