How to's at the Lab

On workstation go to ThisPC > GlobalShare > NeoCardio Lab > SAVING > ButterflyImages > create new folder called “SAVING0xx”

Within this folder create three folders: heart, lungs and head

Then go to https://cloud.butterflynetwork.com/ - log into the account

All exams > select the patient

Download all videos + images: Videos: download as mp4, Images: download as DICOM

Copy and paste all items from “Downloads” folder to corresponding folder in “ButterflyImages”

Plug hard drive into USB outlet on side of echo machine

Go to “Review”

Select all echos

Click export > make sure USB is selected and click “Ok”

Wait up to an hour for the export to be complete

Once complete, unplug and bring the hard drive back to the office

Plug into the CPU (box under the desk on left hand side)

Open the hard drive on the computer, by viewing the computer files, it’s called Transfer_MUHC > Copy the files called “DICOM” and “DICOMDIR”

Go to Epiq 2024 folder > Back-Up Machine 2024-25 > Create a folder for the pertinent month (if a month already has a file, create a second one and label it “(b)” ex. October (b)) > Paste the copied files to this folder

This process will take about 15 mins, once done uploading, open TomTec and grab a post it note

On TomTec, click on Import > click on “Load DICOMDIR” > Go to the folder you just created and select the “DICOMDIR” file (- if DICOMDIR doesn’t load when you click Load DICOMDIR, click “Scan Directory”)

Select 4 or 5 echos at a time for export, being sure you’re not exporting more than 300 images at a time

Write down the echos you’ve exported on the post it note indicating the baby’s name and leave space to indicate the study they are associated with - this is to keep track of the echos you’ve already exported so that you don’t double up

Once exported, click on one of the echos, open the first image to verify the patient’s studyID and condition (DexaStart, Day7PostDexa etc) then change the following information: 

1. Last name to “MUHCSPECxxx” → XXX=study ID # and SPEC can be CDH, PURPOSE etc depending on the study the echo was done for

2. First name to “DexaStart” for ex → this will be different depending on at what point in their development the echo was done

Then click Export > be sure this is in “DICOMDIR” format

Then you need to select where this file will be exported to: view the computer files > Epiq 2024 > RESEARCH DATA - RAW images > SPEC (or the folder associated with the study pertinent to the echo you are exporting) > Create a folder here labelled SPECxxx (where XXX=Study ID and SPEC can be replaced by the pertinent study) > Create another folder here for the condition: ex. “DexaStart” or other > Then select this folder to export the echo to

Then back to TomTec you right click on the echo file and « Delete Selected » and scratch out the name on your post it

Repeat this process for all files until the hard drive is cleared and all echos are in the database

On large computer, go to EpiQ7-2024 > RESEARCH DATA - RAW images > Cartesian 3D > SPEC > Create a folder for your patient (ex. SPEC156) and then another folder within this for the day of the echo (ex. 36 weeks) → (drag this to left screen)

Then open QLAB on right screen > Click Browse > Open > EpiQ7-2024 > RESEARCH DATA - RAW images > SPEC > Open whichever file is corresponding to the echo you want to export (ex. SPEC156 > 36 weeks) - Now all the images are loading, once loaded, scroll down to 3D images

Select one 3D image > Left click on mouse > More Applications > 3DQ

Once image loads > Click Export (small box on bottom left, if you hover over it, it should say Export) > MAKE SURE FILE TYPE = Cartesian DICOM → Save in folder you created in Step 1

Click Exit (4th small box on bottom left) > Repeat for every 3D image and patient necessary