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NNT - Software Manual

1. x Hr eo Rev 2 5 March 1 2011 Other functions Select the Insert Logo button to browse for a logo to insert in the header The file of the logo must be a bitmap file BMP format A preview of the logo will be displayed inside the logo preview area Click on the Update Preview button to display a preview of the header Note The preview image is the exact representation of the final header This image will be stretched or shrunk keeping the proportion between height and width in order to fit inside the header area of the report Use the biggest fonts that can fit in the editor area in order to optimize the representation of the header data inside the final report It is possible to reduce the size of the editor area for the text by left clicking and grabbing the targets located on the edges of that area When finished select the OK button Page 163 of 210 10 2 Enabling the Advanced mode option A Peston automatic Primary reconetruchon process after the 1 i 1 ol Le L Le aed L eee 2 ee SS Rev 2 5 March 1 2011 Other functions The advanced modality can be enabled only for system with the Advanced mode option enabled see paragraph 2 5 Devices differences Select the File gt NNT configuration menu The NNT configuration setup window will appear Select the desired mode tandard mode automatically managed the re
2. FIRST SCOUT PATIENT POSITIONIN Center the patient for the first scout view acquisition and verify the positioning Next G X Ray Flash button then press a by performing a single acquisition with the X Ray Flash Rev 2 5 March 1 2011 Page 31 of 210 Primary reconstruction 5 Running a Primary Reconstruction 5 1 Introduction This chapter applies only where the Primary Reconstruction planning is controlled by the user meaning those device with the manul management of the acquired scan data or with the Advanced mode enabled see chapter 2 5 Devices differences At the end of the scan process 360 bidimensional images are saved on the computer These images are called RawData NNT software by editing the RawData through the primary reconstruction process creates the volume of the scanned area 5 Click on File Open The Choose NNT Document window will open up Click on RawData On the RawData List window select the patient and click OK Note Whether the patient does not appear on the upper part of the list insert his her last name initial into the field on the top left corner of the window see illustration on the side point 7 Furthermore it s possible to search the patient s by applying a filter see illustration on the side point 2 located on the top right corner of the window Rev 2 5 March 1 20
3. 5 The cursor will change to reflect the selected command 6 Left click inside the axial image to define the first point of the path of the sequence 7 Drag the line and left click where you wish to bend your arch Using the mouse wheel it is possible to navigate through the axial images while tracing the arch 8 Right click to set the end point of the path 9 The new image will appear beside the axial slice used as reference image Clicking on the axial image the corresponding cross section will be highlighted Rev 2 5 March 1 2011 Page 67 of 210 Working with a Study 7 5 3 Panoramic Sections 7 5 3 1 What is a Panoramic section Panoramics are images perpendicular to the axial plane The height of the images is the same as the height of the volume The thickness and distance between each image can vary ino 24 i HRA 7 5 3 2 Creating a Panoramic Section 1 To create anew panoramic select the Panorex tab then using the provided sliding bar select the desired reference axial image 2 Select the Panorex Setup button ftom the toolbar on the left 3 The Analysis setup window will appear allowing changing the parameters for the Panoramic sections Three parameters can be set a Number of panoramics number of panoramics created by the software one can choose between e Single maximum thickness 50mm e Multiple selecting an odd number between
4. 7 15 4 4 Trace a new distance with hyphen and arrow 1 Click on the New Distance arrow hyphen button 2 Left click in the image at the start point of the distance 3 Drag the line and left or right click at the end point of the distance NOTE In case the Label auto positioning flag displayed in the Graphic Options window when the Distances group is enabled is unckeched after the distance has been traced you will be prompted to position the label by dragging it and left clicking with the mouse 4 Toterminate the command right click 7 15 4 5 Modify a distance 1 Click on the Drag button 2 Yellow target squares will be displayed to drag the distance The label of the distance can also be moved Left click in the target and move the mouse with the left mouse button depressed The line color will become purple Rev 2 5 March 1 2011 Page 121 of 210 Working with a Study 3 Release the button when the distance is at the desired location 4 Left click in the label and move it with the left mouse button depressed The label background will become purple 5 Release the button when the label is at the desired location 6 To terminate the command right click 7 15 4 6 Delete a distance 1 Click on the Delete One Distance button 2 A yellow target square will be displayed on the distance label to select the dist
5. Sen Sarei date to Browse for Folder ict iG My Documents a 4 My Computer fae Local Disk ls ek DVD RW Drive Ds H e My Network Places PS G Test 95K Storing DICOM Fie Set To start the exportation select Free matrix to export the image keeping its original pixel size or 512x512 Matrix to force image dimensions to a 512x512 pixel matrix this format is obtained reducing if necessary the original axial images The Browse for folder window will appear Browse for the folder in which you want to export the DICOM images then select the OK button NOTE in the selected folder another one will be created named Surname_ Name _YYYYMMDD containing the DICOM images The export process will start 7 14 2 Importing the axial images in DICOM format Open Cole Export b impot by Patient Dise burning DOOIE piy import NAT DICOM dataset Delete Document i l Load DICOM Data Set Look in ej Desktop oO at ee re ee My Documents 4 My Computer Emy Network Places G Test 95k 3 TE File name Files of type DICOM files dem Rev 2 5 March 1 2011 Closed the all documents select File Import Import NNT DICOM dataset cd le A window labelled Load DICOM Data Set appears here the DICOM file to import have to be selected To import a multi file DICOMSET select one of the dataset files Page 108 of 210 Working with a Stud
6. The customizable zoom level can vary from 15 to 400 Rev 2 5 March 1 2011 Page 104 of 210 Working with a Study selecting the Setup Zoom a dialog box will appear RER 100 in which it is possible to customize either the value of zar the three custom zoom buttons and the initial zoom Zoom vae 5 Zoomvenet 50 value applied at any document opening Dabu Toom vaite 100 CiFa Hones Zoom values mange 15 400 we 7 11 Managing images For every image Cross Section Sequence of Cross Sections Panoramics and 3D is possible to control the way the images are displayed including the number of the visualized images and the zoom of these images In the toolbar on the left of the window there is an area reserved to manage the images Depending on the image type the tool s number could change A horizontal sliding bar allows changing the zoom of the reference axial image in relation to the zoom of the secondary image Single Cross Section Sequence of Cross Sections Panoramic 3D Below the sliding bar a section is reserved to set the number of images to display in a single row columns and the number of rows to show Use the two buttons to increase decrease each value 7 11 1 Saving the study configuration The disposition of the images contained in a study can vary depending on the number and size of the images Moreover the type of the study implantology TMJ etc af
7. Once finished the data copying on the disc the program starts the finalization or the lead out of the CD DVD and eventually the verification of the just written datas At the closure of the program it is asked if the compilation s modifies have to be saved and if the just burned documents have to be cancelled from the compilation Rev 2 5 March 1 2011 Page 188 of 210 Quality assurance 12 Quality assurance In order to ensure the proper functionality of the device it is highly recommended to perform the Quality Assurance procedure at least once a week 12 1 Selecting the FOV for the scan Before starting the Quality Assurance QA procedure the FOV must be selected 1 n Ray source Conditioning Daily Check Drevahcghe Hank Rev 2 5 March 1 2011 Eiai mei mai bhia b eo ed kPa Pani Paa am ped ak e A ee Using the FOV dialog box select the Field Of View you wish to use for the scan see chapter 2 5 Devices differences If you need to switch to a different FOV from the selected one the blank acquisition process could be required before running the scan of the patient see chapter 3 4 Blank Acquisition To start the QA scan click on Scan gt QA Scan A new window will appears Now it is possible to place the QA phantom into the scan area see MACHINE USER MANUAL Page 189 of 210 Quality assurance Select the X Ray Flash buiton FIRST SCOOT OA PHARTOM
8. When the last test is completed click on Close Now it is possible to scan a patient During the daily check two types of error can occur The critical error will be displayed in red the procedure will stop and it will not be possible to perform any patient scan The not critical error will be displayed in orange the procedure will continue and it will be possible to perform a patient scan In both cases contact the technical support Rev 2 5 March 1 2011 Page 16 of 210 Daily Check 3 3 Collimator check 1 Click on Tools Scanner Test Open log error File Load RawData DyTSO00 gt Connect to the scanner 2 The Scanner Test window will open Click on Tools Collimator Check Tage mom conbrel mE i EA Hew profile Aren meter como Shange palette te er sere ese 3 By using the buttons located at the bottom right See corner of the window select one of the FOVs see chapter 2 5 then click the Acquisition button 4 Check the obtained image agrees with the one on the MACHINE USER MANUAL 5 Itis possible to check each FOV by repeating steps 3 and 4 6 Click on File Close to exit Collimator Check mode Rev 2 5 March 1 2011 Page 17 of 210 Blank acquisition 3 4 Blank Acquisition This procedure optimizes the performance of each FOV by acquiring a background image A sequence of instructi
9. 2011 Page 202 of 210 IEC61223 Standard 8 Appear the window of the density profile Move the mouse inside the graph until a half of background disappear a half of the image is white and a half is black Press the left button of the mouse to fix the background value iF A A x L E y E L 9 Move the mouse inside the graph and fix with the left button of the mouse the new line to the maximum gray level ream boo 10 The software will calculate the FWHM value showed in the square under the graph Multiply the measured FWHM by the tangent ramp scan plane to obtain the slice thickness Rev 2 5 March 1 2011 Page 203 of 210 G A A w L Y E L IEC61223 Standard 14 3 2 Tomographic section thickness for helical scanning paragraph 5 3 2 Not applicable 14 4 Dose paragraph 5 4 No specific procedure was implemented for this purpose 14 5 Noise mean CT number and uniformity paragraph 5 5 1 2 Take a scan of a test device as described in the standard suggested 16 cm of water Perform the primary reconstruction using preferred voxel option e g Standard voxel in case of NewTom 3G use High Resolution and Large Field parameters instead Faiy egoria paame Reconsinoecton step i Vou sis Deu pm La High Fieroinn Smal heki Hasier oe H High Fesohition a Large heri ishowres Ee A e e Finan reconeinaeton parameters
10. MANUAL Software Version 3 10 Rev 2 5 March 1st 2011 Cod 97050192 Rev 2 5 March 1 2011 Page 1 of 210 NOTES This document is provided for the own use of the operator of the equipment QR s r l reserves the right to change the contents of this manual without notice This document may not in whole or in part be modified copied reproduced distributed translated stored on magnetic or optical media and published over networks electronic bulletin boards web sites or other on line services without the express written permission of QR s r l The original version of this manual has been written in english language NNT is a registered trademark of QR s r l All other products and brand names are registered trademarks or trademarks of their respective companies NNT is manufactured and distributed by QR srl Via Silvestrini 20 37135 Verona ltaly Phone 39 045 8202727 Fax 39 045 8203040 e mail info aqrverona it www qrverona it All rights reserved Rev 2 5 March 1 2011 Page 2 of 210 TABLE OF CONTENTS 1 ABOUT THIS MANUAL aaa a EA E Aa REA Ea 7 Le WAC ONT ENT S xcanchscchanchonchonchonshecctecetaceteneeeseeenabeceueccheccuasauanananas saab ann enehanahaneheneesnebenstensteretareteceuezetecctencueces 7 ei ION Gs n5 chan chan ceanshanahavee si castskanch aia eensunesesian ents neon sea shenanenaeeeehausnsnsnenahaueesueuansnsnehausscusnausnsnshananssceae 7 Lo oF OOUR E aaae ere roma
11. Rev 2 5 March 1 2011 Pre guii Thatknets O15 rae 0 3 4 250 ern Working with a Study Select the Free cut setup button from the toolbar on the left The Analysis setup window will appear Set the Thickness in mm of the single cross section from 1 pixel depending on the acquisition FOV to 250mm Then press the Save button Select the New free cut section button The cursor will change to reflect the selected command Left click inside the axial image at the start point of where the single cross section will be drawn Page 64 of 210 Working with a Study 7 Drag the line to define the end point of the section Using the mouse wheel it is possible to navigate through the axial images while tracing the line 8 Left or right click to set the end point of your cross section W 9 The new image will appear beside the axial slice used as reference image 7 5 2 Sequence of Cross Sections 7 5 2 1 What is a Sequence of Cross Sections The Sequence of Cross Sections is a series of single cross sections perpendicular to a traced path The height of each section is the same as the height of the volume The width thickness and distance between each section can vary Rev 2 5 March 1 2011 Page 65 of 210 Working with a Study feds te Aa Eset HFA 3 Free cut 1 Coas 0 7 5 2 2 Creating a Sequence of Cross Sections 1 Tocreate anew sequence of cross sectio
12. Rev 2 5 March 1 2011 Working with reports Select File gt Save report in PDF format Choose the desired path and filename Now the PDF quality between 150 300 and 600 DPI and as for Printing the interested page range has to be setted The PDF document is then generated and subsequently opened To open a a report select File gt Open The Choose NNT document window will appear Select the Report button Page 160 of 210 Working with reports On the Report List window select the patient and click OK sen seme sey Note Whether the patient does not appear i Se OTT on the upper part of the list insert his her Se St St ie mi last name initial into the field on the top left cl a A a corner of the window see image on the side 25 ES bese iS menpe point 7 Bapu See Se Ea F amun Furthermore it s possible to search the eee e patient s by applying a filter see illustration Secte Gee ie SS Se gor on the side point 2 located on the top right fa i ghim niao imi corner of the window 0 ey 9 6 1 Modifying the patient s data of a report A ih Patient name 300 ADRIANA B To modify the patient s data of the report select Edit gt Report Patient Data ra Report page layout Repot page notes dh Show report motes texts database A Empty report notes p Remove report page The Patient File window will appear After
13. a oe Reo Seeks en Hel i 1 Zoom bar includes the buttons for the zoom management and other buttons related to the current view 2 Tab to swap among different views The available views are Info includes the scout views and the patient data Axial includes the reconstructed axial slices MPR allow to navigate through the reconstructed volume rotating it on the axial plane Free cut includes the single cross sections Cross includes the sequences of cross sections Panorex includes the panorex sections Multiplanar includes the multiplanar sections 3D includes the 3D images 3 Toolbar contains buttons to enable various secondary reconstruction toolbars Rev 2 5 March 1 2011 Page 59 of 210 Working with a Study 4 First scout view shows an image of the acquired area 5 Second scout view shows a second image perpendicular to the first scout view of the acquired area 6 Study amp Exam Data shows information about the patient the study and the scan Document Code name of the document main file Document Size size of the entire study Patient Scan Date date of the scan Document Creation Date date of the study creation Info images number of scout view images Axial images number of axial images Free cut sections number of single cross sections images Cross sections number of sequence of cross section images Panorex sections number of panoramic secti
14. s csseeccesccecsosscossenseccseesanscousenauseoasensectsaetaneseautecseetseetaeetentecarenss 102 7 10 MODIFYING IMAGE APPEARANCE ccsseccssecossccsetnscousenseecseetanscossesenscousenseetseetaseseateceenseetarenseetseetags 102 7 10 1 Visualization WINGOW 2 cccccccecnecceccecceecsessueceeseessesseesueseeseeseeseessessesseessusaessecseesessessusseeseesiesanss 102 710 2 Moding NE Z00N is ssasiassasiassasin asin catia seiia coe nace dee A A TE A RES Fa E 104 1 11 MANAGING IMAGES annassssssnonnenssrsrrrnnnnsrrrrrerennsnrrrrorennrnrrnrenennsnrrnrorennrnentenrnnrrnentenrrnrerennrenentrnrnrreneennne 105 7 11 1 Saving the study CONFIQUIALION 1cccsccccsecccsneccsueccsueeesueessueesseeessueessueessueesseeessesessusessesessesssaeeees 105 1 12 HIDING THE IMAGES OVERLAYS s onnnnenrrronrnnrerrrrnnrrrorennrntrrronrrrtnnrnnrnrrrrenennentnrtenennnnterennnnnnnrnreennnneni 106 7 13 SAVING IMAGES IN DIFFERENT FILE FORMATS ccseccsecceececececeeeceeeeaeeeeeeesaeeeeusesaueseueeseeeseeeseeeteueeeeeenes 106 7 13 1 Sr en Shot COMMANG sersicrisnencsaneii N EAEE 107 7 14 EXPORTING IMPORTING THE AXIAL IMAGES IN DICOM FORMAT cc0eccceeeceeeeceeeeceeeseeeesueeseeeesneessaees 107 7 14 1 Exporting the axial images in DICOM format 1cccccccccececcneeceneessusessnseseusessesessaesensesessenenaenens 108 7 14 2 Importing the axial images in DICOM fOrMAal 02 ccccccceeeeeneeeeeeeeeeeneeenenenenenenessenenessaenesenenenened 108 414 3
