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Orthoplan Elite User Manual

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1. a VCA ANTECH company Orthoplan Table of Contents elite Orthoplan Elite User Guide PE OVO OIC eer ra EAN E E E E IN E E E ev EAE E E ix PADOU T OdG erran E ENEE EENES ix installation Drive and Folder ducacactarcuncesscanes coon uacsanevestedeemeevavessuswetsaonsveesenecees unease ix VU CUGS parran E E A EE EAE EE seuaceer denies E EEA E E iX Notes Cautions and WarMiNDS on covcccaecctuswaveceveewsescaeewiueseuenceectsnsnseecaeetieeseisavecnsn ears iX Chapter 1 Installation eeseeseseesesseesessoesorsessersessossersercerseseessesocsoesesseesoesees 1 See C APTES porer EEE EEEE EEA 1 Supported Operating Systems sssssssssssssisossssses diss stosts nono rE sV sds asis NESE EErEE ENA N 1 Workstation Requirements sesrrssssirisrsissosttsttrsrst ttnt os rEenNa Kitr iNaNE EIEE NENEN EENEN EEEE 2 Workstation s hardware requirements cccccccccccccccccccccccccccccccccccccccccceccceecccsscees 2 PRECAUTIONS sirare ereen EE EE E E EEE A E E S 3 Sela A a E E EA T T E EE E EE E E A EE E E E coer A E T 3 Date and Numper Format iicisencrecscers sock aeeesassiesiseccnas eee eteiewicsee socanecevineteececneseusontes 3 Preventing Computer VirUSeS sows canacncwnasiensvewsaes orancesaensercsveccutaesedeceeneseucnoavecencos 3 Chapter 2 Installing the Application eesesseeseeseeseesesscssescescesoesossossossesseesees 4 Installing the Sound Eklin Orthoplan Elite Application sessesossesoesossesseoosoesosooeoeo 4
2. essessesessesoesossesoeoeeoe 145 Table 19 3 Stitch Tools Keyboard Shortcut sessesossossesossessesoesosoesosoosoesosoeeoe 145 Sound Eklin Page vi rev 08062012 Sound Eklin OrthoPlan Elite Orthoplan Table of Contents elite Chapter 20 Stitching IMAGE S cis esccserssccsvasicesasectandererersssassacuseriseeteviasavvaseoands 146 WOTE HOW aranna E E E E AEA 146 Using the Basic TOOLS acces cc ccccncicacccahecacseecsade nah onecnteesseslonsecrsemavesessiedeckvnensaeanesees 147 ZOOMING IIMAGES ivinsacrcceesedicnverccetieeesesesdesincniennresicneweeianiiaanisdasiciessaset iodine 147 PF AMIN SIN ACCS orcad ce wertette ics sacicevendtcriatusnsenecsieseceeit cess adeuun comer innaes cates eceed tees 147 Changing Window Level sesessesoesessesosoesoesossesoesosoosoesosoossesosoesoesosoosoeoosoosoeo 148 Inverting the Image Grayscale ssesossesoesosoosossesoesoesosoesoesosoososoesoesoeoossesoeooeoo 148 Showing and Hiding Patient Information ssessesessesoeoosoesosoessesosoessesosoososossoesoeo 148 CropDING IMACS sirrsir Enan E EE E AE 149 Accessing the Stitching Palette ssesosoesossossesosoesoesosoesoesosoososoesoesoesosoesoesoeoo 149 Stitching Images Manually osisersursrerevsrinsneidd rtendu kiiun itak EENAA U NEEN Era 150 Joining Images with One Fiducial Marker sessssossesoesesoesosoesoeoosoososoosoesoesosoeeoe 151 Joining Images with One Fiducial Marker and A Line sssessssesoesoeso
3. 0 7 days A o ox oT E Radiographs O RF z lt i Ea O 5 Summary of filter criteria Modalities SC or RG or CR or DX or RF Apply Cancel 2 Select the checkbox next to each filter that you want to be displayed on the toolbar of the Study Selection window 3 Click Apply 4 Click OK to close the dialog box 5 The selected filters appear as buttons on the toolbar of the Study Selection window Sound Eklin Page 26 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Defining a New Filter In addition to using predefined filters to filter the Study List you can define new filters These new filters are added to the filter list To define a new filter 1 Click Manage Filters Manage Filters EJ This tool helps you to create and edit filters Checkmarks indicate the filter is displayed as a button on the Standard Toolbar Fiters J riven ummary of filter criteria Modalities SC or RG or CR or DX or RF Apply Cancel 2 Click New Sew Filter Fiter Name NewFiltert F Defaun Details per Field Select the modalties bo mchude in the filter Any modality Summary of fiter criteria F Sound Eklin Page 27 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filt
4. About the Application The Sound Eklin Orthoplan Elite application is an orthopaedic planning software that supports multidisciplinary orthopaedic areas such as total joint spine and trauma measurements It features a large implant database with templates from major implant manufacturers It also provides advanced orthopaedic tools such as image stitching automatic hip templating and automatic measurements Some advanced tools are optional and indicated as so in the appropriate sections of this document The Sound Eklin Orthoplan Elite application provides stitching capability through the Sound Eklin Orthoplan Elite X Stitch module For complete details refer to the Sound Eklin Orthoplan Elite X Stitch Console User s Guide ways It does not interpret image data to generate a diagnosis Diagnostic interpretation is the user s responsibility The Sound Eklin Orthoplan Elite application supports the review of multi slice datasets e g CT MRI however it does not support the review of multi frame datasets f The application presents patient studies on a monitor in various We recommend that you use a spherical fiducial marker when you acquire images for use with the Sound Eklin Orthoplan Elite application Contact Customer Support for more information see Customer Support on page 167 The application allows for compliance with HIPAA Health Insurance Portability and Accountability Act by logging u
5. To hide or show the toolbar 1 From the Window menu click Show Toolbar Using the Popup Menu As with most Windows applications you can right click a window to access a popup menu The popup menu provides access to review and stitching tools To use the popup menu 1 Right click the desired image in the viewport and select the appropriate option from the popup menu Zoom Pan Window Level Inverse v Overlay Stitch Tools Next Image Adjust Image J Crop Image x Blending method gt Auto stitch Horizontally H Auto stitch Vertically Y 4 ODFSPN Save 5 Sound Eklin Page 142 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window continued Using Keyboard Shortcuts In addition to using the Sound Eklin Orthoplan Elite X Stitch Toolbar and popup menu to access the module s menu items you can use keyboard shortcuts described in to access certain functions while in the review window This section also describes keyboard shortcuts that are not tied directly to menu items or toolbar icons Using General Keyboard Shortcuts This section describes general keyboard shortcuts and combinations that are available in the Sound Eklin Orthoplan Elite X Stitch module Table 19 1 Keyboard Shortcuts and Combinations Keyboard Command Description Shortcut and Combination Adjust Image Display the Adjustment Tools dialog box Close the Soun
6. Open the Sound Eklin Orthoplan Elite X Stitch module from the Sound Eklin ProPlanner application When you save your stitched image the module saves the image to the patient study in the Sound Eklin ProPlanner database When you exit the Sound Eklin Orthoplan Elite X Stitch module the saved stitched image appears as a thumbnail in the Main Review window of the Sound Eklin ProPlanner application Using the Help System The help system provides quick access to user instructions To use the online help 1 From the Help menu select Help Topics 2 The module displays the help system in a separate window 3 Use the following features to navigate the help system and find the required topics e Click Contents to display a list of topics available then click the topic you want to view e Click Index to display a list of keywords from which you can select a topic Type in the first few letters of the keyword you are looking for then double click the keyword This is often the easiest way to find a topic e Click Search to find all topics that contain a keyword Type the keyword you want to find click List Topics then click the desired topic in the list displayed e Click Back to return to the last topic viewed Using the Quick Start Tips The Quick Start Tips displays a list of tips for getting started with the module To use the Quick Start tips 1 From the Help menu click Quick Start Tips 2 The module displays
7. To manually outline the calibration sphere on page 72 7 Use the Sphere Diameter drop down menu to select the appropriate sphere diameter i e either 25 mm or 1 inch 8 Click Accept Calibration 9 The application calibrates the caliper displayed in the viewport and displays the text marker Image is manually calibrated Sound Eklin Page 71 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued To click on a point on the sphere to detect it i 2 3 4 In the Magnification Correction dialog box ensure that More Options are displayed Click Select Sphere Click anywhere inside the sphere If the application outlines the sphere in the viewport Do the following e Use the Sphere Diameter drop down menu to select the appropriate sphere diameter i e either 25 mm or 1 inch e Click Accept Calibration e The application calibrates the caliper displayed in the viewport and displays the text marker Image is manually calibrated If the application does not detect the sphere repeat Step 2 through Step 4 Alternatively you can manually outline the calibration sphere see To manually outline the calibration sphere on page 72 To manually outline the calibration sphere 1 In the Magnification Correction dialog box ensure that More Options are displayed 2 Click Outline Sphere 3 Click
8. patient name patient ID accession number or study date To remove the Search criteria at any time click Clear dip The Search feature clears the applied filter from the Study List To search the Study List 1 In the Search toolbar type a value in any or all of the Last Name First Name Patient ID or Accession No text fields e You need to type only the first few characters in the Last Name First Name or Patient ID field The more information you type the more refined the search Last Name First Name Patient ID Accession No I From M To select a field X SSS n 2 If you want to search the Study List for studies created between a date range select the following checkboxes e From Select this checkbox then select the start date The application searches the Study List for studies created on or after the specified date Any studies created before the From date are considered to be prior studies e To Select this checkbox then select the end date The application searches the Study List for studies created before or on the specified date 3 If you want to search the Study List for studies that match specific criteria select the appropriate field e g Study ID Body Part Physician from the Select a Field dropdown list In the text box below type information specific to the selected item For example select Body Part and type pelvis The applicat
9. sesesesescecececeececeseccececececoecececoecececesee 80 Highlighting a Location on the Anatomy sessesecesescecececoececececcececececeecececoecececesoe 81 DiSPray Ie ADIGA E araras AEE ATAN E EAEE EATE T 81 DRAWS aM ANEDIG oreren EEE E OETAN E ETEA 82 To Measure an Angle Using an Existing Line seseseseececeseccececeseccecececeecececoccececesee 82 M as ring a CODD ANDIS spresresirsor ssrin rs oan auienvnwutneeiusverassrsceeeeussenetinesiasaosvcsameices 83 M as ring the Twist ANGIE scsi scecen sevanteeseieersiscerasieieastesabiaeryisseuruiouiesdussenetdesucsauas 84 Drawno aA CCIE weres EAA E EEE EETA E EAE 85 Sound Eklin Page iv rev 08062012 Sound Eklin OrthoPlan Elite Orthoplan Table of Contents elite Chapter 11 Using the Review and Ortho Tools continued Dirawin Gil OUTE occinevsacaonvecedeces corres coiae E ueeeeweushseeceaeesvos sess eeeeeses scuesaces 85 Drawing Perpendicular Lines cccecccccccccccccccccccccccccceeccccecceeccceeccceccceecccecceecs 86 Drawing Parallel LINGS sssccccassacdccvenssac vices Qessagescdeueescerseesateuvagerieesdeveises taxseusesoeneses 86 Drawn AMINO sererai socs snb0s coeuseceons tea teeseees pence sosse saan aceeeecenueoeaces 87 Drawing an Intersection Point sseseeceececoececcecoececcececcecceceececoecoececceceececceseeceoo 88 Creatine a Mid PONE ssosrrersresressinesinioddrdr ornin ninun Or Ta ArU EEE EAEE 89 Compare DILAN ES eaae EE E E EA E gees 90 Comparing F
10. OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Using the Cut and Copy Feature continued To create a cut or copy dip You can only create one cut for each image in the study 1 Draw an outline using the Outline tool see Drawing an Outline on page 85 2 Right click along the outline and choose one of the following e Cut Removes the selected area of the image so it can be moved e Displace Creates an outline of the selected area without duplicating the image e Copy Duplicates the selected area of the image Show Data Displace Flip Cut Copy Add Point Highlight Set Color Move Delete 3 The cut or outline displays square grab handles in each of the four corners and the measurement of the selected area i e circumference and area At this point you can pin the cut not the outline to a measurement see Locking an End Point to a Cut or Copy on page 95 Sound Eklin Page 94 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Using the Cut and Copy Feature continued 4 You can do the following e Click and drag the cut or outline to a new location e Click and drag a grab handle to rotate the cut or outline Grab handles Outline Grab handles Locking an End Point to a Cut or Copy You can lock an end point of a measurement e g distance angle to a cut or copy You can then use the locked measureme
11. Repeat Steps 5 through 6 for any other text you want to place in the table 9 When you are done right click the text table and click Copy to Clipboard You can then paste your text table into a Windows application dp If you change a measurement after you place it in the table the application automatically updates the measurement displayed in the table Editing an Ortho Measurement You can edit an ortho measurement in several ways You can change the position or the shape of an ortho measurement You can also right click an ortho measurement and use the options in the popup menu to edit or view data related to the measurement The options in the menu depend on the item you click Some menu options are common to all of the tools a few menu options are specific to only one tool You can also select multiple measurements and templates and apply your edits to the group To select multiple measurements and or templates 1 Hold down the SHIFT key and select the desired measurements and or templates 2 Move rotate or delete them as a group To change the position of an ortho measurement 1 Click the measurement and drag it to a new position 2 The application repositions the measurement on the image Sound Eklin Page 98 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Editing an Ortho Measurement continued To change the shape of an ortho measurement 1 Do one or both of t
12. angle measurement text Reflex Angle Angle Right click anywhere along When checked displays Compare Angles the angle i e line point the reflex angle measurement text Reset Outline Right click a grab handle Resets the outline to of the outline its original orientation and position and unmirrors the outline Remove Point Outline Right click a point Allows you to remove on the outline a point from the outline The application redraws the outline Set Angle Angle Right click anywhere Allows you to specify Cobb s Angle along a line an angle Set Label Right click along a Allows you to label the point grab handle Set Color Right click anywhere along Allows you to change the color the measurement i e line of the measurement i e the point grab handle or text shape grab handles and text Set Table Title Circle Right click the text Allows you to customize the title of the Text Table or Outline Show Measurement Data Text Table Sound Eklin Page 102 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Table 11 1 Ortho Popup Menu Options continued Menu Option Ortho To Access Function Measurement Set Text Prefix Distance Right click the Allows you to insert text Angle measurement text in front 7 the text a is For Compare Distance and generate AUOMALKA y aA a Compare Angles right click Py the application Circle the comparison formula For
13. value you enter must be greater than 0 and should be the estimated magnification at the level of the anatomy of interest The correction is always applied against the original image dip To use this calibration method the image must have a pixel spacing value in its DICOM header i e application displays a caliper in the image viewport For images without a known pixel spacing value e g secondary captures you must use the Draw Line calibration method see Calibrating Images by Drawing a Line on page 65 To calibrate an image by entering an additional magnification factor The application only applies the calibration to the image in the selected viewport i e the viewport with a yellow border 1 In the Ortho toolbar click the Select button then click the viewport whose image you want to calibrate Sound Eklin Page 67 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued 2 Do one of the following e From the Measurements menu click Magnification Correction e In the Ortho toolbar click the Magnification Correction button Q Magnification Correction Click on a point on the sphere If a calibration sphere is present in the image click on a point anywhere in the sphere to detect it Select Sphere Manually outline the calibration sphere If a calibration sphere is present in the image draw its outline using the
14. 149 2 In the Stitch Tools palette click Line up Vertically dip Instead of using the Stitch Tools palette you can press the V key to stitch the images vertically This keyboard shortcut is available even when the Stitch Tools palette is not open However it is not available when another tool e g Crop or tool palette e g Adjustment Tools palette is active Joining amp Adjusting Images Using One Fiducial Marker This section describes how to automatically join and adjust two images using one fiducial marker Use this method to join two images that have approximately the same orientation i e same angle When using this method the module joins the images as soon as you mark the fiducial markers in both images To join and adjust images using one fiducial marker 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 2 Inthe first image click in the image to indicate a fiducial marker If you are not satisfied with the result you can click Reset fiducials to start over In the second image click in the image to indicate a corresponding fiducial marker 4 The Sound Eklin Orthoplan Elite X Stitch module joins the two images by aligning the fiducial markers then automatically adjusts the image to improve the alignment of various features in the images Sound Eklin Page 156 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining am
15. 40 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Customizing the Study Selection Window continued Hiding Elements in the Study Selection Window To make more room on the Study Selection window for the Study List you can choose to hide elements in the window i e Standard Toolbar Search Toolbar status bar and Series List To hide elements in the Study Selection window 1 From the View menu select one of the following elements e Standard Toolbar Removes the Standard Toolbar which contains buttons for tasks such as loading studies filtering the Study List and retrieving priors e Search Toolbar Removes the Search Toolbar which lets you enter search criteria that the application uses to search for studies in the data source see Searching the Study List on page 23 e Status Bar Removes the status bar at the bottom of the Study Selection window The status bar contains information on the data source name and usage the number of Studies displayed in the Study List and the number of studies selected in the Study List e List Series Removes the Series List area at the bottom of the Study Selection window The Series List area displays information about the series contained in the 35 Chapter 3 study selected in the Study List see Selecting and Loading Studies for Review on page 34 2 Select the hidden item from the View menu again to show the element in t
16. 8 Archiving and Transferring Patient Studies Transferring Patient Studies to a DICOM Archive continued 4 From the Archive dropdown list select the desired destination archive If the desired archive is not available from the list add it see To add a DICOM device on page 44 then select it from the Archive dropdown list 5 Click OK 6 When you return to the Study Selection window the Standard Toolbar displays the Archive button To archive a study or a series 1 In the Study List select a patient study to archive 2 The Series List at the bottom of the Study Selection window displays a list of all the series in the study 3 To archive all series within a study select the checkbox for each series otherwise clear the checkbox for the series you do not want to archive 4 Click the Archive button 5 The Series List marks the Archive column with Yes to indicate which series have been archived Series List Description M Series Number Images Date Time View Position Archived E CA 1 1 143400 Yes CA 2 1 143400 Yes E CR 3 1 143400 O CH 4 1 143700 E CA 5 1 143800 U CA 6 1 143800 6 To archive multiple studies select the studies using the CTRL key and click the Archive button 7 To specify which series to archive within multiple studies repeat Steps 1 through 3 then select the studies using the CTRL key and click the Archive button Exporting Patient Studies You can select
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18. Compare Distance and Midline Compare Ansles allows you to customize the text in Parallel the comparison formula Perpendicular Line Compare Distance Compare Angles Show Data Circle Right click anywhere When checked shows the Outline along the circle or measurement parameters outline i e line point e g if you right click or measurement text a circle the application displays the circle s radius circumference and area Show Distance Distance Right click anywhere along a For Distance displays the distance measurement Midline line of a line Perpendicular Line For Midline displays the distance measurement Parallel of the midline Compare For Parallel displays Distance the distance between two parallel lines For Perpendicular Line displays the distance measurement of the perpendicular line For Compare Distance displays the difference between two lines Snap to Line Perpendicular Right click anywhere When checked prevents Line along a line or text the perpendicular lines of the Perpendicular from extending past Line measurement the straight line Sound Eklin Page 103 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Table 11 1 Ortho Popup Menu Options continued Menu Option Ortho To Access Function Measurement Snap to Middle Mid Point Right click a point in the When checked locks the Mid Point measurement mid point at th
19. Compressed Images It is possible to misinterpret images that are lossy compressed due to the loss of information from the image To avoid misinterpretation the application labels all images that are lossy compressed Lossy compressed images are subject to misinterpretation due to information loss Lossy compressed images must not be used for primary diagnostic interpretation unless approved for use Date and Number Format The application uses the date format and number format specified by your workstation s regional settings You should check your regional settings to ensure that your workstation uses the most common date and number format used in your region to avoid confusion We also recommend that you set the workstation to recognize four digit years To check your workstation s regional settings 1 In the Taskbar click Start Settings Control Panel 2 Double click Regional and Language Options 3 Ensure that you have selected the most common language number and date settings used in your region The date style should include a four digit year 4 If you have made any changes restart your operating system Power and Hardware Failure Due to uncontrollable events such as power and hardware failure the workstation must not be the only source of image data for diagnosis Image data must be available from other sources such as scanner consoles archives and or films A The workstation must not be the only source of diagno
20. E E ERN 138 Exiting the ADDNCALION siccsrsicsiciiscscorodsaise dorion neinean aaa 138 Chapter 18 Configuring the Orthoplan Elite X Stitch Module 139 Changing Preferences oescc civics senscos vse cuSenees oadecseee kots t tresi kiore tnan k ESSE Sinaarsi 139 Hiding Animation in Tool Palettes ssssssesssosssossesossosessccsosssessessssesssssossossesssoses 139 Configuring the Window Level Tool sessesossesosoesoesosoesoesosoososoosoesoesosoesoeoosoooo 140 Specifying Automatic Window Width Level Adjustment sessesossesossossesosoesoesoeooeo 140 Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window 141 Using the Sound Eklin Orthoplan Elite X Stitch Toolbar cc ecccecccccccccccccecccs 142 Using the Popp Men ccecsncosecccsenccsceaceseas cosenonesaaesameessanaeasenceesenanscenseosueanesacess 142 Using Keyboard SNOTECUTS sissisisesesdscerivssssevtedindsesiinsasdron ndn dikdas iiaddotonddsiristii 143 Using General Keyboard Shortcuts ssessesossesossosoecosoesoesosoesoesosoosoesosoesosoesoeeoe 143 Table 19 1 Keyboard Shortcuts and Combinations ssessessesessesoesosoesosoossesosoeeoe 143 Using Keyboard Shortcuts for Stitching sessessesossesossesoesoeoessesoeoososoosoesoesosoeeoe 144 Table 19 2 Stitch Tools Keyboard Shortcut ssssessesossossesosoesoesossesosoosoeoosoosoeo 144 Using Keyboard Shortcuts for the Adjustment Tool Palette
21. Ensure you save your changes before exiting the current patient study and loading a new patient study see Saving Loading and Resetting Image Display Parameters on page 105 To return to the Main Review window 1 Do one of the following from the Study Selection window e From the File menu click Return to Review Page e Press CTRL L Selecting Other Studies from the Work List For safety reasons you can only review studies for one patient at a time When you select and load studies from more than one patient see Selecting and Loading Studies for Review on page 26 the application displays the first patient s studies in the Main Review window and places the other patients in the Work List so that you can quickly select them for review without having to return to the Study List To select another study for display 1 In the Review Toolbar click the Work List button and select one of the other patients from the menu The currently displayed patient is marked with a checkmark e g Stevie Balco Jane Doe Jane Smith John Smith 2 The application displays the selected patient To select the next patient in the Worklist Sound Eklin Page 55 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Selecting Other Studies from the Work List continued To select the next patient in the Worklist NOTE If you are viewing the last patient in the Worklist the viewport co
22. List To insert hidden Study List columns By default the Institution Address and Station are hidden For descriptions of these columns see Study List Columns on page 22 1 Right click any column heading in the Study List select Insert Column and select the column that you want to insert from the popup menu 2 The application inserts the column in the Study List Resizing Study List Columns You can manually resize columns in the Study List by widening or shortening the Study List columns In addition the application can automatically resize a column so that the longest entry in the column can fit To manually resize a Study List column 1 Hover over the right edge of the Study List column that you want to resize 2 The mouse pointer appears as shown here eb 3 Click and drag the mouse pointer to the left or right until the column is resized To automatically resize a Study List column heading 1 Right click the column heading for the Study list column that you want to automatically resize and click Best Fit from the popup menu 2 The application either widens or shortens the Study List column so that it fits the longest entry in the column Rearranging Study Columns You can rearrange the order of the Study Columns in the Study List To rearrange the columns in the Study List 1 Click the Study List Column you want to move 2 Drag the column to the appropriate position in the Study List Sound Eklin Page
23. Modality Any modality Studies of any modality Only the following modalities Studies of the selected modality You can select as many modalities as required Any study date Studies created on any date Last x hour s Studies created in the last x hours where x is the number you specify Last x day s Studies created in the last x days where x is the number you specify From To Study Date Time Studies created between the From date and the To date that you specify Any studies created before the From date and not currently displayed in the filter results are considered to be prior studies The way your application displays the date is controlled by the operating system s Regional Settings See Date and Number Format on page 3 for an explanation Procedure Any procedure Studies of any procedure Only procedures containing Studies that have procedures containing the following text the text you specify By default femur pelvis and spine are available To add a procedure click Add and type a name in the Add Procedure dialog box Click Add then click Close The procedure type is added to the list Institution Any institution Studies created at any institution the following text containing the text you specify Only institutions containing Studies created at institutions To add an institution click Add and type a name in the Add Institution dialog box Click Add then click Close The inst
