Image Submission: Upload with TRIAD Windows Client (Revised 11-9-2022)

Revision History

Click here for a video demonstrating the TRIAD Windows Client image upload process 

The TRIAD Windows Client allows users to directly retrieve images from PACS for upload. The TRIAD Windows Client requires application installation and may require administrative privileges on the local computer.

Technical specifications for TRIAD Windows Client can be found here.

Step One: Install/Open TRIAD Windows Client

From the “Upload Images” screen of your online testing package, select ‘TRIAD Windows Client’. The link provided will open TRIAD or install it automatically if it has not already been installed.

Step Two: Login

Upon opening TRIAD for ACR accreditation, provide the username and password. The username and password for TRIAD are the same as your ACRedit Plus login.

Step Three: Select Modality Testing Package

From the dropdowns in the top left pane, select the Modality Name, the Modality Number or Unit Number (if applicable) and the exam for which you are uploading images. If your facility name is not available, ensure that you have the TRIAD Windows Client option selected on the Upload Images page in your testing package. 

Step Four: Upload Images

To upload images stored on your computer, network drive, CD-DVD, or thumb drive, click on ‘Select Files’ or ‘Select Folder’.

To search and pull or push images directly from your PACS, click on ‘Select from PACS’.

You may also click on the blue link to view a list of supported file types for each program/exam. Unsupported file types will be rejected during upload.

• To configure PACS settings in TRIAD (a one-time setup), see 4.1 below. 

• To search and pull images from your PACS to TRIAD, see 4.2 and 4.4 below.

• To push images from your PACS to TRIAD, see 4.3 and 4.4. below.

Step 4.1: Configure PACS

When you click on ‘Select from PACS’, the DICOM Communication pop-up window will appear. Click on the gear at the top right of the window to open settings.

Add and save your PACS device settings.

Use ‘Test Connection’ to make sure that the connectivity to your PACS is successful.

Note: Any error messages during configuration or later with PACS communication will require assistance from your PACS/IT administrator. If additional help is required, please contact triadsupport@acr.org.

Step 4.2: Search and pull images from PACS

Once the connection to your PACS is successful, fill out the search fields to identify images on your PACS. Please note that not all search fields need to be completed. Exams meeting the search criteria will be displayed in the Results section.

Select the exams you wish to pull by using the check boxes and clicking ‘Retrieve Selected Studies’.

Step 4.3: Push from PACS to TRIAD

If you are unable to pull the images from your PACS system due to firewall restrictions, you may push the images from your PACS system to the TRIAD system. You will need assistance from your PACS/IT administrator.

Open Actions > Settings > DICOM Server from TRIAD Windows client. The AE Title, Port, and IP address provided need to be configured in your PACS to push images from PACS to TRIAD.

Make sure DICOM listener status is active and running before pushing images from your PACS.

Step 4.4: Load Received Data

All images received from your PACS, whether through query retrieve or through push from PACS to TRIAD, are displayed under the Received Files section. Select exams using the checkboxes and load them into TRIAD preview.

Step Five: Image Preview

Images ready to be uploaded into TRIAD are displayed as separate exams for DICOM studies and individual files for non-DICOM.

Select the images that you wish to upload for the Modality/Testing Package/Exam combination you selected in Step 3 by checking their box(es) and then clicking the ‘Upload’ button to transfer images to the ACR.

Select the next accreditation exam (as in Step 3), select corresponding images to be uploaded, and repeat the upload process until you have uploaded images for all exams in your testing package.

Use the ‘Delete’ button to remove any unwanted images that are loaded into the preview.

Step Six: View Images and Submit Testing Package

Images uploaded for each exam are displayed in the bottom panel of the screen, along with information regarding how many DICOM and non-DICOM files (if applicable) have been uploaded for each exam. Use the ‘View’ button to expand an exam to see the uploaded data.

You must view the uploaded images by clicking on the ‘View Images’ button provided for each DICOM study. All DICOM images will open in NilRead DICOM viewer.

To view non-DICOM files, use the ‘View File’ button provided for each non-DICOM file.

To delete any uploaded images, use the  icon.

Make sure all required images are uploaded for each exam per the modality program and exam requirements. Use the ‘Ready for Submission’ check boxes provided for each exam to indicate that the upload is complete and ready for submission. Then click the 'Next' button on Windows Client. It will display a pop-up to complete submission.

Click on “Return to ACRedit Plus.” This will redirect you to the web portal from which testing packages are submitted. The Windows Client will be closed automatically.

Viewing Your Images After Submission

Once all testing materials have been uploaded and all items are marked with a check mark on the left navigation menu in the testing package, you are then able to submit your testing package. Once the testing packet is submitted, you are not able to make any changes to the uploaded images; however, you will be able to view them. Please note that it may take several hours for submitted images to become available for you to review.

Once available, uploaded images submitted for accreditation may be viewed by clicking on “My Testing Packages” and then “View Uploaded Images.” You can see all the submitted images under “Image Upload Summary.” 

You can view submitted images for each exam by clicking on the exam name and then clicking the “View All DICOM images” link (to view all the studies uploaded for that exam) or the “View Images” link (to view each study).  

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