Tigerview 8 Medical Manual PDF

-
TigerView
Medical /
Chiropractic
8.2
Manual
Medical Imaging Software
SOLD EXCLUSIVELY THROUGH QUALIFIED DEALERS

0Indications for Use
TigerView Professional is a clinical software application that receives images and data from
various imaging sources (e.g., radiographic devices, digital video capture devices, and generic
image devices such as scanners). In addition, TigerView Professional enables the storage of
clinical notes, audio recordings, and clinical exam data.
It is intended to acquire, display, edit (e.g., resize, adjust contrast, crop, annotate, etc.), review,
store, print, and distribute images using standard PC hardware.
Caution: Federal law restricts this device to sale by or on the order of a medical practitioner
licensed by the law of the State in which he/she practices to use or order the use of the device.
TigerView Medical / Chiropractic 8.2 Manual Page 2

Table of Contents
0INDICATIONS FOR USE ..................................................................................................... 1
A QUICK START TO LEARNING YOUR WAY AROUND TIGERVIEW 8 .............................. 15
OPEN TIGERVIEW 8 ........................................................................................................... 23
SELECT YOUR USER NAME .............................................................................................. 24
MAIN WINDOW ................................................................................................................... 25
PATIENTS SIDE.................................................................................................................. 26
Decide how the Patient List should look................................................................. 27
Change the information that appears in the Patient List .......................... 27
Make the Patient List wider or more narrow............................................ 29
Different ways to sort the Patient List ..................................................... 29
Change the order of the columns in the Patient List ................................ 30
View columns that are out of sight on the Patient List ............................. 30
Show or Hide the Patient List ................................................................ 30
Find a Patient ....................................................................................................... 31
Select a Patient .................................................................................................... 33
Add a Patient ....................................................................................................... 33
First Name............................................................................................ 35
Middle Name ........................................................................................ 35
Last Name ............................................................................................ 35
Provider................................................................................................ 36
Gender ................................................................................................. 36
Date of Birth ......................................................................................... 36
Patient ID ............................................................................................. 36
S.S.N. .................................................................................................. 36
Insured’s ID .......................................................................................... 36
Street Address ...................................................................................... 36
City ...................................................................................................... 37
State .................................................................................................... 37
Zip Code .............................................................................................. 37
Home Phone ........................................................................................ 37
Work Phone.......................................................................................... 37
Email .................................................................................................... 37
OK ....................................................................................................... 37
Cancel .................................................................................................. 37
Change which patient fields are required ............................................................... 37
Custom................................................................................................. 38
OK ....................................................................................................... 38
Cancel .................................................................................................. 39
Show Optional Fields ............................................................................ 39
Required Fields.................................................................................... 39
Edit a Patient........................................................................................................ 39
Delete a Patient .................................................................................................... 40
Patient List Right Click Menu ................................................................................ 41
Patients ................................................................................................ 41
Columns ............................................................................................... 41
Show Deleted Patients .......................................................................... 43
Restore Selected (Restore rejected patients) ......................................... 44

IMAGES SIDE ..................................................................................................................... 46
Acquire an Image Using a Digital Hardware Device ............................................... 46
Step One – Select the patient ................................................................ 46
Step Two – Decide which acquisition device to use ................................ 47
Step Three – Using a Modality Worklist.................................................. 48
Search the List .................................................................... 49
View Log ............................................................................ 49
Cancel ................................................................................ 50
Step Four – Fill out the DICOM Information window ............................... 50
Step Five – Define the images you want to acquire ................................ 52
Device Status...................................................................... 52
Select the Region, Laterality and View Position .................... 53
Select a Region ................................................... 54
Select a Laterality ................................................ 54
Select a View Position ......................................... 55
Image Series ...................................................................... 55
Available Templates ............................................ 57
Image Holder Colors ............................................ 58
Filling an Image Series Out of Order..................... 59
Create the Image Series ...................................... 60
Step Six – Acquire images .................................................................... 60
Image Boxes ....................................................................... 60
Manually create an Image Box ............................. 60
Automatically create an Image Box ...................... 61
Use the Image Series feature to create Image Boxes
........................................................................... 61
Which Image Box Gets Used ............................................... 61
Edit an Image Box............................................................... 62
Acquire an Image ................................................................ 62
Viewer Tools Available on the Acquire Window .................... 63
Reset Original Image Processing Settings ............ 63
Crop/Mask Image ................................................ 63
Brightness and Contrast ...................................... 64
Zoom In .............................................................. 64
Next Task ........................................................................... 65
Step Seven – Save or Reject new images.............................................. 66
Reject an image .................................................................. 66
Save images ....................................................................... 67
Finish button ....................................................... 67
Finish & Send button ........................................... 67
Image Box Right Click Menu ................................ 68
Step Eight – Close the Acquire Window ................................................. 68
Step Nine – Rejection Reason Window .................................................. 68
If you need to adjust image quality on individual images ......................... 70
Config window ...................................................................................... 70
`Image Box Right Click Menu ................................................................ 70
Reacquire Images ................................................................................. 71
Acquire an Image by Importing it ........................................................................... 73
Step Three – Import the images ............................................................ 74
Step Four – Change the date on the images .......................................... 75
Acquire Video....................................................................................................... 77
Step Three – Using a Modality Worklist.................................................. 78
Search the List .................................................................... 79
View Log ............................................................................ 79
Cancel ................................................................................ 79
Step Four – Fill out the DICOM Information window ............................... 79
Step Five – Acquire Still Shots or Video ................................................. 81
Full ..................................................................................... 82
Config................................................................................. 82
Reset .................................................................. 82
Advanced Settings............................................... 82
Video Device ....................................................... 82
Size .................................................................... 82
CrossBar Settings................................................ 83
Enable DirectShow Button ................................... 83
Ignore Still Pin ..................................................... 83
One Button Freeze and Save ............................... 83
Start in full screen mode ...................................... 83
Freeze ................................................................................ 83
Save................................................................................... 83
Record................................................................................ 83
Finish ................................................................................. 84
About TigerView 8 ................................................................................................ 84
TigerView 8 Options ............................................................................................. 86
General ................................................................................................ 87
Display Options ................................................................... 87
Color ................................................................... 88
Gray.................................................................... 88
Icons ................................................................... 88
Display Thumb Overlay ........................................ 88
Database Paths .................................................................. 89
Server Name ....................................................... 89
Database Name .................................................. 89
Authentication ..................................................... 89
User Name and Password ................................... 89
Images Folder ..................................................... 89
Startup Options ................................................................... 90
Load Full Patients List ......................................... 90
Load Last Patient ................................................ 90
Cloud Account ..................................................... 90
Acquire on Bridge ................................................ 90
Search All Providers ............................................ 90
Auto Refresh ....................................................................... 91
Seconds .............................................................. 91
Practice ................................................................................................ 91
Practice Information ............................................................ 92
Office Logo ......................................................................... 92
Users ................................................................................................... 92
Add a User ......................................................................... 93
First Name .......................................................... 93
Last Name .......................................................... 94
Suffix .................................................................. 94
User Name.......................................................... 94
Phone ................................................................. 94
ID Number .......................................................... 94
Email .................................................................. 94
Account Type ...................................................... 94
Locked ................................................................ 95
Edit Existing User Information .............................................. 95
Delete Users ....................................................................... 95
Security ................................................................................................ 97
Require Login ..................................................................... 97
Minimum User Name Length (characters) ............. 97
Minimum Password Length (characters) ............... 98
Password Requirements ..................................................... 98
Minimum Uppercase ............................................ 98
Minimum Lowercase ............................................ 98
Minimum Numbers .............................................. 98
Minimum Special Characters................................ 98
Password Renewal Interval (days) ....................... 98
Enforce Password History .................................... 98
Login Attempts .................................................... 98
Inactivity Time-out (minutes) ................................ 98
Allow Access to Other Provider Images................................ 99
Hide Patient Information ...................................................... 99
Require Delete Password .................................................... 99
Delete Password ................................................. 99
Rejected Image Retention Policy (days) ............. 100
Hardware............................................................................................ 100
File Formats...................................................................... 100
Available Hardware ........................................................... 101
Anatomic Regions ............................................................................... 101
Moving Selections between Available and Displayed .......... 104
View Positions – Undefined ............................................... 104
DICOM ............................................................................................... 105
Add a Remote Storage PACS Server or a DICOM Printer ... 106
Client Information .............................................. 106
Server Information ............................................. 106
Add a Modality Worklist Server .......................................... 109
Server Information ............................................. 110
Edit a DICOM Server or Printer.......................................... 110
Delete a DICOM Server or Printer ...................................... 110
Add, Delete, Update, Ok, Cancel, Apply buttons ................. 111
Change the size of the Thumbnails ..................................................................... 111
Images Right Click Menu .................................................................................... 111
View ................................................................................................... 114
Select an Image ................................................................ 114
Unselect an Image ............................................................ 115
Show or Hide Rejected Images .......................................... 116
Open Images into the Image Viewer Window ..................... 117
File..................................................................................................... 119
Export an Image................................................................ 119
Images .............................................................. 120
Select the Export Location ................................. 120
Check Your Export Options ................................ 121
Export and Cancel Buttons................................. 124
Export to Hard disk/Memory stick ....................... 125
Export to CD/DVD/Blu-ray.................................. 128
Export to a DICOM server .................................. 130
DICOM Conformance ........................................ 135
Email ................................................................ 135
Print Images ..................................................................... 137
Print Images Window ......................................... 139
Reject an Image................................................................ 142
Restore (Rejected Images) ................................................ 146
Delete an Image Permanently............................................ 147
Edit .................................................................................................... 148
Copy................................................................................. 148
Paste ................................................................................ 149
Set as Patient Photo ......................................................... 150
Change Patient (Move an image from one patient to another)
........................................................................................ 151
Change the Orientation of an Image .................................. 153
Image Information ............................................................................... 154
Anatomical Region ............................................................ 155
Region .............................................................. 156
Laterality ........................................................... 156
View Position..................................................... 156
Keywords/Procedures ....................................................... 156
Add Keywords to the Main Keyword List ............. 157
Assign a Keyword to an Image ........................... 158
Remove a Keyword from an Image .................... 159
Delete a Keyword from the Main Keyword List .... 159
Add Procedures to the Main Procedure List ........ 160
Assign a Procedure to an Image ........................ 162
Remove a Procedure from an Image .................. 163
Delete a Procedure from the Main Procedure List 164
Edit DICOM Info................................................................ 165
Designate which fields display when Show Optional
Fields is off ........................................................ 167
DICOM Information Fields.................................. 168
Properties ......................................................................... 172
General Tab ...................................................... 172
Advanced Tab ................................................... 174
General Tab for an Imported or Flatbed Scanner
Image ............................................................... 175
Image History Report ........................................................ 177
How the report windows work............................. 178
Window 1 .......................................................... 179
Window 2 – Group Entries By ............................ 183
Window 3 – Provider Columns ........................... 184
Window 4 – Patient Columns ............................. 185
Window 5 – Image Columns .............................. 186
Report................................................................................................................ 189
Use an existing template to create a report .......................................... 189
Use an existing template to create a report .......................................... 191
Create a new template ........................................................................ 192
Image Holder Box Options: ................................................ 196
Position tab: ...................................................... 198
Text Wrapping tab: ............................................ 199
Size tab: ............................................................ 200
Left Click on an Image Holder Box ..................... 200
Add Text ........................................................................... 201
Add Data .......................................................................... 202
Add Graphic...................................................................... 203
Change the graphic ........................................... 204
Delete the graphic ............................................. 205
Add a Hyperlink ................................................................ 205
IMAGE PROCESSING SETTINGS..................................................................................... 208

Both, Original and Preview.................................................................................. 209
Both ................................................................................................... 209
Original............................................................................................... 209
Preview .............................................................................................. 210
Rotate ................................................................................................ 210
Flip..................................................................................................... 210
Zoom In/Out ....................................................................................... 210
1 to 1 Sizing........................................................................................ 210
General Settings ................................................................................................ 211
Assigned Setting................................................................................. 211
What is an Assigned Setting? ............................................ 211
Create an Assigned Setting ............................................... 212
Assign Body Part/View Positions to an Assigned Setting:.... 214
Assign Image Processing Codes to an Assigned Setting .... 216
Edit an Existing Assigned Setting....................................... 218
Export an Assigned Setting ............................................... 220
Import Assigned Settings................................................... 222
Delete an Assigned Setting ............................................... 224
Reset button ....................................................................................... 224
Image Processing Mode...................................................................... 224
Body Part Examined ........................................................................... 225
View Position ...................................................................................... 225
Invert .................................................................................................. 225
Apply Film Mask ................................................................................. 225
Flip Left/Right ..................................................................................... 225
Rotate ................................................................................................ 225
Auto-Trim Type ................................................................................... 226
None ................................................................................ 226
Create .............................................................................. 226
Crop ................................................................................. 226
Crop x 2............................................................................ 226
Auto-Trim Threshold ........................................................................... 226
Suppress Grid Lines ........................................................................... 226
Suppress Threshold ............................................................................ 226
Auto Window Level ............................................................................. 227
Image Series Audio Prompt Voice ....................................................... 227
Classic Settings.................................................................................................. 227
Reset button ....................................................................................... 228
Despekle ............................................................................................ 228
Median Filter....................................................................................... 228
Median Filter Amount .......................................................................... 228
Brightness .......................................................................................... 228
Contrast ............................................................................................. 229
Gamma .............................................................................................. 229
Adaptive Image Processing ................................................................. 229
Unsharp Mask Settings ....................................................................... 229
Reset button ..................................................................... 230
Apply Unsharp Mask ......................................................... 230
Unsharp Mask Amount ...................................................... 230
Unsharp Mask Radius ....................................................... 230
Unsharp Mask Threshold................................................... 231
Moving off the Unsharp Mask window ................................ 231
1.2.3… Setup ..................................................................................................... 231
Reset button ....................................................................................... 233
Configure 1.2.3…Setup button ............................................................ 233
Step 1 window – Edge Enhancement................................................... 233
Reset button ..................................................................... 233
None, Low, Medium, High ................................................. 233
Advanced ......................................................................... 234
Threshold .......................................................... 234
Radius .............................................................. 235
Amount ............................................................. 235
Step 2 – Smoothing ............................................................................ 235
Reset button ..................................................................... 235
None, Low, Medium, High ................................................. 235
Advanced ......................................................................... 236
Value ................................................................ 236
Step 3 – Brightness, Contrast, Gray Shift (Gamma).............................. 237
Reset button ..................................................................... 237
Brightness ........................................................................ 237
Contrast ............................................................................ 237
Gray Shift (Gamma) .......................................................... 237
Finish ............................................................................... 237
ICE Settings ....................................................................................................... 238
Reset button ..................................................................... 240
Apply Image Contrast Enhancement .................................. 240
Contrast ............................................................................ 240
Edge Enhancement........................................................... 240
Edge Levels ...................................................................... 241
Latitude Reduction ............................................................ 241
Latitude Levels.................................................................. 241
Auto Calculate Edge and Latitude Levels ........................... 241
Additional Settings ............................................................ 241
Smoothing Settings............................................................................. 242
Reset button ..................................................................... 242
Apply Smoothing ............................................................... 242
Smoothing Amount............................................................ 242
Unsharp Mask Settings ....................................................................... 243
Reset button ..................................................................... 243
Apply Unsharp Mask ......................................................... 243
Unsharp Mask Amount ...................................................... 243
Unsharp Mask Radius ....................................................... 244
Unsharp Mask Threshold................................................... 244
Histogram Contrast ............................................................................. 244
Reset button ..................................................................... 244
Apply Histogram Contrast .................................................. 244
Histogram Contrast Amount............................................... 245
Gamma Settings ................................................................................. 245
Reset button ..................................................................... 245
Apply Gamma ................................................................... 245
Gamma Amount ................................................................ 246
Preset Display Gamma...................................................... 246
Gamma Amount ................................................................ 246
Ice v2................................................................................................................. 246
(Device Name) Settings ...................................................................................... 249
Reset button ..................................................................... 249
Diagnostic Mode ............................................................... 249
Demo Mode ...................................................................... 249
Auto-Trim.......................................................................... 250
How to Figure Out Your Settings ......................................................................... 250
IMAGE SERIES ................................................................................................................. 251

Images column................................................................................................... 252
Use an existing Image Series Template............................................................... 253
Select an Image Series Template ........................................................ 253
Free Form Template.......................................................... 253
CPT (or other series) Template.......................................... 254
Traditional Template.......................................................... 254
Load Images into the Template ........................................................... 255
Save the Image Series ........................................................................ 255
Make Changes after the Image Series has been saved ........................................ 255
Add .................................................................................................... 258
Edit .................................................................................................... 258
Cancel ................................................................................................ 258
Add, Edit and Delete Image Series Templates ..................................................... 258
Add an Image Series Template ........................................................... 258
Description ....................................................................... 259
Image Holder Boxes .......................................................... 259
Image Holder Box Right Click Menu ................................... 259
Anatomical Region ............................................ 260
Keyword ............................................................ 260
Rotate 90 .......................................................... 260
Image Series Sensor Flip ................................... 260
Delete ............................................................... 260
Save button ...................................................................... 261
Cancel button ................................................................... 261
Edit a Template .................................................................................. 261
Delete a Template .............................................................................. 261
Close the Template Editor Window ...................................................... 261
Using an Image Series to View the Images Inside it ............................................. 261
Open an Image Series in the Image Viewer window ............................. 261
Open an Image Series in the Image Series window .............................. 262
Close the Image Series Window ......................................................................... 264
VIEW WINDOW ................................................................................................................. 265

How to Open Images into the Image Viewer ........................................................ 265
Open a Single Image .......................................................................... 265
Open Additional Images from the Current Group ................ 266
Open Multiple Images ......................................................................... 266
Sections of the Image Viewer Window................................................................. 268
Image Viewer Left Side Toolbar .......................................................................... 270
Tool Groups ....................................................................................................... 271
Image Viewer Tools ............................................................................................ 272
Zoom In.............................................................................................. 272
Pan Tool ............................................................................................. 272
Image Slide Bars ................................................................................ 272
Zoom Out ........................................................................................... 272
Zoom 1:1 ............................................................................................ 272
Full Screen ......................................................................................... 273
Single Image in the Viewer ................................................ 273
Multiple Images in the Viewer ............................................ 274
Rotate 90 Degrees Counter Clockwise ................................................ 274
Rotate the Image 90 Degrees Clockwise ............................................. 274
Rotate the Image 180 Degrees ............................................................ 275
Flip the Image from Left to Right .......................................................... 275
Flip the Image from Top to Bottom ....................................................... 275
Restore Original Orientation ................................................................ 275
Manually Arrange Images.................................................................... 275
Automatically Arrange Images ............................................................. 276
Measurements – Medical .................................................................... 276
Units................................................................................. 277
Grid Units ......................................................................... 277
Selection .......................................................................... 277
Move a Measurement ........................................ 277
Edit a Measurement........................................... 277
Delete a Measurement....................................... 277
Line .................................................................................. 278
Area ................................................................................. 278
Angle................................................................................ 278
Spinal Arc Measurement ................................................... 278
Jackson’s Angle ................................................................ 279
Baseline Measurement ...................................................... 279
Perpendicular Baseline Measurement ................................ 280
George's Line ................................................................... 280
Cobb’s Angle .................................................................... 281
Font .................................................................................. 282
Color ................................................................................ 282
Transparency .................................................................... 282
Width................................................................................ 282
Show/Hide ........................................................................ 282
Undo Last ......................................................................... 283
Undo All............................................................................ 283
Calibrate ........................................................................... 283
Mode ................................................................ 285
# of Discs .......................................................... 285
Minimum Disc Size ............................................ 285
Background Threshold ....................................... 285
Common Sizes .................................................. 285
Custom Size...................................................... 285
Message Section of the Calibration window ........ 286
Automatic Mode, One Disc – How it works.......... 286
Automatic Mode, Two Discs – How it works ........ 290
Manual Mode, One Disc – How it works ............. 291
Manual Mode, Two Discs – How it works ............ 294
Measurements - Chiropractic............................................................... 298
Units................................................................................. 299
Grid Units ......................................................................... 299
Selection .......................................................................... 299
Move a Measurement ........................................ 299
Edit a Measurement........................................... 299
Delete a Measurement....................................... 299
Line .................................................................................. 300
Area ................................................................................. 300
Angle................................................................................ 300
Baseline Measurement ...................................................... 300
Perpendicular Baseline Measurement ................................ 301
NUCCA Analysis ............................................................... 301
Torg’s Ratio ...................................................................... 304
Ilium Analysis .................................................................... 305
Jackson’s Angle ............................................................... 306
Spinal Arc Measurement ................................................... 307
George's Line ................................................................... 308
Cobb’s Angle .................................................................... 308
Vertical Offset ................................................................... 309
Horizontal Offset ............................................................... 310
Spine Labeling .................................................................. 310
Mark Spots ....................................................................... 311
Center Point...................................................................... 311
Font .................................................................................. 312
Color ................................................................................ 312
Transparency .................................................................... 312
Width................................................................................ 312
Show/Hide ........................................................................ 312
Undo Last ......................................................................... 312
Undo All............................................................................ 312
Calibrate ........................................................................... 313
Mode ................................................................ 315
# of Discs .......................................................... 315
Minimum Disc Size ............................................ 315
Background Threshold ....................................... 315
Common Sizes .................................................. 315
Custom Size...................................................... 315
Message Section of the Calibration window ........ 316
Automatic Mode, One Disc – How it works.......... 316
Automatic Mode, Two Discs – How it works ........ 320
Manual Mode, One Disc – How it works ............. 321
Manual Mode, Two Discs – How it works ............ 324
Annotate............................................................................................. 328
Selection .......................................................................... 328
Move an Annotation ........................................... 328
Edit an Annotation ............................................. 329
Delete an Annotation ......................................... 329
Line .................................................................................. 329
Extended Line ................................................................... 329
Freehand .......................................................................... 330
Circle................................................................................ 330
Square ............................................................................. 330
Arrows .............................................................................. 330
Laterality........................................................................... 330
Text .................................................................................. 330
Font .................................................................................. 331
Color ................................................................................ 331
Transparency .................................................................... 331
Width................................................................................ 331
Show/Hide ........................................................................ 331
Undo Last ......................................................................... 331
Undo All............................................................................ 331
Magnifying Glass ................................................................................ 332
Crop Image ........................................................................................ 332
Crop Image....................................................................... 332
Mask Image (polygon) ....................................................... 333
Mask Image (rectangle) ..................................................... 333
Density Profile .................................................................................... 333
Stitch Images Together ....................................................................... 336
Auto Blend ........................................................................ 336
Create a Copy of an Image ................................................................. 337
Print Selected Image........................................................................... 337
Negate Image ..................................................................................... 337
Colorize Image ................................................................................... 337
Emboss .............................................................................................. 338
Direction ........................................................................... 338
Depth ............................................................................... 338
Image Contrast Enhancement ............................................................. 338
Assigned Setting ............................................................... 338
Image Contrast Enhancement buttons ............................... 340
Edit................................................................................... 340
ICE Settings ...................................................... 340
Apply ................................................................ 341
Cancel .............................................................. 341
Reset ................................................................ 341
Reset Original Image .......................................................................... 341
Configure Image Overlay Information................................................... 341
Top Left, Top Right, Bottom Center.................................... 341
Add Fields ........................................................................ 342
Optional ............................................................ 343
Display Options ................................................................. 345
Font .................................................................. 345
Text Color ......................................................... 345
Hide Overlay Information ................................... 345
Brightness and Contrast ...................................................................... 346
Window Level ..................................................................................... 346
LUTs (Presets) ................................................................................... 346
Color .................................................................................................. 347
Hue .................................................................................................... 347
Gamma .............................................................................................. 347
Show/Hide Image Histogram ............................................................... 347
Reset Original Image Processing Settings ........................................... 347
HOW TO DRAG AND DROP AN IMAGE ........................................................................... 348

To drag an image................................................................................ 348
To drop an image................................................................................ 348
A FEW RECOMMENDATIONS FROM THE MAKER OF TIGERVIEW PROFESSIONAL . . . 349

Equipment .......................................................................................... 349
Backups ............................................................................................. 349
Training .............................................................................................. 349
Internet Access ................................................................................... 349
Office Phones ..................................................................................... 349
WHAT TIGERVIEW 8 FOLDERS TO BACKUP .................................................................. 350
HOW TO BURN IMAGES TO A CD ................................................................................... 351
ACQUIRE IMAGES USING AN ATLAIM PANEL................................................................ 352
ACQUIRE IMAGES USING A CAREVIEW PANEL............................................................. 355

ACQUIRE IMAGES USING A FIRECR............................................................................... 358
ACQUIRE IMAGES USING A FLATBED SCANNER.......................................................... 361
ACQUIRE IMAGES USING A FUJI PANEL........................................................................ 364
ACQUIRE IMAGES USING AN ICRCO .............................................................................. 367
ACQUIRE IMAGES USING A NAOMI PANEL.................................................................... 370
ACQUIRE IMAGES USING A PERKINELMER PANEL ...................................................... 373
ACQUIRE IMAGES USING A RAYENCE PANEL .............................................................. 376
ACQUIRE IMAGES USING A SCANX SCANNER.............................................................. 379
ACQUIRE IMAGES USING A TOSHIBA PANEL................................................................ 382
ACQUIRE IMAGES USING A DEVICE THAT HAS A TWAIN DRIVER ............................... 385
ACQUIRE IMAGES USING A VARIAN PANEL .................................................................. 388
ACQUIRE IMAGES USING A VIDAR FILM DIGITIZER ...................................................... 391
ACQUIRE IMAGES USING A VIDEO DEVICE ................................................................... 394

A Quick Start to Learning Your Way Around TigerView 8
1. Install TigerView 8 according to the installation instructions included with the installation
CD or download. Note that the installation instructions not only walk you through
installing TigerView but also walk you through entering the basic setup information
needed to run the program.
Call the TigerView Technical Support line at 1-800-385-9593 to obtain activation codes
for your workstations and digital imaging devices. Technical support is available
Monday-Friday from 8:00AM EST to 7:00PM EST except for a few holidays.
2. Open TigerView:
Double click on the TigerView shortcut on your desktop.
The Login Window will open. Select a user and then click on the Login button.
Or
Click on the Start button.

Click on Programs or All Programs (if one of these appear).
Click on TigerView 8.
Click on TigerView 8 again
The Login Window will open. Select a user and then click on the Login button.

The TigerView Main window appears:
3. Create a patient:
Click on the Add button at the bottom of the Patient List.
In the Add Patient window that opens, fill in at least the patient’s first and last
names and then click on the OK button at the bottom of the window. TigerView
will automatically open the new patient's record.

Note:
Show
Optional
Fields is
off
Note: when Show Optional Fields is off (dark) you only see the fields that
you are required to fill in to save the patient record. When Show Optional
Fields is on (green), you see all of the fields.

Note:
Show
Optional
Fields is
on
4. Try acquiring an image:
At the bottom of the TigerView window, under the images area, is a row of
buttons. Whatever ways you can acquire an image into TigerView using this
computer will appear here. Import will always be available and will always be on
the very left side of this row of buttons. View is the first button after the acquire
buttons. Anything in between Import and View is a digital imaging device that
can be controlled by this computer.

If you want to, and if this computer has access to one, click on your digital
imaging device and acquire an image. If you need help, refer to either the
Images Side
Acquire an Image Using a Digital Hardware Device
section of this manual, or the Short Guide at the end of this manual that
describes how to use your digital imaging device. If you need more help than
this manual gives you, call TigerView Technical Support at 1-800-385-9593.
Note: anything with an arrow refers to the Table of Contents in this manual.
If you choose to import but don’t have a picture to bring in, you can point Import
to the folder where you installed TigerView, then into the ScanX folder, and then
into the Demo folder where you will find some demo images. Normally that path
is C:\TigerView8\ScanX\Demo.
5. Take a look at the Image Viewer window:
Once you have acquired and saved an image, open it in the Image Viewer by
double left clicking on it, and then try the Viewer tools.

Image Viewer window

Image Viewer
Left side tool bar

When you have finished trying out the Image Viewer tools, close the Image Viewer window by
clicking on the close x in the top right corner of the window.
6. Take a look at the Images Right Click Menu:
Right click one time on an image and the Images Right Click Menu will display:
Rest your cursor over each of

the four main menu selections
to see the submenus
underneath them.
7. When you see information in a red box, pay attention; these are tips to help you better
use the software. Usually the red boxes start with the word “Note”.
Note:
8. You've gotten a small look at what's in TigerView 8. There's a lot more to try, such as
printing reports, moving images from one patient to another, etc. Take a look at the
Table of Contents in this manual for an overview of the types of things TigerView can do.
To Help
You have this manual (scroll through the Table of Contents), some Short Guides at the back of
this manual, and hopefully you purchased TigerView Support. Don’t try to learn all the details of
the program on the first day. If you have support, call us when you have a question. If you
don't have support, this manual should tell you how everything works.

Open TigerView 8
On your desktop, double click on the TigerView 8 icon.
Or
On your desktop, click on the Start button
Click on Programs or All Programs

(if one of these selections appear)
Click on TigerView 8 from your list

of programs
and then click on TigerView 8

again.
Then
The TigerView 8 Login window will open:
Note: if you only have one user set up in TigerView, this Login window will not appear.

Select Your User Name
The first TigerView window that opens is the Login Window.
Click on the User Name down arrow, select your user name, and then click on the Login
button.
If there is only one user name, this Login window will not display and TigerView will open
to the TigerView Main window. If there is only one User Name, move to the next page in
this manual.
If there is more than one user name and the name that displays is correct, click on the
Login button. Otherwise, click on the User Name drop down arrow to display a list of
other user names. If the necessary User Name does not appear in the list, select an
existing User Name so that TigerView will open, and then enter the new user in the
Users window.
Note: a “down arrow” or “up arrow” is actually an arrow head: and

Main Window
Note: the digital imaging device section of this window will

change according to which digital imaging devices you own.
The Main TigerView window is broken up into two sections:
Left Side Patients Contains the Patient List which can be adjusted by
the user.
A patient is selected, added, deleted, or has his

information edited.
Right Side Images TigerView setup information (such as User and

Practice information) is entered, edited or deleted.
Images are acquired, viewed, manipulated,

mounted, printed, moved to different patients,
exported, copied to or from the clipboard, etc.
Image Series Templates are worked with.
Reports are created and generated.

Patients Side
Depending on how you setup TigerView, when the program opens it may display the
entire Patient List, it may open to a specific patient, or it may open without a patient
selected. On the top bar of the TigerView window where the TigerView icon, TigerView
name and which user is logged in display, the message “No Selected Patient” may
display.
or, a patient’s name may display which tells you that patient is open in TigerView.
Note: Always check the top bar of the TigerView window to make sure that the
correct patient is listed there before starting an activity in TigerView.

Decide how the Patient List should look
Change the information that appears in the Patient List
Right click anywhere on the patient side of the TigerView Main window to
open the Patient List Right Click Menu:
Patient List
Right Click Menu

Rest your cursor over
Columns, and then click on
whatever information you
want to appear in the
Patient List.
• The check marks indicate

fields that display on the
Patient List already.
• Click on a field that does not
have a check next to it to
have it appear in the Patient
List.
• Click on a field that does
have a check next to it to
take it off the Patient List.

Make the Patient List wider or more narrow
Make the Patient List (and the Images area) wider or more narrow by
clicking and dragging on the vertical bar between the Patients and the
Images sections.
Different ways to sort the Patient List
Click on a Patient List Column Heading to sort the list by the

information in that column.

An arrow head may appear on the column heading to indicate the sort
order:
Descending Ascending
Change the order of the columns in the Patient List
Drag a column heading left or right to a new location to change the

order the columns appear in the Patient List.
View columns that are out of sight on the Patient List
If the Patient List holds more information than it can display, a slider bar
will appear at the bottom of the list that lets you slide over to see the
columns that didn’t fit.
Show or Hide the Patient List
Click on the button (lower left corner of the TigerView Main window)
once, to hide the Patient List, and then click it again to show the Patient
List. Offices that bridge to TigerView from a practice management
program don’t normally need the Patient List. This gives them the option
of creating more space to display their images.

Find a Patient
Using the Find By drop down box, select the Patient List field(s) you want to
search by:
• Click on the Find By down arrow.

• Click on the field you want to search by.
Click here
Information
you can
enter to find
patients and Click on what
images by you want to
search by
If you know what you’re looking for:
• Select the field(s) to find by from the Find By drop down box.

