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XrayVision DCV User Manual

1. Some Real Time filters are customizable allowing different combinations to be applied at once To modify these filters 7 6 2 1 Click the Real Time Filter tab 7 6 2 2 Select Image Filter Options 7 6 2 3 Select the Real Time Filter to be customized 7 6 2 4 The options interface will appear allowing any customizations to be made Apteryx Inc Page 40 of 54 APTERYX A October 11 2011 Doc type Document Title custom software Ge 11 1x11 Factor 7 6 2 5 After all changes have been made click OK Apteryx Inc Page 41 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software 8 ADVANCED USER TOOLS 8 1 Overview Located in the lower left hand corner of the XrayVision DCV home screen the Advanced User Tools menu contains a collection of tools and utilities which can be customized by the user By default the following options are displayed e Import Images Import Images allows DICOM images to be added to the XrayVision DCV database Any amount of DICOM image files may be added simultaneously e Data Correction The Data Correction tool is the only point in the software where image information for multiple images may be edited simultaneously For instructions and information regarding Data Correction see Appendix 1 Data Correction e Report Generator This tool allows a report to be customized and generated which outlines the DICOM information of a given database For instru
2. ad Spot Enhance The Spot Enhance tool places the normalize tool in a glass which can be dragged around an image The size of the glass can be changed by double clicking on the image ce Screen Scroll The Screen Scroll tool allows users to click and drag the image while zoomed in allowing other portions of the image to be viewed 7 5 3 Measuring an Image 1331 The measurement tool can be accessed from the left hand pop out toolbar or from the Labels dropdown menu 7 5 3 2 Click the Measure icon in the pop out toolbar or in the Labels menu 7 5 3 3 Left click once to place the initial anchor point and begin measurement 7 5 3 4 Double clicking will end the measurement which displays the distance in millimeters O Single clicking while measuring will place additional anchor points on the image This feature allows curvature such as a canal to be measured accurately After double clicking to complete the measurement incremental measurements will appear for each segment between anchor points Apteryx Inc Page 39 of 54 SE Wi October 11 2011 Doc type Document Title 7 6 Real Time Filters Real time filters are post capture filters that can be left on so images are automatically displayed with the filter applied By default the Apteryx Real Time Filters will be available Depending on the imaging hardware in use at your clinic hardware specific real time filters may also be available 7 6 1 Applying a Real Tim
3. 6 13 Image Information Tabs When a single image thumbnail has been selected a series of tabs will appear along the lower portion of the application These tabs are a condensed version of the DICOM Tags screen containing the essential DICOM tag information Patient Study Series and Image information such as Name Date of Birth ID number taken date etc Additionally there is a miscellaneous tab that includes image file information including the file type operator user and workstation that the image was captured on Clicking on the blue tabs will cycle through each set of information Mame Value Patient DOB 1960 10 10 Patient Gender M Patient ID 111 Patient Mame SMITH JOHN E a T E e Apteryx Inc Page 30 of 54 APTERYX y October 11 2011 Doc type Document Title custom software 7 IMAGE ENHANCEMENT 7 1 Interface The Image Enhancement interface allows for the modification enhancement and manipulation of a single image To protect data integrity the deletion of images Is prohibited by default in XrayVision DCV Many of the tools found in the Image Enhancement interface are working tools only and their changes are not saved to the image Because enhancements and modifications known as Labels in DCV are not saved to an image there are several options contained in the toolbox drop down menus whose names are followed by with Labels This denotation indicates that the image can be pr
4. 7 4 Labels The labels dropdown menu contains a series of tools which can be placed on an image by selecting the tool and then clicking anywhere on the image Apteryx Inc Page 34 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software Interact With Labels Enables the interaction with labels using the mouse Pen Enables the placement of a pen labels on the image Measure Enables the placement of a measurement label on the image Arrow Enables the placement of an arrow label on the image Ellipse Enables the placement of an ellipse label on the image Rectangle Enables the placement of a rectangle label on the image Text Enables the placement of a text label on the image mr Ho sl ls Time And Date Enables the placement of a time and date label on the image E Advanced Labels gt Additional labels makers and annotations i Save Label Properties Set the current label properties as the default gt Bee Calibration Options ry Allows access to various calibration functions og Remove Labels gt Allows the remowal of one or more labels from the image Hide Labels Prevents the labels fram being displayed e Measurement Tool If the image has been calibrated the measurement tool allows for anatomies an image to be measured For instructions on this tool see Measuring an Image e Save Label Properties This options allows default settings to be sa
5. Apteryx Inc Page 21 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software pe amp Print Images 0214Y M 7 image s Study lt Multiple Studies Selected gt 2 BWS and Pano with annotations NAITSHP LaserJet 4300 PCL 6 Multiple Print Format Print each as separate image e 6 4 1 Image Thumbnails 1 Thumbnails of all images associated with a patient will be displayed along the left portion of the Print Images window These can be selected for printing using the checkbox found the corner of each thumbnail 6 4 2 Setup Configuration 2 The printer and document type can be selected using the Printer Multiple Print Format and Layout Format dropdown lists e Printer Each printer and document application located on the machine will be listed here Users may send a document to a printer or file location on their computer e Multiple Print Format This controls the type of document that will be used for printing Images can be printed with 1 5 images per page a contact sheet or in layout format e Layout If Layout is selected in the Print Format dropdown list this option will become available Using this option users may select a traditional mount to place images into for printing The layouts found in this can be seen below 2 PWS and Pano with annotations 2 BWS and pano with a set of annotation boxes for each image 2 BWS and Pano with annotations 2 BWS and
6. Hide Text will hide all image information displayed in the upper left hand corner of the image tile o Link Views Link views allows a single enhancement action to be applied to all images displayed All images can be simultaneously zoomed enhanced or filtered using the pop out toolbar from any image o Real Time Filters Real Time Filters are preset filter algorithms that can be applied to images These filters when applied remain applied until they are turned off Images can be viewed side by side and compared using the Compare Images button This feature can be used to compare 2 3 or 4 images at a time Apteryx Inc Page 25 of 54 APTERYX We October 11 2011 Doc type Document Title To compare images 6 6 1 Select 2 3 or 4 images to compare by single clicking on each image 6 6 2 Click Compare Images 6 6 3 The Compare Images interface will appear displaying each selected image side by side 8 o Compare Images e lao Modality 10 Acquisition Time 2011 05 13 09 01 Teeth 1 2 3 30 31 32 Modality 10 Acquisition Time 2011 05 13 09 02 Teeth 14 15 16 17 18 19 Simulated Image Simulated Image 98 221A 7 45 ales Hide Text Link Views O Each image window contains a pop out toolbar that can be used to perform basic enhancements to an image The Link Views button in the bottom right corner of the window allows a single enhancement to be applied
7. the Capture Additional Images section e Image Enhancements The Image Enhancements button allows a single image to be selected for additional manipulation and modification This button performs the same operation as double clicking on any image tile which opens the image into the Image Enhancement interface e Print Images If there is a printer accessible to the workstation any selection of images can be selected for printing For additional information refer to the Printing Images section e Compare Images Images can be viewed side by side and compared using the Compare Images button This feature can be used to compare 2 3 or 4 images ata time For additional information refer to the Compare Images section e Thumbnails The thumbnails function controls the quantity of tiles displayed in the Image Collection Screen As many as 8 columns x 6 rows or as few as a single image can be displayed For additional information refer to the Thumbnails section Page 20 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software e View DICOM Tags XrayVision DCV is a DICOM based application which attaches patient and image specific information known as DICOM tags to every image captured Refer to the View DICOM Tags section e Image Operations For additional information refer to the Image Operations section o Edit Image Information Edit image information allows the editing of DICOM information associated
8. e E Select Teeth Cancel Cancels the current image acquisition O Select a group of teeth by holding down the left mouse button and dragging the cursor over each tooth in the group Release the mouse button when complete Selected teeth will be highlighted in grey O By default the Select Teeth screen displays adult tooth controls To change to deciduous tooth control click on the Tooth Control Options button in the lower right corner to change the tooth display to Deciduous 3 1 8 The software will advance and prepare the sensor for x ray exposure Apteryx Inc Page 9 of 54 APTERYXN custom software October 11 2011 Doc type Document Title 3 1 9 3 1 10 3 1 11 3 1 12 Apteryx Inc The sensor indicator will turn green when the sensor is ready to capture an image A vocal cue will also be heard if the computer has a sound card and speakers Proceed to capture the x ray Once the image has been captured the application will return to the Image Collection screen which displays the captured image eee A ee A gt SMITH JOHN 91141 Modality lt Not Specified Accession 8 lt Not Specified gt Procedure Description lt Not Spacitied gt KI Capture Additional Images Permits additio mal image simultaneousty entales various viewing tanster options l Display ghosted and retakes To save the image to the data
9. Note Mutiple images will automatically be exported as a sequence The target filenames will automatically be Cancel 6 11 5 Click OK to export the selected image s 6 12 Ghost Retake Bins The deletion of images is disabled by default to protect data integrity and prevent data loss The ghost and retake bins allow images to be hidden from the image collection screen simulating the image being deleted Display ghosted and retakes d Ghost Bin The ghost bin is used for images that are non essential Progress shots during an Endo procedure are an example of images contained in the Ghost Bin Apteryx Inc Page 29 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software Retake Bin Retaken images are used for images that have been retaken as a result of a defect such as a cone cut To add remove images to the Ghost and Retake Bins 6 12 1 Select the image that will be added to the Ghost or Retake bin 6 12 2 Left click and drag the image down onto the desired bin icon O If an image has already been added to the ghost or retake bin dragging it back onto the respective bin will remove the ghost or retake classification and un hide the image 6 12 3 Verify that the image has been added to the bin by checking the Display ghosted and retakes checkbox O When an image has been added to the ghost or retake bin the respective text will appear in the image information below the thumbnail image