15. AEAT WEET OO See j Select the directory containing the rawdata HK cect CQ te then click Browse The RawData will be automatically converted and saved in a new format compatible with the software Once the RawData is converted it is possible to run primary reconstructions on tt 11 3 Exporting documents Exporting a document Raw Data Volumetric data Studies or Reports means copying it from the current working directory to an external media or network folder Two procedures are available to export documents by patient or by single document 11 3 1 Export by patient Select File Export Export by Patient Disc burning COND r Export by Patient fs The Import Export path setup window will Rev 2 5 March 1 2011 Page 179 of 210 Correct cad E T HE r i Haa iowa Pe oh baeri sire kl Tensa Fra Hame beani rami gep ee te a See Sed d baeri bai inl Tensa Conc Caran Sana Cat iari Catphan i al r Canes rers CEF ae Dan baon Cuiphin Far Hane Maher Darimu Detirtron 7 Dari Maien r N 12 Boon Deiri Behi 16A 80 iS Se ALIA a eg Pac She LIAS SLs SLAs Ba ss STA Se cn Boat fo hpn ert ge ce ie ele Ses Managing documents appear The Current path field displays the location where the software will export the data Select the Change path button to change the current path Use the
16. CNaANnGing Derep COIOIS erse na rsuadsaanauansaanseandawbagn dass jayaiayabanshanssansdansdanadanssaaasdaendal 168 10 4 3 Select the data to De INCIUAEA IN the report ccccsccccsceccseecceeeccseecsseeessusesseeessesessesessesessesessenees 169 10 4 4 Changing the Overlay Color Conversion B W printers only cccccscccseeccseeecseeeeseeeesesessesseseeees 170 10 4 5 Changing the Printer Color USAGE ANA color conversion 1 sscccseccseecsueccuscceesauessuessuseseesaeesanes 170 10 4 OTIN ODUMIZC ah 9 shai dated de deo asad oaaaeddads eda aeagen saa daagad sas duaaasaaasauagasanaoasaaesaaasauacssenaoauaseaanasanae 171 10 47 ADDI 2 TUIER ON MEImage Ssss 171 10 5 REPORT PRINT ENHANCEMENT mairana a AR aa Aaa 172 OO M PRINTERS Gc DIG OM aaa a E E 173 10 7 SYSTEM FILES BACKUP enan a a an nnn re ese ase ent ara Serre aCrre ree 175 TOS USE OF THE WV DIDS PROTOCOL Srann aana 175 11 MANAGING DOCUMENTS vu ccccccccecsscececsensceeeeesceeeensceeesesceensnscceesescneeenseceesesceeesescceesesceeeeesececeesses 177 11 1 IMPORTING DOCUMENTS c055s 2asn2eseissanetesecs ececatatatatacatataaa es ss vatesenmasansaneasanasmentnenianssensanaranesanenbaecszeees 177 PUN OO Mary OOC UNO acxe ated sccascece can cate ate ence eee ee eee 177 Pede POI OPO aS aceasta ate cae eae cece E mere oeeedenle Crate E aneteced at tometer 178 11 2 IMPORTING OLD NEWTOM SCAN cccccececececeeeececeeeeececececeneneneneaeaeeeneneneneaeaeavanaveneteeeeeeeeeeeeenenenenenenenenes 179 TI
17. Pagi cn real Page imela TEE w 4880 si a o Popo Nasa ie SN Rev 2 5 March 1 2011 Page 174 of 210 Other functions 10 7 System files backup The backup of the system files consists in an automatic backup of a few files containing data regarding the scanner configuration only for the main workstation software customized user settings and other software configuration files It is suggested to perform a backup of this files at least once a week Next are the steps to perform the backup 1 From the main menu bar select File gt Settings Backup impart d Epot b Dier During COND b Delete Document NNT theme setup 2 The Import Export path setup window will appear The Current path field define the directory where the backup of the system file will be stored Lerner pth Velen urie Gaon Lire Tate Select the Change path button to change the current path Use the New Folder field to type the name of a new folder Select the Add Folder button to add the new folder to the current path 3 Once done select the Go on 4 The backup process will start in background At the end a message will appear informing that the process is finished NOTE If error messages appear during the backup process ignore them These messages refer to files that are installed only on the main workstation scanner console 10 8 Use of the VDDS protocol I
18. Rev 2 5 March 1 2011 Page 156 of 210 Working with reports OR 5 R L via Siteeetrini 20 af135 Verona Axial image without reference lines i iili IE nitmi T al idi arilir E i Axial image with reference lines 9 2 4 Use of the Highlight crosses on panoramics menu item E ooo The Highlight crosses on panoramics flag appears in Change palette the pop up menu after right clicking on a single transaxial Draw only on reference image or sequence of transaxial images in a report lf checked each transaxial view will draw a complete Ramons reference line on each panoramic image otherwise Distances default condition only a partial reference will be anges displayed at the bottom of the panoramic images Rev 2 5 March 1 2011 Page 157 of 210 Working with reports At the first command selection the reference lines are complete Panoramic with complete reference lines for transaxial sections At the second command selection the reference lines are partially colored Panoramic with partial reference lines for transaxial sections i ir 7 ie 7 iE ez poe At the third command selection the reference lines are disabled and only a minimum references are drawn Panoramic with minimum reference lines for transaxial sections only on the bottom part Af nen trl i Hanim i 9 2 5 Performing measures of distances or angles
19. The RawData List window showing the list of the scanned patients will open up again Select a patient it is possible to select the same patient over and over again and redo the procedure When done click on Cancel 5 8 2 Running multiple primary reconstruction og NNT n o Click on Reconstruction Start Night Reconstruction vore e y Pomery reconsbruction setup Rev 2 5 March 1 2011 Page 45 of 210 035 MEptes Requied Sabo A MB aes fee on Wied dine Xt Primary reconstruction The Night Reconstruction List dialog box showing the list of the scheduled recostructions will open up To remove a reconstruction from the Isit select a reconstruction and click on Remove To start performing the listed reconstruction click on Start The process will start immediately At the end the new volumetric data will be automatically saved and stored 5 9 Management of non reconstructed scan The following section applies only to devices that automatically managed the reconstructed data and with the l Advanced Mode disabled see paragraph 2 5 Devices differences _ Patient name Bithdae Documentdae Note Car Vibe ia TE Cay kipro Dal Font France Fraka T 2539 88 MBytes egued 52279 12 MBotes ree on Work dove ED im amp si ta Ferne d Esa i Rev 2 5 March 1 2011 lf the automatic reconstruction process has not succesfully finis
20. Volume orientation Study reconstruction button run the Study reconstruction using the current volume orientations Setup button Shows the Reconstruction setup window which allow to modify the study reconstruction parameters OONOOOFfWDND gt NO Rev 2 5 March 1 2011 Page 51 of 210 be PE Der _ J i SAGITTALS 6 4 1 Modifying the zoom Lown vanes Soh vate 2 Sonn van Ty Dasuk zoornvate 100 CiFa Hones 2O0r Veled nares T AH gt Ok Fas Cancel Rev 2 5 March 1 2011 oe 3 Volumetric Data It is possible to rotate the Coronal and Sagittal axes on the Axial View for correcting rotations of the volumetric data The three axes Axial Coronal and Sagittal remain always orthogonal Using the mouse it is possible to move directly the axes and centers of the crosses present on the Axial Coronal and Sagittal images else for the same purpose there are the sliding bars placed near the Axial image On the right side of the main window the zoom toolbar is located This toolbar includes five predefined zoom values buttons and a sliding bar to obtain customizable zoom levels The five predefined zoom buttons are tretched the images are stretched to fill the available area None itis used 1 screen pixel for each image pixel 100 1cm on the image is 1cm on the screen TA 90 The customizable
21. bend your arch Using the mouse wheel it is possible to navigate through the axial images while tracing the arch 7 Right click to set the end point of the path 8 The new images will appear beside the axial slice used as reference image The panoramic images can be scrolled by playing with the sliding bar located between the axial and panoramic images or using the and buttons 7 5 4 Multiplanar images 7 5 4 1 What are Multiplanar images Multiplanar images area groups of images consisting of panoramic and cross sections created simultaneously along the same path traced by the user The height of the images is the same as the height of the volume The thickness distance and step depends on the stored settings for the panoramic and the cross section images Rev 2 5 March 1 2011 Page 70 of 210 Working with a Study 7 5 4 2 Creating Multiplanar images 1 Tocreate anew panoramic select the Multiplanar tab then using the provided sliding bar select the desired reference axial image 2 From the left bar select the Cross Panorex setup button SEES ree In this case the Analysis setup window contains Sede fthness 50m E r both the cross parameters and the panoramic ones penean Le ee a eae see paragraph 7 5 2 2 and 7 5 3 2 Thickness OS range 03 20 mes Thekes 1 range 0315 Detece 2 fange 03 10sm Show psno tech Draw eedae ine Sa
22. completed This chapter only regards MAIN WORKSTATIONS see paragraph 1 2 Definitions Refer to the MACHINE USER MANUAL to know when and how to do do these prescan operations 3 1 Performing the X Ray Source conditioning The conditioning gets the X ray source ready to perform standard operations Prescon To perform a conditioning click on X Ray Source conditioning button in the Scan Manager windox iL E The procedure will start automatically it takes about 5 minutes Warning this procedure requires X Ray emission Be sure the required prescriptions are fully observed At the end NNT software will automatically go back to the main window Haut Pel Et To STOP this process click on the Red Button placed on the X Ray S0ce warming up bottom left of the screen Rev 2 5 March 1 2011 Page 15 of 210 Daily Check 3 2 Running a daily check Through the daily check the system verifies whether all the components are operating properly To run a daily check click on Daily Check button on the Scan Manager window Note Daily Check will start automatically after the X Ray source Conditioning Procedure described before Make sure the gantry is empty see MACHINE USER MANUAL see paragraph 1 2 Definitions The Daily check window will open Click on Start to begin the process The system will perform each test and display the resulting status in real time
23. ite Chee Save m DECOM fona 3 Sere clita bo rept aant Perm optiong a o j ee DiS Repant peder setup Imposta stampante k a From the drop down list select the printer if you RETE C have more than one which will be used to print the report Hore Stato l Select the paper size and orientation of the report Tipy Png Pree SDN PS Pecos P1592 168 240 se In case of a 3M or Dicom printer please refere to chapter 0 Fogho 3M printers amp DICOM for the paper size selection Faerie Aa 200 k 257 mel Click on the OK button Alimentazione Audornat aby Seleti Reta Rev 2 5 March 1 2011 Page 137 of 210 Se Conant Hegde Potent Hott Logs ling Usage d Reet Cooney Crn Hea P Hotes loge Piiteri esl 16 qh 135 TRI 10 bil 2 mm a es JH TIE mys TRL i ei Ta Sten eaa Fa 10 yi Position A E icat z 100 ES Rev 2 5 March 1 2011 19 49 mm Zoe mm 99 5 mm 114 8 mm Templates The template layout will appear It contains 5 predefined fields Comments define the comment associated with the template Header report header area Patient patient data area Notes comments regarding specific images area Logo QR Newtom logo area can not be moved or changed Img1 first image area Use the Commen field to name the template Example Maxillary Implant Study Left click ove
24. or dragging the sliding bar next to them The sotropic voxel button allows to create axials with a cubic voxel it means that the X Y and Z axis dimensions of the voxel will be equals By choosing sotropic voxel the software will inhibit the Step choice and the Slice thickness field this because the thickness will be the same of the axial pixel dimension The two options Small Field and Large Field remain actives e Selecting Large scout View the new study will include the two scout view acquired during the patient positioning with the reconstructed area references drawn on them e Selecting Minimal scout view the study scout views will be created from the axial stack in order to exactly represents the reconstructed volume This option can be useful when the reconstructed volume is very tilted In that case the reconstructed scout images will be orthogonal to the axial slices making easier the identification of the axial position Page 53 of 210 a 6 6 Creating a new study WwW 138 2mm Angie 61 Ample 1567 Rev 2 5 March 1 2011 Wwe 138mm i H 53 3mm Volumetric Data To create a new study select the Volume orientation Study reconstruction button In case the Volume orientation Study reconstruction button has been selected from the volumetric view A blue ROI box Region Of Interest will appear on both the two scout views The ROI of the
25. window will appear Select the Enable button The following options will became enabled e Ruler color allows to choose the colour of the ruler e Ruler step set the step between two tags 1 or 5mm Page 171 of 210 Other functions e Line width set the width of the tags e Ruler values enable disable the values of the ruler If enabled the Font type button will light up allowing to change the font of the ruler values The preview image will reflect the the current settings Selecting the Ok button the settings of the ruler will be saved and on the mage ruler area the active status will be shown 10 5 Report print enhancement To compensate for a loss of image quality produced by some printers it is possible to apply graphic filters to a report s images when they are printed These filters only are in use while printing the report The filters do not modify the actual report images Select File gt Print Enhancement Setup oe Chie I 3 impart Expert F Disc burning CD DVD graphic options MNT theme setup Messages options Settings backup Template setup Rev 2 5 March 1 2011 Page 172 of 210 Other functions The Print Enhancement Filter Setup window will appear Left click on the drop down lists to select a filter Five filters are available 1 None no filter applied 2 Soften Low
26. 7 15 7 2 Increase the zoom of a profile 1 Click on the Zoom button Left click inside the image where you have applied the profile The graph of the profile will increase its size Right click to terminate the command 7 15 7 3 Decrease the zoom of a profile 1 Click on the Zoom button Left click inside the image where you have applied the profile The graph of the profile will decrease its size Right click to terminate the command 7 15 7 4 Delete a profile 1 Click on the Delete Profile button Left click inside the image where you want to delete the profile The profile will be removed from the image Page 129 of 210 E poe hae D f el craation boolbar gi Anges tosba B Distances toolbar i 30 distances toolbar Lines toolbar Markers bocdhar Profile toobar ama E Repet toolbar Ania Leod M5 Axial Image Rev 2 5 March 1 2011 Working with a Study Click on the Text Toolbar button The Text toolbar will appear 7 15 8 1 Apply a single line of text 1 Click on the Single line string button 2 The Text editor window will appear Type your text You can choose the font style size and color 3 Once you have finished click on the OK button 4 The text you have just entered will be show near to the mouse cursor Move the mouse and left click to place the text in position If you wish
27. Cancel button the changes will be discharged After the changes select the Ok button The lateral and frontal scouts of the patient will appear with a pattern covering the areas temporarily discharged The new images created will include only the volume not covered by the pattern Page 101 of 210 Working with a Study 7 9 Moving among different images Five buttons located on the main toolbar are available to switch among different types of images Info 2 Avia 340 MPR 3 Info Tab displays the scout images info 2 Axial 340 MPR 3 Free cutl2 Axial Tab displays the axial images wat ES MPR 3 Free cut 2 MPR Tab displays the MPR images Free cut Tab displays the single Akia 340 MFR 3 Free cut 2 Cross 5 Farvorea 10 cross sections images MPR GI Fee ext 2 Cost El Siren iG aT Cross Tab displays the seq of cross section view Panorex Tab displays the panoramic Free cur 2 Croce 3 Panorex 10 Mudtiplanar 3 30 6 images Cross 5 Panores itl Muttiolanar 3 2D 6 Multiplanar Tab displays the multiplanar images Panorex 10 Miutipianar 3 30 6 3D Tab displays the 3D images To move between multiple images of the same type use the four direction buttons These buttons are enabled only if you have more than one image of the same type First image button display the first image of the selected type Previous image button display the previous image of the selec