24. Patient Database Choosing Database Location Please specify the location of the patient database C Documents and Settings All Users Application Data Merge ortho dbase 15 If the Installation Wizards prompts you to confirm the creation of the database folder click Yes 16 When the installation is complete click Finish ie Merge OrthoCase Setup amp x A Completed the Merge OrthoCase Setup Wizard Click the Finish button to exit the Setup Wizard Sound Eklin Page 7 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application Installing the Sound Eklin Orthoplan Elite Application continued 17 In the Setup succeeded dialog box click OK Merge OrthoCase 3 4 Setup Setup succeeded x 18 License the Sound Eklin Orthoplan Elite application see Licensing the Application on page 10 To install the application from an iConnect Access Web server 1 Log on to the iConnect Access application 2 Select a Study in the Studies window 3 From the Select Applications drop down window select OrthoCase 4 Click Launch Launch a Select Application View Study Select Applications 4 i F i H 4 t ee eee eee eee See Se ee eee eee See eee eee eee eee eee eee a Select External Application 5 The application displays a message containing a link to a download page 6 Click the download page link A separate window opens containing a
25. Review window without losing the changes in your report see Creating Reports on page 120 To edit a report 1 Open the Report window see Creating Reports on page 120 2 In the Report toolbar click the Customize Report button my Sound Eklin Page 122 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports Editing Reports continued 3 In the Customize Report dialog box do the following e In the Reporting Physician field type the name of the physician e Inthe Report Title field type a title for your report e g Knee Replacement Surgical Plan e In the Notes field type any notes you want to include in the report Customize Report x Reporting Physician Merge Report Title Long Leg Views Motes 4 Click OK 5 While in the Report window you can e review the different pages in the report see To navigate a report on page 123 e zoom the report see To zoom in and out of a report on page 123 e search for specific text see To search a report for specific text on page 124 and e refresh the report to see your updated changes see To refresh a report on page 124 6 When you have finished editing your report you can print the report and save it as a PDF see Saving and Printing Your Report on page 124 To navigate a report e To scroll through the report you can use the Go To First Page Go to Previous Page Go
26. Selection window or you will lose the edits in your report i e information in the Customize group box and the Doctor s Notes field Sound Eklin Page 124 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports Saving and Printing Your Report continued To print the report 1 Do one of the following e From the Report menu click Print Report e In the Report toolbar click the Print Report button le 2 In the Print dialog box select a printer from the Name drop down list and click OK To save a report 1 Do one of the following e From the Report menu click Save Report e Inthe Report toolbar click the Save Report button to save the report to the local server or click the Save to Archive button to save the report to the server ch 2 In the Save In dropdown list browse to the folder in which to save your report 3 In the File Name field type a file name for the report 4 In the Save As Type dropdown list select a format for the file i e Adobe PDF or Excel for Windows 5 Click Save 6 When the application displays a confirmation message click OK Sound Eklin Page 125 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images You can capture images for the following purposes e to create secondary capture images thereby saving image manipulation and annotations see Creating Secondary Capture Images on page 153
27. Stack mode Stack mode is used for viewing cross sectional studies When Stack mode is available you can switch between Tile mode and Stack mode Viewing in Tile Mode Tile mode provides a conventional approach to viewing The images are viewed on the screen similarly to the way film is viewed on a light box This provides an overview of the entire study and allows you to look at the pathology on either side of the anatomy of interest An example of a screen layout in Tile mode is shown below Series 1 Image 1 Series 1 Image 4 Series 1 Image Series 1 Image Series 1 Image 5 Series 1 Image 8 Series 1 Image 3 Series 1 Image 6 Series 1 Image 9 Series 2 Image 1 Series 2 Image 4 Series 2 Image 2 Series 2 Image 5 Series 2 Image Series 2 Image 8 Series 2 Image 3 Series 2 Image 6 Series 2 Image 9 To switch between Tile and Stack viewing 1 Do one of the following e From the View menu select Mode and click Tile or Stack e In the Review Toolbar click the Viewing Mode button and click Tile or Stack vie 2 The application switches to the other viewing mode and displays the images appropriately To scroll in tile mode e Click and drag the scrollbar e Rotate the wheel button on the mouse e away from you to scroll backward through the images or e toward you to scroll forward through the images Sound Eklin rev 08062012 Page 62 Sound Eklin OrthoCase Us
28. Uninstalling the APPIICACIOMN issrsrisirerirrsrruriboriidvisd kiriti iCkkt ikindi n eesnedetecetscsenseeecten ves 9 Chapter 3 Licensing the Application ccccecececececececscecececscscseeeeeseeeeess 10 ODN a LICENSE KEV sors roris annere E 10 stalling Une LICENSE ororen Es narren er aE R EEEE SEREA 12 Chapter 4 Configuring the Application cccecececececscecececscseseseseseeeees 13 Managing Me Database ccseiccestscvesdiescecdacdadaedtaiocesancnsdssan sdeetiadeetesteistdncatsegectvetes 13 To Configure the Auto Deletion Settings sesescesesesoecececesoccececesoecececeececececeececesee 13 SOLNE Preleren ES merrer ornis renn E r EEEE 14 To Configure the Unit of Measurement sesesescesecesoecececesoccececesoecececeececececeecececee 14 Sound Eklin Page i rev 08062012 Sound Eklin OrthoPlan Elite Orthoplan Table of Contents elite Chapter 5 Orthocase Overview cecscsccscecececscscecececscscscececscscscececscecsces 15 PDOUL ING ADDUCI agence crate EEEE EE AEE E ETNE E EE 15 Understanding Standalone and Plug in Mode seseesesecesceseseseccececesoecececesoececesecoeoe 16 Safety FPrecaUtIONS cacecGorwicseciusay soa bacsieerettescesiadeaseensn ii seetthoesenencoutentersiaviiuasiaseess 16 Repete SU al TUN Y ooh ceca cecase asc ce cates veer en nian lossceeegetennecamesenstseiesedicest cone reqsueres 16 Lossy Compressed Images esesccsesesescecececoecececoececececcececececoececes
29. a second parallel line automatically 4 You can do the following e Click and drag the first line not one of the end points to set the line position e Click and drag the parallel line to adjust its location dp If you reposition the first line the second line moves with it however if you reposition the second line the first line stays where you drew it To draw a parallel line based on an existing line 1 Do one of the following e From the Measurements menu click Parallel Lines e Inthe Ortho toolbar click the Parallel Lines button LS 2 Press CTRL and select the existing line 3 Click to position the parallel line 4 You can do the following e Click and drag the first line not one of the end points to set the line position e Click and drag the parallel line to adjust its location dP If you reposition the first line the second line moves with it however if you reposition the second line the first line stays where you drew it Drawing a Midline Use the Midline tool to display a middle line between two lines To draw a midline 1 Do one of the following e From the Measurements menu click Midline e In the Ortho toolbar click the Midline button agpo oiro 2 Click two points on the image Sound Eklin Page 87 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued 3 The application displ
30. and enter the number of days Click OK Setting Preferences The default magnification correction is set through preferences To configure the unit of measurement 1 2 Open the install properties file at run time Specify the unit of measurement for the sphere s diameter The property is openeyes application opus ui imagemagnification labelOnelnchUsingMm true The options for the sphere s diameter for example 24 5 mm and 25 mm display dp If setting openeyes application opus ui imagemagnification labelOnelnchUsingMm false the options for the sphere s diameter display as 1 inch and 25 mm To configure the default magnification correction Open the install properties file at run time Add the following line openeyes application opus MagnificationFactor mag_factor_integer Specify the percentage for the mag_factor_integer For example if you want to change the value to 20 enter openeyes application opus MagnificationFactor 20 dp The default magnification correction has changed from 15 to 10 Sound Eklin Page 14 rev 08062012 Sound Eklin OrthoCase Installation Chapter 5 Orthocase Overview This user s guide is designed to introduce you to the main Sound Eklin Orthoplan Elite application functions Each chapter provides easy step by step instructions to help you use the application Wherever possible the illustrations reflect the application s standard configurations
31. button 2 The application reapplies the last undo operation Sound Eklin Page 107 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Stitching Images This section describes how to start the Sound Eklin Orthoplan Elite X Stitch module to select and stitch images together The Sound Eklin Orthoplan Elite X Stitch module saves stitched images to the current patient study in the Sound Eklin Orthoplan Elite database dp The stitched image appears as a series within a study in the Study Selection window and as a thumbnail in the Main Review window You cannot perform any measurements calibrate nor view an image in true size if an image has non square pixels When you start the Sound Eklin Orthoplan Elite X Stitch module use the thumbnails in the Main Review window to select images for stitching You can load previously stitched images However you cannot load Secondary Capture images for stitching see Creating Secondary Capture Images on page 126 dp The Sound Eklin Orthoplan Elite X Stitch module is an optional feature packaged with the Sound Eklin Orthoplan Elite application If you have this feature you can access the module from the Measurement menu or the Ortho toolbar For details refer to the Sound Eklin Orthoplan Elite X Stitch Chapters To start the stitching module You cannot load additional images after you start the Sound Ek
32. circle tool Outline Sphere Draw Line Correct the image magnification by drawing a line on the image and entering the distance in mm Enter Magnification Factor The magnification Factor will account for the inherent magnification present in the x ray image by adjusting the image to scale for more accurate digital templating and measurements applied The value entered should be greater than 0 and should be the estimated magnification at the level of the anatomy of interest The correction is always applied against the original image Magnification Factor 10 2 Cane Cod Applying a magnification correction will remove any existing annotations 3 In the Magnification Factor field type the magnification factor in percentage You can also use the up and down arrow buttons to adjust the value by 1 increments 4 Click Apply Correction 5 The application re calibrates the caliper displayed in the viewport and displays the text marker Image is manually calibrated Sound Eklin Page 68 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued Calibrating Images Using a Calibration Sphere If a calibration sphere exists on the image you can use this calibration method The application supports calibration spheres that are of the following diameters e 1 inch and e 25 millimeters dp To use this calibratio
33. click the new position for the center of rotation OrthoPlan X Stitch l a q B O x File Edit Window Help o sa oad BW Tel e l rega rea Mee S pep fee RR OOE wee IN SIUKHLUNDORTG E 3505304109 Adjust image position with arrow keys Center of Rotation 14 34 00 W945 L478 i iT El Reposition image in border with arrow keys Use Page Up or Page Down key to rotate Sound Eklin Page 159 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Adjusting the Image Contrast When images have different window level settings use the contrast adjustment tool to reduce the differences To adjust the contrast of an image 1 Open the Adjustment Tools palette see Accessing the Adjustment Tools Palette on page 158 2 Inthe Adjustment Tools palette click Contrast 3 Adjust the contrast as follows e Click and drag the mouse up and down to adjust the level e Click and drag the mouse left and right to adjust the window settings dp To adjust the contrast you must click inside the border of the image The image title bar displays the current window level settings Adjusting the Gradient You can smoothly adjust the contrast of both images using the Adjustment Tools palette The gradient feature works in combination with the contrast adjustment For best results adjust the image contrast before applying the gradient To adjust the gradient 1 Ens
34. dialog box Magnification Correction Click on a point on the sphere If a calibration sphere is present in the image click on a point anywhere in the sphere to detect it Manually outline the calibration sphere If a calibration sphere is present in the image draw its outline using the circle tool Outlne Sphere Draw Line Correct the image magnification by drawing a line on the image and entering the distance in mm Enter Magnification Factor The magnification Factor will account for the inherent magnification present in the x ray image by adjusting the image to scale for more accurate digital templating and measurements applied The value entered should be greater than 0 and should be the estimated magnification at the level of the anatomy of interest The correction is always applied against the original image Magnification Factor 0 al o A Applying a magnification conection will remove any existing annotations 5 Do one of the following e To manually detect the sphere see To click on a point on the sphere to detect it on page 72 or e To manually outline the sphere see To manually outline the calibration sphere on page 72 6 Do one of the following e f the calibration sphere is correctly detected proceed to Step 7 e f the calibration sphere is incorrectly detected or not detected at all see To click on a point on the sphere to detect it on page 72 or
35. digital templating and measurements applied The value entered should be greater than 0 and should be the estimated magnification at the level of the anatomy of interest The correction is always applied against the original image Magnification Factor 10 5 Apply Correction mr a Applying a magnification conection will remove any existing annotations 3 Click Draw Line 4 On the image click two points to draw a line over an item of which you know the length e g a scanned caliper Sound Eklin Page 66 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued 5 In the Enter True Distance in mm dialog box type the length of the line in millimeters and click Accept Calibration Magnification Correction Enter the true length Drag on line to re adjust distance if necessary Enter true length and click Accept to complete magnification correction True Length mm More Options gt gt 6 The application calibrates the caliper displayed in the viewport and displays the text marker Image is manually calibrated Calibrating Images by Entering a Magnification Factor The magnification factor accounts for the inherent magnification present in the x ray image by adjusting the image to scale for more accurate digital templating and measurements The
36. e Click the Favorites tab to see all tagged overlays To tag the selected implant overlay as a favorite see Creating Favorites on page 117 Sound Eklin Page 111 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading and Implant Overlay continued 5 In the left window pane click the expander buttons to navigate to the desired implant overlay In the right window pane click the desired overlay to select it and click OK 7 The application returns you to the Main Review window with the selected implant overlay attached to your mouse pointer Click the desired image to place the selected overlay in the correct viewport 8 The application displays the overlay on the image in the active viewport The application clearly labels the overlay The example below shows the NGD 2 7 Unity Cruciate Plate NGP IWplant Unity Cruciate Plate Fem No UCP2 7 Size 2 mm View Right Orientation Lateral Sound Eklin Page 112 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading and Implant Overlay continued 9 You can adjust the overlay as follows e Move To move the overlay into the correct position over the image click the boundary line of the overlay and drag the overlay to the new position e Rotate
37. have finished stitching your images together you can save the composite i e stitched image The module saves the image in DICOM format When you save this image the Sound Eklin Orthoplan Elite X Stitch module saves the composite to the Sound Eklin ProPlanner database The module adds the composite image as a series to the patient study To save the composite 1 Do one of the following e From the File menu click Save e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Save button e Press the S key Reverting to the Original Image If you are not pleased with the stitched image you can revert back to the original images and start over To revert to the original image 1 Do one of the following e From the File menu click Revert e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Revert button Sound Eklin Page 162 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Printing Images You can send the current image or images in the window to the system printer To print the image in the window 1 Do one of the following e From the File menu click Print Image e Press CTRL P Sound Eklin Page 163 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 21 Understanding Input Images This chapter describes how the input images affect the final stitched image The accuracy and Stability of the stitching procedure is dependant on the i
38. image Sphere Diameter 23mm Y More Options gt gt Cancel Applying a magnification correction will remove any existing annotations e f the application fails to detect the calibration sphere it displays the following dialog box Magnification Correction Click on a point on the sphere If a calibration sphere is present in the image click on a point anywhere in the sphere to detect it Select Sphere Manually outline the calibration sphere If a calibration sphere is present in the image draw its outline using the circle tool Outline Sphere Draw Line Correct the image magnification by drawing a line on the image and entering the distance in mm Draw Line Enter Magnification Factor The magnification Factor will account for the inherent magnification present in the x ray image by adjusting the image to scale for more accurate digital templating and measurements applied The value entered should be greater than 0 and should be the estimated magnification at the level of the anatomy of interest The correction is always applied against the original image Magnification Factor 10 Applying a magnification conection will remove any existing annotations Sound Eklin rev 08062012 Page 70 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued 4 The application displays the following
39. measurements are measurement macros that are used to create a commonly used sequence of measurements They mimic a planning methodology i e customized to your site to reduce the amount of mouse clicks and menu interactions to achieve a desired outcome Their purpose is to increase efficiency and decrease learning curves Any number of custom measurements can be created for you If you wish to add new custom measurements please contact Customer Support see Customer Support on page 167 To ensure accurate results the images must be calibrated correctly before you load custom measurements see Correcting Image Magnification on page 64 To assist you the application displays instructions in the status bar to guide you through the steps An example instruction line is shown below T 5 a i Ps a ay u Measured Size is User Calibrated Instruction line Sound Eklin Page 115 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading a Custom Measurement continued To perform a custom measurement 1 Do one of the following e From the Measurements menu click Custom Measurement e Inthe Ortho toolbar click the Custom Measurement button 2 The application displays all the available custom measurements in the Custom Measurement dialog box The application groups the custom measurements by surgical procedure and user Do one of the foll
40. specify the default filter 1 Click Manage Filters 2 Click the filter you want to specify as the default The current default filter is identified by for example Radiographs Manage Filters This tool helps you to create and edit filters Checkmarks indicate the filter is displayed as a button on the Standard Toolbar Fiters 4 12 hrs Summary of fiter criteria Modalities SC or RG or CR or DX or AF Study Date within last 7 days l 3 Click Edit Sound Eklin Page 30 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Select this checkbox 4 Select the Default checkbox Edit Filter l n Ea Fiter Name 7 days C Defaut Filter Fields Details per Field Select the modalities to include in the filter Any modality Only modalities containing the following text Study Date Time Procedure Institution Physician Summary of filter criteria Modalities SC or RG or CR of DX of AF Study Date within last 7 days Cancel 5 If necessary edit the filter criteria for the filter that you are specifying as the default see Editing a Filter on page 28 6 Do one of the following e Click Apply to automatically apply the default filter overriding the default filter that was previously applied to the studies in the data source without savi
41. the image using the keyboard e press the appropriate arrow key i e LEFT ARROW RIGHT ARROW UP ARROW and DOWN ARROW to move the image by one pixel or e press and hold the SHIFT key then press the appropriate arrow key to move the image by ten pixels 4 To reposition the image using the mouse click inside the green border and drag the image to the new position Sound Eklin Page 158 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Rotating the Image You can rotate the dynamic image to match the angle of the first image To rotate the dynamic image 1 Open the Adjustment Tools palette see Accessing the Adjustment Tools Palette on page 158 2 In the Adjustment Tools palette click Position 3 Do the following to rotate the image using the keyboard e Press the PAGE UP key to rotate the image clockwise by 0 25 degree To rotate the image by 2 5 degrees press and hold the SHIFT key and press PAGE UP e Press the PAGE DOWN key to rotate the image anti clockwise by 0 25 degree To rotate the image by 2 5 degrees press and hold the SHIFT key and press PAGE DOWN 4 To rotate the image using the mouse click outside the green border and drag the mouse 5 Do one of the following the move the center of rotation e Click the center of rotation i e the red cross When the center of rotation changes from red to green click and drag it to the new position e Double
42. then click Remove from Favorites to delete the item from the Favorites tab 5 Click OK Sound Eklin Page 119 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports This chapter describes how to use the Report window to create a report for the current patient study The Report window includes the Report toolbar You can review your report and add additional comments Merge OrthoCase Report View Help E Kad ANG E Q A a Report Toolbar Medical Report Pelvis Sound Eklin sound eklin gt o ias Hi 32011 800 268 5354 A VLA AN TECH company Patient Demographics Patient Name Anna Alm Report Date 427 2011 Q nd r F Physician Cadara Birth Date 530836 Patient ID 3505304108 Creating Reports This section describes how to open and close the Report window Open the Report window from the Main Review window When you open the Report window the application automatically creates a report for the patient study which includes images with measurements and overlays from your review session If any images include an implant overlay the report also provides a summary of the applied overlay While editing your report you can return to the Main Review window to make further changes to the images in the patient study You can move between the Main Review window and the Report window without losing any changes in either window When you return to the Report window th
43. there is a location on the anatomy that is of interest you can mark it with an arrow to highlight its location To insert an arrow indicator 1 Do one of the following e From the Tools menu click Arrow Indicator e Inthe Ortho toolbar click the Arrow Indicator button 2 Click the area of interest i e the point in the image that you want to highlight then drag the mouse away to draw the arrow Displaying a Distance Use the Distance tool to measure the distance between two points To display the distance 1 Do one of the following e From the Measurements menu click Distance e Inthe Ortho toolbar click the Distance button Q SS O 2 Click two points on the image 3 The application draws a straight line and displays the distance between the two points in millimeters Sound Eklin Page 81 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued Drawing an Angle Use the Angle tool to draw and measure an angle between three points You can choose to display the measurements for a normal reflex or supplementary angle To draw an angle 1 Do one of the following e From the Measurements menu click Angle e In the Ortho toolbar click the Angle button w 2 Click three points on the image 3 The application displays the angle s inside measurement in degrees By default the application display
44. to Next Page or Go to Last Page buttons These options are also available in the View menu Sound Eklin Page 123 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports Editing Reports continued To zoom in and out of a report 1 To increase the image of the report in the preview pane do one of the following e From the View menu click Zoom In 2 To decrease the image of the report in the preview pane do one of the following In the Report toolbar click the Zoom In button e From the View menu click Zoom Out e In the Report toolbar click the Zoom Out button To search a report for specific text 1 To search a report for specific words press CTRL F 2 Inthe Find Text dialog box type the text for which to search and click Find Next To refresh a report e To refresh your report do one of the following e From the View menu click Refresh Report e In the Report toolbar click the Refresh Report button F Saving and Printing Your Report You can send your report to the system printer and save a copy of your report as a PDF Microsoft Word or Rich Text Format file The application only saves the report as a file on your local hard drive It does not save the report against the patient study in the Sound Eklin Orthoplan Elite database If you want to save a copy of the report you must save it before A you exit the patient study i e load a new patient study from the Study
45. two points on the leading edge of the calibration sphere 4 When you click the second point the application draws a circle 5 Drag the mouse pointer to specify the size of the sphere Notice how the circle changes as you move the mouse pointer 6 Click the third point to complete the outline 7 Use the Sphere Diameter drop down menu to select the appropriate sphere diameter i e either 25 mm or 1 inch 8 Click Accept Calibration 9 The application calibrates the caliper displayed in the viewport and displays the text marker Image is manually calibrated Sound Eklin Page 72 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Zooming Images You can zoom the images to examine them more closely To zoom images using the mouse 1 Do one of the following e From the Tools menu click Zoom e In the Review toolbar click the Zoom button 2 Click and drag the mouse vertically over the image to zoom in and out If you have a mouse wheel you can rotate the mouse wheel away from you to zoom in and towards you to zoom out To zoom images using presets 1 Do one of the following e From the Tools menu click Zoom Presets e In the Review toolbar click the Zoom Preset button Score WwW 2 Select the desired preset from the menu e Zoom 110 Zoom 200 Zoom 300 Zoom 400 One and one tenth 1 1 two three and four times the current view