10. Sensor cccccccccccccnnncnnncccccnnnnncnnnnnnnonnnannnnnnnnnononnnnnnnnnnnnnnnnnnnnennnnnnnss 8 A PROGRESSION CAPTURE E 11 4 1 General TORI e Lu RE 11 4 2 Ierger 11 4 3 Capturing a e e TEL 12 4 4 Retaking an Image esr decnctanernepiteceascieocab e e o SU O O e 14 4 5 Viewing Retaken Images cccooocnncccocnococonconccnononconannnnononcnnonnnnnnnnnnnnnnnnannnnnnnnnnnnnnnnnnnonannnrenannanennas 14 QUERYING FOR IMAGES ciente ordre Eege 16 5 1 EE lr re 16 5 2 OVS VIN TON MAS See coe o APPP 2 meeede E EE E lt tr 17 5 3 BUN EDON EE 18 6 IMAGE COLLEG TON SC REE Nicssncen tesncesiinsccecentsnacete a Enna aana anena SOTE ENANA ERREAREN nicas 19 6 1 Iwer 19 6 2 Capture Additional IMageS eset segeibeed e ge eeg ereegdEESeee Eed EegdEE SSES Eege 21 6 3 made Gu Einen ET EE 21 6 4 PONLI AG E 21 6 5 ETI EW Ve geene a a E E E A E E E E 23 6 6 COMPIE ee le E 25 6 7 are ee ee ees 26 6 8 VIEW DICOM Ee 27 6 9 Image ee o A o i i iiaia iiaiai adnia inigi 27 6 10 Editing Image Information cccconnnnccnnncnnocnncnnoconcnnonnnnonnnnnncnnnnnnrnnonnnnnnnnnnnrnnonnnrnnrnnnronernnnrnronanenoss 28 611 Saved Exp ll un Le a 28 6 12 GNOSUhelake BINS a sstccc sicsccscsetenttste2esesatadedesadaescctessdachtatolssatitats iemeisecadtasadacbtadstadedateledbteseessitadenss 29 6 13 Image iniormmaton I AOS E 30 T IMAGE EN HANGEMEN KEE 31 7 1 Ire 31 7 2 e A 32 7 3 En te SM ONES rt titi 34 7 4 ei 34 7 5 FOO TOODA EE 38 7 6 PC al leede eegen 40 BS ADVAN
11. Worklist Specification Patient ID Manually Create Order Last Name First Name CH Continues on to image capture using the specified information as the Birth Date Gender worklist information without querying from a worklist server Accession Number Modality Progression 4 Continue Using Selected Entry gntinuss on to image capture using the selected DICO The Capture Images interface has 2 1 1 Patient Information In XrayVision DCV patient information can be entered into the application in several different ways These methods include e Manual Entry Manual entry is the most basic way to enter patient information into the application A user will have to type out each required field manually e Auto Match List The Auto Match list contains a list of patients who have been seen previously When three or more characters have been entered the Auto Match list will appear displaying all patients whose information matches the information entered e Scanning In some scenarios such as military clinics and hospitals it is possible to use patient ID barcodes to scan patients into XrayVision DCV For more information about scanning please contact Apteryx e Import Patient List For clinics that process large amounts of patients at once a patient list can be set up so that the patients can be automatically added to the auto match list allowing for them to be easily found and selected 2 1 2
12. atabases Database Engine Apteryx Report Type Data To Report A Records DI IN Printer v i HP LaserJet 4300 PCL 6 e E X File Send Report To Print Information For al image types Fast data accumulation S Separate IO modality into bitewings and PAs List Patients By Patient ID Number X Modality counts X Image counts by Year and Month DI Print image thumbnail sheet NR Doctor image counts 7 images per page X Station image counts P Location image counts T Study counts by Year and Month Operator counts Series counts by Year and Month F Sensor capture counts Modality counts by Year and Month I Study UID image counts F Keyword counts by Year and Month Series UID image counts Searches study series and image comments and X Study description image counts descriptions Fast data accumulation will not F Series description image counts search image comments X Patient age counts X Patient sex counts Generate Reports X Patient summary image counts Patient itemized image counts Patient study counts Patient series counts Exports the reports to the specified locations 10 2 Data controls 10 2 1 Multiple Databases In XrayVision DCV it is possible to maintain two separate databases If multiple database support is currently enabled users may switch between databases using the Select Database button so that reports for each database may be separately ge
13. captured during the patients visit These types include Bite Wing Series Pano s etc e Image 4 Double clicking on a series will reveal all images contained within that series O Multiple patients studies series and images may be selected from the search results using the control key 5 2 Querying for Images To query for images 5 2 1 Click View Images from the home screen of DCV 5 2 2 Enter search criteria For additional information about search criteria see the Query Interface section Apteryx Inc Page 17 of 54 APTERYX NO October 11 2011 Doc type Document Title custom software 5 2 3 Click on Query For Images 5 2 4 From the search results select the desired items to be viewed iv MA TES SI TESI H 111771711 Study Date Sia Modality AccessionNumber Study ID Refertit Series Number Date Time Modality 2011 01 18 14 58 14 0 IQ Image Instance Number a Type Acquisition Date Acquisition Tim Di ORIGINALAPRIMARY 2011 01 18 15 02 19 0 20100923 15 45 07 0 o 201009231545 201009231545 NONE GE CI 1 TEST TEST A SO ak al re 1111 TEST TEST O 1177 77 11 sa vz 1111 TEST TEST M 1000 17 11 5 2 5 Click View Patients View Patients Select this option to view all the images for the selected patients 5 2 6 The application will then open all of the images in the Image Collection Screen allowing all selected image thumbnails to be viewed at once For additi
14. of XrayVision DCV using the Copy to Clipboard with Labels utility Users can copy an image directly from XrayVision DCV to an email client like Microsoft Outlook or into a Microsoft Word document so it can be sent to a patient or insurance provider or for presentation purposes Images can be pasted by simultaneously pressing Ctrl and V or by right clicking in the document that the image will be pasted into and selecting Paste Saving Exporting Images Images can be exported and saved outside of XrayVision DCV using the Save Export Image utility Exporting images is commonly used when emailing images or if the user would like to save labels and enhancements placed on an image outside of our application for reference Additionally because images modifications cannot be saved within XrayVision DCV by default users can use this tool to export an image with all modifications and labels to use for reference later Several image file types can be selected within the Export Images interface jpeg tiff bmp and DICOM A Warning DICOM files should never be emailed Every DICOM file contains the associated patient s first name last name date of birth and social security ID number Given the insecure nature of email only jpeg bmp and tiff should be used in favor of DICOM as they do not contain any patient information Because jpeg bmp and tiff do not contain DICOM information there are several filename base specifications whic
15. studies most commonly contain mistakes with patient information Multiple studies can be selected by using the Shift or Control keys Shift allows for the selection of a range of studies while Control will allow users to select multiple studies individually Individual images may also be selected for correction by double clicking on a study to expand of the listed studies to reveal each series and image contained in the study Apteryx Inc Page 48 of 54 aon aes October 11 2011 Doc type Document Title The image below demonstrates both functions the top three studies were selected using the shift key to highlight consecutive images Individual studies rather than consecutive studies can be selected by holding the control key and clicking on each study Query Specification feel Query For Images Patient Last Name TEST Patient First Name E EE E D GEN Patient Birth Date G mM o gt r ola d selected data servers for patients matching the specified Study UID Note Query fields are not automatically wildcarded Patient ID Name Gender Birthdate Study Date Study Time Modality Accession Number Study ID BEN Referring Doctor Other IC E 111111111 TEST TEST M 1111411211 2010 09 23 oe 201009231126 201009231126 191111111 TEST TEST 10 11114141 2011201418 04 44 201101181505 201101181505 111111111 TEST TEST 1111411411 2011 01 18 D 201101181502 201101181502 E 111111111 TESTTEST M 1000 11 11 201
16. to the layout by dragging or using the Auto Populate function the print job will yield a blank page 6 5 8 Click Print to send the layout to the specified destination Apteryx Inc Page 24 of 54 APTERYX RW custom software October 11 2011 Doc type Document Title 6 6 Compare Images Images can be viewed side by side and compared using the Compare Images button This feature can be used to compare 2 3 or 4 images at a time Modality lO D Compare Images Modality 10 Acquisition Time 2011 02 01 15 30 Acquisition Time 2011 02 01 15 31 Teeth 1 2 3 30 31 32 Teeth 1 2 3 30 31 32 Simulated Image 5 V le Simulated Image 2 Bn Hide Text Link Views Aa e associatec El t Links actions in the various view together Image Information 1 When comparing images a set of image specific information is displayed in the upper right hand corner of the image tile This information includes Modality Acquisition Time Date and Teeth Association O Image information can be hidden using the Hide Text button located in the Toolbox Pop out Toolbars The Compare Images interface contains the same pop out toolbars found in the Image Enhancement interface These toolbars contains several enhancements which include zoom gamma adjustment brightness contrast and spot enhance For more information refer to the Pop out Toolbars section Toolbox The toolbox contains three tools o Hide Text
17. 0 09 23 15 46 48 0 10 201009231547 201009231547 NONE gt 111111111 TEST TEST CE 2010 09 23 15 45 01 0 JO 201009231545 201009231545 NONE 99123456788 TEST JOSIAH 2011 03 18 2011 03 18 11 16 34 0 IO 201103181116 201103181116 NONE CT 123456789 TEST JOE COIE 2011 02 01 15 43 120 10 201102011543 201102011543 NONE E KJI 223456789 TEST JOHN M 2011 03 18 2011 03 18 11 15 57 0 10 201103181116 201103181116 NONE 9 5 Correcting Data When the desired studies or images have been selected click the Correct button at the bottom of the screen which will open the Edit Image Information screen seen below Edit Image Information Edit Image Information Image UID lt Multiple Im rasa Patient ID UM Patient Last Name E MITH Patient First Name JOH N Patient Birth Date Daria 1960 10 10 lo D Patient Other IDs Patient Comments Patient Species Patient Breed Study Information Image Information a 201102011543 Accession 201102011543 Modality 10 Intra a Study Date 20 o2 0 Se m study Dat D i Acquisition Date eo fe gk Study ID 201102011543 S Instance Number E Heite a Docto NONE ne Acquisition Number Study Description Intra oral x ray Image Comments PA14 PA15 PA16 PA17 PA18 PA19 Study UID 12840114384 66146057 20110201 154312 E Image Type ER i EJ When editing multiple patients and studies the only information fields tha