28. Click on the New Line Text from DB button A window will appear showing the list of text in the database Highlight a line of text then select one of the following buttons Apply as single line text you will be ready to apply the text to the image as a single line Edit as single line text the Text editor window will open allowing you to modify the text before applying it as a single line to the image Left click in the image at the start point of the distance Drag the line and left or right click at the end point of the distance Drag the text and left or right click in order to fix it To terminate the command right click 7 15 3 4 Trace a new arrow 1 2 Click on the New Arrow button Left click in the image where you want your arrow to point Page 115 of 210 Working with a Study 3 Drag the arrow and left or right click at the end point of the arrow 4 To terminate the command right click 7 15 3 5 Trace a new arrow with text 1 Click on the New Arrow Text button 2 The Text Editor window will appear Edit the text you wish to insert next to the line then click on the OK button 3 Left click in the image at the start point of the distance 4 Drag the line and left or right click at the end point of the distance 5 Drag the text and left or right click in order to fix it 6 To terminate the command right click 7 15 3 6
29. Line aze Slandand vorl P00 am Smal voel 250 um J Uira smal voxel 1150 pm Save cus pap cere o 3 At the end of the reconstruction select Study Reconstruction from the Study Reconstruction menu Rev 2 5 March 1 2011 Page 204 of 210 IEC61223 Standard FE lon multiple study reconstructions i a SCOOP tes 6 Move the Roi to reconstruct the volume where it has the maximum width then press the right button of the mouse to run the Study reconstruction hal 10E Smm Angh OF Axala Gi J st seo f l W m 106 9mm H 30 4mm Argie GF 7 Open the study and visualize axial images Set the single axial mode and browse the images till a section with the maximum diameter is showed Rev 2 5 March 1 2011 Page 205 of 210 IEC61223 Standard 8 Select IEC 61223 3 5 test and then Noise and Uniformity test from the Tools menu 9 A small ROI will appear Enlarge it to the border of the water into the test device Enlarging 10 At the end press the right button of the mouse to get the results The software will create 5 ROI s as described in the standard the central ROI with size equal to 40 of the test device and four ROPs placed at 3 6 9 and 12 clock position with size equal to 10 of the test device The shown result are the Mean CT value of each ROI and the standard deviation of the central ROI as required from th
30. Lines tonba Markers boncdbar Strings kockar Profis botar Report tondbar bx AE BE Ge 8 Ga Bs Ge ED The Secondary Reconstruction will appear Select the Extract coronal sagittal button The cursor will change to reflect the selected command Click on the image coronal or sagittal you wish to extract Rev 2 5 March 1 2011 Page 94 of 210 Working with a Study 6 The extracted image s will be stored under the free cut section 7 7 5 Converting a Panoramic image into a Sequence of Cross Sections The software allows converting a Panoramic image line into a Sequence of Cross Sections The settings that will be used to create the sequence of Cross Sections width thickness and step are the ones that are currently saved into the Sequence of Cross Section setup window Fecal Cio Panorex 10 Mapei we 1 Select the Panorex Tab 2 Select the panoramic section that you wish to convert you can use either the directional buttons located on the main toolbar or the sliding bar located on the bottom right corner of the window 3 From the main toolbar select Images creation toolbar button fd Profile boolbiar A Report towbar Rev 2 5 March 1 2011 Page 95 of 210 Working with a Study The Secondary Reconstruction toolbar will appear Select the Panorex gt Crosses button The new Sequence of Cross Sections will be displ
31. March 1 2011 Page 72 of 210 Working with a Study 7 5 5 3D MIP Ray Cast and Volume images 7 5 5 1 What are 3D MIP Ray Cast and Volume images The 3D MIP are tridimensional images created using the Maximum Intenstity Projection MIP technique setting a point of view in the space the voxel with the highest intensity will be shown A Ray Cast is a similar image created using the Ray Cast technique A Volume 3D is a solid model 3D reconstruction lt Image created using the MIP technique lt Image created using the Ray Cast technique lt Image created using the Volume technique Next sections will explain how to obtain MIP images and Volume images Rev 2 5 March 1 2011 Page 73 of 210 mle ol on bode sipka all Load a0 C MIP 3 EEN O Ratas vA h settings Volume Model quality Surface smooth 4 ssUee d Edge enhance Model quality ETETEA Rev 2 5 March 1 2011 Working with a Study 7 5 5 2 Creating 3D MIP Ray Cast and solid Ray Cast shadow images To create a new panoramic select the 3D tab then using the provided sliding bar select the desired reference axial image Select the New 3D model button from the toolbar on the left The 3D MIP RayCast Volume window will appear Initially only three buttons are enabled the Load 3D and the 3D default settings buttons located on the top left corner and the Exit button located on
32. New Folder field to type the name of a new folder Select the Add Folder button to add the new folder to the current path Once done select the Go on NOTE exporting RawData Volumetric Data Studies and Reports in the added folder another one will be created named Surname_Name_AAAAMMGGOfBiurth Such folder will store the DICOM images The Patient List window will appear To select a patient type the initial part or the entire surname inside the Search field then click on the Update list button The Patient lis window will be updated displaying all the patients that match the criteria used for the search Highlight the patient to be exported and select the OK button z lipa ket ef 8 eS Gees Rev 2 5 March 1 2011 Page 180 of 210 Managing documents The Document list Export dialog will Priam appear showing all the available documents for the selected patient Dese fede Mote FORE k HARMA RFI anc Select the document s you want to export pers 5 aa Use the Select all button to select all the AMAA listed documents Check the Delete Source file flag to delete the file from the original location after the export procedure is terminated Eia epee Hina TE Mier Sekei MAF TI Mifta bee pa wick d Once the document s has have been selected click on the OK button The Insert label window will appear Type
33. On the images of the report it is possible to perform measures of distances or angle as it is done on the images of the study see chapter 7 15 Working with toolbars Rev 2 5 March 1 2011 Page 158 of 210 Working with reports changa palette Move the cursor over an image of the report F Draw ody on reference image and right click Hight crosses on panoramecs A pop up menu will appear Select the Distances to show the menu about measures of distances Select the Angles to show the menu about measures of angles 9 2 6 Including exam pazient data in the report It is possible to include additional data related to the patient and to the exam in the Patient data area of the report different See paragraph 10 4 3 Select the data to be included in the report 9 3 Printing a report To print a report select File gt Print fy Save Report Bi Save report in PDE format F Save Mope w E Screen shot BME Save in DICOM format To save a report select File gt Save Report Rev 2 5 March 1 2011 Page 159 of 210 5 5 Badk a bins in PDF format JO 2 em J File name Test_PDF_2009 01 01 Save as lype PDF files pdf v Patent eaae Catari siia E E S rA Low POF ascokiton amal Be oe fH PDF quality O 300 det Balanced POF tilon rer sce ABA a BOD do Fg PO reac en Laa sere HD i
34. POSITIOHING Cake the GA phantom lorie fant wea an anal wendy the ahin ith gioco tet estar esr dtl apt tare antec keen This window will appear for a few seconds before disappearing Rev 2 5 March 1 2011 Page 190 of 210 a f FIRST SCOUT DA PHANTOM POSITHIHINE a F i i m n Pi tha flap Flenh button Then prana Meat ao Mowing gantry Please wat Ta Ca tn E in th ae Rev 2 5 March 1 2011 Quality assurance The first scout view will appear This image is acquired as if you were looking at the phantom from the top 0 degrees With this scout view as a reference you can center the phantom from side to side by shifting it left or right The phantom must be centered following these criteria e The two horizontal red lines must cross the pipe holes e The two vertical red lines must be parallel to and trace the edge of the pipe If remote patient position adjustment is available see chapter 4 4 Remote patient position adjustment Select one of the three available buttons X Ray Flash if you still want to adjust the position of the phantom The current scout view will be updated Next to move on to the next scout view Stop if you want to abort the scan Note To modify the palette of the acquired image double click with the left button of the mouse on the image The Visualization window will appear allowing to change the gray levels of
35. Study The image will be automatically displayed SSbercqpecelae eis S 57 7 8 2 Real time drag The following demonstrates how to modify a panoramic image using the real drag command The same method is employed to modify Single Transaxial sections a Sequence of Transaxial sections and multiplanar images _ _ Free cut 2 Coss O Panare 10 Muiplanari3 e Select the Panorex Tab Select the panoramic section you want to modify you can use either the directional buttons located on the main toolbar or the sliding bar located on the bottom right corner of the window From the left toolbar select the the Drag Modify button Rev 2 5 March 1 2011 Page 99 of 210 7 8 3 Modifying the axial stack Working with a Study The reference path on the axial image will be highlighted along with red targets used to drag the path for image modification Left click in the targets and drag the target with the left button depressed Release the button when the target is in the desired location Clicking between to red targets is possible to move the entire curve Clicking on the yellow targets in the middle it is possible to stretch the curve Clicking on the yellow targets in the corners it is possible to rotate the curve Pressing the CTRL key and moving the mouse wheel it is possible to enlarge reduce the curve Using the mouse wheel it is possible to navigate through the axial images while dr
36. Trace a new arrow with text from database 1 Click on the New Arrow Text from DB button Rev 2 5 March 1 2011 Page 116 of 210 Rev 2 5 March 1 2011 Working with a Study A window will appear showing the list of text in the database Highlight a line of text then select one of the following buttons Apply as single line text you will be ready to apply the text to the image as a single line Edit as single line text the Text editor window will open allowing you to modify the text before applying it as a single line to the image Left click in the image at the start point of the distance Drag the line and left or right click at the end point of the distance Drag the text and left or right click in order to fix it To terminate the command right click 7 15 3 7 Modify a line or an arrow 1 2 Click on the Drag button Yellow target squares will be displayed to drag the line Left click in the target and move the mouse with the left mouse button depressed The line color will become purple Page 117 of 210 Rev 2 5 March 1 2011 Working with a Study 3 Release the button when the line is at the desired location 4 To terminate the command right click NOTE In case a text has been inserted together with the line or arrow it will be possible to modify it by using the text toolbar 7 15 3 8 Deleting lines arrows
37. appear Rev 2 5 March 1 2011 Page 110 of 210 Rev 2 5 March 1 2011 Working with a Study 7 15 2 1 Adding a new angle 1 Click on the New Angle button 2 The mouse cursor will change into a blue 90 degrees angle Left click in the image to place the angle 3 When the angle is placed yellow targets will be displayed to move the extremities of the angle and the angle s label 4 Left click in the targets to open or close the angle with the left button depressed 5 Release the left button of the mouse when the angle is in the desired location 6 Right click to terminate the command 7 15 2 2 Modify an angle 1 Click on the Drag button Page 111 of 210 Rev 2 5 March 1 2011 Working with a Study 2 Yellow targets will be displayed to move the extremities of the angle and the angle s label 3 Left click in the targets to open or close the angle keeping the left button of the mouse depressed 4 Release the left button of the mouse when the targets are in the desired location 5 The label of the angle can be positioned by left clicking in it and moving the mouse 6 To terminate the command right click 7 15 2 3 Delete an angle 1 Click on the Delete One Angle button 2 A yellow border will highlight the label of the angle Page 112 of 210 Working with a Study 3 Left click inside the label to delete a
38. compilation is present it is asked whether to empty it or to cancel the command Burn a disc by Patient Burn a study viewer dise NNTWewer Show burning wanden MNT Burner Rev 2 5 March 1 2011 Page 184 of 210 Seal ob ard hors inl Faw Nene _Erhite I aint aly 1296150 Darimi kie ae a eg bac She cP SLT ASTS ce pag E Sr cas Seah cert quad oe the Velde Sure z Ta tamil p Lee i a taii EEE ETE i ETE MET ri PEAT SE e imei wa CNF e p Rev 2 5 March 1 2011 Managing documents Choose the Patient making a surname search Then select the documents to insert and at the end press Start burning session to start the burning process In the window is displayed the selected documents dimension and the compilation total dimension horizontal progress bar for comparing with the CD s and DVD s capacity A more precise data quantity control will be performed by NNTBurner Select File Disc burning CD DVD gt Burn a study viewer disc NNTViewer lf an old compilation is present it is asked whether to empty it or to cancel the command Page 185 of 210 Managing documents Choose the Patient making a surname search Then select the Studies to insert and at the end press Start burning session to start the eit ect Loia i burning process Dasara ie lacemeete De chats lee ete Mee FUE In the win
39. for example the number of CD Select File Import gt Import by Patient Import by Decurnent a i am IA The Patient List window will appear Tie ak baird Fom hl Siname FadName Bathdate Highlight the desired patient as described in the paragraph 4 1 2 2 Opening an existing patient Click on the OK button Search eer quad oe the Golde Sina The list of not on line documents of the selected patient will appear In the column Notes will be shown the Label typed during Export Highlight the desired document and click on the OK button gegegggczegegiecemyy Rev 2 5 March 1 2011 Page 178 of 210 Managing documents ARENT pah sat The Import Export path setup dialog will appear a Insert the correct path of the document to import Viesi urtere ano sA eae Click on BROWSE button _ If the path is correct it will begin the copy of the files Bim At the end of the import process a dialog box will appear Click on the OK button 11 2 Importing old Newtom scan It is possible to import raw data acquired with the previous model of QR DVT 9000 Newtom This operation give the opportunity to analyze the old RawData using the new software without affecting the resolution and quality of the imported images Select Tools Load RawDaita The Import Export path setup window will appear Tumai p ih
40. has been selected from the MPR view the axis orientation is locked the zoom is set to a standard value and a blue rectangle is drawn on each view orthogonal to the other two planes _ These rectangles represents the ROI from three different orthogonal viewpoints These rectangles can be resized and moved to readjust the orientation is necessary to exit from the study planning process Once the study is ready to be created right click or select the Start button In both cases a sliding bar allows selecting the thickness of the reconstructed axial slices The minimum thickness corresponds to the one used during the Primary Reconstruction process It is also possible to make an isometric recontruction ISO where the thickness is equal to the dimension of the axial pixels In a few seconds the Visualization Window will appear showing the central axial of the reconstructed area In this woindow four different buttons are available These buttons are e Apply apply the current settings and open the new study e Cancel discharge the current study and retry to beginning of the Study Reconstruction procedure e Store study and continue store the current study and retry to beginning of the Study Reconstruction procedure in order to give the possibility to create a different study on the same patient e End study Rec Mode store the current study and retry to the volumetri
41. in the Graphic Options window when the Distances group is enabled is unckeched after the distance has been traced you will be prompted to position the label by dragging it and left clicking with the mouse 4 To terminate the command right click 7 15 4 2 Trace a new distance with arrow 1 Click on the New Distance arrow button 2 Left click in the image at the start point of the distance 3 Drag the line and left or right click at the end point of the distance NOTE In case the Label auto positioning flag displayed in the Graphic Options window when the Distances group is enabled is unckeched after the distance has been traced you will be prompted to position the label by dragging it and left clicking with the mouse 4 To terminate the command right click 7 15 4 3 Trace a new distance with hyphen 1 Click on the New Distance hyphen button Rev 2 5 March 1 2011 Page 120 of 210 Working with a Study 2 Left click in the image at the start point of the distance 3 Drag the line and left or right click at the end point of the distance NOTE In case the Label auto positioning flag displayed in the Graphic Options window when the Distances group is enabled is unckeched after the distance has been traced you will be prompted to position the label by dragging it and left clicking with the mouse 4 Toterminate the command right click
