Radiantmanual-2020 2

RadiAnt DICOM Viewer
User manual
Version 2020.2
11/9/2020
https://www.radiantviewer.com
Copyright © 2009-2020 Medixant.
All rights reserved.
Table of contents 3
Table of contents
1 Welcome to RadiAnt DICOM Viewer 8

1.1 Features
................................................................................................................................... 9
1.2 System requirements

................................................................................................................................... 13
1.3 Installation
................................................................................................................................... 14
..........................................................................................................................................
Troubleshooting 18
Installation
.........................................................................................................................................................
is blocked by Window s 10 18
1.4 Security considerations
................................................................................................................................... 20
1.5 Activation
................................................................................................................................... 21
..........................................................................................................................................
Trial license activation 23
..........................................................................................................................................
Paid license activation 28
..........................................................................................................................................
Deactivation 37
2 Basic Topics 43
2.1 Opening a DICOM study from a CD/DVD
................................................................................................................................... 43
2.2 Opening a DICOM study from a folder

................................................................................................................................... 44
2.3 Opening a DICOM study from a ZIP archive

................................................................................................................................... 47
2.4 Opening specific DICOM file(s)

................................................................................................................................... 50
2.5 Opening a study from a PACS server

................................................................................................................................... 53
..........................................................................................................................................
Downloading specific series 58
..........................................................................................................................................
Displaying pushed studies 59
2.6 Using basic tools

................................................................................................................................... 60
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Browsing series and images 62
..........................................................................................................................................
Changing brightness / contrast 64
Custom
.........................................................................................................................................................
w indow 68
..........................................................................................................................................
Changing zoom level / position 72
2.7 Taking measurements

................................................................................................................................... 74
..........................................................................................................................................
Length 74
..........................................................................................................................................
Ellipse 80
..........................................................................................................................................
Closed polygon 84
..........................................................................................................................................
Open polygon 87
..........................................................................................................................................
Angle 90
© 2020 Medixant
4 RadiAnt DICOM Viewer
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Cobb angle 91
..........................................................................................................................................
Deviation 92
..........................................................................................................................................
Arrow 94
..........................................................................................................................................
Pencil tool 99
2.8 Flips / Rotations

................................................................................................................................... 100
2.9 Cine mode

................................................................................................................................... 102
2.10 Annotations
................................................................................................................................... 103
2.11 Copying to the clipboard

................................................................................................................................... 106
2.12 Full-screen mode

................................................................................................................................... 108
3 Advanced Topics 111

3.1 Local archive
................................................................................................................................... 111
..........................................................................................................................................
Importing DICOM CD/DVD 112
..........................................................................................................................................
Importing DICOM folder 113
..........................................................................................................................................
Importing DICOM ZIP archive 115
..........................................................................................................................................
Importing DICOM file(s) 117
..........................................................................................................................................
Importing studies from PACS servers 119
..........................................................................................................................................
Importing studies from viewer 122
..........................................................................................................................................
Opening studies 123
..........................................................................................................................................
Searching studies 124
..........................................................................................................................................
Exporting images 124
..........................................................................................................................................
Deleting images 126
..........................................................................................................................................
Keywords 128
..........................................................................................................................................
Multiple databases 130
..........................................................................................................................................
Database window configuration 133
..........................................................................................................................................
Backing up databases 136
..........................................................................................................................................
Database maintenance 137
3.2 Exporting images

................................................................................................................................... 138
3.3 Multiple series viewing

................................................................................................................................... 142
..........................................................................................................................................
Multiple windows 147
..........................................................................................................................................
Synchronization 149
Auto.........................................................................................................................................................
synchronization 150
Manual
.........................................................................................................................................................
synchronization 151
..........................................................................................................................................
Cross-reference lines 152
© 2020 Medixant
Table of contents 5
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3D Cursor 154
..........................................................................................................................................
Adding more studies 155
..........................................................................................................................................
Splitting series 156
3.4 ROI operations

................................................................................................................................... 158
3.5 Image filters

................................................................................................................................... 161
3.6 2D Multiplanar reconstruction (MPR)

................................................................................................................................... 163

................................................................................................................................... 165
..........................................................................................................................................
Changing the viewing plane 167
..........................................................................................................................................
Browsing volume 170
..........................................................................................................................................
Changing zoom level and position 171
..........................................................................................................................................
Changing brightness / contrast 173
..........................................................................................................................................
Changing thickness (MIP/MinIP/Avg) 176
..........................................................................................................................................
Taking measurements 178
Length......................................................................................................................................................... 178
Ellipse
......................................................................................................................................................... 179
Closed.........................................................................................................................................................
polygon 179
Open.........................................................................................................................................................
polygon 180
Angle ......................................................................................................................................................... 180
Arrow ......................................................................................................................................................... 181
..........................................................................................................................................
..........................................................................................................................................
Window configuration 184
..........................................................................................................................................
Settings 187
3.8 3D Volume Rendering (VR)

................................................................................................................................... 189
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Rotations 191
..........................................................................................................................................
Changing zoom level and position 193
..........................................................................................................................................
Changing color and opacity 194
..........................................................................................................................................
3D presets 198
..........................................................................................................................................
Removing unwanted structures 203
..........................................................................................................................................
3D snapshots 207
..........................................................................................................................................
Taking measurements 209
Length
......................................................................................................................................................... 209
Arrow
......................................................................................................................................................... 211
..........................................................................................................................................
..........................................................................................................................................
Exporting movies 214
Quick.........................................................................................................................................................
movie 215
Advanced
.........................................................................................................................................................
movie 217
..........................................................................................................................................
Exporting 3D models 221
© 2020 Medixant
..........................................................................................................................................
Annotations 224
..........................................................................................................................................
Settings 225
3.9 Image fusion (PET-CT)

................................................................................................................................... 227
3.10 Time-intensity curves (TIC)

................................................................................................................................... 231
3.11 Digital Subtraction Angiography (DSA)

................................................................................................................................... 236
..........................................................................................................................................
Manual pixel-shift 238
..........................................................................................................................................
Auto pixel-shift 240
..........................................................................................................................................
Split mask mode 242
..........................................................................................................................................
Magic Mask 243
..........................................................................................................................................
Changing the mask image 245
3.12 PACS connectivity

................................................................................................................................... 246
..........................................................................................................................................
PACS search presets 247
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PACS configuration 249
..........................................................................................................................................
PACS troubleshooting 257
..........................................................................................................................................
PACS integration 261
3.13 Special types of DICOM files

................................................................................................................................... 263
..........................................................................................................................................
Structured report (SR) 263
..........................................................................................................................................
MPEG2/4 video 264
..........................................................................................................................................
Encapsulated PDF 266
..........................................................................................................................................
DICOMDIR 266
3.14 DICOM tags

................................................................................................................................... 267
3.15 Changing language

................................................................................................................................... 270
3.16 Keyboard customization

................................................................................................................................... 272
3.17 Program and license information

................................................................................................................................... 275
4 Appendix 277
4.1 Keyboard shortcuts
................................................................................................................................... 277
4.2 Mouse functions

................................................................................................................................... 285
4.3 Multi-touch operations

................................................................................................................................... 287
4.4 Configuration files

................................................................................................................................... 288
..........................................................................................................................................
Options.xml 288
..........................................................................................................................................
Overlay.xml 292
4.5 Command-line arguments

................................................................................................................................... 295
© 2020 Medixant
Table of contents 7
4.6 URL protocol

................................................................................................................................... 297
4.7 Setup arguments

................................................................................................................................... 298
4.8 GPU acceleration

................................................................................................................................... 299
4.9 Citations
................................................................................................................................... 302
4.10 CD/DVD/USB Autorun Package

................................................................................................................................... 303
..........................................................................................................................................
Software limitations 303
..........................................................................................................................................
Package contents 303
..........................................................................................................................................
Recording DICOM CD/DVD 305
..........................................................................................................................................
Encrypted DICOM CD/DVD/USB 315
© 2020 Medixant
1 Welcome to RadiAnt DICOM Viewer
RadiAnt DICOM Viewer is an application for processing and displaying medical images in DICOM
format (Digital Imaging and Communications in Medicine).
The viewer allows users to open studies from CD/DVD/BluRay disks, flash memory, local and
network folders, and PACS locations.
Studies obtained from different imaging modalities can be displayed in RadiAnt DICOM Viewer:
· Digital Radiography (CR, DX)

· Mammography, Digital Breast Tomosynthesis (MG)
· Computed Tomography (CT)
· Magnetic Resonance (MR)
· Positron Emission Tomography PET-CT (PT)
· Ultrasonography (US, IVUS)
· Digital Angiography (XA)
· Gamma camera, Nuclear medicine (NM)
· Secondary Pictures and Scanned Images (SC)
· Endoscopy (ES)
· Microscopy (SM, GM)
· Structured Reports (SR)
· Encapsulated PDF Documents (OT)
The viewer can handle many types of DICOM images:
· Monochromatic (e.g. CR, CT, MR) and color (e.g. US, 3D reconstruction)
· Static images (e.g. CR, MG, CT) and dynamic sequences (e.g. XA, US)
· Uncompressed and compressed (RLE, JPEG Lossy, JPEG Lossless, JPEG 2000, JPEG-LS)
· MPEG2/MPEG4 compressed video files
RadiAnt DICOM Viewer is not a medical product. It has no FDA/CE or any other
certifications and is not intended for diagnostic purposes.
© 2020 Medixant
Welcome to RadiAnt DICOM Viewer 9
1.1 Features
Basic Functionality
· Desktop application for installation on PCs, laptops, and tablets running Windows systems
· Windows XP/Vista/7/8/8.1/10 supported
· Native ARM 64-bit version for the new generation of Windows 10 on ARM devices (e.g.,
Surface Pro X)
· No additional dependencies (.NET, Java, etc.)
· Lightweight, compact application1
· Excellent performance with 32- and 64-bit versions that are both optimized for multi-core
processors
· Asynchronous reading (you can browse images as they are being opened)
· Advanced memory management system that facilitates the concurrent opening of studies
that contain thousands of images
Supported DICOM Formats

· Files from different imaging modalities: CR, DX, MG, CT, MR, PT, US, XA, NM, SC, SR
· Monochromatic images (e.g., CR, CT, MR)
· Color images (e.g., US, 3D reconstructions)
· Static images (e.g., CR, MG, CT)
· Dynamic sequences (e.g., XA, US)
· Uncompressed images (little endian/big endian, implicit/explicit VR)
· Compressed images (RLE, JPEG Lossy, JPEG Lossless, JPEG 2000, JPEG-LS)
· Structured reports
· Encapsulated PDF documents
· MPEG4/MPEG2 DICOM videos
Access DICOM Studies

· Open DICOM studies from CD/DVD/Blu-ray discs
· Open DICOM studies from local and network folders
· Open DICOM studies from USB drives
· Open ZIP archives (unencrypted/encrypted) with DICOM files
· Search and download DICOM studies (or selected series) from PACS locations (servers,
workstations, modalities)
· Accept and display studies pushed from other PACS locations
© 2020 Medixant
Local Archive
· Store DICOM studies in a local database
· Import DICOM studies from CD/DVD/Blu-ray discs
· Import DICOM studies from local and network folders
· Import DICOM studies from USB drives
· Import ZIP archives (unencrypted/encrypted) with DICOM files
· Import DICOM studies from PACS locations
· Organize study collection using keywords
· Multiple databases supported
Export Images
· Export DICOM files to JPEG/BMP images
· Export DICOM files to MP4/WMV movies
· Export DICOM files in original format2
· Copy displayed image to Windows Clipboard
Basic Tools
· Perform fluid zooming
· Perform fluid panning
· Adjust brightness and contrast (window level/window width)
· Negative mode
· Apply window presets for computed tomography (lung, bone, etc.)
· Apply precise window values (with SUVbw support for PET series)
· Add your own window presets
· Rotate (90 CW, 90 CCW, 180)
· Flip (horizontal, vertical)
· Apply image filters (sharpen, smooth, edge, emboss)
· Display dynamic series/sequences (CINE) with option to adjust frames per second
· Display DICOM overlays (annotations or graphic overlays included in the file)
· Display DICOM file structure with searchable DICOM tags, their descriptions and values
Measurements/ROI
· Measurement of segment length
· Manual calibration of length measurements
· Support for calibrated regions in ultrasound images
· Measurement of mean, minimum and maximum parameter values (e.g. density in Hounsfield
Units in computed tomography, SUVbw in PET) within circle/ellipse and its area
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· Measurement of area and perimeter of a closed polygon
· Measurement of open polygon length
· Measurement of angle value
· Measurement of Cobb angle value
· Measurement of deviation distance
· Arrow tool for annotations
· Pencil tool for freehand drawing
Compare Series
· Compare multiple series in the same or different windows
· Automatic synchronization between series with images acquired in the same plane (e.g.,
computed tomography series before and after contrast media administration)3
· Manual synchronization between series from different studies that have a similar patient
orientation
· Cross-reference lines in series with different image planes (e.g., magnetic resonance study)3
· 3D cursor tool
· Split multi-sequence series into separate panels
Advanced Tools
· 2D MPR (orthogonal multiplanar reconstructions)
· Fusion of series with different modalities (e.g., PET-CT) or with different protocols (e.g., MR
T1/T2 – DWI)
· Time-intensity curves (TIC, e.g., for breast MRI)
· 3D MPR (oblique multiplanar reconstruction) with MIP (maximum intensity projection), MinIP
(minimum intensity projection) and Avg (average) modes

· 3D VR (volume rendering)
· 3D snapshots for quick saving and restoring 3D VR views
· Creation of quick movies (simple rotations) and advanced 3D snapshot-based videos with
volume-rendered objects
· Export 3D models to STL files
· GPU acceleration for 3D VR and 3D MPR/MIP4
· DSA mode (digital subtraction angiography) with auto and manual pixel-shift, split mask and
magic mask
Interface
· A simple and intuitive interface with full-screen mode
· Multi-touch support for Windows 8/8.1/10 touch-enabled devices
© 2020 Medixant
· Multilingual interface—more than 30 translations available5
· Customizable keyboard shortcuts
· Integration with third-party systems via command-line arguments and the radiant:// URL
protocol
1
The installer size of RadiAnt DICOM Viewer is 7MB; the disk space occupied after installation is 9MB.
2
It is not possible to export secondary images obtained using Multiplanar Reconstructions (MPR), 3D Volume
Rendering, Fusion, or Time-intensity Curve (TIC) tools to DICOM files.
3
The series have to belong to the same study.
4
Only available with the 64-bit version of RadiAnt DICOM Viewer. Supported NVIDIA graphics card required.
5
RadiAnt DICOM Viewer and RadiAnt DICOM Viewer CD/DVD are distributed with English and Polish language
support. Other translations (Arabic, Brazilian Portuguese, Bulgarian, Chinese, Chinese [Taiwan], Croatian, Czech,
Danish, Dutch/Flemish, French, German, Greek, Hungarian, Indonesian, Italian, Japanese, Korean, Mongolian,
Norwegian, Persian, Portuguese, Romanian, Russian, Serbian, Slovak, Spanish, Swedish, Turkish, Ukrainian) have
been created by the community and are available for download from
https://www.radiantviewer.com/translations/. Not all translations have been updated for the newest version of
the viewer.
© 2020 Medixant
1.2 System requirements
Minimum system requirements:
· Microsoft Windows system (XP SP3, Vista, Windows 7, Windows 8, Windows 8.1 and Windows 10
are supported)
· Intel or AMD 1GHz or faster processor
· 512MB of RAM
· 9MB of available hard-disk space for installation; additional free space required for image
caching
· 1024 x 768 screen resolution
Recommended system requirements:
· Microsoft Windows 10 system
· Intel or AMD 3GHz or faster processor with four or more cores
· 4GB of RAM (8GB for 3D viewing) or more
· Fast SSD system drive
· 1920 x 1080 (or higher) screen resolution
· NVIDIA graphics card (10 series or newer) for GPU-accelerated 3D VR and MPR
© 2020 Medixant
1.3 Installation
Download RadiAnt DICOM Viewer from https://www.radiantviewer.com
Save the file to your computer - depending on your connection speed, the software may require
between one second and one minute to download in full.
Click the downloaded file to run the installer.
In the bottom download bar:
or in Downloads:
© 2020 Medixant
Windows 7, Windows 8/8.1 and Windows 10 users may be prompted with a “User Account Control”
alert; if so, select Yes or Continue to proceed with the installation.
If you answer No , RadiAnt DICOM Viewer will be installed only for the current user.
Follow the steps outlined by the setup wizard to complete the installation.
© 2020 Medixant
© 2020 Medixant
Once the setup has completed, your software is installed.

If this is your first time installation, you will need to activate the software. Otherwise, RadiAnt DICOM
Viewer will start automatically.
The next time you want to use RadiAnt DICOM Viewer, simply double-click its
desktop icon to begin using the software immediately!
© 2020 Medixant
1.3.1 Troubleshooting
1.3.1.1 Installation is blocked by Windows 10
Windows 10 users need to ensure that the option to allow Windows 10 to

install apps downloaded outside the Windows Store is enabled.
If non-store apps are blocked by Windows 10, when you try to run the installer, the warning
message displayed below (or similar) will appear:
To remedy this issue, click on the Start menu button and open the Settings app.
© 2020 Medixant
Navigate to Apps > Apps & features.
In the Choose where to get apps section, select the Anywhere option from the drop-down menu
to stop Windows 10 from preventing programs from outside the Windows Store from being
installed.
© 2020 Medixant
1.4 Security considerations
Unless they are anonymized or non-medical, DICOM files usually include very sensitive information
about the patient (name, age, ID number, birth date, weight, etc.) and contain the medical image,
which itself is of an extremely sensitive nature. Special care must be taken to ensure that this
information stays private and is not susceptible to unauthorized access. Before taking any further
actions, make sure that you are authorized to view and store specific DICOM files on your machine.
When you store DICOM files on your computer:
• Apply physical security measures (locks, security alarms, monitoring, etc.) to prevent
unauthorized persons from accessing your computer that stores DICOM files.
• Use full disk encryption (e.g., Microsoft BitLocker) with a strong password to render data
unreadable even if an unauthorized person were to gain access to your computer.
• Use firewall and antivirus software to prevent intrusion and to detect infected files that
might compromise the security of your computer, and thereby enable unauthorized file access.
• Protect access to your Windows account with a strong password. Use a minimum length of
8 or more characters. Include different types of characters: numbers, symbols, capital letters, and
lower-case letters.
• Log off or power off when leaving your computer unattended.
• Delete the DICOM files from your computer when they are no longer necessary.
When you search and download studies from PACS locations, keep in mind:
• The PACS client module that you use to search for and download studies (DICOM files)
communicates over unencrypted TCP connections. Make sure the network connection is secure and
there is no possibility for an unauthorized user to eavesdrop on the data.
• On less secure networks, or when two networks are connected through WAN, the data
transfer must be made private. Set up VPN tunnel (e.g., IPsec IKEv2, OpenVPN) to encrypt the
connection between the PC where RadiAnt DICOM Viewer is installed and the other PACS location.
• The same security rules apply to any computer on which RadiAnt DICOM Viewer is installed
and the PACS connection is configured. This way, unauthorized persons can be prevented from
searching and downloading studies from configured PACS locations.
© 2020 Medixant
1.5 Activation
Activation (trial license)
What is activation (trial license)?
Activation in trial mode allows you to use a fully functional version of RadiAnt DICOM Viewer during
the evaluation period.
How often do I need to activate RadiAnt DICOM Viewer (trial license)?
The evaluation version expires after a predetermined period of time (displayed after activation).
After expiration, the installation needs to be reactivated for further evaluation.
Old versions may not qualify for the evaluation. In that case, you can purchase a license if you want
to continue to use the old version or download the most recent version from RadiAnt's website and
activate it in trial mode.
Activation (paid license)
What is activation (paid license)?
Product activation is the process of verifying the validity of a product's license. Once the product is
activated, the user can access the software.
The product activation process protects both your rights as a consumer and the rights of Medixant
as a software developer.
It verifies that you have installed genuine RadiAnt DICOM Viewer software and that the product has
not been activated on more computers than those permitted by the EULA.
How often do I need to activate RadiAnt DICOM Viewer (paid license)?
For paid licenses, the activation is permanent.