18. 3 Select Edit Image Information 6 10 4 The Edit Image Information interface will appear allowing the modification of Patient Study Series and Image information Additionally the image orientation and tooth association can be changed r Edit Image Information Patient ID fa Patient Last Name SMITH Patient First Name JOHN ient Other IDs Ir ient Comments FO ient Branch of Service fe ient Species PO tient Breed Tel Study Information d 201105101207 Modality 10 Study Date 2011 jos fio Acquisition Date 2011 05 fi 0 Study ID 201105101207 Instance Number 1 Referring Doctor NONE Acquisition Number Study Description Intra oral X ray Image Comments PA 1 2 3 4 5 6 27 28 29 30 31 32 Study UID 1 2 840 114384 66146057 20110510 120631 EE FE Original E Primary l Ghosted I Retaken Series Number 1 Image Teeth Series Date 2011 o5 10 Series Description PA 1 2 3 4 5 6 27 28 29 30 31 32 Body Part Examined JAW y Series UID 1 2 840 114384 66146057 20110510 120631 23 22 21 20 19 18 17 Wltktleek 6 10 5 Click OK to save any changes made 6 11 Save Export Image Images can be exported and saved outside of XrayVision DCV using the Save Export Image utility Exporting images is commonly used when emailing images or if the user would like to save labels and enhancements placed on an image outside of our application for reference Several image
19. 4 2 3 Click Calibrate Image 7 4 2 4 w Labels 9 Undo Redo lt No Real Time Pier Interact With Labels Enables the interaction with labels using the mouse Pen Enables the placement of a pen labels on the image Measure Enables the placement of a measurement label on the image Arrow Enables the placement of an arrow label on the image O Ellipse Enablesthe placement of an ellipse label on the image CI Rectangle Enables the placement of a rectangle label on the image Text Enables the placement of a text label on the image Pa Time And Date ex Enables the placement of a time and date label on the image Advanced Labels gt Additional labels makers and annotations Save Label Properties Sets the current label properties as the default Calibration Options gt Calibrate Image erry Allows access to various calibration functions rrr Provides for measurement calibrations in the image Calibration Factor Management Y Remove Labels gt a Z Allows the removal of one or more labels from the image mrrr Accesses the features for managing the various calibration factors associated with images Hide Labels Prevents the labels from being displayed a 2 7 4 2 5 Click once and drag the crosshairs across the object of know distance or image dimension 7 4 2 6 Double click to finish the measurement 7 4 2 7 Enter the distance in millimeters Calibrate Measurements Repo
20. 54 APTERYX We October 11 2011 Doc type Document Title 4 3 10 To save the image to the database press the Done button Until the button has been selected the image can only be viewed from the workstation which the image was captured The Done button must be clicked to save images to the DCV DICOM database 4 4 Retaking an Image If an image has a defect or otherwise needs to be retaken the Take Retake Selected Entry button can be used to recapture the image To retake an image 4 4 1 Use the Stop the Capture Sequence button to pause progression capture 4 4 2 Select the tile that will be retaken by single clicking on the tile 4 4 3 Reposition the sensor in the patients mouth 4 4 4 Select Take Retake Selected Entry O After a new image has been captured using the Take Retake Selected Entry button the application will not progress to the next tile automatically The next tile must be selected and the Start Progression Capture button must be used to initiate the automatic capture sequence again 4 4 5 Select the next tile for capture and use the Start Progression Capture button to initiate the automatic capture sequence 4 4 6 The capture process will automatically continue until the progression is complete Once the progression capture is complete select Done 4 5 Viewing Retaken Images When an image has been retaken during progression capture an icon will appear on the image tile indicating that multiple
21. APTERYX custom software Apteryx Inc 330 376 0889 voice 313 S High St Suite 200 330 376 0788 fax Akron OH 44308 sales apteryx com www apteryx com Xray Vision DICOM Capture View User Manual Abstract Abstract This document contains work instructions related to utilizing the dental imaging application XrayVision DCV version 3 4 0 15 and above APTERYX W custom software Copyright 2004 2011 Apteryx Inc Apteryx is a registered trademark of Apteryx Inc All rights reserved All other trademarks and tradenames are the property of their respective owners Controlled Document Printed or downloaded copies are considered uncontrolled and are for reference only QMS_WI_TS_DCV_UserManual Apteryx Inc Page 1 of 54 Doc type Document Title APTERYX October 11 2011 custom software REVISION HISTORY E e Ek Revision Doc Revision Revision Description of Effective Author Approver s Change Level Date Revision Date Initials Initials Taski only documenting formatting changed Apteryx Inc Page 2 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software TABLE OF CONTENTS A e PP O PO OE e o Po O RP EOI A 2 TREO CONE Stencil er iaa 3 TI TRE USER INTER AU serna dt ac ata 5 1 1 EH 5 1 2 o A O E EPA ORO A A A O T 5 AAA A o o 6 2 1 A A O E En A E O A ES 6 2 2 Entering Patient into Vu le EEN 7 9 DINGLE IMAGE CAPTURE EE 8 3 1 Capturing Single Images from a
22. CED USER ee 42 8 1 EE 42 8 2 MPOR IMAdES arnes mcr a E E 42 8 3 Ma RR ege susan cabales 45 8 4 DISplay Monitor est Pater EE 45 8 5 rn Le asters O oe POE OL O A A E A 46 9 APPENDIX 1 DATA CORRECTION oscars nodo als 47 9 1 Basic Mee ei LEE 47 9 2 TEEN 47 9 3 Dala COMO CHO RE 48 9 4 Selecting Patient Studies cccccccccccocoonnccnnnnononononnnononononononannnnnnnonononnnnncnnnnnnnnnnnnnnnnnnnnnnnnnananennns 48 9 5 OS CHA DA leo ptes 49 Apteryx Inc Page 3 of 54 ll AR October 11 2011 Doc type Document Title 10 APPENDIX 2 REPORT GENERATOR uo E E ET 50 fe WEE o AM e RPP POCO E ME 0 50 RCM Ne A o E EE E A Oi 50 TOS ole aa lie ga o e RO PO PSOE ET A o SE a aans 52 10 4 Generate Report ENEE 53 Apteryx Inc Page 4 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software 1 THE USER INTERFACE 1 1 General Overview The user interface within XrayVision DCV is designed to be as intuitive as possible to capture view and distribute images The application is wizard driven and provides a series of buttons that walk through each function of the application DCV or XrayVision DICOM Client Viewer provides a simple interface for users to capture and save images to a DICOM server DICOM is a medical imaging standard which attaches patient and image specific information to each image captured for a patient 1 2 Interface E XrayVision DCV Sox XrayVision DCV Version 3 3 4 0 15 Copyrigh
23. Cephalometric Intra oral etc e Progression A progression is a grouping of study related intra oral images instead of a rigid arrangement of images Progression views offer more relational information for each image in the study including their anatomic structure tooth relationships and relational positioning to one another Page 7 of 54 pects had October 11 2011 Doc type Document Title 3 SINGLE IMAGE CAPTURE 3 1 Capturing Single Images from a Sensor 3 1 1 Select Capture Images on the home screen 3 1 2 Enter all required patient information 3 1 3 From the Modality Progression dropdown list select Intra oral X ray Capture a new image or image series Worklist Specification x Patient ID 123456789 Last Hame DOE First Name JOHN Birth Date Gender 2011 jos os M Accession Humber Modality Progression intra oral X ray lO Intra oral a rau ha IO a 2 Panoramic a Han PX K 4 Bite Wing Series lO K EMS 1118 lO K 2 Bite Wing Seres lO 4 Vertical Bite Wing Wie lO Down 3 1 4 Click Manually Create Order 3 1 5 Select the device that you wish to capture from a Select Captur Select the device that you wish to capture from Target Modality Modality Compliant Image Capture Options Imaging E xtension j D escription Version Supported Modalities iS v gt sy Digital x ray Image Capture Double click on this item to see the imaging extensions tha
24. IDB R4 1 10 Notes Regular Platform Self Tapping Implant BA 110 mm 10 mm length of the blasted area IDB R4 1 12 Dimensions 4 1 mm diameter by 12 0 mm long Product Family IDB Product Code IDB R4 1 12 Notes Regular Platform Self Tapping Implant 84 1 12 mm 12 mm length of the blasted area IDB R4 1 8 Dimensions 4 1 mm diameter by 8 0 mm long Product Family IDB Product Code IDB R4 1 8 Notes Regular Platform Self Tapping Implant 04 1x8 mm 8 mm length of the blasted area IDB W4 8 10 a Dimensions 48 mm diameter by 10 0 mm long Update List IDB R4 1 10 Dimensions 4 1 mm diameter by 10 0 mm long Magnification Factor f 00 X Cancel 7 4 3 5 7 4 3 6 Add your implant to the image by clicking on the graphic representation in the list 7 4 3 7 Using the grey boxes the implant can be rotated and moved around the image as shown seen below Apteryx Inc Page 37 of 54 APTERYX NW October 11 2011 Doc type Document Title custom software Calibrated el The current image has been calibrated 4 Manufacturer Simulated Image Madal DCimmul atad Imaan O Implant properties may be modified by double clicking on the image These properties allow the color fill color and pen size to be modified 7 5 Pop out Toolbars The Image Enhancement interface contains two pop out toolbars contained in the lower right and left hand corners of the image viewing area These toolbar
25. In this report the Images count is organized by Year the Series count is displayed by Year Month and the Study count is displayed by Year Month Day 10 4 Generate Report After all criteria for a report has selected 10 4 1 Click Generate Reports button 10 4 2 A blue status bar will appear along the lower portion of the window indicating the progress of the report 10 4 3 Once it has finished the report will be sent to the specified location on the computer and or to the printer Apteryx Inc Page 53 of 54 APTERYX y October 11 2011 Doc type Document Title custom software END OF DOCUMENT Apteryx Inc Page 54 of 54
26. Manually Create Order The Manually Create Order button will begin the image capture process The capture process may be started only after all required patient information has been entered Apteryx Inc Page 6 of 54 custom software Luk October 11 2011 Doc type Document Title Entering Patient Information To manually create a new patient 2 2 1 2 2 2 2 2 3 2 2 4 Apteryx Inc Select Capture Images from the home screen Enter all required patient information Patient ID Last Name First Name Birth Date and Gender are required all required by default Capture a new Image or image series Worklist Specification Patient ID 23456783 Last Hame DOE First Name JOHN Birth Date Gender 2011 os jos M Accession Number Modality Progression d To modify the required information settings click Advanced User Tools gt Preferences gt Data Entry gt Worklist Mandatory Data Entry Fields Click Manually Create Order to begin the capture process O Until a patient has X rays taken they will not appear in the Auto Match list or Image Query results For more information on the Auto Match List PLEASE SEE Modality Progression is a non mandatory worklist specification option This dropdown list allows the user to preselect a specific modality or progressions that they plan to capture e Modality Modality refers to a specific type of X ray such as Panoramic
27. YX October 11 2011 Doc type Document Title 8 2 4 4 Select Image Importer from the device list P Rp Select Capture Device Select the device that you wish to capture from Target Modality Modality Compliant Image Capture Options Imaging Extension Description Version Supported Modalities Support Y sy General Image Capture Double click on this item to see the imaging extensions that fall under this category Pe Image Importer Imports images from external imaging sources Version 10 10 0 0 2 OT xC 1 2 6 E TWAIN Capture Acquires images from TWAIN compliant devices Version 10 10 0 0 1 OT HC CR 1 2 6 4 II p Click or tap on the imaging extension that should be used to acquire the images Cancel Abort capturing of an image 8 2 4 5 The Image Importer interface will appear T 8 Import Opens the file dialog to allow you to selec what images are to be imported Image Operations Functions for rotating flipping and inverting the selected image DICOM Operations ie Functions for changing DICOM aspects of gt images O Delete Selected Images Discards the currently selected images Drag nd Drop Targets EA DX Cancel Cancels the current acquisition 8 2 4 6 Choose Import 8 2 4 7 A Windows Explorer window will appear allowing images to be selected O Multiple images can be imported simultaneously by holding the Shift key 8 2 4 8 Drag each i