42. is necessary to hide them and then to make them visible again J o_o Cutting Allows to cut a part of the volume preventing it to be rendered Select the cutting area with the left mouse button Terminate the selection with the right mouse button Select the area you want to cut inside or outside of the section 12 Undo last cut cancels the last cut operation 13 Manage function s enable the MIP functions manager Using this window is possible to store the current Function that can be loaded subsequently To store the current function select the Save cur Model function button To load an existing function highlight the function and then select the Apply button The Delete function can be used to delete an existing function The Set as default button can be used to define the function to be used as default 14 Enable add del function points allows to add by clicking with the left button of the mouse or remove by clicking with the right button of the mouse points to the function curve This enable the creation of functions with different paths 15 Enable function points vertical drag allows to vertically not horizontally move the points of the Function curve 16 LUT Function and Zoom in the bottom side of the window the management settings area for the 3D reconstruction is located The main control used for the reconstruction is the the Function curve
43. its main components e Chapter 3 Errore L origine riferimento non stata trovata illustrates the steps to run the daily check procedure e Chapter 4 Scanning contains the description of the procedure to scan a patient e Chapter 5 Running a Primary Reconstruction describes the Primary Reconstruction process and the steps to run it e Chapter 6 Volumetric Data introduces the volumetric data views and includes the procedure to create a study e Chapter 7 Working with a Study contains the description of all the tools and utilities to perform a secondary reconstruction and a complete analysis of the study e Chapter 8 Templates introduces the templates and illustrates how to create modify and delete templates e Chapter 0 Working with reports illustrates the steps to create a report and the related utilities e Chapter 10 Other functions contains the description of other functionality included in the software e Chapter 11 Managing documents describes how to manage the different type of documents raw data volumetric data study and report e Chapter 12 Quality assurance illustrates the steps to run the Quality Assurance process e Chapter 13 Rev 2 5 March 1 2011 Page 7 of 210 About this manual e Troubleshooting illustrates how to spot and solve problems e Chapter 14 IEC61223 Standard Acceptance Test illustrates the
44. one at a time 1 Click on the Delete One Line bution 2 Yellow target squares will be displayed in order to select the line to delete 3 Left click in the target to delete the selected line 4 To terminate the command right click NOTE In case a text has been inserted together with the line or arrow it will be possible to remove it by using the text toolbar 7 15 3 9 Deleting all lines and arrows 1 Click on the Delete all lines button 2 Left click inside the image where you want to remove all the lines and or arrows 3 Right click to finish the command NOTE In case a text has been inserted together with the line or arrow it will be possible to remove it by using the text toolbar Page 118 of 210 Working with a Study 7 15 4 Working with distances oe aR LET Click on the Distances Toolbar button A ga finages creation toolbar gE anges toolbar f SO distances toolbar as Lines boceber Markers toolbar ae Strings tooibar E Profile toolbar AB Report totar The Distances toolbar will appear 7 15 4 1 Trace a new distance 1 Click on the New Distance button 2 Left click in the image at the start point of the distance Rev 2 5 March 1 2011 Page 119 of 210 Working with a Study 3 Drag the line and left or right click at the end point of the distance NOTE In case the Label auto positioning flag displayed
45. pass filter Smoothes the edges of the images and reduces noise 3 Sharpen High pass filter Sharpens the edges of the image 4 Enhance Edge Enhances the edges of the image 5 Adaptive Analyzes the image and for each pixel chooses a filter depending on the pixel information It will consider both the noise reducing it and the real information emphasizing it It is strongly recommended users to print a report then change the filter and print the same report once again The results depend upon the printer The results of these adjustments are purely subjective After making changes to the settings click on OK The settings will be used for all the following print jobs 10 6 3M printers amp DICOM If a 3M printer printers using a 3M interface card or a DICOM printer is used it will require unique considerations in its setup The setup of the printer is performed at a service level by the technician To display the configuration of the printer follow the next steps Rev 2 5 March 1 2011 Page 173 of 210 Other functions Select File gt Print Setup The Select printer window will appear Press the Digital amp DICOM and select OK The Digital amp DICOM printers setup will appear Serer Using the Page Name field it is possible to select the paper size in case different options are available Refer to customer support for further information about your settings
46. previously selected it could be asked to perform a Blank Acquisition see chapter 3 4 Blank Acquisition To start a scan click on Scan Patient scan If a scan option choice is available see chapter 2 5 Devices differences select the preferred option on the Choose scan option window Regular scan 26 sec Regular Scan default option reduced scan time and exposure time Enhanced Scan improved image quality increased Enhanced scan i 36 sec scan and exposure time Rev 2 5 March 1 2011 Page 19 of 210 Scanning a patient 4 1 2 Entering a patient s data The Patient Lis window will appear bush Siban nce blk Steneme Fist Hame Sithdate Two options are available 1 New patient the patient has never been scanned he she doesn t have any record in the application database 2 Existing patient the patient has already been scanned his her data are stored in the application database Depending on the status of the patient enter the patient data as described in the following sections To add a new patient click on New The Patient File window will appear Insert the patient data last name and birthdate are required the other fields are optional When you have done click on OK 4 1 2 2 Opening an existing patient Search estat part or the wide Surnia To select an existing patient insert initial part or the Update ka entire l
47. size and position Using the sliding bar located on the right of the axial image is possible to select a different axial slide Selecting the Cancel button the changes to the ROI will be reset while selecting the Apply button a new 3D image will be created based on the current ROI b Set CROP Z allows to define the area on the Z axis that will be extracted in order to create a new 3D image Once the button is selected the 3D image will be replaced by the lateral axial image with a ROI Region Of Interest drawn This ROI can be adjusted by changing the top and bottom edges of the reconstructed area Using the sliding bars located on the left of the image is possible to define the reconstructed area Selecting the Cancel button the changes to the ROI will be reset while selecting the Apply button a new 3D image will be created based on the current ROI 12 In the Model axis adjustment area it s possible to correct the X Y and Z model axis default By choosing one of the three buttons Right Front or Top the software will enable the default axis adjustment During the modification it s always possible to choose another axis and modify it the software will remember every modification Rev 2 5 March 1 2011 Page 80 of 210 Working with a Study Selecting the Reset button the axis adjustment will be reset Once finished th
48. software utilities to perform equipment Acceptance Test according to EC61223 Standard e APPENDIX A it illustrates some utilities not tackled in other chapters 1 4 Stilistic conventions The following table illustrates the stylistic conventions adopted by this manual Bold Italic File Open Menu or toolbar item Italic Patient File Window Title Bold Underlined pply Button Command lt Demonstration template gt Typed text CAPITAL LETTER ENTER keyboard command Important safety information and notes are highlighted in the manual as follows WARNING Warns you of the presence of a potential hazard which may cause injury or fatality CAUTION Cautions you of the presence of a potential hazard which may cause damage to the equipment NOTE Draws your attention to important but non hazardous information Rev 2 5 March 1 2011 Page 8 of 210 Getting started 2 Getting started 2 1 Software installation In order to properly install and uninstall NNT software the user shall refer to the documentation included into the setup CD 2 2 Software configuration This paragraph provides with a description of the various available NNT software suites which can be configured by using a specific USB dongle key not in case of Basic configuration Hereafter a brief description of each NNT software suite is provided SCAN TM NNT Scan TM suite is used to control the equipment It allows to perform scanning and prim
49. the bottom right corner The first time this window is used is necessary to load and elaborate the initial 3D model Before loading the model is possible to choose the type of image you wish to create MIP Ray Cast or a solid reconstruction Volume in this example the default settings will be kept in order to show the functionalities of this window The Surface smooth flag applies a smooth filter in order to remove irregularities or roughness from the image The Edge enhancer option applies an edge enhancer filter on the 3D model to improve the sharpness of the image this function is recommended in the RayCast reconstruction It is now possible to select the quality of the reconstructed model using the and buttons of the Model quality field Increasing the quality will require longer processing time so it is suggested to start working with the default settings and change the quality subsequently Page 74 of 210 i 1 6 iy 3D default settings JD general hA MiP medal mtu Flatt mee plug Wiskueun meted aiia PGP mea Chote ceed ek eee C Standad quick model loading MiP ras i i iay se Ch E eiea da peck jeer rc i G Hiei gumy 4 Belem Prolene 0 Weciharres Satwhaire C Suis mooh Eh Standard quick irsckel kiai JE digs enhance evs Fev reer bead brag pareira Cherny erg homes Tike Ray z Ae e iA i ta or PaE pin are Soe dete meth Ses yapi Se S pe i a AL few the nest Study 30
50. the image After you select Next the scanner arm will move to the lateral position 90 degrees for the next scout view During this time a message will appear for about 10 seconds Page 191 of 210 ae S000 GA PHAN TIH Poet ican ponien piece Back eleo pirit Me cane the GA phantom fr Ihe plage on tier wep Flas cain Ab the seit i pena ac oul acquisition Ue X Paai bat ond to icen peng pie Back len pirit ea Heit ni Rev 2 5 March 1 2011 Na tt hh phn at vn ae eaten ln Mh a oy Quality assurance Click on the X Ray Flash button The phantom must be centered following these criteria e The two horizontal red lines must cross the pipe holes e The two vertical red lines must be parallel to and trace the edge of the pipe After adjusting the QA phantom s position click on one of the three available buttons Select one of the four available buttons X Ray Flash if you wish to further adjust the position of the phantom The current scout view will be updated Back if you wish to readjust the first scout view Next if you are satisfied with the image and you are ready to start the scan Stop if you want to abort the scan After you select Next the scanner arm will move to the starting position During this time a message will appear for about 10 seconds Page 192 of 210 Quality assurance A new window will indicate that the scan is ready to st
51. this curve represents the histogram of the voxels of the volume Over this histogram a function is traced lts path usually starts from the bottom left side increases in the middle side and finishes on the top right side of the graph The function is used to define which voxels won t be shown transparent corresponding to the bottom side of the graph with reference to the Rev 2 5 March 1 2011 Page 77 of 210 Working with a Study y axis and which will be opaque corresponding to the top side of the graph with reference to the y axis The sample on the side include a histogram with a double hump the function traced on it is low next to the two humps meaning that those voxels won t be drawn because considered as transparent In the middle side of the graph the function starts a ramp meaning that the voxels will be drawn because considered opaque The level of opacity of the voxels in this section will follow the path of the ramp The beginning of the ramp will correspond to voxels with a low opacity level high transparency while the end of the ramp will correspond to voxels with a high opacity level low transparency The final part of the function is traced on the top side of the graph meaning that those voxels will be drawn because considereas opaque The curve of the function can be modified by grabbing using the left button of the mouse and moving the red squares located along the path The black point
52. to paste again the same text left click another time 5 Mouse right click when finished Note if the text you are inserting is a number f e 35 or is a text that finsh with a number f e Root of 16 by using CTRL mouse wheel before to place text on the image is possible to change the number value 7 15 8 2 Apply a multiline of text 1 Click on the Multiline tex button Page 130 of 210 Working with a Study 2 The Text editor window will appear Type your text Beg Liner cod MS You can choose the font style size and color Multiline text 3 Once you have finished click on the OK button 4 Left click on the image to set the top left corner of the text then drag the cursor The text will appear inside the traced area ROI When the text is in place right click 5 The text will be highlighted Left click over the text and drag the mouse to move the text 6 Right click to apply the text 7 15 8 3 Load text from a database 8 Click on the Database tex button Page 131 of 210 Rev 2 5 March 1 2011 Working with a Study 9 A window will appear showing the list of text in the database 10 Highlight a line of text and click on the Select button 11 Select one of the following four buttons e Apply as single line text you will be ready to apply the text to the image as a single line f Editas single line text the Text editor window wi
53. two images is the same area viewed from two different points of view On the axial image a blu cross will appear it determines the rotation of the study respect than the volumetric On each scout image the ROI can be adjusted by grabbing the red target markets located at the corners of the ROI and in the middle of the borders On the anterior scout view the inclination the position and the width of the ROI can be adjusted On the top right corner of the image the width in mm and the inclination of the ROI are shown On the bottom right corner the amount of resulting axial slices is displayed On the lateral scout view the height width inclination and position of the ROI can be adjusted On the top right corner of the image the width and height in mm and the inclination of the ROI are shown Page 54 of 210 Angle 28 3 Rev 2 5 March 1 2011 Volumetric Data On the axial view the cross that identifies the rotation of the study respect than the volumetric can be tilted On the top right corner of the image the cross degrees of inclination are shown For a better identification of the symmetry center of the Axial image it is possible to move the cross for placing it in the right position Once you are satisfied with your settings click with the mouse s right button or press the Start button between the two scout views In case the Volume orientation Study reconstruction button
54. vedi capitolo 5 9 Management of non reconstructed scan Page 25 of 210 Scanning a patient 4 2 Scanning a denture 4 2 1 Preliminary operations To start a new denture scan select a FOV See chapter 2 5 Devices differences Then select Scan gt Denture scan If a scan option choice is available See chapter 2 5 Devices differences select the preferred option on the Choose scan option window Regular scan 26 Sec i Regular Scan default option reduced scan time and exposure time Enhanced Scan improved image quality increased Enhanced scan 36 sec scan and exposure time Concerning the patient s data creating adding modifying them is the same as described in the previous sections Rev 2 5 March 1 2011 Page 26 of 210 Scanning a patient 4 2 2 Positioning the denture and starting a new scan After the patient s data have been entered the following two windows will briefly appear The first one points out the memory to be used for the scan has been initialized The second one points out the rotating arm is moving to the starting position At the end of the process a new window will appear Now it is possible to place the denture into the scan area see MACHINE USER MANUAL eh Once the denture has been placed go back to the MAIN WORKSTATION and click on Next A Click on X Ray Flash Rev 2 5 March 1 2011 Page 27 of 21
55. you have finished click on the OK button Rev 2 5 March 1 2011 Page 161 of 210 Other functions 10 Other functions 10 1 Editing the header of the report The header is the area of the report designed to contain the information about the customer s company It can be filled with text and a logo Once the header is complete it will be automatically copied inside each report in the area set by the operator during the design of the template Select File gt Report header setup Epot F Disc burning O OVD Delete Document NNT theme setup Settings backup Template setup r The Report header setup window will appear Next is a brief explanation of each field A Font control buttons B Editor area C Logo preview area D Header preview area Use the editor area to type the information a n FENA you want to provide inside the report header QR S R L 37135 Verona ITALY Font control buttons can be used to select the font type style size and color Rev 2 5 March 1 2011 Page 162 of 210 QR S R L Via Silvestrini 20 oF 735 Verona ITALY ceo QR S R L Via Silvestrini 20 oF 735 Verona ITALY QRS RL Vie Sifvesinini 20 oF 75 Verona ITALY GE 2 QRS R L Via Sivesiini 20 BR sine 37135 Verona ITALY a p QR S R L I Via Silvestrini 20 i