46. when your local database is full The Study Selection window displays the amount of space available in your local database in the status bar Amount of row ot e See TST space Ready Wed To delete patient studies 1 In the Study List select the studies that you want to delete 2 Do one of the following e From the Edit menu click Delete Studies e Right click one of the selected studies and click Delete Studies from the popup menu 3 When the application asks if you are sure you want to delete the studies click Yes Page 37 Sound Eklin Sound Eklin OrthoCase User s Guide rev 08062012 Chapter 7 Selecting Patient Studies Deleting Patient Studies continued To delete series within a study 1 In the Study List right click the study containing series that you want to delete and click Delete Series from the popup menu 2 The application displays a list of all the series in the study Delete Series for Patient Wiggy Ralph ID 1010102020 x Description M Series Number Images Date Time S SS CE el CA 3 1 CR 1 1 CR 4 1 CR 5 1 T i Delete In the list select the series you want to delete Click Delete When the application asks if you are sure you want to delete the series click Yes oo a E Click Close to close the dialog box Merging Patient Studies By default you do not have the required privileges to merge patient studies if your user name does not have these privileges the Merge Pati
47. you to perform continuous measurements across them When using the Image Relation tool ensure that the images are acquired W using a common reference system and identical patient positioning To ensure accurate results the images must be calibrated correctly before you perform image relation see Correcting Image Magnification on page 64 You cannot perform any measurements calibrate nor view an image in true size if an image has non square pixels Sound Eklin Page 78 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Performing Image Relation continued To perform a continuous image relation 1 Ensure that the Main Review window is using a viewport layout that shows the images that you want to relate see Changing the Image Layout on page 76 2 Do one of the following e From the Measurements menu click Image Relation e In the Ortho toolbar click the Image Relation button 3 The example below shows a continuous set of images referenced by rulers To relate images 1 and 2 do the following e In image 1 click on a point This should be a known location in the image e g a ruler Adjust the arrow to point in the direction of the next image and click the image again This creates point 1 as shown below e In image 2 click on a point This should be a known location in the image e g a ruler Adjust the arrow to point in the same direction as the ar
48. your region The date style should include a four digit year 4 If you have made any changes restart your operating system Preventing Computer Viruses Computer viruses can prevent the application from working properly A We recommend that you install anti virus software on the workstation Sound Eklin Page 3 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application This chapter describes how to install the Sound Eklin Orthoplan Elite 3 4 application for the first time This chapter also describes how to uninstall the application You can install the application in one of the following ways e Asa standalone application e Asa plug in from iConnect Access After you install all the desired software license the Sound Eklin Orthoplan Elite application see Chapter 3 Licensing the Application dp If you plan to launch the Sound Eklin Orthoplan Elite application from iConnect Access make sure the Sound Eklin Orthoplan Elite application is already configured as an external application on the iConnect Access Web server Installing the Sound Eklin Orthoplan Elite Application This section describes how to install the Sound Eklin Orthoplan Elite application This procedure assumes you are installing the application in the default installation directory C Program Files Merge OrthoCase dp If you plan to launch the Sound Eklin Orthoplan Elite application fro
49. 012 Sound Eklin OrthoCase User s Guide Chapter 15 Configuring the Application continued Calibrating Your Monitor The application enables you to specify the screen size of your monitor You must be logged on as Administrator to be able to calibrate the monitor To calibrate your monitor 1 From the Tools menu of the Main Review window click Options 2 In the Options dialog box click Screen Calibration Options Screen Calibration Screen Name Width mm Height mm _ Image Settings 0 Primary ADISPLAY1 Enter the width and height of each attached display in mm This operation requires a restart to take effect 3 In the Width and Height fields type the width and height in millimeters of your monitor If you have more than one monitor attached to your workstation the Options dialog box displays a line for each monitor Make sure you specify the width and height for all monitors attached to your workstation 4 Click OK Sound Eklin Page 135 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 16 Orthoplan Elite X Stitch Overview This user s guide is designed to introduce you to the main Sound Eklin Orthoplan Elite X Stitch module functions Each chapter provides easy step by step instructions to help you use the module Wherever possible the illustrations reflect the module s standard configurations About the Module The Sound Eklin Orthoplan Elite X Stitch module all
50. 018 1160 dicom focalSpots 0018 1190 dicom frameOfReferenceVid 0020 0052 1 2 276 0 30 4 1491 dicom institutionName 0008 0080 41010LUBPG dicom manufacturer 0008 0070 FUJI dicom modality 0008 0060 CR dicom seriesInstanceVid 0020 000e 1 2 124 113532 99 108 20020531 1142535 1 dicom seriesNumber 0020 0011 1 dicom seriesTime 0008 0031 081900 dicom stationName 0008 1010 s bp22 dicom Image dicom lAcquirelmageRotation 0029 101a 0 dicom bitsAllocated 0028 0100 16 dicom bitsStored 0028 0101 10 dicom columns 0028 0011 1576 dicom contrastBolusAgent 0018 0010 dicom convolutionKernel 0018 1210 v lt j 2 Sound Eklin Page 56 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Viewing Patient Information continued 3 You can e Use the scroll bars to view all of the available information e Type values into the Filter field to filter the information displayed e Use the Group Attributes button to group the DICOM attributes e Use the Save to File button to save the information to an Excel file 4 When you are finished close the dialog box Using the Review Toolbar The Review toolbar provides access to basic review tools such as the Zoom Pan and Window Level tools hose GaBeroeaxGu 2 6a S From this toolbar you can also generate a report review detailed patient information or return to the Study Selection window For details on using the basic review tools see Using the Review and Ortho To
51. 5 The application removes the specified filter Sound Eklin Page 32 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Applying a Filter You can filter the Study List using the criteria specified in an existing filter Select a Filter dropdown list iter Help butte ae Select All Clear Selection CR 24 hrs Radiographs adiographs select a iter v Manage Fitters ame Patient ID Accession No I From a VE 0i Ma 2007 x 0 7days All DX ame Modelity DateTime PatientiD__ G Date of Bitt or dure Body Inst fartha CR 2 12 2004 10 41 40 A C650017 F 2 12 1970 SCorRG praltotalle LONG Koc CR N 20041 18 25PM 0202020303 M 9 14 19 9 1 54000 PEL VI To apply a filter 1 On the Standard Toolbar do one of the following e Click Radiographs to clear the filters and display all studies in the Study List e Click the appropriate filter button see Specifying the Filter Buttons to be Displayed on page 26 for the filter you want to apply e Click the Select a Filter dropdown list and select the filter you want to apply from the list of available filters You can filter your study list by modality i e CR and DX secondary captures i e SC or by studies acquired recently e g the last 7 days the last 48 hours and so on 2 The application applies the filter to the Study List 3 If the application reaches i
52. 7 Mersing Pacleme sLUGIeS gscsusieutdect re terdenasestcsc4tesesocs ts ciersesanesendeustiencanaiwseeceusn tesa 38 Customizing the Study Selection WiINdOW ccccccccccccccccccccccccceccccesscccssccccescccess 39 SOrting Che Study LISE dc cessvcsvivcaieceveccieviwessridcnsaneeesvacvesewsnseciersesiauseninsseveoredscesiaud 39 To Apply Primary Sorting to the Study List cc cece cece ccc ceecccceeccccescccsesccceecccceees 39 Configuring Study List COMIMING sssisisiissrsisissisosreisorsid esnin isn ni Ena rien E E nns AN Es 40 To hide Study List COMM scscccstincesviccscactocveacaseiiseseatesdsalecvadsasvuideseeboesteceevissewedic 40 RESIZING SOUCY LISE COLUMNS sistegevetecectwanesiesnstcinasetanteroades ie ns eendaetecsmieccatsueateccinea 40 Rearranging Study Columns sesesessececesoscececescececececcececeseccecececoecececeseecececeeceseces 40 Hiding Elements in the Study Selection WindOW sessesesesesoecececoececececeececececeececesoo 41 Chapter 8 Archiving and Transferring Patient Studies cccceceeeeeeees 42 Conngurine DICOM NOOS srsersrosrirrs Crte onneen Ees ETEN EEEN EE EEO 42 To configure DICOM nodes sesecsesescoccececesoscececesoccececceececececcececeseccecesesoececeseseeoe 42 TO AGG A DICOM DOVNE errre ren EE EEEE EE EEE EAE ATEENA 44 TO MOGILY a Dicom DOVICE sreerirrrrro riero r rintra n rror aE N AEE O I EE ETENE EEEEFEE E IENS 44 To Delet Dicom DEVICES ssiiissssarerispsisidecarsiriniscs
53. 8062012 Sound Eklin OrthoPlan X Stitch Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window Loaded images are displayed in the Sound Eklin Orthoplan Elite X Stitch window This chapter describes the components of the Sound Eklin Orthoplan Elite X Stitch window which consist of the Sound Eklin Orthoplan Elite X Stitch Toolbar the popup menu and the keyboard shortcuts The Sound Eklin Orthoplan Elite X Stitch title bar displays the name of the patient and the image title bar displays the current window level setting and zoom factor Image Title Bar Title Bar gt Brn Re RS File Edt Window Help Orthopan gt G 3 et mM A amp op X Elite n X Stitch Toolbar Viewport Sound Eklin Page 141 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window continued Using the Sound Eklin Orthoplan Elite X Stitch Toolbar The Sound Eklin Orthoplan Elite X Stitch Toolbar provides convenient access to the module s main review tools As with all Windows applications you can access the same functions from the main menus in the menu bar or the popup menu Some of the more frequently used tools are also available using keyboard shortcuts see Using Keyboard Shortcuts on page 143 You can hide or show the Sound Eklin Orthoplan Elite X Stitch Toolbar in the Sound Eklin Orthoplan Elite X Stitch window
54. Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements This chapter describes other orthopaedic features which you can use when planning a procedure including e a library of standard prosthetic overlays see Loading an Implant Overlay on page 110 and e a library of custom measurements see Loading a Custom Measurement on page 115 The Sound Eklin Orthoplan Elite application also provides the following features to improve workflow e Favorites You can tag commonly used overlays or custom measurements as a favorite for easy access see Creating Favorites on page 117 dp To facilitate orthopaedic measurements across multiple images you can choose to relate the images see Performing Image Relation on page 84 or stitch them together see Stitching Images on page 116 Loading an Implant Overlay Implant overlays are two dimensional templates representing prosthetic implants that are used in the planning of orthopaedic surgery The application provides implant overlays that are packaged as libraries Sound Eklin makes new libraries available periodically Each implant overlay library contains the latest overlays as well as older ones If you need to obtain the latest overlay library please contact Customer Support see Customer Support on page 167 Access to implant overlay templates of various manufacturers is based on the Ortho Templates lic
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56. OCAL 14 Displayed 11 Selected 1 Ready i Wed 3 Clear the checkmark for the series that you do not want to load Only the selected series will be loaded 4 Click Load on the Standard Toolbar 5 The application displays only the selected series in the Main Review window Editing Patient Studies You can edit studies as described in this section If you want to edit a patient study to match a study already in the data source you must use the Merge Patients function rather than the Edit function see Merging Patient Studies on page 38 When you edit patient studies the application does not mark the studies as changed therefore use caution when editing patient studies Always check your changes before saving them and keep records of the changes you make Do not attempt to edit a patient study until the entire study has been transferred to the data source Sound Eklin Page 36 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Editing Patient Studies continued To edit studies 1 From the Edit menu click Edit Patient Edit Patient Wiggy Ralph f1010102020 2 Edit the fields appropriately 3 Check your changes to ensure that they are correct 4 Click OK Deleting Patient Studies You can delete patient studies or series within the studies when you no longer need them in your local database You should delete studies or series
57. To exit the application 1 From the File menu click Exit 2 When the application asks if you really want to quit click Yes 3 The application closes and returns you to the desktop Sound Eklin Page 20 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies This chapter describes how to select patient studies for review and perform various other study management functions such as deleting and transferring patient studies The application uses the Study Selection window to display the patient studies contained in the selected data source The local data source is the workstation s hard drive Acquisition devices can be configured during installation to automatically transfer studies to the workstation s hard drive RE Fle Edt View Fier Heb Standard gt ow Select Al Cleat Selection Radiographs Manage Fiers Toolbar Last Name FastName Paent ID Accession No f nani A Column Headings CR 212 2004 10 41 40A 650017 F 2 12970 1 1 Bieteraltotalle LONG KodakLabs C850 8210017 B John Smith CR 10 22 2002 91500A C650018 M 9 14 1989 I Freciured distal LOW_ CHILORENSMER 166177001 166177 00 Study List ounn me a e aa Information Bd 20031103 164532 A ca Accessing the Study Selection Window When you first start the application it displays the Study Selection window automatically This section describes how to re
58. To rotate the overlay click one of the grab handles on the overlay and rotate the overlay to the desired angle e Size To change the size of the overlay click the boundary line of the overlay and rotate the mouse wheel e Adjust center To adjust the center against which the overlay rotates Click and drag the center handle to a new location then click and drag the grab handles Grab handles Center handle Sound Eklin Page 113 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading and Implant Overlay continued 10 You can right click the implant overlay and select an item from the Ortho popup menu From the popup menu you can select an edit function e g Show Data Set Color See Table 11 1 on page 101 for information on the Ortho popup menu Show Data 2 0mm 2 4mm 2 7mm 3 9mm Mini 3 5mm 3 5mm Broad 3 5mm Jumbo Left Right AP Lateral Highlight Set Color Move Delete select a different overlay from the same implant family e g different size or view or 11 To save the overlay see Saving Image Display Parameters on page 105 A Sound Eklin rev 08062012 If you make further adjustments to the overlay you must save your changes again Page 114 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading a Custom Measurement Custom
59. a Modalities SC or RG or CR or DX or RF Sound Eklin Page 28 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued 2 Click the filter you want to edit 3 Click Edit Edit Filter C Defaut Details per Field Select the modalities to include m the hiter O Any modality Only modalities containing the following text Modalties SC or AG or CR of DX of AF gt 4 Inthe Filter Fields list select the criteria you want to edit e g Procedure 5 Edit the filter criteria in the Details Per Field window pane See Table 7 2 on page 25 for details 6 Repeat Steps 4 through 5 for each filter criteria you want to edit 7 The application displays a summary of the specified filter criteria at the bottom of the dialog box 8 When you are finished editing the filter do one of the following e Click Apply to automatically apply the filter to the studies in the data source without saving the filter changes e Click Accept to save the filter changes and automatically apply the edited filter to the studies in the data source 9 Click OK to close the Manage Filters dialog box Sound Eklin rev 08062012 Page 29 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Specifying the Default Filter Use the following procedure to specify the default filter To
60. a dialog box with a list of tips Sound Eklin Page 137 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 17 Getting Started Orthoplan Elite X Stitch continued Using the About Box The About box displays the plug in s program version To access version information 1 From the Help menu select About Orthoplan Elite X Stitch 2 The module displays the version number 3 Click OK to close the dialog box Exiting the Application This section describes how to exit the application To exit the application 1 From the File menu select Exit or press ALT F4 2 If there are unsaved changes in the current session click Yes to save those changes Sound Eklin Page 138 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 18 Configuring the Orthoplan Elite X Stitch Module You can configure the module using the File menu Changing Preferences You can configure the application to best suit your viewing needs The following list contains preferences you can set while using the application e Show or hide the animation in tool palettes see Hiding Animation in Tool Palettes below e Reduce image size when changing the window width level see Configuring the Window Level Tool on page 140 and e Specify whether the application automatically adjusts the window width level after automatic stitching see Specifying Automatic Window Width Level Adjustment on page 140 To open the Ge
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62. ays a mid point between the two points 4 Click two more points on the image 5 When you click the last point the application draws the midline from the mid point of the first pair of points to the mid point of the second pair of points To draw a midline of existing lines 1 Do one of the following e From the Measurements menu click Midline e Inthe Ortho toolbar click the Midline button opoo oio 2 Press CTRL and select the first line 3 Do one of the following e Select the second line e Click two points to create the second line 4 The application draws the midline from the mid point of the first pair of points to the midpoint of the second pair of points Drawing an Intersection Point Use the Intersection Point tool to display the intersection point between two lines To draw an intersection point 1 Do one of the following e From the Measurements menu click Intersection Lines e In the Ortho toolbar click the Intersection Lines button a i 2 Click two different points on the image to create the first line The application draws a line between the two points 3 Click a third point to begin the second line The application displays a line connected to the mouse pointer The application also displays a floating point not connected to either line which shows where the two lines would intersect 4 Click the fourth point to complete the second line The application establishes the floating point p
63. base to upgrade the application otherwise click No Sound Eklin Page 9 rev 08062012 Sound Eklin OrthoCase Installation Chapter 3 Licensing the Application Before you can run the Sound Eklin Orthoplan Elite application you need to license the application This chapter describes how to obtain and install a Sound Eklin Orthoplan Elite license dP If you plan to launch the Sound Eklin Orthoplan Elite application from iConnect Access request the iConnect Access with Sound Eklin Orthoplan Elite license Contact Customer Support for help obtaining this license see Customer Support on page 167 This license is installed on the iConnect Access Web server Refer to the iConnect Access Installation Guide Obtaining a License Key This section describes how to obtain a license key from Sound Eklin IP settings before you license the application If the license is bound to the network you will void the license if you change the network configuration or reinstall the application after installing the license t Make sure you finish configuring your network including the TCP If you are installing the application on a workstation that has a dedicated network connection make Sure your network cable is plugged into the workstation and your network configuration is complete If you are licensing the application on a machine that may not always be connected to the network e g laptop you must unplug your network ca
64. ble before you obtain your Server Code Once you install your license key you can plug in your network cable You can start the application with or without a network connection To obtain a license key 1 Log on as Administrator or a user with administrative privileges 2 If you are licensing the application on a machine that may not always be connected to the network e g laptop unplug your network cable 3 Open the Sound Eklin Orthoplan Elite application 4 The application displays the Sound Eklin Orthoplan Elite Licensing dialog box Click Help to display the list of available server codes for your workstation OrthoCase Licensing x To obtain a license for this application press the Request epee OUE Me aA apa le lien Request button please contact Merge at 1 900 724 5570 or http vww merge con M RGE Healthcare E Code Description l 0013721635E8 Broadcom NetXtreme 57xx Gigabit Controller Packet Scheduler Mi lis Licenses lt gt The list of available Server Codes Sound Eklin Page 10 rev 08062012 Sound Eklin OrthoCase Installation Chapter 3 Licensing the Application continued 5 Click Request to e mail your license request information to Sound Eklin using your default e mail application License Request for OrthoCase Message Rich Text r age tate TP on one Ai Langh go p N OT MmMoL TOONS ACLIOTIS cw lot arin ae ma ln _ Fr 4 a f iid Sen
65. cation to save it To copy an image 1 Click the viewport of the image you want to copy 2 Press CTRL C 3 Go to the graphics or word processing application and open a file 4 Paste the image in the new file In many applications you can press CTRL V to paste the image 5 Save the image file to the appropriate directory or disk Printing Images You can print to postscript GDI and DICOM printers on the network that were configured during installation You can also print the images to a file i e BMP JPG For information regarding your workstation s printer configuration contact your System Administrator a 2 This application supports true size printing To print selected images 1 When the images are displayed in their preferred format do one of the following e From the File menu click Print Images or press CTRL P e In the Review toolbar click the Print Images button Sound Eklin Page 128 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images Printing Images continued 2 The application displays the Print dialog box Print x Compose Printer Status Capture Cell vy Delete Cell v Layout 1on1 v Add Page sheet ooro 3 Specify a print layout e g 4 on 1 for the images that you want to print and click Add Page 4 To place images in the frames do the following e Inthe Main Review window click the viewport or the thumbna
66. constant across the entire image because of perspective projection The degree of scale inconsistency depends on the distance the x ray source was moved away from the center of the image at the time of acquisition dip You cannot perform any measurements calibrate nor view an image in true size if an image has non square pixels Understanding Pixel Spacing When you load images for review the application obtains the pixel spacing from the images and reflects it in the viewports as follows e Measured Size is Modality Calibrated X ray scaling is determined based on the information provided in the image from the modality Scaling is determined using the DICOM tag Pixel Spacing 0028 0030 e Measured Size is Modality Magnified X ray scaling is determined based on information available from the image The image uses the DICOM tags Imager Pixel Spacing 0018 1164 divided by the Estimated Radiographic Magnification Factor 0018 1114 e Measured Size is at Detector The image has not been corrected for any X ray scaling The image uses the DICOM tag Imager Pixel Spacing 0018 1164 e Measured Size is User Calibrated The pixel spacing is retrieved from the saved plan based on a calibration performed either in Sound Eklin Orthoplan Elite or another application which supports GSPS The scaling factor is stored in the DICOM tag Presentation Pixel Spacing 0070 0101 Calibrating Images by Drawing a Lin
67. d iz wee ewer 3 Attach as Adobe POF WI Sy lt Y gt 2 Options a _ Subiect available Server Codes 1 0013721635E8 Broadcom NetXtreme 57xx Gigabit Controller Packet Scheduler Miniport Preferred code to license 1 Requestor Information lt place your information here gt 6 Alternatively you can request a license via the Web interface or by contacting Sound Eklin using one of the following numbers e In North America call toll free 800 819 5538 e international 1 760 918 9626 7 The table below lists the information you should provide when requesting a license Your name phone number and email address Hospital name and address Purchase Order Number Sound Eklin OrthoPlan Elite 8 Sound Eklin provides you with a license key file for the application i e 1234LicOut bin Sound Eklin Page 11 rev 08062012 Sound Eklin OrthoCase Installation Chapter 3 Licensing the Application continued Installing the License This section describes how to install your Sound Eklin Orthoplan Elite license To install the license key file 1 Save the license key file to a convenient location i e Desktop 2 Open the Sound Eklin Orthoplan Elite application 3 The application displays the Sound Eklin Orthoplan Elite Licensing dialog box Click License then do the following e Click Browse e Navigate to the license key file you saved in Step 1 then double click the license key fil
68. d Eklin Orthoplan Elite X Stitch module ALT F4 Horizontal Automatically stitch the images horizontally H Auto Stitch Inverse Display the current image with inverse i e negative values ae Overlay Text Show or hide patient information SS Reposition the image in the viewport Print Image Print the image in the viewport to the system printer CTRL P Reset Fiducials Remove any fiducial markers that may have been indicated R ae Save the stitched image as a DICOM file Stitch Tools Display the Stitch Tools dialog box Vertical Automatically stitch the images vertically V Auto Stitch Window Level Change the window level Sound Eklin Page 143 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window continued Using Keyboard Shortcuts for Stitching This section describes the keyboard shortcuts available when you stitch images manually These keyboard shortcuts allow you to quickly move selected fiducial markers in an image in the viewport You can combine the following keyboard shortcuts with the SHIFT key When you use the SHIFT key combination e g SHIFT UP ARROW the movement will be increased by a factor of ten Table 19 2 Stitch Tools Keyboard Shortcut Keyboard Shortcut Move the selected fiducial marker up by one pixel UP ARROW Command Description Move the selected fiducial marker down by one pixel DOWN ARROW Move the selected fiduc
69. e You can use the following procedure to calibrate the image if there is a landmark or fiducial marker of a known distance on the image To calibrate the caliper in an image by drawing a line The application only applies the calibration to the image in the selected viewport i e the viewport with a yellow border We recommend that you enlarge the size of the image on the screen to easily identify the fiducial Sound Eklin Page 65 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued 1 In the Ortho toolbar click the Select button then click the viewport whose image you want to calibrate 2 Do one of the following e From the Measurements menu click Magnification Correction e In the Ortho toolbar click the Magnification Correction button o Magnification Correction Click on a point on the sphere If a calibration sphere is present in the image click on a point anywhere in the sphere to detect it _ Select Sphere Manually outline the calibration sphere If a calibration sphere is present in the image draw its outline using the circle tool Draw Line Correct the image magnification by drawing a line on the image and entering the distance in mm Enter Magnification Factor The magnification Factor will account For the inherent magnification present in the x ray image by adjusting the image to scale for more accurate