• Enter information in the Search Box that will be used to search the
field(s) you just selected.
• Make sure the correct Provider for the patient is displaying in the
Provider drop down box.
• Click on the Search button.
Patient Searches:
• Only those patient records that match the search criteria will appear in
the Patient List.
• If a patient record that matches the search criteria is not found, the
Patient List will be blank.
Image Searches:
• Only those image records that match the search criteria will appear in
the Images area plus the patients they belong to will appear in the
Patient List.
• If none of the images match the search criteria, the Images area of
the TigerView Main window and the Patient List will be blank.
Note: some information that you can find by displays a down

arrow in the Search Box. Click on the down arrow to select
from a list of values to search for.
Note: when finding by a date you can click on the calendar

icon to select a date from a calendar, or you can directly type a
date into the Search Box.
Using the Provider drop down box:
• Select a specific provider and then click the Search button without
entering any information in the Search Box to have all of that
provider’s patients display in the Patient List.
Or
• Select All Providers and then click the Search button without
entering any information in the Search Box to display all of the
patients in TigerView in the Patient List.

Select a Patient
To select a patient, left click on the patient in the Patient List. The patient’s name
will display in the top bar of the window letting you know the patient has been
selected, and any images the patient has in TigerView will display in the Images
area on the right side of the TigerView Main window.
Remember: Always check the top bar of the TigerView window to make sure
that the correct patient is selected before starting an activity in TigerView.
Note: If you just acquired images for the currently selected

patient and the images are not displaying on your computer, click on the patient
in the Patient List again and they will appear.
Add a Patient
To add a new patient, click on the Add button at the bottom of the Patients
section of the TigerView Main window.

The Add Patient window will display:
Note: when
Show Optional
Fields is off, only
the required
patient fields
display.

Note: when
Show Optional
Fields is on, all
of the patient
fields display.
Note: when a
new patient
record is saved,
that patient is
automatically
opened in
TigerView.
First Name
Enter the first name of the patient. This is required to save the record.
Middle Name
Enter the middle name of the patient.
Last Name
Enter the last name of the patient. This is required to save the record.

Provider
Select the correct provider from the drop down box. This is required to
save the record.
Gender
If the patient is male, click on the button labeled “male”. If the patient is
female, click on the button labeled “female”.
Date of Birth
Type in the patient’s date of birth in MM/DD/YYYY or MM/DD/YY format

using a space, period, or forward slash as a separator, or, click on the
calendar icon to the right of the date box and then click on the birth date.
Use the left and right arrows on the calendar to move backwards and
forwards between months.
Patient ID
Enter the ID this patient will use in TigerView.
S.S.N.
Enter the patient’s social security number. If you would like the social
security number to display with dashes for ease of viewing, enter the
dashes.
Insured’s ID
Enter the ID of the patient who has the insurance policy that covers this
patient.
Street Address
Enter the street address of the patient’s home.

City
Enter the city the patient lives in.
State
Enter the state the patient lives in.
Zip Code
Enter the zip code the patient lives in.
Home Phone
Enter the patient’s home phone number. If you would like the phone
number to display with a separator, such as dashes, enter the dashes.
Work Phone
Enter the patient’s phone number where he works. If you would like the
phone number to display with a separator, such as dashes, enter the
dashes.
Email
Enter the e-mail address the patient uses.
OK
Click on the OK button at the bottom of the Add Patient window

to save the patient record. The patient record can be saved at
any point after the patient’s first name, last name and provider
have been entered. Once saved:
• The patient record will appear in order in the Patient List.

• The patient that was just added will be opened (their
name will appear in the top bar of TigerView).
Cancel
Click on the Cancel button at the bottom of the Add Patient window
to close the window without saving the new record.
Change which patient fields are required
By default, TigerView requires the patient’s first name, last name Note: only
and provider be entered before the patient record can be saved. If Admin
you would like additional fields to be required before the patient Providers can
record can be saved, click on the button in the top left corner of see the
the Patient Information window. button.
The window will change:

Note: first name, last name and provider will always be required.
Click on to make that field required or on to make a required field stop

being required. First name, last name and provider are always required.
Required fields are required for everyone, not just the current user.
Custom
Change the name of a Custom button to create a new patient information

field. Click on the next to your new field to make that field required.
OK
Click on the OK button at the bottom of the Patient Information

window to save your changes and return to the main Patient
Information window.
Cancel
Click on the Cancel button at the bottom of the Patient Information

window to close this window and open the main Patient Information
window without saving any new settings.
Show Optional Fields
If you are an Admin Provider, whatever state the Show Optional Fields
button is in (on or off) when the Patient Information Required Fields
window is closed, is what everyone else will have as a default for Show
Optional Fields.
Required Fields
The button in the upper left corner of the Patient Information window
toggles between the normal Patient Information window and Patient
Information Required Fields window. Leaving the Patient Information
Required Fields window saves the settings. Clicking the OK button while
in the Patient Information Required Fields window will also save the
settings.
Edit a Patient
To change information in a patient record, left click once on the patient in

the Patient List, and then click on the Edit button at the bottom of the
Patients section of the TigerView Main window.
The Edit Patient Info window will open. The Edit Patient window contains the
same fields that the Add Patient window does. For an explanation about each
entry, please refer to the Add a Patient section of this manual located above.

Delete a Patient
To delete a patient and all of his or her images:
• Left click once on the patient in the Patient List.

• Right click once on the same patient to open the Patient List Right Click
Menu.
• Rest your cursor over Patients.
• Click on Delete Selected.
Patient List
Right Click Menu
If Require Deletion Password is checked on the Security window the following

window will open:
Note: the password is case sensitive.
Enter the password specified for deletions and then click on the OK button to
delete the patient and all of his or her images.
Note: to setup a deletion password go to the

Reminder: anything
Images side
with arrows refers
TigerView 8 Options
to the Table of Contents
Security
in this manual.
section of this manual.
Click on the Cancel button if you decide not to delete the patient. If needed,
deleted patients can later be restored using the Patient List Right Click Menu.

Patient List Right Click Menu
Right click one time anywhere on the Patients side of the TigerView 8 Main
window to open the Patient List Right Click Menu:
Patients
Rest your cursor on Patients to display the Patients options:
Patient List
Right Click
Menu
Refresh List Checks for any new patients who should be

displayed on the list.
Add New Add a new patient.
Edit Selected Edit patient information for the selected patient.
Delete Selected Delete the selected patient plus all of his or her
images. If needed, deleted patients can later be
restored using the Patient List Right Click Menu
Columns
Rest your cursor over Columns to view all of the information that can be
displayed in the Patient List:

Patient List
Right Click Menu
A checkmark on an entry
means that field is already
on the Patient List.
Click on a field with a

check mark to uncheck it
and take it off the Patient
List.
Click on a field without a

checkmark to put a
checkmark there and add
it to the Patient List.

Remember: you can make the Patient Remember: if the Patient List holds more
List (and the Images area) larger or information than it can display, a slider bar will
smaller by clicking and dragging on the appear at the bottom of the List so you can slide
vertical bar located between the Patients over and see the rest of the information.
and the Images sections.
Show Deleted Patients
Patient List
Right Click Menu
Click on Show Deleted Patients to have all the patients who have been
rejected appear in the Patient List. The rejected patients are listed in red
and have a line drawn through their names. Their images will also
reappear, but will have the word “Rejected” on them.

Close up
of above
picture
When a patient is rejected, his or her images are automatically labeled

“Rejected”. A rejected image is restored if the patient is restored.
To permanently delete a rejected image, right click on the image and

select File then Delete from the Image Right Click Menu. A deleted
image is permanently deleted from TigerView.
Open the Patient List Right Click Menu and click on Show Deleted again
to make the deleted patients disappear from the Patient List.
Note: if Show Deleted is selected,

the icon next to it looks like this:
If Show Deleted is not selected, the

icon next to it looks like this:
Restore Selected (Restore rejected patients)
If you right click on a deleted patient to open the Patient List Right Click
Menu, and then rest your cursor over the Patients option, you’ll notice that
the Patient List Right Click Menu has changed:

Patient List
Right Click
Menu
Click on Restore Selected to bring the patient and all of his rejected
images back to a status of normal. This will not bring back deleted
images. Deleted images are permanently deleted.

Images Side
Images will display based on their age with the newest images displaying first. Images
can be deleted, exported, opened into the Image Viewer window for viewing and
manipulation, mounted, printed in reports, moved to a different patient, etc.
Images are entered into TigerView through the Acquire Windows. Images are
brought in from X-rays, Video, Photos, Documents or other images acquired by a
flatbed scanner, and images that have already been saved digitally and will be
brought into TigerView by Importing them.
For X-rays, Digital Devices, and Photos, Documents or other images acquired by
a flatbed scanner, this is the section of the manual you want to refer to. For
Importing Image Files, please refer to the following section of this manual:
Acquire an Image by Importing It. For Video Devices, please refer to the
following section of this manual: Acquire Video.
Step One – Select the patient
Before you acquire an image, select the patient the image will belong to
by doing one of the following:
• Left clicking one time on the patient in the Patient List.
• Clicking on the Add button at the bottom of the TigerView window

and adding a new patient.

• Bridging from one of the practice management programs
TigerView bridges from.
• Waiting to select the patient from a Modality Worklist. If you have

a DICOM Modality Worklist Server set up
Remember: (see the: Images Side
an arrow
TigerView 8 Options
refers to a
DICOM
section in the
Add a Modality Worklist Server
Table of
section of this manual)
Contents in
this manual. you will select your patient in Step 3 Using a Modality Worklist, an
explanation of which is located below. For now, move on to Step
Two.
Remember: the name of the currently selected patient will display on the top
bar of the TigerView window.
Step Two – Decide which acquisition device to use
At the bottom of the TigerView window, under the images area, is a row
of buttons. Whatever ways you can acquire an image into TigerView
using this computer will appear here. Import will always be available and
will always be on the very left side of this row of buttons. View is the first
button after the acquire buttons. Anything in between Import and View is
a digital imaging device that can be controlled by this computer.
Step Three – Using a Modality Worklist

If you have a Modality Worklist DICOM Server set up Note: the Modality
(see the Worklist window
opens without any
Images Side patients displaying
TigerView 8 Options
DICOM
section of this manual) the first window that opens when you click on the
Acquire button will be the Modality Worklist Window. If you don’t use a
Modality Worklist skip to Step Four.
Search the List
Click on the Search button to display an unfiltered list of patients

who are scheduled to have x-rays taken. Make your list more
usable by completing one or more of the following actions before
you click on the Search button:
1. Enter a date into the Start Date box or click on the

Note: you can Calendar icon to select a date from the calendar that
change the size opens. Use the left and right arrow heads at the top of the
of the Modality calendar to change the month.
Worklist columns
2. Enter the name of the patient you’re about to take x-rays of
in the Last Name, First Name box in the following format:
the patient’s Last Name, followed by a comma, then a
space, and finally by the patient’s First Name.
3. Enter the patient’s ID in the Patient ID box.
4. Enter the accession number in the Accession Number box.
Once the patient you’re about to take x-rays of appears in the list,
click on his entry in the list and then click the OK button. The
patient will be opened in TigerView and then the Acquire Window
will open. If the patient is new in TigerView, the patient will be
automatically added first.
View Log
If the Modality Worklist patients do not display, click on the View

Log button, in the lower left corner of the window, to see where
the Worklist is coming from and to display any connection errors
that might be occurring. The View Log shows only the most
recent transactions.
Note: to see the full View Log, on your computer:

1. Open My Computer, Computer, or File Explorer
2. Browse to wherever TigerView is installed
3. Double left click on the mwllog.txt file
By default the log is cleared every time TigerView is opened.

Cancel
If you already opened the patient in TigerView and the patient

does not display on the Modality Worklist, click on the Cancel
button to close the Worklist window and advance to the Acquire
Window.
Step Four – Fill out the DICOM Information window
If, on the
Images Side
TigerView 8 Options
DICOM window
the Prompt for Study Information is on (green), a DICOM Study

Information window will open every time the Acquire button is clicked.
DICOM Information window with Show Optional Fields off

DICOM Information window with Show Optional Fields on
Note: When Show Optional Fields is on (green) all of the TigerView

DICOM Header fields display. When Show Optional Fields is off
(dark), only those fields that are required to save the header record
display.
For an explanation of each DICOM entry, please refer to the following

section in this manual:
Images Side
Images Right Click Menu
Image Information
Edit DICOM Info

Step Five – Define the images you want to acquire
Note: the look of the Acquire window changes slightly based on

which digital imaging device you use. At the end of this manual
that are Short Guides that will help with each acquisition device.
Device Status
When the Acquire window opens, TigerView checks the selected

device to see if it’s ready to be used. For most devices, the Status
will say “Ready” and the Status Bar will be green if the device is
ready to be used.

Select the Region, Laterality and View Position
Select the best settings from Select a Region, Select a Laterality

and Select a View Position to describe the image you want to
acquire. These settings will be saved to the image.

Region, Laterality and View Position buttons:
When you click on a button, the button turns green. Green

buttons show what you’ve selected to use.
To change your selection, click on a different button.
To undo a selection without selecting something different,

click on the green button.
Select a Region
Click on the dot that’s closest to the body part you want to
acquire an image of. Click on the dot that’s between the
two figures to get a list of more body parts.
Select a Laterality
Click on the:
• Left button - if the image will be taken of something

on the left side of the body.
• Right button - if the image will be taken of

something on the right side of the body.

• Neither button - if the body part does not have a left
or right designation, like, for example, a nose.
• Both buttons if the image will contain both the left

and right body parts, like, for example, feet.
Select a View Position

Click on the view position of the body part that is about to
have its image acquired.
Image Series
Click on the Image Series button to activate

the Image Series feature. The Image Series button will turn green
and the Image Series area will expand. The Image Series
function automatically loads your images into a template as you
acquire them.
Note: the Image Series section will not appear unless you have at
least one Image Series Template created.
There are two ways to load an Image Series in TigerView:

Automatically and Manually.
• Manually – Acquire your images and save them into

TigerView. On the Main TigerView window, left click once
on each image you want to place into an Image Series and
then click on the Image Series button at the bottom of the
window. Select the Image Series Template you want to

use, drag each image to its proper location in the template,
and then save the image series.
Note: if you rotate, flip, etc. an image before the

image series is created (saved) the same changes will
be made to the image in the image series.
• Automatically – On the Acquire window, make sure the

Image Series button is green. Select your template from
the Available Image Series drop down list and then acquire
your images in the order that the template’s Image Holder
Boxes are numbered. When the Image Series is full or you
acquired all the images you want to acquire, click on the
Create button.
Image Series Example: pick the following template from the

Available Image Series drop down list:
Before you acquire each image, select the Region, Laterality and
View Position for that image so that the images are identified
correctly before they get placed in the template.
OR
If you place your images in the same position in the Image Series
Template each time you acquire them, you could load each Image
Holder Box (where the image will be placed) with the Region,
Laterality and View Position for the image that gets placed there.
Then, as each image is placed in its Image Holder Box, it would
be automatically assigned the Region, Laterality and View
Position that were setup for that Image Holder Box, which means
you don’t have to click on the Region, Laterality and View Position
settings before you acquire each image in the template. This
saves the x-ray tech time.
When using the Automatic Image Series feature, images are

acquired in the order the template’s Image Holder Boxes are
numbered. For example, in the template above, the first image
that’s acquired will be placed in the Image Holder Box with the

number 1 on it and the second image acquired will be placed in
the Image Holder Box with the number 2 on it.
If you have more images than one Images Series Template will
hold, when the Template is full, TigerView will save that Template
and open a new, empty Template for you to keep feeding images
into. You only need to click on Create if you stop acquiring
images before a mount is full or if you stop at the point the mount
becomes full.
Note: No matter what image goes into an Image Holder Box, if the
Image Holder Box has the Region, Laterality and View Position setup,
the image that goes into that box will be assigned those settings, not
what you may have just selected on the Acquire window. If you don’t
assign each Image Holder Box the Region, Laterality and View
Position for the image that goes there, you will need to select those
settings before you acquire each image.
Note: learn how to set up Image Series Templates in the Image

Series section of this manual.
Note: if the Image Series Audio Prompt Voice is turned on, you
will hear the settings for the next image you need to acquire,
plus you will hear a message when the Image Series is full.
See the
Images Side
Image Processing Settings
General Settings
Image Series Audio Prompt Voice
section of this manual for how to set that up.
Available Templates
Click on the down arrow for available Image Series
templates and select a template.

If you don’t see the template you want, close the Acquire
window and on the TigerView Main Window click on the
Image Series button and then create the template you
want.
Image Holder Colors

Image Holder Boxes in the Image Series Template can be
four colors:

• Green - the next image acquired will be placed
in this Image Holder Box. Right click on an
Image Holder Box to turn it green.
• Red – don’t use this Image Holder Box. Image
Holder Boxes turn red when you left click on
them.
• White - it's not this Image Holder Box's turn yet.
• Black - this Image Holder Box already has an
image in it. Right click on a black Image Hold
Box and the following window will open:
Click on Yes to remove the current image from the Box

and turn the Image Holder Box green. Click on No to leave
the current image in this Image Holder Box.
Filling an Image Series Out of Order

Normally when using the Image Series feature, images are
acquired in the numerical order of the template’s Image
Holder Boxes, which means the first image you acquire will
go into Image Holder Box1, the second image you acquire
will go into Image Holder Box 2, etc.
If you choose to skip some Image Holder Boxes, the

numeric ordering will continue from where you skipped to.
For example: let's say you have 8 Image Holder Boxes in
your template and you load the first image into Box 3, the
second image into Box 1, and the third image into Box 7.
At this point you stop skipping. The next image will go into
Box 8, and after that Box 2, and then Boxes 4, 5, and 6.

Create the Image Series
Click on Create at any time after the first image has been
placed in the template to save the Image Series. An
Image Series can be saved with unused Image Holder
Boxes.
Remember: If you have more images than one Images

Series Template will hold, when the Template is full,
TigerView will save that Template and open a new, empty
Template for you to keep feeding images into. You only
need to click on Create if you stop acquiring images before
a mount is full or if you stop at the point the mount becomes
full.
Step Six – Acquire images
Note:
An Image Holder Box is a numbered box inside an Image Series
Template that can be preloaded with the Region, Laterality and View
Position of the image that will eventually be placed in it.
An Image Box is located in the Images column on the Acquire window and
should also have the Region, Laterality and View Position of the image
that’s inside it.
Image Boxes
An Image Box holds an image plus the Region, Laterality and

View Position of the image.
Image
Box
There are three methods of creating an Image Box:
Manually create an Image Box

You can create an Image Box manually by selecting
the Region, Laterality and View Position that best
describes the image that will go into this Image Box,
and then clicking on the Add button at the bottom of
the window. The Image Box will save on the right, in
the Images column, with the settings you selected,

and is ready to have an image acquired into it. You
can create as many Image Boxes as you want to.
Automatically create an Image Box

You can create an Image Box automatically by selecting
the Region, Laterality and View Position that best
describes the image that will go into this Image Box, and
then immediately acquiring an image, which will create the
Image Box with the settings you picked, and place the
image into that Box.
Note: The Automatic method of creating an Image Box only

works if there are no empty Image Boxes in the Images
column. Otherwise, each image you acquire will be placed in
the first empty Image Box.
Use the Image Series feature to create Image Boxes

Using the Image Series feature, an Image Series Template
that has the Region, Laterality and View Position already
selected for each Image Holder Box will automatically
create Image Boxes for your images that contain those
settings. If the Image Series Template you select is not
pre-setup with the Region, Laterality and View Position,
you will need to select the Region, Laterality and View
Position before you acquire each image.
Note: an Image Holder Box that does not have the Region,
Laterality and View Position selected will have the word
“None” entered for the missing information. Please refer to the
Edit an Image Box section below to correct this.
Which Image Box Gets Used
If an image is acquired and there is an empty Image Note: the next

Box in the Images column on the Acquire window, empty Image Box
the image will be placed into that box. The that TigerView is
Automatic method of creating an Image Box only going to acquire
works if there are no empty Image Boxes in the into has red in its
Images column. If there is more than one empty
outline.
Image Box, the images will be placed into the
Image Boxes, starting, by default, with the top
empty Image Box and then working down using each successive
empty Image Box.
To change which Image Box the next acquired image will be

placed in:
• Right Click on the Image Box you want to acquire into next.
For this to work, none of the Image Boxes can be selected
(highlighted).

• Select Acquire Next from the Image Box Right Click menu.
Note: if the Region, Laterality and View Position in the Image

Holder Box are not correct, edit the settings following the
instructions in the Edit an Image Box section below.
Edit an Image Box
If you need to change the Region, Laterality or View Position

setting for an Image Box:
1. On the Acquire window, click on the options you want

to appear in an Image Box from the Region, Laterality
and View Position selections.
2. Right click on the Image Box that needs the settings

you just picked and select Edit Selected from the
Image Box Right Click Menu. The settings in the
Image Holder Box will change to the ones you just
selected.
Acquire an Image
On the TigerView Acquire window, click on the Start button to

acquire an image. If your digital imaging device does not use a
Start button on the TigerView Acquire window, acquire the images
per the manufacturer’s instructions. Depending on which digital
imaging device you use, a second window may open that has
control settings specifically for your device. Follow the device
manufacturer’s instructions for how to use that window.
While your image is being processed, it might appear in a Prescan

box on the left side of the Acquire window that shows where the
image is in the acquire process. When your imaging device
passes the image to TigerView, it will appear in the Current Image
Box in the center of the Acquire window, and in the Images
column on the right inside an Image Holder Box.
Use the Current Image Box to check the image.
Please do your actual work on the image (rotating, annotations,

measurements, brightness, etc.) after you have saved the image
into TigerView.

Viewer Tools Available on the Acquire Window
There are four Image Viewer tools that are available for use on the
Acquire window after an image has been acquired: To use these
tools, left click one time on the image in the Images Column to
make the image appear in the Current Image Box.
Reset Original Image Processing Settings

Restore the original image processing settings for this
image.
Crop/Mask Image
Crop Image
On the Current Image Box, left click and drag a
rectangle over the section of the image you want to
become a second image. Creating the second
image does not harm the original image.
Mask Image (polygon)
On the Current Image Box, left click as many times
as you need to to create a polygon that outlines the
section of the image that will not be inverted.

Mast Image (rectangle)
On the Current Image Box, left click and drag a
rectangle that outlines the section of the image that
will not be inverted
Brightness and Contrast
In the Current Image Box, click and drag horizontally to
change the Brightness of the image, or click and drag
vertically to change the Contrast of the image. The
Crop/Mask Image tool on the Acquire window must be
turned off for this to work.
Zoom In
In the Current Image Box, rotate the mouse wheel to Zoom
In or Out. As you Zoom In, sliders will appear on the right
side and bottom of the Current Image Box that will allow
you to see sections of the image that are no longer in view.
The Crop/Mask Image tool on the Acquire window must be
turned off for this to work.

Next Task
Pick among these options for what you can do next:
• Select the Region, Laterality and View Position for the

next image and then acquire the image.
Note: if you use an Image Series template where the

Image Holder Boxes are setup with the Region,
Laterality and View Position settings and you use the
Image Series feature, you don’t need to pick those
settings on the Acquire window.
• Select the Region, Laterality and View Position for an

image and then click on the Add button to create an
empty Image Box that has your selections. You can
acquire an image into that box any time before you
close the Acquire window.
• Acquire an image into any empty Image Box you

currently have setup.
• Adjust any Image Box settings that are incorrect

following the instructions in the following section of this
manual:
Images Side
Acquire an Image Using a Digital Hardware
Device
Step Six – Acquire Images
Edit an Image Box
• Click on an image to open it into the Current Image

Box to check it.
• Save any image(s) you have already acquired using

either

1. The Finish button, which will save your
images, delete any unused Image Boxes,
and close the Acquire window.
2. The Finish & Send button (only available if a

DICOM server is set up for an Auto Send),
which will save your images to TigerView,
DICOM Send your images to any DICOM
server setup for Auto Send, delete any
unused Image Boxes, and close the Acquire
window.
3. The Image Box Right Click Menu. Click on

any images in the Images column of the
Acquire Window that you want to save
RIGHT NOW before you finish acquiring the
rest of your images, then right click on any
of the images you just left clicked on and
click on either Accept Selected or Accept &
Send Selected from the Right Click Menu
that appears. The images you selected will
be saved and available for viewing on other
computers, but the Acquire Window won’t
close, you won’t lose any unused Image
Boxes you might have already created, and
you can just keep acquiring images.
Step Seven – Save or Reject new images
Reject an image
While you’re in the Acquire window, if you don’t

want to keep an image, left click on the image to
select it, and then click on the Reject button at the
bottom of the Images column. Before clicking on
Reject, make sure that the only images that are
selected (selected images have a green box
around them) are the ones you don’t want to
keep! When the Acquire window is closed, a
Rejection Reason window will open where you
will give a reason for your image rejections.
If you want to get rid of an empty Image Box, click on the Box and
then click on the Remove button at the bottom of the Acquire
window.

Note: if you reject an image, the image can still
be viewed and even restored. For those
options, please refer to the
Images Side
Remember: any
time you see an
View Menu
arrow it’s
Show Rejected Images
pointing you to the
Table of Contents
and then
in this manual.
Images Side
File Menu
Restore
sections of this manual.
Save images
Finish button
In the Acquire window, click on the Finish button to
save your images into TigerView, delete any
unused Image Boxes, and close the Acquire
window.
Finish & Send button
Remember: buttons that

have options have an
arrow head on them.
Click on or close to the
arrow head to see the
options.
Rest your cursor over the Finish button to see the Finish
Button Menu. The Finish option is the same as clicking on
the Finish button. The Finish & Send option will save your
new images into the TigerView database, discard any
Image Boxes that are unused, DICOM Send the images to
any DICOM Servers or Printers you have setup in
TigerView to receive automatic Sends, and then close the
Acquire window.

To setup DICOM servers and printers for automatic
Sends, please refer to the
Images Side
TigerView 8 Options
DICOM
Image Box Right Click Menu

• Left click on each image you would like to save RIGHT
NOW.
• Right click on one of the images you just left clicked on.
• Click on either Accept Selected, which will just save the
images in TigerView, or Accept & Send Selected,
which will save the images in TigerView and Send
them to any DICOM servers or printers that have Auto
Send setup.
Note: using the Image Box Right Click Menu method

saves the images without deleting any unused Image
Boxes you might have, and closing the Acquire window.
Note: TigerView saves two image

files for each image taken: one is Thumbnail
a full size image, and the other is image
called a Thumbnail Image
because it’s about the same size
as the first digit of your thumb.
Step Eight – Close the Acquire Window
Click on the Finish button to save your images into TigerView,

delete any unused Image Boxes, and close the Acquire window.
Step Nine – Rejection Reason Window
If you Rejected an x-ray image while you were in the Acquire window, at
the time you leave the Acquire window an X-ray Image Rejection Reason
window will open:

The X-ray Image Rejection Reason window has two sections. The top
section is called “All X-ray Images”:
The lower section is called “Individual X-ray Images”:
If you click the Reason down arrow, select a region and put in a comment
in the top section (All X-ray Images), it will be applied to all of the images
you’re rejecting. If you want different reasons for different x-rays, select a
reason and enter a comment in one of the lower boxes (Individual X-ray

Images). Make sure you put the reason and comment in the lower box
that has the image you want the reason and comment to be applied to.
Click on the in the box of any image you decide not to delete.
If you reject more than three images during one Acquire window session,
a scroll bar will appear that will let you access the additional Individual X-
ray Images boxes.
If you reject an image and then later decide you need it, the image can be
viewed and even restored. For those options, please refer to the
Images Side
View
Show or Hide Rejected Images
and the
Images Side
File
Restore
Note: non x-ray images that get rejected do not cause the
Rejection Reason window to open. Instead, “Non X-ray Image” is
entered as their rejection reason.
If you need to adjust image quality on individual images
Please refer to the Image Viewer section of this manual. Open Acquire
window images in the Image Viewer window by double left clicking on
them.
Config window
The Config windows hold the image processing settings (also

known as image quality settings) that affect how your images look
as you acquire them. Please refer to the Image Processing
Settings section of this manual for an explanation of those
settings.
`Image Box Right Click Menu
In the Acquire window, right click on an Image Box to open the Image Box
Right Click Menu:

Reacquire Images
You can reacquire an image for up to 10 days after the initial image
acquisition date. If none of the images for this patient are within the past
10 days the Reacquire Images option on the menu will be grayed out.
Reacquiring an image allows you to do the following:
• Recover an image that didn’t save properly

• Reprocess an image with different image quality settings
• Change the Region, Laterality and View Position settings on
an image
Note: you cannot reacquire an imported image.
To reacquire an image, complete the following steps:

1. In the Patient List, click on the patient who has an image you
want to reacquire.
2. Write down the date and time of the image. Only images
acquired within the last 10 days can be reacquired.
3. Open the Acquire Window for your acquisition device.
4. Right click one time in the Images column to open the Image
Box Right Click Menu.
5. On the Image Box Right Click Menu, rest your cursor over
Reacquire Images, then over the date the image was originally
acquired.
6. Click on the time the image was originally acquired.
7. The image will create its own Image Box loaded with the
original Region, Laterality and View Position selections.
8. To adjust the Region, Laterality and View Position selections

for the image, follow the steps in Edit an Image Box found
above.
9. To adjust the image quality for every incoming image of

this type, click on the Config button, adjust the image
quality settings (refer to the Image Processing Settings
section in this manual for instructions on how to do that)
and then click on the OK button at the bottom right of the
Image Processing Settings Window
10. Save the image(s) by clicking on the Finish button.

Acquire an Image by Importing it
Images are entered into TigerView through the Acquire Windows. Images are
brought in from X-rays, Video, Photos, Documents or other images acquired by a
flatbed scanner, and images that have already been saved digitally and will be
brought into TigerView by Importing them.
a flatbed scanner, please refer to the preceeding section in this manual: Acquire
an Image Using a Digital Hardware Device. For Importing Image Files, please
refer to the section you have open now. For Video Devices, please refer to the
following section of this manual: Acquire Video.
Before you import an image, select the patient the image will belong to by
doing one of the following:
• Left clicking one time on the patient in the Patient List



Note: the name of the currently selected patient will display on the top bar of
the TigerView window.
At the bottom of the Images side of the TigerView window are buttons
that show all of the ways this computer can acquire images. Import is
always available and is always on the far left of this section of buttons.
Click on Import.
Step Three – Import the images
A window similar to a My Computer window will open. In the left column,

click on the folder that holds the images you want to import. In the right
column, click on the specific images you want to import and then click on
the Open button at the bottom of the window.

The images will save to the patient who is currently open.
Step Four – Change the date on the images
If you need to change the date on an imported image:
• Right click one time on the image on the Images side of the
TigerView 8 Main window to open the Image Right Click Menu.
• Rest your cursor over Image Information to open the submenu
and then left click on Properties.
• On the Properties Window, click on the Edit button:

• Type in the date or click on the calendar icon to pick a date from a
calendar, and then type in a time or use the arrows to pick a time.
• Click on Save to save the changes.

Acquire Video
Images are entered into TigerView through the Acquire Windows. Input methods
include X-rays, Video, Photos, Documents or other images acquired by a flatbed
scanner, and images that have already been saved digitally and will be brought
into TigerView by Importing them.
a flatbed scanner, please refer to the following section in this manual: Acquire an
Image Using a Digital Hardware Device. For Importing Image Files, please refer
to the following section of this manual: Acquire an Image by Importing It, located
immediately above. For Video Devices, please refer to this section of this
manual.
Before you use your video device, select the patient the image or video
will belong to by doing one of the following:
• Left clicking one time on the patient in the Patient List


• Waiting to select the patient from a Modality Worklist. If you have

a DICOM Modality Worklist Server set up (see the
Images Side
TigerView 8 Options
DICOM
Add a DICOM Modality Worklist Server
section of this manual) you will select your patient in Step 3 Using
a Modality Worklist, an explanation of which is located below.
Note: the name of the currently selected patient will display on the top bar of
the TigerView window.

