Universal Viewer

Case Information
Patient demographics, LIS accession number, and other relevant case details are displayed in the "Case Information" section of the Viewer screen.

Priors Timeline
In the timeline, associated accession numbers for the selected patient are displayed; it also indicates which accession’s image you are currently viewing and if there are images available with any of the prior cases or visits.
You can switch between accessions by clicking on the corresponding box:

Stage View

Image Navigation
Navigate through the slide image using the pan and zoom features.
Pan allows you to move around the image with the mouse, arrow keys, or touch enabled screen.
Stage Cursor Lock allows you to engage a Cursor-lock with a keyboard shortcut (“backtick” `) to enable panning image without pressing any additional input (eg. Left mouse button). The keyboard shortcut used to activate Cursor Lock is configurable at the environment level. The default key remains ` (backtick), but deployments can override this to resolve conflicts with other application shortcuts.
Rotate controls the rotational orientation of the image up to 360 degrees.
Zoom controls can be used by clicking on the image, mouse scroll wheel, adjusting the slider bar, or using a pinch open on a touch enabled screen or gesture pad; it also indicates which objective magnification level was used during the scan. You can zoom at varying magnifications, up to the originally scanned maximum.
Navigation Pane Zoom enables users to zoom in/out when mouse is over the navigation pane in the top right corner of the viewer.

Z-Stack controls allows the user to view the various scanned planes (z-stacks) within the image.
Peripheral Controller Configuration Guidance provides configuration guidance for additional peripheral controllers. Current controllers include: 3DConnexion SpaceMouse Pro, Xbox One Wireless Controller, and Razer Naga v2 Hyperspeed.
Stage Details
Field of View (FOV) - Displays the field of view area for the high-resolution image.
Scale - Displays the horizontal measurement of the FOV.
Zoom - Indicates the current magnification.
Toolbar Settings - Allows customization of the Global Toolbar, letting the user select their favorite tools to display while optionally hiding other tool sets.
Scale Bar - Displayed at the bottom-middle of the Universal Viewer.
Grid Overlay - A grid with measurements can be overlaid onto the main image. Go to the Universal Viewer image settings and enable the Grid Overlay in the Rendering tab.
Navigation Pane
The Navigation Pane in the top right of the main image view can be used to more easily navigate large areas of the image. The navigation pane will automatically start highlighting regions that have been seen. The highlighting of observed areas is defaulted to 10x and higher. The starting magnification point can be adjusted in the Image Settings menu , clicking the Navigation tab, and then adjusting Unvisited Regions Opacity setting.

Viewer Shortcuts
There are viewer shortcuts or hotkeys available to perform the following functions. These shortcuts can be configured to your peripherals of choice.
There is a shortcut legend icon available on the top right side of the image toolbar.
Please see the Keyboard Shortcuts page for full list of keyboard bindings.
Slide Tray
Located on the left side of the viewer, the slide tray displays the individual macro images of each slide. It can also display corresponding slide data such as accession, block, slide ID, stain, and tissue type. Under each thumbnail is a row of patented indicator and action buttons which are described below. The indicator icons will be highlighted blue if there was a change or action applied to the image.
| Icon | Label | Description |
|---|---|---|
| Annotations | Indicates if an annotation was applied to the image. | |
| Snapshots | Indicates if a snapshot was applied to the image. | |
| Image Analysis | Indicates if image analysis was applied to the image. | |
| Control Slide | Indicates if a control slide is available. | |
| Image Adjustments | Indicates if image adjustment settings have been modified from their default values. | |
| Single Focus Level | Allows the viewing of a single focus level for z-stacked images. | |
| Hide | Ability to hide or reject a slide. | |
| Open Side-by-side | Allows viewing of multiple images at the same time. | |
| Tumor Board | Selects that image to be added to a tumor board list. | |
| WSI File Characteristics | Additional details about the WSI. | |
| Request Slide Restore | Restores image from archival storage. | |
| Request Long Term Store | Requests image to be sent to long-term storage. | |
| Previous/ Next Slide | Move to previous or next slide on the slide tray. |
Multi-Image View
You can select multiple slides to view them side-by-side. Locate the Open side-by-side icon in the slide tray for the desired slide(s).

Additionally, you can synchronize the pan and zoom for multiple slides by clicking the Lock icon above the label image.

The image with the inactive Lock icon will be the master slide in control of the other images with the active Lock icon. Moving the adjacent slides can provide additional flexibility when aligning the images.
Image Analysis
Digital image analysis provides a quantitative and visual representation of targeted features in the specimen.
Use the right-most annotation tools for image analysis.
Draw a region of interest on the image to be processed.

To access the quantitative details, click on the Details icon in the lower right Image Analysis pane.

Additional algorithm threshold settings can be accessed by clicking on the Image Analysis icon in the slide tray for the given slide.

Exporting analysis data is performed by clicking on the Export icon in the lower right Image Analysis pane. By default, all analysis regions are selected for export. To exclude an analysis region, click on the Eye
icon next to the region of interest. Properly deselected regions will have the following icon displayed
.

Long Term Storage Retrieval
When a slide image is archived, the viewer displays a placeholder label on the stage along with a button that allows users to trigger a Long-Term Store retrieval request.
Select case > Launch Universal Viewer [v5] > Select Retrieve from Long Term Storage.

Control Slides
Control slides can be viewed along with the general panel of images within a case. In the viewer, if control slides are present, the control indicator icon in the slide tray on the left will be displayed in blue.

To access the control slides, click on the CONTROL tab on the far right of the viewer. Corresponding control slides will be displayed and accessible here. By clicking on the control slide thumbnail, the control slide will be presented in a side-by-side view with the slide tray image.

The control slide can be synced, panned, and annotated just like the other images in the panel.
If multiple control slides are present, the user can sort the control slides with the Sort icon.
The user can have the viewer always open control slides in a side-by-side view when the viewer is first opened by clicking on the cog wheel adjacent to the sort feature, toggling Split by default and clicking SAVE.
Settings
The Settings icon located at the top right of the viewer can be used to configure various viewer tools such as:
- Plugins – Enable or disable viewer plugins such as Label, Thumbnail, Zoom Control, and Navigator.
- Navigation – Modify tracking zoom and navigation thumbnail opacity.
- Rendering – Enable or disable grid overlay.
- Shortcut – Enable right click shortcut tools.
Additional Features
Collaboration
Viewing images in real-time with a colleague is available directly within the viewer via the collaboration application. Note that this feature must be licensed in advance.
Share Link
A secured sharable link can be generated with the Share Link icon. The link automatically gets copied to your clipboard. Simply open your email or direct message application and press
Ctrl + V to paste the link to the panel of images. Note that the recipient’s view will be de-identified.
iPad Viewer
The iPad Viewer is designed for image viewing from an iPad. The application can also be used on a PC or MAC. This app can be activated for users by an administrator from the Roles and Resources menu. It streamlines the viewing area for an iPad and adds on-screen arrow keys for previous/next case and image.
Reporting
Review your organization's specific workflow regarding reporting for additional details.