70. e e Click Install ES OrthoCase Licensing E3 Please refer to the ELM source license file by typing its location browsing for it dragging and dropping it or cutting and pasting its contents into the box below When ready press the Install button to install pour license i M RGE Healthcare 4 Licenses oy 4 When the application describes how many features are licensed click OK 5 In the Sound Eklin Orthoplan Elite Licensing dialog box click OK 6 Click OK to complete the licensing procedure and launch the application Sound Eklin Page 12 rev 08062012 Sound Eklin OrthoCase Installation Chapter 4 Configuring the Application This chapter describes how to configure the database size auto deletion settings and setting preferences Managing the Database The Auto Deletion feature automatically deletes patient studies from the local image database at a specified regular interval This ensures that the local image database does not run out of disk space and that it has sufficient capacity to receive incoming studies The current database usage is displayed at the bottom of the Database Settings tab It is also displayed at the bottom of the Study Selection window of the application You can configure the maximum database size As the database nears 100 full the disk partition can reach its capacity as well If this scenario occurs the database might not receive all the incoming studies Yo
71. e 101 the mid point does not move To create a mid point of an existing line 1 Do one of the following e From the Measurements menu click Mid Point e Inthe Ortho toolbar click the Mid Point button a o Sound Eklin Page 89 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued 2 Press CTRL and select the existing line 3 The application marks the mid point in the center of the line Comparing Distances Use the Compare Distance tool to compare the distance between two lines The Compare Distance tool offers three types of measurements e Difference The difference between two lines in millimeters e Sum The total length of two lines in millimeters e Ratio The ratio between two lines in percentage To compare two lines 1 Do one of the following e From the Measurements menu click Compare Distances e In the Ortho toolbar click the Compare Distances button a rY 2 Click two points on the image to draw the first line 3 Click two points on the image to draw the second line 4 By default the application marks the first line with the letter a and the second line with the letter b and displays the difference between lines a and b e g a b 23 1mm 5 To change the calculation right click the results e g a b 23 1mm then click the desired calculation from the popup menu i e D
72. e DOr E aa N EEE E 167 WEDS ICG ara rA EA EE E EEEE EE EEEE E EEA EAEE 167 Sound Eklin Page viii rev 08062012 Sound Eklin OrthoPlan Elite Prologue About this Guide This section describes various conventions and visual cues that are used throughout this guide Installation Drive and Folder The Installation Wizard selects the drive on which the operating system is installed as the default installation drive for the Sound Eklin Orthoplan Elite application Thus if your operating system is installed on drive C then your default destination drive will be C The examples provided throughout this guide assume that the application is installed under the default path C Program Files Merge OrthoCase Visual Cues Throughout this guide the following conventions and visual cues are used e Words shown in large boldface text such as Exit indicate application functions that you can click with the mouse e g buttons tools items in dropdown lists e Words shown in Times New Roman boldface text such as Administrator indicate characters that you must type exactly as they appear i e if you are instructed to log on as Administrator you must type the characters exactly as they are printed e Words shown in uppercase such as ENTER indicate keys on the keyboard that you press If several keys appear together separated by plus signs e g CTRL ALT DEL it means that you should press all three keys simultaneously e Words s
73. e application uses visual cues on the thumbnails for example a green border indicates which image is currently being displayed in the Main Review window Study The example below shows how the thumbnails represent description four studies that were loaded for a single patient To use the thumbnails 1 Load patient studies for review see Selecting and Loading Studies for Review on page 34 2 The application displays the thumbnails for the loaded patient The application highlights with a green border the thumbnail that corresponds to the image currently displayed in the viewport By default the Main Review window displays the first image in the study in a 1x1 layout Series in 3 To change the image in the viewport in 1x1 layout click a thumbnail 4 To change the image in a viewport using a multiple viewport layout e g 2x3 layout do one of the following e Click the desired viewport then click the desired thumbnail e Click and drag the desired thumbnail to a viewport 5 To rearrange the images in a multiple viewport layout e g 2x3 layout click and drag the image from one viewport to another Sound Eklin Page 61 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 10 Selecting the Viewing Mode You can view images in different ways depending on the type of study that is loaded The following view modes are available e Tile mode Tile mode can be used for any type of study e
74. e center of the line If you clear the checkmark you can move the mid point along the line Split Points All Right click joined points Splits two or more joined points into separate points Supplementary Angle Right click anywhere along When checked displays the measurement i e a the supplementary angle line a point a grab handle or the measurement text Sound Eklin Page 104 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Saving Loading and Resetting Image Display Parameters This section describes how to save load and reset the image display parameter settings The image display parameters are as follows e brightness contrast e zoom e pan e image orientation e vertical flip e grayscale inversion e orthopaedic measurements The application saves the image display parameters in the Plan History in Grayscale Softcopy Presentation State GSPS format When you next load the study from the Study Selection window the Main Review window displays the last saved image parameters You can update your changes e g delete measurements add new measurements and so on and save it as a new entry in the Plan History Saving Image Display Parameters You can save the image display parameters you have set during the current session Each time you save your image display parameters the application stores the settings in a Plan History from which y
75. e report updates the images according to any changes in the Main Review window e g if you added a new overlay to an image Before you exit the patient study i e return to the Study Selection window and load a new patient study you must save your report otherwise you will lose the edits in your report e g updated site information any additional notes If you do not save your report before you exit a patient study and load a new patient study you will lose your report To open the Report window Sound Eklin Page 120 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports Creating Reports continued 1 Do one of the following e From the View menu click Report Page e In the Review toolbar click the Report Page button 2 The application displays the Report window with default information for the current patient To return to the Main Review window When you close the Report window the application returns you to the Main Review window A If you do not save your report before you exit a patient study and load a new patient study you will lose your report e Do one of the following e From the Report menu click Return to Review Page e In the Report toolbar click the Return to Review Page button 5 Customizing Your Reports By default the application displays the site information using the contact information and logo You can change both the contact information and lo
76. e to paste images into other applications see Copying Images to Other Applications on page 155 and e to print or film the images see Printing Images on page 156 This chapter describes how to perform these functions Creating Secondary Capture Images After you have reviewed a patient s images you can create a new series by capturing key images and defining a layout You can then print the secondary capture images in the specified layout Before creating secondary capture images you can zoom pan and perform other image manipulation to better view an area of interest as well as annotate the images The application saves the captured images along with the applied manipulations and annotations as a new series dp Do not select empty image viewports when creating secondary capture images By default the application saves secondary capture images in a new study To change this setting see Configuring the Secondary Capture Settings on page 133 To create secondary capture images 1 Do one of the following e From the File menu click Save Images e Inthe Ortho toolbar click the Save Images button a Sound Eklin Page 126 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images Creating Secondary Capture Images continued 2 When the application displays the Save dialog box click Save Measured Size ts User Calibrated 3 Do one of the following lf
77. e you stitch them together or crop the final stitched image To crop images 1 Click the image you want to crop 2 Do one of the following e e From the Edit menu click Crop Image e In the Stitching Toolbar click the Crop Image button 3 A yellow dotted border appears Move this border to specify the portion of the image you want to keep The module deletes anything outside this border 4 Double click in the selected area to crop the image 5 To reset the images to their original state see Reverting to the Original Image on page 162 Accessing the Stitching Palette The Sound Eklin Orthoplan Elite X Stitch module provides both manual stitching see Stitching Images Manually on page 150 and automatic stitching see Stitching Images Automatically on page 155 Both stitching options are available from the Stitch Tools palette AP When you have finished stitching you must close the Stitch Tools to use a different tool palette Animation gt lt Manual demonstrates stitching the selected options method manual stitching only Draw a fiducial and or line for each Automatic Stitch lt lt Automatic stitching options Cancel Sound Eklin Page 149 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images Accessing the Stitching Palette continued The Stitch Tools palette provides an animation window that demonstrates how the selected manual s
78. ecccesccess 128 PRICING WWM AS CS abe ccteecedcissieiacscicustsicenesecieasiesauwencd EEEN N EENE NAA 128 Setting the Printer Destination sesessesossesoecosoesoesossesoesosoesosoesoesoesosoesoeoosoeoo 131 Monitoring the Print Job Status cccccccccccccccccccccccccccccccccscccccccccccccscccsecccses 132 Chapter 15 Configuring the Application cccececececececececcecesecececeeees 133 Understanding User Preferences cccccccccccccccccccccccccccccccccccccccccscccscccceccceeces 133 Configuring the Secondary Capture Settings ccc cccecccccccccccccecccccccceccceccccecccss 133 Configuring the Copy Paste Settings ccccccccccccccccccccccccccccccccccceccccecccsecccsscess 134 Calibrating YoUr MONMILON ncassavecaeenceycsssusewsessassans reumenneaencise sercntaneeesseis es coronene coos 135 Chapter 16 Orthoplan Elite X Stitch Overview ccceceececececececseeeees 136 PIDOUL TING MOGULS cca csnewice ce EE ENE EEE A EEEE AEE E EEES 136 APOO TINS UdG ois cccec riia EE EEE EE EREN 136 Chapter 17 Getting Started Orthoplan Elite X Stitch ce ceee eee eee 137 SEAM EINE E MOTU sic sadic tec oceeceansesccseveney EE A 137 Usine the Help Systemi cceseiccsanseccaseasesncesencasaesenececesecacstexes oo naceessnorseratseduccoesseoss 137 Using the Quick Start IPS csbicasaencsecccdeteunecesdacvasconvasemeteseceecastencneoeientessaccsvsecces 137 Usine CMe ADOUG BOX 5 c545sa0000 eE E E EEEE
79. edical environment from multiple locations within and outside the hospital e Productivity Enhancing Second Console Workstations Workstations designed to perform automated routine tasks such as image review printing and archiving as well as post processing capabilities that enable special services for referring physicians e Diagnostic Review Workstations Workstations designed to assist radiologists and surgeons in conducting primary diagnostic review and planning through flexible and 3 Chapter 1 interactive manipulation of multi modality softcopy images This includes the use of prosthetic template overlays e Physician s Review Workstations Workstations designed to give easy and economic access to multi modality softcopy images in multiple locations within and outside the hospital e g teleconferencing teleradiology etc Safety Precautions This section contains a list of safety precautions that you must be aware of when using the Sound Eklin Orthoplan Elite application Repetitive Strain Injury As with all computer systems there is a risk of repetitive strain injury if the workstation is used excessively Repetitive strain injury can include symptoms such as eyestrain backache and so on W Excessive use of the workstation may result in repetitive strain injury Sound Eklin Page 16 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 5 Orthocase Overview Safety Precautions continued Lossy
80. ekikakr taenke apiri enri eraa saN er secs 46 Transferring Patient Studies to a Dicom Archive ssesecesesoscecececcecececeececececeececeooe 47 EXDOrtind Patient SLUdiOS oreesrisrrror trsa r re rinin rir Eierne rE ENETEIA ENEE EEEO 48 Importing Patient Studies sssesesescececesoecececosoecececoecececescececececcecececoececcececeseeo 51 PIRGT ING Ce LEECO SCUGIOS x6 cicaneconess cranevoteiaweiees sesteancdentindeconsidasswievicacnsusse sees cent 52 Chapter 9 Using the Main Review Window ccscececececececececcecececeescecees 54 Selecting Other Studies from the Study List cece cece ccc ccecccccecccccsccccceccccescccees 54 TO Access the Study MSU oe eis on esc dicast case e nd ikun ONA Erns UPELA PODON T EEC EEEa aa 54 Returning to the Main Review WindOW sessesecescececececcececececcececocoececececoececeseeceoe 55 Selecting Other Studies from the Work List cccccccccccccccccccccccccccsccccseccccescccees 55 Viewing Patient Information esescesecceccececcecoecoececoccecceccececcecoecoececoeceececcececoeoo 56 Using tne Review Toolbar sanccvcinecicncssvendtaswteciecsgnaeccatetesecienessedciwsivessessqcoreieesaaauss 57 Usine THe Orta TOW al crirooriirs rrenen EAEE EEE IEN ETETETT IA 57 Using the Popup Menu to Access Common Functions sesesesescecececesoecececcececececceceoe 58 CUSLOMIZING the Popup MENU wwcusisieses craseiescucrcasuessancrissacisaeneuhitanmidswexcestucsamersenens 58 Damo the
81. ense that is currently installed The application automatically scales all implant overlays to true image size based on the image calibration Therefore you do not need to perform any other type of scaling To ensure accurate results the images must be calibrated correctly before you load implant overlays see Correcting Image Magnification on page 64 dP The Sound Eklin OrthoTemplates dialog box varies depending on your selections therefore the screen captures in this section s procedure should be viewed only as samples Sound Eklin Page 110 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Loading and Implant Overlay continued To load an implant overlay 1 Ensure that the Main Review window is using a viewport layout that shows the image on which you want to place an implant overlay see Changing the Image Layout on page 81 2 If you are using any layout other than 1x1 select the viewport with the image on which to perform automatic templating The application loads the overlay on the image in the selected viewport 3 Do one of the following e From the Measurements menu click Templates e In the Ortho toolbar click the Templates button 4 In the Sound Eklin OrthoTemplates you can do one of the following e Click the All tab to see all the available implant overlays The application groups the overlays by manufacturer
82. ents continued Drawing a Circle Use the Circle tool to measure the diameter circumference and surface area of a circular area To draw a circle 1 Do one of the following e From the Measurements menu click Circle e Inthe Ortho toolbar click the Circle button D 2 Click two points on the image 3 When you click the second point the application draws a circle 4 Drag the mouse pointer to specify the size of the circle Notice how the circle changes as you move the mouse pointer 5 Click the third point to complete the circle Drawing an Outline Use the Outline tool to draw an outline around a region of interest From the outlined region you can e measure the circumference and surface area of the outlined region or e create a cut out or outline see Using the Cut and Copy Feature on page 93 To draw an outline 1 Do one of the following e From the Measurements menu click Outline e Inthe Ortho toolbar click the Outline button i 2 Click a series of points to create the outline An outline must have at least three points 3 Click the first point to complete the outline Sound Eklin Page 85 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued Drawing Perpendicular Lines Use the Perpendicular Lines tool to draw two perpendicular lines To draw perpendicular lines 1 Do one of the
83. ents function will not be available in the Edit menu or the right click popup menu However if your user name has the required privileges you can merge a patient study with another patient as described in this section A When you merge studies the application does not mark the studies as changed therefore use caution when merging patient studies Always check your changes before saving them and keep records of the changes you make Do not attempt to merge a patient study until the entire study has been transferred to the data source dp After you merge studies you cannot split them Sound Eklin Page 38 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Merging Patient Studies continued To merge patient studies with another patient 4 D dP The Merge Patients feature merges all the studies of the selected patient s with another patient it does not merge specific studies of the selected patient s In the Study List select one or more patients that you want to merge with another patient You can select as many patients as required Right click one of the selected patients and select Merge Patients from the popup menu Click the destination patient into which all of the studies for the selected patients will be merged Click OK When the application asks if you are sure you want to merge the studies click Yes Customizing the Study Selection Window You can custom
84. er s Guide Chapter 10 Selecting the Viewing Mode continued Viewing in Stack Mode Stack mode provides a benefit that is unique to digital workstations Images in the series are stacked on top of each other and only one image is visible at a time As you scroll through the images in the series you get a sense of the spatial relationship between the images allowing you to see more subtle differences in the pathology Stack mode is applicable mainly to CT MR images or where studies contain multiple stacked images in a series An example of how you might set up the screen in Stack mode is shown below Senes 1 Senes 2 Senes 5 Senes 6 Senes 3 Senes 4 When Stack mode is available you can easily and quickly toggle between Stack and Tile viewing To switch between Tile and Stack viewing 1 Do one of the following e From the View menu select Mode and click Tile or Stack e In the Review Toolbar click the Viewing Mode button and click Tile or Stack 2 The application switches to the other viewing mode and displays the images appropriately To scroll in stack mode e Click and drag the scrollbar e Rotate the wheel on the mouse e away from you to scroll backward through the slice stack or e toward you to scroll forward through the slice stack Sound Eklin Page 63 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools This chapter describes how to use the tools provided for s
85. ering the Study List continued 3 In the Filter Name field type a unique name for the filter 4 Inthe Filter Fields list click an item e g Procedure and specify the filter criteria in the Details Per Field window pane See Table 7 2 on page 25 for details 5 Repeat Step 4 for each filter field that you want to define 6 The application displays a summary of the specified filter criteria at the bottom of the dialog box 7 When you are finished do one of the following e Click Apply to automatically apply the filter to the studies in the data source without saving the filter e Click Accept to save the filter and automatically apply it to the studies in the data source 8 Click OK to close the Manage Filters dialog box Editing a Filter You can modify the criteria specified for a filter dp We recommend that you do not edit the predefined filters e g Radiographs because when you edit filters you cannot revert back to the filter s original settings To revert back to the criteria settings specified when the filter was last saved click Reset in the Edit Filter dialog box The filter does not revert back to its original settings To edit a filter 1 Click Manage Filters Manage Filters This tool helps you to create and edit filters Checkmarks indicate the filter is displayed as a button on the Standard T oolbar Filters C 48 hrs C 7 days C All C CR O Dx Summary of filter criteri
86. ers in red 6 To adjust your fiducial markers do one of the following e Click the desired fiducial marker Press the appropriate arrow key i e LEFT ARROW RIGHT ARROW UP ARROW and DOWN ARROW to move the fiducial marker by one pixel To move a fiducial marker by ten pixels press and hold the SHIFT key then press the appropriate arrow key e Click and drag the desired fiducial marker to a new location 7 In the Stitch Tools palette click Stitch To reset all lines and redraw them click Reset 8 The Sound Eklin Orthoplan Elite X Stitch module joins the end of the first line with the start of the second then rotates the images until the lines are parallel gt 1 2 E a Sound Eklin Page 154 rev 08062012 Sound Eklin OrthoPlan X Stitch T Rotate 079 3 14 Chapter 20 Stitching Images continued Stitching Images Automatically The Stitch Tools palette provides four methods of automatic stitching e Automatically stitch images that are lined up horizontally e Automatically stitch images that are lined up vertically e Automatically stitch and adjust images with one fiducial marker e Automatically stitch and adjust images with two fiducial markers dip By default the module automatically adjusts the window width level after stitching You can disable this option in the Preferences dialog box see Specifying Automatic Window Width Level Adjustment on page 140 If the automatic adjustment i
87. etters of the keyword you are looking for then double click the keyword This is often the easiest way to find a topic e Click Search to find all topics that contain a keyword Type the keyword you want to find click Go then click the desired topic in the list displayed e Click Back to return to the last topic viewed Sound Eklin Page 19 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 6 Getting Started continued Using the About Box The About box displays the Sound Eklin Orthoplan Elite program version and lists the licenses installed on your application If you have installed additional components to the Sound Eklin Orthoplan Elite application e g the Sound Eklin Orthoplan Elite X Stitch module and the Sound Eklin OrthoTemplates you can update your license from the About box To access version and license information 1 From the Help menu click About 2 The application displays the version number as well as the appropriate copyright and license information 3 Click OK to close the About box To update your license 1 From the Help menu click About 2 Click License 3 In the License key field enter the license key exactly as it was provided to you by Sound Eklin If possible use copy and paste to avoid typing errors 4 Click OK 5 Click OK to close the About box Exiting the Application This section describes how to exit the Sound Eklin Orthoplan Elite application
88. figure A the images are stitched normally and the final image is aligned based on the soft tissue In figure B the images are stitched using the Bone Bias feature and the final image is aligned based on the bone Contrast in the Images To accurately perform automatic stitching there must be enough contrast in the overlapping portions of the input images to identify their relative positions Since an overlapping area at the edge of the image is necessary some studies may present a significant challenge For example a spine study might have the overlapping area in the diaphragm where X ray penetration is low A low X ray penetration area may affect the quality of the stitching if there are no visible anatomical features in the images In this scenario a better approach is to set the overlapping area to the lungs where clearly marked anatomical features exist Sound Eklin Page 166 rev 08062012 Sound Eklin OrthoPlan X Stitch Appendix A Technical Support Shipping Address Sound Eklin 6359 Paseo Del Lago Carlsbad California 92011 USA Technical Support Office hours Weekdays 8 00 A M 5 00 P M Pacific Time Emergency 24 hour support is available Telephone 760 444 8618 toll free 800 819 5538 Website www soundeklin com Sound Eklin rev 08062012 Page 167 Sound Eklin OrthoPlan X Stitch a VCA ANTECH company Sound Eklin Technical Support 6359 Paseo Del Lago Carlsbad California 92011 USA
89. following e From the Measurements menu click Perpendicular Lines e Inthe Ortho toolbar click the Perpendicular Lines button o o 2 Click two points on the image to draw a straight line 3 Click the third point to set the perpendicular line position 4 You can adjust the length and location of the first line and the perpendicular line dp When Snap to Line is selected in the Ortho popup menu See Table 11 1 on page 101 you cannot extend the perpendicular line beyond the point where it meets the first line To draw a perpendicular line based on an existing line 1 Do one of the following e From the Measurements menu click Perpendicular Lines e Inthe Ortho toolbar click the Perpendicular Lines button 2 Press CTRL and select the existing line 3 Click to set the perpendicular line position Drawing Parallel Lines Use the Parallel Lines tool to draw two parallel lines and measure the distance between the lines To draw parallel lines 1 Do one of the following e From the Measurements menu click Parallel Lines e Inthe Ortho toolbar click the Parallel Lines button Se 2 Click two points on the image to draw a straight line Sound Eklin Page 86 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued 3 Click a point on the image to indicate the location of the parallel line The application draws
90. go to customize the report for your site To edit the site information for the report The application remembers changes to site information You do not have to change the information each time you generate a new report 1 Open the Report window see Creating Reports on page 120 2 From the Report menu click Site Info Sound Eklin Page 121 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 13 Generating Reports Customizing Reports continued 3 In the Edit Report Site Info dialog box type the correct site information for the report Edit Report Site Info x Company EMEKI Address 6359 Paseo Del Lago Carlsbad California 92011 sound eklin 4 VCA ANTECH company eee Fax Website www soundeklin com 4 To change the logo used in the report do the following e Click Change Image e Inthe Open dialog box navigate to the appropriate folder e Click the new image file to select it and click Open 5 Click OK to save your changes and return to the Report window Editing Reports You can edit the properties of the report you are generating to reflect the correct information such as the name of the physician You can also customize the title of the report and add any notes you want to include in the report Images that do not have measurements and overlays do not appear in the report While using the Report window you can move between the Report window and the Main
91. gulatory compliance such as the Health Insurance Portability and Accountability Act HIPAA by logging users activities on the workstation For further details please contact your System Administrator or Customer Support on page 167 Supported Operating Systems You can install the Sound Eklin Orthoplan Elite application on the following Microsoft Windows English US 32 bit operating systems e Windows XP Professional with Service Pack 3 e Windows Vista Enterprise with Service Pack 1 e Windows Vista Business with Service Pack 1 e Windows 7 Professional e Windows 7 Ultimate Sound Eklin Page 1 rev 08062012 Sound Eklin OrthoCase Installation Chapter 1 Installation continued Workstation Requirements The application runs on a workstation that normally consists of a personal computer keyboard mouse and one monitor You can use a two button mouse a three button mouse or a wheel mouse Workstation s hardware requirements Component Recommended Minimum Requirement 1280x1024 color Processor Intel Pentium 4 2 gigahertz or faster dp If you are using the Windows 7 operating system make sure your video card supports Windows Display Driver Model WDDM 1 1 or later When using the Sound Eklin Orthoplan Elite application with a wide screen monitor ensure you preserve the aspect ratio when changing the display settings Otherwise images may appear stretched or distorted The Sound Eklin O
