How to Add Scrollable CT or MRI Images to a PowerPoint Slide

Radiology PowerPoint Tip • Xray of the Week • Week #49

Have you ever wondered how to get a scrollable image stack of CT or MR images on a single PowerPoint slide. There is a way to do it! Australian Emergency Medicine Specialist Dr. Andy Buck shares how to get a scrollable image stack on a single PowerPoint slide on a Mac.

The basic steps on Mac:

1. Export the image stack from PACS as JPEG images. If your PACS can not export as JPEG, use Osirix to convert from DICOM to JPEG. Make sure the images are de-identified either with PACS or Osirix.

2. Resize all images to 630 x 630 pixels.

3. Copy and paste the entire set of JPEG images to a single blank slide.

4. Select all and click Animate> Appear.

5. On the right side, where the list of "Play Selected" is, select all (with Ctrl-A)

6. Below under "Timing", click Start> On Click.

7. Save.

8. In presentation mode, use mouse or wheel to scroll through the images.

Here is a video of the Windows version by senior editor at Radiopaedia.org, Dr. Matt Skalski:

The basic steps for Windows:

1. Export the image stack from PACS as JPEG images. If your PACS can not export as JPEG, use DICOM Converter to convert from DICOM to JPEG. Make sure the images are de-identified in PACS prior to download.

2. Resize all images to 630 x 630 pixels.

3. Copy and paste the entire set of JPEG images to a single blank slide.

4. Click animations on the toolbar, click on Custom Animation

5. Click the little triangle on Add Effect>Entrance> Appear.

6. On the right side, where the list of "Play Selected" is, select all (with Ctrl-A)

7. Above at "Start" select "On Click".

8. Save.

9. In presentation mode, use mouse or wheel to scroll through the images.

How to export a perfect size and format for Carestream PACS users:

1. First make an empty new folder in your documents folder called "CT stack" or something else related to the case. You will use this to save the images.

2. In PACS, use layout 4 on 1 in stack mode. Make sure this box is selected.

3. Click "hide DICOM Annotations" to de-identify the images.

4. Click Export > Save > Save as File

5. In the dialogue box

-File Name: Browse back to your empty folder called "CT stack" select and make a name for the images

-Save as type: JPEG

-Selection: Current Selection

-Size: As displayed on screen

5. Click Save

6. Navigate back to your images and import to PowerPoint as described above in the basic steps for Windows or Mac starting at step #3.

This is a PowerPoint PPT file I did as a demo: Click here to download

Kevin M. Rice, MD serves as the Chair of the Radiology Department of Valley Presbyterian Hospital in Los Angeles, California and is a Radiologist with Renaissance Imaging Medical Associates. Dr. Rice has made several media appearances as part of his ongoing commitment to public education. Dr. Rice's passion for state of the art radiology and teaching includes acting as a guest lecturer at UCLA. In 2015 Dr. Rice and Natalie Rice founded Global Radiology CME to provide innovative radiology education at exciting international destinations, with the world's foremost authorities in their field. In 2016, Dr. Rice was nominated and became a semifinalist for a "Minnie" award for the Most Effective Radiology Educator.

Follow Dr. Rice on Twitter @KevinRiceMD

All posts by Kevin M. Rice, MD