Cine Speed#

This sets the default playback speed for Cine Mode. Options are 0.5, 1, and 2.

Overlay Level#

Overlay Level

You can specify the level of data displayed in overlays. For instance, if Patient Name is defined in the overlay for the displayed image, but the Patient Level checkbox is unchecked, the overlay will not be displayed. The suggested default is the have all levels selected.

Orientation Markers#

Here you can select the number of Orientation Markers displayed on Multi-Frame images. You can select 2 or 4. With 2 selected only one of the opposing orientations is marked (ie R for Right, or A for Anterior). With 4 selected, both opposing orientations are marked (ie R and L for Right and Left, or A and P for Anterior or Posterior).

Measurement Units#

Here you can select the units used for measurements. Options are pixel, cm, inch and mm.

Screen Capture with Overlays#

When this is enabled, screen captures from the Viewer will include overlays. If it is disabled, screen captures from the Viewer will not include overlays.

Thumbnail Settings#

Thumbnail Settings

Single Thumbnail#

When this setting is enabled, the thumbnail panel displayed on the left side of the Viewer will show one image per stack.

Thumbnail Size#

You can adjust the Size of the thumbnail's in the Thumbnail Panel. You can select Small or Large.

Phone Rotation#

Phone Rotation

Disable Viewer Layout Optimization for Phone Rotation by checking the checkbox.

Magnifying Glass#

Magnifying Glass

You can select the Size of the Magnifying Glass. You can select Small, Medium or Large.

You can also specify the Zoom Factor used by the Magnifying Glass. You can select 2, 4, 8 or 16.



Show Text Box for Text Annotations#

With this option selected, Text in annotations, such as Measurement or Text Annotations, will be displayed with a black box behind then. This can significantly improve readability of annotations.


Annotation Background


Annotation No Background

Annotation Thickness#

Un-checking the Use Default checkbox will display the Custom Annotation Thickness Settings.

Custom Annotation Thickness

Here you can Select the Active Thickness and the Inactive Thickness. You can select 1, 1.5, 2, 2.5, 3, 3.5, or 4.

Saved State#

Saved State

When an image is displayed, that has a saved annotation associated, this check box allows you to choose if the system will automatically apply Saved Display State such as Zoom, Pan, Orientation, W/L, and Inversion.

You can choose which saved annotations to apply automatically. Select All to automatically apply all Annotations. Select Latest to apply only the latest Annotations. Select None to disable automatic Annotation application.


Saved State

This section adjusts the radius around a grab point that activated the grab point. Lower Sensitivity allows Users to click closer to existing grab points without activating an existing grab point. You can set the Sensitivity for both Desktop and Touch Operations independently. You can select Max, High, Low, Min. The suggested default is Low for Desktop, and Max for Touch.

Annotation Cursor#

You can customize the Annotation Cursor. You can customize the Style, Size and Color.


You can select Line or Filled.


You can select Small or Large.


You can select Red, Green, Blue or White



You can adjust the Zoom Speed. You can select 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4. Higher selections will increase the speed of the Zoom.



You can adjust the Scroll Speed. You can select Small, Medium, Fast.

Window Level#

Window Level

You can adjust the Window Level Speed. You can select 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4. Higher selections will increase the speed of the Window Level.

The Default Modality will allow you to change the Window Level speed for all Modalities that have the Use Default Checkbox Checked.

Each Modality can be configured independently by selecting the Modality from the Dropdown and un-checking the Use Default Checkbox.

Modality Specific Window Level

Touch Tool Customization#

Touch Tool Customization

You can select what tools are selected by default when using touch. WL + Zoom will default the Touch Tool to Window Level and Zoom. Pan + Zoom will default the Touch Tool to Pan and Zoom.



Here you can select the number of monitors used for Multi-Monitor Mode. You can select between 1 and 4.


Multi-Monitor mode is only supported on Chromium based browsers (Chrome and Edge) and requires an Extension to be installed. When you open this screen in a Chrome or Edge, you will see a Chrome Extension button. This will open the Chrome store in a new tab. press the Add to Chrome button to install the Extension. See the Multi-Monitor section for more detail.

Measurement Instructions#

Measurement Instructions

To adjust the Measurement Instruction delivery, select the desired display method from the list. You can choose to have the instruction shown in Overlays or in the Instruction Panel. You can disable Measurement Instructions by selecting None.


Overlay Instructions

The Measurement Instructions for Advanced Measurements will be displayed at the top of the image in the Viewport of the Viewer. This is the default selection for SmartPACS.

Instruction Panel#

Instruction Panel

When an Advanced Measurement is selected, a side panel will slide out of the right of the Image Viewport. This will contain all information related to the Measurement, including all steps to be completed before the measurement process is complete. The current step will be displayed in a slightly larger font and underlined.


No extra measurement information will be displayed. You should be familiar with the measurement to know exactly the steps that are needed and what order to perform them in.