56. 0 Rev 2 5 March 1 2011 Scanning a patient NNT software will show for a few seconds a message dealing with X ray source initialization After that it will be acquiring the image The first scout view will appear The latter can differ depending on the scanner in use so the image on the side has only to be considered as demonstrative If remote patient position adjustment is available see chapter 4 4 Remote patient position adjustment For further information see MACHINE USER MANUAL After adjusting the denture click on one of the three available buttons X Ray Flash to further adjust the denture position and acquire a new image Next to move on to the next scout view Stop to abort the scan process Note To modify the palette of the acquired scout image double click on the image by using the mouse left button The Visualization window will open up allowing the user to change image gray levels After choosing Next the rotating arm is placed ina 90 degree position During the movement a message window will open Select the X Ray Flash button Page 28 of 210 Scanning a patient The second scout view will appear This image can be different according to the device type this picture has to be considered just as an example If remote patient position adjustment is available see chapter 4 4 Remote patient position adjustment Refer to the MACHINE USER MANUALI for f
57. 1 2011 Working with reports A new empty page will appear below the first one In the Open Report Page Layout click the Cancel button to start inserting images into the new page or select another template and press the Ok button to add another page to the report If the report has more than one page it is possible to delete pages To select the page to remove left click on the page s title bar Click on Edit gt Remove Report Page The Select report page window will appear From the drop down list select the page you want to remove You will be prompted to confirm before removing the page from the report Click on the Yes button to remove the page Page 154 of 210 Working with reports 9 2 Advanced report functions odifying the template of a report page MMT Patient name Cassini Silvia Bit Click on Edit gt Report Page Layout Report page notes d Show report notes texts database Empty report notes al Remove report page If the report contains more than one page you will be prompted to choose the page you wish to modify the layout eth Untitled template for Xerox Phaser BSOODN PS 199 x 287 men The Report Page Properties window will feng T iiag ae appear SWE See If images have already been copied into the ae page itis only possible to change the oa placement of the images in order to keep the on
58. 1 2011 Page 48 of 210 Volumetric Data 6 3 Volumetric view The Volumetric view is used to display the stack of axial images in relation to the two scout views Following is a brief description of the volumetric view and its different fields 2 4 iy ras Pateni Corsia Siida Binthabide oma oF pi tT Darwen code 54170570 ey inire oletab EN Ena fee oe a Following is a short explanation of each field Tab to switch between MPR and Axial view Anterior Scout View shows the anterior posterior image of the acquired area Lateral Scout View shows the lateral image of the acquired area Axial stack view display the entire stack of axial images Single Axial View display the axial image corresponding to the position on the two scout views Axial Sliding Bar allows moving through the stack of axial images Volume orientation Study reconstruction button Change the orientation of the volume and start the study reconstruction Setup button Open the Reconstruction setup window which allow to change the study reconstruction parameters er oes Rev 2 5 March 1 2011 Page 49 of 210 Volumetric Data 6 4 MPR view The MPR view is used to display coronal sagittal and axial sections Following is a brief explanation of each type of section Coronal Section A vertical plane extending from side to side that divides the body into front and back portions Coronal Section Axial
59. 1 1 scale YIX Me Seale iti 100 2 If no image has been placed in a report s 3 field it is possible to modify both the size Lanois Bei a and the position of the field Make changes in the same manner as creating a new template After making changes click on the OK button The existing report will be automatically updated 9 2 2 Modifying the appearance of the report images It is possible to modify the gray levels of an image already copied into a report Rev 2 5 March 1 2011 Page 155 of 210 Working with reports Move the cursor over an image of the report and right click A pop up menu will appear Select the Change Palette menu The Visualization Window will appear showing a preview of the selected image For a detailed explanation of this dialog refer to 7 10 1 Visualization window Once you are satisfied with your settings select the Apply button 9 2 3 Use of the Draw Only On Reference Image menu item a g The Draw Only On Reference Image flag Change palette appears in the pop up menu after right clicking j on an image in the report If the flag is checked default the selected Remove image will display its reference lines only inside Distances the axial image from which it has been created anges reference image Otherwise item not checked reference lines will be drawn on all of the axial images of the report
60. 11 Page 32 of 210 Primary reconstruction The main RawData window will open up showing the first image of the scan Ble elelelele ose Rev 2 5 March 1 2011 Page 33 of 210 Primary reconstruction 5 3 RawData window RawData possono essere visualizzati all interno di una finestra come quella riportata qui sotto Essa oltre all immagine include i dati principali del paziente i parametri dell esame ed alcuni comandi RawData can be displayed in a window like the following one It includes patient s data exam data and various commands iy A brief description of each field is provided hereunder 1 Patient s data shows patient s name and birthdate 2 Image area shows the images acquired during the scan 3 Exam data provides with information about the scan kV kiloVolt used by the x ray source during the scan MA milliAmpere used by the x ray source during the scan mAs product of x ray source current by x ray exposure time in second s actual x ray emission time in second during the exam FOV detector field size used during the scan Air Kerma mGy dose in milliGray IN AIR in the center of the exposed area using the above mentioned technique factors kV mA mAs Rev 2 5 March 1 2011 Page 34 of 210 Primary reconstruction DAP Dose Area Product in wGy m and in mGy cm too CTDIw weighted Computed Tomography Dose Index CTDivol volumetric Computed Tomography Dos
61. 22 of 210 Please Wait Eratiaicing Hag sowe eS i FEI M PATERA Pe iv Cores em pain en he be mae ree EEn nd nly hn pase by pment la Ba dipp lipk ed oad i t mirn ikam Hoving gantry Please wat Rev 2 5 March 1 2011 Scanning a patient NNT software will show for a few seconds a message dealing with X ray source initialization After that it will be acquiring the image The first scout view will appear The latter can differ depending on the scanner in use so the image on the side has only to be considered as demonstrative If remote patient position adjustment is available see chapter 4 4 Remote patient position adjustment For further information see MACHINE USER MANUAL After adjusting the patient s position click on one of the three available buttons X Ray Flash to further adjust the patient s position and acquire a new image Next to move on to the next scout view Stop to abort the scan process Note To modify the palette of the acquired scout image double click on the image by using the mouse left outton The Visualization window will open up allowing the user to change image gray levels After clicking on Next the rotating arm will move to 90 degrees position In the meantime a message will appear Click on X Ray Flash Page 23 of 210 Scanning a patient The second scout view will appear The latter can differ
62. 3 and 31 maximum thickness 15 mm Rev 2 5 March 1 2011 Page 68 of 210 Working with a Study Joshi b Thickness set the thickness of the images CI Sree me knare B eam i AA tna between the size of a Voxel and the Select the mubet of a g ans maximum allowed pager ig crae k y i Thickness 1 bange 03 i5 amp c Distance set the distance between each cain teed paisa rece l image between the size of a Voxel and 10 panoi Deane mete ine mm ore ee py A d Show pano thick highlights the panoramic cave hae Waa Da uiet secin Go thisckenss e Draw middle line available only if the Show pano thick button is enabled drawn the central reference of the panoramic f Then there itto choose the tracing mode with Brocken line the panoramic will follow the exact traced path With Smoothed line the panoramic section will be calculated on a curved line which connect the selected points Using Quick curve the panoramic is calculated on the curve that well interpolates the 5 user selected points After changing the settings click on the Save button 4 Select the New panorex section s button 5 The cursor will change to reflect the selected command Left click inside the axial image to define the first point of the path of the panoramic section Rev 2 5 March 1 2011 Page 69 of 210 Working with a Study 6 Drag the line and left click where you wish to
63. 3D model 6 Enable Disable CROP allows to select the CROP estraction area of the image selection of a parallelepiped from the axial volume in order to reconstruct it This functionality will be deeply explained later 7 Export 3D model allows to save the current model preview image in Bitmap bmp or Jpeg jpg format Zoom x zoom level of the bitmap file Values are comprised between 1 and 5 Using a E AR value of 1 the bitmap image will be saved with i the same size of the preview image ie With a higher value the bitmap image will be LAI Save as saved with a larger size keeping the quality of Al a fie the preview image using a value greater than E b 1 the preview image will be automatically updated and moved for a few seconds 8 Input info shows an image to summarize the mouse functionality Left button rotate the image Right button zoom the image Middle button move the image 9 Rulers selecting the Enable RULER three rulers will be applied to the image one for each axis X Y and Z This option is useful expecially when the image is exported in a file There are three kind of steps for the rulers 1mm 5mm and 10mm lt Sample of image with the rulers applied 10 Show Hide marker s draws or hides the Rev 2 5 March 1 2011 Page 76 of 210 Working with a Study markers placed in the study If markers are modified to adjourn them 3D representation it
64. 41 Rev 2 5 March 1 2011 Page 4 of 210 ee a OP ALY sel Som N a 0 T Sam no eee eee ee 142 Mom CO lea dN Cu tl EMPAT ae cre eee ro era ee ae keke he a ence rence ee ne ere eee ee ee ee ee cece eee 143 9 WORKING WITH REPORTS vevicictcescvecevicacccsiecevesacaceceredecedasadocereaeseeadacedencdueedaesdeudsenedteadneadunedeuddeeddewews 145 SARE era a REPORT S T S A A A N A N AAS SE 145 CER DII EEEN E i LE eer R E E 145 g T2 Addimags 10 tMetepor sg aa aaa 147 9 18 AULOMAleO mages insEloT appa a 149 9 1 4 Delete images from a TODON sists ncnnuncnonicrnensnirsnernanmunutcumniuen ie adn Kantanaus 150 919 INSCH HOLES AIT ING TCDOMT ano nate Raed nanan Kaa mauR aK uKIUabyentoenaul 150 9 1 6 Remove NOLES rom TIC TODON tstenwnnsncniasnonsnunsternanuutouatoumtounts e 152 9 127 Repon NOLES OAld0 ase enas cane 152 9 1 8 AGOGO new pades to atep iiaisiecnivanssaassaxuaxcen a ea 153 919 Removing pages TOm aTepol ssri aa 154 9 2 ADVANCED REPORT FUNCTIONS zoenen aa aaa aaa aa Aa A 155 9 2 1 Modifying the template of a report page cccccccecceeccecneeccuecauenesccuscsuensecsusssusnsuccustausneuesessausnens 155 9 2 2 Modifying the appearance Of the report images cccssccsseccssscnsecsseensuscnuscssecsseenesesssessecsoessentes 155 9 2 3 Use of the Draw Only On Reference Image menu item 1 ccscccceeccneecseecsuesseeecseesseessuessneesaeess 156 9 2 4 Use of the Highlight crosses ON PANOLAMICS menu IMO cccccceceeecneeeeeeeeeee
65. D view 18 Exit close the window The last used settings will be stored allowing a later elaboration of the volume without having to load the images to create the initial model Rev 2 5 March 1 2011 Page 86 of 210 nage CROP mage CROP T a Cheat HGP Fey A Set CROP ui al L pr oy Set CROP E a b of asa ta Canoe lmage LAOF Appi bo al 7 enabled lates 8 Rev 2 5 March 1 2011 Working with a Study Selecting the Enable CROP bution the Set CROP X Y and Set CROP Z buttons became available Set CROP X Y allows to define the area on the X and Y axis that will be extracted in order to create a new 3D image Once the button is selected the 3D image will be replaced by an axial image with a ROI Region Of Interest drawn This ROI can be adjusted by changing its size and position Using the sliding bar located on the right of the axial image is possible to select a different axial slide Selecting the Cancel button the changes to the ROI will be reset while selecting the Apply button a new 3D image will be created based on the current ROI Set CROP Z allows to define the area on the Z axis that will be extracted in order to create a new 3D image Once the button is selected the 3D image will be replaced by the lateral axial image with a ROI Region Of Interest drawn This ROI can be adjusted by changing the top and bottom edges of the recons
66. DICOM SONIA Scie E cca eee AEAEE O 109 7 14 4 Integration between NNT and third party softwares partnering SOftWAME ccccccseeseeseeeeees 109 7 15 WORKING WITH TOOLBARS i sicsaisanacwnannsuraranteanta aateenwenivaniwanmtinitenalveaulSeaweuinwstantwaannusdwaniacniuasienvanivennvanadana s 110 FI OE gere O OO N E 110 A WVO O O a cnn tet ct tcnee conteiecctwecimie tates ecciaiaie ata dndsunieenmrerucnnnmemannnnaamnue ate uaie 110 TT VOU WEA HIRO SIN MOUS e ected eee decent dade ete ated eeeteteten eee 113 TeV OT WV OMGINO WITT CSI ANC C Ser ane ecuctianateumievvas seine siaimuaneucanencuucunaue meine 119 TU WV OMI WAG CNS ARC Co ac sta tntnten ni ceanciiini ate ecuciaian atermanenncucmecanuanarcatencuuctnau mci 123 TeV ONO WV ONO WII I AIG ie E E ane eciciiaie ateumtenen acu csenanunercanercunctnauunciic 126 PT OFT WV ONO WIND O a S 127 Tid Oe WOKMO WALT LOX T virrei ieee alah ural neasa au aues enee tratan autris e aaen haha 129 Z195 9 TOS TOODA ennn pena eiabunan vee baal noenksunhoanhoakhGaboasb and aes aaneGasnoesiaemanuneusly 135 7 16 ENABLE DISABLE THE DELETE CONFIRMATION MESSAGEG 0 ccscccecceecceeceeeseeeceeceeeseeeseeseueeceeseeeseeesnes 135 0 TEMPEATE S coner onee 137 g ANRO UOT ON a 137 9 2 OREATNGANEW TEMPLATE meeen ae re re ge er eer 137 9 3 MODIFYING AN EXISTING TEMPLATE si0icexaumsexmcannsanananosacesaaeaesaaesacnnatoniasseexnnecusmmasneacxeucnexeemunsaueeaxemmewedds 140 gA DELETING TEMPLATES rn E E O NO E Ora ana re ee 1
67. E SPI free on ioe cere O Kime a w Volumetric Data The Insert labe window will appear edit a comment in order to identify the current reconstruction then select the Ok button The software wil retry to the beginning of the Study Reconstruction procedure in order to give the possibility to plan a different study on the same patient Once all the reconstructions have been planned right click and select the Stop Multiple study reconstructions mode on the Choose to window Next steps is to start the process for the creation of the planned reconstructions Select Study reconstruction Start multiple study reconstructions The Multiple study reconstruction list window will appear This window lists the reconstructions that have been planned on the current patient If you wish to remove one or more reconstructions from the list highlight it and select the Remove button In order to start the process select the Start button Each study will be automatically created and stored Once finished the current volumetric data will be closed NOTE The list of planned study reconstructions is temporary and it is destroyed once the volumetric document is closed 6 8 Exporting the axial images in DICOM format It is possible to export DICOM images choosing File Save in DICOM format here there are two menu s entries e Sequence of Axial images that starts th
68. MH 2008 siki Ble ued 4471 MBps kea a Docuredt pah occ VAT M2008 sdk Documents bet ued M447 Miao a Fart Foedate pai oN M2008 cik YA awaa a nt bee used HATI MBytes jisa Cronglt eo tera raio 14 Fame DICOM Enebte ere amp Shad data cM M2000 ed Shared bt weed 4 ME pies free Fordyce Pivtcalmemoay 2071 Mipi Pins pauh 2 799 Mipi A o Rev 2 5 March 1 2011 Page 9 of 210 Getting started 2 3 Workstation NNT software allows to create workgroups by adding NNT Stations see paragraph 1 2 Definitions Hereafter the minimum and the recommended requirements for NNT Stations are reported The requirements are differents due to the analysed data and the computer s utilization Since the data dimension is variable the minimum requirements are the one that allow to work with the greatest amounth of data even if some functionality could be slow the recommended requirements allow to work easily with the highest dimension data too and to benefit fully of the all features in the NNT software NNT Station for NEWTOM 9000 and 3G Minimum Requirement Recommended Requirement Processor Intel Pentium 4 2 2 8 GHz or higher Intel Core i7 Hard Drive 80 GB at 7200 rpm 250 GB at 10000 rpm or 2x500 GB at 7200rpm in RAID 0 if the computer has to be a NNT data server System Memory Video Resolution 1280x1024 and Video Resolution 1280x1024 and a 128MB of RAM video compatible graphic card Se