You will only need to reactivate when you transfer your RadiAnt DICOM Viewer license to another
computer or when you renew your Update & Support subscription.
How can I transfer the license to another computer?
First, you need to deactivate the license on your "old" computer. After successful deactivation, the
license can be activated on a new machine.
Please note, a license can be transferred only once in a 90-day period.
I have purchased N licenses. Can I install RadiAnt DICOM Viewer on more than N computers?
No, you need a separate license for each computer (or terminal) on which RadiAnt DICOM Viewer is
installed (or used).
© 2020 Medixant
Deactivation
What is deactivation?
Deactivation lets you transfer your RadiAnt DICOM Viewer paid license to another computer.
How often can I deactivate a license?
A single license can be deactivated only once in 90 days.

A license key valid for N licenses can be deactivated N times during a 90-day period.
Can the same computer be deactivated and reactivated many times?
Deactivation is intended for situations in which you no longer plan to use RadiAnt DICOM Viewer on
your "old" computer.
It is not designed for transferring the paid license back and forth between two computers that are
in active use. As such, the software can only be deactivated on the same computer twice.
When this limit is reached, you will not be able to deactivate the license.
Is it possible to deactivate a license if the computer cannot be accessed anymore? (stolen,

broken, etc.)
Please log in to "My Licenses" account with the email address provided when purchasing the
license. You will be able to deactivate your old computer there.
© 2020 Medixant
1.5.1 Trial license activation
Automatic activation
The steps below illustrate the process by which you can activate RadiAnt DICOM Viewer in the
evaluation mode on computers that are connected to the Internet.
If your computer has no Internet connection, you can activate the software manually.
To activate your software:
1. Launch RadiAnt DICOM Viewer by clicking on the product icon on your desktop.
2. On the Activation screen, choose the following option:
· Activate trial license .
3. Click the Next button. RadiAnt DICOM Viewer will attempt to connect to the license server.
© 2020 Medixant
4. When you see the Activation info screen, activation is complete.
5. Click the Finish button to start using the software.
© 2020 Medixant
Manual activation
The process by which you can activate RadiAnt DICOM Viewer in the evaluation mode on computers
that are not connected to the Internet is described below.
· Activate trial license .
3. Click the Next button. After a failed attempt to connect to the license server, the offline
activation screen will be displayed.
© 2020 Medixant
4. Go to https://radiantviewer.com/trial and complete the form with the request code. Click the
Get your activation code button.
5. The trial activation code will be displayed.
6. Enter this code in the appropriate field on the RadiAnt DICOM Viewer offline activation screen
and press the Next button.
© 2020 Medixant
© 2020 Medixant
1.5.2 Paid license activation
Automatic activation
The steps below illustrate the process by which you can activate RadiAnt DICOM Viewer on
computers that are connected to the Internet.
If your computer has no Internet connection, you can activate the software manually.
If you have previously activated the software in trial mode, click the arrow next to the Help
button on the toolbar and select Enter a license key .
Alternatively, you can click Update your license if your RadiAnt DICOM Viewer installation was
activated with the paid license and you have now purchased Update & Support renewal.
© 2020 Medixant
· I have a serial number .
3. Enter your serial number and click the Next button. RadiAnt DICOM Viewer will attempt to
connect to the license server.
© 2020 Medixant
© 2020 Medixant
Manual activation
The steps below illustrate the process by which you can activate RadiAnt DICOM Viewer on
computers that are not connected to the Internet.
If you have previously activated the software in trial mode, click the arrow next to the Help
button on the toolbar and select Enter a license key .
Alternatively, you can click Update your license if your RadiAnt DICOM Viewer installation was
activated with the paid license and you have now purchased Update & Support renewal.
© 2020 Medixant
· I have a serial number .
3. Enter your serial number and click the Next button. After a failed attempt to contact the
license server, the offline activation screen will be displayed.
© 2020 Medixant
4. Go to https://radiantviewer.com/activate and fill in the form with the serial number and request
code. Click the Get your activation code button.
5. After the license is validated, the activation code will be displayed.
6. Enter this code in the appropriate field on the RadiAnt DICOM Viewer offline activation screen
and press the Next button.
© 2020 Medixant
© 2020 Medixant
Automatic command-line activation
RadiAnt DICOM Viewer can be activated automatically on local and remote computers using the
command-line tool located in the installation folder (radcmd.exe):
1. Execute the following command: radcmd.exe -activateonline SERIALNUMBER
2. The output of the command above includes the machine ID, the computer name and the result.
After successful activation, radcmd.exe returns the exit code 0.
© 2020 Medixant
Manual command-line activation
RadiAnt DICOM Viewer can be activated manually on local and remote computers using the
command-line tool located in the installation folder (radcmd.exe):
1. Get the request code from the computer you want to activate by executing the following
command: radcmd.exe -reqcode
2. The output of the command above includes the request code in one line.
3. Use your serial number and the request code to activate your license at
https://radiantviewer.com/activate
4. After the license is validated, the activation code will be displayed.
5. Execute the command below to complete the activation process:
radcmd.exe -activate ACTIVATION_CODE
(replace ACTIVATION_CODE with the activation code obtained in the previous step)
6. After successful activation, radcmd.exe returns the exit code 0.
© 2020 Medixant
1.5.3 Deactivation
Automatic deactivation
The steps outlined below illustrate the process by which you can deactivate RadiAnt DICOM Viewer
on computers that are connected to the Internet.
If your computer is not connected to the Internet, you can deactivate the software manually.
To deactivate your software:
1. Select Deactivate this computer from the drop-down menu next to the help button.
2. On the deactivation screen, check the I want to deactivate this computer

checkbox.
© 2020 Medixant
3. Click the Next button. RadiAnt DICOM Viewer will attempt to connect to the license server.
When you see the confirmation message, deactivation is complete.
4. Click the Finish button to close the software.
© 2020 Medixant
Manual deactivation
The steps below illustrate the process by which you can deactivate RadiAnt DICOM Viewer on
computers that are not connected to the Internet.
To deactivate your software:
1. Select Deactivate this computer from the drop-down menu next to the help button.
2. On the deactivation screen, check the I want to deactivate this computer

checkbox.
© 2020 Medixant
3. Click the Next button. After a failed attempt to contact the license server, the offline
deactivation screen will be displayed.
4. Go to https://radiantviewer.com/deactivate, and complete the form with the activation ID and

deactivation code. Click the Complete the deactivation process button.
© 2020 Medixant
5. Your deactivation is now confirmed.
6. Click the Finish button to close the software.
Manual command-line deactivation
RadiAnt DICOM Viewer can be deactivated on local and remote computers using the command-line
tool located in the installation folder (radcmd.exe):
1. Execute the following command: radcmd.exe -deactivate
2. The output of the command above includes the activation ID and the deactivation code in two
lines.
3. Go to https://radiantviewer.com/deactivate, and complete the form with the activation ID and

deactivation code obtained in the previous step. Click the Complete the deactivation
process button.
© 2020 Medixant
4. Your deactivation is now confirmed.
© 2020 Medixant
2 Basic Topics
2.1 Opening a DICOM study from a CD/DVD
1. Insert a disk with a DICOM study into a CD/DVD drive. If the default viewer is automatically
started from the CD, close it in order to obtain better reading speeds in RadiAnt DICOM Viewer.
2. Run RadiAnt DICOM Viewer by double-clicking its desktop icon.
3. Click the CD/DVD button on the toolbar in main window (this button is hidden when no
CD/DVD drive is detected), or use shortcut Ctrl + Alt + O .
4. The process of disk scanning will start. You can browse images of the study as soon as they
begin appearing in the series preview bar.
5. The status bar shows the number of remaining files, elapsed time and estimated time to finish.
6. Remove the disk from the CD/DVD drive only when you finish viewing the study. (Ejection will
render images unavailable for viewing.)
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2.2 Opening a DICOM study from a folder
2. Click the Folder button on the toolbar in main window, or use the shortcut Ctrl +
Shift + O .
3. Find the folder you want to scan for DICOM files, select it, and then click OK .
4. The process of scanning will start. You can browse images of the study as soon as they begin
appearing in the series preview bar.
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5. The status bar shows the number of remaining files, elapsed time, and estimated time to finish.
You may also use two other, faster methods:
1. Drag & drop the selected folder(s) onto either RadiAnt DICOM Viewer main window:
Or, to its desktop icon:
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2. Right-click the context menu on the selected folder(s) and choose Open with RadiAnt DICOM
Viewer .
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2.3 Opening a DICOM study from a ZIP archive
2. Click the arrow next to the folder icon on the toolbar in the main window.
3. Click Open ZIP file .
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4. Find the zip archive, select it, and click Open .
5. If the archive is encrypted, a password prompt will be displayed.
6. The process of unpacking and file scanning will start. You can browse images of the study as
soon as they begin appearing in the series preview bar.
7. The status bar shows the number of remaining files, elapsed time and estimated time to finish.
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You can also use two other, faster methods:
1. Drag & drop selected ZIP archive onto either RadiAnt DICOM Viewer main window:
Or, to its desktop icon:
2. Use right-click context menu on the selected ZIP archive and click Open with / RadiAnt
DICOM Viewer .
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2.4 Opening specific DICOM file(s)
2. Click the arrow next to folder icon on the toolbar, or use the Ctrl + O keyboard shortcut.
3. Click Open DICOM file .
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4. Find the DICOM file(s), make your selection, and click Open .
5. The process of loading will start. You may browse images of the study as soon as they begin
appearing in the series preview bar.
6. The status bar shows the number of remaining files, elapsed time, and estimated time to finish.
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You can also use a faster method:
1. Drag & drop the selected DICOM file(s) onto either RadiAnt DICOM Viewer main window:
or to its desktop icon:
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2.5 Opening a study from a PACS server
The RadiAnt DICOM Viewer PACS client feature lets you search and download studies from PACS
hosts (Picture Archiving and Communication System).
Before you begin, you need to make sure that your PACS server and RadiAnt are properly
configured. Please refer to the advanced section of this manual for configuration instructions.
Sometimes the configuration process may be quite complicated or even impossible without the
technical support from the vendor of your PACS server.
2. Click the Download button on the toolbar in the main window, or press Ctrl + F .
3. If the PACS host was not yet configured, you will see the message asking you to add a new PACS
host. Please refer to the advanced section of this manual.
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4. Once the configuration is finished, you will see the PACS search window.
5. Select the PACS location(s), modality(ies) and date range.
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Preset, specific date or specific begin and finish dates can be chosen - just select Custom date
or Custom date range .
6. You can choose one of the following main search field types: Patient name, Patient ID, Accession
number, Study description, Referring physician, Performing physician, Reading physician, Institution
name. Enter the text into the field and press Enter or click the Search button.
Custom main search fields can be added in the options.xml file.
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7. Search parameters that are used on a frequent basis can be saved as search presets so that they
can be quickly accessed from the drop-down menu located next to the Search button or via
keyboard shortcuts.
8. The results coming from the server will start appearing in the list. The number of studies found
will be displayed in the lower left corner. Select the study you want to download from the list and
click the Download button or press Enter . You can also just double-click the study to start
the download process. You can browse images of the study as soon as they begin appearing in the
series preview bar.
9. The status bar shows the number of received files, the transfer speed, elapsed time, and
estimated time to finish.
By default, the study will be downloaded to the active viewer window (if another study was
previously opened in this window, it will be closed). Other download modes are available from the
pop-up menu displayed after clicking the right mouse button on the selected study/studies. Click
Add to active window or press Shift + Enter to download the study to the active
window without clearing previous study. Click Download to new window or press Ctrl +
Enter to open a new window and start downloading the study to it. Click Download to
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separate windows or use the shortcut Ctrl + Shift + Enter to download each of
the selected studies to a new window.
You can search all studies of the selected patient (that is, studies that have the same Patient ID field)
by clicking Find all studies of this patient in the pop-up menu or pressing Ctrl + P .
You can stop the download process at any time by clicking the stop icon or using the shortcut
Ctrl + Del .
To reset the search fields, click the Clear button.
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Press the Info icon or use the shortcut Ctrl + L to show the list of active and finished
downloads along with detailed statistics and status messages.
2.5.1 Downloading specific series
Click the Show series button or press the Ctrl + S keys to display the series list in the
PACS search window.
From now on, each time you select a study, the list of its series will be updated.
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You can select individual series for retrieval to make the download faster if you do not require the
entire study.
2.5.2 Displaying pushed studies
By default, unsolicited (not requested specifically via PACS search window) studies received from
other PACS locations are stored in the default local database.
If you want to be able to push studies from other PACS locations to RadiAnt and display them
immediately in a viewer window, then you have to enable the Accept pushed studies option.
This option can be enabled in only one viewer window at a time, being reset after the program is
closed and reopened.
You can permanently enable this option by editing the options.xml file.
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2.6 Using basic tools
In the middle of the toolbar there are five buttons.
They represent basic tools which are available in RadiAnt DICOM Viewer:
· Browse series
· Adjust image window
· Pan image
· Zoom image
· ROI tools:
§ Length
§ Ellipse
§ Closed polygon
§ Open polygon
§ Angle
§ Cobb angle
§ Deviation
§ Arrow
§ Pencil
§ 3D Cursor
The default ROI tool is length measurement. The ROI tool can be changed by clicking the arrow on
the right side of the button and choosing specific tool from the drop-down menu.
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Each tool can be assigned to one of three basic mouse buttons or two extended mouse buttons.
Just click the tool button with the left, middle, right, back (4th) or forward (5th) mouse button. The
current assignment is represented by a mouse icon with one (or more) buttons highlighted: left ,
middle , right , back or forward .
By default the following tool assignment is used:
Mouse button Default tool
Left Browse series
Middle Brightness and contrast adjustment (windows

level / width)
Right Zoom in/out
Back (4th) Pan
Forward (5th) Length measurement
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2.6.1 Browsing series and images
Browsing series
Click the thumbnail image in the series preview bar to load the
desired series and browse its images.
You can easily switch between series by pressing

the Left Arrow or Right Arrow keys.
Alternatively, while hovering over the image panel, horizontal

mouse wheel can be used for changing series.
The series displayed in the active panel is highlighted in the

preview bar.
The first series of a study is preceded by two colored boxes with

patient and study data:
· Patient name
· Patient birth date
· Study date and time

· Study description
· Modality and number of series
Each series thumbnail image has a series description as a caption,

and in its bottom right corner, the total number of images in the
series is displayed.
The list can be scrolled either using a scrollbar or by dragging it

with one finger on multi-touch devices.
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Browsing images
As soon as the images start appearing in the panel you may begin browsing them.
There are several different ways of paging through the images of the series:
1. Click the Browse series button on the toolbar (or press the B key). Next, press the left
mouse button over the image, and drag the mouse up or down to browse a series in both
directions.
2. Turn the mouse wheel while the cursor hovers over the panel with the image.
3. Use the scrollbar on the right side of the panel.
4. Press the Up Arrow or Down Arrow on the keyboard to return to the previous image,
or move on to the next.
5. Press Page Up or Page Down to move 10 images backward or forward.
6. On a multi-touch device, touch the image with one finger and drag it up or down. (The tool must
be associated with the left mouse button - if it is not, touch the "Browse series" tool button.)
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2.6.2 Changing brightness / contrast
Click the Adjust image window button on the toolbar (or press the W key).
Next, press the left mouse button over the image and drag the mouse to change brightness
(window level - WL), or contrast (window width - WW):
· Up to decrease brightness (window level goes up)

· Down to increase brightness (window level goes down)
· Left to increase contrast (window width shrinks)

· Right to decrease contrast (window width expands)
By default, the windowing tool is associated with the middle mouse button.
Press the Ctrl key and drag the mouse with the left button down, and the windowing tool will
be active regardless of current association.
On multi-touch devices, touch the image with three fingers and drag them in the directions
described above to adjust window level and width.
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Window presets
Different window presets can be quickly applied by pressing 0 through 9 .
0 Default window for the current image.