28. a disk Co Edit Image Information Permits modification of the DICOM information associated with the image kd Export DICOMDIR ge Exports a DICOMDIR of the selected images Save Export Image Br Saves the selected images to a file H Save Export All Images As A Single Image Merges all of the images into a single layout and then saves the single image to a file ca Apteryx Image CD DVD Burner Used to burn image CDs or DVDs Launch Application Contains the various application detinitions that permit you to launch other applications based on the currently viewed image e Edit Image Information Edit image information allows the editing of DICOM information associated with a single image e Save Export Image Save Export Image allows an image to be saved outside of our software as a non DICOM image Apteryx Inc Page 27 of 54 bk EA October 11 2011 Doc type Document Title e CD DVD Burner This function allows all selected images to be burned to a disk If no images have been highlighted they will all be burned to the disk 6 10 Editing Image Information 6 10 1 Highlight the image thumbnail whose DICOM information is to be modified O Only one image may be edited at once using the Edit Image Information tool If multiple images have been selected this tool will become unavailable To correct multiple images simultaneously please see Appendix 1 Data Correction 6 10 2 Click Image Operations 6 10
29. age to be viewed Presentation Mode Presentation Mode allows an image to be viewed full screen This mode also removes all colors from the screen allowing the image to be viewed in true black and white e KR Brightness Contrast Brightness and contrast are combined into a single tool allowing them to be simultaneously adjusted Brightness is adjusted by clicking and dragging upwards or downwards on the image Similarly contrast can be adjusted by clicking and dragging left or right on the image These tools have been combined so that they can be used to complement each other e ah Gamma Gamma adjustment uses the same adjustment methodology as Brightness Contrast tool seen above Clicking and dragging the mouse horizontally along the image will increase or decrease the Gamma adjustment Gamma performs a similar function to Brightness Contrast in that it will lighten or darken an image Gamma adjustment differs in that it is dynamic where Brightness Contrast Is static Gamma maintains all of the relational information between different hues in the image so that information is never lost regardless of the extremity of the adjustment o Magnifying Glass The magnifying glass can be used to magnify a specified area on the displayed image The settings for this glass can be adjusted by double clicking on the image These settings allow the glass size and the degree of magnification to be adjusted which ranges from 2X to 5X zoom
30. ains all settings options and permissions within XrayVision DCV Please see your IT staff or contact Apteryx for help Apteryx Inc Page 46 of 54 APTERYX October 11 2011 Doc type Document Title 9 APPENDIX 1 DATA CORRECTION 9 1 Basic Functionality DCV Data Correction is a function that allows users to correct patient information associated with DICOM images This tool is used if patient information has been entered incorrectly causing the patient to be displayed incorrectly in DCV The more information that is entered in the search fields the more accurate the search results will be and the faster the search results will return If little or no information is entered when searching the search will take significantly longer and will return a much wider range of patients There are several places where the Data Correction feature is located in XrayVision DCV This tool can be found under Advanced User Tools in the Query Results screen as well as in Permission and Data Correction tab of the Preferences These differ from the data correction available through the Edit Patient Information option found when viewing an image because they allow for multiple images to be corrected at once rather than on an image by image 9 2 Query for Images When performing a normal image search using the View Images button on the home screen wildcards are automatically applied to each search field This is different from the Data Corre
31. atient list Import Images AS Enables you to import images into the database Data Correction Advanced User Tools i Permits you to correct data associated with one or more images 8 Advanced usertools including pre s import utilities image fonwarding options database selection Report Generator Launches the report generator with the currently selected database 8 2 2 3 Select the folder containing DICOM images to be imported r Copy Images To Database Select the directory containing the images that are to be imported to the local database KE Path Eu sers kyle parker Desktop B IT Recurse the sub directories 8 2 2 4 Click OK 8 2 3 Common File Image Importer Common file formats such as Jpeg TIFF and BMP can be added to the DCV database using the Image Importer extension To import images 8 2 4 Importing Images 8 2 4 1 Select Capture Images on the home screen 8 2 4 2 Enter all required patient information Capture a new image or image series Worklist Specification x Patient ID 123456789 Last Name DOE First Hame JOHN Birth Date 7 Gender 2011 jos os M Accession Number Modality Progression intra oral X ray ID e intra oral X ray N O Panoramic X Ray EN K 4 Bite Wing Series ID IK EMS 18 Io II 2 Bite Wing Seres lO Fe 4 Vertical Bite Wing Wire IO Down 8 2 4 3 Click Manually Create Order Apteryx Inc Page 43 of 54 APTER
32. ation of information in the report An unlimited amount of options may be used simultaneously for a single report Likewise all of these options may be left blank which will provide a very basic report that contains image counts for primary ghosted and retaken images as well as a total image count The number of criteria selected for the report will dictate the length of time required for the report to generate 10 3 1 Image Information There are several image specific options that can be enabled to provide detailed information about the image These options include Modality Doctor Station Location Operator and Sensor capture counts Additionally when using Modality count Intraoral can be further broken down so that listings Bitewing and Periapical differentiated e Modality The Modality Count option allows for the image counts to be further broken down by modality such as Intraoral Panoramic Cephalometric etc e Doctor count Doctor count provides the number of images captured for patients assigned to the Referring Doctor e Station count Short for Workstation Station Count records the name of the computer on which the image was captured e Operator count Operator count reports the user that is logged into the computer at the time of capture e Location count Location count reports the clinic or office where the image was captured e Sensor capture Sensor capture provides a count of how many images per piece of ha
33. base press the Done button Until the Done button has been selected the image can only be viewed from the workstation which the image was captured O By default the Modality Progression dropdown list is not required If this field is left blank users will see another prompt during the sequence to select the Modality Page 10 of 54 Ee October 11 2011 Doc type Document Title 4 PROGRESSION CAPTURE 4 1 General Information A progression is a grouping of study related intra oral images instead of a rigid arrangement of images found in traditional layout style mounts Progression views offer more relational information for each image in the study including their anatomic structure tooth relationships and relational positioning to one another O Each progression in XrayVision DCV can be modified using the Progression Editor tool found in the application install directory or in the start menu under Start gt All Programs gt XrayVision DCV gt Progression Editor For more information on the Progression Editor utility please see the Progression Editor User Guide 4 2 Interface The Progression Capture interface is designed to allow users to capture a series of images without clicking or additional actions after selecting the Start Progression Capture button a Progression Capt ax Start Progression Capture Starts the capture of the progression Take Retake Selected Entry Takes or retakes
34. ction feature found in the Advanced User Tools where you have to use an asterisk to apply a wildcard to a search field A wildcard allows partial names or IDs to be used in the search fields which retrieves all patients that match those characters As seen below if the letters Jo are entered in the first name field the search will return every patient whose name starts with the letters Jo ision DCV n Query for an image series Query Specification x A Query For Images Queries the selected data servers for patients matching the specified information Patient ID Last Name First Name Birth Date 7 Gender Modality Study Date Sources To Be Queried Data Source Notes lt Local Database Path C Program File 401 m b d Patient ID Name Gender Birthdate Other IDs Patient Comments 6788 TEST JOSIAH M 2011 03 18 SE Been 6789 TEST JOHN M 2011 03 18 Beien 6789 TEST JOE M 2011 03 18 A search based on a study date can also be performed which finds all images captured over a specified date range If images have been captured under the incorrect patient this date range search can be used to locate and correct those images using the Data Correction icon seen below The Data Correction icon located below the search results allows patient information for the selected patients to be corrected directly from the search results The Data Correction icon in the Query screen is
35. ctions and information regarding the Report Generator see Appendix 2 Report Generator e Display Monitor Test Pattern This utility helps users to properly adjust the brightness contrast settings for their display e Preferences Preferences contains all settings options and permissions for XrayVision DCV and is password protected 8 2 Import Images The Import Images tool allows DICOM images to be added to the DCV database in bulk Common file formats such as jpeg bmp and tiff cannot be added to the DCV database using this tool To import common file format images the Image Importer extension is needed and is used just like normal image capture 8 2 1 DICOM File Image Import The Import Images tool found in Advanced User Tools is used to import DICOM images in bulk O If the Import Images tool does not appear in Advanced User Tools it must be enabled in Preferences To enable this option please contact your IT staff or Apteryx Technical Support 8 2 2 Importing Images 8 2 2 1 Click Advanced User Tools 8 2 2 2 Click Import Images Apteryx Inc Page 42 of 54 APTERYX October 11 2011 Doc type Document Title custom software i Capture Images Ki Captures new images for a patient based on a modality worklist and stores them to a DICOM server View Images Vie es for a patient based on a DICOM query etri refetched images Import Patient List et Permits you to import patients from an external p