69. NG Dalient ANG FUANING ME SCAN wits Gicehiue lias Gite cates E aces nea lieu cuee haus lua ier cuennuenienes 22 AS GAINING A EIN Te PRE scenic cts vc aso hen anne crn af nw nl ern ded eda dn wm nln ed ea 26 a i mel Vt RAIL VO A ge 1 0 Renee ree ee Ce Te ene eee Tr ene terre rte Tee er er eer nT reer tr et Terre 26 4 2 2 Positioning the denture and starting A NCW SCAN scccseccseccseccnescnsecssuecsusenesensuessuessussaesensessauessees 27 4 3 SCANNING A PATIENT OR A DENTURE IN A THIRD PARTY SOFTWARE ENVIROMENT 2 2cececcecceecececececececeeees 30 4 4 REMOTE PATIENT POSITION ADJUSTMENT sntccacccaciasziciciciainatabadasazacscasadabiashaadateucamiansvarGuauuaaakamsnauabanabenctans 30 5 RUNNING A PRIMARY RECONSTRUCTION c cccceeeeee cence cece cece cece cece ceneceeeeeeeeeeeeeneneneesaeeeasaeenens 32 BTN TRO DUG TION date cuca ae ee care cae cae 55a ceed eer gs egw uke lec ere eon pm ee nig A 32 5 2 OPENING RAWDATA 2 ecececececececececececececeaeaeaeaeaeaeaeaeaeaeaeacucacasuseseseaeaeaeaeaeaeaeaeaeaeaeaensususueeseseseaeaeaeaeaeaes 32 5 3 RAWDATA WINDOW ccececececcececececeeeececeaeaeececeaeaeaceceaeaeaeeseaeaeacuseaeaeaenseaeaeeseseaeaenseaeataeeseaeaeaeneentaeaenneaes 34 5 4 CHECKING THE SCAN 0cececececececececececececececeaeaeaeneaeaeaeaeaeaeaeuencesuseseseaeaeaeaeaeaeaeaeaeaeaeaeaensusueuseseaeaeaeaeaeaeaes 36 5 5 MODIFYING THE PRIMARY RECONSTRUCTION PARAMETERG 2cececeecececeeeecececeaeececeaeaeeeceaeaeaea
70. OO ST 7 TAOTLUS ot Oe CONVENT ON a a TDD 8 2 GETTING STARTED aan a a a UaveN ON OTN Oren 9 2 1 SOFIWARE INSTALLATION meerdere eara a A Ra P cine RE PEE E DR eek 9 2 2 SOF IWVARE CONEIGURA TION eiric A a iaa 9 PRR AAE Ar AE A AAEE EEEE AEE EEEE EEEE ERNER R ARRARAS 10 DN POUT O OS cc ec ime ex ete een ee ne ee i eee eva a xe ee hi ie ne sss ve ne evita te ee EA lene cee 11 2 32 Vidalod OF AIC CAN OS eet ce see ce teat oot cee ccc ei ee let nee 12 PEACE AINE VV icf cha ctsesis Gots are hte dere dives gine cen arse iesetieniee oan cimecine cian cena iad ian nate E atest 13 2 DEVICES DIP ERENCE ote a dae doe ENER IEEE TEE ERSE EEEE IESE EE EE IE ANE AEN EE NEARE AEE TAE SE EEEE 14 3 PRESCAN OPERAT IONS aaaannnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn nnna 15 3 1 PERFORMING THE X RAY SOURCE CONDITIONING sacieecee ee es ee eee eee ee 15 S2 RUNNINGADAILYCHEGK st aa eee ents ener tes een en niet nents ens Sans need nenenenaneneneneoenees 16 CECAT ONA VREDI EEE P E E E A E E ES 17 SAAN AC QUIS ION AEE E ee gee sean a ere arenes on AAEE 18 4 SCANNING a a aa a aa r a aa eaa e a aa aa Aaaa 19 4 1 SCANNING A AAT ENT ee ee i a T ee ee ce oc ee cc A AA ENA AA ALINEA 19 dl oleng OSE FOV TOF SCANNING erioa tendtentieed seed acedendtentiae dee acedenden taeeeec aes 19 ARLENE T aP f atc Ole eee ere mere cre ee rtae erete rien ree ee tte nie ae me rie ae rier eee ee en ee ee tere 20 4 4 0 FOSIIONING I
71. Ray source forming process WARNING If the X Rax Source has not been used for more than three months follow the instruction below to run the X Ray source forming process Start up the software Select TOOLS Scanner Test Select TOOLS Xray source forming process This procedure will last 10 minutes and starts automatically Rev 2 5 March 1 2011 Page 210 of 210
72. S dieters oe ee ee 68 Oe MUMDIARAl IN QOS sins Ri ee tarNgaungaae 70 70 0 SOAP Fay Cast and Volume mages asisiy a 73 Z3 0 DYNAMICS D IMAJOS sissies aa 84 7 0 DELETING EXISTING IMAGE Sraimr en an secs secundemieantes 88 7 6 1 Deleting single cross sections from a SEQUENCE Of cross SOCTIONS 1ccccccseecseecnecsuesaeeceessuesanesees 88 7 0 FUNCTIONS TO EXTRACT AND GONVERT IMAGE S ranm a EEEE EEE R E TE T T E 89 7 7 1 Extracting single cross sections from a sequence of Cross Sections 1cccceceeesecneeseeseeeensenness 89 7 7 2 Extracting panoramic sections from a multiplanar IMAGE 11ccsccccecneecseccneccuessuecsessuessuecsessuesauesans 92 7 7 3 Extracting sequence of cross sections from a multiplanar IMAGE 1 1ccccecseecseecnecsuesauensessuesaeesans 93 7 7 4 Extracting Coronal and Sagittal sections from the MPR VICQW 1cccsscccseeccseeecsnsesssesseessesesssesens 94 7 7 5 Converting a Panoramic image into a Sequence of Cross Sections ccscccsescsssecseeceesseessneeeeess 95 7 7 6 Converting a Sequence of Cross Sections into a Panoramic IMAGE 1 ccseeccsesecseeecsesesaeserssesans 96 ES MODIF ING AN EXISTING IMAGE arrn a E E AT E A awe a 97 PO aA O A EA ttc crc cat 97 PO Zp EINE NA G ei dt rc tc a a a a a cerdtcie t naeandan ita clats 99 7 8 3 Modifying the axial stack cccccccseccsecceecsuecsueceeseessueneeeseessuensessuessuesseeseessuessessessuenansseesaeeninsaaess 100 7 9 MOVING AMONG DIFFERENT IMAGEG
73. Save As window will appear with a suggested Gave in lt a Winx P S IC ck file name mye ts and Settings Sj WINDOWS ein i Browse for the directory where you want to save the Qorcap file oy Program Files quarantine P pE Temp From the Save As Type list select the file format in which you wish to save the image File name Save as type Bitmap files files bmp Cancel l Click on the Save button to save the file Once the file has been saved the Save image as command is still active To deactivate it right click 7 14 Exporting Importing the axial images in DICOM format The DICOM Digital Image and Communication in Medicine is the file format that aid the distribution and the viewing of medical images The Newtom software allows to export and subsequently import the axial slices in DICOM format Note The pixel s value of the created images do not have any Hounsfield scale correspondence Rev 2 5 March 1 2011 Page 107 of 210 Working with a Study 7 14 1 Exporting the axial images in DICOM format U AT Patient name Dal Pont France Birthdate mer 18 ott 1961 Documente After a study has been open select File Save Eee jow Hek in DICOM format Sequence of Axial images i i Boer tee ka u ere r rrp a a i E a A a i PS e ee Bey Fer E ar a r FA Seve Shady Cubes Pf Save erage as aq areen shot Close f
74. Section Sections or slices on the axial plane These sections are taken as horizontal cuts through the anatomy Axial Section Sagittal Section An anteroposterior vertical plane passing through the body from front to back dividing it in half Sagittal Section Three different sliding controls allow moving through each type of section Axial 340 MPR 3 To switch to the MPR view select the MPR tab Rev 2 5 March 1 2011 Page 50 of 210 Volumetric Data Here there is a brief description of the MPR view and its different fields 1 f B 3 Gh MUT piee nama Carini Stbzis Birthdate mar OF ape HB Dacumemt cade 5 41 T0578 i i Bs a einem gt eee Somer 2 Following is a short explanation of each field Tab to switch between MPR and Axial view Axial View shows the axial slice corresponding to the selected position Coronal section shows the coronal section corresponding to the selected position Sagittal shows the sagittal section corresponding to the selected position Coronal plane sliding bar allow to move among coronal sections Axial plane sliding bar allow to move among axial slices Sagittal plane sliding bar allow to move among sagittal sections Zoom toolbat allow to modify and save the image s zoom Axes reset button Restore the initial volume position Hide axes intersections button when pressed hide the axis references
75. abled at the software start up the user will be propmted to confirm the old document deletion Press OK to store the current settings 11 5 Create CDs and DVDs Directly from NNT it is possible to create CDs and DVDs for archiving documents share them or create a Free Viewer a software version that needs no installation and allows to use most of the NNT functionality for analyzing the Studies stored in the same CD DVD Rev 2 5 March 1 2011 Page 183 of 210 Managing documents 11 5 1 Create a disc by Document f i L a eile Select File Disc burning CD DVD gt Burn a disc by Document lf an old compilation is present it is asked whether to empty it or to cancel the command Burn 4 study viewer dec HAT Viewer Show bunning window NNT Earner Choose the document type that you need on the disc If another same type compilation is present the program asks whether continue it or create a new one Then select the documents to insert and at the end press Start burning session to start the burning process In the window is displayed the selected documents dimension and the compilation total dimension horizontal progress bar for comparing with the CD s and DVD s capacity A more precise data quantity control will be performed by NNTBurner Select File Disc burning CD DVD gt Burn a disc by Patient If an old
76. agging the arch not available for drag of single cross and 3D In case the drag command is applied to a panoramic J or multiplanar on the panoramic section a line with targets will be drawn in the middle of the image Moving the target up and down the original traced path will move externally or internally of the curve 3 This functionality is very useful while searching for __ _ the mandibular canal The feature is not available for US market for patent pending issue At the end right click to disable the command The stack of axial images can be adjusted in order to modify the volume used to perform secondary reconstructions resulting in reducing the height of the panoramic and cross images Next are the steps to modify the stack of axial slices i m E New 30 model T Wy Cross setup a 3 Panorex setup Rev 2 5 March 1 2011 1 From the main menu select Images creation gt Choose axials stack for images creation Page 100 of 210 Rev 2 5 March 1 2011 Working with a Study The Choose axials stack window will appear This window allows to define the area that will be used for the following secondary reconstructions This area can be adjusted by changing the top and bottom edges of the reconstructed area Using the sliding bars located on the left of the image is possible to define the reconstructed area Selecting the
77. amic 3D i New 20 mode 2 3 a pa C High 0 Mean Low a Smooth Rev 2 5 March 1 2011 Working with a Study 7 5 6 1 What is a dynamic 3D image The dynamic 3D images are images similar to the ones described in the previous chapter created with a different method The dynamic 3D images include additional settings and features like the possibility to apply different colors transparency levels zoom levels etc For each image the height width and deep can be changed 7 5 6 2 Creating a dynamic 3D image The menu for the dynamic 3D image is always enabled also if other images are currently showed on the screen 1 From the menu select Images creation gt New dynamic 3D A window showing a black image will appear Initially only two buttons are enabled the Load image button located on the top left corner and the Exit button located on the bottom right corner The first time the dynamic 3D window is used is necessary to load and elaborate the initial 3D model For this purpose select the Load image button The software will create the initial 3D model and will enabled the different controls of the window These controls include 1 Preview area show a preview of the image that will be created 2 Reload Img allow to reload the model and select the amount of axial to be used for its creation 3 Reset image reset all the applied settings and retry to the i
78. ance to delete Rev 2 5 March 1 2011 Page 122 of 210 7 15 5 Working with 3D distances A ga Images creation toolbar GB rales tobar B Distances boolbar e Lines bonha ao Markers toolbar gig Sinas tosba fad Profle toolbar Report toolbar Rev 2 5 March 1 2011 Working with a Study 3 Left click in the target to delete the selected distance 4 To terminate the command right click 7 15 4 7 Delete all distances 1 Click on the Delete all distances button 2 Left click inside the image where you want to remove all the distances 3 Right click to finish the command Click on the 3D Distances Toolbar button The 3D Distance toolbar will appear 7 15 5 1 Trace a new 3D distance 1 Click on the New 3D Distance button Page 123 of 210 Rev 2 5 March 1 2011 Working with a Study 2 Left click inside the axial image to set the start point of the 3D measurement A white cross will be displayed Move between the axial images with the direction buttons and select the axial image to set the end point of the measurements Left or right click The distance will be displayed on all the axial images within the measurement Right click again to terminate the command 7 15 5 2 Modify a 3D distance 1 2 Click on the Drag button Move between the axial images with the directio
79. arkers tondbar ee Strings hoctbar fa Profile boodbar amp Report toolbar The Secondary Reconstruction will appear Select the Extract Panoramic button The image will be updated showing the three extract panoramic sections copied into the panoramic view Rev 2 5 March 1 2011 Page 92 of 210 Working with a Study 7 7 3 Extracting sequence of cross sections from a multiplanar image It is possible to extract sequence of cross sections from a multiplanar image Crossi Panorex 10 Multiplan 3 06 Select the Multiplanar Tab 2 Select the multiplanar image from which you wish to extract the panoramic sections 3 From the main toolbar select the Images creation toolbar command 30 distances toolbar Lines toolbar E Markers toolbar Strings toolbar j Profle toolbar The Secondary Reconstruction will appear Select the Extract sequence button Ar The image will be updated showing the extracted sequence of cross sections Rev 2 5 March 1 2011 Page 93 of 210 Working with a Study 7 7 4 Extracting Coronal and Sagittal sections from the MPR view wota Adsao MPR 3 Flee oat ees 1 Select the MPR Tab 2 The MPR view will appear For a complete explanation of this view please refere to chapter 6 4 MPR view 3 From the main toolbar select Images creation toolbar button ae E f 3D distances toolbar
80. art Select the Start button to start the scan i ko oa a i E er di ears Ered i z T ji oe qo a a al a The scan will start A progress dialog will appear showing the completion percentage of the scan process At the end of the scan two other progress dialogs will appear One during the Image analysis and one during the data storage process The software will automatically start the primary reconstruction of the phantom Rev 2 5 March 1 2011 Page 193 of 210 QAReport 1 93 Sofware vernon 2 6081 Biavece Humber Sean dae MTSE 11 54 Wax Au p AAP 1 00 degree HOE 58 50 60 30 mm j e VOE 5050 ore ear a e e ao H MUR lt 1 00 degree a Scan Time 17 80 18 20 seconds J THE on VY PWHM lt 0 50 mm os HFD 44 50 4550 mm 45 msaa a Nexo a aa Reserved for mien use YK 10 e010 12 08 Synaiure piir Hnrai ir Sere en Ct ibe Ca wa ae Ci fet atta Uy Ca HTT Creed Chars Ce TON Cake 1100 C11 ap L i C1 Lia ote ey CIR ory Rev 2 5 March 1 2011 Quality assurance At the end of the Primary Reconstruction you will be prompted to confirm that you wish to continue with the phantom analysis Select the Yes button When the analysis is completed the report with the results will be automatically displayed If a result is out of range three asterisks will be pla
81. ary reconstruction The acquired data can be saved on a local computer or sent to the network which the computer is connected to thus processed by other workstation provided with a different NNT software configuration suite EXPERT NNT Expert suite allows to perform all the NNT tasks In particular if the computer which the NNT Expert suite is installed on is a PRIMARY WORKSTATION see paragraph 1 2 Definitions the user will be able to perform scanning along with all the other tasks primary volumetric secondary and 3D imaging reconstructions and report creation and printing Otherwise if the computer is a SECONDARY WORKSTATION see paragraph 1 2 Definitions it will be possible to perform all the above mentioned tasks but scanning PROFESSIONAL NNT Professional suite allows to create new studies to perform secondary reconstruction and to create and print reports beginning from volumetric data created by primary reconstruction BASIC NNT Basic suite allows to view print and save into a personale archive previously created reports The user will be also able to add distance and angle measurements and to modify images brightness and contrast To get information regarding the installed NNT suite and computer features select on the toolbar Help gt About NNT WAT EP NNT OF PONT terion KN Coppi CT OR TIGAR OF ukia Senilai 20 J715 Viona Dia phone 33 MS R727 la 939 O45 RD i il Local pai oc NNT_
82. ast name in the Search field then click on Update list Rev 2 5 March 1 2011 Page 20 of 210 Lees Sian Ao Berd ara frst Sere Cae oa Cetus Cate Craii Crate arial GET tae ated mi Carpi Rev 2 5 March 1 2011 Scanning a patient The Patient lis window will be updated displaying all the patients who match the criteria used for the search Select the patient to be scanned and click on OK The Insert label window will open up Type a distinguishing comment related to this scan This will help identifying different scans performed on the same patient Type your comment and click on OK Page 21 of 210 Scanning a patient 4 1 3 Positioning the patient and running the scan After the patient s data have been entered the following two windows will briefly appear The first one points out the memory to be used for the scan has been initialized The second one points out the rotating arm is moving to the starting position Fiesetiing ganity postion At the end of the process a new window will appear Now it is possible to place the patient into the scan area see MACHINE USER MANUAL Ht ip a Once the patient has been placed go back to the MAIN WORKSTATION and click on Next A Click on X Ray Flash ART GO Pale 2 U EES a ESA a e H i aly a ee es E E bet a a pee eet Se F Fa LP E Rev 2 5 March 1 2011 Page
83. ayed a ten ee rryryi 7 7 6 Converting a Sequence of Cross Sections into a Panoramic image Another possibility is to convert a Sequence of Cross Sections into Panoramic images The settings that will be used to create the Panoramic images thickness and distance are the ones that are currently saved into the Panoramic setup window wan Bee Cross 5 O Pewel Miral 1 Select the Cross Tab 2 Select the Sequence of Cross Sections that you wish to convert you can use either the directional buttons located on the main toolbar or the sliding bar located on the bottom right corner of the window z E ie W m i i i 2 h J rf i B j i han w om i i i TAER Rev 2 5 March 1 2011 Page 96 of 210 Working with a Study 3 From the main toolbar select Images creation toolbar button Images creation too 4 The Secondary Reconstruction toolbar will L r k Hk Peat 16 wt Peat iether i appear Select the Crosses gt Panorex button 5 The new Panoramic images will be displayed 7 8 Modifying an existing image To modify an existing image change its reference path on the reference axial image 7 8 1 Standard drag The following demonstrates how to modify a panoramic image using the standard drag command The same method is employed to modify Single Transaxial sections a Sequence of Transaxial sections and 3D images Feecki O Gosb O Panare 10 waea S