92. he Study Selection window Sound Eklin Page 41 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies This chapter describes how to e configure DICOM nodes see Configuring DICOM Nodes on page 42 e transferring patient studies to a DICOM archive see Transferring Patient Studies to a DICOM Archive on page 47 e export patient studies to a CD or workstation s hard drive see Exporting Patient Studies on page 48 e import patient studies to your local database see Importing Patient Studies on page 51 and e filter the list of studies to import see Filtering the List of Studies on page 52 Configuring DICOM Nodes The DICOM server allows the application to communicate with other DICOM devices You must use only DICOM 3 0 devices with the Sound A Eklin Orthoplan Elite application ar You must be logged on as Administrator to be able to configure the DICOM nodes Ensure that the System Administrator also adds the information of the workstation i e AE title port number and host name or IP address on which the Sound Eklin Orthoplan Elite application is installed to the destination workstation and servers To configure DICOM nodes 1 Access the Study Selection window see Accessing the Study Selection Window on page 21 2 From the Tools menu click Dicom Nodes Sound Eklin Page 42 rev 08062012 Sound E
93. he following e Click one of the points on the measurement and drag it to a new location e If the measurement has grab handles as shown below click one of the grab handles and drag it to a new location Note that the movement of a grab handle is restricted by the constraint on the grab handle For example in the diagram below you can move the grab handle along the midline only Grab Handles 2 The application repositions the point and redraws the shape To delete ortho measurements 1 Do one of the following e Right click the desired overlay or measurement and click Delete e Click the Delete Measurement button in the Ortho toolbar and select the measurement that you want to delete e Select the measurement that you want to delete and press DELETE e To start over and delete all the measurements click the Delete All button in the Ortho toolbar 1a i The Delete All function deletes all ortho measurements in the active viewport 2 The application deletes the measurement Sound Eklin Page 99 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Using the Ortho Popup Menu Each Ortho tool has a popup menu with different options This section describes the options available for each popup menu dp To access the Ortho popup menu immediately after performing an ortho measurement you must first click the Select button then right click the desired ortho
94. hown in italics are used for emphasis e Words shown in courier font indicate operating system responses Notes Cautions and Warnings dip Notes are used to indicate information that may be helpful or of special interest Caution messages indicate procedures which if not observed could result in loss of data or damage to the equipment Do not proceed beyond a CAUTION message until the indicated conditions are fully understood and met Warning messages indicate procedures which if not observed could result W in personal injury Do not proceed beyond a WARNING message until the indicated conditions are fully understood and met Customer Support If you require assistance please contact Customer Support 800 819 5538 Sound Eklin Page ix rev 08062012 Sound Eklin OrthoPlan Elite Chapter 1 Installation This guide describes how to install the Sound Eklin Orthoplan Elite application It is intended to be used by service personnel who have a working knowledge of the Microsoft Windows operating systems Please consult the appropriate Microsoft documentation before using this guide if you are not familiar with the Microsoft Windows operating systems Screen Captures This guide uses screen captures to help illustrate various steps and procedures The screen captures are used as examples only and may differ somewhat from what you see on your monitor dp The Sound Eklin Orthoplan Elite application allows for re
95. ial marker left by one pixel LEFT ARROW Move the selected fiducial marker right by one pixel RIGHT ARROW Sound Eklin Page 144 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 19 Using the Sound Eklin Orthoplan Elite X Stitch Window continued Using Keyboard Shortcuts for the Adjustment Tool Palette This section describes the keyboard shortcuts available when you are using the Adjustment Tools palette see Using the Adjustment Tools Palette on page 157 These keyboard shortcuts allow you to quick move high lighted items in the image in the viewport dp You can combine the following keyboard shortcuts with the SHIFT key When you use the SHIFT key combination e g SHIF T UP ARROW the movement will be increased by a factor of ten Table 19 3 Stitch Tools Keyboard Shortcut Keyboard Shortcut Moves the highlighted item up by one pixel UP ARROW Moves the highlighted item down by one pixel DOWN ARROW Command Description Moves the highlighted item left by one pixel LEFT ARROW Moves the highlighted item right by one pixel RIGHT ARROW Rotate anti Rotate the image 0 25 degrees anti clockwise PAGE UP clockwise Rotate Rotate the image 0 25 degrees clockwise PAGE DOWN clockwise Sound Eklin Page 145 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images This chapter describes how to use the tools provided to stitch images together Depending on the review tool you are us
96. ifference Sum or Ratio 6 You can also change the labels i e the letters a and b beside each line to describe the measurement and add a prefix to the results see Editing Labels and Adding Text Prefixes on page 91 Comparing Angles Use the Compare Angles tool to compare two angles The Compare Angles tool offers three types of measurements e Difference The difference between two angles in degrees e Sum The total degree measurement of two angles in degrees e Ratio The ratio between two angles in percentage Sound Eklin Page 90 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued To compare angles 1 Do one of the following e From the Measurements menu click Compare Angles e Inthe Ortho toolbar click the Compare Angles button x 2 Click three points on the image to draw the first angle 3 Click three points on the image to draw the second angle 4 By default the application marks the first angle with the letter a and the second angle with the letter b and displays the difference between angles a and b e g a b 13 7 5 To change the calculation right click the results e g a b 13 7 then click the desired calculation from the popup menu i e Difference Sum or Ratio 6 You can also change the labels i e the letters a and b beside each angle to describe the meas
97. iginal resolution To configure the Window Level tool 1 Open the General Preferences dialog box see To open the General Preferences dialog box on page 139 2 In the Miscellaneous group box select the Reduce image resolution while adjusting window level checkbox 3 Click OK Specifying Automatic Window Width Level Adjustment The automatic window width level adjustment option is only available for automatic stitching see Stitching Images Automatically on page 155 dp By default the module automatically adjusts the window width level after automatic stitching If you configure the module to automatically adjust the window width level the module performs the adjustment once the images are stitched At that time you can choose to accept the automatic adjustment or manually adjust the window width level before you save the stitched image see Using the Adjustment Tools Palette on page 157 To configure automatic window width level adjustment 1 Open the General Preferences dialog box see To open the General Preferences dialog box on page 139 2 In the Miscellaneous group box do one of the following e Select the Enable intensity normalization checkbox to automatically adjust the window width level after stitching e Clear the Enable intensity normalization checkbox to manually adjust the window width level after stitching 3 Click OK Sound Eklin Page 140 rev 0
98. il that you want to capture e Click Capture Cell to place the active image into the active frame 5 The application displays the images in the frames Although orientation markers annotations etc do not appear on the images in the frames they will appear on the images when they are printed 6 You can use the Next arrow Previous arrow Beginning arrow or End arrow to scroll through the sheets of images lt lt Sheet 2 of 4 gt Sound Eklin Page 129 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images continued Printing Images continued 7 To remove images do the one of the following e If you want to remove an image from the dialog box click the image to activate it then click Delete Cell Delete Cell e If you want to remove a page in the Delete dropdown menu select Delete Page and click Delete Page Delete Cell Delete Page e If you want to remove all the images from the dialog box in the Delete dropdown menu select Delete All and click Delete All 8 Set your printer destination see Setting the Printer Destination on page 131 9 Click Print Sound Eklin Page 130 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images Printing Images continued Setting the Printer Destination You can print to postscript GDI and DICOM printers on the network that were configured during installa
99. in OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Using the Cut and Copy Feature The Cut and Copy features are helpful for planning procedures For example the length of a leg may shorten due to arthritic hips When planning the hip surgery you can use the Cut or Copy feature to correct the length of the leg while planning the placement and size of a hip implant The Cut or Copy feature can also help you to correct a bone fracture virtually and determine the length of the nail or plate required for a surgery see Locking an End Point to a Cut or Copy on page 95 dp Only use the Cut and Copy features for CR DX RG SC modalities Do not use the Cut or Copy features in conjunction with automatic templating Prefix added to the results 101 Chapter 7 Creating a Cut or Copy A copy duplicates or outlines a selected area which you can reposition or rotate to simulate corrections such as a fracture reduction deformity correction or leg length correction for Total Hip Arthroplasty You select the area using the Outline tool then select one of the following options from the popup menu e Cut Removes the selected area e Displace Creates an outline of the selected area e Copy Duplicates the selected area You cannot create a cut or copy on images that have been related to each other see Performing Image Relation on page 78 Sound Eklin Page 93 rev 08062012 Sound Eklin
100. ing you can access the tool e from the main menus in the Sound Eklin Orthoplan Elite X Stitch review window e from the Sound Eklin Orthoplan Elite X Stitch Toolbar see Using the Sound Eklin Orthoplan Elite X Stitch Toolbar on page 142 e from the popup menu see Using the Popup Menu on page 142 or e using keyboard shortcuts see Using Keyboard Shortcuts on page 143 dP The accuracy and stability of both manual and automatic stitching is dependent on the input images Both the geometry of the acquisition and the contrast in the images can affect the final stitched image Workflow The following list describes the workflow for stitching images 1 Use the basic tools e g Zoom Pan Window Level to prepare your image for stitching see Using the Basic Tools on page 147 2 If you wish to crop your images crop them before you stitch the images together see Cropping Images on page 149 3 Stitch your images together see Accessing the Stitching Palette on page 149 4 Adjust your image if necessary see Using the Adjustment Tools Palette on page 157 5 Choose a blending method to smooth the join between the images see Blending Images on page 161 6 Add another image to the composite if desired see Selecting the Next Image for Stitching on page 162 7 Save the stitched image see Saving the Composite on page 162 If you are not pleased wi
101. invert the image grayscale 1 Do one of the following e From the Tools menu select Invert Grayscale e In the Review Toolbar click the Invert Grayscale button bz 2 The application inverts the image grayscale 3 Click the button again to return to the original setting Sound Eklin Page 75 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Changing the Image Layout You can change the layout of the images to suit your viewing needs To change the layout 1 Do one of the following e From the View menu select Layout and click one of the predefined image layouts e In the Review toolbar click the Layout button and click one of the predefined image layouts 1x1 1x2 1x3 1x4 2x1 2x2 2x3 3x1 3x2 3x3 4x1 4x4 9X5 Sound Eklin Page 76 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Magnifying Images A magnifier is provided so that you can magnify specific areas of interest on the images To magnify a selected area in an individual image 1 Do one of the following e From the Tools menu click Magnify e In the Review toolbar click the Magnify button yo 2 Click the area that you wish to magnify Drag the mouse to magnify another area of interest The application displays the magnification factor in the top of the magnifier Magnification factor Magnifier 3 While magnifyi
102. ion will search the Study List for pelvic studies 4 Click Go or press ENTER 5 The application lists in the Study List the studies that match the search criteria you entered Sound Eklin Page 23 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies continued Filtering the Study List You can filter the Study List to display only the studies that meet certain criteria You can filter the Study List using predefined filters or customized filters If at any time you cannot locate a particular study in the Study List check the filter setting You can click All to clear the filters and display all studies in the Study List By default the application can initially retrieve a maximum of 500 studies To increase or decrease this limit please contact your System Administrator or Customer Service Specialist Filter Criteria You can define and or edit filters based on the criteria listed in Table 7 2 on page 25 For each filter you define and or edit you can specify as many criteria as required For example you can define a filter that will display all CR patient studies acquired in the last five days The filters you define are automatically saved with your user name Sound Eklin Page 24 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Table 7 2 Filter Criteria Criteria Options Application Displays
103. ired fiducial marker to a new location 7 In the Stitch Tools palette click Stitch To reset all points and reselect them click Reset 8 The Sound Eklin Orthoplan Elite X Stitch module matches point one with point three and point two with point four and rotates the images as necessary The module does not change the relative scaling of the two images If the distance between the two points is not the same in both images the points may not precisely align with each other i e points 1 and 3 points 2 and 4 Sound Eklin Page 153 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining Images with Two Lines This section describes how to join images using two lines Use this method to join images and rotate them to the same orientation i e same angle This method matches the end of the first line i e line in the first image with the start of the second line i e line in the second image To use two lines 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 In the Stitch Tools palette click Join two lines In the first image click and drag the mouse to draw a line In the second image click and drag the mouse to draw a corresponding line oo 2 You can adjust your fiducial markers i e end points of lines before you stitch the images The viewport displays the active fiducial marker in green and inactive fiducial mark
104. isk To create a favorite 1 Do one of the following e Inthe Ortho toolbar click the Templates button to tag an overlay as a favorite e In the Ortho toolbar click the Custom Measure button to tag a custom measurement as a favorite S 2 Click the All tab to see all the available implant overlays or custom measurements 3 In the left window pane click the expander buttons to navigate to the desired implant overlay or custom measurement 4 In the right window pane click the desired overlay or custom measurement to select it then click Add to Favorites 5 The application adds the selected item to the Favorites tab The Favorites tab lists favorites using the same structure as the items in the All tab 6 Click OK Sound Eklin Page 118 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements continued Managing the Favorites Use the following procedure to delete items from the Favorites tab To edit your favorites 1 Do one of the following e Inthe Ortho toolbar click the Templates button to edit your list of favorite overlays e In the Ortho toolbar click the Custom Measure button to edit your list of favorite measurements N 2 Click the Favorites tab 3 In the left window pane click an expander button to find the desired implant overlay or custom measurement 4 In the right window pane click the desired item to select it
105. ite X Stitch module joins points one and two then rotates the images so that the lines are parallel L1 Rotate oe L2 Sound Eklin Page 152 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining Images with Two Fiducial Markers This section describes how to join images using two fiducial markers Use this method to join images and rotate them to the same orientation i e same angle You can also use one fiducial marker and a line to join and rotate images see Joining Images with One Fiducial Marker amp a Line on page 152 To use two fiducial markers 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 2 In the Stitch Tools palette click Two fiducials 3 In the first image click in the image to indicate two fiducial marker 4 In the second image click in the image to indicate two corresponding fiducial markers 5 You can adjust your fiducial markers before you stitch the images The viewport displays the active fiducial marker in green and inactive fiducial markers in red 6 To adjust your fiducial markers do one of the following e Click the desired fiducial marker Press the appropriate arrow key i e LEFT ARROW RIGHT ARROW UP ARROW and DOWN ARROW to move the fiducial marker by one pixel To move a fiducial marker by ten pixels press and hold the SHIFT key then press the appropriate arrow key e Click and drag the des
106. itution is added to the list Any referring physician Studies with any referring physician name Only the following Studies that have referring physicians referring physicians containing the text you specify To add a physician click Add and type a last name and or first name n the Add Physician dialog box Click Add then click Close The physician s name is added to the list Sound Eklin Page 25 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Specifying the Filter Buttons to be Displayed The application provides several predefined filters For filters that you will be using often you can specify filter buttons to be displayed on the Standard Toolbar or in the Select a Filter list By default the Select All filter button is displayed on the toolbar Select All Clear Selectior Supported 4 Manage Filters dP When the application first displays the Study Selection window for a data source it applies the default filter which is identified by an asterisk For information on choosing which filter to use as the default see Specifying the Default Filter on page 30 To specify the filter buttons to be displayed on the Standard Toolbar 1 Click Manage Filters Manage Filters x This tool helps you to create and edit filters Checkmarks indicate the filter is displayed as a button on the Standard Toolbar C 48h
107. ize the Study Selection window by resizing or rearranging the columns Sorting the Study List You can sort the Study List in ascending or descending order using the column headings in the typical Windows manner This is known as primary sorting By default studies are sorted in ascending order for primary sorting When you start the application for the first time the Patient Name column is primary sorted in ascending order and the Date amp Time column is secondary sorted in descending order To apply primary sorting to the Study List 1 2 Click the appropriate column heading in the list e g Patient Name The application sorts the patients in ascending or descending order according to the information in the column either alphabetically or numerically depending on the type of information Click the column heading again to reverse the order i e Z to A Sound Eklin Page 39 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Customizing the Study Selection Window continued Configuring Study List Columns You can hide columns in the Study List that you do not want to view This can make room for other columns in the Study List that cannot fit on the screen To Hide Study List Columns 1 Right click the column heading for the Study List column that you want to hide and click Remove Column from the popup menu 2 The application removes the column from the Study
108. klin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies Configuring DICOM Nodes continued 3 The application displays the DICOM Nodes dialog box Dicom Nodes x Tile Alias Decii Host Port LOCAL Workstation Local varteetation SERVERHOST 4445 Localhost LOCAL Archive 4 You can do one or more of the following e Adda DICOM device see To add a DICOM device on page 44 e Modify a DICOM device see To modify a DICOM device on page 44 e Delete a DICOM device see To delete a DICOM device on page 46 5 When you are finished click OK Sound Eklin Page 43 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies continued To add a DICOM device 1 In the DICOM Nodes dialog box click Add Dicom Node Description Host Name IP Address DICOM Port 4444 2 Type the appropriate information in the following text fields AE Title SCU SCP application entity title If the node that you are adding is another Sound Eklin Orthoplan Elite workstation then by default the AE Title is the host name of the computer This field is mandatory Alias AE Title alias This field is optional Description DICOM device description e g MRI_UNIT Archive This field is optional Host Name IP Address Name or IP address of the host where the DICOM device re
109. lay only certain types of studies see Filtering the Study List on page 24 For example if you want to load all unread Studies filter the list to display only the studies that have not been read From the Edit menu click Select All The application highlights all the studies in the Study List Click Load on the Standard Toolbar A E a The application displays the selected studies in the Main Review window To select and load studies for the same patient 1 In the Study List click the desired study 2 Do one of the following e From the Edit menu click Select Same Patient to select all studies for the same patient e Hold down the CTRL key while selecting the desired studies for the same patient 3 Click Load on the Standard Toolbar 4 The application displays the thumbnails for all the selected Studies in the Main Review window Sound Eklin Page 35 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Selecting and Loading Studies for Review continued Selecting and Loading Series within a Study Use the following procedure to select and load specific series with a study for review To select and load specific series within a study 1 In the Study List click the study that contains the specific series that you want to load 2 The bottom of the Study Selection window displays a list of all the series in the study with all the series in the list highlighted Date Souce L
110. lected device Sound Eklin Page 46 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies continued Transferring Patient Studies to a DICOM Archive You can transfer patient studies to a DICOM archive To transfer patient studies you must first configure a DICOM device then select it as the Archive destination When you select an archive destination the Archive button appears in the Standard Toolbar as shown in the example below and displays the name of the destination archive e g Archive2 You can then select one or multiple patient studies and click the Archive button to perform the transfer You can also specify which series within each study to transfer Archive button 4 Merge OrthoCase File Edit View Tools Help Load ArchivetoNew SelectAll Clear Selection Supported Manage eG Last Name First Name Patient ID Accession No From C To To select an archive destination 1 Access the Study Selection window see Accessing the Study Selection Window on page 21 2 From the Tools menu click Dicom Nodes 3 The application displays the DICOM Nodes dialog box Dicom Nodes Tie Alias Description Hot Port LOCAL Workstation Local workstation SERVERHOST 4445 lt Ih gt Localhost LOCAL Archive Select archive destination Sound Eklin Page 47 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter
111. lick on a point on the sphere to detect it seseseeseceseccecececescecececcecececoccececsesee 72 LOOMINE Ma0 OS Sciatic nde ec tieaa E cso center dan anne E EEOAE 73 PanMINS WINAGES ean Er aces csucsecscesns sccm ues salnseaseceshcecussmecensesseencectosesuewuse 74 Changing the Image Brightness amp Contrast sesescecesesescecececoecececesoecececesoecececeeoeo 74 Changing the Image Orientation essesesecesoecececoececececcececececcecececoeoececesoecececesoeo 75 To rotate an image to an arbitrary angle ssesessesosoessesosoosoeoosoesoesosoesoeoosoesosoosoe 75 TOD AI a a E EE E E 75 Inverting the Image Grayscale seseccesesesescecececoecececesoececesecoecececcececececcececeeceoe 75 Changing the Image Layout s sesesescecececoecececesoecececoececececcecesececcecececoececoececeses 76 TO chance Me lavou orrara AE EEE EE AEE EIEE E EAA 76 Moon yine MaOs ssicdena cis esis e EEEE EEEE EA EE AE EEEE 77 To magnify a selected area in an individual image ccccceeccccccccccecccccccccccecccceecs 77 Changing the Text Level srrsxirsirrrssseieviisisbtr tanani toth ren avoduivauidqcorscaninstneinaeasussceesees 78 To Chance Meret SVEN aeran Er EE EE EAA 78 Performing Image Relation seseesecesescececececcecececoecececesoecececeececececeececececeecesecoe 78 To perform a continuous image relation sescssececeseececeseccecececescecececeecececocoececesee 79 Drawing amp Displaying Ortho Measurements
112. lin Orthoplan Elite X Stitch module Make sure that you select all the images that you want to stitch together when you first start the module 1 To start the Sound Eklin Orthoplan Elite X Stitch module do one of the following e From the Measurements menu click Image Stitching e In the Ortho toolbar click the Image Stitching button Sound Eklin Page 108 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Stitching Images continued 2 If there are images in the Image selection for Stitching dialog box click Clear Image to clear the slots Image selection for Stitching E Drag and drop the images you want to stitch from the thumbnails on the right Clear Image OK Cancel 3 From the Main Review window click and drag the desired thumbnails into a slot in the Image Selection for Stitching dialog box You can select up to five images for stitching When the images load into the module the module displays two images at a time for stitching starting with first two images from the left Ensure your images appear in the correct order from left to right 4 Click OK to start stitching the selected images using the Sound Eklin Orthoplan Elite X Stitch module For details on using the Sound Eklin Orthoplan Elite X Stitch module refer to the Sound Eklin Orthoplan Elite X Stitch User s Guide Chapters 16 through 21 Sound Eklin Page 109 rev 08062012 Sound
113. link to the Merge OrthoCase installer 7 Follow the on screen instructions to install the Sound Eklin Orthoplan Elite application For details refer to Steps 6 through 17 8 Add the Sound Eklin Orthoplan Elite application to the list of Connected external applications Refer to section Associating External Applications with a Role of the iConnect Access Administrator s Guide Sound Eklin Page 8 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application Installing the Sound Eklin Orthoplan Elite Application continued Uninstalling the Application This section describes how to remove the Sound Eklin Orthoplan Elite application from your workstation A Before you remove the application make sure you backup all necessary files including the application s database To uninstall the application 1 Log on as Administrator 2 Open the Control Panel 3 Double click Add or Remove Programs 4 In the list of currently installed programs select the Sound Eklin Orthoplan Elite application 5 Click Remove Add or Remove Programs LY Are you sure you want to remove Merge OrthoCase from your computer we 6 Click Yes to confirm you want to remove the application nA Patient Database Choosing Database fate Would you like to keep a copy of your Patient database 7 In the Patient Database dialog box click Yes if you want to save a copy of the patient data
