Joints® FAQ Get your questions answered.

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General

Getting Started

Image Access

Image Sharing

Templating

Safety and Security

General

PACS stands for Picture Archiving and Communication System. It both stores and enables access to medical imaging data generated by modality instruments such as digital radiography (DR), computed tomography (CT) or magnetic resonance (MR). All medical data exchanged with the PACS uses a format called DICOM.

DICOM stands for Digital Imaging and Communications in Medicine. It is a standard for transmitting, storing, printing and displaying medical imaging information. DICOM expresses the acceptable file formats and communication protocols used to exchange medical image data. DICOM is published as NEMA standard PS3 and ISO standard 12052.

See dicom.nema.org for more information.

For more help in regard to Joints you can refer to the Joints user manual or contact Medstrat Support by email (support@medstrat.com) or phone (800-882-4224).

Getting Started

If you are interested in purchasing a Joints license for yourself or your organization please contact sales@medstrat.com to discuss a solution that is right for you.

If your organization already has a Joints license, please contact your local administrator to receive a Joints invitation or contact Medstrat Support by email (support@medstrat.com) or phone (800-882-4224).

If your Joints account is for version 3.2 or older, go to medstrat.com/download and login. Scroll down and click on the download for your platform (either Mac or Windows) to get the Joints installer. Finally, follow the instructions for "How do I install Joints on my Mac or PC?"

If you have Joints 4.0 or newer, go to joints.medstrat.com/account instead and login. On the User page the available downloads are listed under the Download section. Click on the Joints download to get the Joints installer.

Remember that if you have Joints 4.0 or newer and only wish to use Joints on the web, then you do not need to install anything. Simply go to joints.medstrat.com and login.

If you wish to use our desktop application, then first follow the instructions for "How do I download Joints for my Mac or PC?". Then, double-click on the file to execute the installation wizard. Click "Next" to progress through the steps of the installation. After choosing to accept the terms of the license agreement, you can install using default settings by simply clicking "Install"; otherwise, continue to click "Next" and select the desired settings for your Joints installation.

First, follow the instructions for "How do I install Joints on my Mac or PC?". Then, launch Joints by double-clicking the Joints icon on your computer's desktop to bring up the login prompt. Enter your username and password in the login prompt.

If you only have access to a web browser, then you may connect directly to the server's external IP Address to access our basic image viewer.

You need to have either a supported web browser or you need to install Joints on your computer.

To install Joints on your computer, follow the instructions for "How do I install Joints on my Mac or PC?". Then, launch Joints by double-clicking the Joints icon on your computer's desktop to bring up the login prompt. Enter your email and password in the login prompt.

If you are using a web browser, then simply go to joints.medstrat.com to login. Enter your email and password in the available login prompt in the upper-right portion of the page.

Our desktop application requires a recent operating system (Windows 7, 8.1, 10 or OS X 10.9, 10.10, 10.11), a 2 GHz processor, 2 GB of RAM, gigabit ethernet, a broadband internet connection capable of 10 Mbps download and 2 Mbps upload speeds, a high-color (32-bit) video card, a full-color display capable of at least a 1280x1024 resolution, a standard keyboard, and a three-button mouse with a scroll-wheel. Our web application additionally requires the latest version of a modern web browser (Safari, Firefox, Chrome, or Edge).

Image Access

If you have our Joints PACS solution, you send images to your PACS either from your modality or by importing them. In addition, throughout the day, your PACS will automatically upload copies of images you send it to the cloud.

If you have our Joints Plan or Joints Archive solution, then you will send images to Joints using either Joints Relay or by importing them. If you have our Joints Cloud solution, then you may only import images manually.

For more information review the Joints user manual section on Joints Relay.

Yes, you can import or upload DICOM image files including those on an outside CD. If you have the Joints desktop application installed on your Mac or PC, then you can also import plain image files such as JPEG (*.jpg) or bitmap (*.bmp).

For more information review the Joints user manual section on Import.

Yes, you can export your images from Joints if you have the Joints desktop application.

To export a study's images to your computer's desktop, right-click the desired study and select Export. This will create a folder on your desktop labeled "Joints Exports" which will contain the exported study.

For more information review the Joints user manual section on Export.

Yes, you can view images outside of your clinic.

If you are having issues viewing images outside of your clinic, contact Medstrat Support by email (support@medstrat.com) or phone (800-882-4224).

Joints To Go is the offline solution for Joints users that have Joints PACS or Joints Plan. First, if you have not already done so, follow the instructions for "How do I install Joints on my Mac or PC?". Then, login to Joints from your Mac or PC.

To create Joints To Go, plug a USB drive into your computer. Next, select a tab for a Tag or Local Folder. Click on "Sync" and choose the USB drive. Answer any questions when prompted and you then have all of your studies from that tab plus an offline copy of Joints on your USB drive.

To run Joints To Go once you are at your destination, you will need to plug the USB drive into a USB port on a computer, navigate to the USB drive folder, double-click on Joints, login and the offline copy of Joints will be up and running.

Remember, Joints To Go will only contain studies that you originally synced onto the USB drive.

For more information review the Joints user manual section on Joints To Go.

Yes, if you have our Joints PACS and the desktop app installed on your Mac or PC, then you may create and use Local Folder tabs in Joints. Any studies in a Local Folder will be accessible regardless of whether you have internet access. So, if your computer is a laptop, this can be used as a mobile, offline solution. Be aware, however, that any data in a Local Folder is local only to that computer. This means that data in a Local Folder should eventually be copied back to Joints to ensure it is accessible from other devices and is safe in case that computer dies.

Image Sharing

Yes, Joints allows you to share studies with other Joints users. This gives them access to the study, allowing you to collaborate with them.

Yes, if you have the Joints desktop application installed on your Mac or PC, then you can burn a CD with the patient's DICOM images on it. Simply select a study and click "Burn".

Once a CD is created, to view the images, do the following. Insert the disk into their Mac or PC (depending on the operating system used to create the CD), navigate to the CD folder, double-click on Joints and then double-click on the study to open it in the viewer.

For more information review the Joints user manual section on Burn CD.

Templating

Templating is available if you have our Joints PACS or Joints Plan solution. In order to template DICOM images you need our desktop application. To install that, follow the instructions for "How do I install Joints on my Mac or PC?".

Launch the Joints desktop application and login. Then, click on the menu item "Manage > Manage Templates", select the desired template package(s) from the list and click on "Install".

After opening a study that you are interested in templating, you will need to select the pre-operative planning icon. This will launch a toolbox to display all your current template options. Selecting your desired preferences will cause the template to display on the image, allowing you to manipulate and save the template to the image.

If you are having difficulty with templating properly, please contact Medstrat Support by email (support@medstrat.com) or phone (800-882-4224).

Safety and Security

All images in Joints are housed in a private cloud at a Tier III datacenter.

No, all of your data in Joints is safely stored at a Tier III datacenter. Anything you have stored there will still be accessible from other computers, tablets or phones that have an internet connection.

Yes, Joints is HIPPA / HITECH compliant. See our Security Policy and Privacy Policy for further information.

If you have concerns over specific areas of HIPPA / HITECH compliance, contact Medstrat Support by email (support@medstrat.com) or phone (800-882-4224).