84. ble only for devices with non automatic reconstruction see paragraph 2 5 Devices differences 2 Cancel to abort the process Click on Start The reconstruction process will immediately start and a progress bar will open up At the end of the process the Visualization window will open up showing the central axial of the reconstructed volume For more information on this dialog box see paragraph 7 10 1 Visualization window After adjusting the image settings click on Apply NOTE the adjusted settings will apply to all the reconstructed axial images The window showing the study will open up Page 44 of 210 Primary reconstruction 5 8 Night Reconstruction Night Reconstruction allows to store the settings of many Primary Reconstructions which can be performed later on This functionality is available only for devices with non automatic reconstruction see paragraph 2 5 Devices differences 5 8 1 Storing multiple Primary Reconstructions Perform a Primary Reconstruction see paragraph 5 6 Starting a Primary Reconstruction ora Primary and Study Reconstruction see paragraph 5 7 Starting Primary amp Study Reconstructions Aud a mite io the new doart Once the Reconstruction Options window appears select the Store button ce Stat Stat tee prmany retonsruchon pa i Siae the current reconchucton parsmneters for Bae herh iecorsiniction process
85. c data Page 55 of 210 Volumetric Data For a detailed explanation of this dialog refer to paragraph 7 10 1 Visualization window In case the Apply button has been selected the study will appear 6 7 Multiple study reconstructions This option allows to plan consecutive study reconstructions on the same volumetric data that can be run subsequently It can be considered an alternative to the Store study and continue button located on the visualization window and it usage is suggested in case the analysis of the patient requires the reconstruction of multiple areas Next are the steps to follow to plan and run a multiple study reconstructions From the main toolbar of the axial view select the Plan multiple study reconstructions button Adjust the ROI and the cross as explained in the previous chapter Once you are satisfied with your settings click with the mouse s right button or use the Start button between the two scout views The Choose to window will appear Stop Mudhple shady feceeiuchon inod Select the Store current reconstruction and continue planning another one button Rev 2 5 March 1 2011 Page 56 of 210 Stop Midhede chad feces uchice 1 reaches Shudy reconstruction setup E Bon multiple study reconstructions H E Eke an ee ee es ee ee ee ee Eomma Tasoumerndt sins JEI MEy Reguned CER
86. cale window c Click on the Record button a Wind 2 g You will be able to use the stored windows i settings later by clicking on the corresponding isi Record Wnd button NOTE before a new document is created the Wnd1 is set for default 5 Once you are satisfied with your settings select the Apply button 6 The Apply To window will appear Select how you want to apply your changes Three options are available a Current Image changes will be applied only to the selected image b Current Image Group changes will be applied only to the images belonging to the selected image group Single Cross Section Pano 3D etc c All images could be disabled changes will be applied to all the images of the study Selecting this options a short messagge will of k PS Cacal appear stating that the filter will not be applied to any image and the palette will not be applied to the 3D and Scout images ihe rne piele Fi po appi bo Sopi arif SD muges 7 Once chosen click on the OK button On the right side of the main window the zoom toolbar is located This toolbar includes five predefined zoom values buttons and a sliding bar to obtain customizable zoom levels The five predefined zoom buttons are Stretched the images are stretched to fill the available area 100 1cm on the image is 1cm on the screen TIA 90 None itis used 1 screen pixel for each image pixel
87. calibration of the machine have to be used only the ones that the model needs The procedure for verifying the patient centring is the follow 1 Run a scan of an object centred using the provided centring features see MACHINE USER MANUAL 2 Perform a Primary Reconstruction if it is not made automatically 3 Once the Volumetric is shown enter in the MPR view pressing the MPR Tab Axial 340 MPR 3 f i 4 Select the point illuminated by the lasers using the AXIALS SAGITTALS and CORONALS indicators for moving the image Tipically the lasers identify only 2 out of 3 possible dimensions so one of the three views is not useful 5 From the menu select Tools IEC 61223 3 5 test Patient positioning accuracy test go eoe aT i IEC 61223 35 test LE SSS 6 Nowa graded scale appears this allows to measure the lasers offsets the distance between two small lines is 1mm whilst the distance between two big lines is 5mm In the example the two directions defined by the lasers are the Axial and the Sagittal ones and the Coronal one is not defined As it is possible to see from the upper right image the laser offset is 4mm on the Axial plane and 4mm on the Sagittal one Rev 2 5 March 1 2011 Page 200 of 210 IEC61223 Standard 14 3 Tomographic section thickness paragraph 5 3 14 3 1 Tomographic section thickness for axial scanning paragraph 5 3 1 1 Take a scan of atest device as described in th
88. cccccccncccsucccuensucseuccusnsueseuecuesauenenecuensussuesuetausnsuesuetausnauesuesausnsuesenssussenssanes 52 6 5 MODIFYING THE STUDY RECONSTRUCTION PARAMETERS cececececececececececececeaeaeaeaeaeaeaeaeaeaeaeaeaeavananeraees 53 6 6 GPREATINGANEW STUDY e ATA A AAE E EAE AAE A A AEE 54 6 7 WIULTIPLE STUDY RECONSTRUGTION O a A A AEREE 56 Rev 2 5 March 1 2011 Page 3 of 210 6 8 EXPORTING THE AXIAL IMAGES IN DICOM FORMAT ececcecececcececcceccaccueaceneaceneaceneneasentaueneaueneanentanentanes 57 tf WORKING WITHA STUDY wirccavicav orev euavanevavavevavevavourvausdarsiavavevavadaveuaveurvausicaasuaatraesevaveustaustavetnvaveuaieunien 58 7 1 INTRODUCTION sisi 5n353s09se3n0830983 359 38 0018s aabensbaeabaatbsnsaansbanaaandaansein sein desaabanabinabiaveaanbaaseanaaandaanaeiaseba asa aei es 58 Pe OPENING Ae STUDY xa haus se snien pi RR eo ISAE a aAa aAa sui SAOI IOP AAAS ARA iaioa seas anes Taaa aaa aain 58 hd TUDY WINDOW 51 2 25h st ae2 aaah aa a ia aaia ste cede seco aaah aa Aaaa aaa aaa aaa aana Tarara 59 VAA AA LIMAGE S aaar a a AE OET O O 61 ZAI WACS araar INGOC aa a a agg ds 61 have Axial IMaAQeS OVONMO Wss ee rand NoaaagenindE 61 FAS MOVING GIMONG Axial IMAGO Sapa a Tardnoanageoindes 62 72D CREATING NEW IMAGE S sicatadscac cia cadence aa aan taataieats sais Sete AAAA AAAA AA 63 7 Dud OINGIC CIOSS SECTIONS sista shooters nau ay ystems a a aaa 63 73 2 SCQUCNCE Ol GIOSS SeCCIIONS eae E 65 79 0 FF AnO l alli C SeCHON
89. ce by using the mouse Mouse left click to confirm nen tse ne rons won _ The Visualization window will open up showing the reconstructed axial image For more information on this dialog box see paragraph 7 10 1 Visualization window Make sure the teeth appearance is fine the edge has to be defined Click on Cancel Rev 2 5 March 1 2011 Page 36 of 210 Primary reconstruction 5 5 Modifying the Primary Reconstruction parameters Next are the steps to be followed in order to customize and store the default primary reconstruction settings The procedure differs depending on the way the system managed the Raw Data Automatic reconstruction Advanced mode enabbled disabled Primary amp Study reconstruction available see paragraph 2 5 Devices differences 5 5 1 Procedure for devices with automatic reconstruction 2 HNT a From the main window select Reconstruction gt sche Primary reconstruction setup If multiple FOV are available the user will be prompted to select the desired FOV See the list of the available FOV at paragraph 2 5 i Devices differences Which FOVdayouwanttoseup E pees ee Once the FOV has been selected the Reconstruction Parameters window will open see paragraph 0 Bi Zom Reconstruction parameters RK cee 5 5 2 Procedure for devices with manual reconstruction or with Advanced mode enabled After opening a raw data selec
90. ced next to the value In this case contact Technical Support To print the report select File gt Print Page 194 of 210 Quality assurance The following table illustrates the meaning of each analysis result Phantom s angle on the First scout view Phantom s angle on the Second scout view Inclination angle of the phantom s axis of symmetry in the First scout view 09 Inclination angle of the phantom s axis of symmetry in the Second scout view 909 ScanTime Scan time in seconds RNS HDE External Horizontal Diameter Internal Horizontal Diameter External Vertical Diameter Internal Vertical Diameter Full Width Half Maximum horizontal Full Width Half Maximum vertical Horizontal Distance among holes Vertical Distance among holes Rev 2 5 March 1 2011 Noise per cent on the phantom s central axial image expressed as standard deviation of the density values as to their average value in an area in the middle of the image in correspondence of the water External diameter of the aluminum cylinder along the x axis in the central axial image Internal diameter of the aluminum cylinder along the x axis in the central axial image External diameter of the aluminum cylinder along the y axis in the central axial image Internal diameter of the aluminum cylinder along the y axis in the central axial image Spatial resolution millimeters on the horizontal diameter of the central a
91. ceenseesaeessesseneenaaess 157 9 2 5 Performing measures Of distances OF angles sccscccsecceecseecneccuecsuecuecsessuensuecsessuessuesensauesseesans 158 9 2 6 Including exam pazient data in the repott cscccscccseecceeecseecsuecsuecseecsseessuessuessseesseetseessuessnsesaness 159 JS PRANTNGAREPOR ene ene ee ee ee ee an ne en er er errs 159 gA WAIN Gi al2 1 21 2 eee eee enna eee are ene ner en te ere Rene ete nee eee ee ee ne nee ee ae eee ee ee cee eee 159 G5 SAVINGA REPORTIN PDR FORMAT cee seashore cis acca acca eet reer cte 160 og 12 an IN Gay REPOR meee eee ene eee ete ema Ne eae nee Rete Ree eee eee ee ee ne ae ee ee eee Cee eee 160 9 6 1 Modifying the patient s data Of a report ccccccscccseecseecnescnsuessuessusecuensuessusssesesenensuessuessusssesenaness 161 10 OTHER FUNG TIONS ienaa T aa 162 10 1 EDITING THE HEADER OF THE REPORT ccecececececececececececececeeeeeeeaeavaveneeeeaeaeavavereseeeteeeeeeeeenenenenenenenenes 162 10 2 ENABLING THE ADVANCED MODE OPTION ccececececececececececeeeaeeeeeaeeteteeeeeteeeveveveteeeeeeeeeeeeeeenenenenenenenes 164 10 3 MODIFYING THE NNT THEMES ccccccccececeeeeeecececececececeneceneneeeeeneneneneneaeaeavavavaneeeeeeeeeeeeeeenenenenenenenenes 164 10 4 MODIFY THE APPEARANCE OF THE GRAPHICS TOOLS ccececececeeeeeeeeeeeeeeceeeeeeececeeeeeeeneeeeeeeeenenenenenenenenes 165 10 4 7 USING INC GDI ODUONS sispa a a a canal undaas tana ainsi nO anh t add 168 10 4 2
92. construction of the scan data Advanced mode allow to manually managed the Raw Data and perform reconstruction with different voxel size When Advanced mode is selected it is possible to disable the automatic reconstruction process after any scan Select OK to store the changes Select File gt NNT themes setup Page 164 of 210 Other functions The NNT theme setup window will appear Select the desired themes The software will immediately reflect the new theme Press the Ok button to apply the selected theme or the themeer salvare la scelta fatta o Cancel button to restore the original theme 10 4 Modify the appearance of the graphics tools It is possible to customize all the graphic tools by changing the attributes of each one Triport b Export Dist burning CD DVD b Rev 2 5 March 1 2011 Select File gt Graphic options Page 165 of 210 Rev 2 5 March 1 2011 Other functions This page should 2007 06 15 End of first version io S 2007 08 06 Chapter 3 1 warm up is repli Scan Pad RX Shot is replace Chapter 2 4 added a new ima Chapter 3 improved Chapter 4 is renamed into Che 2 2007 11 08 Reference to the software 2 11 Removed any reference to the Added notes about the DICON Removed restrictions about mi Modified the figure about the s Chapter 4 split into scan for p Added paragraph 4 3 Parag
93. creation fir l Peleus 3D general eettings MIP model setup RigyCast mode setup Volume model setup Delal HEF modal odor Delai backorcund cole pelhrry ee Sebnched BR coke ui E Change Fiabe salhir fee HIF moda bk color Clapp niet er MIF odel by chef neal CE Tri Pick cuien chown madel KAS matt bechgtound cob ac O10 men Getaulk lo MIP model Ardo Load 30 re Rev 2 5 March 1 2011 Working with a Study The shown settings are the default ones to modify the default it is necessary to use the 3D default settings button This button remains activated after the model loading too Clicking the 3D default settings button the 3D Settings windows will appear this dialog allows to set the default values for the Surface smooth Edge enhancer and model quality On the left side it is also possible to choose the 3D reconstruction mode type to use as default For the MIP reconstruction the options are Standard and Extended the second one is slower in the loading period but faster during the rendering process For RayCast and Volume reconstruction the options are Standard and RealTime that allows if a Suitable graphic card is present to make real time renderings in full resolution See chapter 2 3 Workstation In the 3D Settings window there are other three tabs MIP model setup RayCast model setup and Volume model setup These are identical and they permit to set the starting conditions
94. cross sections A DA Images creation toolbar Bay Distantes toolbar fae 50 distances toolbar Click on the Markers Toolbar button The Markers toolbar will appear 7 15 6 1 Trace a small marker 1 Click on the New Small Marker button 2 Trace the path of the marker left clicking while moving the mouse 3 To terminate the command right click 7 15 6 2 Trace a medium marker 1 Click on the New Medium Marker button 2 Trace the path of the marker left clicking while moving the mouse 3 To terminate the command right click 7 15 6 3 Trace a large marker 1 Click on the New Large Marker button Rev 2 5 March 1 2011 Page 126 of 210 Working with a Study 2 Trace the path of the marker left clicking while moving the mouse 3 To terminate the command right click 7 15 6 4 Change the marker color 1 Click on the Change Default Marker color button 2 The Color window will open Select the desired color for the marker and click on the OK button 7 15 6 5 Hide all the markers in the study 1 Click on the Hide All Markers button 2 All the markers in the study will be hidden to restore the markers after they have been hidden click again on the Hide All Markers button 7 15 6 6 Delete a marker 1 Click on the Delete Marker button 2 Select the marker to be deleted 7 15 6 7 Delete all the markers from the stu
95. depending on the scanner in use so the image on the side has only to be considered as demonstrative If remote patient position adjustment is available see chapter 4 4 Remote patient position adjustment For further information see MACHINE USER MANUAL After adjusting the patient s position click on one of the three available buttons X Ray Flash to further adjust the patient s position and acquire a new image Back to go back to the first scout view and check the prior patient s position out Next to continue the process and start the examination Stop to abort the scan process After clicking on Next the rotating arm will move to the starting position In the meantime the message on the side will appear At the end of the above mentioned process a new window will open up stating the equipment is ready to start scanning If applicable choose the preferred scanning mode tandard dose uses the standard radiological parameters default setting Boosted dose approximately doubles the radiological dose it yields better quality images for patients without teeths or with a small number of implants fillings crowns Click on Start to begin the scan Rev 2 5 March 1 2011 Page 24 of 210 eae ee Tn iwan Be eran pee Toe 5 narma m e ja E i Fi ae saif com i Scanning a patient A progress dialog box will open up showing the percentage of the completed
96. depends from the attached eee device and from the modality used to create the raw data see paragraph 5 5 Modifying the Primary Reconstruction parameters for a description of different options Smal vowel 250 arn Once the desired voxel size has been selected press Betake the Continue planning reconstr button to continue delmi Position the desired reconstruction area Different ways of positioning can be available depending on the region size Overlapped to the lateral image two horizontal reference lines could be drawn Drag the two lines in order to define the reconstructed volume size In case the reconstructed volume is narrower than the available area on both the scout views the reconsctructable volume boxes wil appear These boxes can only be positioned without modifying their size At the end right click or select the Start button Rev 2 5 March 1 2011 Page 41 of 210 Primary reconstruction The Reconstruction Options window will open up It is possible to type a distinguishing comment related Tee to this Primary Reconstruction Aud a rte lo the ney document Click on OK Three different options can now be selected 1 Start to start the Primary Reconstruction Start the primary reconstruction Process 2 Store to store the settings into the night Sloe the current econchucton parameters for ae the night iecorsinicton process recostruction list