Video
At the bottom of the Images side of the TigerView window are
buttons that show all of the ways this computer can acquire
images. Import is always available and is always on the far left
of this section of buttons. To the right of Import, if your
computer has it, click on Video:
If you have a Modality Worklist DICOM Server set up Note: the Modality
(see the Worklist window
opens without any
Images Side patients displaying
TigerView 8 Options
DICOM

section of this manual) the first window that opens when you click on the
Acquire button will be the Modality Worklist Window. If you don’t use a
Modality Worklist skip to Step Four.
Search the List
Click on the Search button to display an unfiltered list of patients

who are scheduled to have x-rays taken. Make your list more
usable by completing one or more of the following actions before
Note: you can you click on the Search button:
change the size
of the Modality 1. Enter a date into the Start Date box or click on the
Worklist columns
Calendar icon to select a date from the calendar
that opens. Use the left and right arrow heads at the
top of the calendar to change the month.
2. Enter the name of the patient you’re about to take x-

rays of in the Last Name, First Name box in the
following format: the patient’s Last Name, followed by a
comma then a space, and finally by the patient’s First
Name.
3. Enter the patient’s ID in the Patient ID box.
4. Enter the accession number in the Accession Number

box.
Once the patient you’re about to take x-rays of appears in the list,
click on his entry in the list and then click the OK button. The
patient will be opened and then the Acquire Window will open. If
the patient is new in TigerView, the patient will be automatically
added first.
View Log
If the Modality Worklist does not display, click on the View Log
button in the lower left corner of the window to see where the
Worklist is coming from and to display any connection errors that
might be occurring. The View Log shows only the most recent
transactions. To see the full log, open Computer, browse to
wherever TigerView 8 is installed and then double left click on the
mwllog.txt file. By default, the log is cleared every time
TigerView is opened.
Cancel
If you already opened the patient in TigerView and the patient

does not display on the Modality Worklist, click on the Cancel
button to close the Worklist window and advance to the Acquire
Window.
Step Four – Fill out the DICOM Information window
If, on the

Images Side
TigerView 8 Options
DICOM window
the Prompt for Study Information is on (green) a DICOM Study

Information window will open every time the Acquire button is clicked.
DICOM Information window with Show Optional Fields is on

DICOM Information window with Show Optional Fields is off
For an explanation of each entry, please refer to the following section in

this manual:
Images Side
Image Information
Edit DICOM Info
Step Five – Acquire Still Shots or Video
When you click on the Acquire Video button the Video Window
replaces the Patient List on the left side of the TigerView Main Window,
although the Images side still displays the patient’s images.

Full
Click on the Full button once to have the Images side of the
window disappear. Click on the Full button again to have the
Images side of the window reappear.
Config
Reset
Click on the Reset button to restore the factory default
settings for this window that TigerView came with.
Advanced Settings
Advanced Settings are the manufacturer supplied internal
device settings.
Video Device
Click on the Video Device down arrow and select the video
device you want to use.
Size
Click on the Size down arrow and select the size of the
Live Feed window.

CrossBar Settings
This is used for video cards that allow multiple inputs and
outputs. It allows you to connect a specific input with a
specific output.
Enable DirectShow Button

Most cameras work with DirectShow. If a camera has
problems with it, unclick this button and try using a foot
pedal or joystick device instead.
Ignore Still Pin

If the camera can produce a still image separate from the
video stream it will do so using a still image pin. Ignore
this capability.
One Button Freeze and Save

Click on One Button Freeze and Save if you have an intra-
oral camera with only one button.
Start in full screen mode

Click on Start in full screen mode if you want the video
window to open all by itself without the Images side of the
window showing.
For an explanation of the remaining Config window options, such

as those on the General Settings Config window, please refer to the
Image Processing Settings section found below.
Freeze
Click on the Freeze button to stop the Live Feed. The Freeze
button will change to a Live button. Click on the Live button to
restart the Live Feed.
Save
Click on the Save button to save a still image of what’s currently in

the Live Feed Box. The image will appear on the Images side of
the window. If you clicked on the Full button to hide the Images
side of the window, you won’t see the shot you just saved. If that
happens and you want to see the image, click on the Full button
again to show the Images side of the window.
Record
Click on Record to immediately start recording everything that

appears in the Live Feed Box. The Record button will change to
Stop. Click on the Stop button to stop recording the Live Feed.
The video will appear on the Images side of the window with a
Video icon in the lower right corner to show that it’s a video.

Finish
Click on the Finish button to close the Video Window and bring
back the Patients List.
About TigerView 8
The About TigerView 8 window lists the version and modality of TigerView 8, the
TigerView 8 Support Line phone number, and links to the TigerView 8 manual
and web site.
Click on “Software Manual” to open the TigerView manual.
Click on www.televeresystems.com to open the company web site.
If an update is available, a red ball with an “!” will bob around the About button.
About button with

Normal About button upgrade notification
When you see this bobbing red ball, click on the About button to open the About
TigerView window and then click on the Update button to install your update.

TigerView 8 Options
The TigerView 8 Options windows contain TigerView 8 setup information that is

entered at the time TigerView 8 is installed, and is rarely touched after that.

General
Note:
information on
this image is
for example
only.
Note: to add or edit information on any TigerView 8 Options window,

you must be logged in to TigerView as an Admin Provider.
Display Options

Color
Microsoft Color Window
If you want to change the Back color (the Background
color) of the TigerView windows, click on the Back button
to open the Microsoft Color window, click on a different
color and then click the OK button.
If you want to change the color of the Text in TigerView,

click on the Text button to open the Microsoft Color
window, click on a different color and then click the OK
button
Gray
If you turn Gray on (click on it to turn it green) the icons in
TigerView will only display in gray. If you turn Gray off, the
icons in TigerView will add whatever color shows on the
Icons button.
Gray on Gray off
Icons
If you want to put some color on the TigerView 8 icons,
make sure Gray is off. If you want to change the color that
is added to the icons when Gray is off, click on the Icons
button and select a different color from the Microsoft Color
window.
Display Thumb Overlay

Click on the Display Thumb Overlay button to turn it green
if you want image information to display on the thumbnails.
If the button is dark, the image information will not display
on the thumbnails.

Database Paths
Server Name
The Server Name is made up of the name of the computer
that holds the TigerView 8 database, followed by a back
slash, and the instance name for TigerView8.
Database Name
The Database Name is the name of the TigerView 8 SQL
database.
Authentication
Click on the Authentication down arrow to select between
SQL Server and Windows authentication
User Name and Password

If Windows authentication was selected, enter your
Windows login name and password.
If SQL Server authentication was selected, enter your SQL

login name and password.
Images Folder
The path to the folder that has the images and thumbnails
as well as the Certificates, Graphics, and LUTs folders.

Startup Options
Load Full Patients List

When TigerView 8 opens, the full patient list for the
selected provider will display.
Load Last Patient

When TigerView 8 opens, the last patient who was open at
the time TigerView 8 was last closed will open.
Cloud Account
Click on the Cloud Account button to open the Cloud Login
window:
If you have a TigerView Cloud account, enter the email

and password you use to access it. When you open an
image in the TigerView Viewer, if the image can’t be found
in your local database this option allows TigerView 8 to
search your TigerView Cloud database and open the
image from there if it finds it.
Acquire on Bridge
If you open TigerView 8 using a bridge from a different
program, TigerView 8 will open to the Acquire window.
Search All Providers

When TigerView opens, no matter who you select on the
TigerView Login window, the Provider will be set to All
Providers. You can change this for the current TigerView
session by clicking on the Provider down arrow and
selecting a specific provider.

Auto Refresh
Seconds
Enter the number of seconds TigerView should wait before
it checks the database to see if there are any new patients
and/or new images. Note that this has the potential of
slowing down a network.
Practice

Practice Information
Enter the name, street address, city, state, zip code, phone
number, email and website of the practice. Everything but the
email and website can be automatically printed on reports.
Office Logo
Click on the Browse button, browse to the image file of your office
logo and then double left click on the file to select it. The logo will
appear at the bottom of the Practice Information window.
To remove the current office logo without replacing it with a

different one, click on the Clear button.
Users
A User can be an Admin Provider, a Provider, an X-ray Technician or an

Office Manager. Information from the User record can print on reports, be
placed on exported images, or appear in the Viewer window.

Add a User
To enter additional users, you must be logged in as an Admin

Provider. If you are logged in as an Admin Provider you can click
on (New Provider) in the Users list, enter information for the new
user and then click on the OK button at the bottom of the window
to save the new user record you just created.
First Name
Enter the first name of this user. This entry is required to
save this user record.

Last Name
Enter the last name of this user. This entry is required to
save this user record.
Suffix
Enter the letters, if any, that appear after the user’s name,
such as DPM.
User Name
This entry has to be unique (no duplicate user names
allowed) and is required to save this user record.
Phone
Enter the preferred phone number used to reach this user.
ID Number
In your practice management program, if your user has an
ID number, enter that number here.
Email
Enter the preferred email address to reach this user.
Account Type
Click on the Account Type down arrow and select the
Account Type for this user. There are four account types
to choose from: Admin Provider, Provider, X-ray
Technician and Office Manager.
Admin Provider
A “provider” is a doctor. An Admin Provider can
work in all of the TigerView 8 windows including
adding or editing information in the TigerView 8
Options records (add or edit other providers,
practice information, the location of the TigerView
database and images, image file formats and
DICOM Send information).
Provider
A Provider is a doctor who can work in all of the
TigerView 8 windows except for the TigerView 8
Options windows.
X-ray Technician
An X-ray Technician is a user who takes x-rays and
can work in all of the TigerView 8 windows except
for the TigerView 8 Options windows.
Office Manager
An Office Manager is a user who manages the
office and can work in all of the TigerView 8

windows except for the TigerView 8 Options
windows.
Locked
A user will not be allowed to log into TigerView if the
Locked button is active (green).
Edit Existing User Information
To edit user information for an existing user, you must be

logged in as an Admin Provider. If you are logged in as an
Admin Provider you can click on the user’s name in the
Users list, change whatever information needs to be
changed, and then click on the Update button at the bottom
of the window to save the changes you just made.
Delete Users
To delete a User, you must be logged in as an Admin

Provider. If you are logged in as an Admin Provider you
can click on the user’s name in the Users list and then click
on the Delete button at the bottom of the window. You
cannot delete the provider you are currently logged into
TigerView as.
When the Delete button is clicked, the following window will open:
Click the Yes button to delete the selected provider. Click the No
button to cancel the deletion operation.
If you selected Yes to the “Are you sure you want to delete the
selected Provider?” question and there are more than two
providers in TigerView, a window will open that asks you to pick
the provider who will be given the deleted provider’s patients:

Click on the provider you want all of the deleted provider’s patients
moved to and then click on the Ok button. Click on the Cancel
button to cancel the deletion operation.
Note: if there were only two providers and you just deleted one,
this window will not appear. The patients who belonged to the
deleted provider will be automatically moved to the single
remaining provider.

Security

Require Login
Many of the security settings are only available when a login is

Remember: required. Click on the Require Login checkbox to put a check in it
buttons that if you want TigerView users to have to enter a TigerView login
are active name as the first step to opening TigerView.
are green.
Minimum User Name Length (characters)
Enter the minimum number of characters that the user is
required to use when creating a TigerView login name.
The login name can be from 3-50 characters long and is
not case sensitive.
Minimum Password Length (characters)
Enter the minimum number of characters that the user is
required to use when creating a TigerView password. The
password can be from 0-50 characters long. The
password is case sensitive.
Password Requirements
Minimum Uppercase
Enter the minimum number of uppercase letters the user
will be required to use in his or her TigerView password.
You can require 0-10 uppercase letters in each password.
Minimum Lowercase
Enter the minimum number of lowercase letters the user
will be required to use in his or her TigerView password.
You can require 0-10 lowercase letters in each password.
Minimum Numbers
Enter the minimum number of numbers the user will be
required to use in his or her TigerView password. You can
require 0-10 numbers in each password.
Minimum Special Characters

Enter the minimum number of special characters (!@#$...)
the user will be required to use in his or her TigerView
password. You can require 0-10 special characters in
each password.
Password Renewal Interval (days)

Enter the number of days that a TigerView user can keep
his TigerView password before he is forced to enter a new
TigerView password. The number of days is between 0
and 999.
Enforce Password History

Enter the number of passwords the user has to use before
he can repeat a password. For example, if 4 is entered
and the first password used is 1Lilly2, 1Llilly2 could be
reused for the fifth password. Allowable entries are 0-50.
Login Attempts
Enter the number of times someone can try to log in to
TigerView before he will be locked out. You can select
from 1 to 10 login attempts.
Inactivity Time-out (minutes)

Enter the number of minutes that a computer can have
TigerView open but with no activity before TigerView
automatically closes. The number of minutes can range
from 0-999.
Allow Access to Other Provider Images
Click on this button to make it green if providers are allowed to

see images that belong to a patient of a different provider.
Hide Patient Information
Click on this button to make it green if you would like to hide

everything except the first character of each piece of patient
information in the Patient List. You can see the information by
resting your cursor over the eye next to each piece of
information.
For example:
becomes
Require Delete Password
Click on this button to make it green if you want users to have to

type in a Password whenever they want to delete an image or a
patient.
Delete Password
Enter the password you want users to type when they want
to delete an image or patient. This password is case
sensitive.
Note: if you are logged into TigerView as an Admin

Provider, the Delete Password will display. If you are
logged into TigerView as any other provider, the password
will display asterisks.

Rejected Image Retention Policy (days)
Enter the number of days a rejected image should be kept.
The number of days is between 0 and 9,999.
Hardware

File Formats
Select the file format for each type of image you can acquire. You
can select the TIFF, JPEG or JPEG Lossless file format. If JPEG
is selected, you can also set the amount of image file compression
(if any) that you would like to use.

Note: compressing an image will create a smaller image file but
it may also remove some of the fine detail from the image.
Available Hardware
Click on the digital imaging devices that you use to acquire digital
images. Active devices are green. Note that some devices may
require activation codes. If you are asked for a code, call the
TigerView Support Line at 1-800-385-9593, Monday thru Friday
from 8:00AM - 7:00PM EST and request an activation code.
Anatomic Regions

you must be logged in to TigerView 8 as an Admin Provider.

The Anatomic Regions window allows you to specify what Regions and
View Positions will appear on the Acquire window.
Anything that appears in the Anatomical Region Displayed column will

appear on the Acquire window.
Example: If the only entry under Anatomical Regions Displayed is

Abdomen,
then the only thing that will show on the Acquire window is
Abdomen:

Blow up
of above
picture
The same is true for View Position.

Moving Selections between Available and Displayed
Click on one entry under Displayed and then click on the left arrow
button to move one entry from Displayed to Available.
Click on one entry under Available and then click on the right
arrow button to move one entry from Available to Displayed.
Click on a double arrow button to move everything from one side

to the other.
View Positions – Undefined
There are two user defined View Positions: Undefined 1 and

Undefined 2. To change a name, double left click on one and type
in the name you want. Move your newly named View Position to
the Displayed column and you will see it in the View Position box
on the Acquire window.

DICOM

The DICOM information listed on these windows is needed to interface

with a DICOM server (often called a PACS), a Modality Worklist Server
and a DICOM printer.

Remote Storage PACS
A Remote Storage PACS is a database of images that is normally located someplace
other than this office.
Modality Worklist Server

A Modality Worklist Server sends TigerView a list of patients, along with patient
demographics and DICOM Study information, who are currently scheduled to have x-
rays taken. When an x-ray tech clicks on a patient in the Modality Worklist, the patient is
found in, or added to, TigerView, and then opened so the x-ray tech doesn’t have to deal
with anything other than taking x-rays and clicking on the Save & Send button to save the
x-rays in TigerView and DICOM Send the x-rays to the DICOM server that has the
Modality Worklist..
DICOM Printer
A DICOM Printer has embedded DICOM software that allows images to be printed
directly from DICOM devices (i.e. medical equipment) without conversion software or
external hardware.
Add a Remote Storage PACS Server or a DICOM Printer
Click on “(New Server)” in the DICOM Servers list to enter

information for a new DICOM Server or Printer, or click on an
existing server or printer name to edit information or delete it.
Note: the asterisk next to a DICOM Server name means it’s Auto
Send Enabled.
The plus next to a DICOM server’s name means it’s a Modality

Worklist Server.
Client Information
Client AE Title
Create a name, using up to 16 characters, to
represent your facility. Call the organization that
owns the DICOM server or printer and ask that this
name be added to their Acceptable Client list (note
that not all DICOM servers and printers use an
Acceptable Client List).
Server Information
Server Type
Click on the Server Type down arrow and select

Remote Storage PACS, Modality Worklist Server,
or DICOM Printer. For Modality Worklist Server
please refer to the section immediately below this
one.
Friendly Name
Create a name to identify the organization that
owns the DICOM server or printer, using up to 16
characters.
Server AE Title
Enter the Application Entity Title for the DICOM
server or printer using up to 16 characters. This
information is provided by the organization that
owns the DICOM server or printer.
IP Address
Enter the IP Address of the DICOM server or
printer in the standard IP address format. This
information is provided by the organization that
owns the DICOM server or printer.
Port
Enter the port number that is used to access the
DICOM server or printer. This information is
provided by the organization that owns the DICOM
server or printer.
Encryption
Click on Use No Encryption if it’s okay to send your
DICOM images to the DICOM server or printer
without encrypting them.
Click on Use TLS Encryption if you want your
DICOM images with their associated patient
information to be encrypted while they travel to the
DICOM server or printer.
Auto Send
When you acquire images and save them you have
the potential of automatically exporting those
images to more than one DICOM server or printer.
Click on the Auto Send button to turn it green if this
is a server or printer that should have images sent
to it every time Save & Send is clicked on.
Certificate File
If Use TLS encryption is active (green), you can
click on the Certificate File button and then select
the certificate you want to use.
Anonymize
Click on Anonymize if you want to stop private
information from sending to DICOM servers or
printers.

Embed Image Annotations
Click on the Embed Image Annotations button if the
annotations that have been saved with this image
should be included with the DICOM file.
Spatially Compress to
Click on Spatially Compress To if the DICOM
image files should be compressed to a smaller file
size before they are sent to the DICOM server or
printer. Select the size to compress to from the
drop down box to the right of the Spatially
Compress check box. 1 lp/mm is the least
compressed setting and 3.5 is the most
compressed setting.
Note: Compressing an image file will create a

smaller image file that is easier to send, but it may
also remove some detail from the image.
Note: not all DICOM servers can accept

compressed image files.
Prompt for Study Information

Click on Prompt for Study Information if the DICOM
Header window should open every time you click
on the Acquire button. Activating (the button is
green) or de-activating (the button is dark) Prompt
for Study Information on one of the DICOM Servers
activates or de-activates it on all of the DICOM
Servers and Printers.
Add button
Click on the Add button at the bottom of the window
to save the DICOM server or printer information
you just entered.

Add a Modality Worklist Server
Note: the
Modality Worklist
Window will
open when the
Acquire window
opens.
Client AE Title, Server Friendly Name, Server AE Title, Server IP

Address, Server Port, Encryption, Certificate File, and Prompt for
Study Information are the same fields that the Remote Storage
PACS uses. Please refer to the Add a Remote Storage PACS or a
DICOM Printer section immediately above this one for
explanations of those fields. This section will just deal with the
different requirements the Modality Worklist Server has.
Note: the asterisk next to a DICOM Server name means it’s Auto
Send Enabled.
The plus next to a DICOM server’s name means it’s a Modality

Worklist Server

Server Information
Server Type
Click on the Server Type down arrow and select

Modality Worklist Server. For a Remote Storage
PACS Server or a DICOM printer please refer to
the section immediately above this one.
Modality
Modality can be blank or it can hold the DICOM
modality of your digital imaging acquisition device.
For example: ScanX is CR.
Time Out
Time Out is how many seconds TigerView will wait
for a response from the Modality Worklist Server.
The Time Out range is from 0-999. 60 is the
default setting. A value of zero means there is no
time out.
Enable MPPS
MPPS is an acronym for Modality Performed
Procedure Steps. This function, which must be
supported by the Modality Worklist server, allows
TigerView to let the Modality Worklist server `know
which patients have been seen so the Modality
Worklist server can remove those patients from its
Modality Worklist.
Enabled
Click Enabled if the Modality Worklist Server is
available for use.
Add button
Click on the Add button at the bottom of the window
to save the DICOM server information you just
entered.
Edit a DICOM Server or Printer
Click on the name of an existing DICOM server or Printer

in the DICOM Servers list to open its record. Change the
information that needs to be changed and then click on the
Update button at the bottom of the window to save your
changes.
Delete a DICOM Server or Printer
Click on the name of the DICOM server or printer in the

DICOM Servers list to open its record and then click on the
Delete button at the bottom of the window to delete this
record.

Note: once deleted, the DICOM server information can not be
restored from within TigerView.
Suggestion: make a screen print of the DICOM Server window,

just in case you need to send images there in the future.
Add, Delete, Update, Ok, Cancel, Apply buttons
Click on the Add button to save the DICOM server or

printer information and leave the TigerView 8 Options window
open.
Click on the Update button to save the adjusted

DICOM Server or printer information and leave the TigerView 8
Options window open.
Click on the Delete button to delete the currently

displayed DICOM Server or printer and leave the TigerView 8
Options window open.
Click on the Ok button to save any new information

and close the TigerView 8 Options window.
Click on the Cancel button to close the TigerView 8

Options window without saving anything that has been entered or
changed since the last save
Change the size of the Thumbnails
Change the size of each thumbnail image, and number of thumbnails that appear
on each row, by using the Thumb Size slider at the bottom of the Images side of
the TigerView Main window.
Slide the slider back and forth to see how the thumbnail images change.
The Images Right Click Menu provides additional image functionality, such as
exporting images, moving images to a different patient, copying images to the
clipboard, etc. The opening Images Right Click Menu has four selections: File,
Edit, Image Information and View. What you can do in each submenu depends
on what you clicked on when you opened the Images Right Click Menu (a normal

image, a rejected image, a blank area on the Images side of the window, etc.).
The following sections will explain each of the Images Right Click Menu choices.
File Menu
Edit Menu

Image
Information
Menu
View Menu

View – Images Right Click Menu
Select an Image
To use an image in any fashion the image must be Selected image

selected first.
To select an image, left click on it. A green box

around the image indicates a selected image. To
select multiple images either
• Left click one time on each image.
Or
• Right click on an image or on free space on the

Images side of the TigerView Main window to open
the Images Right Click Menu, rest your cursor over
View and then click on Select All.

Images Right
Click Menu
Unselect an Image
To unselect one image, left click on a selected image. To

unselect all of the images either
• Left click once on every selected image.
Or
• Right click on an image, or on free space on the

Images side of the TigerView Main window, to open
the Images Right Click Menu, rest your cursor over
View and then click on Select None.
Unselected Selected
image image

Images Right
Click Menu
To display or hide rejected images, right click on the Images side

of the TigerView Main window to open the Images Right Click
Menu, rest your cursor over View, and then click on Show
Rejected.
Images Right
Click Menu
The Show Rejected trashcan will be dark and outlined if the

rejected images are being shown, and washed out looking if the
rejected images are not being shown.

Hide rejected Show rejected
images images
If Show Rejected Images is on, the rejected images for the

selected patient will display in the Images section of the TigerView
Main Window with “Rejected” written on them in red.
To hide the rejected images, select Show Rejected Images again

from the Image Right Click Menu. The rejected images will
disappear from view.
Open Images into the Image Viewer Window
Images can be opened into the Image Viewer window in any of

the following ways:
• Open a single image - left click twice on the image,

or left click once on it and click on the View button
at the bottom of the Images side of the TigerView
Main window.
• Open one or more images – left click one time on

each of the images to select them, and then click
on the View button at the bottom of the Images
side of the TigerView Main window.
• Open one or more images – left click one time on

each of the images to select them, and then right
click on one of the selected images to open the
Images Right Click Menu, rest your cursor over
View, and then click on Selected Images.

Images Right
Click Menu
For instructions on how to use the Image Viewer window, please

refer to the Image Viewer section of this manual.
Image Viewer window

File – Images Right Click Menu
Export an Image
Exporting is the process by which an image, report or video is

copied from within TigerView to a file outside of TigerView.
To export images:
• Left click one time on each image you want to export.

• Right click on one of the selected images to open the
Image Right Click Menu.
• Rest your cursor over File.
• Click on Export.
Image Right
Click Menu
The following window will open:

Images
The Images column on the right side of the Export window
shows a thumbnail of all the images that are about to be
exported or emailed. The white field under each image
allows you to change the name of the image file that’s
created when you click on the Export button.
Select the Export Location
Hard disk/Memory stick

Use Hard Drive/Memory Stick when you want the
images to be saved to:
Note: to use something on a
different computer on your • Your computer’s hard drive or a hard
network, that device (hard drive on a different computer on your
drive, external hard drive, CD network
drive, etc.) needs to be shared
on the other computer, and • An external hard drive attached to this
you need to have rights to the computer or an external hard drive
share. attached to a different computer on your
network
• A memory stick (also known as a jump

drive, jazz drive, thumb drive, etc.)
• etc.
CD/DVD/Blu-ray
Use CD/DVD/Blu-ray when you want the images to
be burned to:

• The CD drive on your computer or a
different computer on your network.
• The DVD drive on your computer or a

• A Blu-ray drive on your computer or a

DICOM Server
Use DICOM Server when you want the images to
be sent to a DICOM Server.
Email
Create an email with the images selected for export
as attachments.
Check Your Export Options
Note: buttons are:

• Green if that option is
in use
• Gray if that option is
not available at this
time.
• Black if that option is
available but it hasn’t
been selected

File Options
Apply Viewer Adjustments
Click on the Apply Viewer Adjustments
button if the exported image should include
image quality adjustments made to the
image after the image was acquired. Image
quality adjustments include brightness,
contrast, window leveling, Luts, ICE, etc.

If the Embed Image
Annotations button is
dark it’s off which
means that any annotations that were saved
to this image will not export with the image.
Click on the Embed

Image Annotations
button to make it
green if a copy of the
annotations this image contains should be
included with the exported image.
Click the Embed

Image Annotations
button again to turn it
amber to save two
image files: one with annotations and one
without. The image file with the annotations
will have “.ann” in the file name.
Keep clicking the button to scroll through

the options.
Include CD Viewer
Click on the Include CD Viewer button if a
copy of the TigerView 8 Image Viewer
program should be included with the
exported images.
Embed Image Overlay

Click on the Embed Image Overlay button if
image information should be placed on the
image when it’s exported. The information
that goes on the image is selected by the
user and set up in the Image Overlay
Information tool in the Image Viewer.

Image Format
JPEG and Tiff are standard image file
formats. DCM is the DICOM image file
format that combines an image with a
header that holds information about the
image. Hospitals tend to require DCM
image files. If DCM is selected, the DICOM
Options buttons become available for use.
Grayscale Bit Depth

Images can be exported in a different bit
depth than they were acquired. Select
between Original (the same bit depth the
image was acquired in), 8 bit Grayscale, 16
bit Grayscale and 24 bit Color.
Note:
1. The bit depth can be adjusted only if
the image is 9-bits or more
2. If there are annotations on the
image, the image will be 24-bit color.
Image Quality
Slide the Image Quality slider all the way to
the right to export the image with the same
image quality it has in TigerView. Slide the
slider to the left if the image file the export
creates needs to be a smaller file.
DICOM Options
DICOM Options are available for use when the
DCM file format is selected in the File Options
section above.
Spatially Compress
Click on Spatially Compress Note: compressing
to place a check in the the file will reduce
check box if the exported the file size, but
DICOM image files should might also remove
be compressed to smaller some of the detail
files. If the image should be from the image.
compressed click on the
compression amount down arrow to select
the amount of compression desired. Note
that some DICOM servers cannot accept
compressed files.
Warn if files aren’t DICOM conformant

Click on Warn if Files Aren’t DICOM
Compliant if the user should be notified
when the files being sent do not have

enough information in their header to be
DICOM compliant.
Anonymize
Fill the DICOM header fields with random
information. This is intended for teaching
situations.
Append DCM extension

Click on the Append ‘DCM’ Extension
button if “.dcm” should be added to the end
of the file name. The “dcm” identifies this
file as a DICOM file.
Use random file names

Click on the Use Random File Names
button to have the computer generate the
names of the DICOM files instead of using
the patient’s name.
Note: if multiple images are exported at

the same time, a number that increases
by one will be added to the file name. For
example:
Image1
Image2
Image3
etc.
Export and Cancel Buttons

Click on the Export button to export the images and then
close the window.
Click on the Cancel button to close the Export Options

window without exporting anything.

Export to Hard disk/Memory stick
Steps to Export files to a Hard Drive or

Memory Stick
1. Export Location needs to point to the

folder where you want the exported
images saved. Either type in the
correct path to that folder or use the
Browse button to find it. Add
additional subfolder setup if needed.
2. Check the Files Options (and possibly
the DICOM Options) section on the left
side of the window to make sure the
options you want are active. Apply
Viewer Adjustments should always be
selected.
3. Click on the Export button.
Export Location
Enter the path to the folder where you want the
exported images saved, or, click on the Browse
button, move to the folder where you want the
exported images saved, click on it once to highlight
it, and then click on the OK button.

Export Sub-Folder Structure
You have the option of creating a folder under the

folder that’s listed in the Export Location box
(explained immediately above this section). The
name of the folder can be any combination of fields
listed in the four buttons:
Practice Provider

Patient Image
For example, to put a folder under
with the name of the patient and then the patient’s

birth date, the Export window would look like this:
Make sure you put a space or other separator

between the fields to make them easier to read.
The Export Button copies the images to the export
location you selected.
The Cancel Button closes the Export window
without exporting anything.

Export to CD/DVD/Blu-ray
Steps to Export files to a CD, DVD or

Blu-ray disk
1. Check to make sure the Drive is the one

you want to export to and that Close
Media and Eject when finished are
marked the way you want them (normally
these are checked).
2. Check the File Options (and possibly the
DICOM Options) section on the left side
of the window to make sure the options
you want are active.
You always want Apply Viewer
Adjustments selected. For a CD or a
DVD you may also want to give them the
same Viewer window TigerView uses.
Activate Include CD Viewer to do that.
3. Make sure there is a usable disk in the
disk drive. Click on Refresh if you put the
disk in after you opened the Export
window.
Drive

Click on the down arrow and select the CD, DVD,
or Blu-ray drive you want to copy images to.
Volume Label
Volume Label will display the volume label of the
disk if it has one.
Close Media
Click on this box to put a check in it if you want the
disk to be closed after the images are copied to it.
Closing a disk allows it to be read by other
computers. If a disk is not closed, only your
computer will be able to read it. Do not close if you
plan on putting more images on this disk at a later
time.
Eject when finished
Click on this box to put a check in it if you want the
disk to be ejected after the images are copied to it.
Verification
Click on the Verification down arrow and select the

type of copy verification you would like to use.
Media Type
Identifies the type of disk you’re using.
Refresh
If you put a disk in a disk drive after you opened the
Export window, click on the Refresh button to have
Export check the disk.
Disk Size
Disk Size tells you how much information the disk

will hold.
Supported Media
Lists the media your particular drive will write to.
Export Status
Displays what the Export program is doing right
now.
Note: before clicking on the Export button, make sure a
usable CD, DVD or Blu-ray disk is in the drive and the
Refresh button has been clicked.

The Export Button burns the images to the CD,
DVD or BluRay disk you put in your drive.
without burning anything.
Export to a DICOM server
Steps to Export files to a DICOM Server
1. Select the DICOM Server or printer you want

to send the images to.
2. Check the File Options and the DICOM
Options sections on the left side of the
window to make sure the options you want
are active. Under File Options you always
want Apply Viewer Adjustments selected
along with an Image Format of DCM. Under
DICOM Options you normally want Warn if
files aren’t DICOM Conformant and Append
DCM Extension.

Available DICOM Servers
Click on the Available DICOM Servers down arrow

to select a DICOM server to send the DICOM
image files to.
Use the Add, Edit and Delete buttons to Add, Edit
and Delete DICOM servers and printers.
Add
Client AE Title
Note: not all
Create a name, using up to 16
DICOM servers
characters, to identify your facility.
use an Acceptable
Call the organization that owns the
Client List.
DICOM server and ask that this
name be added to their Acceptable
Client list.

Server Friendly Name
Create a name to identify the
organization that owns the DICOM
server, using up to 16 characters.
Server AE Title
Enter the Application Entity Title for
the DICOM server using up to 16
characters. This information is
provided by the organization that
owns the DICOM server.
IP Address
Enter the IP Address of the DICOM
server. This information is provided
by the organization that owns the
DICOM server.
Port
Enter the number of the port that is
used to access the DICOM server.
This information is provided by the
organization that owns the DICOM
server.
Encryption
Click on Use No Encryption if it’s
okay to send your DICOM images to
the DICOM server without
encrypting them.
Click on Use TLS Encryption if you

want your DICOM files to be
encrypted while they travel to the
DICOM server.
Auto Send
When you acquire images and save
them you have the option of
automatically exporting those
images to one or more DICOM
servers. Click on Auto Send to
place a check in its checkbox if this
is a server that should have images
sent to it when Save & Send is
clicked on.
Certificate File
Select the certificate you want to
use.

Anonymize
Click on Anonymize to place random

information in the DICOM header
section of each exported image.
This option is intended for teaching
situations.

Click on Embed Image Annotations
to place a check in its checkbox if
the annotations that have been
saved on this image should be
included in the export.
Note: compressing an image Spatially Compress to

file will reduce the size of the Click on Spatially Compress To, to
file but might also remove
place a check in the check box if the
some of the detail from the
DICOM images should be
image.
compressed to a smaller size before
they are sent. Select the size to
compress to from the drop down box
to the right of the Spatially
Note: not all DICOM servers Compress check box. 1 lp/mm is
can accept compressed the least compressed setting and 3.5
images. is the most compressed setting.