36. e Filter 7 6 1 1 Click the Real Time Filter tab 7 6 1 2 Select a real time filter S OFF Apteryx General Enhancement Performs Apteryx general enhancement imaging algorithms on an image Q OFF Custom Image Enhancement Performs custom imaging algorithms on an image OFF General Endo Enhancement Performs general endo enhancement on an image OFF Test Image Enhancement Performs general imaging algorithms during testing on an image OFF Standard Equalize Fast Noise Removal Equalize OFF Standard Adaptive Normalize 1 Fast Noise Removal Adaptive Normalization OFF Standard Adaptive Normalize 2 Fast Noise Removal Adaptive Normalization OFF Standard Adaptive Normalize 5 Fast Noise Removal Adaptive Normalization OFF Standard Sample Gamma 1 5 Fast Noise Removal Gamma Correction OFF Standard Sample Gamma 0 7 Fast Noise Removal Gamma Correction OFF Standard Endo Enhancement Noise Removal Adaptive Normalization Laplace Edge Enhancement Gamma Correction Level Adjustment Image Filters Options b Enables you to modify the options associated with the various imaging algorithms 7 6 1 3 When a real time filter is applied the tab will appear green O The same process is used to remove a Real Time Filter Expanding the Real Time Filter tab and clicking on the green highlighted filter will remove the filtering from the image 7 6 2 Modifying Image Filter Options
37. e is a master database this can be added to the sources to be queried allowing the user to select the database s they would like to include in the search O It is recommended that only the local database is checked for daily operation If a master database is left selected the search time may take dramatically longer depending on the size of the database Apteryx Inc Page 16 of 54 APTERYX October 11 2011 Doc type Document Title 5 1 3 Search Controls Once the search result return there are several actions that can be taken View Patient BurniExport Patient Es e Select this option to wiew all the images for Select this option to burnfexport all the the selected patient i images for the selected patient 5 1 3 1 View Patient Study Series Image Double clicking on any patient from the search results will expand their file revealing studies series and images respectively The View button will reflect the item selected in the search results For instance if a patient name is selected the button will read View Patient 5 1 3 2 Burn Export The Burn Export allows the selected item to be exported or burned to a disk Images are exported and burned in the DICOM image format and can be viewed in the included DCV Quick View application 5 1 3 3 Data Correction The data correction utility allows patient study series and image information to be modified For more information on the Data Correctio
38. ect the Color Palette icon 7 2 4 3 Select Area Select 7 2 4 4 Click and drag the crosshairs to select the area to be used as the derived image BOLAA RADA 7 2 4 5 Click Options Apteryx Inc Page 33 of 54 APTERYX October 11 2011 Doc type Document Title custom software 7 2 4 6 Select Create New Image From Selection 7 2 4 7 The derived image will appear as a new thumbnail 7 3 Enhancements Enhancements are filters that can be applied to an image with a single click These filters can be applied multiple times providing an increased degree of enhancement e Equalize The equalize tool enhances an image by redistributing contrast intensities across so the values are more equal This provides a more evenly contrasted image revealing bone density changes clearly e Normalize The normalize tool enhances an image by stretching the lightest shade of grey to white and the darkest shade of grey to black and distributes every shade between them appropriately across the grey scale This tool reveals data that may not be visible as a result of under or overexposure for example e Image Filters The image filters menu contains the same tools as the Real Time Filters tab e Noise Reduction There are two types of noise reduction tools available Fast Noise Reduction and Noise Reduction For normal intra oral images there is only a 3 4 second difference between full Noise Reduction and Fast Noise Reduction
39. ections include Patient Information Image Information and Result Controls 5 1 1 Patient Information Unlike the Capture Images portion of DCV there is no required patient information to query for images The more information provided in these fields the more accurate the search results will be O As a result of no required information fields a blank search can be performed that will yield the entire patient database This is not recommended as it can take a significant amount of time depending on the size of the patient database 5 1 2 Image Information Aside from patient information there are several pieces of information that can be used to search for images These can be used alone or in conjunction with any other information entered for a search to yield a more accurate search result These include 5 1 2 1 Modality This option allows for an individual Modality to be queried for This can be used to search for all patients matching a given modality or all images for a specified patient for a given modality 5 1 2 2 Study Date Study date allows all images for a specified date range to be returned in a search If images have been captured under the wrong patient this function could be used to locate those images 5 1 2 3 Teeth This option allows a search to be performed for a given set of teeth 5 1 2 4 Sources to be Queried This option is utilized if there a site uses multiple databases Additionally if ther
40. ed this selection can be changed to Date Range and the Date Range fields can be used to specify a time period 10 2 3 Save and Print The DCV Report Generator can handle reports in two ways reports can be sent directly to a printer or they can be saved as a text file If there is a printer attached to your computer it will appear in the dropdown list once the checkbox next to Printer has been checked Reports may also be saved as a text file for review and storage Once the File option has been checked a file destination path may be selected by using the folder icon to the right of the path field After clicking on the folder icon a Save As screen will appear allowing a location on the local computer or network to be selected for storage of the report This feature is commonly used for documentation and record keeping purposes where users would like to have a digital copy of each report that has been generated for a clinic or database Note When Printer has been selected the user may choose to print a thumbnail sheet that can contain 3 7 images per sheet This option is left deselected by default due to the paper requirement to print a thumbnail for every image contained in a large database Apteryx Inc Page 51 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software 10 3 Report information The DCV Report Generator allows users to customize the report to provide any combin
41. es like a normal image search in DCV any combination of patient information can be used to search for images Correcting data using the Data Correction utility differs from a normal image search because wildcards are not automatically applied the search fields To wildcard these search fields manually an asterisk can be placed at the beginning or end of the patient s ID or at the end of their first or last name 9 4 Selecting Patient Studies P Image Data Correcti Image Data Correction J eee E Query Specification x Patient ID Query For Images Patient Last Name SMITH Patient First Name Queries the selected data servers for patients matching the specified alc Date Z yy WW o je raton Study UID PO Note Query fields are not automatically wildcarded Patient ID 3 a Name E Gender Birthdate Study Date J Study Time Modality Accession Number Study ID l Referring Doctor Other IDs Patient pe 29111111111 SMITH JOHN o 1960 10 10 2011702701 15 43 12 0 10 201102011543 201102011543 NONE 29111111111 SMITH JOHN 0 1960 10 10 2011 02 01 15 33 05 0 10 201102011533 201102011533 NONE ek 111111111 SMITH JOHN M 1990 01 12 2011202201 15 31 21 0 10 201102011531 201102011531 NONE 39111111111 SMITH JOHN M 1960 10 10 2011 02 01 15 30 18 0 10 201102011530 201102011530 NONE Search results are listed as studies rather than entire patient files because
42. file types can be selected within the Export Images interface jpeg tiff bmp and DICOM A Warning DICOM files should never be emailed Every DICOM file contains the associated patient s first name last name date of birth and social security ID number Given the insecure nature of email only jpeg bmp and tiff should be used in favor of DICOM as they do not contain any patient information Because jpeg bmp and tiff do not contain DICOM information there are several filename base specifications which can places non sensitive patient information in the filename so it can be recognized outside XrayVision DCV To export images Apteryx Inc Page 28 of 54 EEN October 11 2011 Doc type Document Title 6 11 1 Highlight the image thumbnail s to be exported 6 11 2 Click Image Operations 6 11 3 Select Save Export Image 6 11 4 From the Export Images interface seen below users can specify the target directory file type as well as file name kx Export 3 images A Specify the exporting options below and then click on the OK button Target Directory CH sera kyle parker Desktop I gt Image File Format Overwrite Ur Append Action Append Images To The Sequence we Filename Base Specification Patient Name And ID Filename Base Sample Doe_John_1234 DN Export ML image information files Resize the images to fit in the following dimensions 800 600 appended with a sequence number
43. ge Enhancements screen these changes are saved e Edit Image Notes Edit image notes allows notes to be appended to an image By default the image notes field is populated with the tooth numbers contained in the image e Done The done button will return the images back to the image collection screen allowing them to be viewed in detail 4 2 2 Tiles Each image contained within the progression will have a respective tile The number in the center of each tile associates with the shots represented in the anatomical chart above Additionally the tooth numbers contained within each tile 4 2 3 Tooth Chart The tooth chart displays each shot in of the image so it can be seen anatomically When a progression tile is selected the associated shot from the chart above will be highlighted indicating the current image to be captured 4 3 Capturing a Progression To capture a Progression 4 3 1 Select Capture Images on the home screen 4 3 2 Enter all required patient information 4 3 3 From the Modality Progression dropdown list select the Progression you will be capturing Worklist Specification x Patient ID Last Name First Name EEE Birth Date Gender wy MM po z Accession Number 4 Bite Wing Series hd Panoramic X Ray Modality Progression 9 4 Bite Wing gr 10 CO FMX H8 P 3 2 Bite Wing Series 10 4 Vertical Bite Wing Wire 10 Down 3 4 Vertical Bite Wing Wire Up 10 D Contin
44. h can places non sensitive patient information in the filename so it can be recognized outside XrayVision DCV Exporting Images 7 2 3 1 Highlight the image thumbnail s to be exported 7 2 3 2 Click Image Operations 7 2 3 3 Select Save Export Image 7 2 3 4 From the Export Images interface users can specify the target directory file type as well as file name Apteryx Inc Page 32 of 54 APTERYX bw October 11 2011 Doc type Document Title Target Directory cau sers kyle parker Desktop Oo Image File Format Compresson 5 JPG Image iP No Compression Overwrite Or Append Action Append Images To The Sequence Filename Base Specification Patient Name And ID Filename Base Filename Base Sample Doe_John_1234 X Export XML image information files e LH Export the selected IOn OF mE Image T Resize the images to fit in the following dimensions 800 x 600 Note Mutliple images will automatically be exported as a sequence The target filenames will automatically be Cancel appended with a sequence number 7 2 3 5 Click OK to export the selected image s 7 2 4 Create Images from Selection If enabled users may create a derived image from an original image This feature allows a new image to be created and saved in the database containing any labels and modifications performed on an image To create a derived image 7 2 4 1 Expand the right hand pop out toolbar 7 2 4 2 Sel