1 Full dynamic window (pixel with lowest value is displayed as black, whereas pixel with the
highest value is displayed as white).
2 - 9 set different WL/WW depending on image modality. In the table below presets for CT
images are shown.
Key Preset WL WW
2 CT Abdomen 60 400
3 CT Angio 300 600
4 CT Bone 300 1500
5 CT Brain 40 80
6 CT Chest 40 400
7 CT Lungs -400 1500
These presets are also available from the Adjust image window drop down menu.
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The preset values for PET (Positron Emission Tomography) series apply to the maximum value of
the displayed range and are presented as the percent of the highest value in the entire image
series.
Key Displayed range maximum value (as % of the

highest value in series)
2 0.5%
3 1%
4 2.5%
5 5%
6 10%
7 25%
8 50%
9 100%
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Negative mode
Press the F11 key or click the Negative menu item to toggle negative mode for the image.
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2.6.2.1 Custom window
Press the Ctrl + F11 keys or click on the Custom window menu item to precisely adjust
the WW/WL settings.
Enter the desired WL and WW values and click on the OK button.
You can also switch to Minimum and Maximum values:
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For PET studies in which the SUVbw calculation is possible, the maximum SUBbw value can be set:
Custom window presets
You can save and quickly restore your custom window settings using the pop-up menu or keyboard
shortcuts.
Open the custom window dialog and click on the Presets button to display the additional
options.
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Enter the desired WL and WW values and the name of the presets, and choose the optional
keyboard shortcut.
Click on the Add button to save the preset.
From now on, whenever you want to apply this preset, you can either choose it from the Adjust
image window menu or use the optional keyboard shortcut.
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To delete the custom window preset, select the name of the preset from the list,
and click on the Delete button.
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2.6.3 Changing zoom level / position

Image zooming
Click the Zoom image button on the toolbar (or press the Z key).
Next, press left mouse button over the image and drag the mouse Up to zoom in or Down to zoom
out.
By default, the zooming tool is associated with the right mouse button.
Another way to zoom is to place the cursor over the image, press the Ctrl key, and turn the
mouse wheel in both directions to zoom in or out.
Alternatively, the Ctrl + Plus (+) and Ctrl + Minus (-) keyboard shortcuts
can be used to zoom.
On multi-touch devices, touch the image with two fingers and drag them apart to zoom in, or
toward each other to zoom out.
Different zoom presets can be quickly applied by pressing Ctrl + 0-4
Key Preset
Ctrl + 0 Fill viewport with image
Ctrl + 1 100% (1 image pixel = 1 screen pixel)
Ctrl + 2 200% (1 image pixel = 2 screen pixels)
These presets are also available from the Zoom image drop down menu.
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Image panning
When an image is zoomed in, panning can be used to reveal areas lying outside the viewing panel.
Click the Pan image button on the toolbar (or press the M key).
Next, press the left mouse button over the image and drag the mouse to move image around the
screen.
By default, the image panning tool is associated with the back (4th) mouse button.
Press the Shift key and drag mouse with the left button down, and the panning tool will be
active regardless of the current left mouse button association.
Alternatively, Ctrl + Arrows (Up, Down, Left or Right) can be used to pan.
On multi-touch devices, touch the image with two fingers and drag them across the panel to move
image. Keep the distance between the fingers unchanged to maintain the current zoom ratio.
Press Ctrl + 0 to revert the zoom and pan settings and fill the viewport with the image.
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2.7 Taking measurements

2.7.1 Length
Select Length from the Measurements drop down menu (or press the L key).
Place the cursor over the starting point, then press left mouse button and drag the mouse to draw
a segment with length measurement. Release the button to finish drawing.
The distance value will be shown in either millimeters or pixels (when the calibration data is not
included in the image file).
You can move the entire segment or one of its endings by dragging while pressing the left mouse
button.
The label may be also dragged to a more convenient place if necessary.
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Press Shift while drawing the segment to make it either vertical or horizontal.
By default, the length measurement tool is associated with the forward (5th) mouse button.
Press Esc while drawing the segment to delete it.
Calibration of measurements
Depending on the source of the calibration data, the label with a measurement will be displayed in
different colors:
Measured distance is calibrated (the pixel spacing element is present).
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The distance is calculated using the estimated radiographic magnification factor.
The distance is measured at the detector plane.
Ultrasound region calibration is used.
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Manual calibration was performed by a user.
There is no calibration data available (measurement in pixels of the source DICOM image).
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Manual calibration
The image can be manually calibrated (if no calibration data was present in the DICOM file) or
recalibrated.
1) Measure the object with a known size, and then right-click the segment or its label to show a
pop-up menu.
2) Click Calibration to open the dialog window. Enter the distance and select the units
(millimeters, inches or French sizes), click OK to recalibrate the image.
3) Now the measurements will be taken with the manual calibration data and shown in millimeters.
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To revert the manual calibration show the "Calibration" window and click the Reset
calibration button.
Measurements in US (ultrasound) images
DICOM images coming from the ultrasound devices often include calibrated regions. Depending on
the region type, different parameters can be measured.
Below is the sample screenshot showing the measurement of distance, velocity and time.
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2.7.2 Ellipse
Select Ellipse from the Measurements drop down menu (or press the E key).
Press left mouse button and drag the mouse to draw an ellipse with pixel value measurement.
Release the button to finish drawing.
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The values measured are:
Name Description
Mean Mean pixel value (Hounsfield Units for CT

images)
SD Standard deviation
Max Maximum pixel value
Min Minimum pixel value
Area (px) Area in square centimeters and the number of

pixels used for calculations
You can move the ellipse or change its size by dragging it or the surrounding cross-marks with the
left mouse button pressed.
The label may also be dragged to a more convenient place if necessary.
Press Shift while drawing the ellipse to make it a perfect circle.
When drawing an ellipse in a magnified image, you can press the Ctrl key to show the
boundary of actual pixels taken into account in calculations.
Press Esc while drawing the ellipse to delete it.
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SUV measurement
For PET images the ellipse tool can be used to measure the maximum, minimum, and average
values of the Standardized Uptake Value calculated using body weight (SUVbw) for a specified area.
The SUV measurement is possible only when there is necessary data included in the DICOM files
(patient weight, radio pharmaceutical dose and time, etc.), otherwise, the ellipse tool will show the
uptake measured in Bq/ml (or in other units specified in the 0054,1001 DICOM tag).
The SUV calculation is based on the formula below:
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Hover the cursor above the ellipse and right click on the mouse. Select Calculate SUVbw [g/l]
to switch between SUVbw and basic units.
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2.7.3 Closed polygon
Select Closed polygon from the Measurements drop-down menu (or press the G key).
Left-click on the mouse to deposit the starting node. Repeat this process to deposit the remaining
nodes around the structure you want to measure.
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You can edit the final shape later if required. Double-click the left mouse button or click the starting
node to complete the drawing.
The area (cm2) and perimeter (cm) values are measured.
Press Esc while drawing the polygon to delete it.
Editing closed polygon
To move an existing node, position the cursor directly above it and click on the left mouse button.
You can subsequently drag the node to a new position and release the button.
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To add a new node, click on the selected polygon boundary where you want the new node to
appear. You can drag the new node immediately after depositing it to adjust the shape of the
boundary.
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2.7.4 Open polygon
Select Open polygon from the Measurements drop down menu (or press the O key).
Click on the left mouse button to place the starting node. Repeat this process to deposit the
remaining nodes along the structure you want to measure.
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You can change the final shape at a later time if required. Double-click on the image to finish
drawing.
The distance of the drawn path is measured when you have finished mapping the image.
Press Esc while drawing the polygon to delete it.
Editing open polygon
To move an existing node, hover the cursor immediately above it and click on the left mouse button
before dragging the node to the required position and releasing the button to place it.
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To add a new node, click on the point on the selected polygon line at which you want the new node
to appear. To change the shape of the path, you can drag the new node immediately after placing
it.
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2.7.5 Angle
Select Angle from the Measurements drop down menu (or press the A key).
Press the left mouse button and drag the mouse to draw the first arm of the angle. Release the
button and move the mouse to draw the second arm. Click the left button to finish drawing the
angle.
The angle value is displayed in degrees.
You can move the entire angle or one of its endings by dragging it or the cross-marks with the left
mouse button pressed.
Press Esc while drawing the angle to delete it.
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2.7.6 Cobb angle
Select Cobb angle from the Measurements drop down menu (or press the C key).
Press the left mouse button and drag the mouse to draw the first segment of the Cobb angle, and
then release the button. To draw the second segment, again press the left mouse button and drag
the mouse. Release the button to finish drawing the angle.
The Cobb angle value is displayed in degrees.
You can move the segments of the Cobb angle or one of their endings by dragging the segment or
the cross-marks with the left mouse button pressed.
Press Esc while drawing the Cobb angle to delete it.
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2.7.7 Deviation
Select Deviation from the Measurements drop down menu (or press the D key).
a segment. Release the button to finish drawing.
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The distance value in millimeters measured from one end of the segment to the straight line (either
horizontal or vertical) intersecting the other end of the segment will be shown.
The second displayed value is the angle (in degrees) between the segment and the straight line
intersecting one of its ends.
You can move the entire segment or one of its endings by dragging it or the cross-marks with the
left mouse button pressed.
Press Esc while drawing the deviation to delete it.
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2.7.8 Arrow
Select Arrow from the Measurements drop down menu (or press the Y key).
Place the cursor over the starting point, then click the left mouse button and drag the mouse to
draw an arrow. Release the button to complete the drawing.
Press Esc while drawing the arrow to delete it.
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Customizing arrows
Double-click on the arrow or select Properties from the pop-up menu to edit the arrow or add a
text label.
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The style, sizes, colors, and opacity of the arrow can be changed to modify the arrow according to
your preferences.
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Presets
Custom presets can be saved so that they can be quickly applied at a later time. Simply enter the
name of the preset and click on the Add button.
The added preset will be available in the pop-up menu.
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A preset can be applied to all created arrows by setting it as the default.
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2.7.9 Pencil tool
Select Pencil from the Measurements drop down menu (or press the P key).
Press the left mouse button and drag the mouse to draw with a pencil. Release the button to finish
drawing.
Press Esc while drawing a line with the pencil to delete it.
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2.8 Flips / Rotations
Original image
Rotations
· Click on the left side of the

Transformations button, or use the Ctrl + [ shortcut to
rotate the image 90 degrees counter-clockwise.
· Click on the right side of the

Transformations button, or use the Ctrl + ] shortcut
to rotate the image 90 degrees clockwise.
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Flips
· To flip an image horizontally, select Flip horizontal from the Transformations drop down
menu, or use Ctrl + Shift + [
· To flip an image vertically select Flip vertical from the Transformations drop down menu,
or use Ctrl + Shift + ]
You can also apply rotations and flips from a drop-down menu.
Multiple rotations and flips can be applied to the image to obtain desired orientation.
Select Clear transformation (or use Ctrl + Shift + \ ) to restore the original
orientation.
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2.9 Cine mode
Dynamic sequences such as ultrasound (US, IVUS) or digital angiography (XA) are started
automatically in cine (movie) mode upon loading.
Thumbnails representing such series have a little "play" icon in the lower left corner.
Cine mode can be also enabled manually for multi-image series such as computer tomography (CT)
or magnetic resonance (MR).
Press the Cine toolbar button or use the Space key to start/stop cine mode.
While cine mode is enabled and the cursor hovers over the image, the cine bar is overlaid at the
bottom of the image.
Click its buttons to:
· go to the previous series

· go to the previous frame
· start/stop playing
· go to the next frame
· go to the next series
· change the frame rate (in frames per second)
The actual frame rate is displayed in the top left corner of the image.
Other annotations are hidden during cine run.
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2.10 Annotations
DICOM files contain a lot of information stored in tags associated with the image.
The most important data is overlaid on top of the image displayed, grouped in the corners.
Depending on image modality, some fields may be missing.
Top left
· Number of displayed image and total number of loaded images

· Series number
· Compression info (displayed only when lossy compression is used)
The following additional fields are presented only for MG modality (mammography):
· Image laterality
· View position
Top right
· Patient first and last name

· Patient ID
· Patient birth date and sex
· Institution name
· Study ID
· Study description
· Series description
· Image comments
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· Study comments
· Rotation/flip (if applied)
Bottom left
· Mouse cursor position (coordinates of the pixel in displayed DICOM image) and value of the
pixel
· Window level and window width (brightness and contrast), name of window preset, negative
mode indicator
· Thickness and location of the slice (e.g. CT and MR modalities) or rotation and tilt of x-ray
lamp (XA modality)
Bottom right
· Field strength (FS, only for MR modality)

· Repetition time, Echo time (TR, TE, only for MR modality)
· Date and time of image acquisition
If the DICOM image contains scale information (pixel spacing), two 10cm rulers with 1cm marks are
displayed along left and bottom edges of the panel (red arrows).
If the DICOM image contains information about patient orientation in space, there is a letter (or
combination of letters) symbolizing the patient’s sides displayed at the center of each panel's edge
(green arrows).
· A – anterior
· P – posterior
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· L – left
· R – right
· S – superior
· I - inferior
Annotations can be turned off and on by clicking the Annotations button on the toolbar or
pressing F12 key.
To hide all patient data (in series preview bar, panel title bar, overlaid annotations) click Hide
patient data menu item or use the Shift + F12 shortcut.
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2.11 Copying to the clipboard
Image displayed in the active panel can be easily copied to the Windows clipboard and then pasted
into other Windows application such as Microsoft Word, PowerPoint, etc.
Click the Copy to clipboard in the Export drop-down menu or use the Ctrl + C
shortcut.
Switch to the application where you want to paste the image and press Ctrl + V
To copy all visible panels to the Windows clipboard, press Shift + C or click the Copy all
to clipboard in the Export drop-down menu.
Switch to the application where you want to paste the image and press Ctrl + V
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2.12 Full-screen mode
Full-screen mode allows you to hide the frame of the window and increase the viewing area.
Normal mode
Full-screen mode
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Click the Full screen mode button located on the right side of the toolbar or press F .
To restore the normal window, use the Exit full screen mode toolbar button or again
press the F key.
Switching between full screen and window modes can be also achieved by double-clicking the
toolbar area.
To maximize the viewing area, both the series preview bar and the toolbar with the status bar can
be temporarily hidden.
Click Window / Series preview bar menu item or use Ctrl + Alt + F2 to toggle
preview bar visibility.
Click Window / Toolbar and status bar menu item or use Ctrl + Alt + F3 to
toggle toolbar and status bar visibility.
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Full-screen mode with hidden toolbar, series bar and status bar
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3 Advanced Topics
3.1 Local archive
The local archive feature allows you to import DICOM studies from CD/DVD discs, USB flash drives,
local and network folders or PACS servers, and store them on your local hard drive so that they can
be easily accessed at a later date.
The local archive can be helpful in situations in which the original media is no longer available, or
you would like to open the study without the need to repeatedly retrieve it from a PACS server.
You can also access the database to organize and quickly find studies in your collection of DICOM
files that are stored on the hard drive.
Make sure that you familiarize yourself with the security considerations before
you import DICOM files (often containing sensitive information) to your
computer.
Remember to back up your database regularly to ensure you are protected

against hard drive failures and data corruption.
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3.1.1 Importing DICOM CD/DVD
1. Insert a disc with a DICOM study into a CD/DVD drive. If the default viewer is automatically
started from the CD, close it, as this will enable you to obtain better reading speeds in RadiAnt
DICOM Viewer.
2. Click the Local archive button on the toolbar in the main window or use the F8
shortcut.
3. Click the CD/DVD button on the toolbar in the local archive window (this button is hidden when
no CD/DVD drive is detected) or use the Ctrl + Alt + O shortcut.
4. The disc importing process will commence. You can open the study by double-clicking on the
item as soon as it appears in the list.
5. The status bar shows the number of imported files, total number of files, imported data size,
total data size, importing speed, elapsed time, and estimated time to finish.
6. Remove the disc from the CD/DVD drive.
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3.1.2 Importing DICOM folder
shortcut.
2. Click the Folder button on the toolbar in the local archive window or use the Ctrl +
Shift + O shortcut.
3. Find the folder you want to import the DICOM files from, select it, and then click Select
Folder .
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4. Choose how the DICOM files will be imported. You will typically use the Copy files option.
This ensures the imported files are stored in the database folder.
If you want to store the DICOM files in their original location and simply add links to the database,
click Add links . Use this method if you store the DICOM files in a structured folder tree on
your hard disk drive.
5. The folder importing process will commence. You can open the study by double-clicking on the
item as soon as it appears in the list.
You can also import the folders by dragging and dropping them onto the local archive window.
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3.1.3 Importing DICOM ZIP archive
shortcut.
2. Click the arrow next to the folder icon on the toolbar in the local archive window.
3. Click Import ZIP files .
4. Find the zip archive(s), select the files you want to import, and click Open .
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5. If the archive is encrypted, a password prompt will be displayed.
6. The file unpacking and importing process will commence. You can open the study by double-
clicking on the item as soon as it appears on the list.
You can also import the ZIP files by dragging and dropping them onto the local archive window.
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3.1.4 Importing DICOM file(s)
1. Click the Local archive button on the toolbar in main window or use the F8 shortcut.
2. Click the arrow next to the folder icon on the toolbar in the local archive window.
3. Click Import DICOM files , or use the Ctrl + O shortcut.
4. Find the DICOM file(s), select the files you want to import, and click Open .
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5. The file importing process will commence. You can open the study by double-clicking on the item
as soon as it appears in the list.
You can also import the relevant DICOM file(s) by dragging and dropping them onto the local
archive window.
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3.1.5 Importing studies from PACS servers
Before you commence, you should verify that the PACS server and RadiAnt are properly configured.
Please refer to the advanced section of this manual for configuration instructions. Sometimes, the
configuration process may be quite complicated or even impossible without the technical support
of the vendor of your PACS server.
shortcut.
2. Click the PACS import button on the toolbar in the local archive window or use the Ctrl
+ F shortcut.
3. If the PACS host is not yet configured, a pop-up message will appear that asks you to add a new
PACS host. Please refer to the advanced section of this manual.
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4. Once the configuration is complete, the PACS search window will appear.
5. Ensure that the option to import to database is enabled (green DB icon in the bottom-left
corner).
6. Enter the relevant search parameters and click the Search button.
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7. The results of the search will start appearing in the list. The number of studies found will be
displayed in the lower-left corner. Select the study you want to download from the list and click the
Download button or press Enter . You can also simply double-click the study to start the
download process. Images of the study will be added to the database and displayed in a viewer
window at the same time.
If you prefer to import studies to the database without immediately opening them in a viewer, right-
click the selected study/studies. Select Import to database .
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3.1.6 Importing studies from viewer
When you originally open the study directly in the 2D viewer (without importing it into the database
first), you can quickly import the displayed images into the local archive.
1. Click on the arrow that is displayed next to the Local archive button on the toolbar in the
viewer window.
2. Click on the Import to database option.
3. Choose how the DICOM files will be imported. You will typically use the Copy files option.
This ensures the imported files are stored in the database folder.
If you want to store the DICOM files in their original location and simply add links to the database,
click on the Add links option. You should use this method if you store the DICOM files in a
structured folder tree on your hard disk drive.
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3.1.7 Opening studies
shortcut.
2. Double-click the study to open it in a viewer window.
You can also press Enter to open the selected study.
By default, the study is opened in the active viewer window (or a new one if no viewer window is
opened) and the previously opened study is cleared.
Right-click on the selected study/studies to open the study per your preferences. The options are as
follows:
Select New window or press Ctrl + Enter to open the study in a new window.
Select Add to active window or press Shift + Enter to add the study to the current
window.
Select Separate windows or press Ctrl + Shift + Enter to open each study in a
separate window.
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3.1.8 Searching studies
Studies stored in the database can be quickly searched.

As soon as you start entering text in the search box above the list of studies, the results will appear
in the results list.
To clear the filter press Esc or click on .
3.1.9 Exporting images
1a. Select the studies that you want to export.
or
1b. Select the series of a chosen study that you want to export.
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2. Click the Export button on the toolbar or use Ctrl + E to access the export window.
The export window will open, and you can subsequently choose the destination format:
Click Export to browse the system and select the destination folder.
Click OK , and the export process will start.
Refer to the Exporting images section to learn more about the various options that are available in
the export window.
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3.1.10 Deleting images
1a. Select the studies you want to delete.
or
1b. Select the series of a chosen study that you want to delete.
2. Click the Delete button on the toolbar or press Del .
You can also select the study, right-click, and choose Delete studies from the menu options.
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Or select the series, right-click, and choose Delete series from the menu options.
3. Click Yes to confirm that you want to delete the selected studies or series.
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3.1.11 Keywords
You can use keywords to organize your collection of studies and quickly search for studies with the
assigned label.
Adding Keywords
To add a keyword to selected studies, right-click and select Add keyword or press K .
Enter the keyword and click OK .
You can also select the keyword from the list if it was previously added to the database.
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Searching Keywords
Assigned keywords are visible in the "Keywords" column of the study list.
Enter a keyword in the search box to display studies with the assigned label.
Deleting Keywords
To remove a keyword from selected studies, right-click, select Remove keyword , and then
choose the keyword you want to delete.
You can also click Remove all, to clear all keywords for the selected studies.
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3.1.12 Multiple databases
Create a New Database
To create a new database, click the Database button in the local archive window.
Then select New database . You can also use the Ctrl + F8 shortcut.
Choose the location and name of the database. You are advised to create the database file in a
new empty folder.
Click Save . The database will open in a new window. The name of the database is visible on the
title bar. The location is presented in the tooltip box over the free space indicator icon.
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Open Database
To open an existing database, click the Database button in the local archive window.
Then select Open database . You can also use the Shift + F8 shortcut.
Browse for the database file and click Open . The database will open in a new window.
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To quickly access recently opened databases, click the Recently opened menu item.
Default Database
The default database is created automatically in the Documents\RadiAntDB folder.