The Export Button copies the
images to whatever location you
selected.
The Cancel Button closes the Export

window without exporting anything.
Edit
To change information for an existing
DICOM Server, select the DICOM Server
you want to change from the Available
DICOM Servers drop down list and then
click the Edit button. The window is the
same as the Add button. Please refer to the
Add button section above for a description
of each field.
Delete
To delete an existing DICOM Server, select
the DICOM Server you want to delete from
the Available DICOM Servers drop down list
and then click the Delete button.

Client IP Address
Client IP Address lists the IP Address of this
computer. A tech at the receiving DICOM server
facility may need this address to allow the DICOM
server to accept your images.
DICOM Options
Check the DICOM Options on the left side of the
Export to a DICOM Server window. An explanation
of each option is close to the start of this Export
section.
Note: Under File

Options, make sure the
Image Format is set to
DCM for DICOM files.
Export Status
now.
The Export Button Sends the images to the DICOM
server you selected.
without Sending anything.

DICOM Conformance
TigerView Professional, as of the writing of this manual, is
DICOM conformant in the following areas:
Digital X-ray Image Storage – For Presentation (DX)

Digital Intra-oral X-ray Image Storage – For Presentation
(DX-IO)
Secondary Capture Image Storage (SC)
Computed Radiography Image Storage (CR)
External Camera Photography Image Storage (XC)
Ultrasound Image Storage (US)
Remote Storage
Non-Destructive Testing
Modality Worklist
Email

Steps to Export files to Email
1. Check the File Options (and possibly the

DICOM Options) section on the left side
of the window to make sure the options
you want are active.
Under File Options you always want
Apply Viewer Adjustments selected. A
good file format to send is .jpg because
most offices have software that can read
a jpg file.
2. If your images will exceed the limit you
set for Split Emails, click on Split Emails.
3. If you want a message to go with the
images, enter it in the Signature box.
5. Enter the email address to send to and
then click on Send.
Subject
Click in the Subject box if you want to change the

message that displays in the Subject line of the
email.
Split Emails if Attachment Size Exceeds:
Click on the up or down arrows to the left of “MB”

(megabyte) if you decide to raise or lower the total
attachment size that will be sent with this email.
MB ranges from 1-100 megabytes.
Click on the Split Emails if Attachment Size
Exceeds button if your attachments on this email
will exceed the MB limit you entered.
Signature
Enter the message in the Signature box that you

want to display in the body of the email.

Export Status
now.
The Export Button Sends the images to the DICOM
server you selected.
without Sending anything.
Print Images
To print a single image:
• Left click one time on an image and then click on

the Print button at the bottom of the Images side
of the TigerView Main Window.
Or
• Right click on an image to open the Images Right

Click Menu, rest your cursor over File and then
click on Print.
Images Right
Click Menu
The Print Images Setup Window will open. Please

skip to Print Images Setup Window below.
Print multiple images:
• Left click one time on each image you want to print

and then click on the Print button at the bottom of
the Images side of the TigerView Main Window.
Or
• Left click one time on each image you want to print,

right click on one of the images you just left clicked
on to open the Images Right Click Menu, rest
your cursor over File and click on Print. The Print
Images Setup Window will open. Please skip to
Print Images Setup Window below.
Or
• Right click on an image or on free space on the

Images side of the TigerView Main window to open
the Images Right Click Menu, rest your cursor
over View and then click on Select All. Then right
click on any of the selected images to open the
Images Right Click Menu, rest your cursor over File
and then click on Print.
and then

The Print Images window will open:
Print Images Window
Images
The Images column on the right displays the
images that you selected to print in Image Date
order. The images will be placed on the report in
this order with Image #1 at the top.
Image Layout Options

Select this option to make it turn green and have
one image print on each page of the report. Leave
this option unselected to have all of the selected
images print on one page.
Show/Hide
A green background on
a button means the
information that button
refers to will print on the
report.
A dark gray background
means the information
for that button will not
print on the report.
By default, if an image has annotations and/or

measurements, they will appear on the image, and
header and footer information will print on the
report. To hide each piece of information
(annotations, measurements, header information
and footer information), click on its Show/Hide
button until the background of the button is dark.
When the background is green the information
prints.
Header Information: practice name, address, city,
state, zip, and phone number along with the office
web page address and email address.
Footer Information: the patient’s gender, date of
birth, and ID; the provider’s name, phone number,
and email address; and the date the image was
taken.
Printer
Click on the down arrow to see a list of devices

to print to and then select a device.
Paper Size
Click on the down arrow to see a list of paper

and envalope sizes to print to and then select a
size.

Resolution
Click on the down arrow to see a list of print

resolutions and then select a resolution.
Page Layout
Click on for Portrait or for Landscape.

Margins
Auto Margins
Click on the Auto Margins button to turn it
green if each margin (Top, Bottom, Left,
Right) should be one inch.
Specific Margins
If the Auto Margins button is green, click on
it again to turn it dark which means it’s off.
Enter the size you want each margin to be
using either the up and down arrow buttons
or by typing in the value.
T = Top
B = Bottom
L = Left
R = Right
Zoom
To Zoom In or Zoom Out:

• Click on the plus sign (Zoom In) or the
minus sign (Zoom Out)
• Click on the Slider and slide it left or
right until the report reaches the size
you want.
Click on the button to return the report to its

original size.
Pages
If your report has multiple pages, use the Page
Arrows to view each one.

Note that the Page Arrows section heading
(immediately above the arrow buttons) tells you
how many pages there are and which page you are
current viewing.
Quit the Current Process

If you are hiding or un-hiding your annotations and
measurements or moving your images up or down
you can click on the Quit button to cancel the
processing.
Print
Click on the Print button to send the report

to the printer, fax machine, etc. The report will
include practice information at the top of the page,
and patient, provider and image information at the
bottom of the page with your images in between.
Close the Print window
Click on the close “x” at the top of the Print Images
window.
Reject an Image
A rejected image is an image you don’t want. Rejected images

Note: when you can be hidden from view or viewed along with the patient’s other
reject an image images by using the Show Rejected Images option on the Image
that’s in an image Right Click Menu. Rejected images are not permanently deleted
series it’s from TigerView and can be restored to a normal image status by
removed from the using the Restore option from the Image Right Click Menu.
image series. Rejected images can still be opened in the Viewer, printed, moved
to a different patient, exported, etc.
To reject one or more images:
Select the image or images to be rejected, and then click

on the Reject button at the bottom of the Images side of
the TigerView Main window.

Or
Select the image or images to be rejected, and then right

click one time on one of the images to open the Images
Right Click Menu, rest your cursor over File, and then
click on Reject.
Images Right
Click Menu
If Require Delete Password is active (green) on the

Security window the Deletion Password window will open:
Enter the user specified deletion password to allow these

images to be deleted and then click on the OK button.
To get to the TigerView Security window in this

manual, go to the
Images Sides
TigerView 8 Options
Security

After the Deletion Password window, if you are deleting x-
ray images, the X-ray Image Rejection Reason window will
open:
The X-ray Image Rejection Reason window has two

sections. The top section is called “All X-ray Images”:
The lower section is called “Individual X-ray Images”:

If you click the Reason down arrow, select a region and put
in a comment in the top section (All X-ray Images), it will
be applied to all of the images you’re rejecting. If you want
different reasons for different x-rays, select a reason and
enter a comment in one of the lower boxes (Individual X-
ray Images). Make sure you put the reason and comment
in the lower box that has the image you want the reason
and comment to be applied to.
Click on the in the box of any image you decide not

to delete.
If you reject more than three images during one Acquire

window session, a scroll bar will appear that will let you
access the additional Individual X-ray Images boxes.
If you reject an image and then later decide you need it,
the image can be viewed and even restored. For those
options, please refer to the
Images Side
View
and the
Images Side
File Submenu
Restore
Note: non x-ray images that get rejected do not cause the
Rejection Reason window to open. Instead, “Non X-ray
Image” is entered as their rejection reason.

A rejected image will disappear from the Images area of
the TigerView Main window unless you have Show
Rejected Images on.
Images Right
Click Menu
Restore (Rejected Images)
Rejected images must be seen to be restored. To view rejected

images:
• Select the patient who has the rejected image you want
to restore.
• Right click on the Images side of the Main TigerView
window to open the Images Right Click Menu.
• Rest your cursor over View.
• Click on Show Rejected Images.

To restore a rejected image:
• Right click on the rejected image that needs to be

restored to open the Images Right Click Menu,
• Rest your cursor over File.
• Click on Restore. The rejection status will be removed
from the image.
Delete an Image Permanently
Deleting an image is a step beyond rejecting an image. A

deleted image cannot be restored like a rejected image can
because it’s been removed from the TigerView database.
To delete an image, the image must first be rejected (please see

the Reject an Image section above for how to reject an image).
After an image is rejected:
• Right click on the image to open the Images Right Click
Menu.
• Rest your cursor over File
• Click on Delete.
Images Right
Click Menu
Edit - Images Right Click Menu
Copy
To copy an image from TigerView to the Microsoft clipboard so

that it can be pasted into another program that uses the clipboard,
Note: only one such as Microsoft Word, do one the following:
image can be
copied to the • Left click one time on the patient in the Patient List to
clipboard at a select the patient.
time.

Right click on the image you want to copy to open the
Image Right Click Menu.
Rest the cursor over Edit and then click on Copy.
Or
Note: after the
image copies to the
• Left click one time on the patient in the Patient List to
clipboard the image
select the patient.
will become un-
selected.
Left click on the image you want to copy and then
press <CTRL> + <C> to copy the image to the
clipboard.
Paste
To copy an image to the clipboard from someplace outside of

TigerView (i.e. a website, your desktop, another program, etc.)
and then paste that image into a patient’s record, do one of the
following:
• Copy an image to the clipboard from a different

program.
Left click one time on the patient in the TigerView

Note: image file formats Patient List to select the patient.
tested as of the writing of
this manual include: jpg, Right click anywhere on the Images side of the
tif, ico, gif, png, bmp and TigerView Main Window to open the Image Right
cur. Click Menu
Rest the cursor over Edit and then click on Paste.

Or
• Copy an image to the clipboard from a different

program.
Left click one time on the patient in the TigerView

Patient List to select the patient.
Anywhere on the Images side of the TigerView Main

Window press <CTRL> + <V> to paste the image from
the clipboard.
Set as Patient Photo
To label one image as the Patient Photo:
1. Left click one time on the patient in the Patient List to

select the patient.
2. Right Click on the image you want to be the Patient
Photo to open the Images Right Click Menu.
3. Rest your cursor over Edit and then click on Set as
Patient Photo.

The “Are you sure” window opens:
Click on Yes to confirm the Patient Photo designation or on No if

you changed your mind.
The image designated as the Patient Photo displays at the top of

the Images side of the TigerView Main window, in a section
labeled “Patient Photo” and displays the Patient Photo star icon.
Change Patient (Move an image from one patient to another)
To move images from one patient to another perform the following

steps:

1. From the TigerView Patient List, click on the patient
who currently has the images in their file.
2. Left click once on all of the images that need to be
moved to a different patient.
3. Right click on one of the selected images to open the
Images Right Click Menu.
4. Rest your cursor on Edit and then click on Change
Patient.
5. The Change Patient window will open:

6. In the Enter Last Name, First Name box do one of the
following:
• Enter the last name of the patient who is
supposed to have the images to display a list of
patients with that last name. Click on the
correct patient from the list.
• Enter the last name of the patient who is
supposed to have the images, and then enter a
comma followed by the patient’s first name. If
more than one patient displays, click on the
correct patient from the list.
• Enter a comma followed by the first name of the
patient who is supposed to have the images to
display a list of patients with that first name.
Click on the correct patient from that list.
• Enter just a comma and the entire Patient List
will display. Use the scroll bar to locate the
patient in the list and then click on their name
one time.
7. Click on the Change button. All of the images you
selected will be moved to the patient you selected in
the Change Patient window.
Change the Orientation of an Image
To flip or rotate an image without opening the image in the Image

Viewer window:
1. Left click one time on the patient in the Patient List to

select the patient.
2. Right click on the image that needs to be rotated or

flipped to open the Image Right Click Menu.
3. Rest the cursor over Edit, click on Orientation and then

click on the specific Rotate or Flip option needed.

Image Information - Images Right Click Menu

Anatomical Region
The Anatomical Region information (Region, Laterality and View

Position) should have saved to the image when the image was

originally acquired. Use this window if the information is incorrect
or if something is missing.
Region
Click on the dot that’s closest to the body part shown in
this image. Click on the dot that’s between the two figures
to get a list of more body parts.
Laterality
Click on Right, Left, or both Right and Left. Use both Right
and Left to indicate a body part that’s not strictly on one
side, such as the spine.
View Position
Click on the view position of the body part captured in this
image.
Region, Laterality and View Position buttons:
When you click on a button, the button turns green. Green

buttons show what you’ve selected to use.
To change your selection, click on a different button.
To undo a selection without selecting something different, click

on the green button.
Keywords/Procedures
When Keywords/Procedures is selected the Keywords and

Procedures window will open:
Note: Keywords and

Procedures save
automatically when
the Keywords and
Procedures window
is closed.

Note: working with Keywords and Procedures starts the
same way, no matter which Keywords and Procedures
function you use:
• Select (click on) the patient in the Patient List.
• Right click on the image you want to add or delete
keywords and/or procedures from to open the Images
Right Click Menu.
• Rest the cursor over Image Information and then click on
Keywords/Procedures.
The Keywords/Procedures window allows four actions:
• Keywords can be added or deleted from the main

Keywords List that supplies keywords to all of the
images in TigerView.
Note: an image that
has a Keyword or a
• Procedures can be added or deleted from the main
Procedure applied
Procedures List that supplies procedures to all of
to it will display the
the images in TigerView.
following icon on
the thumbnail:
• Specific Keywords can be associated with the
currently selected image
• Specific Procedures can be associated with the

currently selected image
Add Keywords to the Main Keyword List

To add or delete Keywords from the main Keywords List,
click on the Edit button to the right of the Available
Keywords drop down box.

To Add a Keyword, click on the Add button at the top of the
window then enter the keyword into the New Keyword
window (see illustration below). Click on the OK button to
save the new keyword.
Click on the Done button to close the Add Keywords

window.
When you are finished working with keywords and

procedures, click on the window’s Close button to close
the Keyword and Procedures window and save your work.
Assign a Keyword to an Image

To assign a keyword to a selected image, click on the
down arrow of the Available Keywords drop down box and
then click on the keyword you want from the list that
appears.

Note: If the keyword you
want does not appear in
the Available Keywords
drop down box, add the
keyword to the main
Keyword List following
the Add Keywords To
The Main Keyword List
instructions above.
Note: Keywords and

Procedures save
automatically when
the Keywords and
Procedures window is Multiple Keywords can be assigned to an image.
closed.
Remove a Keyword from an Image

To Remove a Keyword that was assigned to an image,
click on the Keyword and then click the Remove Button.

the Keywords and Procedures window and save your
work.
Delete a Keyword from the Main Keyword List

To Delete a Keyword from the Main Keyword List, click on
the Edit button next to the Available Keywords drop down
list on the Keywords and Procedures window,

In the window that opens, click on the Keyword to delete,
and then click on the Delete button.
When you’re finished adding or deleting keywords from the

main list, click on the Done button to close the Available
Keywords window.
Add Procedures to the Main Procedure List
Note: Procedures functions work the same way as

Keywords functions but you use the Available Procedures
section of the Keywords and Procedures window.
To add or delete Procedures from the main Procedures

List, click on the Edit button to the right of the Available
Procedures drop down box.

To Add a Procedure, click on the Add button at the top of

the window and then enter the procedure into the New
Procedure window (see illustration below). Click on the
OK button in the New Procedure window to save the new
procedure.

When the required procedures have been added to the
Main Procedure List, click on the Done button to close the
Add Procedure window.

the Keyword and Procedures window and save your work
Assign a Procedure to an Image

To assign a Procedure to an image, click on the down
arrow of the Available Procedures drop down box then
click on the Procedure you want from the list that appears.

Note: Keywords and
Procedures save
automatically when
the Keywords and
Procedures window is
closed.
The Procedure must exist in the Main Procedure List

before it can be assigned to an image. If the Procedure
does not appear in the Available Procedures list, add the
procedure to the list following the Add Procedures to the
Main Procedure List instructions above.
Multiple procedures can be assigned to each image.
When you are finished working with Keywords and

Procedures, click on the window’s Close button to close
Remove a Procedure from an Image

To Remove a Procedure that was assigned to an image,
select the procedure from the Assigned Procedures box
and then click on the Remove button.

the Keywords and Procedures window and save your work
Delete a Procedure from the Main Procedure List

To Delete a Procedure from the Main Procedure List, click
on the Edit button next to the Available Procedures drop
down box on the Keywords and Procedures window.
In the window that opens, click on the Procedure to delete,

and then click on the Delete button.

When you’re finished adding or deleting procedures from
the main list, click on the Done button to close the
Available Procedures window.
Edit DICOM Info
The DICOM window displays DICOM information about an image.

To open the DICOM window:

select the patient.
• Right click on the image to open the Images Right Click
Menu.
• Rest your cursor over Image Information and then click on
Edit DICOM Info.

The following window will open if the Show Optional Fields button
is not activated:
Or
The following window will open if the Show Optional Fields button
is activated:

Designate which fields display when Show Optional
Fields is off
Click on the button on the top left of the DICOM

Information window to open the configuration window that
sets which DICOM fields are usable when Show Optional
Fields by Default is off.
Note: only Admin Providers can see this Config button

and window.

Click on the asterisk button to the left of each field
name if that field should be usable when Show Optional
Fields by Default is off.
Click on the button again to return to the normal

DICOM Information window.
DICOM Information Fields

Study ID
A DICOM image can be part of a group of images
referred to as a “Study” in which all of the images
are related in some way. When images are part of

a study, they need to be labeled with their Study ID,
Study Description and Study Accession Number.
Study Description
A Study Description is a short explanation of the
study.
Accession Number
A Study Accession Number is a sub-group of a
study. For example, Study ID 2150 could have a
Study Description of Joe’s Right Foot with Study
Accession Numbers of 1, assigned to the foot
images acquired yesterday, and 2, assigned to the
foot images acquired today.
Note: for Admin Providers, DICOM fields that have updateable
lists have a trash can to their right. If an entry on the list is

incorrect, select that entry and then click on the Trash Can. You
will be asked if you’re certain you want to delete the entry:
Answer Yes to delete the entry from the list, or No if you decide
not to delete the entry.
Anyone can add to one of the updateable lists but only Admin
Providers can delete from them.
Referring Physician
The referring physician is the physician who sent
the patient here to have x-rays taken. Click on the
Referring Physician drop down arrow to see if the
referring physician is in the list, and if so, select the
physician from the list. If the referring physician is
not in the list, type his or her name in the referring
physician box.
When the DICOM Information window is closed,
you will be given the option of saving the name of a
new Referring Physician to the Referring Physician
list.

Technician Name
The Technician Name is the name of the technician
who is taking the x-rays. Click on the Technician
Name drop down arrow and select the technician
from the list. If the technician is not in the list, he or
she will need to be entered into the Provider
Information window. Please refer to the:
Images Side
TigerView 8 Options
Users
section of this manual for instructions on how to

enter the technician.
Institution
The Institution is the name of the facility where the
x-rays are being taken. Click on the Institution drop
down arrow to see if the institution is in the list, and
if so, select the institution from the list. If the
institution is not in the list, type the name of the
institution in the Institution box.
you will be given the option of saving the name of a
new Institution to the Institution list.
Station Name
The Station Name is the name of the computer that
has DICOM activated.
you will be given the option of saving a new Station
Name to the Station Name list.

Admitting Diagnosis
Enter a diagnosis of the patient’s problem at the
time the patient was admitted to this institution.
The diagnosis should mention why the image is
being taken.
Additional Patient History
Enter any additional, pertinent patient history that
would be helpful to know when looking at this
image. The Additional Patient History may be as
long as needed.
X-ray Machine Name
Click on the down arrow to see if x-ray machine
names have already been set up. If the x-ray
machine you want is on the list, click on it. If it’s not
on the list, enter a descriptive name for it (ex.
Laura’s room, Op 1, X-cell, etc.).
you will be given the option of saving a new X-ray
Machine Name to the X-ray Machine Name list.
kVp
Kilovolt Peak. This controls the amount of contrast
/ grayscale values in the x-ray. An object with a
greater mass takes a higher kVp value. Enter the
kVp amount the x-ray machine is set to for your
images.
X-ray Current
This is the amperage amount (set in milliamps) the
x-ray machine is using for your images. This is
also known as mA. Enter the amount the x-ray
machine is set to for your images..
Exposure Time
This is the amount of time, in milliseconds, that the
x-ray machine will generate the x-ray emission.
Enter the amount of time the x-ray machine is set to
for your images.
Distance Source to Detector
Enter the number of millimeters between the end of
the tube on the x-ray head and the item that’s
acquiring the x-ray (film, phosphor plate, sensor,
etc.).
Source Strength
This is the strength, or radioactivity, of the x-ray
source. The amount of radiation exposure.
X-ray Dose Comments
Enter any comments you may have regarding the
x-ray machine and its setttings.
OK Button
Click on the OK button to save the DICOM
information on this window.
Properties
The Image Properties window displays additional information

about an image. To open the Image Properties windows:

select the patient.
• Right click on an image to open the Images Right Click
Menu.
• Rest your cursor over Image Information and then click on
Properties.
General Tab
When Properties is selected, a window similar to the
following window will open, displaying information about
the image:

Type
Type displays the type of device the image was
acquired from.
Taken
Taken displays the date the image was acquired.
Patient
Patient displays the name of the patient the image
belongs to.
Patient ID
Patient ID displays the TigerView ID that belongs to
this patient.
Gender/Age
Gender/Age displays this patient’s gender and age.
Body Part
Selected when the image was acquired, this
identifies the area of the body the image shows.

View Position
identifies how the body part was positioned when
the image was acquired.
Laterality
identifies which side of the body the body part is on.
Provider
Provider displays the name of this patient’s
provider.
X-ray Technician
X-ray Technician displays the name of the x-ray
tech who took the x-ray.
File Name
File Name displays the location and name of this
image file.
Size
Size displays the size of this image file.
Advanced Tab

Device Manufacturer
Device Manufacturer displays the manufacturer of
the device that acquired the digital image.
Model Number
Model Number displays the model number of the
device that acquired the digital image.
Serial Number
Serial Number displays the serial number of the
device that acquired the digital image.
Histogram
The histogram displays the amount of grayscale
values that were acquired and used to create the
image.
Exposure Index
Exposure Index is the amount of x-ray exposure
received by the device that the x-ray was shot at.
General Tab for an Imported or Flatbed Scanner Image

On the Properties window, the differences between images
that are acquired through import or a flatbed scanner and
all other images in TigerView are: the Edit button, the
Created date and time, and the Imported date and time.
Edit
To change the Created Date and/or Time for an
imported image or an image acquired from a
flatbed scanner, click on the Edit button.
Created
When an image is first acquired into TigerView, the
Created and Imported dates will be the same date.
The Created date needs to be adjusted to the date
and time the image was actually first acquired. To
do this, click on the Edit button.
To change the Created date, type the date in the

Date box manually or click on the calendar icon
to the right of the date box and then click on a date
from the calendar.
To change the time, click on each time segment

and then type in the correct number, or use the up
and down arrows to move to the correct time.
Click on Save to save your changes.
Imported
Imported appears on the Property window of
imported images or images acquired from a flatbed
scanner. Imported displays the date the image was
imported into TigerView.

Note: the remainder of the Property fields are explained
above in the General Tab section of this manual.
Image History Report
The Image History Report displays image information. Open the

Image History Report by completing the following steps:
• Left click one time on a patient in the Patient List to select

the patient.
• Right click on an image to open the Images Right Click
Menu.
• Rest the cursor over Image Information and then click on
Image History Report.
The Image History Report displays image information, such as

how many images were taken, what is the date of each image,
etc. The look of the report – what order the columns are in, are
names in last name/first name or first name/last name order, is it
sorted by provider name or patient name, etc. – is specified by the
user. There are five windows of report selections. The windows
display the selections that were made the last time the report was
run.
When the Image History report is generated by clicking on the

button, the report is saved in a .pdf version that will open in Adobe
Acrobat, a free software that you can download from the Internet.
The report is saved in one of the following locations:

C:\Users\LoggedInUserName\Documents\TigerView 8 Image History Report
Or
C:\Documents and Settings\LoggedInUserName\My Documents\TigerView 8 Image History Report
Note: If you want to email your report to someone, create a

new email, click on the Attach button or paperclip, and use
one of these paths to locate your report.
How the report windows work

The bottom of each report window is the same on each
window:

Window 1
Report Type
The Report Type selection determines the range of
image dates the report will include. Click on the
Report Type down arrow and select:
Daily Display images that

were taken on a single
date.
Weekly Display images that

were taken during a
single week.
Monthly Display images that

were taken during a
single month.
Annually Display images that

were taken during a
single year.

Range of Dates Display images that
were taken during a
selected range of dates.
Daily
Select Daily and the “Today” button is
automatically selected. If you would like
image information for a date other than
today, click on the “Selected” button and
then either type in the date or click on the
calendar icon next to the date box and then
click on a date from the calendar that
displays.
Weekly
Select Weekly and the “This Week” button
is automatically selected. If you would like
image information for a week other than the
current week, click on the “Week of” button
and then either type in a date from the week
you want information for, or click on the
calendar icon next to the date box and then
click on any day in the week you want
information for from the calendar that
displays.
Monthly
Select Monthly and the “This Month” button
image information for a month other than
the current month, click on the “Month of”
button and then either type in the month and
year, or click on the calendar icon next to
the date box and then click on any day from
the month you want information for from the
calendar that displays.
Annually
Select Annually and the “This Year” button
image information for a year other than the
current year, click on the “Year of” button
and then either type in any date from the
year you want, or click on the calendar icon
next to the year and then click on any day
from the year you want information for from
the calendar that displays.
Range of Dates
Select Range of Dates and two date boxes
appear. The top date is the “From” date and
the bottom date is the “Thru” date. Type in
the starting and ending dates you would like
information for, or click on the calendar icon
next to each date and then click on the
desired date from the calendar that
displays.
Date Format
The Date Format entry determines how the dates
and times included on the report will display. Note
that capitalization and number of characters mean
different things and that the Preview section will
show you the result of your changes.

MM Month
Dd Day
Yyyy 4 digit year
Yy 2 digit year
HH Hour in 24 hour
military time
Mm Minutes
Ss Seconds
Orientation
Click on Portrait to display the report in a vertical
format or Landscape to display the report in a
horizontal orientation.
Name Format
Click on LastName, FirstName to display names
with the last name first, or click on FirstName,
LastName to display names with the first name first.
Header and Footer Fonts
Click on the Font button to change the font for

either the report header or footer.

Window 2 – Group Entries By
Group Entries Available

Group Entries Available fields are report Group
By/Totals fields that can be selected to print on the
report.
Group Entries Displayed
Group Entries Displayed fields are the Available
fields that were selected to print on the Image
History report.
To select a field to print, click on the field in the
Available box and then click the button to

move it to the Displayed box.
If you decide you don’t want a field to print on the
report, click on the field in the Displayed box and
then click on the button to move the field

back to the Available box.
Image Record Options
Click on All Images if the report should display
images that were kept as well as rejected and
deleted images. Click on Rejected Images Only
to display just the rejected and deleted images.
Window 3 – Provider Columns
Provider Columns Available

Provider Columns Available is information about
the provider that can be selected to print on the
report.
Provider Columns Displayed
Provider Columns Displayed is provider information
that was selected to print on the Image History
report.


Provider Column Header and Line Entry Fonts

either the provider header or the provider line entry
on the report.
Window 4 – Patient Columns
Patient Columns Available

Patient Columns Available is information about the
patient that can be selected to print on the report.
Patient Columns Displayed
Patient Columns Displayed is patient information
that was selected to print on the Image History
report.



Patient Column Header and Line Entry Fonts

either the patient header or the patient line entry on
the report.
Window 5 – Image Columns
Image Columns Available

Image Columns Available is information about each
selected image (see window 1 for image selection
criteria) that can be printed on the report.
Image Columns Displayed
Image Columns Displayed is information about
each selected image that will print on the Image
History report.


Image Column Header and Line Entry Fonts

either the image header or the image line entry on
the report.
Print the Report
Click on the report button to generate the

report.

Example of one
page of an Image
History Report:

Report
Report allows you to create templates for reports that you set up. Click on the
Report button at the bottom of the Images side of the Main TigerView window to
open the Report window.
Use an existing template to create a report
1. On the Patient List, select the patient who has images you want to
place on the report.
2. Left click one time on each image that you want to place on the report.
3. Click on the Report button on the bottom of the Images side of the
TigerView Main window.
4. The Report window will open to the File tab. Click on Open Template.

5. The Load Report window will open. Click on the down arrow, select a
report from the list, and then click on the Ok button.
6. Drag each of your images from the Images column on the right
onto an Image Holder Box and fill in any Comment sections
that need to be filled in.
7. From the File tab window, click on Print Preview. The Print
Preview window will open and the fields on the report will fill
with information:
8. You can Export, Send (email), and Quick Print (print) the
report from this window.

9. When you’re done with your report and you click on the Close “x” in
the upper right corner of the Report window, the following message
box may open:
Click on OK to close the Report without saving anything new to the

Report Template. Click Cancel if you meant to either adjust the
Report Template or save a copy of the report with the images you just
moved to it. For one of those options, click on the File Menu and then
on either Save Template or Save Report.
Use an existing template to create a report
1. Left click on all of the images you want to print from the first
part/item and click on the Report button.
The Report window will open.
2. On the Report window, click on the File tab, then click on the
Open Template button, select the template from the drop down
list, and click OK.
3. Minimize the Report window.
4. Back on the TigerView Main window, select the next part/item

and click on the images you want to add to the report.
5. Left click on the Report button.

6. Repeat steps 4 and 5 until you have selected all the images
you need.
7. Maximize the minimized Report window.
8. The Report window will open with the additional images added
to the Images column on the right. From the Images Column
you can drag them onto Image Holder Boxes on the Report
Template.
9. When you’re done with your report and you click on the Close
“x” in the upper right corner of the Report window the following
message box may open:
Click on OK to close the Report without saving anything new

to the Report Template. Click Cancel if you meant to either
adjust the Report Template or save a copy of the report with
the images you just moved to it. For one of those options,
click on the File Menu and then on either Save Template or
Save Report.
Create a new template
1. Click on the Report button on the bottom of the Images side of the
TigerView Main window.
2. The Report window will open to the File tab. Click on New Template.
A new, blank template will open.
3. Click on the Page Layout Menu:

The sections are similar to those of other Page Layout Menus, such
as the one found in Microsoft Word. Make any changes you need to
make for your new report template using the following options:
Margins: Orientation:
Size: Columns: Breaks:
Still on the Page Layout Menu, click on the Expand Section mark

to open the following window:
The Margins and Paper tab windows duplicate sections pictured on

the previous page. The Layout window, however, gives you some
new report options.
4. Now that you have the form of your report setup, click on the Insert
Menu to open the Insert window.

5. Click on the Header button. The Header Menu will open:
6. Type in whatever you would like to see in the Header. Click on

the Go to Footer button and type in whatever you would like to
see in the Footer.
7. When you’re finished, click on the Close Header and Footer button.
8. Click on the Insert Menu again to start creating the body of the report.