45. id the diagnostic process Additional information about the enhancements found in this menu can be found in the Enhancements section o Labels The labels menu contains several tools and graphics that can be applied to an image Some of these tools and graphics include text measurements as well as implants Additional information can be found in the Labels section o Undo Redo Changes applied to an image can be undone or redone one by one using the Undo and Redo tools contained within this menu Additionally all changes can be removed at once using the Original option o Real Time Filters Real time filters are post capture filters that can be left on so images are automatically displayed with the filter applied Additional information can be found in the Real Time Filters section e Pop out Toolbars 2 The pop out toolbars contain the most commonly used tools when modifying images Information and descriptions of each of these tools can be found in the Pop out Toolbars section e Image Information Tabs 3 These tabs provide a condensed version of the DICOM Tags screen containing the essential DICOM tag information Patient Study Series and Image information such as Name Date of Birth ID number taken date etc Apteryx Inc Page 31 of 54 custom software October 11 2011 Doc type Document Title 7 2 Options 7 2 1 7 2 2 7 2 3 Copying Images Images can be copied with or without labels directly out
46. images have been captured for that particular shot This icon is seen on the tile below 1 Teeth 1 2 3 30 31 32 To view retakes or select a new primary image 4 5 1 Click the multiple images icon located in the lower right corner of the image tile 4 5 2 The Image Selection screen will appear Apteryx Inc Page 14 of 54 APTERYX V October 11 2011 Doc type Document Title Accepts the currently selected image O The primary image represented in the progression capture interface will be highlighted in yellow and can be changed by selecting a different image All other images shown in the Image Selection screen are automatically classified as Retaken 4 5 3 Each retaken image is represented in this interface The scrollbar along the bottom of the window allows each retaken image to be viewed 4 5 4 Click OK once an image has been selected as primary Apteryx Inc Page 15 of 54 a M October 11 2011 Doc type Document Title 5 QUERYING FOR IMAGES 5 1 Query Interface F XrayVision DCV Query for an image series Query Specification x Query For Images Queries the selected data servers for patients matching the specified information lt All Teeth gt Notes lt Local Database gt Path C Program File Dan Patient ID Name Gender Birthdate Other IDs Patient Comments There are three main sections of the Query for Images portion of DCV These s
47. inted copied to clipboard or saved outside the application with the enhancements and labels placed on an image for reference purposes The Image Enhancement interface contains three main sections e Toolbox 1 The toolbox is situated along the top of the Image Enhancement interface and contains several drop down menus including o Print The print dropdown contains two options Print and Print with Labels These options allow the user to send the image currently being viewed to a Windows recognized printer if present with or without labels For additional information and workflow steps to print images refer to the Print Images section o Options The options menu contains information and file based tools that allow a user to copy an image to clipboard save export images edit image information view DICOM tags as well as burn images Additional information regarding the tools found in the options menu can be found in Options section o Flip The flip drop down contains tools that allow the user to temporarily flip an image horizontally or vertically These are working tools whose changes will not be saved unless the current user has the permission to do so o Rotate The Rotate drop down allows the user to rotate images 90 degrees clockwise 90 degrees counterclockwise 180 degrees clockwise or a custom rotation specified by the user o Enhance The enhance menu contains several enhancements that can be applied to an image to a
48. located to the right of the bottom tray of buttons and can be seen below Se View Patient et Burn Export Patient CG Select this option to view all the images for Se Select this option to burnfexport all the the selected patient images for the selected patient Apteryx Inc Page 47 of 54 APTERYX custom software 9 3 Data Correction P Image Data Correcti October 11 2011 Doc type Document Title Image Data Correction A A Query Specification x Patient ID Patient Last Name Patient First Name Patient Birth Date Gender Study UID Note Query fields are not automatically wildcarded Patient ID Name Gender Birthdate Study Date Study Time 9 111111111 SMITH JOHN 0 1960 10 10 2011 02 01 15 43 12 0 H 111111111 SMITH JOHN 0 1960 10 10 2011 02 01 15 33 05 0 39111111111 SMITH JOHN NM 1990 01 12 2011 02 01 15 31 21 0 39111111111 SMITH JOHN M 1960 10 10 2011 02 01 15 30 18 0 Query For Images Queries the selected data servers for patients matching the specified information Modality Accession Number 201102011543 201102011533 201102011531 201102011530 Study ID 201102011543 201102011533 201102011531 201102011530 Referring Doctor NONE NONE NONE NONE Other IDs Patient Data can be corrected using the Data Correction utility found in Advanced User Tools and in Preferences This utility operat
49. mage to its appropriate Modality using the Drag and Drop targets located in the lower left hand corner of the Importer interface Apteryx Inc Page 44 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software Ope ve file dialog to allow you to selec images are to be imported Image Operations Functions for rotating flipping and lected image Operations unctions for changing DICOM aspects of gt Delete Selected Images Discards the currently selected images Drag And Drop Targets 8 2 4 9 Click Done to import all selected images 8 3 Data Correction DCV Data Correction is a function that allows users to correct patient information associated with DICOM images This tool is used if patient information has been entered incorrectly causing the patient to be displayed incorrectly in DCV For additional information on Data Correction please see Appendix 1 Data Correction 8 4 Display Monitor Test Pattern Display Monitor Test Pattern is a tool used to properly adjust the brightness and contrast settings on a computer monitor Clicking on this utility will display a series of segmented spectrums from black to white each of which should be visible if the brightness and contrast settings have been properly adjusted Each distinction should be visible as seen below if the monitor has been properly adjusted If the shades are skewed to one side of the spectrum making some of
50. n the image Advanced Labels Angle Additional labels markers and annotations Enables the placement of an angle label on the image Bisecting Line Save Label Properties Enables the placement of a bisecting line label on the image Sets the current label properties as the default e NS Four Point Bisection Calibration Options Enables the placement of a four point bisection label on the image mreng Allows access to various calibration functions e Ly Relative Angles Enablesthe placement of a relative angle label on the image Remove Labels 2 Allows the removal of one or more labels from the image Straight line Enables the placement of a straight line label on the image Hide Labels Prevents the labels from being displayed Implants Enables the placement of an implant label on the image 7 4 3 4 Using the crosshair cursor click the screen to open the Implants interface r Select Implant Select the implant to add to the image Manufaturer Almitech Family IDB IDB N3 3 10 Dimensions 3 3 mm diameter by 10 0 mm long Product Family IDB Product Code IDB N3 3 10 Notes Narrow Platform Self Tapping Implant 3 3 10 mm 10 mm length of the blasted area IDB N3 3 12 Dimensions 3 3 mm diameter by 12 0 mm long Product Family IDB Product Code IDB N3 3 12 Notes Narrow Platform Self Tapping Implant 03 3x12 mm 12 mm length of the blasted area Product Family IDB Product Code
51. n utility please see the Data Correction User Guide 5 1 4 Query Results Query results are displayed in the DICOM nesting structure which displays search results by patient name Each patient file can be expanded by double clicking to reveal all studies series and images associated with the selected patient as seen below 1111 TEST TEST 1111711711 Modality Accession Number Stu Study lrg 201 009231126 201009231126 NONE Intra oral A rau 1 2 840 1 Modality Body Part Referring Doctor Study Description Time Related Images Description Series Instance UID 1 2 840 114384 661 48057 Acquisition Number Image Instance Number Type Acquisition Date Acquisition Time Comments S ORIGINSLAPRIMAR 207009723 11 26 04 0 Ka PRIMARY 2070409723 11 26 07 0 Ka URI PRIMARY 2070 09 23 11 26 17 0 GH ORIGINSLAPRIMAR 207009223 11 26 15 0 e ORIGINALSPRIMARY 2010 09 23 11 26 18 0 H a 201140118 14 58 14 0 IQ 201101187502 201101181502 NONE Intra oral ray 1 2 540 1 ee 1111 TEST TEST M 2011 1111 ee 1111 TEST TEST M 2222111 ee 1111 TEST TEST 0 1177 77 11 a 1111 TEST TEST M 1000 11 11 e Patient 1 Be default search results are displayed as a listing of patients ID number Name Gender and DOB are all displayed e Study 2 A study contains all series and images for a patient during one visit e Series 3 Series contains one type of image
52. nerated Although multiple databases can be supported simultaneously within DCV the Report Generator can only generate a report for one database at a time After clicking Select Database the following window will appear Apteryx Inc Page 50 of 54 APTERYX October 11 2011 Doc type Document Title Database Options These options specify the path to the desired database directory and yarious aspects of database interaction You should not change this setting unless directed to do so by technical support or your network administrator Database Path Kai Programs Patrick H DC 2010 D atabases Q T Enable database caching This option requires more memory but can significantly reduce latency i accessing a heavily chaning or networked database Changing this setting will not take effect until the application is restarted Wildcard Support Simple fastest lookups This path will be pre populated with the Databases folder located in the director in which the DCV Report Generator executable is located If your database is located in a remote location this tool can be used to navigate to the correct database path 10 2 2 Date Range Reports can be generated about an entire database at once or for a given date range which can be selected under the Report Type section By default this option is set to All Records which will create a report for the entire database If a specific date range is requir
53. onal information regarding this screen see the Image Collection Screen 5 3 Burn Export From the image query results any combination of patients studies series or images can be selected to be burned to a disk The button seen at the bottom of the Query Results interface will change with the item that is selected 5 3 1 To Burn Export Patients 5 3 1 1 Click View Images from the home screen of DCV 5 3 1 2 Enter search criteria For additional information about search criteria see the Query Interface section 5 3 1 3 Click on Query For Images 5 3 1 4 From the search results select the desired items to be burned to a disc EE A 1111 11 11 Study Date Study Time Modality Accession Number Study ID Refertit 9 2011 018 1458140 10 201101181502 201101181502 NONE Date Time Modality 0 Image Instance Number a Type Acquisition Date Acquisition Tim Ei ORIGINALAPRIMARY 2011 0118 15 02 19 0 2010 09 23 15 45 01 0 Id 201 009231545 201009231545 NONE ee mnn HERE A TEST TEST M 2222 11 11 ee 1111 TEST TEST O 1111711711 5 3 1 5 oe 1111 TEST TEST M 1000 11 11 5 3 1 6 Select Burn Export Patient Apteryx Inc Page 18 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software 6 IMAGE COLLECTION SCREEN 6 1 Interface The Image Collection Screen interface displays all a collection of thumbnails for each selection from the search results This is designed to gi