This database is loaded automatically after RadiAnt is started.
Studies received from PACS locations are automatically stored in the default database.
You can choose an alternative database as the default by clicking Advanced -> Set as default -
in the menu under the Database button on the local archive window toolbar.
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3.1.13 Database window configuration
Database Views
The default local archive view ("Series") shows the list of studies and below that the list of series in a
selected study.
The "Studies" view shows only the list of studies and, the "Images" view shows the list of studies, list
of series in a selected study, and list of images in a selected series.
You can change the default view by clicking Advanced -> View in the menu under the Database
button in the local archive window and selecting Studies , Series or Images .
To quickly cycle views, use the F2 shortcut.
Series View (default)
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Studies View
Images View
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Column Configuration
Columns in the list of studies can be set as per your preferences.
To change the order in which the columns appear, drag their headers to the desired location:
To change the width of the columns, drag the dividers between the column headers:
To hide or show specific columns, right-click on the column header and select the desired column
to toggle its visibility.
To revert to the factory settings, click Restore default columns .
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3.1.14 Backing up databases
Hard drive failure, files encrypted by ransomware, inadvertent file deletion—these are only a few
scenarios that may render your data unavailable.
To mitigate the implications, you are advised to perform regular backups of your database. Ideally,
those backups should be encrypted, since DICOM files often include sensitive information.
Which files and folders should I back up?
The database consists of a database file (with the "rdbdb" extension) and a database folder (with
the ".rdvdata" extension). These are located in the same folder:
You can view the location of the database file by hovering the mouse cursor over the hard disk free
space indicator.
Both the database file and folder need to be included in the backup.
Note: If some studies were added to the database via the "Add links" import mode, you also need
to back up any folders that contain the DICOM studies that are located outside the RadiAnt
database folder.
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3.1.15 Database maintenance
When you regularly add studies to the database and later delete them, the size of the database
grows in size, the indexes and tables become fragmented, and the performance decreases.
To address these issues, you should regularly optimize the database files.
Click the Database button in the local archive window and select Advanced -> Optimize
database .
Wait until the operation is complete. Click Close .
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3.2 Exporting images
RadiAnt DICOM Viewer can export opened images or series to the following formats:
· JPEG
· BMP
· WMV (movie)
· MP4 (movie) - available on Windows 7 and newer systems
· DICOM
Basic export
Click Export tool button or use Ctrl + E to show the export window.
The export window will be opened so you can choose the destination format and source images:
· Current image (image displayed in active panel)

· Current series (all images displayed in active panel)
· All opened series (all series visible in the series preview bar)
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Click Export to browse for the destination folder.
After clicking OK , the process will start.

The progress of the export will be shown on the status bar.
Advanced export
For advanced settings click More options before starting the export.
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Additional controls will become visible (some may be inactive, depending on the destination file
format).
Export location
Folder - click "Choose folder" to browse for the destination folder.

Filename prefix - a string that will precede each exported file's name.
Show in Explorer after export - exported images will be opened in File Explorer after the operation
is completed.
File settings
Image size
· Default (1:1) - the size of the exported image will exactly match the source image in DICOM file.
· Current size - the size of the exported image will be exactly as seen in the panel.
· Fit to - the size of the exported image can be chosen from the list of dimensions or set to custom
values.
Annotations
· Full - all annotations will be visible in exported images.
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· Basic (anonymous) - patient name and ID will be hidden.

· Disabled - no annotations will be visible in exported images.
JPEG/Movie Quality - move the slider left to reduce the destination file size (worse quality), or right
for larger destination files (better quality).
Frame rate (available only for WMV/MP4 export)
· Default - the destination movie frame rate will match the source DICOM image default frame rate.
· Custom - the frame rate can be set to custom value.
DICOM to DICOM export
Source files are copied directly to the destination folder when DICOM is chosen as destination
format.
Export to DICOM files is unavailable for secondary images obtained with the use of either MPR
(Multiplanar Reconstruction), Fusion, or TIC (Time-intensity curve) tools.
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3.3 Multiple series viewing
Multiple series of either one or several studies can be concurrently opened in multiple panels for
comparison purposes.
Click the Split screen button:
Move the cursor over the "cells" symbolizing the image panels:
Click again to select the splitting template (a maximum of five columns and four rows of panels can
be selected).
Using the left mouse button, drag and drop thumbnails from the series preview bar into the panels
to load the chosen series.
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Another way of opening a series in new panel is to click its thumbnail while pressing the Ctrl
key.
All panels will be automatically repositioned and new series will be loaded in the last panel.
Maximizing/restoring/closing panel
A panel can be quickly maximized by double-clicking the image it contains, or by pressing the
Maximize button on the title bar of the panel or using Ctrl + M .
Press the Restore button, double-click the image it contains, or press Ctrl + M to
restore the panel to its normal size and view all panels again.
Use the Tab key to switch between opened panels in maximized mode.
Click the Close button on the panel's title bar to close it or use Ctrl + F4 .
If you hold the Ctrl key and click the Close button the panel will be cleared instead of
being closed.
To close all visible panels, use Shift + F4 .
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The above actions are also available in the Window drop-down menu.
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To quickly open multiple series
To speed up the process of opening more than one series at the same time, click the Open
multiple series menu item or press the F4 key.
A window with the list of loaded series will appear.
Hold the Ctrl key and select series to opening by clicking them with left mouse button. Click
OK to open the chosen series in multiple panels. All previously opened panels will close
automatically.
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To quickly filter the series list, start typing in the text field located in the lower-left corner of the
window.
Press Enter to load the first of the displayed filtered series.
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3.3.1 Multiple windows
You can open up to 16 viewer windows. These windows can be placed on the same or different
monitors.
To show a new empty window, press Ctrl + N or click New window in the pop-up menu
under the folder icon. Double clicking the RadiAnt icon on the Desktop is another way to open a
new window.
Use the duplicate window feature to open a new window with the series displayed in the active
window. Click Duplicate window or use the shortcut Ctrl + Shift + N .
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When the series from the same study are opened in two different windows, they are auto-
synchronized; also, the cross-reference lines are displayed, if applicable. Finally, a fusion of images
is possible too. This can be helpful when browsing series of the same study in a multi-monitor
setting.
PET-CT fusion displayed on two monitors
Press Alt + F4 to close the active window. To exit the application when multiple viewer
windows are opened, press Ctrl + Alt + F4 or click Exit in the pop-up menu under the
folder toolbar icon. You can also press Ctrl while clicking the close button in one of the viewer
windows.
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3.3.2 Synchronization
The synchronization feature lets you apply the same settings (slice position, zoom & pan, window)
to the series of images opened in multiple panels.
There are three synchronization modes available in RadiAnt DICOM Viewer: Auto , Manual
and Disabled .
You can switch between these modes by clicking the Toggle series synchronization
button on the toolbar.
The synchronization mode can by also toggled by clicking the Toggle series synchronization
drop-down menu item or by pressing the F5 shortcut key.
In the same menu you will also find items controlling the options of synchronization:
· Synchronize slice position

· Synchronize zoom & pan
· Synchronize window settings (disabled by default)
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3.3.2.1 Auto synchronization
Series consisting of images that have been acquired in the same plane (or in similar planes, with the
dihedral angle up to 5 degrees), within the same study (e.g. Computed Tomography series before
and after administration of the contrast medium) are automatically synchronized by default (slice
location, zoom level).
The toolbar button shows when the automatic synchronization mode is enabled.
You can disable the synchronization by pressing this button or by using the F5 shortcut key.
By default only slice position and zoom & pan settings are synchronized.
To enable the synchronization of window settings click Synchronize window settings .
Note that after the synchronization is enabled you have to change a setting to apply it to other
series. E.g. you have to scroll series in one panel to synchronize the position of slices in other
panels.
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3.3.2.2 Manual synchronization
Series acquired in similar planes (with the dihedral angle up to 30 degrees) belonging to the same
or different studies (of the same or different patients) can be synchronized manually.
To enable manual synchronization, scroll series opened in different panels to the same level (e.g.
the bifurcation of the aorta), pan images so that they are positioned similarly in viewports and click
the Toggle series synchronization button or press F5 .
The toolbar button shows when the automatic synchronization mode is enabled.
By default only slice position and zoom & pan settings are synchronized.
To enable the synchronization of window settings click Synchronize window settings .
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3.3.3 Cross-reference lines
Cross-reference lines are displayed for better correlation of the anatomy when browsing series with
different image planes (e.g. Magnetic Resonance study). They are visible as yellow lines that mark
the intersection of the image planes.
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Cross-reference lines are always displayed in inactive panels (those with gray title bars) as a
reference for the image in the active panel (brown title bar).
To change the reference source, activate the other panel by either clicking on its title bar or the
image it contains.
Cross-reference lines can be switched off and on by clicking the Cross reference lines menu item
or by using Ctrl + F12 .
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3.3.4 3D Cursor
The 3D Cursor tool can be displayed for better correlation of the anatomy when browsing series
with different image planes (e.g. Magnetic Resonance study). It is visible as a blue cross-hair cursor
that marks the same point in 3D space on all images.
Hold Ctrl + Shift and press the left mouse button to show the 3D Cursor. Drag the
mouse, with its left button pressed to change the position of the cursor in the active viewport.
Images in other viewports will be scrolled automatically so that the displayed image plane is closest
to the 3D cursor. The cursor disappears when the mouse button is released. Reference lines are
temporarily hidden when the 3D Cursor is active. When Cine mode is enabled, the 3D Cursor cannot
be activated.
If the cursor is located at some distance from the image plane (and no image with a closer plane
can be found), it will be displayed in the red color.
The 3D Cursor tool can be permanently assigned to the left mouse button by choosing it from the
toolbar menu or by pressing the Q key.
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3.3.5 Adding more studies
When a new study is opened, all images in panels and the series preview bar are cleared.
To add new images from different location use the Add DICOM images drop-down menu.
New images can be added from a folder, selected files, or decompressed from a ZIP archive.
Notice that you cannot open directly two or more DICOM CD/DVD disks at the same time - when
the first one is ejected, the images become unavailable for viewing. If you want to open more than
one disk at the same time, first you need to copy their contents to a folder on your hard drive and
then scan the folder for DICOM files.
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3.3.6 Splitting series
Sometimes a single series of DICOM images obtained from a given modality contains multiple
volumes. This is where the split series feature comes in handy.
It detects all the volumes contained in one series (e.g. arterial/venous post-contrast, PD/T2, DWI or
cardiac CT multi-phase) and opens them in separate panels.
This makes simultaneous display and synchronization of images between such series possible.
Open a multi-sequence series and click the arrow next to the split screen icon on the toolbar in the
main window, then click Split series or press Ctrl + F5 .
Image series containing three DWI sequences with different b-values.
Each of the volumes from the original series will be opened in a separate panel.
A single DWI sequence in each panel.
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If the split series feature is used on a series containing non-volumetric images (CR, DX, MG, US, XA,
etc.), each of the images of the series will be opened in a separate panel (up to 20 panels at the
same time).
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3.4 ROI operations
Select an object (segment, ellipse, angle, etc.) by clicking it with left mouse button. The object will
turn red after it is selected.
Use the Edit measurements drop down menu to copy, paste or duplicate objects.
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Menu item Keyboard shortcut Description
Copy selected Ctrl + C Copies selected object in active

panel.
Copy all Ctrl + Shift + C Copies all objects in displayed

image from active panel.
Paste Ctrl + V Pastes copied object(s) into

image displayed in active
panel.
Duplicate in other panels Ctrl + Shift + D Duplicates selected object in

active panel to other, inactive
panels.
Duplicate in all images of the Shift + Alt + D Duplicates selected object in

series active panel, to all other
images of the same series.
Delete selected Del Deletes selected object in

active panel.
Delete all in current image Ctrl + Del Deletes all objects in image
displayed in active panel.
Delete all in current series Ctrl + Shift + Del Deletes all objects from the
series displayed in active panel.
Delete in all visible panels Shift + Del Deletes all objects from all
visible images.
Decrease font size Ctrl + Shift + Makes text in ROI labels

Minus (-) smaller.
Increase font size Ctrl + Shift + Makes text in ROI labels larger.
Plus(+)
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To hide (and show) measurements (objects) in active panel click Hide measurements menu item
or use Alt + F12 .
Once you start drawing an object in a panel with hidden measurements, all the objects will become
visible again.
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3.5 Image filters
The following image filters can be enabled for images displayed in the 2D viewer:
· Sharpen (1, 2, 3)
· Smooth (1, 2, 3)
· Edge (1, 2, 3)
· Emboss (N, W, D, 1, 2)
Select the Image filters drop-down menu and choose the desired filter.
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The filter will be applied to the entire series of images.
To disable filters, select None or use the Shift + I shortcut.
To cycle through all available filters, select Next filter / Previous filter or press Ctrl +
I / Ctrl + Shift + I .
To cycle through sharpen filters only, select Next sharpen filter or press I .
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The MPR tool provided within the RadiAnt DICOM Viewer can be used to reconstruct images in
orthogonal planes (coronal, sagittal, axial or oblique, depending on what the base image plane is).
This can help to create a visualization of the anatomy which was not possible using base images
alone.
Click the MPR button on the toolbar, and select the plane you would like the series to be
reconstructed to (the current plane of source series is checked and grayed out).
Alternatively, keyboard shortcuts below can be used to switch planes.
Keyboard shortcut MPR plane

Ctrl + Alt + 1 Coronal
Ctrl + Alt + 2 Sagittal
Ctrl + Alt + 3 Axial
This process takes 1-2 seconds on a fast machine, but can be substantially slower on computers
with less memory.
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If the button is grayed out, the MPR tool cannot be applied to the series (e.g. in case of images with
nonparallel planes).
One series can be reconstructed in three planes in order to easily localize an area of interest thanks
to cross-reference lines.
Use the screen splitting tool to open three panels, and drag the source series thumbnail into each
of them.
Click first panel to activate it, and then select the new image plane using the MPR tool. Repeat this
step for the second panel.
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The 3D MPR tool provided within the RadiAnt DICOM Viewer can be used to reconstruct images in
arbitrary planes (oblique). This can help to create a visualization of the anatomy that would not be
possible using base images alone.
Opening the 3D MPR window
1. Open the volume series in the 2D viewer window and click the MPR button on the toolbar and
then 3D MPR . Alternatively, you can use the F2 shortcut.
2. After the series is loaded into memory and preprocessed, the 3D MPR representation will be
displayed in a new window. This process can take a few seconds on slower systems.
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Some series cannot be used with the 3D MPR tool (e.g., images with nonparallel planes).
If the images are not spaced evenly within the volume, the missing slices will be interpolated, and
some visual artifacts may appear in presentation and measurements.
Note, some larger series (e.g., >2000 CT images) require more than 1GB of free memory and the
64-bit RadiAnt DICOM Viewer version to load successfully.
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3.7.1 Changing the viewing plane
There are three viewports in the 3D MPR window; each shows the image reconstructed in a plane
perpendicular to the other two viewports. In each viewport, there are two axes overlaid on the
image. These axes represent intersections of planes from the other two viewports with the specific
viewport's image plane. The color of the axis is consistent with the color code of the source
viewport (small square in the top-right corner).
Initially, the viewports are set to the default planes (sagittal, axial, coronal). The orientation of those
planes can be changed by rotating the axes, whereas the position of the plane is changed by
dragging the intersection of the axes.
Moving axes
Place the mouse cursor over the intersection of the axes, press the left mouse button and drag the
intersection to change the position of the planes in the two other viewports.
Rotating axes
Place the mouse cursor over the axis arm, press the left mouse button and rotate the axes to
change the orientation of the planes in the two other viewports.
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3D rotation
The image plane can also be changed directly in a specific viewport.
Click the 3D rotate button on the toolbar (or press the R key).
Next, press the left mouse button over the image and drag the mouse to rotate the image plane
around the X and Y axes (parallel to the viewing plane).
Press the Alt key and drag the mouse with the left button depressed. The 3D rotation tool will
be active regardless of the current left mouse button association.
Alternatively, the 3D rotation can be performed using Alt + Arrows (Up, Down, Left
or Right) .
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Roll
Click the Roll button on the toolbar (or press the T key).
Next, press the left mouse button over the image and drag the mouse to rotate the image plane
around the Z axis (perpendicular to the viewing plane).
Press the Ctrl + Alt key and drag the mouse with the left button depressed. The roll tool
will be active regardless of the current left mouse button association.
Alternatively, press the Left Arrow or Right Arrow keys.
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3.7.2 Browsing volume
There are several different methods by which you can page through the volume (moving the
viewing plane to front or back without changing the orientation of the image plane):
1. Click the Browse button on the toolbar (or press the B key). Next, press the left mouse
button over the image, and drag the mouse up or down to browse a volume in both directions.
By default, the browse tool is associated with the left mouse button.
2. Press the Up Arrow or Down Arrow on the keyboard to move to back or front in
small steps.
3. On a multi-touch device, touch the image with one finger and drag it up or down. (The tool must
be associated with the left mouse button, if it is not, touch the Browse tool button.)
4. Press the left mouse button on the intersection of the axes in some other viewport and drag it
up/down or left/right.
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3.7.3 Changing zoom level and position
Image zooming
Click the Zoom button on the toolbar (or press the Z key).
Next, press the left mouse button over the image and drag the mouse up to zoom in or down to
zoom out.
Click Fill viewport or press Ctrl + 0 to revert the zoom and pan settings and fill the
viewport with the image.
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Image panning
When an image is zoomed in, panning can be used to reveal the areas lying outside the viewing
panel.
Click the Pan button on the toolbar (or press the M key).
Next, press the left mouse button over the image and drag the mouse to move the image around
the screen.
Press the Shift key, and drag mouse with the left button depressed and the panning tool will
be active, regardless of the current left mouse button association.
Alternatively, you can use Ctrl + Arrows (Up, Down, Left or Right) to pan.
the image. Keep the distance between the fingers unchanged to maintain the current zoom ratio.
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3.7.4 Changing brightness / contrast
Click the Adjust image window button on the toolbar (or press the W key).
Next, press the left mouse button over the image and drag the mouse to change brightness
(window level - WL) or contrast (window width - WW):
· Up to decrease brightness (window level goes up)

· Down to increase brightness (window level goes down)
· Left to increase contrast (window width shrinks)

· Right to decrease contrast (window width expands)
Press the Ctrl key and drag the mouse with the left button down and the windowing tool will
be active, regardless of the current association.
described above to adjust the window level and width.
Press 0 to set the default window for the loaded series.
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Negative mode
Press the F11 key or click the Negative menu item to toggle the negative mode for the
image.
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Synchronization
Window settings are synchronized in all viewports by default.