9. Click on either Large Image or Small Image on the Insert Menu
window to place an Image Holder Box on the report.
Image Holder Box Options:
a. Click and drag the Image Holder Box anywhere you want it on
the report.
b. Click on the Image Holder Box to make its sizing dots appear
and then drag one of the circles or squares on the outline of
the Image Holder Box to make the box larger or smaller. To
make more Boxes of the same size, copy and paste the Box.
c. Right click on the Image Holder Box to get the Image Holder
Box Right Click Menu (see illustration on left) and then select
More Layout Options

Image Holder Box
Right Click Menu
to open the Layout window:

Position tab:
For vertical and horizontal placement of the Image Holder

Box:
• Alignment – Left, Center or Right

relative to (based on the following location) the
Margin, Page, Column, Character, Left Margin,
Right Margin, Inside Margin, Outside Margin.
Or
• Absolute Position – enter a number in inches,

to the right of (the following location) if you’re
entering the horizontal position
or
below (the following location) if you’re entering the
vertical position.
Locations are: the Margin, Page, Column,

Character, Left Margin, Right Margin, Inside
Margin, Outside Margin
Margin – the inside edge of the top or left

page margin
Page – the top or left edge of the page
Column – the position on the top ruler
Line – the position on the left ruler

Text Wrapping tab:
• Wrapping Style (where the text will be placed in

regards to the image): Square, Tight, Through, Top
and bottom, Behind text and In front of text
• Wrap Text (around the image): Both sides, Left

only, Right only, Largest only
• Distance from text (how far the image is from the

text): Top, Bottom, Left, Right in inches
Square Behind Top & Bottom

Size tab:
Set the Height and Width of the box in inches.
• Rotate – tips an image holder box, a picture, a text

box or other object. What is inside the box keeps its
original position in the box.
• Lock aspect ratio - if you change one dimension

(height or width) of an image holder box, picture, text
box or other object, the other dimension will
automatically be changed to maintain the shape and
proportions of the original object.
Left Click on an Image Holder Box
When you click on an Image Holder Box, the Format

window opens:

Clear – removes an image from an Image Holder Box. If
you save the report without images in the Image
Holder Boxes, the user can drag the images they
want into the Boxes at the time the report is run.
Position - gives more options than

Alignment on the
Position Tab Window
discussed above.
Create as many Image Holder

Boxes as you need to for this
report.
Add Text
10. Add text to a report by either typing it directly on the template or

by putting it in a text box.
Type it: Click on your template where you want the text
to go and then type your text. Use the Enter
key on your keyboard if you need to move down
the page. Use your Tab key, Spacebar,
Backspace key, arrow keys, etc. if you need to
move to the left or right.
Text Box: Click on the Insert Menu and then on the Text
Box option. A Text Box will appear on your
report:

• Click and drag your Text Box to wherever
you want it to appear on your Report.
• Click and drag one of the circles or squares
on the Text Box outline to make the Text
Box larger or smaller.
• Type the text you want into the Text Box
and then highlight the text and click on the
Home Menu. There you can change the
font, add underline or bold, change the text
color, center the text in the box, etc.
• Use the Text Box Right Click Menu if you’re
going to put an image in your Text Box.
Text Box Right Click Menu
Add Data
11. Add Data to a report:
• Click on the Data Menu:

• On the report, click where you want the Data to go.
Practice, Provider, Patient or Image - select a field from

the drop down list that appears. The fields will
automatically fill in at run time after the first
image is placed on the report.
Field name example:
<<Patient.Name.FirstLast>>
Today – puts today’s date on the report
Now – puts the current time on the report
Merged Data – switches back and forth between

showing you the field name and the data the
field will display
Annotations – will display any annotations that are on

the image. This button has to be on BEFORE
the image is dragged onto the report.
Measurements – will display any measurements that

are on the image. This button has to be on
BEFORE the image is dragged onto the report.
Add Graphic
12. Add a Graphic to a report:
• Click on the Insert Menu
• Click on Picture.
• A My Computer style window will open.
• Open the folder that has the graphic file you want to use.

• Click on the graphic file you want and then click on
Open.
• Click on the picture to make the sizing dots appear and

use them to make your graphic the size you want, then
move the graphic to where you want it.
Change the graphic
Right click on the graphic and select Change Picture.

Picture/Graphic
Right Click Menu
The Change Picture option on this menu will allow you

to select a different graphic file.
Delete the graphic
Left click on the graphic and hit the Delete key on your
keyboard.
Add a Hyperlink
13. Add a Hyperlink (an Internet address) to a report:
• Click on the Insert Menu.
• Click on the Hyperlink option.

• The Hyperlink window will open:

• Text to display: what will show on your report
• Screen Tip: what displays when you rest your cursor
on the link
• Target Frame: New Window, Parent Frame, Same
Frame or Whole Page
• Link to: have the link open an existing file, an existing
web page, or a place in this document
• Address: if you Link To an existing web page, enter the
web page address here.
Example of a
Hyperlink setup
window:

Hyperlink Right Click Menu
14. Save the Template:
• Click on the File Menu

• Click on Save Template
15. Print the Report:
• Close the Report window

• Follow the instructions in the section “How to use an
existing template to create a report”, located above.
16. When you’re done with your report and you click on the Close
“x” in the upper right corner of the Report window the following
message box may open:
Click on OK to close the Report without saving anything new

to the Report Template. Click Cancel if you meant to either
adjust the Report Template or save a copy of the report with
the images you just moved to it. For one of those options,
click on the File Menu and then on either Save Template or
Save Report.

Image processing settings (also known as image quality settings) determine how your
images look at the time you acquire them. You can open the Image Processing Settings
window by clicking on the Config button that’s located at the bottom left of the Acquire
window.
Acquire
Window
Image Processing Settings are setup for a specific Region / View Position, not for a
specific image. If your normal image for a specific Region / View Position (for example
Lumbar Spine / Lateral) looks good, but this one image looks bad, you would adjust this
one image using the tools in the Image Viewer, not the Image Processing Settings
window. However, if you can’t seem to acquire a good image for a specific Region / View
Position (like a Lumbar Spine / Lateral) you would acquire that image then click on the
Config button to open the Image Processing Settings window and adjust the image
quality settings that will be applied to that Region / View Position every time that type of
image is acquired in the future.
Before opening the Image Processing Settings window to adjust settings,

acquire an image of the Region / View Position that needs image quality work,
and then, before you save it, click on the Config button at the bottom of the
Acquire window.

Image Processing Settings – General Settings window:
Both, Original and Preview
Both
When the Settings button is opened,

the last image that was acquired, but
not yet saved, will appear in both the
Preview and the Original image
boxes on the right side of the Image
Processing Settings window. As
image processing settings are
changed, the changes will be
reflected in the Preview image box on
the right. This allows you to compare
the original image to the image with
your changes.
Original
If you need to see a larger version of the Original image, click on the
Original tab.

Preview
If you need to see a larger version of the Preview image, click on the
Preview tab. The Preview image is the one that has your changes
applied to it.
Rotate
If your image is not rotated correctly, click on one of the

Rotate buttons to turn your image. “CCW” is
Counterclockwise. “CW” is Clockwise.
Flip
If your image requires flipping, click on one of the Flip

buttons. “L/R” is Left to Right. “T/B” is Top to Bottom.
Zoom In/Out
Use Zoom In if you want to examine the image in

more detail. Use Zoom Out if you need to reduce
you Zoom In setting or want the image return to it’s
normal size.
1 to 1 Sizing
Click on 1 to 1 to make the image on the monitor the same

size as what the image was taken of.

General Settings
Note: Unless you are

using a reacquired
image, changes to the
Image Processing
Settings will not affect
images that have
already been
acquired.
Note: selected
(active) buttons
are green.
Note: keep an ongoing

written log of your image
processing settings!!!
Note: Body Part Examined and View Position are taken from the last
Image or Image Holder Box created.
Assigned Setting
What is an Assigned Setting?
An Assigned Setting is a group of image processing codes that

work well for one or more Region / View Position pairs.
Assigned Settings allow you to setup separate image processing

settings for different types of incoming images, grouping Region /
View Positions that are of a similar size and density together
under the same assigned setting so you only have to enter the
image processing codes once instead of once for each Region /
View Position pair.
As an example, let’s use an AP Hand image. You would create an

Assigned Setting called Hand (when you actually create your
Assigned Settings you can name them whatever you want) and
save the image processing codes that work best for hand images.
Then, if there are other Region / View Positions that use the same
image processing codes (because they’re the same size and
density), you would list them on the Hand Assigned Setting. This
keeps you from having to enter the same image processing codes
multiple times.
Create an Assigned Setting
• In the Acquire window click on the Config button in the

lower left corner to open the Image Processing Settings
window.
Acquire Window

• Click on the button to open the Save Global Settings
window.

• In the Setting Name box, enter a Setting Name for your
Assigned Setting (ex: Hand). The names of the Assigned
Settings must be unique within each digital imaging device.
This means that if some of your images are created by a
ScanX, you can only use the name “Hand” once but if your
images are created by a ScanX and a CareView panel you
can create an Assigned Setting with the name “Hand”
when the Acquire window is connecting to a ScanX and
you can create another Assigned Setting with the name
“Hand” when the Acquire window is connecting to an
CareView panel. Make sure that the Assigned Setting
names you create are descriptive enough that the user can
tell what items are included in that Assigned Setting.
• Click on the Add New button and then on the OK button.
You just created an Assigned Setting. You still need to link View
Positions to it and fill it with image processing codes.
Assign Body Part/View Positions to an Assigned Setting:
• In the Acquire window, select a Region, Laterality and

View Position and either acquire or reacquire an image.

• Click on the Config button at the bottom of the Acquire
window.
• Click on the Assigned Setting down arrow and select the

Assigned Setting you want to link View Positions to.
• Click on the button.
• In the Unassigned column, click on a Region then the View

Positions that should use the image processing settings
you will be saving to this Assigned Setting and move them
to the Assigned column.
Example:

• Click on the Edit button to save the assignment.
You just told TigerView what Region / View Position(s) use this
Assigned Setting’s group of image processing codes.
Assign Image Processing Codes to an Assigned Setting
• On the Config window, select the Assigned Setting you

want to configure from the Assigned Setting drop down
box:
• Select the Image Processing Mode you want to use:

Note: this is just
an example.
• Make sure the Region / View Position is either None None

or an actual Region / View Position that is supposed to use
the image processing codes you are about to put in this
Assigned Setting.
• Adjust the image processing settings on the General

Settings tab window (where the Assigned Setting drop
down list is):

Note: further down this section of the manual, the
image processing codes are explained.
• Click on the tab that matches the Image Processing Mode

you selected:
• Adjust the image processing settings on those windows

and then click on OK to save them.
You now have one Assigned Setting set up and ready for use.
Edit an Existing Assigned Setting
• Open the Acquire window and then click on the Config

button.
• Select the Assigned Setting you want to change from the

Assigned Setting drop down list.
• Click on the button if you need to make changes to

which Region / View Projection uses these settings, or
click on the Image Processing Mode tab if you need to
adjust image quality settings.

Note: this is
just used as an
example.
• Make whatever changes you need to make and then save

your changes by either:
1. If you made changes in the window,

click on the Edit button in that window to save
your changes.

Or
2. If you’re in the Config window , click on the OK

button to save your changes.
Export an Assigned Setting
• Open the Acquire window, click on the Config button and

then select the Assigned Setting you want to export from
the Assigned Setting drop down list.
• Click on the button and then click on the Export

button to open the Save As window.

• Select the folder to save the settings in, give the settings a
descriptive name and click on the Save button.

Import Assigned Settings
Bring into TigerView an Assigned Setting that was created and

exported from a different TigerView database.

button to open the Image Processing Settings window.
• Click on the Import button.
• From the Import window that opens, open the folder that
has the Assigned Settings file you want to import, click on
the settings file, and then click on the Open button.

• If the Assigned Setting you’re importing is from a different
digital imaging device than the one your Acquire window is
connecting to, a window will open that asks if you want the
image quality codes that you’re importing to be adjusted to
work with the digital imaging device you’re connected to.
This will assign the default settings for the device your
Acquire window is connected to, to the incoming Assigned
Setting.
• The Assigned Setting will be imported into TigerView.

Delete an Assigned Setting
Delete the Assigned Setting currently selected.

button.
• From the Config window select the Assigned Setting you

want to delete from the Assigned Setting drop down list.
• Click on the Delete button.
Reset button
Click on the Reset button to restore the settings for this window to the
settings it had when you opened this window
Image Processing Mode
There are four image processing modes: Classic, 1.2.3..Setup, Image

Contrast Enhancement (ICE) and Image Contrast Enhancement v2.
Classic Image Processing has fewer settings than 1.2.3…Setup or

Image Contrast Enhancement. If the quality of your images tends to be
good without a lot of tweaking, use Classic Image Processing.
1.2.3..Setup provides the basic settings for tweaking and is fairly easy to
use. If your images tend to need adjusting for graininess, fuzziness, etc.,
use 1.2.3…Setup or Image Contrast Enhancement.
Image Contrast Enhancement, also known as "ICE", has five additional

Settings button windows with multiple image quality settings on each. If
your images tend to need adjusting for graininess, fuzziness, etc., use
Image Contrast Enhancement or 1.2.3…Setup.
Image Contrast Enhancement (ICE) version 2 is a new image processing

mode. It differs from Image Contrast Enhancement (ICE version 1) in the
following ways:
1. The order it processes the image quality settings
2. Some of the settings in ICE v2 are the reverse of ICE. For

example, in ICE if a slider moved to the right makes the
image lighter, in ICE v2 sliding up might make the image
darker.
3. Histogram Settings in ICE v2 has a new button called

Apply Tissue Equalization that performs an equalization
between the hard tissue and the soft tissue in an x-ray,

giving the x-ray a little sharper look that makes the x-ray
easier to read.
Note: if you have been using one image processing mode and decide to
try a different one, make sure you write down all of your current settings
and backup the TigerView folders BEFORE you change modes. Do this
same thing before upgrading or reinstalling your TigerView software.
Body Part Examined
The View Position is taken from the last Image Box created or the last
image acquired.
View Position
The View Position is taken from the last Image Box created or the last
image acquired.
Invert
Click on the Invert button to make image areas on the Note: selected
incoming image that are normally black change to white, (active) buttons
and the image areas that are normally white change to are green.
black.
Apply Film Mask
Click on the Apply Film Mask button to place a black frame around each
incoming image in the same way a colored mat can be placed around a
photo. This border can make edges in the image more easily seen.
Flip Left/Right
Click on the Flip Left/Right button to create a horizontally mirrored image.

What was on the left side of the incoming image will now be on the right
side, and what was on the right side of the image will now be on the left
side.
Rotate
The number you select from the Rotate drop down box is the
number of degrees the image will be rotated in a clockwise
direction.
• 0 – the image will not be rotated
• 90 – rotate the image 90 degrees right (a quarter turn to

the right)
• 180 – rotate the image 180 degrees right (turn the image until it’s
upside down)
• 270 – rotate the image 270 degrees right (3/4 of a turn to the right,
or, 90 degrees left)

Auto-Trim Type
Auto-Trim Type and Threshold work with collimated images. Collimation

is used to focus the x-ray beam on the part of the subject that you actually
want to x-ray. Using Auto-Trim improves ICE image quality.
None
You aren't collimating your images so you won't be using

Auto-Trim or Auto-Trim Threshold.
Create
Put a Mask (a black border, like a picture frame) around

the image at the point specified by Auto-Trim Threshold to
cover the outer, collimated part of the image.
Crop
Remove the outer, collimated part of the image and make

the remaining image larger.
Crop x 2
Crop the image twice.
Auto-Trim Threshold
This value tells Auto-Trim Type / Mask where to put the mask, or the
Auto-Trim Type / Crop where to crop it. Auto-Trim Threshold ranges from
3 - 100.
Suppress Grid Lines
If you have a digital imaging device that displays grid lines on top of each
incoming image, click on the Suppress Grid Lines button to remove the
grid lines from future images.
Suppress Threshold
If Suppress Grid Lines is active (the button is green), select the threshold
at which the grid lines disappear. The Threshold is how bright the grid
lines have to be for the program to decide they’re grid lines and not part
of the image. Suppress Threshold ranges from 3-100.

Auto Window Level
TigerView will try to find the optimum Window Level settings for this
image.
Image Series Audio Prompt Voice
If you select a Microsoft voice from the Voice drop down menu and you
use the Image Series feature on the Acquire window, as you acquire
images you will hear the settings for the next image you need to acquire
plus it will tell you when the Image Series template is full.
Classic Settings
The Classic Settings window

is only available if Classic
Image Processing was
selected instead of
1.2.3..Setup or Image Contrast
Enhancement on the General
Settings window.
How to adjust image quality settings:

• Click on the arrows to move the amount up or down
• Click and drag the slider to move the amount up or down
• Click on the button and type in a new value
Reset button
Click on the Reset button to restore the factory default settings for this
window that TigerView 8 came with.
Despekle
Click on the Despekle button to remove extra dots (noise) that are not
actually part of the image. The danger in using Despekle is that some of
the fine details that you may want to see may also be removed.
Median Filter
Click on the Median Filter button to make the image less grainy. The
danger in using Median Filter is that the edges in the image may not be
as sharply drawn.
When there is not a check in Median Filter, the image will have a more
grainy look but the edges of the image will be more defined (sharper).
Median Filter Amount
Click on the amount of Smoothing (Median

Filter) to apply to future images. The Amount
ranges from 3 – 25.
Brightness
Changing the Brightness can make up for an x-ray machine that shoots
images with too much lightness or darkness. Brightness raises or lowers
the lightness of every pixel in the image.

Contrast
Changing the Contrast creates an image where the white areas are whiter
and the black areas blacker. This causes the edges of a shape within the
image to be more easily seen. Too much contrast can create a glare
while too little contrast can give the image a uniformly gray look.
Gamma
A Gamma change leaves the whitest and blackest parts of an image

alone as it makes the mid gray values lighter or darker.
Adaptive Image Processing
Click on the Adaptive Image Processing button to capture images as 8-bit

images allowing brightness and contrast to be adjusted. Not using
Adaptive Image Processing saves images in 16-bit form and allows
window leveling to be adjusted.
Note: Any settings you change are reflected on

the image in the Preview Window.
Unsharp Mask Settings
Click on the Unsharp Mask Settings button to open the Unsharp Mask
window. Classic, Image Contrast Enhancement and Image Contrast
Enhancement v2 use the Unsharp Mask settings.

Unsharp Mask takes the
image that Smoothing
removed graininess from
and made slightly fuzzy,
and makes the edges
sharper. Too much
Unsharp Mask will make
an image grainy.
Reset button
Click on the Reset button to restore the settings for this window to
those that TigerView came with.
Apply Unsharp Mask Remember: keep

an ongoing log of
Click on this button if you want to apply your image
Unsharp Mask settings to future images. processing settings.
Unsharp Mask Amount
Increase the Unsharp Mask Amount to make edges within the

image appear more clearly. Unsharp Mask Amount values range
from 1 to 1000. Too much Unsharp Mask Amount will make an
image grainy.
Unsharp Mask Radius
Increase the Unsharp Mask Radius to make edges within the

image appear wider so they are more easily seen. Radius values
range from 1 to 200. Too much Unsharp Mask Radius will make
an image grainy.
Unsharp Mask Threshold
Unsharp Mask Threshold tells TigerView what edges to apply

Unsharp Mask Amount and Radius to. A Threshold of 1 will apply
Unsharp Mask Amount and Radius to every edge in the image.
As the Threshold value increases, Unsharp Mask Amount and
Radius gets applied to fewer and fewer fine edges, until, at
Threshold value 50, it's only applied to the largest edges in the
image. Unsharp Mask Threshold values range from 1 to 50.
Moving off the Unsharp Mask window
When you finish setting up your Unsharp Mask settings you could:
1. Click on the Classic Settings

button to return to the Classic
Settings window.
2. Click on the General Settings tab to
return to the General Settings window.
3. Click on the OK button to save any changes you
made to Image Processing Settings and then
close the Image Processing Settings window
4. Click on the Cancel button to close the Image
Processing Settings window without saving any
changes.
1.2.3… Setup
The 1.2.3…Setup window is only available if 1.2.3…Setup was selected instead

of Classic Image Processing, Image Contrast Enhancement or Image Contrast
Enhancement v2 on the General Settings window:

Click on the 1.2.3… Setup tab:
The main 123…Setup settings are

displayed in the center of the
opening 1.2.3…Setup window
under the heading “Current
Settings”. Note that changes made
in the 1.2.3…Setup Advanced
windows are only displayed on the
Advanced windows and are not
listed here. Those settings are
very important and should be
written down.

Reset button
Click on the Reset button to restore the factory default settings for all of
the 1.2.3..Setup windows for this View.
Configure 1.2.3…Setup button
Click on the 1.2.3…Setup button to access the 1.2.3…Setup settings

windows.
Step 1 window – Edge Enhancement
1.2.3…Setup Buttons
Click on the Back
button to return to the
previous window.
Click on the Next
button to advance to
Remember: the Step 2 window.
Green buttons Click on the
are options that Advanced button to
are in use. open the Advanced
Settings window for
Edge Enhancement.
Click on the Reset
button to restore the
TigerView default
settings for this
window.
Reset button
Click on the Reset button to restore the factory default setting for
this window.
None, Low, Medium, High
Click on the amount of Edge Enhancement desired. Edge

Remember: keep Enhancement options include None, Low, Medium and High.
an ongoing log of
your image Edge Enhancement will make the first few pixels on the dark side
processing settings. of an edge darker and the first few pixels on the white side of an
edge whiter. This causes more contrast at the edges, which
makes the edges more defined and easier to see. Note that
making edges too enhanced can cause the image to appear
grainy.
Note: as the level of Edge Enhancement changes, the change is

reflected on the image in the Preview box, allowing the user to
decide how much Edge Enhancement should be applied.

The original image
is on the left.
The original image

with your image
quality changes
applied is on the
right.
Advanced
If the desired amount of Edge Enhancement is between

amounts (i.e. more than Low but less than Medium), click
on the Advanced button to directly determine the three
Edge Enhancement settings.
Edge Enhancement Advanced window

Advanced window Buttons
Click on the Apply
button to save the
changes and apply
them to the current
Note: too much image.
Edge Click on the Cancel
button to close the
Enhancement
Advance window
(Step 1) can cause
without saving any
a grainy image.
changes.
Click on the Defaults
button to change the
settings back to the
original settings
TigerView came with.
Threshold
Threshold tells TigerView what edges to apply Edge
Enhancement (Sharpening) to. A Threshold of 1 will apply
Edge Enhancement to every edge in the image starting
with the very smallest. A Threshold of 12 will apply Edge
Enhancement to medium to large edges (half of the edges
in the image). A Threshold of 25 will apply Edge
Enhancement to only the largest edges in the image. As
the Threshold value increases, Edge Enhancement gets
applied to fewer and fewer fine edges. Threshold values
range from 1 to 25.
Radius
Increase the Radius to make edges within the image
appear thicker and therefore more easily seen. Radius
values range from 1 to 50.
Amount
Amount (also called Edge Enhancement or Sharpening)
makes the first few pixels on the dark side of an edge
darker and the first few pixels on the white side of an edge
whiter. This causes more contrast at the edges, which
makes the edges more defined and easier to see. Amount
values range from 100 to1000.
Note: after you change the Edge Enhancement settings

and click on the Apply button, click the Next bottom to
advance to Step 2.
Step 2 – Smoothing
Click on the Back
previous window (Step
1).
Click on the Next
button to advance to
Note: too the Step 3 window.
much Click on the
Smoothing Advanced button to
(Step 2) can open the Advanced
cause a blurry Settings window for
or fuzzy image. Smoothing.
Click on the Reset
TigerView default
settings for this
window.
Reset button
this window.
None, Low, Medium, High
Click on the amount of Smoothing desired. Edge Smoothing

options include None, Low, Medium and High.
Smoothing attempts to remove extra “noise” (miscellaneous white
dots) and graininess from the image.
Remember: as the level

of Smoothing changes,
the change is reflected on
the image in the Preview
box, allowing the user to
decide how much
Smoothing should be
applied.
Advanced
If the desired amount of Smoothing is between amounts

(i.e. more than Low but less than Medium), click on the
Advanced button to directly determine the Smoothing
setting.
Advanced window
Buttons
Click on the Apply
button to save the
changes and apply
them to the current
image.
Click on the Cancel
button to close the
Advance window
without saving any
changes.
Click on the Defaults
button to change the
settings back to the
original settings
TigerView came with.
Value
Select a Smoothing value between 1 and 20.
Note: after you change the Smoothing setting and click

on the Apply button, click the Next bottom to advance to
Step 3.

Step 3 – Brightness, Contrast, Gray Shift (Gamma)
Click on the Back
previous window (Step
2).
Click on the Finish
button to finish 123…
Setup.
Click on the Reset
TigerView default
settings for this
window.
Reset button
this window.
Brightness
Changing the Brightness setting can compensate for images that

are consistently too light or too dark. Brightness raises or lowers
the lightness of every pixel in the image.
Contrast
Remember to
Increasing the Contrast will cause the white keep an ongoing
areas of the image to become whiter and the written log of your
black areas to become blacker. This causes image processing
the edges of a shape within the image to be settings.
more easily seen.
Gray Shift (Gamma)
A Gray Shift change leaves the whitest and blackest parts of an

image (generally the edges) alone, as it makes the mid gray
values lighter or darker.
Finish
Click on the Finish button to close the 1.2.3… Setup window,

saving the current settings.

ICE Settings
The ICE Settings window is only available if Image Contrast Enhancement was
selected instead of Classic Image Processing, 1.2.3… Setup or Image Contrast
Enhancement v2 on the General Settings window:
Click on the ICE Settings tab:

ICE Settings, Smoothing
Settings and Gamma
Settings windows are
only available if Image
Contrast Enhancement
was selected instead of
Classic Image
Processing or
1.2.3…Setup on the
General Settings
window.
Remember: keep
an ongoing written
log of your image
processing settings.

Reset button
Click on the Reset button to restore the factory default settings for
this window that TigerView 8 came with.
Apply Image Contrast Enhancement
Click on this button to turn it green if you want to apply ICE

window settings to future images.
Contrast
Increasing Contrast creates an image where the white areas are

whiter and the black areas are blacker. This causes the edges of
a shape within the image to be more easily seen. While too much
contrast can create a glare, too little contrast can give the image a
uniformly gray look. The Contrast setting ranges from 0.00 to
10.00.
Edge Enhancement
Increasing Edge Enhancement (Sharpening) will make the first

few pixels on the dark side of an edge darker and the first few
pixels on the white side of an edge whiter, which allows edges to
be more easily seen. The Edge Enhancement setting ranges from
0.00 to 10.00. Too much Edge Enhancement causes graininess.

Edge Levels
Edge Levels determine which edges to apply Edge Enhancement

(sharpening) to. The lower the Edge Level number the smaller the
edges are that Edge Enhancement will affect. An Edge Level of 0
will apply Edge Enhancement to all of the edges beginning with
the smallest. An Edge Level of 5 will apply Edge Enhancement to
medium to large edges (half of the edges in the image). An Edge
Level of 10 will apply Edge Enhancement to only the largest
edges in the image. Edge Levels range from 0 to 10. A lower
Edge Level may make the image grainy.
Latitude Reduction
The Latitude Reduction setting ranges from 0.00 to 10.00. The

lower the Latitude Reduction, the darker the background and the
greater the contrast on the image. Higher numbers give the
image a more uniformly gray look.
Latitude Levels
The Latitude Level determines where Latitude Reduction gets

applied. The Latitude Level setting ranges from 0 to 10. The
higher the Latitude Level the more grayscale levels Lateral
Reduction will affect and the less glare. If the Lateral Level is a
10, it doesn't take much Lateral Reduction to kill glare.
Auto Calculate Edge and Latitude Levels
Click on this button to automatically calculate the number of levels

in an image based on its resolution and applies automatic
sharpening settings based on that number.
Additional Settings
Click on ICE to see the ICE settings, Smoothing to see the

Smoothing settings, Unsharp Mask to see the Unsharp Mask
settings, Histogram Contrast to see the Histogram settings, and
Gamma to see the Gamma settings.
As levels change, the

change is reflected on the
image in the Preview box,
allowing the user to decide
how much change should
be applied.

Smoothing Settings
Smoothing attempts to
remove “noise” (dots that
shouldn’t be on an
image) and graininess
from an image.
Reset button
those that TigerView 8 came with.
Apply Smoothing
Click on this button to turn it green if you want to apply smoothing

to future images.
Smoothing Amount
Smoothing ranges from 1 to 50. Too much Smoothing will make

the image look fuzzy and may hide some of the finer edges in the
image. Too little Smoothing can cause an image to look grainy.

Unsharp Mask Settings
Unsharp Mask takes the

image that Smoothing
removed graininess from
and made slightly fuzzy,
and makes the edges
sharper. Too much
Unsharp Mask will make
an image grainy.
Remember: keep
an ongoing log of
your image
Reset button
Apply Unsharp Mask
Click on this button if you want to apply Unsharp Mask settings to

future images.
Unsharp Mask Amount
Increase the Unsharp Mask Amount to sharpen edges within the

image and make them appear more clearly. Unsharp Mask
Amount values range from 1 to 1000. Too much Unsharp Mask
Amount will make an image grainy.

Unsharp Mask Radius
Increase the Unsharp Mask Radius to make edges within the

image appear wider so they are more easily seen. Radius values
range from 1 to 200. Too much Unsharp Mask Radius will make
an image grainy.
Unsharp Mask Threshold
Unsharp Mask Threshold tells TigerView what edges to apply

Unsharp Mask Amount and Radius to. A Threshold of 1 will apply
Unsharp Mask Amount and Radius to every edge in the image
starting with the very smallest. An Unsharp Mask Threshold of 25
will apply Unsharp Mask Amount and Radius to medium to large
edges (half of the edges in the image). As the Threshold value
increases, Unsharp Mask Amount and Radius gets applied to
fewer and fewer fine edges, until, at Threshold value 50, Amount
and Radius are only applied to the largest edges in the image.
Unsharp Mask Threshold values range from 1 to 50.
Histogram Contrast
Histogram Contrast
makes the dark colors a
little darker and the light
colors a little lighter.
Reset button
Apply Histogram Contrast
Click on this button if you want to apply the Histogram Contrast

Amount to future images.

Histogram Contrast Amount
Histogram Contrast figures out the middle grayscale value of the

image (midway between the very darkest grayscale value and the
very lightest grayscale value) and then brightens everything above
it and darkens everything below it by the percentage you specify.
Gamma Settings
Changing the Gamma

setting makes the colors
within the edges of an
image lighter or darker.
Too much Gamma will
make an image too dark.
Reset button
Apply Gamma
Click on this button if you want to apply a Gamma change to

incoming images.
Gamma Amount
If Apply Gamma is selected, this is the Gamma amount that will be

applied to incoming images. Gamma leaves the whitest and
blackest parts of an image (generally the edges) alone, as it
makes the interior colors lighter or darker. Gamma Amount values
range from .01 to 4.
Preset Display Gamma
Click on this button if you want the Gamma amount on the

Window Leveling tool in the Viewer window to be automatically set
to this amount for this type of image.
Gamma Amount
If Preset Display Gamma is selected, this is the amount the

Gamma setting on the Window Level tool in the Viewer will be set
to for this type of image. Gamma Amount values range from .01
to 4.
Ice v2
The ICE v2 Settings window is only available if Image Contrast Enhancement v2

was selected instead of Classic Image Processing, 1.2.3… Setup or Image
Contrast Enhancement on the General Settings window:

Click on the ICE v2 Settings tab:

Note: instead of
buttons, a slider is
used to access the
ICE v2 settings.
Remember: keep
an ongoing log of
your image
Differences between ICE and ICE v2:
• ICE v2 processes its settings in a different order than ICE.

• Some of the settings in ICE v2 are the reverse of ICE. For example, in
ICE if a slider moved to the right makes the image lighter, in ICE v2
sliding up might make the image darker.
• Histogram Settings in ICE v2 has a new button called Apply Tissue
Equalization that performs an equalization between the hard tissue and
the soft tissue in an x-ray, giving the x-ray a little sharper look that makes
the x-ray easier to read.

For an explanation of all of the other ICE v2 settings, please see the ICE section
above.
(Device Name) Settings
This window will change

according to which device
is used to acquire the
digital images. The
ScanX scanner will be
used for our example.
Reset button
Diagnostic Mode
Click on the Diagnostic Mode button to save a copy of each

incoming image in the original form that the ScanX created it in.
Demo Mode
Click on the Demo Mode button to have the ScanX run in

Demonstration Mode. In Demo Mode, without scanning a plate
you will see an x-ray appear and be able to save it as if you had
just scanned a plate.

Auto-Trim
Click on Auto-Trim and select a value between 1 and 50 to have

every ScanX image trimmed (cropped) by that amount.
How to Figure Out Your Settings
Good image quality is a balancing act between image processing settings.

Change one setting at a time and see if you like the change. Continue adjusting
settings - one at a time - until you like the image. The settings you change may
include changes to your x-ray machine's kVp, mA and time settings.
General Rules:
• Grainy images need less Edge Enhancement and/or more Smoothing.

• Fuzzy images need more Edge Enhancement and/or less Smoothing.
You can adjust these image settings any time you have an image in the Acquire
window. When you find settings that you like, write them down so you have them
in case this computer crashes and you loose everything on the hard drive, or in
case someone else decides to play with the settings.
Strong Suggestion: keep an ongoing

log of your image processing settings!

Image Series
An Image Series is multiple images that are grouped together that can be viewed,
exported, emailed and printed as one large image instead of multiple small ones.
One benefit of using an Image Series is that each Image Holder Box in the series can be
loaded with the Laterality, Region and View Position settings that should be assigned to
the image that’s placed in that Box. This not only saves the x-ray tech the time he or
she would spend picking the Laterality, Region and View Position settings before each
image is acquired, but also allows you to take advantage of the Assigned Settings
feature in TigerView where each Region /View Position set can have image quality
settings specific to that combination.
Other settings that can be saved to each Image Holder Box are Keywords, and
automatically rotating and/or flipping any image that’s placed in that Image Holder Box.
To create an Image Series:
1. Click on the patient in the Patient List who has the images you want to place
in an image series.
2. Click on each image you want in the series.
3. Click on the Image Series button at the bottom of the Images area.
The Image Series window will open:

Images column
The images you selected right before you clicked on the Image Series button
display in the Images column on the right

Use an existing Image Series Template
Select an Image Series Template
Click on the Image Series dropdown box arrow and select an Image
Series Template.
Image Series Template – a template without any images in it.
Image Series – a template that was saved with at least one

image in it.
Free Form Template
A Free Form Template does not use any Image Holder Boxes.
Drag images onto the Image Series Viewer (the left side of the
Image Series window where a template normally displays) and let
them go. The more images you add to the Image Series Viewer
the smaller the images will appear. When you’re done adding
images, click on the Create button to save the image series.