114. lug in version of the application click Install Sound Eklin Orthoplan Elite Plug In 6 When the Installation Wizard displays the confirmation message to install the application click OK Merge OrthoCase 3 4 Setup YD To start Merge OrthoCase 3 4 Setup click OK To quit without installing click Cancel a ce 7 If you are prompted to install the following software follow the on screen installation instructions to install them e Microsoft NET Framework 2 0 e Microsoft Visual J 2 0 Redistributable Package SE e Microsoft Windows Imaging Component 1 0 e Microsoft Report Viewer Redistributable 2005 8 In the Welcome dialog box click Next f ox ie Merge OrthoCase Setup A Welcome to the Merge OrthoCase Setup Wizard The Setup Wizard will install Merge OrthoCase on your computer Click Next to continue or Cancel to exit the Setup Wizard Ce e Sound Eklin Page 5 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application Installing the Sound Eklin Orthoplan Elite Application continued 9 In the End User License Agreement dialog box read the notice carefully then select the lI Accept the Terms in the License Agreement checkbox to accept the license agreement ie Merge OrthoCase Setup End User License Agreement Please read the Following license agreement carefully NOTICE a IMPORTANT READ CAREFULLY By installing this software product
115. m iConnect Access install the Sound Eklin Orthoplan Elite plug in see To install the application from an iConnect Access Web server You must complete any outstanding Windows updates before you continue with the installation Do not install any new Windows updates until the installation is complete Please ensure the Windows Firewall Internet Connection Sharing ICS server is running when installing the application or else the installer displays the following message Cannot connect to Window Firewall which prevents the system from handling upgrades To install the application from the CD 1 Log on as Administrator or a user with administrative privileges 2 Shut down all other applications running on the workstation including any third party antivirus or utility applications such as Norton AntiVirus 3 Insert the Sound Eklin Orthoplan Elite Software CD in the CD ROM drive 4 If you do not have an auto run CD ROM drive double click My Computer double click the drive letter associated with the CD ROM e g D then double click startpage exe Sound Eklin Page 4 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application Installing the Sound Eklin Orthoplan Elite Application continued 5 Do one of the following e f you are installing the standalone version of the application click Install Sound Eklin Orthoplan Elite Standalone e f you are installing the p
116. measurement x To use the Ortho popup menu a kaud 1 Right click anywhere along the line of the ortho measurement 2 The application displays a popup menu The options in the menu depend on the item you clicked A sample popup menu is shown below 3 Use the option as described in Table 11 1 on page 101 Sound Eklin Page 100 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Ortho Popup Menu Options continued Table 11 1 Ortho Popup Menu Options Menu Option Ortho To Access Function Measurement Add Point Outline Right click anywhere Allows you to adda along the outline point to the outline Copy Text Distance Right click the measurement Copies the measurement to Table text and drag to a text text from the measurement table then release into a text table Cobb s Angle the mouse button Midline Perpendicular Line Angle Parallel Copy to Text Table Right click the text table Allows you to copy the Clipboard text table and paste it into a Windows application Delete All Right click anywhere along the Deletes the measurement measurement i e line line including the text point grab handle or text Displace Outline Right click the outline and Displays grab handles so click Displace Then click you can rotate the outline and drag a grab handle Flip Outline Right click the outline Enables you to flip and click Flip the outli
117. n create a table to hold and display all measurements created using the orthopaedic measurement tools You can then copy the text table and paste it into a Windows application To create a text table 1 Do one of the following e From the Measurements menu click Text e In the Ortho toolbar click the Text button 2 Click the image where you want to place the text table 3 In the Set Table Title dialog box type a name for your table and click OK You can change the title at a later time using the popup menu See Table 11 1 on page 101 Sound Eklin Page 97 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Creating a Text Table continued 4 You can add a prefix i e text to the measurement by doing the following e Right click the measurement and click Set Text Prefix from the popup menu e In the Input dialog box type the desired text then click OK 5 Right click the measurement text you want to place in the text table drag it over the table s title and release the mouse button 6 In the popup menu choose one of the following e Copy Text to Table Copies the measurement text into the text table The measurement text appears beside the measurement and in the text table e Move Text to Table Moves the measurement text into the text table The measurement text only appears in the text table 7 The application displays the text below the table s title 8
118. n method the image must have a pixel spacing value in its DICOM header i e application displays a caliper in the image viewport For images without a known pixel spacing value e g secondary captures you must use the Draw Line calibration method see Calibrating Images by Drawing a Line on page 65 To calibrate the image using a calibration sphere dp The application only applies the calibration to the image in the selected viewport i e the viewport with a yellow border We recommend that you enlarge the size of the image on the screen to easily identify the calibration sphere 1 In the Ortho toolbar click the Select button then click the viewport whose image you want to calibrate x 2 Do one of the following e From the Measurements menu click Magnification Correction e Inthe Ortho toolbar click the Magnification Correction button me Sound Eklin Page 69 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued 3 The application attempts to detect the calibration sphere Depending on the outcome the application can display the following dialog boxes e f the application detects a calibration sphere it outlines the sphere in the viewport and displays the following dialog box Magnification Correction Please verify the sphere has been outlined correctly calibration sphere has been detected in the
119. ne along the vertical axis Highlight All Right click the measurement When the Highlight function is checked parts of the measurement are highlighted e g lines points and grab handles Note You can highlight only one measurement at a time Join Points All Right click a set of points that Joins two or more points are overlapping or very close so that they become a single point Move All Right click anywhere along Allows you to reposition the measurement as follows the item Line moves the entire measurement Grab handle Only moves the grab handle Text Only moves the text Move Angle Cobb s Angle Right click a point Moves the Cobb Angle Here measurement to the point that you click Sound Eklin Page 101 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Table 11 1 Ortho Popup Menu Options continued Menu Option Ortho To Access Function Measurement Move Text Distance Right click the measurement Moves the measurement to Table text and drag to a text text from the measurement apps Anal table then release into a text table eas the mouse button Note The text is moved Circle from the measurement Outline into the text table it is not copied Midline p Perpendicular Line Angle Parallel Normal Angle Angle Right click anywhere along When checked displays the Compare Angles the angle i e line point normal or inside
120. ne the calibration sphere on page 69 If a calibration sphere does not exists on the image you can use one of the following calibration methods e Draw Line Draw a line on the image and enter the distance in mm see Calibrating Images by Drawing a Line on page 69 e Enter magnification factor Type a value i e greater than 0 for the magnification factor to calibrate the image To use this option the image must have a pixel spacing value in its DICOM header i e application displays a caliper in the image viewport For details see Calibrating Images by Entering a Magnification Factor on page 71 The Main Review window displays the text marker Image is manually calibrated in the viewport for all images that have been calibrated Correct the magnification of the image before you perform any measurements When you use the Correct Magnification tool the application removes any existing measurements from the image Sound Eklin Page 64 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Correcting Image Magnification continued Always check a marker of known size on the images to verify W that the images have been calibrated correctly To ensure correct image calibration make sure that fiducial markers e g calibration spheres were placed at the level of the anatomy When calibrating images acquired in an oblique plane the scale may not be
121. neral Preferences dialog box e From the File menu click General Preferences General Preferences Ed Miscellaneous 7 Hide tool animations V Reduce image resolution while adjusting window level iV Enable intensity normalization Hiding Animation in Tool Palettes The Stitch Tools palette and the Adjustment Tools palette provide animation that show the stitching and adjusting behavior of the option selected in the palette You can choose to hide this animation so that the palettes do not hinder your view of the images For details on using the palettes see Accessing the Stitching Palette on page 149 and Using the Adjustment Tools Palette on page 157 To hide the animation 1 Open the General Preferences dialog box see To open the General Preferences dialog box on page 139 2 In the Miscellaneous group box select the Hide tool animations checkbox 3 Click OK Sound Eklin Page 139 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 18 Configuring the Orthoplan Elite X Stitch Module continued Configuring the Window Level Tool DICOM images are generally large files You can configure the Window Level tool to reduce the size i e resolution of the image while adjusting brightness and contrast in order to resample images faster dp The module only drops the resolution of the image when the Window Level tool is active Once you select a different tool the image returns to its or
122. ng an area of interest i e with the mouse button pressed you can change the magnification factor using the mouse wheel or the right mouse button e Rotate the mouse wheel away from you to increase the magnification factor up to 6x or towards you to decrease the magnification factor down to 2x e Right click to cycle through the magnification settings i e from 2x to 3x 4x 5x 6x and back to 2x 4 When you release the mouse button then press the button again to use the magnifier the magnification factor resets to 2x Sound Eklin Page 77 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Changing the Text Level The text level is the level of information that the application displays in the image viewports sometimes called the overlay text or image text You can choose one of three levels e None Shows no information e Basic Shows only the basic text annotations e Full Displays the patient name W L settings compression ration series number and image number To change the text level 1 Do one of the following e From the Tools menu select Text Information Level then click the desired text level e In the Review toolbar click the Text Information Level button and select the desired text level 3 1v None v Basic Ful Performing Image Relation You can define a geometric relationship between multiple images allowing
123. ng the filter as the default e Click Accept to save the default filter without automatically applying it to the studies in the data source 7 Click OK to close the Manage Filters dialog box 8 The new default filter is indicated by the asterisk Select All Clear Selection 7days Manage Filters Default Filter Sound Eklin Page 31 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Filtering the Study List continued Deleting a Filter You can remove a filter that you no longer need dP You cannot delete the default filter If you want to delete the default filter you must specify another filter as the default first see Specifying the Default Filter on page 30 In addition you cannot delete the currently applied filter If you want to delete the currently applied filter you must apply another filter to the Study List first see Applying a Filter on page 33 To delete a filter 1 Click Manage Filters Manage Filters This tool helps you to create and edit filters Checkmarks indicate the filter is displayed as a button on the Standard Toolbar Filters S New L 48 hrs Fl 7 daye O All Da O Dx S ummary of filter criteria Modalities SC or RG or CR or DX or RF 2 Click the filter you want to remove 3 Click Delete 4 When the application asks if you are sure you want to delete the selected filter click Yes
124. nhas Pee fl oem Tsh biti Hirig Review gt dgd y Da 200 8h gt 2 6 H 2 Toolbar p Thumbnails A Ortho gt Toolbar a3 wl Active Viewport yellow border Selecting Other Studies from the Study List When you finish reviewing the current study you can access the Study List to select other studies for review dp If you originally loaded more than one patient s studies for review refer to Selecting Other Studies from the Work List below To access the Study List 1 In the Review toolbar click the Open Study button 2 The application displays the Study Selection window which contains the Study List For information on how to use the Study List see Chapter 3 Sound Eklin Page 54 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Selecting Other Studies from the Study List continued dp If you have unsaved changes in the Main Review window the application asks if you wish to save your changes To save your changes type a description for the changes and click OK The application saves your changes as an entry in the Plan History dialog box see Saving Loading and Resetting Image Display Parameters on page 105 Returning to the Main Review Window You can move between the Study Selection window and the Main Review window without losing the changes made to the image However if you load a new study any unsaved changes to the image are lost
125. nput images The critical elements that affect the final stitched image are the geometry of the acquisition and contrast in the images Geometry of the Acquisition The two acquisition methods used to acquire images for stitching are Stationary Acquisition and Step Acquisition In Stationary Acquisition the detector moves while the generator rotates All the images are effectively acquired with a single point source and parallax is minimal The following diagram depicts the Stationary Acquisition method In Step Acquisition both the detector and the generator are moved when acquiring images The generator is kept perpendicular to the detector and both the generator and detector move the same distance Images acquired using this method are affected by parallax see Parallax Artifact on page 165 The following diagram depicts the Step Acquisition method Sound Eklin Page 164 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 21 Understanding Input Images continued Parallax Artifact If the generator is moved when acquiring images i e not just rotated the acquired images are affected by parallax The structure in the images overlap differently depending on the relative position between the detector and the generator distance This scenario is shown in the following diagram In Figure A the coin on top of the patient is imaged on vertebra one In Figure B the generator and detector are moved and the coin is now imaged
126. nt ID The patient s identification number Gender The gender of the patient i e M for male F for female Date of Birth The birthdate of the patient mm dd yyyy The date format is determined by the workstation s regional settings To check the regional settings see Date and Number Format on page 3 Series Images The total number of series i e acquisitions and images in the study Procedure The protocol used to acquire the study for example a Post Fossa acquisition Body Part The body part e g chest of the patient study Institution The name of the institution where the study was created Study ID The study identification number Accession The number of the exam It is used by the RIS system to track the radiology order scan and report Accession The physician s name taken from the Referring Physician s Name DICOM field Institution Address The address of the institution where the study was created Institutione The name of the image acquisition system By default these columns are not displayed in the Study List For information on how to insert them see To insert hidden Study List columns on page 40 Sound Eklin Page 22 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies continued Searching the Study List You can use the Search feature to locate studies in the data source if you know information about the patient e g
127. nt to calculate the length or angle of the simulated correction You can lock one several or all endpoints to a cut You cannot lock a measurement to an outline created by the Displace option see Creating a Cut or Copy on page 93 To lock an end point to a cut or copy 1 Create a cut or copy see Using the Cut and Copy Feature on page 93 Page 95 Sound Eklin rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Using the Cut and Copy Feature continued 2 Draw your measurements on the image The example below shows measurements created using the Circle and Distance tools It shows the distance between the middle of the femoral head and the lesser trochanter 3 Right click an end point of a measurement and click Lock Point to lock it to the cut A locked end point changes to a padlock You can only lock unconstrained end points to a cut i e end points indicated by a circle Constrained end point square Unconstrained end points circles Sound Eklin rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Using the Cut and Copy Feature continued 4 The example below shows a line measurement locked to the cut As you move the cut out e g to correct the leg length the measurement updates the distance between the femoral head and the lesser trochanter Locked end point Creating a Text Table You ca
128. ntinues to display the last patient when you click the Next Patient button 1 In the Review Toolbar click the Next Patient button 2 The application displays the next study in the Worklist Viewing Patient Information In addition to the information displayed in the top left and right corners of a viewport you can access more in depth patient study information To view the patient s information 1 Do one of the following e From the View menu click Image Information e In the Review toolbar click the Image Information button 6 2 The application displays the Patient Information dialog box A sample dialog box is shown below Patient Information rev 08062012 S SVE 10 ree Tag Value 4 dicom Patient dicom patientBirthDate 0010 0030 19410715 dicom patientid 0010 0020 1010102020 dicom patientName 0010 0010 Wiggy Ralph dicom patientSex 0010 0040 F dicom rawPatientName 6509 1703 87 105 103 103 121 94 82 97 108 112 104 94 94 94 0 p p p r dicom Study dicom accessionNumber 0008 00S0 SER2LU0002210920 z dicom referringPhysicianName 0008 0090 LUORNN dicom reviewedStatus 0065 2093 NOT_READ dicom studyDate 0008 0020 20020531 dicom studyDescription 0008 1030 HKA dicom studyld 0020 0010 HOFT ARTROS dicom studyinstanceVid 0020 000d 1 2 124 113532 147 220 42 22 20020423 110924 249344 dicom studyTime 0008 0030 0682000 000000 dicom transferred 0065 2102 0 dicom Series dicom Protected 0065 3091 0 dicom filter Type 0
129. ny time to revert back to the original list of studies Last Name First Name Patient ID Study ID Modality Accession No From l To To filter the list of studies 1 In the filter toolbar type a value in any or all of the Last Name First Name Patient ID Study ID and Accession No text boxes You need to type the entire name ID or number in the text box you are using to filter the Study List Sound Eklin Page 52 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies Filtering the List of Studies continued 2 If you want to filter the list for studies created between a date range select the following checkboxes e From Select this checkbox then select the start date The application filters the list for studies created on or after the specified date e To Select this checkbox then select the end date The application searches the list for studies created before or on the specified date 3 Press ENTER or click Query 4 The application lists the studies that match the filter criteria you entered Sound Eklin Page 53 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Loaded images are displayed in the Main Review window This chapter describes the features of the Main Review window which consists of the Review toolbar the Ortho toolbar and thumbnails ae paia Ce
130. oecececesoeceseseeseoe 17 Date and NumbDer Format cicscccacceesscvestasovecestcevsorsteseciterewentecs veessssstpesxeorosascomneess 17 Power and Hardware Failure scuccsccccssscewssescctsasusteseueniwenersaceunsesss lt orebuatsssdaeeusepsauwet 17 Magnetic INTENIGrenCe 3 0cccccstacenactinss caesees onasenemussesen teanencioaw eas nemeceasesesanueesanesenmees 18 Computer Vir s PrOLGCEION ccccecrceceeccis ee cosacscssensocatceces tecesscsapsinccenaeeeesceseese seas eseees 18 Chapter 6 Getting Started seseeseseeseeseescesocsorsorserscrsorsorsersersessesseeceeesesee 19 Sar NE ING A DDIICALION oraris EErEE TAE AINE EE EETA OANE 19 Using the Help System a icck cece dccsctaceiedenescnce da anea n eain a aa 19 Using MEADOUL BOX arrora dirii ina E EEEE E ET EE 20 To Access Version and License Information cccsccccccccccccccccecccccccccccescccescccceess 20 TOUpdate rour LICENSE aporr errore eE EEr SEET EEA EEES 20 EXItINe INE ADONCAGION saist onre aE EEE E EEEE NEE E EE 20 Chapter 7 Selecting Patient Studies oeseeseeseesessessercerceseesscscescesessossesses 21 Accessing the Study Selection Window ssesesesesoscececeececececescecececeecececocoececesesoeoe 21 study GSE COlUmMNS csrrerrireissTisarntit teino kiar iina eTEN ECES EEA ctessetinccsesviasesesens 22 Table 7 1 Study List Columns sssrsnsusscisspross eresian siisi C anO EEE EEN 22 Sac hine CNG SUMOV LIS eerren ear rA N EE AEN EE E 23 Filterino the Study LISE
131. oeoosoesosooeoe 160 Resetting the Parameters sesessesoesessesossosoesosoosoecosoosoesoeoesoesoeoosoesosoosoesoeoeeoe 161 Cancelling the Changes sieicsierssreeosorsudtr niis rte Trara baessecenecasneetesesusases ANTEE EORR 161 Accepting the Changes ssssissisacvssociiissisdssiicisset sarad dinod iisedid inns eiia 161 BICMOS Mages ocewccusie ven csyeevecacensvsecesccsaeeyosves coeteuenreseendekensvescasenesuvenesesaeemeres 161 Selecting the Next Image for Stitching ccc ec cce ec cccccccecccccccccccceccccecccscccceccces 162 Saving the Composite sesessessesossesoesosoesoesoesesoesosoosoesosoesoesosoessesosoosoeossoesoeo 162 Reverting to the Original Image sessesoesossesosoesoecosoesoesosoesoesosoesoeoesoesosoosoeooe 162 Pr MNO WAGES araser oen rn EEEE EEE E 163 Sound Eklin Page vii rev 08062012 Sound Eklin OrthoPlan Elite Orthoplan Table of Contents elite Chapter 21 Understanding Input Images cccececececececececcccececececececs 164 Geometry of the Acquisition sessessesossesossesoesosoesoesosoososoosoesoeoosoesoeoosoesoesoeo 164 Praa AraC E morerna EE 165 Using the Bone Bias Feature sesessesoesossesoesossosoecesoesoecossesoeoosoesosoesoesosoesoeooe 166 C onirast in the Manos aeisiresrirndr veces ners EAEE OE EAE 166 Appendix A Technical Support sesesssssseessesosssessoesseseoesossssssosseesesesossoseeo 167 BEID DING Addr OSS eesis a a a aea ii 167 Techn
132. olbar click the Cobb s Angle button C 2 Press CTRL and select the first line 3 Do one of the following e Select the second line e Click two points to create the second line 4 The application extrapolates the point where the two lines intersect and displays the Cobb Angle Sound Eklin Page 83 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued Measuring the Twist Angle The twist angle measurement is used to measure the post operative anteversion retroversion of the acetabular cup dp To accurately measure the Twist Angle the image must be an AP pelvic image First Point Lateral edge of cup hemisphere Second Point Medial edge of cup hemisphere Third Point Distal edge of cup hemisphere Twist Angle To measure the Twist Angle 1 Do one of the following e From the Measurements menu click Twist Angle e In the Ortho toolbar click the Twist button 2 Click the First Point lateral edge of the acetabular cup hemisphere 3 Click the Second Point medial edge of the acetabular cup hemisphere 4 Click the Third Point distal edge of the acetabular cup hemisphere 5 The application calculates and displays the Twist Angle Sound Eklin Page 84 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurem
133. ols on page 64 Using the Ortho Toolbar The Ortho toolbar provides access to all orthopaedic x measurement tools see Drawing amp Displaying Ortho Ey Measurements on page 80 It also provides access to implant overlays and custom measurements see Using Orthopaedic Templates and Custom Measurements on page 110 If the application is unable to display all the tools in the Ortho toolbar due to space it collapses part of the toolbar Click the Toolbar Options button to expand the toolbar and select hidden tools ff Ls Y iy Sound Eklin Page 57 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window continued Using the Popup Menu to Access Common Functions As with most Windows applications you can right click a window to access a popup menu While in the Main Review window the popup menu provides access to certain viewing functions common review tools common orthopaedic measurement tools and orthopaedic templates To use the popup menu 1 Right click any viewport and select the appropriate option from the popup menu Zoom Pan Brightness Contrast Rotate Zoom Presets Reset Distance Angle Cobb s Angle Outline Templates Magnification Correction 2 The application dismisses the menu and performs the operation If you select one of the review tools e g Window level the application changes the function of the left m
134. on vertebra two In this scenario it is not possible to create a perfectly stitched image Figure A Figure B The following methods can help minimize the effects of parallax when acquiring images e Increase the distance between the detector and the generator e Reduce the field of view of each acquired image by using a collimator You must acquire more images however the patient s dose is not increased as the collimator reduces the surface area exposed during each acquisition When using a collimator only the center of each acquired image contains anatomy In the center the rays are almost parallel and therefore the parallax minimal Sound Eklin Page 165 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 21 Understanding Input Images continued Using the Bone Bias Feature When images affected by parallax are stitched together not all the structures in the final stitched image are aligned For example having the soft tissue align correctly means the bones are not aligned However when performing orthopaedic measurements it is necessary to align the bone rather that the soft tissue The Sound Eklin Orthoplan Elite X Stitch Toolkit provides a Bone Bias feature that facilitates bone alignment The Bone Bias registration favors the alignment of the bright structures in the image over the alignment of the dark structures The following images depict the effect of the Bone Bias feature on the stitching procedure In
135. on page 105 You can select and load studies for review in several ways If you select and load studies from more than one patient the application places the studies ina Work List see Selecting Other Studies from the Work List on page 55 dp You can simply double click a study to select and load it for review Click Clear Selection on the Standard Toolbar to deselect the highlighted studies in the Study List Selecting and Loading a Study Use the following procedure to select and load a study To select and load a study 1 In the Study List click the desired study 2 Click Load on the Standard Toolbar 3 The application displays the selected study in the Main Review window Sound Eklin Page 34 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies Selecting and Loading Studies for Review continued Selecting and Loading Specific Studies or All Studies Use the following procedures to select and load specific studies or all studies for review To select and load specific studies 1 In the Study List select the required study To select multiple studies in the list hold down the CTRL key or SHIFT key while selecting the studies 2 The application highlights the selected studies 3 Click Load on the Standard Toolbar 4 The application displays the selected studies in the Main Review window To select and load all studies 1 If desired filter the Study List to disp