To toggle the synchronization, click the Synchronize window settings menu item.
Custom window
the WW/WL settings.
You can learn more about the custom window setting in the 2D viewer section.
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3.7.5 Changing thickness (MIP/MinIP/Avg)
Thickness
Click the Thickness button on the toolbar (or press the H key).
Next, press the left mouse button over the image and drag the mouse up to increase thickness or
down to decrease thickness.
The value of the slab thickness in millimeters (and the rendering mode) is displayed in the top-left
corner.
Press the Ctrl + Shift key and drag the mouse with the left button depressed, and the
thickness tool will be active regardless of the current left mouse button association.
Alternatively, the Plus (+) and Minus (-) keys can be used to change thickness.
On multi-touch devices, touch the image with four fingers and drag them up or down to change
thickness.
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Rendering modes (MIP/MinIP/Avg)
Immediately after the 3D MPR windows is opened, the images are displayed with minimal possible
thickness (in accordance with the size of the voxels in the volume).
When the thickness is increased, images are rendered in one of the following modes:
· MIP (Maximum Intensity Projection)

· MinIP (Minimum Intensity Projection)
· Avg (Average)
MPR MIP MinIP Avg
To quickly switch the applied rendering mode, press F2 .

You can also click the rendering mode indicator in the top-left corner.
Alternatively, these modes are available from the Thickness drop-down menu.
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3.7.6 Taking measurements

3.7.6.1 Length
The distance value will be shown in centimeters (or millimeters).

Note, for thick slabs (MIP, MinIP, Avg), the length is measured in the viewing plane, which means
that the different depths of the structures are not taken into account.
button.
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3.7.6.2 Ellipse
Select Ellipse from the Measurements drop down menu (or press the E key).
Press left mouse button and drag the mouse to draw an ellipse with pixel value measurement.
Release the button to finish drawing.
You can read more about the Ellipse tool in the 2D viewer section.
3.7.6.3 Closed polygon
Select Closed polygon from the Measurements drop down menu (or press the G key).
Click left mouse button to deposit the starting node. Repeat this process to deposit the remaining
nodes around the structure you want to measure.
You will be able to edit the final shape afterward if need be. Double-click or click the starting node
to finish drawing.
The values measured are area (cm2) and perimeter (cm).
You can read more about the Closed polygon tool in the 2D viewer section.
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3.7.6.4 Open polygon
Select Open polygon from the Measurements drop down menu (or press the O key).
Click left mouse button to deposit the starting node. Repeat this process to deposit the remaining
nodes along the structure you want to measure.
You will be able to edit the final shape afterward if need be. Double-click to finish drawing.
The value measured is distance of the drawn path.
You can read more about the Open polygon tool in the 2D viewer section.
3.7.6.5 Angle
Select Angle from the Measurements drop down menu (or press the A key).
Press the left mouse button and drag the mouse to draw the first arm of the angle. Release the
button and move the mouse to draw the second arm. Click the left button to finish drawing the
angle.
You can read more about the Angle tool in the 2D viewer section.
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3.7.6.6 Arrow
an arrow. Release the button to finish drawing.
You can read more about the Arrow tool in the 2D viewer section.
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Saving JPEG images
Click the Export button or use Ctrl + E to save the image in the active viewport as a
JPEG file.
Browse for the destination folder and click OK to save the image.
Click the Export all images in the Export drop-down menu or use the Shift + E
shortcut to save images from all three viewports combined in one JPEG file.
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Copying to the clipboard
The image displayed in the active viewport can be easily copied to the Windows clipboard and then
pasted into other Windows applications such as Microsoft Word, PowerPoint, etc.
shortcut.
To copy images from all three viewports combined into one bitmap, click the Copy all to
clipboard in the Export drop-down menu or use the Shift + C shortcut.
Switch to the application where you want to paste the image and click Ctrl + V .
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3.7.8 Window configuration
Viewport layout
The default position of viewports in the 3D MPR window can be changed from the Viewport
layout drop-down menu.
Alternatively, press the F4 to switch to the next viewport layout.
There are six viewport layouts available.
2 Columns [2|1] 2 Columns [1|2] 3 Columns
2 Rows [2|1] 2 Rows [1|2] 3 Rows
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The size of the viewports can be changed by dragging the borders between them.
To temporarily maximize the active viewport, press Enter or double-click on the viewport.
Repeat this process to restore the viewport to its original size.
Axes
Click the Axes button on the toolbar (or press the F3 key) to toggle the visibility of the axes
in the viewports.
The auto centering mode for the intersection of the axes can be set in the Axes drop-down
menu.
· Always: Centering is performed whenever the intersection is moved off the center.
· Only hidden: Centering is performed only when the intersection is moved outside the viewport.
· Never: Centering is disabled.
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To center all axes manually, press Ctrl + F3 or click the Center all menu item.
As you move the mouse cursor over viewports, the position of location markers (color dots
projected on axes) is updated.
The location markers of the same color represent the same point in the volume and, thus, help
identify structures in different viewports.
Resetting scene
Click the Reset scene button on the toolbar (or press Ctrl + R ) to restore the initial
view in the 3D MPR window.
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3.7.9 Settings
Enabling GPU acceleration
The GPU acceleration feature allows you to utilize modern Nvidia GPU to make more fluid and
detailed interactions in the 3D MPR window.
Click the Settings button to show the CPU/GPU mode selection menu.
If a compatible Nvidia GPU is detected in your system, you will be able to select it from the list.
After GPU is successfully enabled, there will be a green GPU indicator overlaid on the settings
toolbar button.
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Select CPU when you want to switch back to CPU rendering mode.
Progressive rendering
To maintain fluid interactions in the 3D MPR window when the MIP/MinIP/Avg modes are enabled,
progressive rendering is implemented. This means that the image quality is worse during
interactions and progressively improves as soon as the interactions are finished.
By default, the most fluid mode is used (with the lower image quality during interactions). You can
change this and get better image quality with less responsive interactions being the trade-off.
Click the Settings button and select Progressive rendering . Select Favor performance ,
Balanced , or Favor resolution to set your desired mode.
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3.8 3D Volume Rendering (VR)
The 3D Volume Rendering tool provided by RadiAnt DICOM Viewer can be used to visualize large
volumes of data generated by modern CT/MR scanners in three dimensional space. The different
aspects of the data set can be interactively explored in the 3D VR window.
Opening the VR window
1. Open the volume series in the 2D viewer window and click the 3D Volume Rendering
button on the toolbar, or use the F3 shortcut.
2. After the series is loaded into memory and preprocessed the VR representation will be displayed
in a new window. This process can take a few seconds on slower systems.
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Some series cannot be used with the VR tool (e.g. in case of images with nonparallel planes).
If the images are not spaced evenly within the volume, the missing slices will be interpolated and
some visual artifacts may appear in presentation and measurements.
Note that some larger series (e.g. >2000 CT images) require more than 1GB of free memory and
64-bit RadiAnt DICOM Viewer version to be loaded successfully.
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3.8.1 Rotations
3D rotation
Click the 3D rotate button on the toolbar (or press the R key).
Next, press the left mouse button over the image and drag the mouse to rotate the volume around
the X and Y axes (parallel to the viewing plane).
By default, the 3D rotate tool is associated with the left mouse button.
On multi-touch devices, touch the image with one finger and drag it to rotate the volume.
Alternatively, Arrows (Up, Down, Left or Right) can be used to perform the 3D
rotation.
The orientation cube shown in the upper right corner shows the position of planes facing the
viewer.
The rotation angles are presented in the lower right corner.
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Roll
Click the Roll button on the toolbar (or press the T key).
Next, press the left mouse button over the image and drag the mouse to rotate the volume around
the Z axis (perpendicular to the viewing plane).
Press the Ctrl + Alt keys and drag mouse with the left button down, and the roll tool will
be active regardless of the current left mouse button association.
On multi-touch devices, touch the image with two fingers and rotate them to roll the volume.
Alternatively, press the < or > keys.
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Rotation presets
Different rotation presets can be quickly applied by pressing 1 through 6 .
Key Preset
1 Anterior (front)
2 Posterior (back)
3 Left
4 Right
5 Superior (top)
6 Inferior (bottom)
These presets are also available from the 3D rotate drop down menu.
3.8.2 Changing zoom level and position
Image zooming
Click the Zoom button on the toolbar (or press the Z key).
Next, press left mouse button over the image and drag the mouse Up to zoom in or Down to zoom
out.
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Click Fit volume or press Ctrl + 0 to revert the zoom and pan settings and fill the
viewport with the image.
Image panning
When an image is zoomed in, panning can be used to reveal areas lying outside the viewing panel.
Click the Pan button on the toolbar (or press the M key).
Next, press the left mouse button over the image and drag the mouse to move image around the
screen.
Press the Shift key and drag mouse with the left button down, and the panning tool will be
active regardless of the current left mouse button association.
Alternatively, Ctrl + Arrows (Up, Down, Left or Right) can be used to pan.
image. Keep the distance between the fingers unchanged to maintain the current zoom ratio.
3.8.3 Changing color and opacity
Click the Adjust window button on the toolbar (or press the W key).
Next, press the left mouse button over the image and drag the mouse to change the range of
displayed voxel values.
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· Up to display voxels with higher density/intensity values

· Down to display voxels with lower density/intensity values
· Left to shrink the range of displayed voxel values

· Right to expand the range of displayed voxel values
Press the Ctrl key and drag the mouse with the left button down, and the windowing tool will
be active regardless of current association.
described above to adjust window level and width.
Click Default window or press 0 to set default window for the current volume.
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Custom window
the WW/WL settings.
You can learn more about the custom window setting in the 2D viewer section.
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Shading
Shading allows you to visualize volume with a better perception of 3D space.
To toggle shading click Shading or press Ctrl + S .
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3.8.4 3D presets
Click the 3D presets button on the toolbar to show the menu with different image presets,
which can be applied to the displayed volume.
Select one of the presets to change the way volume that is visualized.
Angio
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Airways
Bones and skin 1
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Bones and skin 2
Bones and skin 3
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Bones B/W
Skin B/W
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MIP B/W
MIP B/W Inverse
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3.8.5 Removing unwanted structures
Click the Scalpel button on the toolbar (or press the S key).
Next, press the left mouse button over the image and draw the area.
· Press Del or click the Cut inside button to delete structures inside the area.
· Press Enter or click the Cut outside button to delete structures outside the area.
· Press Esc or click the Clear area button to clear the area.
Rotate the volume and make additional cuts to remove all unwanted structures from the image.
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Press the Alt key and drag the mouse with the left button down, and the scalpel tool will be
active regardless of current association.
On multi-touch devices, a pen is associated with the scalpel tool by default.
Press Ctrl + Z to undo last scalpel action. Press Ctrl + Y to redo the scalpel action.
Multiple scalpel operations can cause increased memory consumption by the scalpel undo tool.
Press Ctrl + Shift + Alt + Z to clear scalpel history.
The above operations are also available from the Scalpel drop-down menu.
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Click Restore volume or press Ctrl + Alt + 0 to cancel all scalpel actions.
To revert all changes made while exploring the volume (position, zoom, window, scalpel actions)
click the Reset scene button on the toolbar, or use the Ctrl + R shortcut.
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3.8.6 3D snapshots
3D snapshots allow for saving the current state of the 3D VR (Volume Rendering) viewer and a
quick restore. The following image settings are stored in a 3D snapshot: position and rotation of
the object, zoom factor, scalpel actions, 3D preset (color look-up table), and the range of displayed
values (window settings).
These can also be used to create scenarios for advanced VR movies.
To store a 3D snapshot, press K or select Take snapshot from the drop-down menu.
To quickly restore and switch between snapshots, press ] / [ or select Next / Previous
from the drop-down menu.
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To show the list of stored 3D snapshots, click the 3D snapshots toolbar button or use the
F3 shortcut.
3D snapshots are stored in memory and cleared as soon as the VR window is closed. To store
them permanently in a file, select Save or press Shift + F3 . Then select the snapshots file
location and press Save .
Next time you want to restore the saved snapshots, press Ctrl + F3 or select Load from
the 3D snapshots menu. Then browse to the file and click Open .
You can also drag and drop the saved snapshot file onto the VR window.
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3.8.7 Taking measurements

3.8.7.1 Length
The distance value will be shown in millimeters.

Note that the length is measured in the viewing plane, which means that different depths of the
structures are not taken into account.
button. The label may be also dragged to a more convenient place if necessary.
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Caveats
The structures may appears thinner or thicker, depending on the window (color and opacity)
adjustment.
The distance is measured between points lying in the plane parallel to the viewing plane. If the
points are located at different depths, the displayed length is shorter than the actual distance.
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3.8.7.2 Arrow
an arrow. Release the button to finish drawing.
Read more about the Arrow tool in the 2D viewer section.
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Saving JPEG images
Click the Export button or use Ctrl + E to save the displayed image as a JPEG file.
Browse for the destination folder and click OK to save the image.
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Copying to the clipboard
The displayed image can be easily copied to the Windows clipboard and then pasted into other
Windows application such as Microsoft Word, PowerPoint, etc.
shortcut.
Switch to the application where you want to paste the image and click Ctrl + V
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3.8.9 Exporting movies
3D volume-rendered objects can be animated and exported as movies.
Two types of movie creators are available:
Quick movie – allows for exporting movies with 360/180 horizontal/vertical object rotations.
Advanced movie – facilitates movie creation with arbitrary object rotations and other transitions
based on 3D snapshots.
Movies can be exported to MP4 files on Windows 7 and newer systems. On Windows XP, only the
WMV file format is available.
4K (3840 x 1920) resolution is available only on Window 10 systems. Older systems allow for
exporting videos in maximum FullHD (1920 x 1080) resolution.
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3.8.9.1 Quick movie
Select Export movie / Quick movie from the menu under the export button or press F2 .
Choose the desired rotation range and plane:
· 360 – a full rotation is performed, starting from the current view

· 180 – the object is rotated 180 degrees, with its current view in the middle of the rotation
· 180 loop – the object is rotated 90 degrees, starting from the current view, then a 180-degree
rotation in the opposite direction is performed before a 90-degree rotation then returns the
object to its initial position
· Horizontal – object is rotated in the horizontal plane

· Vertical – object is rotated in the vertical plane
· Combined – object is first rotated in the horizontal and then in the vertical plane
Select movie resolution and speed (frames per second). Enter total movie length in seconds and
click Export movie .
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Choose the exported file location and name, then click Save .
The preview window will show export progress and the estimated finish time.
Note: on slower systems without GPU acceleration, when a high-resolution movie with many image
frames is exported, the process may take many hours (or even days!) to finish.
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3.8.9.2 Advanced movie
Begin with creating the 3D snapshots that will serve as key-frames in your VR movie. The position,
rotation, zoom settings, object colors and scalpel actions will be interpolated so that the transitions
appear smooth in your movie.
Select Export movie / Create from 3D snapshots from the menu under the export button or
press Ctrl + F2 .
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Adjust the length of each step by clicking the snapshot and entering the step duration value in
seconds (5 seconds by default).
Enter the total movie length in seconds and click Set . The individual steps duration will be
proportionally scaled to their original values.
To make the video end with the same image as it begins with, select Loop movie .
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Select movie resolution, speed (frames per second) and bitrate (kilobits per second), then click
Export movie .
Choose the exported file location and name, then click Save .
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The preview window will show export progress and the estimated finish time.
Note: on slower systems without GPU acceleration, when a high-resolution movie with many image
frames is exported, the process may take many hours (or even days!) to finish.
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3.8.10 Exporting 3D models
3D models created in RadiAnt can be exported to STL files, which can be opened in alternative 3D
modeling software and used for 3D printing.
1. Set the 3D preset to either Bones B/W or Skin B/W .
2. Adjust the window parameters and remove any unwanted elements. All visible objects will be
included in the STL file.
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3. Click the Export button and select the Save 3D model as STL option.
4. Select the resolution of the exported object and click Save .
5. Select the destination folder and enter the file name. Click Save .
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6. You can now open the exported file in third-party 3D modeling/printing software.
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3.8.11 Annotations
Annotations and the direction cube can be turned off and on by clicking the Annotations
button on the toolbar or pressing F12 key.
Click the button once to hide annotations, click again to hide the direction cube and leave only the
volume-rendered object. To restore the default view, click the button once again.
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3.8.12 Settings
Enabling GPU acceleration
The GPU acceleration feature allows you to utilize modern Nvidia GPU to make more fluid and
detailed interactions in the 3D VR window.
Click the Settings button to show the CPU/GPU mode selection menu.
If a compatible Nvidia GPU is detected in your system, you will be able to select it from the list.
After GPU is successfully enabled, there will be a green GPU indicator overlaid on the settings
toolbar button.
Select CPU when you want to switch back to CPU rendering mode.
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Progressive rendering
To maintain fluid interactions with the volume-rendered object, progressive rendering is

implemented. This means that the image quality is worse during interactions and progressively
improves when the object is static.
By default, the most fluid mode is used (with the lower image quality during interactions). You can
change this and get better image quality with less responsive interactions being the trade-off.
Click the Settings button and select Progressive rendering . Select Favor performance ,
Balanced , or Favor resolution to set your desired mode.
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3.9 Image fusion (PET-CT)
Image fusion allows you to overlay a color-mapped PET image onto a CT scan in order to obtain
anatomical references for regions with increased FDG (fluorodeoxyglucose) uptake values.
This tool can also be applied to other imaging modalities, such as Magnetic Resonance, (e.g., DWI
images can be fused with T1 or T2-weighted scans).
Enabling fusion
1) Use the screen splitting tool to open CT and PET series in two panels.
2) Activate the panel with CT series by clicking the image it contains or its title bar.
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3) Click the Fusion button on the toolbar or use the Ctrl + Alt + F shortcut.
Color scale
The default color scale used for rendering a fused image is set to "Hot iron". It can be changed by
clicking a bar with a color scale to the left side of the image.
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The range of values represented on a color scale is adjusted by using the windowing tool in the
panel with the series used as overlay (PET).
The opacity of fused images is adjusted by pressing the left mouse button over a color scale bar
and dragging the mouse up to increase opacity or down to make the fused image more
transparent.
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SUV measurement
Use the ellipse tool in the panel with fused images to measure maximum, minimum and average
values of SUVbw (Standardized Uptake Value calculated using body weight) for a specified area.
You can learn more about the SUV measurement in the 2D viewer section.
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3.10 Time-intensity curves (TIC)
The time-intensity curve tool allows you to visualize the lesions' enhancement behavior (e.g. in
Breast MRI) by plotting the signal intensity values over time after the administration of contrast
material.
Plotting time-intensity curve
1) Open a study with dynamic sequences.
2) Press F4 to show the "Open multiple series" window, select the dynamic series (including the
unenhanced one). A series with subtraction enabled will also come handy to quickly localize lesions.
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3) Find a lesion that you would like to analyze and draw an ellipse over it.
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4) Quickly duplicate the ellipse ROI into other series by using the Ctrl + Shift + D
shortcut.
5) Select Time-intensity curve from Advanced tools or use Ctrl + Shift + E .
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6) RadiAnt DICOM Viewer selects the series for curve generation automatically.
Make changes to the selection if you want to use other series. Click OK to confirm the selection
and generate curve.
7) A new panel will be added. It contains the time-intensity curve and screen captures of the region
in dynamic series used for calculations.
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8) Maximize the panel (double-click it) to see the detailed curve.
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3.11 Digital Subtraction Angiography (DSA)
The Digital Subtraction Angiography (DSA) technique can be applied to a fluoroscopy series (XA) to
allow you to visualize blood vessels better. The pre-contrast image (so-called mask) is subtracted
from the subsequent images in which the arteries/veins are filled with the contrast media and, thus,
the bony or dense soft-tissue areas are removed from the final image.
Enabling DSA mode
1) Open the fluoroscopy series in the viewer.
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2) Click on the subtraction button on the toolbar or use the / shortcut to activate
the DSA mode.
3) A vertical toolbar displaying additional DSA tools will appear next to the series preview pane.
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3.11.1 Manual pixel-shift
If a subject moves during fluoroscopy image acquisition, a misalignment between the mask image
and the live image will result.
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To correct the alignment select the manual pixel-shift tool using the button or by pressing
the Shift + M keys.
Press the left mouse button on the image and drag the mouse in different directions to obtain the
best match between the mask and the live image. The bone edges should disappear, and only
contrasted vessels should remain visible.
The offset from the original mask position (in pixels) will be displayed in the bottom-left corner of
the image:
You can also use keyboard shortcuts to move the mask in all directions:
Shift + Arrows to move the mask in 1 px steps