CPT (or other series) Template
Note: CPT and other established templates series are only in the
Medical version of TigerView, not in the Chiropractic version.
Click on the Image Series down arrow and select one of the
templates that appear under the “CPT” heading (CPT Scheme).
Templates for formal series, such as CPT, always appear under

their scheme heading (in this case, CPT) and start with a code.
Sometimes they have a version and sometimes they don’t.
Traditional Template
Traditional Image Serires Templates are generally created by the

office that owns TigerView. They contain Image Holder Boxes
which may or may not be preloaded with Laterality, Body Part and
View Position, and generally, have names that do not start with a
code.

Load Images into the Template
Images can be:
• Added to the template - drag an image from the right side of

the window (the Images column) onto an Image Holder Box.
• Moved within the template - drag an image from one Image
Holder Box to a different Image Holder Box.
• Removed from the template - right click on the image and
select Remove.
Open this image in the
Image Series Image Viewer window
Template Right
Click Menu Remove this image from
this template
Save the Image Series
When you are done placing images in the template, click on the Create
button to save the image series. The Create button can be clicked
anytime after the first image has been dragged onto the template. Images
Series can be saved with Image Holder Boxes that don’t have an image
in them.
Make Changes after the Image Series has been saved
Bring the Image Series, plus any additional images you want to add to the
Series, to the Image Series window.
1. Click on the patient in the Patient List who has the Image Series you
want to work with.
2. Click on the Image Series plus any additional image you want to add
to the series.
3. Click on the Image Series button at the bottom of the Images area.

The Image Series window will open and your Image Series will open:
If the image series template does not open, or if you brought more than one
image series templates with you, drag the image series template onto the
Template Area underneath the currently open template. Your image series
template will open for editing.

Images can be added, moved or removed from the existing Image Series in the
same way they could from a new Image Series you’re just creating:
• Add an image to the Series - drag an image from the right side of the
window onto an Image Holder Box.
• Move an image within the Series - drag an image from one Image
Holder Box to a different Image Holder Box in the Series.
• Remove an image from the Series - right click on an image and select
Remove.
Open this image in the

Image Series Image Viewer window
Right Click Menu
Remove this image from
this Series
When you are done adjusting the Image Series, click on the Create button to
save your changes. The following window will open:

Add
Create a new, second image series.
Edit
Update the existing image series.
Cancel
Close this window without doing anything.
Note: if you mix color and grayscale images in one template, the color
image will show in color when you open the image series in the Image
Series window. However, if you open the image series in the Viewer, the
color images will show as grayscale.
Add, Edit and Delete Image Series Templates
Click on the Edit Image Series button to open the Template

Editor. In the Template Editor, templates can be added, edited
and deleted.
Add an Image Series Template
In the Template Editor Window, click on the Add button to create a new
Image Series Template:
The Add Template window will open:

Description
Enter a name for the new Image Series Template. If this Image
Series Template is part of a formal procedure code series (like
CPT) enter its code, plus its scheme and version, if known. Make
sure all of the procedure codes for this group have the same
scheme.
Image Holder Boxes
Drag an Image Holder Box onto the Template Area. Note that the
boxes are different sizes. Continue dragging Image Holder Boxes
onto the Template Area until the Image Series Template looks the
way you want it to.
Image Holder Box Right Click Menu
Right click on an Image Holder Box in the Template Area to

display the Image Holder Box Right Click Menu.

An image placed in this box has
this anatomical region.
Image Holder Box A Keyword placed in this box
Right Click Menu will save to any image placed
in this box.
Rotate this Image Holder Box.90
degrees.
Automatically flip a sensor image
placed in this box.
Delete this box from the

Template.
Anatomical Region
An Anatomical Region selected for this box will save to any
image placed in this box.
Note: use Anatomical Region to assign a Laterality, Body

Part and View Position to an Image Holder Box. This is
helpful when you acquire images using the Automatic Image
Series and when you want to use Assigned Settings for
image quality.
Image Series are explained in the:

Images Side
Acquire an Image using a Digital Hardware Device
Step Five Define the Images You Want to Acquire
Image Series
Keyword
A Keyword selected for this box will save to any image
placed in this box.
Rotate 90
Click on Rotate 90 to change the Image Holder Box from a
horizontal to a vertical position, or from a vertical to a
horizontal position.
Image Series Sensor Flip

Click on Image Series Sensor Flip to automatically flip any
image that is placed in this box
Delete
Click on Delete to delete this Image Holder Box from the
template.

Save button
When you have the Image Holder Boxes arranged the way you
want them, click on the Save button to save the new Image Series
Template.
Cancel button
Click on the Cancel button to close the Add a Template function

without saving anything.
Edit a Template
In the Edit Image Series window, click on the Edit button to change an
existing Image Series Template. Please refer to the Add a Template
section above for an explanation of how this window works.
Delete a Template
In the Edit Image Series window, click on the Delete button to delete the
Images Series Template whose name appears in the Description drop
down box. The following window will open:
Click on the Yes button to delete the template. Click on the No button to
close the window without deleting anything.
Close the Template Editor Window
Click on the Close Editor button to close the Edit Image

Series window and return to the Image Series window.
Using an Image Series to View the Images Inside it
There are two ways to view images that are located in an images series:
Open an Image Series in the Image Viewer window
From the TigerView Main window, double left click on an image series to
open it into the Image Viewer window. In the Image Viewer window,
double left click on any image in the series. The image will open using
the Full Screen tool. To move between images in the series:
• Click on the Left Arrow in the lower left corner,

• Click on the Right Arrow in the lower right
corner

• Click on a Box in the image series template that
displays in the upper left corner of the window. The
image you are current viewing shows in red.
Open an Image Series in the Image Series window
From the TigerView Main window, left click one time on an image series
and then click on the Image Series button at the bottom of the TigerView
Main window.
The Image Series Template will open.

If the image series template does not open, or if you brought more than
one image series template with you, drag the image series template onto
the Template Area underneath the currently open template. Your image
series template will open for editing.
To open one image at a time into the Image Viewer window, double left
click on an image.
To open multiple images into the Image Viewer window at the same time:
• Hold down the CTRL key on your computer keyboard.

• Left click one time on each image you want to open in the
Viewer.
• Right click on any image you just left clicked on.
• Select View from the Image Series Right Click Menu that
displays.
Close the Image Series Window
Click on the close “x” in the upper right corner of the Image Series
window to return to the TigerView 8 Main Window.

View Window
The Image Viewer Window, also known as the View Window, is used to examine and
manipulate images. The tools in the Image Viewer window can be organized into three
groups: Image Quality Tools that determine how your images look, Image Markup Tools
that put things like text and measurements on your images, and Image Examination
Tools that allow you to rotate, zoom in, invert colors, etc.
Not all of the effects that can be applied to an image save to the image when the Image
Viewer is closed or when an image is removed from the Image Viewer. The effects that
save with the image include: Brightness and Contrast, Window Leveling, Presets,
Rotate, Flip, Image Contrast Enhancement, Annotate, Measure, Color, Hue and
Gamma.
How to Open Images into the Image Viewer
Open a Single Image
To open a single image into the Image Viewer Window do one of the
following:
• Left click twice on an image.
• Left click once on an image and then click on the View button at
the bottom of the TigerView 8 Main window:

• Right click on the image, rest your cursor over View, and then
click on Selected Images from the Image Right Click Menu.
Open Additional Images from the Current Group
If the single image you opened in the Viewer is part of a group, left
and right arrow buttons will appear at the bottom of the Current
Image Box so you can scroll through the group of images.
A group of images is made up of:
• All of the images with the same date as the image that’s
currently open in the Image Viewer.
• All of the images from the Report window, or the Export
window, or any other window that displays images. You
have to open an image into the Image Viewer from one of
those windows for this type of group to work.
Open Multiple Images
To open multiple images into the Image Viewer Window do one of the
following:
• Left click once on each image you want to view to select them,
and then left click once on the View button at the bottom of the
TigerView 8 Main window.

• Left click once on each image you want to view to select them,
and then right click on one of the selected images, select View
and then Selected Images from the Image Right Click Menu.
Images Right
Click Menu
• To open all of the images into the Image Viewer, right click on an
image, select View and then select Select All from the Image
Right Click Menu. Click on the View button at the bottom of the
window or right click on an image again, rest your cursor over
View and then select Selected Images from the Image Right Click
Menu.
Images Right
Click Menu

Sections of the Image Viewer Window
Inside the Image Viewer Window, the box where the image appears is the
Current Image box.
To the left of the Current Image box are tools for examining and manipulating
the image. Tools on the left that display an arrow head will open an additional
toolbar of their own at either the top or bottom of the Current Image box. A

good number of tools on the left work like a light switch: click them once and
they’re on, click them again and they’re off.
To the right of the Current Image box are tools that adjust image quality
(brightness and contrast, gamma, window leveling, etc.).
Two tools – Image Contrast Enhancement on the left and

Presets on the right – are made up of combinations of
settings that you might like to try. The Image Contrast
Enhancement settings are adjustable.

Image Viewer Left Side Toolbar

Tool Groups
Image Quality Tools that determine how your images look:
Image Contrast Enhancement (ICE) – made up of a collection of

settings that can be adjusted.
Window Leveling
Presets – made up of a collection of settings.
Color
Hue
Gamma
Image Markup Tools that let you put notations on your images:
Annotations
Measurements
Image Examination Tools make up the remainder of the tools:
Zoom In and Zoom Out Print
Full Screen Invert
Magnifying Glass Colorize
Rotate Emboss
Flip Image Overlay Info
Manually Arrange Images
Automatically Arrange Images
Crop
Density Profile
Stitch
Make a copy

Image Viewer Tools
If there is more than one image in the Image Viewer window, the tools will apply
to the selected image. Left click once on an image to select it. The selected
image will have a green box around it.
Zoom In
Each click on the Zoom In tool will make the image a little larger.
When viewing an image that has been zoomed in on using the

Zoom In tool, there are two ways to move around the image: the
Pan Tool and the Image Slide Bars.
Pan Tool
The Pan Tool can be used to view a different part of an image that
has been zoomed in using the Zoom In tool. Click and drag the
red Pan Box to change the section of the zoomed in image that is
currently displayed in the Viewer.
Image Slide Bars
As an alternative to using the Pan Tool to view different sections

of an image that has been zoomed in on with the Zoom In tool, the
slide bars that appear on the sides of the image can also be used.
Click and drag the slide bars to move around the image.
Zoom Out
Each click on the Zoom Out tool will make an image that has been
zoomed in on using the Zoom In tool a little smaller, until the
image is restored to its original size.
Zoom 1:1
Once the image has been calibrated, an inch measured on the

image that’s displayed on your monitor equals an inch measured
on the object that was x-rayed. If the x-ray head was not
positioned accurately or if there was space between the item
being x-rayed and the x-ray acquisition device the measurements
will be slightly different. To move around the x-ray, drag around
the red Pan Tool box.

Full Screen
Single Image in the Viewer
If one image is open in the Viewer, depending on the initial size of

the image, clicking one time on the Full Screen tool will make the
image larger. If this image is part of a group of images, left and
right arrows will appear at the bottom of the Current

Image Box that allow you to scroll through the images in the
group.
At this point, the other tools in the Image Viewer are still usable.
Click on the Full Screen tool a second time to hide the tools,
displaying the image on a blank window with two buttons:
and . In this view, hold down the left mouse button to view
the image through a magnifying glass.
One-to-one Tool. After the image has been

calibrated, click on this tool to have an inch measured on
the image that’s displayed on your monitor equal an inch
measured on the object that was x-rayed. If the x-ray head
is not positioned accurately or if there was too much space
between the item being x-rayed and the x-ray acquisition
device, the measurements will be slightly different. Click on
this tool again to turn it off.
When the One-to-one tool is active, a smaller
version of the image will display in the upper left corner of
the window. If the image is a larger image a red box will
appear surrounding a section of the image. Drag the red
box around the image to see other sections of it.
Example of an image that appears in the upper left

corner of the window when a smaller image is open in the
Viewer – an image that still fits in the Viewer window when
the One-to-one tool is clicked on.
Close the Full Screen tool and return to the normal Viewer
window where the tools are.
Multiple Images in the Viewer
If more than one image is open in the Viewer, click on the

Full Screen tool one time to make the selected image (the
image with the green box around it) fill the window while
still allowing the tools to be used. Left and right arrows
appear at the bottom of the window so you can cycle
between images.
Left click on the Full Screen tool again to hide the tools, displaying
the image on a blank window. Left and right arrows are again at
the bottom of the window so you can cycle between images, along
with a Close button to return the Viewer to its normal look, and a
1:1 button. While in this view, hold down the left mouse button to
view the image through a magnifying glass. See the Single
Image in the Viewer section directly above for an explanation of
the buttons.
Rotate 90 Degrees Counter Clockwise
Click on this tool to turn the image 90 degrees to the left.
Rotate the Image 90 Degrees Clockwise
Click on this tool to turn the image 90 degrees to the right.

Rotate the Image 180 Degrees
Click on this tool to turn the image 180 degrees so that what had
been at the top of the image is now at the bottom of the image.
Flip the Image from Left to Right
Selecting Left/Right will create a horizontally mirrored image.

What was on the left side of the image will now be on the right
side, and what was on the right side of the image will now be on
the left side.
Flip the Image from Top to Bottom
Selecting Top/Bottom will create a vertically mirrored image.

What was on the top of the image will now be on the bottom, and
what was on the bottom of the image will now be on the top.
Restore Original Orientation
Click on the Reset Original Orientation tool to return the image to

the orientation it had when it was originally acquired.
Manually Arrange Images
Click on the Manually Arrange Images tool to allow the images to

be removed from the Viewer window, resized, or moved to a
different spot on the Viewer window.
• To move an image, click on the image and drag it to a new

location.
• To resize an image, move the cursor on top of a green

corner box. When the cursor becomes a two headed
arrow, click and drag the corner box until the image
becomes the desired size.

• To remove an image from the Viewer, click on the close
"x" on the top right corner of the image.
Automatically Arrange Images
Click on the Auto Arrange Images tool to move the images in the
Viewer to the position and size they were when the Viewer was
opened.
Measurements – Medical
Click on the Measurement tool to open the Measurement Options

toolbar at the top of the Viewer window.
Depending on which device was used to acquire the image,

images may need to be calibrated before measurements can be
taken.
Note: For accurate measurements, calibration, patient positioning,

and acquisition device positioning must be precise to avoid images
that are taken on an angle. Images taken on an angle will have
measurements that are slightly different from reality.
To close the Measurement toolbar, click on the Measurement tool

again.
When the Image Viewer is closed, or when an image is removed

from the Image Viewer, any measurements that are on an image
will save to the image.

Units
Click on the down arrow to select measurement units of

inches, millimeters or pixels.
Grid Units
Note: If a grid is selected,
Click on the down arrow to select it will display on all of the
a grid size, or "None" if a grid images in the Viewer
should not be displayed. The while the Measurement
Grid Units values are based on tool is in use until the grid
the value selected for Units. If is turned off by selecting
Units = inches then the Grid Units "None".
will also be in inches.
Selection
Click on the Selection tool to select measurements that

need to be moved, edited or deleted.
Move a Measurement
Click directly on a measurement line and then drag
it to move the entire measurement (all of the
measurement lines that are directly connected to
that line).
Edit a Measurement
Click directly on a measurement end point (a small
circle) and then drag it to move that specific end
point.
Delete a Measurement
There are four ways to delete measurements:
1. Left click directly on a measurement and then
right click to display a small right click menu
that has two options:
• Undo Selected Measurement - delete this
one specific measurement.
• Undo All - delete all of the measurements
on this image.
2. Left click on an measurement and then click
on the Trash Can tool in the Measurements
toolbar at the top of the window.
3. Click on the Undo Last Measurement tool in
the Measurements toolbar at the top of the
window to delete the last measurement
placed on this image.
4. Click on the Undo All Measurements tool in
the Measurements toolbar at the top of the
window to delete all of the measurements
on this image.
Line
Click on the Line tool to measure a line. Left click on one

end of the line then left click on the other end of the line.
Right click to stop measuring lines.
Area
Left click as many times as needed to outline the area that

needs to be measured, and then right click to finish and
display the measurement of the area that was just outlined.
Angle
Click on the Angle tool to measure an angle. Click

on the end of one leg, then at the point of the angle,
and finally on the end of the second leg and then
right click once to stop measuring angles. The
degree of the angle will display.
Spinal Arc Measurement
The Spinal Arc Measurement tool displays the normal

curve of the cervical, thoracic or lumbar region of the
spine. When the cursor is moved close to the Spinal Arc
Measurement tool, you'll find that there are two sides to the
tool. Click on the right side of the tool and select the type
of spinal arc you want to display (see image on left).
To display the arc on the x-ray, left click one time on:
• for Cervical - the top of C1 and the bottom of C7

• for Thoracic - the top of T1 and the bottom of T11
• for Lumbar - the top of L1 and the bottom of L5
Types of Spinal Arcs

Jackson’s Angle
Click on the Jackson’s Angle tool to measure the angle

formed by the eventual intersection of two lines.
Ex: for calculating the amount of lumbar lordosis:

1. Left click once on the posterior-inferior corner of L1
and then left click once on the posterior-superior
corner of L1.
2. Left click once on the posterior-inferior corner of L5
and then left click once on the posterior-superior
corner of L5.
3. The degree of the angle formed by the intersection
of the two long lines will appear. Note: some
studies have indicated that an angle of 35-47
degrees is normal.
4. Right click to complete the angle measurement.
Additional value: if you extend the lines from steps 1 and 2

until they intersect you will locate the apex of the lumbar
lordosis.
Baseline Measurement
The Baseline Measurement tool calculates the degree of

lateral curvature of the spine. If two adjacent vertebrae are
in perfect alignment, the degree of angular difference
between them will be zero. The larger the measurement
the more one vertebrae is out of alignment with its
neighbor.
To calculate the Baseline Measurement, left click on one

end of the top of a vertebrae, then on the other end of the
top of the same vertebrae, and then left click on one end of
the bottom of the adjacent vertebrae and then on the other

end of the bottom of the same vertebrae. The degree of
angular difference between the two vertebrae will display
between them. Right click once to turn the tool off.
Left click on both ends of

a line that will trace the
bottom of one vertebrae
Then left click on both

ends of a line that will
trace the top of the
adjacent vertebrae
Perpendicular Baseline Measurement
The Perpendicular Baseline Measurement tool is a

variation of the Baseline Measurement tool.
To calculate the Perpendicular Baseline Measurement, left

click on one end of the top of a vertebrae, then on the
other end of the top of the same vertebrae, and then left
click on one end of the bottom of the adjacent vertebrae
and then on the other end of the bottom of the same
vertebrae. A perpendicular line will display along with the
angle measurement. Right click once to turn the tool off.
George's Line
The George's Line tool is used on a lateral view of the

spine. It is a curved line that should touch the posterior
body margin of all the segments of the spine in any of the
3 main curvatures. Left click on the top of a vertebra body
and then on the bottom of the same vertebra body.
Continue to do this on all or part of the vertebral column.
The numbers that display are the difference in distance

between bottom of one line and top of the next.

Cobb’s Angle
Click on the Cobb’s Angle option to measure the angle of

the intersection of two lines.
Example for scoliosis:

1. Locate the most slanted vertebra
at the top of the curve and draw
a parallel line to the superior
vertebral end plate.
at the bottom of the curve and
draw a parallel line to the inferior
3. A perpendicular line will appear
through the line drawn in Step 1
and the line drawn in Step 2
above. The angle formed by the
intersection of the two
perpendicular lines is the Cobb’s
Angle.
4. Right click once to complete the
angle measurement

For spine trauma and assessing sagittal plane deformity,
the vertebra used for the Cobb’s Angle are one vertebra
above the fracture and one vertebra below the fracture.
In the foot, a Cobb’s Angle can be used to calculate the

Intermetatarsal Angle, the Calcaneal Tibial Angle, the
Talocrural Angle, the Lateral and Anterior Distal Tibial
Angles, and the Cuboid Abductus Angle.
Font
Select the font, font style and font size for the text. To
adjust existing measurements, select (highlight) the
measurement first and then click on the Font tool to
change the font.
Color
Select the color of your lines and measurement from the

pallet window that opens. To change the color of an
existing line or measurement, click on the line or
measurement using the arrow tool, and then select a
different color.
Transparency
To adjust the transparency of a measurement, click on the

measurement first using the arrow tool, and then change
the transparency percentage. Use the up and down arrows
to set the transparency percentage. The percentage
ranges between 100 and 25. 100% is a solid looking line,
whereas 25 adjusts the line to look washed out.
Width
Select the width of the measurement line. To adjust an

existing shape, click on it first using the arrow tool and then
change the width.
Show/Hide
When the Measure tool is opened, the default for

Show/Hide is to Show the measurements. Click on the
Show/Hide option to allow the measurement lines to
remain on the image but not display. Click on the
Show/Hide option again to display the measurements.

Undo Last
Delete the last measurement made on the currently

selected image.
Undo All
Delete all of the measurements from the currently selected

image.
Calibrate
For accurate measurements, an image needs to be

calibrated. Images that are calibrated will have a
calibration icon appear on their thumbnail:
Calibration requires one or two small round objects (ball

bearings work well) placed next to the image before taking
the x-ray.

Click on the Calibrate tool to open the Image
Calibration window.
Note: Calibration Marker = Calibration Circle
Calibration window
buttons:
Redetect – try to
calibrate again.
Clear – removes the

existing calibration data
and closes the
Calibration window.
Accept – save the

calibration data and
close the Calibration
window.
Cancel – close the

Calibration window.

Mode
In Automatic mode, TigerView attempts to locate
and mark the Calibration Marker(s) on its own. In
Manual Mode, you locate and mark the Calibration
Marker(s).
# of Discs
Click on One if you have one calibration circle on
the image, or Two if you have two calibration circles
on the image.
Minimum Disc Size
Minimum disc size can help the Automatic Mode
find the calibration marker(s) on an image that has
other markers on it. Minimum disc size says to
ignore any markers that are smaller than the size
selected here. The range for Minimum Disc Size is
5-100 pixels. Increase this number if the Automatic
mode finds circles on the image other than the
calibration circles. Reduce the Minimum Disc Size
if the Automatic Mode doesn’t find any circle(s).
Background Threshold
Adjusting the Background Threshold can help
calibrate low contrast images and images from
panels that have different bit depths by helping to
detect the outer edge of the calibration marker. The
Threshold ranges from 0-255. A higher Background
Threshold will create a larger circle. See the Red
Circle around the Calibration Marker section below
for another way of marking the outside of the
Calibration Marker(s).
Common Sizes
Select between Custom, 25.000mm, 25.400mm
(also known as one inch) or 30.000mm. A
frequently used calibration marker is a 25.000mm
ball bearing. If you use two calibration markers
instead of one, make sure the two are the same
size.
Custom Size
If you selected a Common Size of Custom, enter
the size here. The range is 0.001-200.000mm.

Message Section of the Calibration window
Automatic Mode, One Disc – How it works

On the Measurement Toolbar, click on the
Calibration tool and then on the buttons

Automatic and One. Click on the two buttons even
if they are already green.

Click on the Redetect button to process the image:
Remember:
Calibration Marker
= Calibration Circle
A red circle should appear around the calibration

marker. If a red circle does not appear, skip to the
Calibration window messages section below for
what to do.
Red circle around the Calibration Marker

marker. The red circle may be lined up so that it
exactly touches the outside of the calibration
marker: If so, click on the Accept button to

finish the calibration process.
If the red circle does not line up with the outside of
the calibration marker , drag the red circle

until it exactly touches the outside edge of the
calibration marker. If it still doesn’t exactly touch
the outside of the calibration marker, click on the
Anchor Point and drag it until the rest of the red
circle exactly touches the outside edge of the
calibration marker. You may need to move the
Center Circle and the Anchor Point several times to

get the red circle to exactly touch the outside of the
calibration marker.
Calibration window messages

On the Calibration window, if you get the message
“More than one potential calibration marker
detected”, increase the Minimum Disc Size and
click on Redetect.
“No calibration marker detected”, decrease the
Minimum Disc Size and click on Redetect. If you
get down to a Minimum Disc Size of 5 (the lowest
Minimum Disc Size number), increase the Minimum
Disc Size until it’s a good amount higher than the
Minimum Disc Size number you started with, and
then click on Redetect and start over.
On the Calibration window, if the message includes
“or click the center of the calibration marker”
you can opt to click the center of the calibration
marker to help the calibration function find the
marker. If you have two calibration markers, it
doesn’t matter which you click first as long as you
click on both of them.
“Automatically detect calibration markers” or
“Click the redetect button to reprocess the
image with current settings” click on the Redetect
button.
“Calibration marker highlighted”, check the red
circle around the calibration marker to make sure it
marker. If you need help adjusting the red circle,
refer to the Red Circle around the Calibration
Marker section above for instructions.

Enlarged section of
picture on right:
Once the red circle exactly touches the outside of

the calibration marker, click on the Accept button
to finish the calibration process:

Click on Yes to save the settings.
Automatic Mode, Two Discs – How it works

Calibration tool to open the Image

Calibration window. Click on the buttons Automatic
and Two even if they are already green. Automatic
Mode, Two Discs works the same way Automatic
Mode, One Disc does. Please refer to the
Automatic Mode, One Disc section above if you
need help.
Calibration markings for two discs
Enlarged section
of picture on
right:

Note: when you use two calibration markers, the
markers need to be the same size. When you adjust
the red circle around the calibration marker you only
adjust the red circle that has the Anchor Point. The
second circle will automatically match the adjustment.
Manual Mode, One Disc – How it works


Calibration window. Click on the buttons Manual
and One even if they are already green.
On the image, click on the center of the calibration

marker to make the red circle appear.

A red circle will appear around the calibration
marker.
The red circle may be lined up so that it exactly
touches the outside of the calibration marker:

If so, click on the Accept button to finish the
calibration process.

until it touches the outside edge of the calibration
marker. If it still doesn’t exactly touch the outside of
the calibration marker, click on the Anchor Point
and drag it until the rest of the red circle exactly
touches the outside edge of the calibration
marker. You may need to move the Center Circle
and the Anchor Point several times to get the red

circle to exactly touch the outside of the calibration
marker.
Enlarged section of
picture on right:
After the calibration circle is outlined correctly, click

on the Accept button to finish the calibration
process.

Manual Mode, Two Discs – How it works


and Two even if they are already green.
Manual Mode, Two Discs works basically the same
way Manual Mode, One Disc does except that after
you click on the center of one calibration marker
you need to click on the center of the other
calibration marker. Please refer to the Manual
Mode, One Disc section above if you need help.

When using two calibration markers, the calibration
is based on the distance from the center circle
inside one calibration marker to the center circle
inside the other calibration marker.

On the image, click on the center of the first
calibration marker and then on the center of the
second calibration marker.
A red circle will appear around each calibration
marker:
You are attached to the red circle around the

second calibration marker where the Anchor Point
is.
If the red circle does not exactly line up with the
outside of the calibration marker , drag the red

circle until it exactly touches the outside edge of the
calibration marker.
Enlarged section of
picture on right:
After the calibration circles are outlined correctly,

click on the Accept button to finish the calibration
process.

Click on Yes to save the calibration settings.
Measurements - Chiropractic
Click on the Measurement tool to open the Measurement Options


Depending on which device was used to acquire the
Note: For accurate image, the Measure tool may have to be calibrated before
measurements, calibration, measurements can be taken.
patient positioning, and
acquisition device positioning To close the Measurement toolbar, click on the
must be precise to avoid Measurement tool again.
images that are taken on an
angle. Images taken on an When the Image Viewer is closed, or when an image is
angle will have removed from the Image Viewer, any measurements that
measurements that are are on an image will save to the image.
slightly different from reality.
Units
Click on the down arrow to select measurement units of

inches, millimeters or pixels.
Grid Units
Click on the down arrow to select a grid size, or "None" if a

grid should not be displayed. The Grid Units values are
based on the value selected for Units. If Units = inches
then the Grid Units will also be in inches.
Note: If a grid is selected, it will display on all of the

images in the Viewer while the Measurement tool is in use
until the grid is turned off by selecting "None".
Selection
Click on the Selection tool to select measurements that

need to be moved, edited or deleted.
Move a Measurement
Click directly on a measurement line and then drag
it to move the entire measurement (all of the
measurement lines that are directly connected to
that line) to a different location.
Edit a Measurement
Click directly on a measurement end point (a small
circle) and then drag it to move that specific end
point.
Delete a Measurement
There are four ways to delete measurements:
1. Left click directly on a measurement and then
• Undo Selected Measurement - delete this
one specific measurement.

• Undo All - delete all of the measurements
on this image.
2. Left click on an measurement and then click on
the Trash Can tool in the Measurements toolbar
at the top of the window.
3. Click on the Undo Last Measurement tool in the
Measurements toolbar at the top of the window
to delete the last measurement placed on this
image.
4. Click on the Undo All Measurements tool in the
Measurements toolbar at the top of the window
to delete all of the measurements on this
image.
Line
Click on the Line tool to measure a line. Left click on one

end of the line then left click on the other end of the line.
Right click to stop measuring lines.
Area
Left click as many times as needed to outline the area that

needs to be measured, and then right click to finish and
display the measurement of the area that was just outlined.
Angle
Click on the Angle tool to measure an angle. Click on

the end of one leg, then at the point of the angle, and
finally on the end of the second leg and then right click
once to stop measuring angles. The degree of the
angle will display.
Baseline Measurement
The Baseline Measurement tool calculates the degree of

lateral curvature of the spine. If two adjacent vertebrae are
in perfect alignment, the degree of angular difference
between them will be zero. The larger the measurement
the more one vertebrae is out of alignment with its
neighbor.
To calculate the Baseline Measurement, left click on one

end of the top of a vertebrae, then on the other end of the
top of the same vertebrae, and then left click on one end of
the bottom of the adjacent vertebrae and then on the other
end of the bottom of the same vertebrae. The degree of
angular difference between the two vertebrae will display
between them. Right click once to turn the tool off.

Left click on both ends of
a line that will trace the
bottom of one vertebrae
Then left click on both

ends of a line that will
trace the top of the
adjacent vertebrae
Perpendicular Baseline Measurement
The Perpendicular Baseline Measurement tool is a

variation of the Baseline Measurement tool.
To calculate the Perpendicular Baseline Measurement, left

click on one end of the top of a vertebrae, then on the
other end of the top of the same vertebrae, and then left
click on one end of the bottom of the adjacent vertebrae
and then on the other end of the bottom of the same
vertebrae. A perpendicular line will display along with the
angle measurement. Right click once to turn the tool off.
NUCCA Analysis
The NUCCA (National Upper Cervical Chiropractic

Association) Analysis requires an AP x-ray of the skull.
Click on the NA tool and then right click one time on the
skull to open the following menu:
Left click one time on the Central Skull Line Template

option on the NUCCA Menu to have the template appear
on the image. There are six labeled control points on the
template. Use the control points to expand, contract,
rotate and move the template until it’s lined up correctly
with the image.

Note: Rotate
Control Points: and Pivot work
1. Move together. Move
2. Adjust All Pivot to the
3. Horizontal point you want
4. Vertical to rotate around
5. Rotate and then click
6. Pivot and drag Rotate
to perform the
actual rotation.
After the template is lined up correctly, right click one time

to open the NUCCA Analysis Menu and click on the
Central Skull Line Template option again to remove the
template from the skull. Note that the Central Skull Line
remains:
Left click one time on the left lower end of C1 and then left
click on the right lower end of C1 to draw the Atlas Line.
Add any other lines you wish to draw.