136. osition to show the intersection point of the two lines Sound Eklin Page 88 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued To draw an intersection point between existing lines 1 Do one of the following e From the Measurements menu click Intersection Lines e In the Ortho toolbar click the Intersection Lines button S 2 Press CTRL and select the existing line 3 Do one of the following e Select the second line The application establishes the floating point position to show the intersection point of the two lines e Click a point to begin the second line The application displays a line connected to the mouse pointer The application also displays a floating point not connected to either line which shows where the two lines would intersect Click a point to complete the second line The application establishes the floating point position to show the intersection point of the two lines Creating a Mid Point Use the Mid Point tool to display the mid point between two points To create a mid point 1 Do one of the following e From the Measurements menu click Mid Point e Inthe Ortho toolbar click the Mid Point button a o 2 Click two points on the image 3 The application draws a line with the mid point marked in the center When Snap to Middle is selected in the Ortho popup menu See Table 11 1 on pag
137. ou can load different saved settings at a later time see Loading Saved Image Display Parameters on page 106 To save the image display parameters 1 Do one of the following e From the File menu click Save Plan or press CTRL S e In the Review toolbar click the Save Plan button 2 In the Save Plan dialog box type a meaningful description for the current setting and click OK Sound Eklin Page 105 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Saving Loading and Resetting Image Display Parameters continued Loading Saved Image Display Parameters You can access and load all previously saved image display parameters while reviewing a patient study The Plan History dialog box displays each saved setting as separate entries with a date and time stamp the ID of the user who saved the setting and a description entered by the user To load previously saved parameter settings 1 From the View menu click Plan History 2 In the Plan History dialog box double click the entry for the settings you want to load Note that the Plan History dialog box remains open until you close it Plan History EJ Date Time User l Description 4 12 2011 9 05 34 AM ismaybisset Adjusted brightness contrast 4 12 2011 9 03 17 AM ismay bisset Cut feature 4 12 2011 9 02 09 AM ismay bisset Plan 1 3 To load a different setting double click another entry Reset
138. our adjustments and closes the Adjustment Tools palette Blending Images To enhance the stitched image quality and flexibility of display the Sound Eklin Orthoplan Elite X Stitch module provides five blending methods for overlapped areas between two images To select a blending option 1 Select one of the following options from the Edit menu or the popup menu e Blend Create a smooth transition between two images from 0 to 100 e Average Blend using an averaged value between two images e MIP Blend on a pixel by pixel basis by selecting the densest values from the two images e MinIP Blend on a pixel by pixel basis by selecting the least dense values from the two images Sound Eklin Page 161 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Selecting the Next Image for Stitching When you have finished stitching the first two images you can select the next image to join with the stitched image The images available for stitching are based on the images loaded into the Sound Eklin Orthoplan Elite X Stitch module To select the next image 1 Do one of the following e From the Edit menu click Next Image e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Next Image button p ae 2 The Sound Eklin Orthoplan Elite X Stitch window displays the stitched image to your left and the next image to your right Saving the Composite When you
139. ouse button to the selected tool and remains set to that function until you select a different tool The function of the left mouse button is indicated by the pointer For example if the left mouse button is set to Pan the mouse pointer appears as shown here Customizing the Popup Menu You can customize the options available in the popup menu The popup menu customizations you specify are saved according to your user name To customize the popup menu 1 From the Tools menu of the Main Review window click Options Sound Eklin Page 58 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Customizing the Popup Menu continued 2 By default the Options dialog box selects Context Menu Editor Options Context Menu Editor Context Menu Editor Screen Calibration Image Settings Avaliable Context Menu Items Current Context Menu Items About A Zoom Arrow Indicator Pan Circle Brightness Contrast Clear Data Rotate e Separator Compare Distances Zoom P Custom Measurement Reset Delete All Separator Tool Distance a Flip Cobb s Angle Image Information Outline Image Relation Templates Image Stitching Magnification Correction IntersectionLines Invert Greyscale Layout Magnify Mid Point Midline Mode Onine help w Default i l 3 The tools that currently appear in the menu are listed in the Current Menu Items column on the righ
140. owing e Click the All tab to see all available custom measurements e Click the Favorites tab to see tagged measurements To tag a custom measurement as a favorite see Creating Favorites on page 117 Veterinary Measurement re Tithe vetennan Total Hip TPLO Tibial Plateau Leveling Oste L TTA Tibial Tuberosity Advancemer acant a 3 In the left window pane click the expander buttons to navigate to the desired custom measurement Sound Eklin Page 116 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements continued 4 Inthe right window pane click the desired custom measurement to select it then click OK 5 The application returns you to the Main Review window Follow the instructions in the status bar to perform the custom measurement The status bar displays the next step to perform as you complete each stage 6 When you have taken all the measurements the active viewport displays the final results To save the results see Saving Image Display Parameters on page 105 Deleting Applied Overlays and Custom Measurements At any time you can delete applied overlays and custom measurements To delete ortho measurements 1 Do one of the following e Right click the desired overlay or custom measurement and click Delete e Click the Delete Measu
141. ows you to merge two or more DICOM digital radiographic images together It offers various stitching and blending methods to provide flexibility in stitching images obtained from almost any part of the body Once the images have been joined together the result can be stored as a DICOM file for further analysis The Sound Eklin Orthoplan Elite X Stitch module provides the W option to manually stitch images When stitching images manually the application relies on the end user to specify individual fiducial markers on each image that is being used to create the final stitched image If these points are not properly placed the resulting stitched image may not be indicative of the inherent native data Therefore it is possible to create images that show structures or malformations which are not truly present in the original image data set About this Guide This user s guide assumes that you are familiar with the basic operation of personal computers such as how to turn them on how to use the mouse and how to work in the Microsoft Windows Operating System environment If you are not familiar with these operations please refer to the documentation provided with your workstation Sound Eklin Page 136 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 17 Getting Started Orthoplan Elite X Stitch This chapter briefly describes how to start the module use the online help system and exit the module Starting the Module
142. p Adjusting Images Using Two Fiducial Markers This section describes how to automatically join and adjust two images using two fiducial markers Use this method to join two images and rotate them to the same orientation i e same angle dP When using this method you must indicate all the desired fiducial markers on the first image before marking the second image The module joins the images as soon as you indicate the location of the fiducial markers in both images To join and adjust images using two fiducial markers 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 2 In the first image click in the image to indicate two markers If you are not Satisfied with the result you can click Reset fiducials to start over 3 In the second image click in the image to indicate the corresponding fiducial markers Make sure that you indicate the corresponding markers in the same order as the first image 4 The Sound Eklin Orthoplan Elite X Stitch module joins the two images by aligning the fiducial markers then automatically adjusts the image to improve the alignment of various features in the images Using the Adjustment Tools Palette The Adjustment Tools palette allows you to adjust position contrast and gradient of the stitched image Adjustment Tools Adjustment Tools X Mode Adjust image position with arrow keys Adjust image position with arrow keys Adjustment Tools palet
143. patient studies for export to a CD workstation s hard drive or DICOM node During the export the application creates a DICOM directory on the destination The studies are created in DICOM part 10 format therefore a DICOM image viewer is required to view the images When using a CD as storage media you must follow the CD manufacturer s instructions regarding handling and storage of the CD Data may be lost or corrupted if the CD is mishandled or improperly stored Sound Eklin Page 48 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies Exporting Patient Studies continued When exporting studies to a CD the media must be blank To export patient studies 1 From the File menu select DICOM Media and click Export Studies 2 From the Destination dropdown list do one of the following e f you are exporting to a CD or hard drive select Browse local e f you are exporting to a DICOM device select the name of the DICOM node DICOM Media Import Studies Ej Source v Last Name First Name Patient ID Study ID Modality Accession No C From C To Study Time Accession Num Total Items Ready 3 If you selected Browse local in Step 2 browse to the destination i e CD or hard drive for the transferred studies and click OK Browse For Folder Desktop My Documents m T My Computer a My Network Places Recycle Bin Sound Eklin Page 49
144. plays all measurements in metric units For information on manipulating and modifying the measurements see Editing an Ortho Measurement on page 98 dP At any time you can drag a measurement to another location You can hold the SHIFT key to select multiple measurements and move them at the same time To stop or cancel an ortho measurement before it completes press the ESC key or click the Select button in the Ortho toolbar x The selected ortho tool remains active until you select a different tool or click the Select button in the Ortho toolbar Sound Eklin Page 80 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued The Sound Eklin Orthoplan Elite application considers images that do not have a pixel spacing value defined in their DICOM headers e g secondary captures as uncalibrated images If you do not calibrate these images the Ortho tools are unavailable To calibrate these images use the Draw Line option in the Correct Magnification tool see Correcting Image Magnification on page 64 correctly before you draw ortho measurements see W To ensure accurate results the images must be calibrated Correcting Image Magnification on page 64 You cannot perform any measurements calibrate nor view an image in true size if an image has non square pixels Highlighting a Location on the Anatomy If
145. port size respectively e Full Resolution Displays the images at their acquired resolution i e a 256x256 image is displayed at 256x256 pixels e True Size Displays the image at the same size as the physical size of the body part This is most useful for plain film studies and will be disabled if the image does not contain pixel size information or if your monitor has not been calibrated Contact your System Administrator if your monitor has not been calibrated Sound Eklin Page 73 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Panning Images You can pan or reposition the image within a viewport To pan an image 1 Do one of the following e From the Tools menu click Pan e In the Review toolbar click the Pan button 2 Click and drag the image to change its position in the viewport If you have a mouse wheel you can rotate the mouse wheel away from you to scroll up and towards you to scroll down Changing the Image Brightness amp Contrast You can change the brightness and contrast of the images The contrast can be wide many grays less contrast or narrow fewer grays more contrast The brightness can be high dark or low bright dip You cannot change the window settings for color images You can adjust the window settings using the mouse To change the window settings using the mouse 1 Do one of the following e From the Tools men
146. re similar to the contrast and brightness respectively on your computer screen The window width can be wide many grays less contrast or narrow fewer grays more contrast The window level can be high dark or low bright To change the window level 1 Do one of the following e From the Edit menu click Window Level e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Window Level button e Press the W key 2 Click and drag the mouse over the image the adjust the window level e Move the mouse up and down to change the window level e Move the mouse left and right to change the window width Inverting the Image Grayscale The Inverse Color tool allows you to display the current image with inverse i e negative values To invert the image grayscale 1 Do one of the following From the Edit menu click Inverse In Sound Eklin Orthoplan Elite X Stitch Toolbar click the Inverse Color button Press the B key Showing and Hiding Patient Information You can show or hide the patient information in your image To show or hide patient information l Do one of the following From the Edit menu click Overlay Text Press the Q key Sound Eklin Page 148 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Cropping Images The Crop tool allows you to reduce the size of an image or remove the border of images You can crop separate images befor
147. rement button in the Ortho toolbar and select the overlay or custom measurement that you want to delete e To start over and delete all the overlays and custom measurements click the Delete All button in the Ortho toolbar The Delete All function deletes all ortho measurements in the active viewport 2 The application deletes the selected overlay and measurement Creating Favorites Instead of navigating through the hierarchy to search for a commonly used implant overlay or custom measurement you can tag it as a favorite in both the Sound Eklin OrthoTemplates and Custom Measurement dialog boxes Tagged overlays and custom measurements are duplicated in the Favorites tab for easy access You can use the items saved in the Favorites tab to e load an overlay custom measurement see Loading an Implant Overlay on page 110 and e load a custom measurement see Loading a Custom Measurement on page 115 Sound Eklin Page 117 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 12 Using Orthopaedic Templates and Custom Measurements Creating Favorites continued Creating a Favorite Use this procedure to tag an overlay or custom measurement as a favorite dp For implant overlays you can also tag a manufacturer a group of products or a single product family as a favorite The Sound Eklin OrthoTemplates and the Custom Measure dialog boxes display tagged overlays and custom measurements with an aster
148. rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies Exporting Patient Studies continued 4 If you selected a hard drive as the destination the Available Space field specifies the amount of space in GB available on the hard drive There may be a slight delay in displaying the available disk space If you select a CD as the destination the Available Space field is greyed out 5 To ensure that the destination has the capacity to receive the selected studies select the Calculate Source Data Size checkbox to see the approximate size of the selected studies HE DICOM Media Export Studies Destination CA Available Space WV Calculate Source Data Size 111 6GB 91 SMB Approximate size of i selected studies CD e If you select a CD as the destination in the CD Label field type a label for the CD Do not enter a label if your application has been configured to use Microsoft Windows XP native CD recording software or Golden Hawk Technology s CDRWIN 3 9H software based on Windows ASPI driver versions previous to 4 7 1 6 If required filter the list of studies so you can easily locate the specific studies you want to export see Searching the Study List on page 23 7 Click the studies you want to export To select multiple studies hold down the CTRL key or the SHIFT key while selecting the studies 8 Click Export The application transfers the studies to
149. row in the first image and click the image again This creates point 2 as shown below Image 1 Image 2 Image 3 4 In the Image Relation dialog box type the distance between the two points in millimeters using the ruler as a reference Type 0 if the landmarks are a common point on the images i e the images are overlapping otherwise type the known distance between the two landmarks 5 Click Continue to relate images 2 and 3 Sound Eklin Page 79 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Performing Image Relation continued 6 In image 3 click on a point This should be a known location in the image e g a ruler Adjust the arrow to point in the same direction as the arrow in the second image and click the image again This creates point 3 as shown below Image 1 Image 2 Image 3 7 In the Image Relation dialog box type the distance between points 2 and 3 in millimeters using the ruler as a reference Type 0 if the landmarks are a common point on the images i e the images are overlapping otherwise type the known distance between the two landmarks 8 Click Finish 9 The application now views the three images as if they are one so you can perform measurements across the images Drawing amp Displaying Ortho Measurements This section describes how to use the various orthopaedic measurement tools provided in the Ortho toolbar The application dis
150. rthoplan Elite application does not support 10 bit high resolution monitors W Use only workstations that have the proper electrical certification Sound Eklin Page 2 rev 08062012 Sound Eklin OrthoCase Installation Chapter 1 Installation continued Precautions The precautions described in this section will help ensure that you do not lose any data from the workstation Editing Files Some of the procedures in this guide instruct you to edit files We highly recommend that you use the MS DOS editor or Notepad to edit files The use of other text editors such as WordPad can cause unexpected errors by the way it formats the file If a file has already been edited using some other text editor open it using the MS DOS editor and save it to replace any incorrectly formatted characters A Do not use WordPad to edit text files Date and Number Format The application uses the date format and number format specified by your workstation s regional settings You should check your regional settings to ensure that your workstation uses the most common date and number format used in your region to avoid confusion We also recommend that you set the workstation to recognize four digit years To check your workstation s regional settings 1 In the Taskbar click Start Settings Control Panel 2 Double click Regional and Language Options 3 Ensure that you have selected the most common language number and date settings used in
151. s how to join images using one fiducial marker Use this method to join two images that have the same orientation i e same angle To use one fiducial marker 1 Ss SS Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 In the Stitch Tools palette click One Fiducial In the first image click in the image to indicate a fiducial marker In the second image click in the image to indicate a corresponding fiducial marker You can adjust your fiducial markers before you stitch the images The viewport displays the active fiducial marker in green and inactive fiducial markers in red To adjust your fiducial markers do one of the following e Click the desired fiducial marker Press the appropriate arrow key i e LEFT ARROW RIGHT ARROW UP ARROW and DOWN ARROW to move the fiducial marker by one pixel To move a fiducial marker by ten pixels press and hold the SHIFT key then press the appropriate arrow key e Click and drag the desired fiducial marker to a new location In the Stitch Tools palette click Stitch To reset all points and reselect them click Reset The Sound Eklin Orthoplan Elite X Stitch module joins points one and two without rotation No rotation Sound Eklin Page 151 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining Images with One Fiducial Marker and A Line This section describes how to join images using one fid
152. s not ideal you can manually adjust the window width level before you save the stitched image see Using the Adjustment Tools Palette on page 157 Make sure you adjust the window width level if necessary before you save the stitched image Once you save the stitched image you cannot change the window width level Joining Images Horizontally This section describes how to automatically join two images horizontally Use this method to join images that are arranged horizontally from left to right To automatically stitch images that are lined up horizontally 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 2 In the Stitch Tools palette click Line up Horizontally Instead of using the Stitch Tools palette you can press the H key to stitch the images horizontally This keyboard shortcut is available even when the Stitch Tools palette is not open However it is not available when another tool e g Crop or tool palette e g Adjustment Tools palette is active Sound Eklin Page 155 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining Images Vertically This section describes how to automatically join two images vertically Use this method to join images that are arranged vertically from top to bottom To automatically stitch images that are lined up vertically 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page
153. s the Normal or inside angle measurement To display the reflex and supplementary angles See Table 11 1 on page 101 To measure an angle using an existing line 1 Do one of the following e From the Measurements menu click Angle e In the Ortho toolbar click the Angle button w m Press CTRL and select the first line and drag the mouse to position the second line 3 The application displays the angle s inside measurement in degrees By default the application displays the Normal or inside angle measurement To display the reflex angle See Table 11 1 on page 101 Sound Eklin Page 82 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued Measuring a Cobb Angle Use the Cobb s Angle tool to measure the angle where two lines intersect It is a tool most commonly used to determine the degree of Scoliosis To measure a Cobb angle 1 Do one of the following e From the Measurements menu click Cobb s Angle e Inthe Ortho toolbar click the Cobb s Angle button gt 2 Click two points on the image to create a line 3 Click two more points to create the second line 4 The application extrapolates the point where the two lines intersect and displays the Cobb Angle To measure the Cobb angle of existing lines 1 Do one of the following e From the Measurements menu click Cobb s Angle e In the Ortho to
154. sccontscsisicctincsciescessasaetcunnvsoseehceseencusesenseeve i acdiessaddesacteun ees 24 POF CET a EEEE E EE E EE ES 24 IE e 7 2 PAST G EN E T E E E E EE 25 Specifying the Filter Buttons to be Displayed sesesessecesesosoececesocoecececcececececceceses 26 Dennis GINGW FILON sooren enirir ori SEESE N EEE AENEA EE A 27 BOUIN A FINCK iceren E EE EE E AEE 28 Specifying the Default Filter sesessecececoccececescececeseccecececoccececesoccececesoecececeeoeo 30 Dele Cine A PI OM arrer E E EEA EEEE A E N EAA 32 Appi inE a PILON araor rrer EEEE AAE EET EE 33 Using the Popup Menu to Access Study List Functions ssessesossosoesosoesoesesoesoesosoooo 34 Selecting and Loading Studies for Review sesescececeseccecececoececesocoececesoececececceseces 34 SeleCting and Loading a StUdY smorrerirssrirritrtiiret tess rrtt T IEKE NNIT TE ESENTA NAAA 34 Selecting and Loading Specific Studies or All Studies sesessececesoecececescesecececceceses 35 Sound Eklin Page ii rev 08062012 Sound Eklin OrthoPlan Elite Orthoplan Table of Contents elite Chapter 7 Selecting Patient Studies continued Selecting and Loading Series Within a Study sesescecececoecececescececesecoecececoececesesoeo 36 Editing Patient SUIGICS cocicwaset case eacetrtanss ianen tone deciceeecanstieaeietecnteesestietidedemstendade tes 36 Deleting Patient Studies sccavsoicssicveecsiceadivtncciascsecccessadeedivledtiaseivisiweswianatccersiiceniees 3
155. sers activities on the workstation Please contact your System Administrator or Customer Service Specialist for further details Sound Eklin Page 15 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 5 Orthocase Overview continued Understanding Standalone and Plug in Mode In standalone mode the application provides a study list i e the Study Selection window that displays the patient studies contained in the selected data source You select and load studies from the provided study list into the Main Review window see Selecting Patient Studies on page 21 When installed as a clinical plug in the application does not provide a study list You can use the default study list provided by the host e g the C4 Cockpit user interface or a third party study list When you select a patient study from your host s study list the application starts and loads the selected patient study directly into the Main Review window For details on loading patient studies consult the appropriate documentation for the study list you are using AP If you are using the application as a clinical plug in some Study List related options may not be available in the Main Review window Indications for Use The Sound Eklin Orthoplan Elite application is intended for the following use e Two and three dimensional image review manipulation analysis and therapy planning capabilities that support image management display needs in the m
156. sides This field is mandatory DICOM Port SCU SCP socket port number This field is mandatory 3 Click OK To modify a DICOM device Sound Eklin rev 08062012 Please contact your System Administrator prior to modifying the LOCAL device This DICOM device pertains to your Sound Eklin Orthoplan Elite workstation Page 44 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies continued 1 In the DICOM Node dialog box select the device that you want to modify e g TEST_WORKSTATION then click Modify Dicom Node Workstation Description Local workstation Host Name IP Address aE ae SEF VERHUS DICOM Port ta E Dicom Node 3 AE Title TESTMWORKSTATION Alias Description Local workstation Host Name IP Address SERVERHOST DICOM Port 4445 Click OK Sound Eklin rev 08062012 Page 45 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies continued To delete a DICOM device Do not delete the LOCAL device This DICOM device refers to your Merge OrthoCase workstation 1 In the DICOM Node dialog box select the device that you want to delete e g LOCAL then click Remove HE Dicom Node Workstation Description Local workstation Host Name IP Address SEF VERHOST DICOM Port AA 2 The application removes the se
157. soesosoossesosoeeoe 152 Joining Images with Two Fiducial Markers sessesossesossessesosoesoeooesosoeoosoesoesosoeeoe 153 Joining Images with TWO Lines sesessesoesosoesoeoesoesosoosoeooeoosoosoeoesoesoesosoeooeooeoo 154 Stitching Images Automatically ssessesessesossessesosoosoesosoesosoesoesosoosoesoeoososooeooeo 155 J imne Images Horizontally ssrsserisserssersrerssir enad poucesosee ee ENANA O NAAT E TEE 155 Joining Images Vertically esessesossesoesossesossosoosoesosoosoesossesoesosoesoesosoosoesosoeeoe 156 Joining amp Adjusting Images Using One Fiducial Marker sessesessesoesosoesosoosoesoeoeeoe 156 Joining amp Adjusting Images Using Two Fiducial Markers sessesessesoesosoesosoosoesoeoeeoe 157 Using the Adjustment Tools Palette eesessesoesosoesosoesoesossesoesosoosossesoesossesoeooe 157 Accessing the Adjustment Tools Palette ssssessesossessesoesosoesssoessesosoesoesoeoosoeoo 158 Repositioning the Mage sossssrssirissssescossiissiri edro tenes tsd Teri eken EEEren aee 158 ROCACING Me lmMage sienccccncsanicaaiecrceccueavesacaevenncesioesssaeasenacaawweseaeusessere pesceassneasees 159 Adjusting the Image Contrast scsccccesveanvetccccescuvstsereevecesescateveewsesesdsvssustesessensouerss 160 To adjust the contrast of an image sesessesoesosoesoesesoesoeoosoesoeoosoesosoesoesoesosoeooe 160 Adjusting the Gradient sesessessesosoososoosoesoesosoesoeoossososoosoesoesosoes