Ctrl + Shift + Arrows to move the mask in 0.1 px steps
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3.11.2 Auto pixel-shift

To automatically correct the alignment of the mask and the live image, select the auto pixel-shift
tool using the button or by pressing the Ctrl + M keys.
Move the mouse cursor over the area (defined by the yellow square) in which you want to correct
the alignment.
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Press the left mouse button on the image and the mask will be shifted automatically so that the best
alignment in the specified area is obtained.
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3.11.3 Split mask mode
The split mask mode allows you to apply different pixel shifts for the left and right parts of the
image. This can be helpful with lower-limb fluoroscopy image in which the limbs move in different
directions, and there is no means of correcting the mask with a single, global shift.
Uncorrected mask Mask corrected for the right Mask corrected for the left
limb limb
To enable the split mask mode, select the button or use the Ctrl + Alt + /
shortcut.
You can subsequently correct the masks on both sides of the image using the manual or automatic
pixel-shift tools.
The offset from the original mask position (in pixels) for each side of the image will be displayed in
the bottom-left corner of the image:
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3.11.4 Magic Mask
The Magic Mask tool can be helpful when the movement of the subject cannot be compensated
with a simple pixel-shift. E.g., when a rotation occurs or bones move in different directions.
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To apply the Magic Mask to the entire series, press the button or use the . shortcut.
Note: Magic Mask requires significant computational power and can take some time on slower
machines. The progress of the operation is visible on the status bar.
Warning: The Magic Mask tool works by creating multi-local deformations of the
mask image to obtain the best match with the live image. This process may
sometimes introduce visual artifacts, e.g., the distortion of straight lines (guide
wires, catheters, blends, etc.).
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3.11.5 Changing the mask image
By default, the second image from the fluoroscopy series is used as a mask. However, the best
results can usually be obtained when a frame preceding the first image with the contrast media
appearance is selected as a mask.
To change the mask to the currently displayed image, click on the button or use the
Shift + / shortcut.
Scroll through the series to see the changes in the DSA presentation.
The index of the selected mask is displayed in the bottom-left corner:
To reset the mask image to the default, click on the button or press the Ctrl + Shift
+ / keys. This action will also revert any pixel-shift that has been applied to the mask.
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3.12 PACS connectivity
The PACS (Picture Archiving and Communication System) client feature lets the RadiAnt DICOM
Viewer query and retrieve studies from other PACS hosts.
Supported service class users/providers are:
· C-ECHO SCU
· C-ECHO SCP
· C-FIND SCU
· C-MOVE-SCU
· C-GET-SCU
· C-STORE-SCP
Received DICOM files can be stored either in a local database or in a temporary folder (in such
case the files are deleted when RadiAnt closes).
· Searching and downloading studies

· Configuration
· Troubleshooting
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3.12.1 PACS search presets
The parameters of any searches you perform on a frequent basis can be saved as presets.
To add a search preset, choose the parameters you want to save (PACS locations, modalities,
dates), click the arrow next to the Search button, and select Add preset .
Enter the name of the preset you would like to see displayed in the drop-down menu under the
Search button.
You can also assign a keyboard shortcut so that you can quickly perform a search with a chosen
preset by pressing the F2 - F12 keys.
Check the Save selected PACS locations box so that the currently chosen PACS locations are saved
within the preset.
If you leave this box unchecked, the PACS locations will not be changed after the preset is clicked.
Press Add to save the search preset. If you hold the Shift key down while adding the
preset, a spacer will be added before the preset in the drop-down menu.
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To perform a search using a saved preset, click the arrow next to the Search button and select
it from the menu.
You can also use a keyboard shortcut if it was assigned when adding the preset.
To delete a preset, select Delete preset from the drop-down menu and then click the name of
the preset you want to remove.
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3.12.2 PACS configuration
Basic settings
Open the PACS search and download window:
If you do this for the first time, you will be asked to configure PACS settings:
If the configuration was already performed, you have to click the options icon or use the
shortcut Ctrl + O to change PACS settings.
Each networked DICOM application is characterized by three basic parameters: IP address, port
and AE (Application Entity) title. The IP address is configured via system network settings. The port
on which RadiAnt listens for PACS connections and the AE title are configured in RadiAnt. By default,
the port is set to 11112 and the AE title to RADIANT.
Remember to configure your PACS server with the IP, port and AE title of RadiAnt DICOM Viewer.
Otherwise, you will not be able to search and download studies to RadiAnt from this server.
© 2020 Medixant
Adding a PACS host
To add a new PACS location, the AE parameters (IP, port and title) of the server are needed. Enter
them in the fields below, add a description and press Enter or click Add .
After clicking Save , you are ready to perform your first search and download.
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If this is your first configuration and Windows Firewall is enabled, you will be asked to unblock
network communication for RadiAnt. Click Allow access ; otherwise, you will not be able to
download DICOM studies from PACS locations.
Verifying PACS hosts (C-ECHO)
After a new PACS location is added to the list, a proper configuration and network connectivity can
be verified using the C-ECHO DICOM service.
Click the button or press F2 to perform a DICOM ping (C-ECHO) on all hosts in the list.
The locations awaiting verification will be presented with a yellow background.
After positive verification, the host's background becomes green.
If the connection and association with a host cannot be established, the background turns red.
© 2020 Medixant
Modifying PACS hosts

To change some parameters of a PACS location, select it in the list, change the desired field and
press Enter or click the arrow icon .
When you have several PACS location configured, you can change their priority in search by
selecting them and clicking the up and down arrows (or using the shortcuts Ctrl + Up
or Ctrl + Down ).
If several locations are searched at the same time and give results with studies having the same
study UID, the location with higher priority will be used to download the study.
To delete the selected location, click the button or press Ctrl + Del .
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Advanced settings
Click the right mouse button on the selected PACS location to display the pop-up menu.
Select Retrieve protocol to switch between C-MOVE and C-GET protocols to retrieve studies
from PACS locations.
By default, the C-MOVE protocol is used. It requires that:

· RadiAnt is able to listen to and accept inbound connections.
· The firewall allows such inbound connections.
· The NAT (if used) is configured to forward the inbound connections to RadiAnt.
· The PACS location is configured with RadiAnt's AE title, port, and IP address (since only the
RadiAnt's AE title is sent in the C-MOVE request).
Whereas with the C-GET protocol:

· RadiAnt does not need to be able to respond to inbound connections.
· You do not have to configure firewalls to allow inbound connection or perform NAT.
· There is no need to configure the PACS location so that it knows RadiAnt's AE title, port, and IP
address (only if required for access control).
Due to the above advantages, the C-GET protocol can be suitable for use beyond the firewall or
NAT; however, unfortunately, it is not commonly implemented in PACS servers.
© 2020 Medixant
Select Preferred transfer syntax to change the encoding used when communicating with a PACS
host. By default, the Explicit VR Little Endian transfer syntax is used. However, you may try other
encodings if some problems with communication are encountered.
The Maximum active downloads option lets you set the limit of concurrent downloads from
one PACS host. The default value is 1. Usually, when set to a larger value, it will speed up the
transfer of multiple studies. However, changing this value may also lead to connection timeouts and
errors, depending on specific PACS server implementation.
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Select Search settings > Character set to choose the character encoding used in PACS search
queries. By default, searches are performed using the standard ASCII character set. This option
allows you search names using non-English characters (note that your PACS server also has to
support the chosen character set).
When searching for studies on PACS locations leading and trailing wildcards (*) are automatically
added to your queries. This means you only need to type part of the name to view all the results
that include the text you entered. This behavior can be changed by using the Search settings >
Add wildcards option.
© 2020 Medixant
Select Search settings > Replace spaces with carets to replace spaces with carets (^) in your
PACS queries. This option is disabled by default.
Select Advanced settings > Accept all Presentation Contexts to disable rejection of
unsupported abstract syntaxes during association negotiation. This option may be required for
RadiAnt DICOM Viewer to work with some specific PACS server implementations. It is disabled by
default.
Click the Advanced settings button and select Query timeout to change the maximum
wait time for the incoming data after the PACS download is started. Some PACS servers may require
a longer time before they retrieve the study from cold storage and start sending it.
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3.12.3 PACS troubleshooting
Many different variables can lead to issues with PACS connectivity. However, the symptoms
generally fall into two groups:
1. PACS search does not work (and, consequently, neither do downloads)

2. PACS search yields results; however, trying to download studies always fails. In this group. we
can define two subgroups, depending on the retrieve protocol chosen for the PACS location:
a. PACS locations using C-MOVE protocol (default)
b. PACS locations using C-GET protocol
Click the appropriate scenario to see the checklist for your problem.
If the problems with the connection persist, use a local IT support that specializes
in the PACS field, as resolving the connectivity problems usually requires direct
access to your local network and your PACS server configuration.
© 2020 Medixant
When I press the search button in the PACS Search window, the results area
is empty.
1. Check for general network connectivity errors, such as an unplugged network cable, incorrect IP
address, network downtime, or similar problem. You should be able to ping one machine from
the other.
2. Verify the connectivity between RadiAnt and a PACS host using the C-ECHO service. The
connection has to be verifiable in both directions: From RadiAnt to the PACS host, and vice
versa. Otherwise, you will not be able to search and download studies from the PACS host.
3. You have to you use the proper parameters of your PACS server (IP, port, AE title) in the PACS
host configuration.
4. Make sure that your PACS server is configured with your RadiAnt computer's IP, port, and AE
title.
5. The port and AE title used in RadiAnt must be unique, which means that you cannot have
another DICOM viewer installed on the same machine with the same parameters. You also
cannot use the same AE title for DICOM viewers installed on different machines.
6. A fixed IP address has to be assigned to your RadiAnt computer. If you connect from a remote
site via a cable or DSL connection with a dynamic IP address, you will not be able to receive
DICOM studies.
7. There must be no firewall that blocks the communication:
a. From the RadiAnt computer to the configured port on the server.
b. From the server to the RadiAnt listener port configured in PACS options.
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I can search studies, but when I try to download a study, no images are
displayed in the viewer window.
The C-MOVE retrieve protocol is selected for the PACS location.
Make sure that the selected retrieve protocol is C-MOVE:
1. Verify the connectivity between RadiAnt and a PACS host using the C-ECHO service. The
connection has to be verifiable in both directions: from RadiAnt to the PACS host and vice versa.
Otherwise, you will not be able to search and download studies from the PACS host.
2. Make sure that your PACS server is configured with your RadiAnt computer's IP, port and AE
title.
3. The port and AE title used in RadiAnt must be unique, which means that you cannot have
another DICOM viewer installed on the same machine with the same parameters. You also
cannot use the same AE title for DICOM viewers installed on different machines.
4. A fixed IP address has to be assigned to your RadiAnt computer. If you connect from a remote
site via a cable or DSL connection with a dynamic IP address, you will not be able to receive
DICOM studies.
5. There must be no firewall that blocks the communication from the server to the RadiAnt listener
port configured in PACS options.
6. You can try changing the preferred transfer syntax used in communication with the specific PACS
host in RadiAnt PACS settings.
7. You may want to try and set the Accept All Presentation Contexts option for the specific PACS
© 2020 Medixant
I can search studies, but when I try to download a study, no images are
displayed in the viewer window.
The C-GET retrieve protocol is selected for the PACS location.
Make sure that the selected retrieve protocol is C-GET:
1. Make sure that your PACS server supports the C-GET protocol. It is not as commonly
implemented as the C-MOVE protocol. The following servers/workstations have been verified to
work with RadiAnt using C-GET protocol: DCM4CHEE, DCMTK (dcmqrdb), Horos, Osirix.
2. Make sure that RadiAnt's PC (IP, AE title) is allowed to retrieve studies from your PACS server
(check the configuration of the server).
3. You can try changing the preferred transfer syntax used in communication with the specific PACS
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3.12.4 PACS integration
RadiAnt DICOM Viewer can be integrated with other systems via command line arguments or
radiant:// URL protocol. You can launch the viewer, start downloading specific DICOM studies and
display them using simple commands or by clicking specially crafted radiant:// links in web
browsers.
Use the argument "-pstv" followed by one or more pairs of tag ID/value:
radiantviewer.exe -pstv 00080050 "ACCESSION-NUMBER"
radiant://?n=pstv&v=00080050&v=%22ACCESSION-NUMBER%22
1. To download a specific study (StudyUID needs to be passed)
radiantviewer.exe -pstv 0020000D "StudyUID"
radiant://?n=pstv&v=0020000D&v=%22StudyUID%22
2. To download a specific series (StudyUID and SeriesUID need to be passed)
radiantviewer.exe -pstv 0020000D "StudyUID" 0020000E "SeriesUID"
radiant://?n=pstv&v=0020000D&v=%22StudyUID%22&v=0020000E&v=%22SeriesUID%22
3. To download a specific image (StudyUID, SeriesUID and SOPInstanceUID need to be passed)
radiantviewer.exe -pstv 0020000D "StudyUID" 0020000E "SeriesUID" 00080018 "SopInstanceUID"
radiant://?n=pstv&v=0020000D&v=%22StudyUID%22&v=0020000E&v=%22SeriesUID%
22&v=00080018&v=%22SopInstanceUID%22
By default, all PACS nodes configured in RadiAnt are searched. You can define only one PACS node
by using "-paet" and its AE title:
radiantviewer.exe -paet MYPACSAETITLE -pstv 00100020 "PATIENTID"
radiant://?n=paet&v=MYPACSAETITLE&n=pstv&v=00100020&v=%22PATIENTID%22
Downloading multiple studies/series/images
Multiple studies/series/images can be downloaded using only one command by passing several -
pstv arguments.
1. Two studies
radiantviewer.exe -pstv 0020000D "STUDYUID1" -pstv 0020000D "STUDYUID2"
radiant://?n=pstv&v=0020000D&v=%22STUDYUID1%22&n=pstv&v=0020000D&v=%
22STUDYUID2%22
2. Two series of the same study
© 2020 Medixant
radiantviewer.exe -pstv 0020000D "STUDYUID1" -pstv 0020000E "SERIESUID1" -pstv 0020000E

"SERIESUID2"
radiant://?n=pstv&v=0020000D&v=%22STUDYUID1%22&n=pstv&v=0020000E&v=%
22SERIESUID1%22&n=pstv&v=0020000E&v=%22SERIESUID2%22
3. Different series from two different studies
radiantviewer.exe -pstv 0020000D "STUDYUID1" -pstv 0020000E "SERIESUID1" -pstv 0020000E

"SERIESUID2" -pstv 0020000D "STUDYUID2" -pstv 0020000E "SERIESUID3" -pstv 0020000E
"SERIESUID4"
22SERIESUID1%22&n=pstv&v=0020000E&v=%22SERIESUID2%22&n=pstv&v=0020000D&v=%
22STUDYUID2%22&n=pstv&v=0020000E&v=%22SERIESUID3%22&n=pstv&v=0020000E&v=%
22SERIESUID4%22
4. Several images from different series of the same study
radiantviewer.exe -pstv 0020000D "STUDYUID1" -pstv 0020000E "SERIESUID1" -pstv 00080018

"INSTANCEUID1" -pstv 00080018 "INSTANCEUID2" -pstv 0020000E "SERIESUID2" -pstv 00080018
"INSTANCEUID3" -pstv 00080018 "INSTANCEUID4"
22SERIESUID1%22&n=pstv&v=00080018&v=%22INSTANCEUID1%22&n=pstv&v=00080018&v=%
22INSTANCEUID2%22&n=pstv&v=0020000E&v=%22SERIESUID2%22&n=pstv&v=00080018&v=%
22INSTANCEUID3%22&n=pstv&v=00080018&v=%22INSTANCEUID4%22
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3.13 Special types of DICOM files

3.13.1 Structured report (SR)
Structured report (SR) files are special type of DICOM files designed for exchanging clinical
information and findings.
They are rendered in the viewport as images, but they can be also browsed more conveniently as
text.
Press Enter or double click the panel with the SR document to open it in the HTML browser.
Press Ctrl + Enter or double click the panel with the SR document with the Ctrl key
pressed to open it in the external web browser so that the report can be easily printed or saved in
the HTML file.
© 2020 Medixant
3.13.2 MPEG2/4 video
RadiAnt DICOM Viewer can read DICOM files containing video and audio compressed with either
MPEG2 or MPEG4 codecs:
Transfer syntax UID Transfer syntax name
1.2.840.10008.1.2.4.100 MPEG-2 Main Profile Main Level
1.2.840.10008.1.2.4.101 MPEG-2 Main Profile High Level
1.2.840.10008.1.2.4.102 MPEG-4 AVC/H.264 High Profile / Level 4.1
1.2.840.10008.1.2.4.103 MPEG-4 AVC/H.264 BD-compatible High