Right click one time on the skull image to open the NUCCA
Menu and click on the Condyle Circle Template to place
that template on the skull image.
Click and drag any Condyle Circle Template line to move

the template to the correct position on the x-ray. Right
Click one time on the skull image to open the NUCCA
Menu and click on Condyle Circle Template again. The
following window will open:
Enter the value for C (the Condyle Circle radius

measurement). The Axial Circle Template will appear on
the x-ray.
Click and drag any Axial Circle Template line to move the
template to the correct position on the x-ray. Right Click
one time on the skull image to open the NUCCA Menu and
click on Axial Circle Template again. The following window
will open:
After you enter the value for A (the Axial Circle radius
measurement) and click OK, the Axial Circle Template will
disappear and the Measurement Summary window will
open:
1. The angle between the Central

Skull Line (CSL) and the Atlas
Skull Line (ASL),
2. The Condylar Circle radius
3. The Axial Circle radius
4. The Condylar Circle / Axial
Circle ratio
The Central Skull Line and measurements are left on the

image:

The Measurement Summary window can be opened again
at a later date:
1. On the Measurements Toolbar, click on the

Selection tool (the green arrow)
2. Right click one time on any part of the NUCCA

line(s) to open a Right Click Menu:
3. Click on Show Measurement Summary (NUCCA

Analysis)
Torg’s Ratio
Torg’s Ratio is the ratio of the cervical canal length to the

length of the cervical body. Note that the width of the canal
is not constant, but progressively decreases as you move
down the cervical spine. Use the red arrows on the
following diagram as an illustration of where to click for this
tool.
Ilium Analysis
Click in order on:
1. Top of left iliac crest

2. Top of right iliac crest
3. Sacral notch on left ilium
4. Sacral notch on right ilium
5. Center of first sacral tubercle
6. Lateral border of the left ilia
7. Lateral border of the left sacrum
8. Medial border of the left ilia
9. Medial border of the right ilia
10. Lateral border of the right sacrum
11. Lateral border of the right ilia
12. Top of the left femur head
13. Top of the right femur head
14. Center of the symphysis pubis
15. Bottom of the left ischeal tuberosity
16. Bottom of the right ischeal tuberosity
After you have clicked on all 16 points, the following lines
and measurements (in millimeters) will display on the
image:
Iliac Crest Lines

Horizontal Plane Line of the Sacrum (Sacral
Baseline)
Femur Head Line
Ischium Lines
Sacral Center Line
Lines of Medial Ilia Border
Lines of Lateral Ilia Border
Lines of Lateral Sacral Border
Width of Left and Right Ilium
Width of Left and Right Sacrum
Height of Left and Right Pelvis
Vertical difference in height of femur heads
Horizontal difference between Center of
Sacrum and Center of Symphysis Pubis
Jackson’s Angle
Click on the Jackson’s Angle tool to measure the angle

formed by the eventual intersection of two lines.
Example: for calculating the amount of lumbar lordosis:

1. Left click once on the posterior-inferior corner of
L1 and then left click once on the posterior-
superior corner of L1.
2. Left click once on the posterior-inferior corner of
L5 and then left click once on the posterior-
superior corner of L5.
3. The degree of the angle formed by the
intersection of the two long lines will appear.
Note: some studies have indicated that an
angle of 35-47 degrees is normal.
4. Right click to complete the angle measurement.

Additional value: if you extend the lines from steps 1 and 2
until they intersect you will locate the apex of the lumbar
lordosis.
Spinal Arc Measurement
The Spinal Arc Measurement tool displays the normal

curve of the cervical, thoracic or lumbar region of the
spine. When the cursor is moved close to the Spinal Arc
Measurement tool, you'll find that there are two sides to the
tool. Click on the right side of the tool and select the type
of spinal arc you want to display (see image on left).
To display the arc on the x-ray, left click one time on:
• for Cervical - the top of C1 and the bottom of C7

• for Thoracic - the top of T1 and the bottom of T11
• for Lumbar - the top of L1 and the bottom of L5
Types of Spinal Arcs:

George's Line
The George's Line tool is used on a lateral view of the

spine. It is a curved line that should touch the posterior
body margin of all the segments of the spine in any of the
3 main curvatures. Left click on the top of a vertebra body
and then on the bottom of the same vertebra body.
Continue to do this on all or part of the vertebral column.
Each number that displays is the distance between two

vertebrae.
Cobb’s Angle
Click on the Cobb’s Angle tool to measure the angle of the

intersection of two lines.

Ex. for scoliosis:
at the top of the curve and draw a
parallel line to the superior
at the bottom of the curve and
draw a parallel line to the inferior
3. A perpendicular line will appear
through the line drawn in Step 1
and the line drawn in Step 2
above. The angle formed by the
intersection of the two
perpendicular lines is the Cobb’s
Angle.
4. Right click once to complete the
angle measurement
For spine trauma and assessing sagittal plane deformity,

the vertebrae used for the Cobb’s Angle are one vertebra
above the fracture and one vertebra below the fracture.
In the foot, a Cobb Angle can be used to calculate the

Intermetatarsal Angle, the Calcaneal Tibial Angle, the
Talocrural Angle, the Lateral and Anterior Distal Tibial
Angles, and the Cuboid Abductus Angle.
Vertical Offset
The Vertical Offset tool will display the length of the line
you draw, the angle your line creates from a vertical line
drawn to intercept your second line point, and a dot that
displays where a vertical line would go.
Click on the top point of your line and then click on the
bottom point.

If you just happened to draw a vertically straight line, you
won’t see the extra dot that shows the path of the vertical
line.
Horizontal Offset
The Horizontal Offset tool will display the length of the line
you draw, the angle your line creates from a horizontal line
drawn to intercept your second line point, and a dot that
displays where a vertical line would go.
Click on the top point of your line and then click on the
bottom point.
Spine Labeling
Use the Spine Labeling tool to label the vertebrae.

Starting at the top of the spine, click on, or near,
each vertebra to have the name of that vertebra
appear. Each click moves in order from the top of
the spine (C1) to the bottom of the spine (S4).
While the Spine Labeling tool is active, right click on

the image to display the Spine Labeling Right Click
Menu, seen at right. Options include:
• Undo last label – erase the last vertebra

label you created.
• Complete Spine Label – stop your left mouse
clicks from applying vertebra labels.
• C2..S4 – click on the next label you want to
apply.
Once a label is on the image, you can use the

Selection tool to click on the circle next to the
label and drag the label someplace else. Note that

while the Selection tool works with one label at a time, the
various Deletion tools delete the entire label set.
Mark Spots
The Mark Spots tool allows you to click anywhere you want
a dot placed. In addition, it displays the distance between
each dot. Right click to turn the tool off.
Once a dot is on the image, you can use the Selection tool
to click on the dot and drag it someplace else. Note

that while the Selection tool works with one label at a time,
the various Deletion tools delete the entire dot set.
Center Point
The Center Point tool marks the center between two

points. Left click on the first point and then left click on the
second point. The center will be marked with a dot along
with the distance from it to either end point.

Font
adjust existing measurements, highlight the measurement
first and then click on the Font tool to change the font.
Color
Select the color of your lines and measurement from the

pallet window that opens. To change the color of an
existing line or measurement, click on the line or
measurement using the arrow tool, and then select a
different color.
Transparency
To adjust the transparency of a measurement, click on the

measurement first using the arrow tool, and then change
the transparency percentage. Use the up and down arrows
to set the transparency percentage. The percentage
ranges between 100 and 25. 100% is a solid looking line,
whereas 25 adjusts the line to look washed out.
Width
Select the width of the measurement line. To adjust an

existing shape, click on it first using the arrow tool and then
change the width.
Show/Hide
When the Measure tool is opened, the default for

Show/Hide is to Show the measurements. Click on the
Show/Hide option to allow the measurement lines to
remain on the image but not display. Click on the
Show/Hide option again to display the measurements.
Undo Last
Delete the last measurement made on the currently

selected image.
Undo All
Delete all of the measurements from the currently selected

image.
Calibrate
For accurate measurements, an image needs to be

calibrated. Images that are calibrated will have a
calibration icon appear on their thumbnail:
Calibration requires one or two small round objects (ball

bearings work well) placed next to the image before taking
the x-ray.

Click on the Calibrate tool to open the Image
Calibration window.
Note: Calibration Marker = Calibration Circle
Calibration window
buttons:
Redetect – try to
calibrate again.
Clear – removes the

existing calibration data
and closes the
Calibration window.
Accept – save the

calibration data and
close the Calibration
window.
Cancel – close the

Calibration window.

Mode
In the Automatic mode, TigerView attempts to
locate and mark the Calibration Marker(s) on its
own. In the Manual Mode, you locate and mark the
# of Discs
Click on One if you have one calibration circle on
the image, or Two if you have two calibration circles
on the image.
Minimum Disc Size
Minimum disc size can help the Automatic Mode
find the calibration marker(s) on an image that has
other markers on it. Minimum disc size says to
ignore any markers that are smaller than the size
selected here. The range for Minimum Disc Size is
5-100 pixels. Increase this number if the Automatic
mode finds circles on the image other than the
calibration circles. Reduce the Minimum Disc Size
if the Automatic Mode doesn’t find any circle(s).
Background Threshold
Adjusting the Background Threshold can help
calibrate low contrast images and images from
panels that have different bit depths by helping to
detect the outer edge of the calibration marker. The
Threshold ranges from 0-255. A higher Background
Threshold will create a larger circle. See the Red
Circle around the Calibration Marker section below
for another way of marking the outside of the
Common Sizes
ball bearing.
Custom Size
ball bearing. If you use two calibration markers
instead of one, make sure the two are the same
size.

Message Section of the Calibration window
Automatic Mode, One Disc – How it works

Calibration tool and then on the buttons

Automatic and One. Click on the two buttons even
if they are already green.

Click on the Redetect button to process the image:
Remember:
Calibration Marker
= Calibration Circle

marker. If a red circle does not appear, skip to the
Calibration window messages section below.


until it exactly touches the outside edge of the
calibration marker.

Calibration window messages
“More than one potential calibration marker
detected”, increase the Minimum Disc Size and
click on Redetect.
“No calibration marker detected”, decrease the
Minimum Disc Size and click on Redetect. If you
get down to a Minimum Disc Size of 5 (the lowest
Minimum Disc Size number), increase the Minimum
Disc Size until it’s a good amount higher than the
Minimum Disc Size number you started with, and
then click on Redetect and start over.
On the Calibration window, if the message includes
“or click the center of the calibration marker”
you can opt to click the center of the calibration
marker to help the calibration function find the
marker. If you have two calibration markers, it
doesn’t matter which you click first as long as you
click on both of them.
“Automatically detect calibration markers” or
“Click the redetect button to reprocess the
image with current settings” click on the Redetect
button.
“Calibration marker highlighted”, check the red
circle around the calibration marker to make sure it
marker. If you need help adjusting the red circle,
refer to the Red Circle around the Calibration
Marker section above for instructions.

Enlarged section of
picture on right:
Once the red circle exactly touches the outside of

the calibration marker, click on the Accept button
to finish the calibration process:

Automatic Mode, Two Discs – How it works


Calibration window. Click on the buttons Automatic
and Two even if they are already green. Automatic
Mode, Two Discs works the same way Automatic
Mode, One Disc does. Please refer to the
Automatic Mode, One Disc section above if you
need help.
Calibration markings for two discs
Enlarged section
of picture on
right:

Note: when you use two calibration markers, the
markers need to be the same size. When you adjust
the red circle around the calibration marker you only
adjust the red circle that has the Anchor Point. The
second circle will automatically match the adjustment.
Manual Mode, One Disc – How it works


and One even if they are already green.
On the image, click on the center of the calibration

marker to make the red circle appear.

A red circle will appear around the calibration
marker.


until it touches the outside edge of the calibration
marker. If it still doesn’t exactly touch the outside of
the calibration marker, click on the Anchor Point
and drag it until the rest of the red circle exactly
touches the outside edge of the calibration
marker. You may need to move the Center Circle
and the Anchor Point several times to get the red
circle to exactly touch the outside of the calibration
marker.
Enlarged section of
picture on right:
After the calibration circle is outlined correctly, click

on the Accept button to finish the calibration
process.

Manual Mode, Two Discs – How it works


and Two even if they are already green.
Manual Mode, Two Discs works basically the same
way Manual Mode, One Disc does except that after
you click on the center of one calibration marker
you need to click on the center of the other
calibration marker. Please refer to the Manual
Mode, One Disc section above if you need help.

When using two calibration markers, the calibration
is based on the distance from the center circle
inside one calibration marker to the center circle
inside the other calibration marker.
On the image, click on the center of the first

calibration marker and then on the center of the
second calibration marker.

A red circle appears around each calibration
marker:
You are attached to the red circle around the

second calibration marker where the Anchor Point
is.
If the red circle does not exactly line up with the
outside of the calibration marker , drag the red

circle until it exactly touches the outside edge of the
calibration marker.
Enlarged section of
the picture on the
right:
After the calibration circles are outlined correctly,

click on the Accept button to finish the calibration
process.

Click on Yes to save the calibration settings.
Annotate
When the Annotate tool is clicked, the Annotations toolbar

appears above the Image Viewer window.
To close the Annotations toolbar, click on the Annotate tool again.
When the Viewer is closed, or when an image is removed from the

Viewer, any annotations on an image will save to the image.
Suggestion: before adding annotations, set the font style to

bold, font size to 14, Line Width to 3 and Transparency to 100.
Selection
Click on the Selection tool to select annotations that need

to be moved, edited or deleted.
Move an Annotation
To move an annotation, click directly on the
annotation and then drag it to a new location.
• Text - click and drag on the letters
• Shape - click and drag on a section of line, not
on a circle
• Arrow - click and drag on the body of the arrow

Edit an Annotation
• Text - left click directly on the annotation twice
to highlight it and then either start typing, to
replace the current annotation, or click on the
highlighted annotation a third time to edit it
without deleting it.
• Shape - a Freehand shape can not
be edited, it can only be deleted and
re-drawn. For any other shape, click once
directly on the shape to make the adjustment
circles appear, then click on one of the small
circles and drag it.
• Arrow - click once directly on the arrow to make
the adjustment circles appear, and then click
and drag the circle on the back of the arrow (the
flat part opposite the tip). This will rotate the
arrow.
Delete an Annotation
There are four ways to delete annotations:
1. Left click directly on an annotation and then
• Undo Selected Annotation - delete this
one specific annotation.
• Undo All - delete all of the annotations
on this image.
2. Left click on an annotation and then click on the
Trash Can tool in the Annotations toolbar at the
top of the window.
3. Click on the Undo Last Annotation tool in the
Annotations toolbar at the top of the window to
delete the last annotation placed on this image.
4. Click on the Undo All Annotations tool in the
Annotations toolbar at the top of the window to
delete all of the annotations on this image.
Line
To draw a line, click on the Line tool, and then left click on
the image where the line should start, left click where the
line should end, and right click to turn off the Line tool. A
series of connected lines (i.e. to draw a triangle) can be
drawn by left clicking at each corner and right clicking only
when all of the lines have been drawn.
Extended Line
To draw a line from one side of the image to the other,

click on the Extended Line tool, and then, on the image,
hold down the left mouse button while you drag in the
direction the line should go. If you continue to hold down

the left mouse button after the line appears you can drag in
the direction you want the line to rotate.
Freehand
To draw whatever you want on an image, click on the

Freehand tool, then hold down the left mouse button and
draw.
Circle
Select the Circle tool, and then click and drag a circle on
the image. Hold the Shift key down on your keyboard while
dragging a circle to keep the circle perfectly round.
Square
Select the Square tool, and then click and drag a square
on the image. Hold the Shift key down on your keyboard
while dragging a square will keep the sides of the square
equal.
Arrows
Click on the Arrow tool, and then left click where the tip of
the arrowhead should be and drag from the tip to the back
of the arrow. An arrow will appear. Rotate your mouse in
a circle to see the arrow pivot, or hold the Shift key down
and move the mouse in a circle to see the arrow move
between cardinal directions (directly north, south, east or
west). Arrows and text are not affected by line width.
Laterality
The Laterality tool is a stamp. Click on the Laterality tool

and then click on the image where you would like the Left
or Right marker to display.
If the Laterality tool is set to the wrong

laterality (i.e. Left instead of Right) left click on
the right half of the Laterality tool to display
the Laterality Selection window. Click on
either Left or Right. The Laterality tool will
display which laterality is currently selected, "L" for left or
"R" for right.
Text
Select the Text tool. The cursor will become a crosshair.
Click and drag a box that you will use to enter

your text.

"Enter Text Here" will be replaced by the text
you type in.
Font
adjust existing text, select (highlight) the text first and then
click on the Font tool to change the font.
Color
Select the color the annotation will display in. To adjust

existing text, select (highlight) the text first and then click
on the Color tool to select a different color.
Transparency
Use the up and down arrows to set the transparency

percentage. The percentage ranges between 100 and 25.
100% is a solid looking form, whereas 25 adjusts the
shape, arrow or text to look washed out. To adjust a
specific shape, arrow or text, click on it first using the arrow
tool, and then change the transparency percentage.
Width
Select the width of the line for a line, freehand, circle or

square before it is drawn. To adjust an existing shape,
click on it first using the arrow tool and then change the
width.
Show/Hide
When the Annotation tool is opened, the default for

Show/Hide is to Show the annotations. Click on the
Show/Hide option to allow the annotations to remain on the
image but not display. Click on the Show/Hide option
again to display the annotations.
Undo Last
Delete the last annotation placed on the currently selected

image.
Or
Click on the annotation and then click on the Trash Can.
Undo All
Delete all of the annotations from the currently selected

image.

Magnifying Glass
Click on the Magnifying Glass tool to open the Magnifying Glass

Click on the desired shape, size, magnification amount and

special effect on the top toolbar and then hold the left mouse
button down as the mouse is moved over the image. The area
under the mouse will be magnified.
Click on the Magnifying Glass tool again to close the Magnifying

Glass toolbar.
If your computer has a touchscreen, an additional button will
display on the right side of the Magnifying Glass Toolbar: . If

it’s green, it represents the right handed touch/stylus. If it’s not
green it represents the left handed touch/stylus.
Crop Image
Click on the Crop Image tool to open the Crop Menu and then
click on your selection from the Crop menu:
Crop Image
Click and drag a square around the section of the image

that you would like to make a second image of. The
original image will split into two images: the entire original
image and the section of the image that was just outlined.
Use the Crop tool alone or with the Stitch tool.
Mask image (polygon) is a manual mask mode. Click on

as many points as you need to, to outline your polygon and
then right click one time to stop the capture process. A
new copy of the image will be created with everything
outside the polygon you outlined inverted (the whites
become black and the blacks become white).
Mask Image (rectangle)
Mask image (rectangle) is a manual mask mode where you

surround the part of the image you’re most interested in
with a rectangle. Click on one corner of the rectangle
you’re about to create, drag to the opposite corner and
release to draw your rectangle. It creates a new copy of
the image with everything outside the rectangle inverted
(the whites become black and the blacks become white).
Note: the arrow head on the Crop Image tool points to the right to draw
attention to a menu instead of a toolbar. Also note that the tool’s icon
and hint display whatever option was last chosen from this menu:
Crop Image
Mask Image (rectangle)
Density Profile
To draw a Density Profile, click and drag from one end of the area
to be profiled to the other end of the area to be profiled. The
Density Profile window will display the density variations in graph
form of the section of the image that the line is crossing.

Image with
marked
section
Density Profile
window
The arrow on the above x-ray points to the density profile line
that’s depicted on the above density chart. The blue vertical line
on the chart corresponds to the middle dot on the density profile
line (on the image). Dragging the triangle at the base of the blue
vertical line on the chart will move the middle dot on the image.
When the blue vertical line moves, the middle dot on the image
also moves.
Click on the Show Grid checkbox to have a grid placed over the
density chart.
Click on the Normalize checkbox to make the top of the line equal
to the highest actual value with the bottom of the line placed at 0.
Line Width smooths out the line. A line width of 0 draws a line
segment for every single pixel. A line width of 10 draws a line
segment for the average of every 10 pixels.

Stitch Images Together
Stitching takes two separate images and merges them into a third
image.
Note: images that can be stitched together must be:

• From the same type of device – both from a phosphor
plate scanner, both from a DR panel, etc.
• Grayscale images
• The same bit depth
Open the two images to be stitched together into the Viewer and
click on the Stitch tool . The Stitch toolbar will display at the top
of the Viewer window.
Click on the two images that will be stitched together to make the
Sizing Dots appear on their corners. Use the Sizing Dots to adjust
the size of each image. When the size of both images is correct
(so that the size of one fits correctly onto the other) drag one
image on top of the other until they are correctly aligned.
At the top of the Viewer window, click on the Auto Blend

down arrow and select the amount of smoothing to apply
to the image, and then click on the Stitch button to join the
two images.
Auto Blend
Auto Blend determines the amount of smoothing that is

applied to the edges of the image that is on top to help
blend the two images together. 10 is the maximum
amount of smoothing that can be applied.
Create a Copy of an Image
Create a Copy of the Image creates a copy of the selected image

with any image adjustments that were applied to it, such as
window leveling and brightness and contrast. Annotations and
measurements are not saved on the copy.
Print Selected Image
When the Print tool is clicked, the Microsoft Print window will open
to allow you to select the printer to print to, the number of copies
to print, etc. Some practice, provider and patient information will
print at the top and bottom of the report.
Negate Image
When the Negate Image tool is clicked, the image areas that were
black become white, and the image areas that were white become
black. Click the Negate Image tool again to return the image to its
previous appearance.
Colorize Image
When the Colorize Tool is clicked, the Colorize Slide Bar appears
on the right hand side of the Viewer window.
Colorizing substitutes colors for the grayscale values of an image.
As an arrow on the Colorize Slide Bar is moved, the grayscale

values circle through the different colors allowing greater contrasts
to appear anywhere in an image. The progression of colors
starting with red, for this example, is red, pink, light blue, dark
blue, purple, dark green, light green, yellow then back to red.
Certain colors, such as yellow to red, transition slowly and
smoothly. Other colors, such as blue to purple to dark green,
transition more quickly and dramatically with greater contrast. The
Colorize Slide Bar is not available for use with a color image.
To return an image to its non-color view, click on the Colorize
Image tool again.
Emboss
When the Emboss tool is clicked, the Emboss toolbar appears at

the bottom of the Image Viewer Window.
is the light, is the object that is being lit up by the light.

Shining a light from different directions creates different shadows.
Changing the image to a more three-dimensional view helps to

emphasize the image edges. To remove the embossed look and
close the Emboss toolbar, click on the Emboss tool again.
Direction
is a light, is the object that is being lit up by the light.

Shining a light from different directions creates different
shadows that can make different edges on the image
stand out more.
Depth
The Depth sets the amount of difference there is between

grayscale values. A large Depth number will cause the
image to look more 3-D than a small Depth number. Depth
settings range from 1 to 10.
Image Contrast Enhancement
Image Contrast Enhancement, also known as ICE, allows the user

to adjust filters that affect how an image appears.

Viewer, any Image Contrast Enhancement changes made to an
image will save to the image.
Assigned Setting Image Contrast Enhancement buttons
Assigned Setting
Selecting an Assigned Setting and then clicking on the

adjacent Edit button opens the same Image Processing

Settings window the Config button opens in the Acquire
window.
Please see the

General Settings
and the

ICE Settings
sections of this manual for how this window works.

Image Contrast Enhancement buttons
There are five ICE buttons that can be configured by the

user. Click on an ICE button to have its settings applied to
the currently selected image in the Viewer. The button will
turn green. To remove the ICE settings, click on the green
ICE button. The green ICE button will change back to gray
signaling that the settings are not applied anymore. Note
that it’s possible to change the names of the five ICE
buttons so when you click on your ICE tool to open
your ICE Toolbar you may see five buttons with totally
different names.
Edit
To adjust the image quality settings each button applies,

click on an Image Contrast Enhancement (ICE) button and
then click on the Edit button to its right. The ICE Settings
window will open so that you can adjust the image quality
settings.
ICE Settings
For an explanation of each setting, please refer to
the Image Processing Settings ICE Settings

Apply
Click on the Apply button to apply the changed ICE
Settings to the selected image.
Cancel
Click on the Cancel button to close the ICE Settings
window without applying or saving any image
quality settings changes made.
Reset
Click on the Reset button to restore the original ICE
Settings this ICE Settings button came with.
Reset Original Image
When clicked, the Reset Original Image button will return the
image to its original appearance at the time the image was
acquired. Measurements and annotations that were previously
saved on the image will not be affected.
Configure Image Overlay Information
Click on this button to decide what, if any, overlay information

(patient name, gender, date of birth, etc.) will display on each
image in the Viewer. The following window will open:
Top Left, Top Right, Bottom Center
If there is information in the box, the information will appear

at that location on the images in the Viewer.

Add Fields
Click in the box for the location (Top Left, Top Right or
Bottom Center) you want the overlay information to appear
on each image, then click on a field button
and click on the information you would like to see

displayed on each image in the Viewer.

Patient Image
Information that can

display in the Overlay
Practice
Provider
When you’re finished making field selections, click

on the Apply button in the lower left corner of the
window.
Optional
If you add Optional to a field, the field information
will display in the overlay only if it exists in the
TigerView database. If you later decide that you
don’t want the information to be Optional, delete the
<optional> and </optional> entries from the field.
To make information optional do one of the
following:
• Highlight all of what you want to not appear
if the information is not in TigerView and
then click on the Optional button.
<optional> should appear before the
information and </optional> should appear
after it.
• Type in <optional> before the information

and type in </optional> after the information.
Examples of entries in the Top Left, Top Right or Bottom Center boxes:

Gender: <Patient.Gender> Will Gender: Female If “Female” is listed for
display the Gender in this
patient’s record
Gender: <Patient.Gender> Will Gender: If Gender is not listed in

display this patient’s record
<optional>Gender: <Patient.Gender></optional> Will If Gender is not listed in

display this patient’s record and
Optional is used
Second example:
Displays like this:

Note: This patient has no Gender entry in her
patient record. Since this field was marked
as Optional, it does not display.
Display Options
Font
Click in the Location Box (Top Left, Top Right or
Bottom Center) first, then click on the Font button to
open the Microsoft Font window where you can
select the Font, Font Style and Font Size for the
information listed at that Location.
Text Color
Click in the Location Box (Top Left, Top Right or
Bottom Center) first, then click on the Text Color
button to open the Microsoft Text Color window
where you can select the color for the text that
appears at that Location.
Hide Overlay Information
By default, Overlay Information displays on the
images in the Viewer. Click on Hide Overlay
Information to turn the button green if you don’t
want the Overlay Information to display on the
images in the Viewer. To make the Overlay
Information reappear, open the Configure Image
Overlay Information window again and then close it
without touching the Hide Overlay Information
button.
Left click and drag the small red dot on the Brightness and
Contrast Tool. Moving the dot causes changes in the brightness
(overall lightness) and contrast (the whites become whiter and the
blacks become blacker) of the image.

Viewer, any Brightness and Contrast changes made to an image
will save to the image.
Window Level
Window leveling changes the focus of the image to either bone or

flesh. Slide the Window Width slider (bottom triangle) up and the
focus changes to the thicker bone. Slide the Window Center
slider (top triangle) down and the focus changes to flesh. Use the
Gamma slider (middle triangle) to bring out the bone or flesh
details. To adjust the image even further, combine Window Level
changes with Brightness and Contrast changes.

Viewer, any Window Level changes made to an image will save to
the image.
LUTs (Presets)
Presets allow predetermined levels of Brightness and Contrast,

Sharpness, etc. to be to be applied to the selected image. Click
on a Preset button to apply the settings to the currently selected
image. Click on the Preset button again to remove the settings.

Viewer, any LUT (Preset) applied to an image will save to the
image.
Color
The Color Tool is only available when the Viewer holds a color
image. A Color number of zero indicates the image has its
original colors. Color numbers below zero (negative numbers)
remove colors. A Color number of negative100 indicates a
grayscale image. Color numbers above zero give the color image
deeper colors. The Color scale is from –100 to 100.
Hue
The Hue Tool is only usable when the Viewer holds a color image.
The Hue scale is from –180 to 180. Changing the hue changes
the shade of each color in the image.
Gamma
Gamma will not change the whitest and blackest grayscale values
in the image. It will, however, change the in-between colors – the
different shades of gray. When the Gamma Slide Bar is slid up,
the in-between colors are darkened. When the Gamma Slide Bar
is slid down, the in-between colors are lightened.
Show/Hide Image Histogram
The Image Histogram window is used in conjunction with the

Window Leveling tool. The Image Histogram displays a graphic
representation of the level of each shade of gray in the image.
Note: the
Exposure Index is
located at the top
of this window.
The three sliders on the Window Level tool correspond with the
three triangles on the Image Histogram window. Slide one of the
sliders on the Window Level tool and the corresponding triangle
on the Image Histogram will move. In this fashion specific shades
of gray can be focused on.
Reset Original Image Processing Settings
Restore the original settings for this image.

How to Drag and Drop an Image
To drag an image
Place the cursor (the arrow that moves on the screen when the mouse is
rolled on a flat surface) on top of the desired image. Press down and
hold the left mouse button. While holding the left mouse button move the
cursor, by sliding the mouse on a flat surface.
To drop an image
To drop an image, release the left mouse button.

A Few Recommendations from the maker of
TigerView Professional . . .
Equipment
Make sure that the equipment used to run TigerView

Professional at the very least meets the minimum
requirements for TigerView Professional as well as for
each acquisition device used. Remember that better
computer equipment (including the monitor and the printer)
and acquisition devices result in better images. Image
printouts should be made on high quality printers such as
those made by HP and Epson using photo paper.
Backups
Make a backup of your database and image files daily. We

also strongly recommend that you use multiple backup
media. For example, if you are backing up your files to
disks, use a different disk for each day of the week plus a
set of disks for each month end. By using multiple media
in this way you reduce the risk of copying a damaged file
over your only good backup.
Training
There is no substitute for investing in good hands-on

training. As staff is added, make a practice of having the
employee with the strongest knowledge of TigerView
Professional completely train the new employee. In
addition, make sure the TigerView Professional manual is
easily accessible by all employees, and strongly consider
purchasing a yearly support contract, which provides you
with TigerView Professional support over the telephone.
Internet Access
Image files are large. If you intend to transfer them using

the Internet (using, for example, email with the images sent
as attachments) high speed Internet access is preferred.
Office Phones
Please have at least one cordless phone or cell phone

available for use by the office staff for making support calls

TigerView 8 Short Guide
What TigerView 8 folders to backup
The makers of TigerView 8 recommend that the TigerView database and images be stored on
the network server and backed up nightly. There are many different backup schemes and
software. Which is employed is up to the user.
To locate the folder(s) to backup:
• Open TigerView 8
• Click on the TigerView 8 Options button on the Main window under the Images side.
• The Images Folder box displays the path to the images, certificates, graphics, LUTs and
Viewer. Go up one level and you should be in the folder that holds the Images folder
and the MSSQL10_50.TIGERVIEW8 folder where the database is kept. Backup the
ENTIRE parent folder (the folder that has the Images folder and the
MSSQL10_50.TIGERVIEW8 folder inside it). If the MSSQL10_50.TIGERVIEW8 folder
is not in the same folder as the Images folder you’ll have to search for it. The two files
that make up the database are TigerView8.mdf and TigerView8_log.ldf.
If you have questions, call TigerView Technical Support at 1-800-385-9593.

How to Burn Images to a CD
1. Open TigerView 8, select a user, and login.
2. Click on the patient in the Patient List who has images you need to burn on a CD, DVD or
BluRay disk.
3. Put a new CD, DVD or BluRay disk in the disk drive.
4. Left click one time on each image that needs to be burned on the disk.
5. Right click once on any one of the images you just left clicked on in step 4 to open the
Images Right Click Menu.
6. Rest your cursor over File and then click on Export to open the Export Window:
7. Click on the CD/DVD/BluRay tab at the top of the window.
8. The images you are about to burn to a CD are on the right under Images.
9. Check the File Options on the left to make sure they’re what you want. What is shown in the
above window is generally what you’ll want to use.
10. In the middle section, make sure you have the correct drive selected. Most of the time you’ll
probably burn images for one patient to one disk so putting a check mark in Close Media is
correct. If you’re going to add images from other patients, don’t check Close Media until
you’re about to burn your final image to the CD. Leave Eject When Finished checked.
11. Click on the Export button and wait for the disc drive to pop open. For more information,
refer to page 128 in this
manual.

Acquire Images Using an Atlaim Panel
1. On the computer that’s connected to the Atlaim panel, open TigerView 8, select a user, and
log in.
2. In the Patient List, click on the patient who needs x-rays.
3. Make sure the Atlaim is plugged into your computer and turned on.
4. At the bottom of the Images side of the TigerView 8 Main window are buttons that
show all of the ways this computer can acquire images. Import is always available and
is always on the far left side of this section of buttons. Click on the button to the right
of Import for the Atlaim.
5. IF YOU HAVE a Modality Worklist DICOM Server set up, the first window that opens will be
the Modality Worklist Window. If you need help with how to use the Modality Worklist, turn
to the following section of this manual:
Images Side
6. IF YOU HAVE DICOM turned on and Prompt for Study Information selected in the
TigerView 8 Options DICOM window, the next window that opens will be the DICOM
Information window. If it appears, fill it out the way your office has instructed you to. If you
need extra help with this window, turn to the following section of this manual:
Images Side
Images Right Click Menu Note: anything that
Image Information uses an arrow
Edit DICOM Info refers to the Table of
Contents in this
7. The Acquire window opens: TigerView 8 manual.