54. pano with a set of annotation boxes for each image 2 sets of 4 BWX 4645 and Pano with annotations 4 BWS and pano with a set of annotation boxes for each image 4 BWS in block format 4 BWS arranged in a block 4 BW list with annotations 4 BWS with annotations in a list form 4 general images in block format 4 general images arranged in a block FMX 18 Pano Apteryx Inc Page 22 of 54 Doc type Document Title October 11 2011 APTERYX custom software 6 4 3 Message 3 The Message field allows notes and text to be appended to a printed document 6 5 Printing a Layout To print images in a layout 6 5 1 Select Print from the Image Collection screen Print Images Prints all of the listed images to a Window s printer 6 5 2 The Print Images interface will appear Select the images to be included for printing using the checkbox on the image tile fa Print Images Y SS XA Kg Microsoft XPS Document Writer v Multiple Print Format Layout Layout Format 4 general images in block format T Auto populate layout 4 general images arranged in a blok e Message 6 5 3 Select your printer Printer Microsoft PS Document Writer Setup Printer WOITSHP Color Lasentet 4600 PCL E 3 MAMAR Laserjet 4300 PCL E K Sets up how the printer will print Fas Microsoft HPS Document Writer WebEx Document Loader 4 general images arranged ina block e e 4 general images in block format Auto
55. populate layout the image 6 5 4 From the Multiple Print Format dropdown list choose Layout 6 5 5 From the Layout Format dropdown list select your desired layout Apteryx Inc Page 23 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software Multiple Print Format S ES up how the printer will print Layout MM the image Layout Format 4 general images in block format 4 general images arranged in a block e sj 4 general images in block format 4 general images aranged in a block 4 BWS and Pano with annotations 4 BWS and pano with a set of annotation boxes for each image 2 BW S and Pano with annotations 2 BWS and pano with a set of annotation boxes for each image 2 BWS and Pano with annotations 2 BWS and pano with a set of annotation boxes for each image 2 sets of 4 BWX 4 PWS and Pano with annotations 4 BWS and pano with a set of annotation boxes for each image 4 BWS in block format 4 BWS arranged in a block 4 PWS list with annotations 4 BWS with annotations in a list form 4 general images in block format 4 general images arranged in a block FMX 18 Pano 6 5 6 Select Print 6 5 7 The Print Layout interface will appear containing the selected images Left click and drag each image into the respective position in the layout Teeth 1 2 3 30 31 32 Taken 2011 04 08 Body Part JAW Taken 2011 06 10 O If no images have been added
56. rdware has been captured O To limit the time required for a report to be generated the Fast Data Accumulation option may be selected Fast Data Accumulation excludes station location operator and sensor capture counts from the report 10 3 2 Patient Information Patient specific criteria may be found in the bottom portion of the Data To Report section This information includes Age Sex Patient Summary Count Patient ltemized Count Study and Series counts Each of these options is patient specific and is organized by ID number except for Age and Sex counts which cover all patients e Age Patient age count option provides an entry for every age and the amount of patients who are that age e Sex Patient sex count provides a total count of all Male Female and Other patients e Patient summary Patient summary count provides a listing of all patients arranged by ID number and the number of images associated with that patient e Patient itemized Patient itemized count provides a listing of all patients arranged by ID number of all images associated with that patient organized by modality e Patient Study Patient study count provides a list of all patients organized by ID number and the types of studies captured for that patient e Patient Series Patient series count provides a list of each patient organized by ID number and every type of series captured for that patient Apteryx Inc Page 52 of 54 cus
57. rmation about the image file image hardware and patient information 8 5 Image DICOM Information Digital X Ray Anatomy Imaged Name Value Code YR gt Lj Anatomic Region Sequence 0008 2218 SQ Seq Lj Image Laterality H 0020 0062 CS Code gt Lj Primary Anatomic Structure Sequence 0008 2228 SQ Sequ Digital X Ray Detector Name Value Code VR Lj Detector Description Simulator 0018 7006 LT Long i _ Detector ID SIMULATOR 0018 7004 SH Shor _ Detector Type SIMULATED 0018 7004 CS Code Lj Imager Pixel Spacing DN 0018 1164 DS Deci Digital X Ray Image Name Value Code VR Lj Burned In Annotation NO 0028 0301 CS Code Image Type ORIGINALAPRIMARY 0008 0008 CS Code _ Lossy Image Compression 00 0028 2110 CS Code Lj Lossy Image Compression Ratio 2 0028 2112 DS Deci Lj Patient Orientation ASH 0020 0020 CS Code _ Pixel Intensity Relationship LIN 0028 1040 CS Code Lj Pixel Intensity Relationship Sign 1 0028 1041 SS Sigri _ Presentation LUT Shape IDENTITY 2050 0020 CS Code Lj Rescale Intercept 0 0028 1052 DS Deci 0 Rescale Slope 1 0028 1053 DS Deci _ Rescale Type UNSPECIFIED 0028 1054 LO Lonc Digital X Ray Positioning Name l Value Code VR Lj Positioner Type NONE 0018 1508 CS Code Digital X Ray Series Name Value Code VA 6 9 Image Operations The Image Operations menu contains utilities that allow users to edit image information export images and burn images to
58. rted Distance Actual Distance 24097 436 mm 36 0 cana 7 4 2 8 Click OK to save the calibration 7 4 2 9 The Calibration tab in the Image Information tabs along the bottom will now appear green as shown below Calibrated The current image has been calibrated Manufacturer Simulated Image S Model Simulated Image Calibration Factor 0 007408 Calibrated by image tag 7 4 3 Implants If an image has been calibrated a true scale implant may be laid over an image This implant may be moved rotated and placed to over a socket replicate a post op image We currently support the full implant families from 3i Almitech and Blue Sky Bio To add an implant Apteryx Inc Page 36 of 54 APTERYX October 11 2011 Doc type Document Title custom software 7 4 3 1 Click Labels 7 4 3 2 Click Advanced Labels 7 4 3 3 Click Implants Labels E Undo Redo lt No Real Time Fiter gt Interact With Labels Enables the interaction with labels using the mouse Pen Enables the placement of a pen labels on the image Measure Enables the placement of a measurement label on the image Ellipse Enables the placement of an ellipse label on the image Rectangle Enables the placement of a rectangle label on the image Text Enables the placement of a text label on the image Goad E Arrow Enables the placement of an arrow label on the image Time And Date Enables the placement of a time and date label o
59. s can be expanded by single clicking to reveal the following two toolbars 7 5 1 Left Toolbar Pointer Tool The pointer tool will remove any currently selected tool from the cursor e A Measurement Tool If the image has been calibrated the measurement tool allows for anatomies an image to be measured For instructions on this tool see Measuring an Image 2 e One time Calibration A one time calibration can be applied to an image if an object of known measure has been placed in the image such as a ball bearing or endo file allowing the image to be calibrated off of the object This calibration will be applied only to the current image only This one time calibration is performed just like the Calibrate Image function Pen Tool The pen tool allows the user to draw on the image To remove this tool from the cursor simply click the Pointer Tool 7 5 2 Right Toolbar e Spot Zoom The Spot Zoom tool allows users to zoom in or out from a point using the right and left click buttons on the mouse This tool will Zoom in on wherever the cursor is hovering above allowing for specific points to be selected and zoomed in on Apteryx Inc Page 38 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software e Static Zoom The Static Zoom tools will Zoom in or out of an image with each click on the button e Fit Screen The Fit Screen returns an image back to the window dimensions allowing the full im
60. t 2004 2010 Apteryx Inc All rights reserved Registered to Kyle Parker 9042 685A BA78 5F00 6F73 66E 7 Database Path C Program Files x86 Apteryx XrayVision DCV D atabases Database Engine Apteryx Capture Images Ki Captures new images for a patient based on a modalit veoklist and stores them to a DICOM server View Images po Sl Views images for a patient based on a DICOM query retrieve or prefetched images e 1 2 1 Capture Images This option allows users to capture new images for a patient and store them back to a DICOM server This option can also be used to add new patients to the DCV database 1 2 2 View Images View existing images for a patient based on a DICOM query 1 23 Advanced User Tools Clicking on this button will reveal collection of features that allow the user to perform advanced functions in the DCV application Some of the features within this menu include Import Images and Data Correction Each of these tools is discussed under Advanced User Tools O If Image Forwarding has been enabled there may be a fourth button on the home screen which appears under the View Images button This option is normally used only for mobile workstations that are not always attached to their local network Apteryx Inc Page 5 of 54 ir NM October 11 2011 Doc type Document Title 2 CAPTURE IMAGES 2 1 Interface ST ANA y 7 Capture a new image or image series
61. t fall under this category Simulator Digital x ray Simulates captures from digital x ray systems Version 10 10 0 0 3 PX DX 10 CR ei General Image Capture Double click on this item to see the imaging extensions that fall under this category L E TWAIN Capture Acquires images from TWAIN compliant devices Version 10 10 0 0 1 OT HC CR m Click or tap on the imaging extension that should be used to acquire the images Cancel Abort capturing of an image Oris screen appears only for workstations supporting multiple imaging devices Apteryx Inc Page 8 of 54 APTERYX Y October 11 2011 Doc type Document Title custom software 3 1 6 The Single Image Capture or Progression Capture window will then appear To capture a single image select Single Image Instructions for Progression capture can be found in the Progression Capture section 8 Single Image Capture OR Progression Capture Did you want to capture just a single image or a progression D Single Image Specifies that only a single image should be captured P Progression Specifies that a progression of images should be captured Cancel 3 1 7 The Sensor Tooth Selection screen will appear Select one or more teeth to associate with the image after the capture is complete This will automatically setup the tooth association with the image and properly orient the displayed image