Profile / Level 4.1
They are opened using an external media player. Not all formats can be played using the default
Windows media player, hence VLC media player (http://www.videolan.org/vlc/), which can play all
video formats, is recommended.
Press Enter or double click the panel with the video document to open it in the external media
player.
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The preview images of video files can be displayed in the series preview pane and in the viewport
with the help of the FFMPEG tool.
Just download the static build from https://ffmpeg.zeranoe.com/builds/ and copy the ffmpeg.exe
file to the RadiAnt DICOM Viewer program folder (the location where the RadiAntViewer.exe file was
installed).
© 2020 Medixant
3.13.3 Encapsulated PDF
The encapsulated PDF documents (SOP Class 1.2.840.10008.5.1.4.1.1.104.1) can be opened in an

external PDF viewer.
Adobe Acrobat Reader DC (http://get.adobe.com/reader/) is recommended.
Press Enter or double click the panel with the PDF document to open it in the external viewer.
3.13.4 DICOMDIR
DICOMDIR is a special DICOM file usually found in the root folder of the CD/DVD media with
DICOM studies.
This file includes paths to the DICOM files found on the media.
RadiAnt DICOM Viewer uses DICOMDIRs to quickly generate thumbnail images of all series found
on the media.
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3.14 DICOM tags
Each DICOM file contains much more information than can be displayed as annotations on the
image.
To view the DICOM tags associated with the image displayed click Show DICOM tags menu item
or use Ctrl + Alt + T .
A complete list of DICOM tags, their descriptions and values will be displayed.
The file path of the analyzed DICOM file is displayed on the title bar.
You can search the list of tags for a specific text by entering it in the "Find text..." box in the lower
left corner.
The following fields are searched: Tag ID, Description and Value.
© 2020 Medixant
Press Enter to clear the text box and show all tags once again.
Click right mouse button on the tag list to show the pop-up menu.
Select Show DICOM file in Explorer or press Ctrl + O to show the folder with the
selected DICOM file in Windows Explorer.
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The value of a tag can be copied to clipboard by selecting an item and pressingCtrl +
Shift + V or by selecting Copy value from the pop-up menu.
To copy all fields of the selected tag, press Ctrl + C or click Copy selected item .
The entire structure of the file can be copied to clipboard by pressing Ctrl + Shift + C
or by selecting Copy all items .
The RAW value (the exact bytes as stored in the source DICOM file) of the selected tag(s) can be
saved to a file by pressing Ctrl + S or by clicking Save RAW value .
© 2020 Medixant
3.15 Changing language
Thanks to our community, RadiAnt DICOM Viewer has been translated into more than 30 languages.
The language files (in XML format) are available for download from
https://www.radiantviewer.com/translations/ page.
Download and save the translation file into a known location.
Click an arrow next to the Help button and then the menu item Choose a language /
Import language XML file .
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Advanced Topics 271
Find the downloaded language file and click Open .
The new language will be applied after restarting RadiAnt DICOM Viewer.
Keep in mind that not all translations are updated for the latest versions of RadiAnt DICOM Viewer.
If you use an older one, some texts may remain in English.
Translation files can be edited/updated using the online tool available at
http://www.radiantviewer.com/translation.
© 2020 Medixant
3.16 Keyboard customization
Most of the keyboard shortcuts used in RadiAnt DICOM Viewer can be customized to user's
preference.
Click an arrow next to the Help button and then the menu item Customize keyboard .
The keyboard customization window will be opened.
Select the command from the list. You can also use the text box to display only commands
containing a specific text.
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Advanced Topics 273
If you want to remove previously associated shortcut just click Remove .
Place the cursor in the field under "Press shortcut keys:" and press the new shortcut key(s).
Then click the Assign button.
When you're done, remember to click OK to save the new shortcuts.
You can always restore the default shortcuts by pressing Reset .
© 2020 Medixant
Modifier keys for mouse buttons
The functions associated with mouse buttons can be changed by pressing a modifier key (e.g. Ctrl +
Left mouse button – adjusts WW/WL). Check the list of default modifiers.
These modifiers can be customized in the keyboard customization window. Just enter "Modifiers"
into the search box and the list of all available mouse actions will be displayed.
To change a modifier, select specific action, remove its current modifier and press Ctrl , Alt,
Shift or their combination in the "Press shortcut keys" text box. Then press Assign .
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3.17 Program and license information
To access the program and license information, click on the arrow next to the Help button and
then the About RadiAnt option, or press Ctrl + F1 .
The About window will be displayed.
© 2020 Medixant
Click on the ellipsis ... button to quickly copy the displayed information or access the relevant
folders in which the configuration and program files are stored.
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4 Appendix
4.1 Keyboard shortcuts
2D Viewer window - global keyboard shortcuts

Ctrl + O Open DICOM file(s)
Ctrl + Shift + O Scan DICOM folder
Ctrl + Alt + O Open DICOM CD/DVD
Ctrl + F Search and download studies from PACS locations
B Select series browsing tool
W Select image window (brightness/contrast) adjustment tool
M Select image panning tool
Z Select image zooming tool
L Select length tool
E Select ellipse tool
G Select closed polygon tool
O Select open polygon tool
A Select angle tool
C Select Cobb angle tool
D Select deviation tool
Y Select arrow tool
P Select pen tool
Ctrl + Shift + E Time-intensity curve tool
Ctrl + Shift + Plus (+) Increase ROI font size
Ctrl + Shift + Minus (-) Decrease ROI font size
F12 Toggle annotations
Shift + F12 Toggle all patient data visibility
Ctrl + F12 Toggle cross reference lines
F5 Toggle series synchronization mode
F Toggle full screen/window mode
Ctrl + Alt + F3 Toggle toolbar and status bar visibility
Ctrl + Alt + F2 Toggle series preview bar visibility
Ctrl + E Show export to JPEG/BMP/WMV window
© 2020 Medixant
F4 Open multiple series
Shift + F4 Close all panels
F1 Show online help
F8 Open default database
Ctrl + F8 Create new database
Shift + F8 Open existing database
Ctrl + N Open new window
Ctrl + Shift + N Duplicate window
Ctrl + Alt + F4 Exit RadiAnt
2D Viewer window - local keyboard shortcuts (sent to the active panel)

Tab Activate next panel
Shift + Tab Activate previous panel
Ctrl + F4 Close active panel
Ctrl + M Maximize/restore active panel
Left Arrow Display previous series
Right Arrow Display next series
Home Display first series
End Display last series
Up Arrow Go to previous image
Down Arrow Go to next image
Page Up Go 10 images back
Page Down Go 10 images forward
Ctrl + Arrows Pan image
Ctrl + Plus (+) Zoom in
Ctrl + Minus (-) Zoom out
Ctrl + 0 Fit image into panel
Ctrl + 1 Set zoom to 100% (1 image pixel = 1 screen pixel)
Ctrl + 2 Set zoom to 200%
0 Default window (brightness/contrast) setting
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Appendix 279
1 Full dynamic brightness/contrast
2 2nd window preset (Abdominal for CT images)
3 3rd window preset (Angio for CT images)
4 4th window preset (Bone for CT images)
5 5th window preset (Brain for CT images)
6 6th window preset (Chest for CT images)
7 7th window preset (Lung for CT images)
8 8th window preset
9 9th window preset
Ctrl + F11 Custom window
F11 Negative
Space Start/stop cine
Ctrl + C Copy selected ROI

Copy displayed image to clipboard
Ctrl + Shift + C Copy all ROIs in displayed image
Ctrl + V Paste ROI(s)
Ctrl + Shift + D Duplicate ROI in corresponding series
Shift + Alt + D Duplicate ROI in all images of the series
Del Delete selected ROI
Shift + Del Delete ROIs in all visible images
Ctrl + Del Delete all ROIs in displayed image
Ctrl + Shift + Del Delete all ROIs in displayed series
Esc Deselect ROI
Alt + F12 Toggle ROI visibility
Ctrl + [ Rotate image 90 degrees counter clockwise
Ctrl + ] Rotate image 90 degrees clockwise
Ctrl + Shift + [ Flip horizontal
Ctrl + Shift + ] Flip vertical
Ctrl + Shift + \ Clear transformations
Ctrl + I Next image filter
Ctrl + Shift + I Previous image filter
I Next sharpen filter
Shift + I Disable filters
© 2020 Medixant
Ctrl + Alt + 1 Coronal MPR
Ctrl + Alt + 2 Sagittal MPR
Ctrl + Alt + 3 Axial MPR
F3 3D Volume Rendering
Ctrl + Alt + F Toggle image fusion
/ Toggle subtraction
Shift + M Select manual pixel-shift tool
Ctrl + M Select auto pixel-shift tool
Shift + / Use current image as mask
Ctrl + Shift + / Reset mask
Ctrl + Alt + / Split mask
. Magic Mask
Ctrl + Alt + T Show DICOM tags for displayed image
Ctrl + F5 Split series
Shift Hold it during ellipse drawing to make it a circle, hold it

while drawing a segment to make it horizontal or vertical
Ctrl Hold it during ellipse drawing to show actual pixels used

for calculations (only in magnified image)
Enter Open displayed SR (Structured Report) document in the

internal HTML browser
Open displayed MPEG2/4 video in the external media
player
Open displayed PDF in the external browser
Ctrl + Enter Open displayed SR (Structured Report) document in the

external HTML browser
Local archive window

Ctrl + Shift + O Import DICOM folder
Ctrl + O Import DICOM file(s)
Ctrl + Alt + O Import CD/DVD DICOM disc
Ctrl + F Search and import studies from PACS servers
Ctrl + E Export selected studies/series
Del Delete selected studies/series
K Add keyword to selected studies
Enter Open selected studies in the active window
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Appendix 281
Ctrl + Enter Open selected studies in a new window
Shift + Enter Add selected studies to the active window
Ctrl + Shift + Enter Open selected studies in separate windows
Ctrl + F8 Create new database
Shift + F8 Open existing database
Ctrl + N Open new viewer window
Alt + F Filter studies
F2 Cycle view (studies/series/images)
3D Volume Rendering window

Left / Right Arrow Rotate volume around the Y axis
Up / Down Arrow Rotate volume around the X axis
</> Rotate volume around the Z axis (roll)
Ctrl + 0 Fit volume into panel
0 Default window (color/opacity) setting
Ctrl + S Toggle shading
Ctrl + R Reset scene
Ctrl + Alt + 0 Restore volume
R Select 3D rotate tool
T Select roll tool
W Select image window (color/opacity) adjustment tool
S Select scalpel tool
Ctrl + Z Undo scalpel
Ctrl + Y Redo scalpel
Ctrl + Shift + Alt + Z Clear scalpel history
© 2020 Medixant
Y Select arrow tool
1 Anterior view
2 Posterior view
3 Left view
4 Right view
5 Superior view
6 Inferior view
Ctrl + C Copy displayed image to clipboard
Ctrl + E Save image to JPEG file
F2 Create quick movie
Ctrl + F2 Create advanced movie

Cut inside area
Enter Cut outside area
Esc Deselect ROI

Clear area
F12 Toggle annotations/direction cube
Ctrl + Alt + F3 Toggle toolbar visibility
F3 Show 3D snapshots
K Take 3D snapshot
] Next 3D snapshot
[ Previous 3D snapshot
Ctrl + F3 Load 3D snapshots from file
Shift + F3 Save 3D snapshots to file
3D MPR window
Left / Right Arrow Rotate view around the Z axis (roll)
Up / Down Arrow Browse volume to back / front
Alt + Up / Down Arrow Rotate image plane around the X axis
Alt + Left / Right Arrow Rotate image plane around the Y axis
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Ctrl + 0 Fill viewport
0 Default window (color/opacity) setting
F11 Negative
Ctrl + R Reset view
B Select browse tool
R Select 3D rotate tool
T Select roll tool
W Select image window adjustment tool
E Select ellipse tool
G Select closed polygon tool
O Select open polygon tool
A Select angle tool
Y Select arrow tool
H Select thickness tool
Plus (+) Increase thickness
Minus (-) Decrease thickness
F2 Switch rendering mode
F3 Toggle axes visibility
Ctrl + F3 Center all axes
F4 Next viewport layout
Tab Activate next viewport
Shift + Tab Activate previous viewport
Ctrl + C Copy image to clipboard
Shift + C Copy all images to clipboard
Ctrl + E Save image to JPEG file
Shift + E Save all images to JPEG file
© 2020 Medixant
Enter Maximize / restore active viewport
Esc Deselect ROI
Ctrl + Alt + F3 Toggle toolbar visibility
PACS search window

Enter Download selected study/studies to the active viewer
window (clears previously opened study)
Shift + Enter Add selected study/studies to the active viewer window
Ctrl + Enter Download selected study/studies to the new viewer window
Ctrl + Shift + Enter Download and show selected study/studies in separate

windows
Ctrl + P Find all studies of the selected patient
Ctrl + Del Cancel all active downloads and searches
Ctrl + O PACS configuration
Ctrl + L Show the list of active and finished downloads along with
detailed statistics and status messages
Ctrl + S Show series list
F2 - F12 Perform PACS search using saved presets
PACS configuration window

Ctrl + Up Increase the priority of the selected PACS location
Ctrl + Down Decrease the priority of the selected PACS location
Del Delete selected PACS location
F2 Verify PACS locations (C-ECHO)
DICOM tags window

Ctrl + O Show DICOM file in Explorer
Ctrl + C Copy selected tag to clipboard
Ctrl + Shift + C Copy all tags to clipboard
Ctrl + Shift + V Copy tag value to clipboard
Ctrl + S Save RAW value(s) of the selected tag(s) to a file
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4.2 Mouse functions
2D Viewer window
Left mouse button + mouse move Browse images of the series [default setting]
Middle mouse button + mouse Adjust image window (brightness/contrast) [default setting]
move
Right mouse button + mouse move Zoom image in/out [default setting]
Back (4th) mouse button + mouse Pan image [default setting]

move
Forward (5th) mouse button + Length measurement [default setting]

mouse move
Ctrl + left mouse button click on a Open series in new panel

thumbnail
Ctrl + left mouse button + mouse Adjust image window (brightness/contrast)

move
Shift + left mouse button + mouse Pan image

move
Ctrl + vertical mouse wheel Zoom image in/out
Vertical mouse wheel Browse images of the series
Horizontal mouse wheel Go to previous/next series

Left mouse button + mouse move 3D rotate volume [default setting]
Middle mouse button + mouse Adjust image window (color/opacity) [default setting]
move

move

mouse move
Ctrl + left mouse button + mouse Adjust image window (color/opacity)

move

move
Ctrl + Alt + Left mouse button + Roll

mouse move
© 2020 Medixant
Alt + left mouse button + mouse Draw area with the scalpel tool
move
3D MPR window
Left mouse button + mouse move Browse volume back/front [default setting]
Middle mouse button + mouse Adjust image window [default setting]

move

move

mouse move
Ctrl + left mouse button + mouse Adjust image window

move

move
Alt + left mouse button + mouse 3D rotate

move
Ctrl + Alt + left mouse button + Roll

mouse move
Ctrl + Shift + left mouse button + Change thickness

mouse move
© 2020 Medixant
Appendix 287
4.3 Multi-touch operations
2D Viewer window
Drag one finger over series preview Scroll series list.
bar
Drag one finger over image Tool chosen in the toolbar (browsing series by default).
Two fingers over image Pinch to zoom, drag to pan image.
Three fingers over image Drag up/down to change brightness, drag left/right to
change contrast.
Double tap on image Maximize/restore panel.

Drag one finger over image Tool chosen in the toolbar (3D rotate by default).
Two fingers over image Pinch to zoom, drag to pan image, rotate to roll image.
Three fingers over image Drag up/down/left/right to change color/opacity.
Double tap on image Toggle full-screen mode.
3D MPR window
Drag one finger over image Tool chosen in the toolbar (browse volume by default).
Two fingers over image Pinch to zoom, drag to pan image, rotate to roll image.
Three fingers over image Drag up/down/left/right to change window level and width
(WL/WW).
Four fingers over image Drag up/down to change slab thickness.
Double tap on image Toggle full-screen mode.
© 2020 Medixant
4.4 Configuration files

4.4.1 Options.xml
The options.xml file can be used to set RadiAnt DICOM Viewer default preferences.
It is located either in the "C:\ProgramData\RadiantViewer" (Windows 10, 7, 8, Vista) or "C:

\Documents and Settings\All Users\Application Data\RadiantViewer" (Windows XP) folder.
When RadiAnt DICOM Viewer is used as a patient CD/DVD viewer, the options.xml file can be also
placed in the "COMMON" folder on the CD/DVD media.
Default options.xm file:
<?xml version="1.0" encoding="utf-8" ?>

<options>
<zoom>
<toregion>0</toregion> 
<offcenter>0</offcenter> 
</zoom>
<browse>
<scrollwrap>1</scrollwrap> 
</browse>
<window>
<presets> 
 

</presets>
</window>
<synchronization>
<enabled>1</enabled> 
<slice>1</slice> 
<zoom>1</zoom> 
<window>0</window> 
</updates>
<tools> 
<lmb>1</lmb> 
<mmb>4</mmb> 
© 2020 Medixant
Appendix 289
<rmb>2</rmb> 

<x1mb>3</x1mb> 
<x2mb>5</x2mb> 
<mw>1</mw> 
<mwh>1</mwh> 
</tools>
<vr>
<penscalpel>0</penscalpel> 
</vr>
<mpr>
<autocenter>1</autocenter> 
<axisthkpts>0</axisthkpts> 
</mpr>
<cine>
<autorun>1</autorun> 
<fps>10</fps> 
</cine>
<loading>
<autoshow>1</autoshow> 
<ussep>0</ussep> 
<desc>0</desc> 
<primaryfirst>0</primaryfirst> 
<nonimage>0</nonimage> 
<acceptpushed>0</acceptpushed> 
<sernum>0</sernum> 
</loading>
<disabled>






</disabled>
<screen>
© 2020 Medixant
<split c="0" r="0"/> 
<clp>0</clp> 

</screen>
<i18n>
 
 
</i18n>
<pacs>

<srcfields>
 
</srcfields>
</pacs>
<roi>
<length>
<units>0</units> 
<precision>2</precision> 
<divide>0</divide> 
</length>
<ellipse>
<center>0</center> 
</ellipse>
</roi>
<srdocs>
<imgheader>0</imgheader> 
</srdocs>
<db>
<showonstart>0</showonstart> 
<autoviewer>0</autoviewer> 
<autoeject>0</autoeject> 
</db>
© 2020 Medixant
Appendix 291
<api>
 
</api>
</options>
© 2020 Medixant
4.4.2 Overlay.xml
The overlay.xml file can be used to change the default annotations displayed over images in
RadiAnt DICOM Viewer.
It is located either in the "C:\ProgramData\RadiantViewer" (Windows 7, 8, Vista) or "C:\Documents

and Settings\All Users\Application Data\RadiantViewer" (Windows XP) folder.
When RadiAnt DICOM Viewer is used as a patient CD/DVD viewer, the overlay.xml file can be also
placed in the "COMMON" folder on the CD/DVD media.
Sample file:
<?xml version="1.0" encoding="utf-8" ?>

<sets>
<set>
<tl>



</tl>
<tr>

<e k="1" i="00100020"/>

<e k="1" i="00080080"/>
<e k="1" i="00200010"/>
<e k="1" i="00081030"/>
<e k="1" i="0008103E"/>
<e k="1" i="00204000"/>
<e k="1" i="00324000"/>

</tr>
<bl>



</bl>
 


</set>
<set c="1">
<tl>

</tl>
</set>
<set m="MR" e="1">

 


© 2020 Medixant
Appendix 293

</set>
<set m="CT" e="1">

 


</set>
<set m="MG" e="1">

<tl>
<e k="1" i="00200062"/>
<e k="1" i="00185101"/>
</tl>
</set>
</sets>

© 2020 Medixant
Appendix 295
4.5 Command-line arguments
radiantviewer.exe
-f Open DICOM files (radiantviewer.exe -f "file1" "file2" "file3")
-fl Open DICOM files listed in a text file, one file path in each
line (radiantviewer.exe -fl "filelist.txt" )
-d Open DICOM files from folders (radiantviewer.exe -d