158. stic image data Image data can be lost if the workstation is shut off abruptly while a study is being transferred to the hard drive e g there is a power failure or the workstation is accidentally unplugged The application may display the message No Image check manual when you load the study for review In this case you must delete the study and transfer it again We recommend that you install an Uninterruptable Power Supply UPS to support the workstation in the event of power failure Sound Eklin Page 17 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 5 Orthocase Overview Safety Precautions continued Magnetic Interference The images displayed on the workstation s monitor s can be distorted by strong magnetic fields therefore the workstation should be positioned outside the 5 Gauss 0 5 mT magnetic fringe field A Position the workstation outside the 5 Gauss 0 5 mT magnetic fringe field Computer Virus Protection Computer viruses can prevent the application from working properly We recommend you protect the workstation with anti virus software Contact your System Administrator for further details We recommend that you install anti virus software on your workstation Customer Support For applications support please contact Customer Support e In North America call toll free 800 819 5538 Sound Eklin Page 18 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 6 Get
159. t side of the dialog box 4 Add remove or rearrange the items as described below 5 When you finish click OK To add a tool to the popup menu 1 In the Available Context Menu Items list on the left side of the dialog box click the item you want to add 2 Click the Add button gt 3 Add a Separator if required Adding a Separator places a space between the buttons in the menu so you can group the items in a way that is meaningful to you Sound Eklin Page 59 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window Customizing the Popup Menu continued To remove a tool from the popup menu 1 In the Current Menu Items list on the right side of the dialog box click the item you want to remove 2 Click the Remove button q To rearrange the tools in the popup menu 1 In the Current Menu Items list on the right side of the dialog box click the item you want to move 2 Click the Move Up or Move Down button as appropriate to change the position of the item in the list a Isa Sound Eklin Page 60 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 9 Using the Main Review Window continued Using the Thumbnails Green border Thumbnails represent the loaded series They allow you to mages currently see all the images available in one or many loaded studies displayed for the same patient including any stitched images To help with navigation th
160. tandard image review in the Main Review window You can access all tools from the Review and Ortho toolbars as well as the Measurement menus To ensure accurate results we strongly recommend you correct the magnification of an image before you begin Correcting Image Magnification Use the Correct Magnification tool to calibrate the caliper in an image You can calibrate an image using five distinct methods The method you choose depends on whether a calibration sphere was used during acquisition If a calibration sphere of a known diameter i e 1 inch or 25 mm exists on the image and the image has a pixel spacing value in its DICOM header i e application displays a caliper in the image viewport you can use the following calibration methods e Fully automatic calibration sphere detection The application first attempts to automatically detect and outline the calibration sphere If correctly detected you can specify its diameter and calibrate the image see Calibrating Images Using a Calibration Sphere on page 69 e Click on a point on the sphere Click a point on the calibration sphere to detect it If successfully detected you can specify its diameter and calibrate the image see To click on a point on the sphere to detect it on page 72 e Manually outline the calibration sphere Use the circle tool to outline the calibration sphere enter its known diameter and calibrate the image see To manually outli
161. te Adjustment Tools palette without the animation window The Adjustment Tools palette provides an animation window that demonstrates how the selected adjustment option works You can hide the animation in the palette so it does not block your view see Hiding Animation in Tool Palettes on page 139 When you have finished adjusting the image you must close the palette to use a different tool palette You can close the palette in two ways e Discard your adjustments and close the palette see Cancelling the Changes on page 161 e Save your adjustments and close the palette see Accepting the Changes on page 161 Sound Eklin Page 157 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Accessing the Adjustment Tools Palette Use the following procedure to open the Adjustment Tools palette To open the Adjustment Tools palette 1 Do one of the following e From the Edit menu click Adjust Image pzm 4 Ok e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Adjust Image button e Press the J key Repositioning the Image You can adjust the position of the dynamic image i e the image with a green border so that it lines up with the first image To reposition the dynamic image 1 Open the Adjustment Tools palette see Accessing the Adjustment Tools Palette on page 158 2 Inthe Adjustment Tools palette click Position 3 To reposition
162. th the results from cropping or stitching images you can revert back to the original image see Reverting to the Original Image on page 162 Sound Eklin Page 146 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Using the Basic Tools This section describes the basic tools you can use to prepare your image for cropping and stitching These tools are available at any time Zooming Images The Zoom tool allows you to change the magnification of the image To zoom an image 1 Do one of the following e From the Edit menu click Zoom e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Zoom button e Press the Z key 2 Click and drag the mouse up to increase the zoom factor or down to decrease it Panning Images The Pan tool moves the image around from the center to locate the best view of a portion of the image The Pan tool is often used in conjunction with the Zoom tool to examine a small region of a large image To pan an image 1 Do one of the following e From the Edit menu click Pan e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Pan button e Press the A key 2 Click and drag mouse to reposition the image Sound Eklin Page 147 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Changing Window Level The window settings i e window width and window level on digital images a
163. the selected location At any time you can click Stop to terminate the transfer If exporting studies from a CD do not remove the media until the transfer operation is complete 10 The application displays the progress of the transfer in the status bar at the bottom of the dialog box 4 V LLD CR 1 200402 Series transfer completed Sound Eklin Page 50 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies continued Importing Patient Studies You can transfer studies from a CD workstation s hard drive or a DICOM device to your local database To import patient studies 1 From the File menu select DICOM Media and click Import Studies 2 From the Source dropdown list do one of the following e f you are importing from a CD or hard drive select Browse local e f you are importing from a DICOM device select the name of the DICOM node E DICOM Media Import Studies Source w Last Name First Name Patient ID Study ID Modality Accession No LI From U To Patient Name Patent ID Study Date Study Time Study ID Accession Num Total Items No Imported 3 If you selected Browse local in Step 2 browse to the source i e CD or hard drive that contains the studies you want to import and click OK Browse For Folder My Documents y My Computer a My Network Places Recycle Bin Sound Eklin Page 51 rev 08062012 Sound Eklin Or
164. thoCase User s Guide Chapter 8 Archiving and Transferring Patient Studies Importing Patient Studies continued e The source or folder must also contain the DICOM directory e If the DICOM directory is missing the application generates a list of the studies in the source location It may take a while depending on the number of studies in the source location 4 The application lists all the studies that are located on the selected data source 5 If required filter the list of studies so you can easily locate the specific studies you want to import see Filtering the List of Studies on page 52 6 Select the studies that you want to import To select multiple studies hold down the CTRL key or the SHIFT key while selecting the studies 7 Click Import 8 The application transfers the selected studies to your local database At any time you can click Stop Import to terminate the transfer If importing studies from a CD do not remove the media until the transfer operation is complete 49 Chapter 4 9 The application displays the progress of the transfer for each study in the No Imported column The application also displays the status of the transfer in the status bar at the bottom of the dialog box 4 M LLD CR 1 200402 Series transfer completed Filtering the List of Studies If required filter the list of studies so that it is easier to locate the studies you want to import dp You can click Clear at a
165. ting Image Display Parameters You can reset any image display parameters set during the current session or saved during an earlier session to the original image setting When you reset the image display parameters you revert to the original image setting It does not revert your image setting to the last saved settings Sound Eklin Page 106 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Saving Loading and Resetting Image Display Parameters continued To reset image display parameters 1 Do one of the following e From the Tools menu click Reset e In the Review toolbar click the Reset button a 2 The application resets the display parameter settings to the original image setting Undoing Redoing Measurements and Annotations The Undo tool enables you to undo the last measurement or annotation that you performed The Redo tool allows you to redo the last action that you have undone The Undo and Redo tool cannot be used to undo redo image display parameter changes e g Zoom pan brightness contrast To undo the last action performed 1 Do one of the following e From the Measurements menu select Undo D e in the Ortho Toolbar click the Undo button 2 The application undoes the last operation performed To redo the last undo operation 1 Do one of the following a e From the Measurements menu select Redo e Inthe Ortho Toolbar click the Redo
166. ting Started This chapter briefly describes how to start the application and load a patient study into the Main Review window It also describes how to use the online help system and how to exit the application Starting the Application Use the following procedure to start the application and load a patient study for review Complete details on how to use the Study Selection window are provided in Chapter 2 To start the application 1 6 7 oe ee Start the workstation When you are prompted to log on press CTRL ALT DEL In the Enter Network Password dialog box type your user name and password Click OK To open the application do one of the following e Inthe Taskbar click Start Programs Merge OrthoCase e On the Desktop double click the Sound Eklin Orthoplan Elite icon Double click a patient s name to select and load the study for review The application loads the selected study into the Main Review window Using the Help System The help system provides quick access to user instructions To use the online help iF From the Help menu click Contents 2 The application displays the online help in a separate window 3 Use the following features to navigate the help system and find the required topics e Click Contents to display a list of topics available then click the topic you want to view e Click Index to display a list of keywords from which you can select a topic Type in the first few l
167. tion You can also print the images to a file i e BMP JPG Print x Compose Printer Status Capture Cell v Delete Cell J Layout lon vi Add Page sheet oof To set the printer destination 1 In the Print dialog box click the Printer tab 2 In the Printer dropdown list select the printer You can choose from all the printers that are accessible from your workstation 3 If required in the Source dropdown list select the source 4 If required in the Film Size dropdown list select the film size 5 Select the True Size checkbox to print the selected images in the actual acquired size and resolution 6 In the Quality dropdown list select the print quality i e low normal or high 7 In the Copies field type the number of copies to print Sound Eklin Page 131 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images Printing Images continued Monitoring the Print Job Status After you send the images to print you can check the status of the print job To check the status of the print job 1 In the Print dialog box click the Status tab 2 The application displays each print job and its respective status 2 16 124 113531 4 Completed 1 win printers Printer060 ps 3 To close the dialog box click Cancel Sound Eklin Page 132 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 15 Configuring the Application You can config
168. titching Magnification Correction IntersectionLines Invert Greyscale Layout Magnify Mid Point Midline Mode Online help x Default 3 By default the application saves secondary capture images in a new study To save secondary capture images as a new image within the same study clear the Create Secondary Capture image in a new Study checkbox 4 Click OK Sound Eklin Page 133 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 15 Configuring the Application continued Configuring the Copy Paste Settings To configure copy paste settings 1 From the Tools menu of the Main Review window click Options 2 In the Options dialog box click Image Settings Context Menu Editor Context Menu Editor Screen Calibration Image Settings Avaliable Context Menu Items Current Context Menu Items About a Zoom Astow Indicator Pan Circle Brightness Contrast Clear Data Rotate Compare Angles Separator Compare Distances Zoom Presets Custom Measurement i Reset Delete All Separator Deletion Tool Distance rua E Angle Cobb s Angle Image Information Outline Relation Templates Image Stitching Magnification Correction ntersectionLines Invert Greyscale Layout Magnify Mid Point Midline Mode Online help x Default 3 From the Image Size dropdown list select the size of the image i e the size of the copied image when you paste it 4 Click OK Sound Eklin Page 134 rev 08062
169. titching method works You can hide the animation in the palette so it doesn t block your view see Hiding Animation in Tool Palettes on page 139 The following is an example of the Stitch Tools palette without the animation window Stitch Tools Mangal Sttth oA One fiducial Two fiducials Draw a fiducial and or line for each image Automatic Stitch To open the stitching palette 1 Do one of the following e From the Edit menu click Stitch Tools e In the Sound Eklin Orthoplan Elite X Stitch Toolbar click the Stitch Tools button CH e Press the T key To close the stitching palette 1 In the Stitch Tools palette click Cancel Stitching Images Manually The Stitch Tools palette provides four methods of manual stitching When stitching images manually select a stitching method then stitch two images together You can stitch images using e one fiducial marker i e a single point of reference e one fiducial marker and a line e two fiducial markers i e two points of reference or e two lines dp Although the suggested workflow is to use fiducial markers to align the images you can join your images by adjusting the placement and rotation of the images see Using the Adjustment Tools Palette on page 157 Sound Eklin Page 150 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Joining Images with One Fiducial Marker This section describe
170. toll free 800 819 5538 phone 760 444 8618 fax 760 607 2489 international 1 760 444 8618 www soundeklin com 2012 All Rights Reserved Sound Eklin a VCA ANTECH company
171. ts initial maximum limit the default is 500 for study retrieval the application displays a message asking if you want to continue the query 4 Click Yes to continue the query or click No to stop the query Keep in mind that retrieving a large number of studies may slow down the performance of the application Sound Eklin Page 33 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies continued Using the Popup Menu to Access Study List Functions As with most Windows applications you can right click the desktop to display a popup menu While in the Study List the popup menu provides access to some Study List functions To access these functions 1 In the Study List right click the study and select the appropriate function from the menu 2 For detailed instructions on the function you choose refer to the pages noted below e Load see Selecting and Loading Studies for Review on page 34 e Delete Studies see Deleting Patient Studies on page 37 e Delete Series see Deleting Patient Studies on page 37 Selecting and Loading Studies for Review When you load one or multiple studies the Main Review window displays the image in 1x1 layout by default and automatically optimizes the window width level If the study has saved image parameter settings the Main Review window displays images using the last saved settings see Saving Loading and Resetting Image Display Parameters
172. turn to the Study Selection window during a review session i e from the Main Review window To access the Study Selection window during a review session 1 Do one of the following e From the File menu click Return to Study List it e In the Review toolbar click the Open Study button or press CTRL L 2 The application displays the Study Selection window The functionalities of the window are described later in this chapter dp If you have made any changes to the image parameter settings the application asks if you wish to save your work see Saving Loading and Resetting Image Display Parameters on page 105 Sound Eklin Page 21 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 7 Selecting Patient Studies continued Study List Columns The Study List is the main element of the Study Selection window The columns in the Study List provide the patient study and series information described in Table 7 1 You can choose to hide specific columns see Configuring Study List Columns on page 40 or manually resize columns see Resizing Study List Columns on page 40 Table 7 1 Study List Columns Column Description Patient Name The patient s name Modality The source modality of the study Date Time The date and time the study was created The date format is determined by the workstation s regional settings To check the regional settings see Date and Number Format on page 3 Patie
173. u click Brightness Contrast e In the Review toolbar click the Brightness Contrast button 2 Adjust the window width and or level as follows e Click and drag the mouse vertically over the selected image to adjust the window level e Click and drag the mouse horizontally over the image to adjust the window width dp If you have a mouse wheel you can rotate the mouse wheel to adjust the window level Sound Eklin Page 74 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools continued Changing the Image Orientation You can flip the images on the horizontal axis as well as rotate the images If you have the Sound Eklin Orthoplan Elite X Stitch module you can load the rotated images into the module without losing your changes To rotate an image to an arbitrary angle 1 Do one of the following e From the Tools menu click Rotate e In the Review toolbar click the Rotate button 2 Click an image and drag the mouse pointer to rotate the image to the required angle To flip an image 1 Click the viewport with the image you want to flip 2 Do one of the following e From the Tools menu click Flip e In the Review toolbar click the Flip button 4p dp The application only flips images horizontally i e on the x axis Inverting the Image Grayscale Inverting the image grayscale provides negative image display You cannot invert the image grayscale on color images To
174. u must log on as Administrator to configure the database auto deletion settings To configure the Auto Deletion settings 1 In the Study Selection Window click the Tools menu and select Auto Deletion Configuration Auto Deletion Settings Maximum database size GB E Start deleting when local image cache is 30 7 full Stop deleting when local image cache is a0 7 full Except do not delete studies that l Were received in the last fo days Reset o Cancel Sound Eklin Page 13 rev 08062012 Sound Eklin OrthoCase Installation Chapter 4 Configuring the Application Managing the Database continued 2 Configure the following settings 3 e In the Maximum database size GB field specify the maximum database size in gigabytes GB The default maximum database size is 4 gigabytes e From the Start deleting when local image cache is dropdown list select a percentage that indicates how full you want the database to be e g 90 when the system starts to automatically delete studies from the database e From the Stop deleting when local image cache is dropdown list select a percentage that indicates how full you want the database to be e g 80 when the system stops automatically deleting studies from the database e If you want the Auto Deletion feature to not delete recent studies received during a specified number of days select the Were received in the last checkbox
175. ucial marker and a line Use this method to join images and rotate them to the same orientation i e same angle You can also use two fiducial markers to join and rotate images see Joining Images with Two Fiducial Markers on page 153 To use one fiducial marker and a line 1 Open the Stitch Tools palette see Accessing the Stitching Palette on page 149 2 In the Stitch Tools palette click One fiducial 3 In the first image click in the image to indicate a fiducial marker then click and drag the mouse to draw a line 4 In the second image click in the image to indicate a corresponding fiducial marker Click and drag the mouse to draw a corresponding line Ol You can adjust your fiducial markers i e points of reference and end points of lines before you stitch the images The viewport displays the active fiducial marker in green and inactive fiducial markers in red On To adjust your fiducial markers do one of the following e Click the desired fiducial marker Press the appropriate arrow key i e LEFT ARROW RIGHT ARROW UP ARROW and DOWN ARROW to move the fiducial marker by one pixel To move a fiducial marker by ten pixels press and hold the SHIFT key then press the appropriate arrow key e Click and drag the desired fiducial marker to a new location 7 In the Stitch Tools palette click Stitch To reset all points and lines and reselect them click Reset 8 The Sound Eklin Orthoplan El
176. ure that you have adjusted the image contrast see Adjusting the Image Contrast on page 160 2 Open the Adjustment Tools palette see Accessing the Adjustment Tools Palette on page 158 3 In the Adjustment Tools palette click Gradient 4 Dots appear on the image These dots represent the gradient range The default gradient range starts from the center of one image to the center of the other image 5 To modify the range click one of the dots and drag it to a new position Sound Eklin Page 160 rev 08062012 Sound Eklin OrthoPlan X Stitch Chapter 20 Stitching Images continued Resetting the Parameters If you are not pleased with the adjustments you can reset the image back to its original setting i e the point before you started adjusting the image You can readjust the image from the beginning if desired To reset the adjustment parameters 1 In the Adjustment Tools palette click Reset Cancelling the Changes When you cancel your changes you are discarding the adjustments made and closing the Adjustment Tools palette To cancel your changes 1 In the Adjustment Tools palette click Cancel 2 The module removes any changes and closes the Adjustment Tools palette Accepting the Changes When you accept the changes you are saving your adjustments made and closing the Adjustment Tools palette To accept your changes 1 In the Adjustment Tools palette click Accept 2 The module saves y
177. ure the application to best suit your own viewing needs This can be done using the Options menu e g secondary capture settings Understanding User Preferences The following list contains preferences that you can set while using the application The application saves these settings with your user name when you exit the application e popup menu see Customizing the Popup Menu on page 58 e secondary capture settings see Configuring the Secondary Capture Settings on page 133 e copy paste settings see Configuring the Copy Paste Settings on page 134 e monitor screen size see Calibrating Your Monitor on page 135 Configuring the Secondary Capture Settings You can specify the application to automatically save secondary capture images as a new image within the same study or as images in a new study By default the application saves secondary capture images in a new study To configure secondary capture settings 1 From the Tools menu of the Main Review window click Options 2 In the Options dialog box click Image Settings Context Menu Editor Image Settings Avaliable Context Menu Items Current Context Menu Items A Zoom Arrow Indicator Pan Brightness Contrast Clear Data Rotate e Separator Compare Distances Zoom Presets Custom Measurement Reset Delete All Separator Deletion Tool Distance ra Exit Angle Flip Cobb s Angle Image Information Outline Image Relation Templates Image S
178. urement and add a prefix to the results see Editing Labels and Adding Text Prefixes on page 91 Editing Labels and Adding Text Prefixes When you use the Compare Distances and Compare Angles tools you can edit the default labels i e a and b assigned to a line or angle and add a prefix to the result e g ab 23 1mm of the comparison dp The following procedures only apply to the Compare Distances and Compare Angles tools To change measurement labels 1 Right click a label and click Set Text from the popup menu 2 Inthe Label Text field type a new name for the label e g Angle 1 and click OK Sound Eklin Page 91 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 11 Using the Review and Ortho Tools Drawing amp Displaying Ortho Measurements continued 3 Perform Steps 1 through 2 for each measurement The following is an example of new labels assigned to two angle measurements The results also reflect the changes to the labels Updated labels reflected in the results New labels for each angle measurement To add a prefix to a result 1 Right click the results and click Set Text Prefix from the popup menu 2 In the Prefix Text field type a prefix for the results e g Difference between two lines and click OK Set Measurement Prefix Prefix text 3 The following is an example of a prefix added to a measurement result Sound Eklin Page 92 rev 08062012 Sound Ekl
179. you acknowledge that any use of this software product is subject to the following terms and conditions E M The issuance of a license for this software product does not constitute a sale of the software product y _ I accept the terms in the License Agreement 10 Click Next 11 In the Destination Folder dialog box do the following e We recommend you install the application in the default folder To select a different location click Change Navigate to the desired directory then click OK e Click Next 12 Click Install to begin installing the application Ly Merge OrthoCase Setup Ready to install Merge OrthoCase Click Install to begin the installation Click Back to review or change any of your installation settings Click Cancel to exit the wizard Sound Eklin Page 6 rev 08062012 Sound Eklin OrthoCase Installation Chapter 2 Installing the Application Installing the Sound Eklin Orthoplan Elite Application continued 13 If you are installing the Sound Eklin Orthoplan Elite Plug in application proceed to Step 16 otherwise continue to Step 14 14 In the Choosing Database Location dialog box the system displays the default destination folder to install the patient database Do the following e To select a different database location click Browse Navigate to the desired directory then click OK e In the Choosing Database Location dialog box click OK
180. your application is configured to save secondary capture images in a new study click OK You can load the new study from the Study Selection window a a FS ee Body MajorMar 5 5 2009 1 44 01 PM 00 2345 F 370 79 ma Consult EXTREMIT Newly m Major Mary CT 4 11 2006 11 23 59 A 00 2345 F 310 1950 1 87 EXTREMITY a Miles Richard OT 9 20 2003 1 32 38 PM 00 4567 M 1 1 Consult Stiles Jane CT 3 25 2004 1 31 08 PM 00 3456 F nAn 1A BODY p Stiles John CT 2 1 2005 4 01 15PM 00 1234 M 1 99 e If your application is configured to save secondary capture images as a new series you can load the new series from the Study Selection window see Selecting and Loading Series within a Study on page 36 Newly Created Secondary Capture Series 20070423 140612 Data Source LOCAL 3 full Displayed 19 Selected 1 Sound Eklin Page 127 rev 08062012 Sound Eklin OrthoCase User s Guide Chapter 14 Capturing and Printing Images continued Copying Images to Other Applications This function is extremely useful for creating teaching files papers and presentations It allows you to easily copy a displayed image to the clipboard so that you can paste it into other graphics or word processing applications such as Microsoft Word or PowerPoint Depending on the application that you select you may have the choice to save the image as TIF GIF BMP or JPEG dP You must paste the copied image into another appli

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