8. Check the following:
A. Is this the correct patient?
B. If you’re going to use an Image Series, is this the correct Series?
C. Did you select the Region of the x-ray you will be taking?
D. Did you select the Laterality of the x-ray you will be taking?
E. Did you select the View Position of the x-ray you will be taking?
F. Does the Status say “Ready…”?
9. If everything in step 8 above is correct, position your patient and:

A. If the Status (“C” on the image above) says “Ready” click on Start at the bottom of
the window.
B. When the Status says “Waiting for x-ray” shoot your x-ray. You have 5 seconds to
shoot your x-ray. If you run out of time, click on the Start button and you’ll get 5
more seconds.
C. After you shoot your x-ray, the Status will change to “Checking for image”, then
“Processing image” and then the image will appear in the Current Image Box in the
center of the Acquire window and in the Images column on the right.
D. Repeat steps 8 and 9 to take another x-ray.
10. At this point you can do any of the following:
• Select the Region, Laterality and View Position for the next image and then click on
the Start button to acquire another image.
• Select the Region, Laterality and View Position for an image and then click on the
Add button to create an empty Image Box that has those settings. You’ll shoot the x-
ray that will go into this Image Box in a little while.
• Click on Start to acquire an image into the first empty Image Box you currently have
setup.

• Adjust any Image Box settings that are incorrect following the instructions in the
following section of this manual:
Images Side
Edit an Image Box
• Click on an image to open it into the Current Image Box to check it.
• Save any image(s) you have already acquired using either:
A. The Finish button, which will save your images, delete any unused Image
Boxes, and close the Acquire window.
B. The Finish & Send button (only available if a DICOM server or printer is
set up for an Auto Send), which will save your images to TigerView,
DICOM Send your images to any DICOM server or printer `setup for Auto
Send, delete any unused Image Boxes, and close the Acquire window.
C. The Image Box Right Click Menu. Click on any images in the Images
column of the Acquire Window that you want to save RIGHT NOW before
you finish taking the rest of your x-rays, then right click on any of the
images you just left clicked on and click on Accept Selected. The images
you selected will be saved and available for viewing on other computers
but the Acquire Window won’t close, you won’t lose any unused Image
Boxes you might have, and you can just keep taking x-rays. Use Accept
& Send Selected instead of Accept Selected if you also want to DICOM
Send your images to a PACS or a DICOM printer.

Acquire Images using a CareView Panel
1. On the computer that’s connected to the CareView panel, open TigerView 8, select a user,
and log in.
2. In the Patient List, click on the patient who you need to acquire images for.
3. Make sure the CareView Panel is plugged into your computer and on.
4. At the bottom of the Images side of the TigerView Main window are buttons that show
all of the ways this computer can acquire images. Import is always available and is
always on the far left side of this section of buttons. Click on the button to the right of
Import for the CareView.
Images Side
Images Side
Note: anything that
Image Information
uses an arrow
Edit DICOM Info
refers to the Table of
Contents in this
7. The Acquire window opens:
TigerView 8 manual.

8. Check the following on the TigerView Acquire window:
B. If you’re going to use an Image Series, is this the correct Series?
C. Does the Status say “Ready”?
If the Status Bar is yellow it means the computer sees the CareRay panel. If you
have Auto-Rearm on, you won’t see this yellow Status Bar, you’ll only see a
green one.
D. Did you click on the Region of the x-ray you will be taking?
E. Did you click on the Laterality of the x-ray you will be taking?
F. Did you click on the View Position of the x-ray you will be taking?

A. If the Status (“C” on the image above) says “Ready” click on Start.
B. When the Status says “Waiting for x-ray” shoot your x-ray. Depending on how
your panel is setup, you may only have 5 seconds to shoot your x-ray. If you run
out of time, click on the Start button and you’ll get 5 more seconds.
“Processing image” and then the image will appear in the Current Image Box in
the center of the Acquire window and in the Images column on the right.
D. Repeat these steps 8 and 9 to take another x-ray.
• Select the Region, Laterality and View Position for the next x-ray and then click on
the Start button to acquire another image.
• Select the Region, Laterality and View Position for an x-ray and then click on the Add
button to create an empty Image Box that has those settings. You’ll shoot the x-ray
that will go into this Image Box in a little while.

setup.
Images Side
Edit an Image Box
DICOM Send your images to any DICOM server or printer setup for Auto
you selected will be saved and available for viewing on other computers
Send your images to a PACS or a DICOM printer.

Acquire Images Using a FireCR
1. On the computer that’s connected to the FireCR, open TigerView 8, select a user, and log
in.
3. Make sure the FireCR is turned on.
4. At the bottom of the Images side of the TigerView Main window are buttons that
show all of the ways this computer can acquire images. Import is always available
and is always on the far left side of this section of buttons. To the right of Import,
click on the FireCR button.
Images Side
Images Side
Contents in this


B. Does the Status say “Ready…”?
C. Is the correct Resolution selected?
D. If you use an Image Series, is this the correct Image Series selected?
E. Click on the Region for the x-ray you are about to scan.
F. Click on the Laterality for the x-ray you are about to scan.
G. Click on the View Position for the x-ray you are about to scan.
9. If everything in #8 above is correct:
A. Click the Start button at the bottom of the Acquire window.

B. Remove the plate from its envelope.
C. Gently push the plate into the FireCR with the light side of the plate facing up
following the manufacturer’s instructions.
D. The Status will change to “Initializing”
E. The image will appear in the Images column on the right side of the Acquire window
and in the Current Image Box.
F. The plate will eject so you can remove it and put it in a new envelope.
G. To acquire another image, repeat steps 8 and 9.
the Start button to scan another plate.
Add button to create an empty Image Box that has those settings. You’ll scan the
plate with the image that will go into this Image Box in a little while.

setup.
Images Side
Edit an Image Box
• Click on an image to open it into the Current Image Box so you can check it.
you finish scanning the rest of the plates, then right click on any of the
you selected will be saved and available for viewing on other computers,
Boxes you might have, and you can just keep taking x-rays and scanning
plates. Use Accept & Send Selected instead of Accept Selected if you
also want to DICOM Send your images to a PACS.
Note: FireCR & FireCR Flash have 2 scan settings.

The image’s DPI, which is used for calibrating, is based
on which scan setting is selected.

Acquire Images Using a Flatbed Scanner
1. On the computer that’s connected to the flatbed scanner, open TigerView 8, select a user,
and log in.
3. Make sure the flatbed scanner is turned on.
and is always on the far left side of this section of buttons. Click on the Flatbed
Scanner button to the right of Import.
Images Side
Images Side
Contents in this

B. If you use Image Series, is this the correct Series?
C. Does the Status say “Ready…”?
D. Is this the correct flatbed scanner, and image type? The Image Type refers to what
you are scanning.
E. Did you select the correct Region for this image?
F. Did you select the correct Laterality for this image?
G. Did you select the correct View Position for this image?

A. Open the scanner lid.
B. Put your film, photo or document on the scanner bed.
C. Close the scanner lid.
D. Click on the Start button on the TigerView Acquire Flatbed Scanner window. At this
point, most Flatbed Scanners have their own window that will open. Use this window
according to the manufacturers instructions.
E. The scanner will pass TigerView the image, which will appear in the Current Image
Box in the center of the Acquire window and in the Images column on the right.
F. To acquire another image, repeat steps 8 and 9.
• Select the Region, Laterality and View Position for the next scan, and then scan your
film, photo or document.
• Select the Region, Laterality and View Position for the next film, photo or document
and then click on the Add button to create an empty Image Box that has those

settings. You’ll scan the film, photo or document that will be placed in that Image
Box in a little while.
• Scan a film, photo or document to acquire an image into the first empty Image Box
you currently have setup.
Images Side
Edit an Image Box
• Left click one time on an image to open it in the Current Image Box to check it.
A. The Finish button, which will save your images, delete any unused Image Boxes,
and close the Acquire window.
B. The Finish & Send button (only available if a DICOM server or printer is set up for
an Auto Send), which will save your images to TigerView, DICOM Send your
images to any DICOM server or printer setup for Auto Send, delete any unused
Image Boxes, and close the Acquire window.
C. The Image Box Right Click Menu. Click on any images in the Images column of
the Acquire Window that you want to save RIGHT NOW before you finish
scanning the rest of your photos, film and documents, then right click on any of
the images you just left clicked on, and click on Accept Selected. The images
you selected will be saved and available for viewing on other computers but the
Acquire Window won’t close, you won’t lose any unused Image Boxes you might
have, and you can just keep scanning photos, film and documents. Use Accept
& Send Selected instead of Accept Selected if you also want to DICOM Send
your images to a PACS or a DICOM printer.

Acquire Images Using a Fuji Panel
1. On the computer connected to the Fuji panel, open TigerView 8, select a user, and log in.
3. Make sure the Fuji panel is turned on.
click on the Fuji button.
Images Side
Images Side Note: anything that

Images Right Click Menu uses an arrow
Image Information refers to the Table of
Edit DICOM Info Contents in this
TigerView 8 manual.
7. The Acquire window opens:


C. If you use the Image Series feature, is this the correct template?
D. Did you select the Body Part for the image you’re about to acquire?
E. Did you select the Laterality for the image you’re about to acquire?
F. Did you select the View Position for the image you’re about to acquire?
A. Position your patient in front of the panel.

B. Click the Start button at the bottom of the Acquire window.
C. After the Status changes to “Waiting for x-ray”, shoot your x-ray.
D. The Fuji will acquire the image and then pass it to TigerView where it will appear in
the Current Image Box in the center of the Acquire window and in the Images column
on the right.
E. To acquire another image, repeat steps 8 and 9.
• Select the Body Part, Laterality and View Position for the next image and then click
on the Start button to acquire another image.
• Select the Body Part, Laterality and View Position for an image and then click on the
Add button to create an empty Image Box that has those settings. You’ll acquire the
image that will go into this Image Box in a little while.
setup.

Images Side
Edit an Image Box
• Click on an image to open it in the Current Image Box to check it.
you selected will be saved and available for viewing on other computers,
Send your images to a PACS or DICOM printer.

Acquire Images Using an iCRco
1. On the computer that’s connected to the iCRco, open TigerView 8, select a user, and log in.
3. Make sure the iCRco is turned on.
and is always on the far left side of this section of buttons. Click on the iCRco button
that’s to the right of Import.
Images Side
Images Side
Contents in this

B. If you use Image Series, is this the correct Series?
D. Is this the correct scanner, cassette size and line pair?
E. Did you select the correct Body Part for the x-ray on the plate?
F. Did you select the correct Laterality for the x-ray on the plate?
G. Did you select the correct View Position for the x-ray on the plate?

A. Shoot your x-ray.
B. Place your cassette in the iCRco Scanner following the manufacturer’s directions.
C. The iCRco will pass TigerView the image, which will appear in the Current Image
Box in the center of the Acquire window and in the Images column on the right.
D. The cassette will return to the iCRco home position where you can remove it from
the iCRco and shoot another x-ray on it.
E. To process another plate, repeat steps 8 and 9.
• Select the Body Part, Laterality and View Position for the next x-ray and then scan
the plate that has that x-ray on it.
• Select the Body Part, Laterality and View Position for an x-ray and then click on the
Add button to create an empty Image Box that has those settings. You’ll scan the
plate that will place the x-ray in that Image Box in a little while.
• Scan a plate to acquire an image into the first empty Image Box you currently have
setup.

Images Side
Edit an Image Box
B. The Finish & Send button (only available if a DICOM server or printer is set
up for an Auto Send), which will save your images to TigerView, DICOM
Send your images to any DICOM server or printer setup for Auto Send,
C. The Image Box Right Click Menu. Click on any images in the Images column
of the Acquire Window that you want to save RIGHT NOW before you finish
scanning the rest of your plates, then right click on any of the images you just
left clicked on, and click on Accept Selected. The images you selected will
be saved and available for viewing on other computers but the Acquire
Window won’t close, you won’t lose any unused Image Boxes you might
have, and you can just keep taking x-rays and scanning plates. Use Accept
your images to a PACS.

Acquire Images using a Naomi Panel
1. On the computer that’s connected to the Naomi panel, open TigerView 8, select a provider,
and log in.
2. In the Patient List, click on the patient you need to acquire images for.
3. Check the lights on the Naomi panel:

There are four lights on the lower right
corner of the front of the Naomi:
Power – needs to be on.
USB – on if the Naomi and the computer are
talking to each other.
Standby – turns on when the TigerView
Acquire window opens to show that the
Naomi is ready to acquire an x-ray.
Complete – the Naomi finished processing
an x-ray.
4. At the bottom of the Images side of the TigerView `Main window are buttons that
and is always on the far left side of this section of buttons. Click on the Naomi
button that’s to the right of Import.
Images Side
Images Side
Image Information
Edit DICOM Info
Note: anything that uses an arrow refers to

the Table of Contents in this TigerView 8 manual.
7. The Acquire window will open:

B. Does the Status say “Initializing” and then “Ready…”?
C. Is the correct panel selected?
D. If you’re going to use an Image Series, is this the correct Series?
E. Did you select the Region that matches the x-ray you will be taking?
F. Did you select the Laterality that matches the x-ray you will be taking?
G. Did you select the View Position that matches the x-ray you will be taking?
H. Is the Standby light on the front of the Naomi on?
9. If everything in step 8 above is correct, position your patient for

the x-ray, click on the Start button at the bottom of the
TigerView Acquire window, wait for the “Expose X-rays Now”
window to open, and then shoot your x-ray.
10. After you shoot your x-ray, the Status will change to
“Checking for image”, then “Processing image” and then
the image will appear in the Current Image Box in the
center of the Acquire window and in the Images column
on the right.
11. Repeat steps 8, 9 and 10 to acquire another image.
• Select the Region, Laterality and View Position for the next x-ray and then click on
the Start button to acquire an x-ray into an Image Box that has the settings you just
selected.

• Select the Region, Laterality and View Position for an x-ray and then click on the Add
button to create an empty Image Box that’s preloaded with those settings.
• Acquire an image into the first empty Image Box you currently have setup.
Images Side
Edit an Image Box
• Save any image(s) you have already acquired using either
images you just left clicked on, and click on Accept Selected. The
images you selected will be saved and available for viewing on other
computers but the Acquire Window won’t close, you won’t lose any
unused Image Boxes you might have, and you can just keep taking x-
rays. Use Accept & Send Selected instead of Accept Selected if you also
want to DICOM Send your images to a PACS or a DICOM printer.

Acquire Images Using a PerkinElmer Panel
1. On the computer that’s connected to the PerkinElmer, open TigerView 8, select a user, and
log in.
3. Make sure the PerkinElmer panel is turned on.

On the side of the panel, the Power Button turns blue when the panel is on.
(The Control Box should have a light for AC Input, which means it’s getting power
from the wall outlet, and a light for DC Output, which means it’s sending power to
the panel).
and is always on the far left side of this section of buttons. Click on the PerkinElmer
button to the right of Import.
the Modality Worklist Window. If it appears, fill it out the way your office has instructed you
to. If you need help with how to use the Modality Worklist, turn to the following section of this
manual:
Images Side
6. IF YOU HAVE Prompt for Study Information selected on your TigerView 8 Options
DICOM window, the DICOM Information window will open next. If you need extra help with
this window, turn to the following section of this manual:
Images Side
Image Information
Note: anything
Edit DICOM Info
that uses an arrow
refers to the
Table of Contents
in this manual.

A. The Status should say “Initializing Detector” with a red status bar, then “Preparing
Exposure” with a yellow status bar, and then “Waiting for x-rays” with a green status
bar.
B. Is this the correct patient?
C. If you use an Image Series, is this the correct template?
D. Is this the correct Region for this x-ray?
E. Is this the correct Laterality for this x-ray?
F. Is this the correct View Position for this x-ray?
9. If everything in step 8 above is correct:

A. Position your patient, click on Start, and shoot your x-ray.
B. The Status will change to “Processing image” and then the image will appear in the
Current Image Box in the center of the Acquire window and in the Images column on
the right.
C. The Status will change to “Preparing Exposure” with a yellow status bar, and then
“Waiting for x-rays” with a green status bar in preparation for another x-ray.
D. Repeat these steps 8 (B through F) and 9 to take another x-ray.
• Select the Region, Laterality, and View Position for the next image and then shoot
that x-ray.
• Select the Region, Laterality, and View Position for an image and click on the Add
button to create an empty Image Box with those settings. You can take this x-ray
any time before you close the Acquire window.
• Shoot an x-ray that will go into the first empty Image Box you currently have setup.
Images Side
Edit an Image Box
• Left click one time on an image in the Images column to open it into the Current
Image Box to check it.
taking x-rays, then right click on any of the images you just left clicked on and
click on Accept Selected. The images you selected will be saved and
available for viewing on other computers, but the Acquire Window won’t
close, you won’t lose any unused Image Boxes you might have, and you can
just keep taking x-rays. Use Accept & Send Selected instead of Accept
Selected if you also want to DICOM Send your images to a PACS or a
DICOM printer.

Acquire Images Using a Rayence Panel
1. On the computer that’s connected to the Rayence, open TigerView 8, select a user, and log
in.
3. Make sure the Rayence panel is turned on.
4. At the bottom of the Images side of the TigerView `Main window are buttons that
and is always on the far left side of this section of buttons. Click on the Rayence
button to the right of Import.
the Modality Worklist Window. If it appears, fill it out the way your office has instructed you
to. If you need help with how to use the Modality Worklist, turn to the following section of this
manual:
Images Side
DICOM window, the DICOM Information window will open next. If you need extra help with
this window, turn to the following section of this manual:
Images Side
Edit DICOM Info refers to the Table
of Contents in this
7. The Acquire window will open: TigerView 8 manual.

C. If you use an Image Series, is this the correct template?
D. Is this the correct Region for this image?
E. Is this the correct Laterality for this image?
F. Is this the correct View Position for this image?

A. If the Status (“B” on the image above) says “Ready” click on Start.
B. When the Status says “Waiting for x-ray” shoot your x-ray. Depending on how your
panel is setup, you may only have 5 seconds to shoot your x-ray. If you run out of
time, click on the Start button and you’ll get 5 more seconds.
D. Repeat steps 8 and 9 to take another x-ray.
• Select the Region, Laterality and View Position for the next image and then shoot
that x-ray.
• Select the Region, Laterality and View Position for an image and click on the Add
button to create an empty Image Box with those settings. You can take this x-ray
any time before you close the Acquire window.
• Shoot an x-ray that will go into the first empty Image Box you currently have setup.

Images Side
Edit an Image Box
• Left click one time on an image in the Images column to open it into the Current
Image Box to check it.
taking x-rays, then right click on any of the images you just left clicked on,
and click on Accept Selected. The images you selected will be saved and
available for viewing on other computers but the Acquire Window won’t close,
you won’t lose any unused Image Boxes you might have, and you can just
keep taking x-rays. Use Accept & Send Selected instead of Accept Selected
if you also want to DICOM Send your images to a PACS or a DICOM printer.

Acquire Images Using a ScanX Scanner
1. On the computer that’s connected to the ScanX Scanner, open TigerView 8, select a user,
and log in.
3. Make sure the ScanX is turned on.
and is always on the far left side of this section of buttons. To the right of the Import
button, click on the ScanX button.
Images Side
DICOM window, the DICOM Information window will open next. If it appears, fill it out the
way your office has instructed you to. If you need extra help with this window, turn to the
Images Side
Contents in this

B. Does the Status say “Ready…” and are the green lights green where you want
them?
C. Did you select the correct Scan Parameter for the x-ray on this plate?
D. If you use an Image Series, is this the correct series?
E. Is this the correct Region for the x-ray you are about to scan?
F. Is this the correct Laterality for the x-ray you are about to scan?
G. Is this the correct View Position for the x-ray you are about to scan?

A. Remove the plate from the cassette.
B. Feed the plate into the ScanX following the manufacturer’s directions.
C. The image will appear in TigerView in the Images column on the right side of the
Acquire window and in the Current Image Box in the center.
D. When the plate is ejected from the ScanX, put it back in its cassette.
E. Repeat steps 8 and 9 to acquire another image.
• Select the Region, Laterality and View Position for the next image and then scan the
plate that has an x-ray with those settings.
• Select the Region, Laterality and View Position for an image and click on the Add
button to create an empty Image Box with those settings. You’ll scan the plate that
will fill that Image Box in a little while.
• Scan a plate to acquire an image into the first empty Image Box you currently have
setup.

Images Side
Edit an Image Box
• Left click one time on an image to open it into the Current Image Box to check it.
scanning the rest of your plates, then right click on any of the images you just
left clicked on and click on Accept Selected. The images you selected will
have, and you can just keep taking x-rays and scanning plates. Use Accept
your images to a PACS or a DICOM printer.

Acquire Images using a Toshiba Panel
1. On the computer that’s connected to the Toshiba panel, open TigerView 8, select a user,
and log in.
3. Make sure the Toshiba panel and control box are on.
and is always on the far left side of this section of buttons. To the right of the Import
button, click on the Toshiba button.
Images Side
Images Side
Note: anything that
uses an arrow
Image Information
refers to the Table of
Edit DICOM Info
Contents in the
TigerView 8 manual.

B. Does the Status say “Waiting for x-ray…”?
C. Is the correct panel selected?
D. If High Sensitivity is wanted, is it on?
E. Are these settings OK for the Toshiba panel?
F. If you’re going to use an Image Series, is this the correct template?
G. Did you select the Region for the x-ray you will be taking?
H. Did you select the Laterality for the x-ray you will be taking?
I. Did you select the View Position for the x-ray you will be taking?
9. There are three lights on the side of the Toshiba:
Power – this light need to be on.

Link – This light should be blue. This is the Ethernet connection to the network.
Busy – green means the panel is initialized and ready for use. The panel initializes
when you click on the Start button on the Acquire window.
10. If everything in step 8 is correct and the green light is showing on the panel:
A. Position your patient for the x-ray.
B. When the computer sees the Toshiba panel the Status will say “Ready”. You need
to wait for the Status to change to “Waiting for x-ray…”. You may have to click the
Start button for this to happen.
C. Once the Status is “Waiting for X-ray…”, shoot the x-ray.
D. The Status will change to “X-ray Detected” and then “Processing image”.
E. The image will appear in TigerView in the Current Image Box in the center of the
Acquire window and in the Images column on the right
F. The Status will change back to “Ready” and another image can be acquired. Repeat
steps 8, 9, and 10 to acquire another image.

• Select the Region, Laterality, and View Position for the next x-ray and then click
on the Start button to acquire an image into an Image Box with those settings.
• Select the Region, Laterality, and View Position for an x-ray and then click on the
Add button to create an empty Image Box that’s preloaded with those settings.
• Acquire an image into any empty Image Box you currently have setup.
Images Side
Edit an Image Box
• Left click one time on an image to open it into the Current Image Box to check it.
• Save any image(s) you have already acquired using either
you finish taking x-rays, then right click on any of the images you just left
clicked on and click on Accept Selected. The images you selected will
have, and you can just keep taking x-rays. Use Accept & Send Selected
instead of Accept Selected if you also want to DICOM Send your images
to a PACS or a DICOM printer.

Acquire Images Using a Device that has a

TWAIN Driver
1. On the computer that’s connected to the TWAIN device, open TigerView 8,

select a user, and log in.
2. In the Patient List, click on the patient you want to acquire images for.
3. Make sure the device that uses a TWAIN driver is turned on.
click on the TWAIN button.
Images Side
Images Side
Contents in this


B. Is this the correct TWAIN driver?
C. Does the Status say “Ready…” and is the Status Bar green?
D. If you use an Image Series, is this the correct series?
E. Click on the Region for the image you are about to acquire.
F. Click on the Laterality for the image you are about to acquire.
G. Click on the View Position for the image you are about to acquire.
9. If everything in step 8 is correct:
A. Position your patient for an x-ray.

B. Click on the Start button at the bottom of the TigerView Acquire window.
Note: the window the TWAIN driver usually opens at this point is different for
different TWAIN devices. Follow the instructions provided by the manufacturer of
your TWAIN device for how to use this window.
C. The image should appear in TigerView in the Current Image box in the center of the
Acquire window and in the Images column on the right side.
D. The Status will change back to “Ready” and another image can be acquired.
E. Repeat steps 8 and 9 to acquire another image.
10. After the image appears in TigerView, you can do any of the following:
• Select the Region, Laterality and View Position for the next image and then acquire
that image.
the Add button to create an empty Image Box with those settings. You’ll acquire the
image that will fill that Image Box in a little while.
• Acquire an image into the first empty Image Box you currently have setup.
Images Side
Edit an Image Box
delete any unused Image Boxes, and close the Acquire window. Rest your
cursor over the Finish button to make the Finish & Save option appear.
on the Acquire Window that you want to save RIGHT NOW before you finish
acquiring the rest of your images, and then right click on any of the images
you just left clicked on and click on Accept Selected. The images you
selected will be saved and available for viewing on other computers but the
Acquire Window won’t close, you won’t lose any unused Image Boxes you
might have, and you can just keep acquiring images. Use Accept & Send
Selected instead of Accept Selected if you also want to DICOM Send your
images to a PACS or a DICOM printer.

Acquire Images Using a Varian Panel
1. On the computer that’s connected to the Varian, open TigerView 8, select a user, and log in.
2. In the Patient List, click on the patient you’ll be acquiring images for.
3. Make sure the Varian panel is on.
click on the Varian button.
Images Side
Images Side
Image Information
Edit DICOM Info
Note: anything that uses an arrow refers to the Table of Contents in this
TigerView 8 manual.

B. If you use the Image Series feature, is this the correct series?
C. Does the Status say “Ready…” or “Waiting for x-ray”?
D. Is the selected Region correct for the x-ray you will be taking?
E. Is the selected Laterality correct for the x-ray you will be taking?
F. Is the selected View Position correct for the x-ray you will be taking?
9. If everything in step 8 above is correct:

A. Position your patient.
B. Click on Start at the bottom of the window.
C. When the Status says “Waiting for x-ray” shoot your x-ray. Depending on how your
panel is setup, you may only have 5 seconds to shoot your x-ray. If you run out of
time, click on the Start button and you’ll get 5 more seconds.
D. After you shoot your x-ray, the Status will change to “X-ray Detected”, then
“Processing image”, and then the image will appear in the Current Image Box in the
E. Repeat these steps 8 and 9 to take another x-ray.
• Select the Region, Laterality and View Position for the next film and then scan in that
film.
Add button to create an empty Image Box with those settings. You’ll scan the film
that will fill that Image Box in a little while.
• Scan a film to acquire an image into the first empty Image Box you currently have
setup.
Images Side
Edit an Image Box
• Click on an image to open it in the Current Image Box to check it.
on the Acquire Window that you want to save RIGHT NOW before you finish
taking the rest of your x-rays, then right click on any of the images you just
left clicked on and click on Accept Selected. The images you selected will be
saved but the Acquire Window won’t close, you won’t lose any unused Image
Boxes you might have, and you can continue taking x-rays. Use Accept &
Send Selected instead of Accept Selected if you also want to DICOM Send
your images to a DICOM server or DICOM printer that is set up for an Auto
Send.

Acquire Images Using a Vidar Film Digitizer
Note: the computer should be OFF when you turn the Vidar on. When you turn on the Vidar,
the light on the front of the Vidar will flash blue for a few minutes and then turn solid green, at
which point you can turn on the computer. For the best performance, allow the Vidar to warm
up for 30 minutes before you use it.
To turn off the Vidar, turn the computer off first.
1. On the computer that’s connected to the Vidar, open TigerView 8, select a user, and log in.
2. In the Patient List, click on the patient you’ll be scanning film for.
click on the Vidar button.
Images Side
Images Side
Image Information
Edit DICOM Info
Note: anything that uses an arrow refers to the Table of Contents in this
TigerView 8 manual.

B. If you use the Image Series feature, is this the correct series?
D. Is the Resolution, number of films you’re about to scan, and Quality settings correct?
E. Is the selected Region correct for the next film scan?
F. Is the selected Laterality correct for the next film scan?
G. Is the selected View Position correct for the next film scan?
H. Is the little green light on the front of the Vidar itself on?

A. Feed your film into the Vidar Scanner following the manufacturer’s directions. The
film will be sucked in a little and then pushed back out a little at which point you
should click on the Start button on the TigerView window.
B. As the film is being read, the Status will change to “Checking for image”, then
C. The Status will change back to “Ready” and another image can be acquired.
D. Repeat these steps 7 and 8 to take another x-ray.
Note: the Vidar can’t scan individual film smaller than 6” wide x 4” long. Place smaller films
in a Vidar film holder and then feed the holder into the Vidar.
• Select the Region, Laterality and View Position for the next film and then scan in that
film.

Add button to create an empty Image Box with those settings. You’ll scan the film
that will fill that Image Box in a little while.
• Scan a film to acquire an image into the first empty Image Box you currently have
setup.
Images Side
Edit an Image Box
scanning the rest of the film, then right click on any of the images you just left
clicked on and click on Accept Selected. The images you selected will be
saved and available for viewing on other computers, but the Acquire Window
won’t close, you won’t lose any unused Image Boxes you might have, and
you can just keep scanning film. Use Accept & Send Selected instead of
Accept Selected if you also want to DICOM Send your images to a PACS.

Acquire Images Using a Video Device
Please turn to the following section of this manual:

Images Side
Acquire Video

For questions about TigerView that
are not answered in this manual,
please call the TigerView Support
Line at 1-800-385-9593 from 8:00
AM EST to 4:00 PM PST, Monday
– Friday except for a few holidays.
11/30/17
8.2

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TigerView Medical / Chiropractic 8.2 Manual Page 2

A QUICK START TO LEARNING YOUR WAY AROUND TIGERVIEW 8 .............................. 15

OPEN TIGERVIEW 8 ........................................................................................................... 23

SELECT YOUR USER NAME .............................................................................................. 24

MAIN WINDOW ................................................................................................................... 25

TigerView Medical / Chiropractic 8.2 Manual Page 3

IMAGE PROCESSING SETTINGS..................................................................................... 208

IMAGE SERIES ................................................................................................................. 251

VIEW WINDOW ................................................................................................................. 265

HOW TO DRAG AND DROP AN IMAGE ........................................................................... 348

A FEW RECOMMENDATIONS FROM THE MAKER OF TIGERVIEW PROFESSIONAL . . . 349

WHAT TIGERVIEW 8 FOLDERS TO BACKUP .................................................................. 350

HOW TO BURN IMAGES TO A CD ................................................................................... 351

ACQUIRE IMAGES USING AN ATLAIM PANEL................................................................ 352

ACQUIRE IMAGES USING A CAREVIEW PANEL............................................................. 355

ACQUIRE IMAGES USING A FLATBED SCANNER.......................................................... 361

ACQUIRE IMAGES USING A FUJI PANEL........................................................................ 364

ACQUIRE IMAGES USING AN ICRCO .............................................................................. 367

ACQUIRE IMAGES USING A NAOMI PANEL.................................................................... 370

ACQUIRE IMAGES USING A PERKINELMER PANEL ...................................................... 373

ACQUIRE IMAGES USING A RAYENCE PANEL .............................................................. 376

ACQUIRE IMAGES USING A SCANX SCANNER.............................................................. 379

ACQUIRE IMAGES USING A TOSHIBA PANEL................................................................ 382

ACQUIRE IMAGES USING A VARIAN PANEL .................................................................. 388

ACQUIRE IMAGES USING A VIDAR FILM DIGITIZER ...................................................... 391

ACQUIRE IMAGES USING A VIDEO DEVICE ................................................................... 394

TigerView Medical / Chiropractic 8.2 Manual Page 14

Double click on the TigerView shortcut on your desktop.

Click on the Start button.

TigerView Medical / Chiropractic 8.2 Manual Page 15

Click on the Add button at the bottom of the Patient List.

TigerView Medical / Chiropractic 8.2 Manual Page 16

TigerView Medical / Chiropractic 8.2 Manual Page 17

4. Try acquiring an image:

TigerView Medical / Chiropractic 8.2 Manual Page 18

5. Take a look at the Image Viewer window:

TigerView Medical / Chiropractic 8.2 Manual Page 19

TigerView Medical / Chiropractic 8.2 Manual Page 20

TigerView Medical / Chiropractic 8.2 Manual Page 21

6. Take a look at the Images Right Click Menu:

Rest your cursor over each of

TigerView Medical / Chiropractic 8.2 Manual Page 22

On your desktop, double click on the TigerView 8 icon.

On your desktop, click on the Start button

Click on Programs or All Programs

Click on TigerView 8 from your list

and then click on TigerView 8

The TigerView 8 Login window will open:

TigerView Medical / Chiropractic 8.2 Manual Page 23

The first TigerView window that opens is the Login Window.

Note: a “down arrow” or “up arrow” is actually an arrow head: and

TigerView Medical / Chiropractic 8.2 Manual Page 24

Note: the digital imaging device section of this window will

The Main TigerView window is broken up into two sections:

A patient is selected, added, deleted, or has his

Right Side Images TigerView setup information (such as User and