"folder1" "folder2" "folder3")
This parameter, when used with the CD/DVD autorun

version, defines only specific folders for scanning on the
CD/DVD media.
-b Show expanded subfolders tree after starting RadiAnt

DICOM Viewer (radiantviewer.exe -b "rootfolder")
-cl Close all other opened windows of RadiAnt DICOM Viewer

(radiantviewer.exe -cl)
-pstv Start downloading studies that match a specific DICOM

tag/value pair (radiantviewer.exe -pstv 00080050
"ACCESSION-NUMBER" or radiantviewer.exe -pstv
0020000D "STUDYUID")
-paet Start downloading studies from the specific PACS host(s),

matched by the AE title (radiantviewer.exe -paet
MYPACSAETITLE -pstv 00100020 "PATIENTID")
-wp Set main window position and size (radiantviewer.exe -wp X

Y W H F)
X,Y - position, W,H - size, F - flags (1 - W&H specify client
area size)
-sp Set default split screen preset (radiantviewer.exe -sp

colnum rownum)
-sf Hide specific interface elements (radiantviewer.exe -sf F)

F - flag (hidetoolbar = 0x0001, hideseriesbar = 0x0002,
hidestatusbar = 0x0004)
-tg Export DICOM meta data to text files (radiantviewer.exe -d

"folder_in" -tg "folder_out")
FILENAME Open DICOM file(s) (radiantviewer.exe "file1")
FOLDERNAME Open DICOM folder(s) (radiantviewer.exe "folder1")
ZIPARCHIVE.zip Open DICOM zip archive (radiantviewer.exe

"samplearchive.zip")
DATABASE.rdvdb Open RadiAnt database(s) (radiantviewer.exe

"mycases.rdvdb")
© 2020 Medixant
radcmd.exe
-activateonline Activate RadiAnt DICOM Viewer automatically with the serial
number
(radcmd.exe -activateonline SERIALNUMBER)
-reqcode Get the request code required for manual activation

(radcmd.exe -reqcode)
-activate Activate RadiAnt DICOM Viewer with the code generated in

the manual activation service (radcmd.exe -activate
ACTIVATION_CODE)
-deactivate Deactivate RadiAnt DICOM Viewer installation and get

codes required in the manual deactivation service
(radcmd.exe -deactivate)
© 2020 Medixant
Appendix 297
4.6 URL protocol
Local RadiAnt DICOM Viewer installation can be controlled using the radiant:// URL protocol.
By clicking special links in web browsers, all actions available via command-line arguments can be
executed.
How can I create radiant:// URLs?
You have to pass command-line arguments (their names and values) via the URL query parameters
"n" and "v" respectively.
Special characters (e.g., quotes, spaces) have to be URL encoded.
Sample command-line to URL translations:
radiantviewer.exe -d "folder1" "folder2" "folder3"
radiant://?n=d&v=%22folder1%22&v=%22folder2%22&v=%22folder3%22
radiantviewer.exe -pstv 0020000D "STUDYUID"
radiant://?n=pstv&v=0020000D&v=%22STUDYUID%22
radiantviewer.exe -paet MYPACSAETITLE -pstv 00100020 "PATIENTID"
radiant://?n=paet&v=MYPACSAETITLE&n=pstv&v=00100020&v=%22PATIENTID%22
© 2020 Medixant
4.7 Setup arguments
Setup command-line arguments

/S Enable silent installation mode
/D Destination folder (it must be the last parameter used in the

command line and must not contain any quotes, even if the
path contains spaces)
/LANGFILE Language XML file path
/LANGUAGE Setup language (overrides system locale,

eg. /LANGUAGE=1033 )
/BITS Installed version (available values: 32, 64, 64ARM)
Sample syntax radiantsetup.exe /S /LANGFILE="D:\language_es.xml" /D=C:

\Program Files\RadiAnt
© 2020 Medixant
Appendix 299
4.8 GPU acceleration
Recent years have brought tremendous advancements in Graphics Processing Units development.
The computing power of the current top-of-the-line graphics cards reaches more than 10 TFLOPS,
which is about 100 times more than the average modern desktop CPU.
Three-dimensional reconstruction modes available in RadiAnt DICOM Viewer (3D Volume

Rendering; 3D Multiplanar Reformation) are based on algorithms that require tens of billions of
mathematic operations per one frame of reconstructed image. When CPU is used for such
calculations, progressive rendering has to be used to facilitate the fluidity required for smooth
interactions. Only when a user stops volume manipulation can the final image be rendered in best
quality. However, if a compatible GPU card is detected in the system, it can be used by RadiAnt
DICOM Viewer to crunch the numbers at much faster rates, so that smooth interaction with volume
can be achieved at best rendering quality.
© 2020 Medixant
GPU rendering mode is automatically enabled in 3D VR and 3D MPR windows when a fast Nvidia
graphics card is detected. If a slower card is detected, GPU mode has to be enabled manually.
Prerequisites
· A 64-bit version of RadiAnt DICOM Viewer is required to make use of GPU-accelerated rendering,
this mode is not supported in the 32-bit version of the viewer.

· The latest Nvidia drivers should be installed (http://www.nvidia.com/Download/index.aspx).
· Nvidia CUDA compatible GPU is required with the compute capability version 3.0 or later:
GeForce GTX 770, GeForce GTX 760, GeForce GT 740, GeForce GTX 690, GeForce GTX 680,
GeForce GTX 670, GeForce GTX 660 Ti, GeForce GTX 660, GeForce GTX 650 Ti BOOST, GeForce
GTX 650 Ti, GeForce GTX 650, GeForce GTX 880M, GeForce GTX 780M, GeForce GTX 770M,
GeForce GTX 765M, GeForce GTX 760M, GeForce GTX 680MX, GeForce GTX 680M, GeForce GTX
675MX, GeForce GTX 670MX, GeForce GTX 660M, GeForce GT 750M, GeForce GT 650M, GeForce
GT 745M, GeForce GT 645M, GeForce GT 740M, GeForce GT 730M, GeForce GT 640M, GeForce
GT 640M LE, GeForce GT 735M, GeForce GT 730M, GeForce GTX Titan Z, GeForce GTX Titan
© 2020 Medixant
Appendix 301
Black, GeForce GTX Titan, GeForce GTX 780 Ti, GeForce GTX 780, GeForce GT 640 (GDDR5),
GeForce GT 630 v2, GeForce GT 730, GeForce GT 720, GeForce GT 710, GeForce GT 740M (64-bit,
DDR3), GeForce GT 920M, GeForce GTX 750 Ti, GeForce GTX 750, GeForce GTX 960M, GeForce
GTX 950M, GeForce 940M, GeForce 930M, GeForce GTX 860M, GeForce GTX 850M, GeForce
845M, GeForce 840M, GeForce 830M, GeForce GTX 870M, GeForce GTX Titan X, GeForce GTX
980 Ti, GeForce GTX 980, GeForce GTX 970, GeForce GTX 960, GeForce GTX 950, GeForce GTX
750 SE, GeForce GTX 980M, GeForce GTX 970M, GeForce GTX 965M, Nvidia TITAN Xp, Titan X,
GeForce GTX 1080 Ti, GTX 1080, GTX 1070 Ti, GTX 1070, GTX 1060, GTX 1050 Ti, GTX 1050, GT
1030, MX350, MX330, MX250, MX230, MX150, NVIDIA TITAN V, NVIDIA TITAN RTX, GeForce RTX
2080 Ti, RTX 2080 Super, RTX 2080, RTX 2070 Super, RTX 2070, RTX 2060 Super, RTX 2060,
GeForce GTX 1660 Ti, GTX 1660 Super, GTX 1660, GTX 1650 Super, GTX 1650, Quadro K5000,
Quadro K4200, Quadro K4000, Quadro K2000, Quadro K2000D, Quadro K600, Quadro K420,
Quadro K500M, Quadro K510M, Quadro K610M, Quadro K1000M, Quadro K2000M, Quadro
K1100M, Quadro K2100M, Quadro K3000M, Quadro K3100M, Quadro K4000M, Quadro
K5000M, Quadro K4100M, Quadro K5100M, NVS 510, Quadro 410, Quadro K6000, Quadro
K5200, Quadro K1200, Quadro K2200, Quadro K620, Quadro M2000M, Quadro M1000M,
Quadro M600M, Quadro K620M, NVS 810, Quadro M6000 24GB, Quadro M6000, Quadro
M5000, Quadro M4000, Quadro M2000, Quadro M5500, Quadro M5000M, Quadro M4000M,
Quadro M3000M, Quadro GP100, Quadro P6000, Quadro P5000, Quadro P4000, Quadro P2200,
Quadro P2000, Quadro P1000, Quadro P400, Quadro P500, Quadro P520, Quadro P600, Quadro
P5000(Mobile), Quadro P4000(Mobile), Quadro P3000(Mobile), Quadro GV100, Quadro RTX
8000, Quadro RTX 6000, Quadro RTX 5000, Quadro RTX 4000, Quadro T2000, Quadro T1000
© 2020 Medixant
4.9 Citations
How to cite RadiAnt DICOM Viewer in academic publications:
Medixant. RadiAnt DICOM Viewer [Software]. Version 2020.2. Jul 19, 2020. URL:
https://www.radiantviewer.com
BibTeX:
@software{radiant,
author = {{Medixant}},
title = {RadiAnt DICOM Viewer},
url = {https://www.radiantviewer.com},
version = {2020.2},
date = {2020-07-19},
}
The publication date and version entries have to be changed to match the version of software you
are using. From within the software, click the arrow next to the Help button and then select
About RadiAnt , or use shortcut Ctrl + F1 to find the version information and the date of
build.
© 2020 Medixant
Appendix 303
4.10 CD/DVD/USB Autorun Package
RadiAnt DICOM Viewer CD/DVD is available as the Autorun Package for Patient
CD/DVD/USB (32 and 64-bit).
This version is intended for distribution on CD/DVD or USB flash media with a
DICOM study.
The contents of the archive should be placed in the root folder of the CD/DVD/USB.
After the relevant media is inserted, autorun file automatically runs RadiAnt DICOM
Viewer, which opens and displays the DICOM files placed on the media.
This version works on both 32- and 64-bit systems. Windows XP SP3, Vista, Windows
7, Windows 8, Windows 8.1, and Windows 10 are supported.
Software limitations
Package contents
Recording DICOM CD/DVD
Encrypted DICOM CD/DVD/USB
4.10.1 Software limitations
RadiAnt DICOM Viewer CD/DVD can only run from the CD/DVD discs or USB Flash removable drives
and display images stored on the media on which it runs. It cannot be started from your local hard
drive. Furthermore, DICOM studies cannot be opened from locations other than removable media
the viewer was recorded on.
You should use your own software and hardware to burn the contents of the autorun package
(with the license key file) along with the DICOM study files to the CD/DVD media (or record to USB
Flash). We do not provide software that can receive DICOM studies from PACS locations and burn
these studies to CD/DVD discs. We simply provide a set of RadiAnt DICOM Viewer CD/DVD files in a
zip archive together with the license to distribute these files on the CD/DVDs or USB drives. RadiAnt
DICOM Viewer cannot burn CD/DVDs by itself.
The RadiAnt DICOM Viewer CD/DVD does not include all the features that are available in the
installable version of RadiAnt DICOM Viewer. Please refer to this comparison table for further
information: https://www.radiantviewer.com/products/
4.10.2 Package contents
The package contains 32-bit (RA32 folder) and 64-bit (RA64 folder) versions of RadiAnt DICOM
Viewer CD/DVD.
There is also the "COMMON" folder, which contains the following subfolders and files:
· "LANG" - the language XML files with RadiAnt DICOM Viewer CD/DVD translations may be placed
in this folder.
© 2020 Medixant
· "LICENSE" - contains the license agreements for RadiAnt DICOM Viewer CD/DVD and relevant
open-source libraries info.

· "logo.jpg" - can be replaced with your custom logo image (JPEG, 650x300px).
· "options.xml" - can be edited to change the default settings of the RadiAnt DICOM Viewer
CD/DVD.
· "overlay.xml" - can be edited to change the default annotations that are overlaid on the images.
License key file
After completing the purchase process, you will receive a license key (one key per recording
device).
The license key file ("license.radiantlic") must be copied to the "COMMON" folder.
Autorun.inf
After the media is inserted, the "autorun.inf" file automatically opens the RadiAnt DICOM Viewer
CD/DVD, which performs a search and opens and displays the DICOM files placed on the media.
The search for DICOM files can be narrowed down to the specific folders defined as command-line
parameters (-d) in the "autorun.inf" file:
[AutoRun.Amd64]
LABEL=RadiAnt DICOM Viewer 64-bit
ICON=RA64\viewer64.exe,0
OPEN=RA64\viewer64.exe -d IMAGES
[AutoRun]
OPEN=RA32\viewer32.exe -d IMAGES
The viewer may also be started manually using the "run.bat" file. This approach opens the
"RA32/launcher.exe" tool which, depending on the user's operating system versions, runs either a
32-bit or 64-bit version of RadiAnt DICOM Viewer CD/DVD.
RadiAnt DICOM Viewer CD/DVD can be opened with a chosen interface language (provided the
associated translation XML file is present in the LANG folder).
Users are required to pass the language code after the "-lang" parameter to launcher.exe
Simply replace the contents of the "autorun.inf" file with:
[AutoRun.Amd64]
OPEN=RA32\launcher.exe -lang es
[AutoRun]
OPEN=RA32\launcher.exe -lang es
© 2020 Medixant
Appendix 305
4.10.3 Recording DICOM CD/DVD
This tutorial is also available as a screencast (external YouTube link):

How to burn a DICOM CD with RadiAnt DICOM Viewer CD/DVD on Windows 10
You will need the following items to create a DICOM CD:
1. The RadiAnt DICOM Viewer CD/DVD autorun package. This can be downloaded from
https://www.radiantviewer.com/products/radiant-dicom-viewer-cddvd/
2. The License.radiantlic file that was sent to you in the delivery email.
3. The folder with the DICOM study that you want to record.
© 2020 Medixant
Create a temporary folder in which you will copy the autorun package, the license key file, and the
DICOM files.
© 2020 Medixant
Appendix 307
Extract the files from the autorun package to the temporary DICOM_CD folder.
Copy the License.radiantlic file to the COMMON folder.
If the license key file was downloaded from the "My Licenses" account, you will need to
change its name from license_XXXXXXXX.radiantlic to License.radiantlic.
© 2020 Medixant
Copy the folder that contains your DICOM files to the temporary DICOM_CD folder.
Browse to the CD/DVD recorder in File Explorer.
© 2020 Medixant
Appendix 309
Select all files and folders from the temporary DICOM_CD folder and drag and drop them onto the
CD/DVD drive.
Insert a blank CD/DVD disc into your CD/DVD burner.
© 2020 Medixant
Choose With a CD/DVD player , enter the disc title, and click Next .
Click Drive Tools and Finish burning to start the CD/DVD burning process.
© 2020 Medixant
Appendix 311
Click on the Next button, and the CD/DVD burning process will commence.
© 2020 Medixant
Click Finish , and the CD/DVD will be ejected.
Insert the DICOM disc you just created into the CD/DVD drive to verify it is running correctly.
© 2020 Medixant
Appendix 313
The company name is visible on the title bar.
© 2020 Medixant
The license information can be displayed in the About window.
© 2020 Medixant
Appendix 315
4.10.4 Encrypted DICOM CD/DVD/USB
You can create password-protected DICOM CD/DVD/USB media with the RadiAnt DICOM Viewer
CD/DVD serving as the autorun viewer.
It supports the safe AES-256 encryption algorithm (192-bit and 128-bit AES versions are also
supported). A free 7-zip archive manager can be used to compress and encrypt files using the AES-
256 cipher.
How to create an encrypted DICOM CD
1. Compress the DICOM files you want to record into an unencrypted ZIP file (container.zip). This
step is optional but adds an additional level of security by preventing unauthorized persons from
looking up the file names inside a zip file without a password.
© 2020 Medixant
© 2020 Medixant
Appendix 317
2. Now compress the container.zip file into dcmdata.zip file, this time using the AES-256
encryption (provide a safe, long password that contains a combination of uppercase and lower
case letters, digits, and special characters).
© 2020 Medixant
3. Record the encrypted dcmdata.zip file in the root folder of your CD/DVD or USB Flash.
© 2020 Medixant
Appendix 319
4. When the RadiAnt DICOM Viewer CD/DVD is initiated, you will be prompted to input the
password. After the correct password is provided, the files from the media will be decrypted to a
temporary folder on the hard drive and opened in RadiAnt. When the program is closed, the
temporary folder and associated decrypted files will be deleted. Please note that even though the
decrypted files are deleted, they could potentially be recovered from the hard disk through the use
of digital forensic tools.
© 2020 Medixant

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RadiAnt DICOM Viewer

1 Welcome to RadiAnt DICOM Viewer 8

1.2 System requirements

2.2 Opening a DICOM study from a folder

2.3 Opening a DICOM study from a ZIP archive

2.4 Opening specific DICOM file(s)

2.5 Opening a study from a PACS server

2.6 Using basic tools

2.7 Taking measurements

2.8 Flips / Rotations

2.9 Cine mode

2.11 Copying to the clipboard

2.12 Full-screen mode

3 Advanced Topics 111

3.2 Exporting images

3.3 Multiple series viewing

3.4 ROI operations

3.5 Image filters

3.6 2D Multiplanar reconstruction (MPR)

3.7 3D Multiplanar reconstruction (MPR)

3.8 3D Volume Rendering (VR)

3.9 Image fusion (PET-CT)

3.10 Time-intensity curves (TIC)

3.11 Digital Subtraction Angiography (DSA)

3.12 PACS connectivity

3.13 Special types of DICOM files

3.14 DICOM tags

3.15 Changing language

3.16 Keyboard customization

3.17 Program and license information

4.2 Mouse functions

4.3 Multi-touch operations

4.4 Configuration files

4.5 Command-line arguments

4.6 URL protocol

4.7 Setup arguments

4.8 GPU acceleration

4.10 CD/DVD/USB Autorun Package

1 Welcome to RadiAnt DICOM Viewer

· Digital Radiography (CR, DX)

The viewer can handle many types of DICOM images:

· Windows XP/Vista/7/8/8.1/10 supported

· Lightweight, compact application1

that contain thousands of images

Supported DICOM Formats

· Monochromatic images (e.g., CR, CT, MR)

· Color images (e.g., US, 3D reconstructions)

· Static images (e.g., CR, MG, CT)

· Dynamic sequences (e.g., XA, US)

· Uncompressed images (little endian/big endian, implicit/explicit VR)

· Encapsulated PDF documents

· MPEG4/MPEG2 DICOM videos

Access DICOM Studies

· Open DICOM studies from local and network folders

· Open DICOM studies from USB drives

· Open ZIP archives (unencrypted/encrypted) with DICOM files

· Import DICOM studies from CD/DVD/Blu-ray discs

· Import DICOM studies from local and network folders

· Import DICOM studies from USB drives