62. t will remain available are the patient specific information Image specific information can be edited on a single image basis only as it is specific to a single image Patient information can be corrected in two ways Manual entry of the correct information or by using the green Correct From Database button This button will display a list of every patient in the database and allow you to select the patient with the correct information to be assigned to the selected studies or images Once the correct information has been entered or selected simply click the OK button to apply the changes After any change is made the ID field will display lt Item Changed gt indicating that the changes have been applied Apteryx Inc Page 49 of 54 eae N October 11 2011 Doc type Document Title 10 APPENDIX 2 REPORT GENERATOR 10 1 Interface DCV Report Generator is a database utility designed for advanced users to compile a report based on the information contained within their database This utility can be found by clicking on the Advanced User Tools button on the home screen of XrayVision DCV The information included in these reports is dictated by the criteria selected by the user seen in the image below DCH Report Generator DCY Report Generator Version 1 2 build 1 Copyright 2004 08 Apteryx Inc All rights reserved 3 Select Database Database Path C Program Files x86 Apteryx XrayVision DCY D
63. the cells indistinguishable the brightness and contrast is then adjusted to compensate Properly adjusted display settings provide an ideal environment in which to diagnose radiographs This n a monitor calibration tool that is ued to optimize Sw grayscale display of wack individual montar Change the brightness contrast and gamma settings on your mositor andor video card vull the masirnum number of delta changes are visible below The 9 dekas shosid be much easier to discern thas the 1 delta and the gryyscain ramp shosid be a continuous and consistere tranution trom black to wat Staadard Grayscale Stop Ramps You shosid see N and I Gstinct cells respectively Staedaed Grayscale Ramp This should be a smooth biach 1o white transition SA Coin Duka Ramps Lech distinct cell contains a 5 and Sh ger square that should clearly appear is wack cell Pr Cofor Duka Ramps Lech distinct cell contains a 2 and 2 guey square thal should appear in each cell 1 Color Dutta Ramps Lech distinct cell contains a 1 and 1 gray square that should be barely discernabte is wack cell Stasdeed Color Ramp This should be a smooth color transition opyeigiht 2008 ag Whee you are done caliteating your monitor push the ESC key befi mom es eight Apteryx Inc Page 45 of 54 APTERYX October 11 2011 Doc type Document Title custom software 8 5 Preferences Preferences is a password protected area of XrayVision DCV which cont
64. the image for the selected entry Adult dentition specification only 11 12 13 14 15 16 1 M 4 HL 4 Bite W ing Series Standard 4 bite wing series capture Progression contains 4 entries d 8 3 Completes the progression and returns to the image view 3 Teeth 11 12 13 20 21 22 4 Teeth 14 15 16 17 18 19 4 2 1 Toolbar The toolbar along contains all of the controls for progression capture e Start Progression Capture The stop progression capture button begins the capture sequence The sensor will automatically ready for each tile allowing the user to move advance through the progression without clicking between tiles e Take Retake Selected Entry The take retake selected entry option is used to capture one image at a time without the software automatically advancing This is also used in conjunction with the stop the capture sequence option when retaking an image containing a defect Apteryx Inc Page 11 of 54 oman are N October 11 2011 Doc type Document Title e Stop the Capture Sequence This option will de activate an active sensor allowing the capture sequence to be paused or stopped e Image Operations Within the Image Operations menu there are several basic image modifications that can be performed The operations in this menu include Rotate 90 clockwise Flip Vertically Flip Horizontally Invert and Advanced Image Display Unlike the working tools found in the Ima
65. to each image For additional information refer to Pop out Toolbars section under Image Enhancement 6 6 4 To close the Compare Images window click Done 6 7 Thumbnails The thumbnail control sets the number of rows and columns that are displayed at once As many as 8 columns x 6 rows or as few as a single image can be displayed This change is made on a per computer basis allowing every computer with XrayVision DCV to specify different thumbnail settings To change the thumbnail display settings 6 7 1 Click Thumbnails 6 7 2 The Thumbnail Rows and Columns window will appear as seen below 8 8 8 18 18 18 8 8 8 18 18 18 8 18 18 18 18 18 CH ancel 5 columns x 3 rows change anything Apteryx Inc Page 26 of 54 APTERYX custom software October 11 2011 Doc type Document Title 6 7 3 Without clicking the mouse can be dragged over the chart allowing the row and column combination to be selected for use 6 7 4 After highlighting the desired dimensions click the tile to finalize the selection 6 8 View DICOM Tags XrayVision DCV is a DICOM based application which attaches patient and image specific information to every image captured known as DICOM tags The DICOM Tag button displays every piece of DICOM information associated with a single image DICOM tags contain image specific info
66. tom software October 11 2011 Doc type Document Title 10 3 3 Study Series Information Unlike the patient specific Study and Series counts previously mentioned the Study and Series UID and Description counts are database specific and are not organized by patient These counts provide numerical values for the database as a whole e Study UID image Study UID image count provides a listing of each study organized numerically and the number of images within that study e Series UID image Series UID image count provides a listing of each series organized numerically and the number of images within that series e Study description Study description count provides a count for each type of study captured in DCV These are listed as any combination of modalities captured in a series i e Intra Oral X ray Panoramic X Ray e Series description Series description count provides a count for each type of series captured in DCV These include 4 Bite Wing Series Panoramic Capture etc 10 3 4 Time Specifications Database information can be organized by time period by Year Year and Month or Year Month and Day Image Series Study Modality and Keyword counts can all be arranged by these different time specifications This information will be displayed as the following Total Images Yearly Report 2011 4 April 2011 4 Total Studies Yearly Monthly Daily Report 2011 3 April 2011 3 20 April 2011 1 21 April 2011 2
67. uous Endo Series IO 4 3 4 Click Manually Create Order to move onto the capture screen Manually Create Order Continues on to image capture using the specified information as the 4 3 5 worklist information without querying from a worklist server 4 3 6 The Progression Capture interface will appear allowing a user to begin capturing images Apteryx Inc Page 12 of 54 APTERYXN custom software 4 3 7 4 3 8 4 3 9 Apteryx Inc October 11 2011 Doc type Document Title P e Sendra ec IS f LAANA hme Y Ss ADAIR ARSE E Ta ie 6 7 H g 1 1 Bis 15 16 sida 27 y 24 23 O 2 A 19 o 17 JUUN A V VEGA 2 Teeth 4 5 6 27 28 29 3 Teeth 11 12 13 20 21 22 4 Teeth 14 15 16 17 18 19 Click Start Progression Capture This begins the capture sequence and automatically progresses through the progression without requiring any additional action from the user Once the entire progression has been captured click Done 74 Done Completes the progression and returns to the image VIEW The application will return to the Image Collection Screen which displays the captured images For more about this interface see Image Collection interface XrayVision DCV JO Accession Mot Specitied gt Procedure Description lt Not Speoified gt Biss e e Addie val i SMITHS JOHN 1111 Medline Page 13 of
68. ve a quick overview of all patient images and allow for basic functions like printing and image comparison There are four main sections of this interface Image Thumbnails Toolbox Ghost Retake Bins and DICOM Tag information A Print Images 1 ay 7 image s Study lt Multiple Studies Selected gt BCS Multiple Print Format Print each as separate image y 2 BWS and Pano with annotations 2 BWS and pano with a set of annotation boxes for each image Message 6 1 1 Image Thumbnails Each image thumbnail contains image information below the image When viewing images one single patient the taken date and teeth associated with the image will be the only information displayed below the image thumbnail seen in the image tile below Apteryx Inc Page 19 of 54 APTERYX Y custom software October 11 2011 Doc type Document Title Apteryx Inc e D gt A 17 18 19 Teeth 14 15 16 Taken 2011 02 01 If images from multiple patients are currently displayed each patient s Name ID number Age and Gender are displayed along with the teeth associated with the image and the taken date seen in the image tile below TESI TESI 4111 900Y M Teeth 2 3 Taken 2010 09 23 Toolbox The toolbox contains several functions e Capture Additional Images This feature allows for additional images to be captured for a patient without reentering patient information For additional information refer to
69. ved for each label The settings include Color font size fill color etc e Calibration Options In XrayVision DCV sensor images may be calibrated allowing accurate measurements and implants to be placed on an image e Implants If an image has been calibrated a true scale implant can be placed on the image The implant option is located under the Advanced Labels tab 7 4 1 Calibration Options These measurements are based off a calibration factor specific to the dimensions of an image returned As a result images returned from size 0 1 and 2 sensors can each be assigned a specific calibration factor based off of the image dimension returned from that sensor When calibrated the information in the Calibration tab found in the Image Information Tabs will appear with a green background indicating that the image has been calibrated and measurements can be performed If the image has not yet been calibrated the information will appear with a red background 7 4 2 Calibrating an Image Before measurements or implants can be placed on an image it first needs to be calibrated This can be done in two ways Based on the width of the window if the dimensions are known or based on an object of known distance such as a ball bearing To calibrate an image Apteryx Inc Page 35 of 54 Doc type Document Title APTERYX October 11 2011 custom software 7 4 2 1 Click Labels 7 4 2 2 Click Calibrate Options 7
70. with a single image o Save Export Image Save Export Image allows an image to be saved outside of our software as a non DICOM image o CD DVD Burner This function allows all selected images to be burned to a disk If no images have been highlighted they will all be burned to the disk 6 1 3 Ghost Retake Bins The ghost and retake bins allow images to be hidden from the image collection screen when viewing images 6 2 Capture Additional Images The Capture Additional Images option allows users to begin capturing images for the current patient without having to reenter patient information After selecting Capture Additional Images the application will then progress through steps 3 1 5 3 1 12 of the Single Image Capture Process O This function can only be used for a single patient If images from multiple patients are displayed the Capture Additional Images feature is disallowed 6 3 Image Enhancements The Image Enhancements button allows a single image to be selected for additional manipulation and modification This button performs the same operation as double clicking on any image tile For additional information regarding the Image Enhancement interface refer to the Image Enhancement section 6 4 Print Images Workstations with print capabilities have the ability to print single images and layouts from using the Print Images function Images can be printed in several formats or layouts based on user specification

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