97. dow is displayed the selected documents dimension and the compilation total dimension horizontal progress bar for comparing with the CD s and DVD s capacity A more precise data quantity control will be performed by NNTBurner E Wipes Sebastes Ot Hon a ME Ta NNTViewer is a light version of the NNT software that doesn t need any installation and doesn t save anything in the computer it has many of the complete software s functions starting directly from CD DVD With NNTViewer can be opened only documents stored in the same disc it is not possible to save any document it is only possible to print the created Reports and it is not possible to create tridimensional images neither CDs DVDs 11 5 4 NNTBurner NNTBurner the CD DVD burning program integrated in NNT is automatically launched at the end of the procedures described in the paragraphs 11 5 1 O and Obut it is possible to start the program at any moment selecting File Disc burning CD DVD Show burning window NNT Burner NNT Burner at the beginning Rev 2 5 March 1 2011 Page 186 of 210 Managing documents oe Sura and Mame Garthclste Dec Te Sim Bos Cody Commer Caasre Si OOL Tui TIME SAUS Cem hia MOEST Study MAHE In the field 1 it is possible to insert the title label of the disc In 2 it is displayed the list of the all documents that will be copied in the disc The box 3 is used to give informations to the u
98. dy 1 Click on the Delete All Markers button 2 You will be prompted to confirm before deleting all the markers from the study Select the Yes button 3 All the markers will be removed from the study Use this command with caution 7 15 7 Working with profiles A profile reports the value of each data point of an image on a scale from 0 65535 sii cP F Ei o gt Y Click on the Profile Toolbar button A BA Images creation toolbar Gar Angles toolbar EA Distances boolbar 30 distances toolbar l ai Markers togba gbe Shrings bootar Rev 2 5 March 1 2011 Page 127 of 210 Working with a Study The Profile toolbar will appear 7 15 7 1 Apply a profile 1 Click on the New Profile button 2 Left click inside an image drag the line and left or right click 3 A window with the profile will appear The red dot represents the highest gray level point of the profile The green dot represents the lowest gray level point of the profile Click on the Apply button R h x L E V L L To amplify the graphic scale click on Stretch button as showed in figure rman haw 4 The profile will be inserted in the image Rev 2 5 March 1 2011 Page 128 of 210 7 15 8 Working with text Text can be apply to all the images in different ways Rev 2 5 March 1 2011 2 2 2 Working with a Study
99. e Show hide image overlays command Deselect the command to restore the visualization of the overlay 7 13 Saving images in different file formats Each image can be saved in a JPEG or BMP format To save an image follow the next steps Rev 2 5 March 1 2011 Select File Save Image As The cursor will change its appearance to reflect the selected command Left click on the image you wish to save Page 106 of 210 Working with a Study Save As JE The Save As window will appear with a Gavein e WikP OS ICD O l e A ea Ee suggested file name E Documents and Settings WINDOWS l exim Peg Browse for the directory where you want to save Qorcap the file I Program Files iQ uarantine i From the Save As Type list select the file format in which you wish to save the image File name save as type Bitmap files files bmp Cancel Click on the Save button to save the file Once the file has been saved the Save image as command is still active To deactivate it right click NOTE The Save image as comand is available also for the RawData and Volumetric Data 7 13 1 Screen shot command z 1 From the main toolbar select the Screen Shot button 2 The cursor will change to reflect the selected command Select the screen you wish to grab then left click on it Save As ral 3 The
100. e gt Template Setup gt Copy Export 7 Disc burning CD D D Delete Document Grapher options NNT theme setup Settings backup Template setup Rev 2 5 March 1 2011 Page 143 of 210 Templates The Copy Template window will appear DE Timan rin H Hini Pha GDR PT Fa Pr r Hahr Phoa SER S ee i K J3 aa Pr T Select the template to copy and click on the OK ln PDF hii EEF 2 ae I button Lees POF Ciema SGT e ara Horie Psa OG PS SE a SOT vl The existing template layout will appear Perform the modification you wish and click OK iege F taag T mor bg ligt WoS Ponia l AMEE San vai 197 Bm bot xmi Ei YEERE al eme i 100 S You will be prompted to confirm before saving the template Click OK Save the template data file Template 4 Rev 2 5 March 1 2011 Page 144 of 210 Working with reports 9 Working with reports 9 1 Creating a new report A study must be open and images must be available from that study in order to create a report 9 1 1 Open a template Wl Pahent name ips Comment Parte Men Pre PSN PS Sanchar S Sue Pheer BSG FS fo a RD reel Meru Phe GEC PS 1s SO ea Sg PIE Cine 2G ae ra been POF Create S07 y 50 ne Corner Hegde Patent Motes begs lng dnt Usage Crea Coremenitt Mhandibuby lempiahs Rev 2 5 March 1 2011 After opening a st
101. e standard Rev 2 5 March 1 2011 Page 206 of 210 IEC61223 Standard Railz 1141 SD Foi cenir 42 Continue with anakin i j PTAA TE FELA TOT T 14 6 Spatial resolution paragraph 5 6 1 Take a scan of the test device the tungsten carbide bead of Catphan 500 was used 2 Perform the primary reconstruction using High Resolution and Small Field if available parameters or the Standard voxel parameter Piian renoneingehon paamelert niope size Primary reconstruction parameters eS E Slandand ional Fieconstuetion step 7 il se FSO ami H High Resolution fy Large field gt Small veel slower ni 290 pm 250 am High Resolution Fa Smallfield Ge vaea faster aaa 250 pm 200 pir O ee eg Dave cur JA settings as E default gp ERR lt x planning XK oe Close reconstr 3 At the end of the reconstruction select Study Reconstruction from the Study Reconstruction menu Set the slice thickness to 0 5mm and resize the ROPs to reconstruct the desired area 4 Open the study and visualize axial images Set the single axial mode and browse the images till a section with the scanned object is showed Rev 2 5 March 1 2011 Page 207 of 210 IEC61223 Standard 5 Tomagraphac Shoe Thickness best Noise and Undormity test 6 A ROI will appear Move it keeping pressed th
102. e will immediately interrupt the procedure a message will pop up reporting about the interruption and the last scout view will be deleted as out of date If the CTRL key is released before starting the patient position procedure that is before releasing the mouse right button the entire procedure will be cancelled and the software will get back to the ee starting point preventing from deleting the last scout view FIRST SCOUT PATIENT POSITIONIN Center the patient for the first scout view acquisition and verify the positioning by performing a single acquisition with the ss Next X Ray Flash button then pre as X Ray Flash While moving the scout view toward the desired position by using the mouse the software will show by means of a green border around the scout view that that position is allowed that is that the patient can be positioned as such e N w s a S o e FIRST SCOUT PATIENT POSITIONING Center the patient for the first scout view acquisition and verify the positioning by performing a single acquisition with the ess Next ew a X Ray Flash button then pr While moving the scout view toward the desired position by using the mouse the software will show by means of a red border that that position is not allowed that is that the patient cannot be positioned as such Y w a o se
103. e Index 4 Check Scan command allows to create a temporary axial slice 5 Primary Reconstruction command allows to start a Primary Reconstruction 6 Primary amp Study Reconstructions command allows to start a Primary Reconstruction and a Study Reconstruction immediately afterwards only available for devices with the Primary amp Study option enabled see chapter 2 5 Devices differences 7 Movie toolbar it provides the following commands to display the images acquired during the scan To move to the first image First img To perform a 90 degrees step backward To move to the previous image To play the movie of the scan backward To stop the movie of the scan To play the movie of the scan forward To move to the next image To perform a 90 degrees step forward To move to the last image 8 X ray source detector position it shows the position of x ray source and detector with reference to the displayed image Rev 2 5 March 1 2011 Page 35 of 210 Primary reconstruction 5 4 Checking the scan Where the Primary Reconstruction planning is expected see Chapter 6 Primary Reconstruction it s possible to check the patient scan by single slice reconstructions Click on Check Scan On the image an horizontal line will appear pointing out the axial slice of the acquired volume to be checked The reference line is to be positioned on the chosen axial sli
104. e Select the Panorex Tab Rev 2 5 March 1 2011 Page 97 of 210 Working with a Study Select the panoramic section you want to modify you can use either the directional buttons located on the main toolbar or the sliding bar located on the bottom right corner of the window Click on the Drag button located on the Images creation tools my Lam The reference path on the axial image will be highlighted along with red targets used to drag the path for image modification Left click in the targets and drag the target with the left button depressed Release the button when the target is in the desired location Clicking between to red targets is possible to move the entire curve Clicking on the yellow targets in the middle it is possible to stretch the curve Clicking on the yellow targets in the corners it is possible to rotate the curve Pressing the CTRL key and moving the mouse wheel it is possible to enlarge reduce the curve Using the mouse wheel it is possible to navigate through the axial images while dragging the arch not available for drag of single cross and 3D To terminate the command right click A message will appear Click on the Modify Current Image button to modify the existing panoramic image Click on the Create New Image button to create a new image without modifying the existing image Rev 2 5 March 1 2011 Page 98 of 210 Working with a
105. e adjustments select the Finish button to terminate 13 Once the image is ready select the desired zoom factor from the Zoom x field from 1 to 3 and press the Add image to study button The new images will appear beside the axial slice used as reference image Rev 2 5 March 1 2011 Page 81 of 210 Working with a Study 7 5 5 3 Optimize the image appearance In order to get a good 3D image the correct LUT anda proper calibration of the Function curve must be assured This settings depends from the type of 3D image you wish to create e Incase of MIP image the Linear LUT is the recommended one The Function curve should look like a ramp starting from the bottom left corner of the graph up to the end of the histogram data lt e Incase of a Volume image the proper LUT depends from what the user wants to highlight Select the desired one from the Model color section e For a solid reconstruction the Function curve MUST have a step instead of a ramp Rev 2 5 March 1 2011 Page 82 of 210 Working with a Study Adjust the Function curve to select the tissue bone or soft you wish to display lt Image with bone tissue highlighted lt Image with soft tissue highlighted Rev 2 5 March 1 2011 Page 83 of 210 7 5 6 Dynamic 3D images My New cross sections p Hei pa New panorex section cal New multiplanar section lone New dyn
106. e chapter 2 3 2 Validated graphic cards Additional CD DVD Reader CD DVD Writer devices Ethernet 100Mbps Ethernet 1Gbps Windows 2000 SP 24 Windows XP SP 23 32 bit only Windows Vista 32 bit only Rev 2 5 March 1 2011 Page 10 of 210 Getting started NNT Station for NEWTOM VG VGi e 5G Minimum Requirement Recommended Requirement Processor Intel Pentium 4 2 2 8 GHz or higher Intel Core i7 Hard Drive 80 GB at 7200 rpm 250 GB at 10000 rpm or 2x500 GB at 7200rpm in RAID 0 if the computer has to be a NNT data server System Memory Video Resolution 1280x1024 and Video Resolution 1280x1024 and a 128MB of RAM video compatible graphic card See chapter 2 3 2 Validated graphic cards Additional CD DVD Reader CD DVD Writer Windows 2000 SP 24 Windows XP SP 23 32 bit only Windows Vista 32 bit only Windows 7 SP 21 32 bit only NNT Server only NNT data server without NNT software Processor Hard Drive System Memory Any Additional Ethernet 1Gbps devices Windows 2000 SP 24 2 3 1 Newtwork switches If the NNT Station is connected on the network it is suggested to use a switch with the following performances Switching Routing gt 88 Gbps 24 port versions 2 136 Gbps 48 port versions Capacity max Throughput max 2 64 Mpps 24 port versions 2 99 Mpps 48 port versions The indication of the Throughput unless otherwise specified us
107. e exportation in original dimensions if the axial s length is less than 512 pixels else the axial images are resized until the dimension becomes 512 pixels e DICOM settings opens the window described in paragraph Othat allows to choose between single file and multiple files DICOM export Rev 2 5 March 1 2011 Page 57 of 210 Working with a Study 7 Working with a Study 7 1 Introduction After a study has been created it contains only the two scout views and the stack of axial images generated from the ROI set up inside the Volumetric data window 7 2 Opening a Study HHI Select File gt Open The Choose NNT Document window will appear Click on the Study button On the Study List window select the patient and click OK Note Whether the patient does not appear on the upper part of the list insert his her last name initial into the field on the top left corner of the window see image on the side point 7 Furthermore it s possible to search the patient s by applying a filter see illustration on the side point 2 located on the top right corner of the window The study view will appear Rev 2 5 March 1 2011 Page 58 of 210 Working with a Study 7 3 Study window Following is a brief description of the main window of the study and its different fields 1 2 3 Patient nama Cassini Silvis Birthdate uar O7 ape 1947 Datumen codi Si 70 579 ipa
108. e left button of the mouse over the scanned object wire or bead showed as a white point Moving the ROl 7 Press the right button of the mouse to get the results MTF50 and MTF10 values lp cm are showed Rev 2 5 March 1 2011 Page 208 of 210 IEC61223 Standard a k i iHi i ip MTF nevus lover MTFI0 19 246 MTFSO 10 558 siy Rev 2 5 March 1 2011 Page 209 of 210 Appendix A 15 Appendix A 15 1 Getting out the software Close the NNT application by clicking on File Exit from the main window 15 2 Checking the connection between computer and scanner The status icon of the connection between computer and scanner appears in the main window upper right corner See hereunder How to read the above mentioned icon and what to do whether the connection has been denied is shown hereunder The connection between computer and scanner has been established and is ongoing The connection has been denied or is not available Check out the scanner is on and at least one minute has gone by since the equipment has been turned on Either one or both the emergency push buttons are turned on Deactivate those buttons which have been pressed After checking the reason why the connection has failed click on Connect to the scanner to establish a new connection If the connection can be established the icon will be updated showing the new status 15 3 Running the X
109. e standard it should contain one or more ramps with known and opposite angle for each FOV 2 Perform the primary reconstruction usign High Resolution and Large Field if available parameters or the Standard voxel parameter Pima RESON esto paneer Reconstruction setup Vinal oe Fma ienoriskuction paame gt fee eee pa ee Eh wr i Recorrer stap AS pari H High Resolution el Smal vowel iakaat 250 um Hagh Pe hohticey faste NI OUN e Wen imal voxel 200 pra Uhra smal voel 150pm Save tU e EE z dink q Loniru lt planning Chere iecit fS Rev 2 5 March 1 2011 Page 201 of 210 IEC61223 Standard 3 At the end of the reconstruction select Study Reconstruction from the Study Reconstruction menu The slice thickness should be fixed to 0 5 1 and 5mm 4 Align the inclination of the Roi to the test device in standard CT has to be done at the scanning time in Newtom can be done at the reconstruction time 5 For each slice thickness open the study and visualize axial images Set the single axial mode and browse the images till the ramp will appear 6 ice and Lidformty test Spatial reseduthon best 1 7 Trace a line press the left button of the mouse move it and at the end press the left button again as longitudinal as possible over the bar that has to be analyzed see following picture Rev 2 5 March 1
110. e the number of degree of which the image will rotate when the rotation sliding bar buttons are pressed 5 l jecit inai 22 Slider rotation speed set the image s rotational slider sensibility Only the correct slider is active StandardE nhanced modes shed Slider rok speed gt fast W 23 Model axis adjustment permette di aggiustare l orientamento di default del modello Allows to adjust the axis model orientation This functionality will be deeply explained later 24 Add image to study add the image of the preview area magnified by a factor defined by the Zoom x field to the study under the 3D images section Higher will be the zoom value higher will be the resolution of the printed image 25 Exit close the window and return to the study Besides the window is closed it is still active meaning that next time it will be open it will keep the last settings avoiding to reload the model Image CROP Image CROP 11 Selecting the Enable CROP bution the Set Ee oe CROP X Y and Set CROP Z buttons Se CROP Sef CROP became available Rev 2 5 March 1 2011 Page 79 of 210 Working with a Study a Set CROP X Y allows to define the area on the X and Y axis that will be extracted in order to create a new 3D image Once the button is selected the 3D image will be replaced by an axial image with a ROI Region Of Interest drawn This ROI can be adjusted by changing its
111. ec 100 com 1 Rev 2 5 March 1 2011 Page 85 of 210 Working with a Study planes The buttons G S and F located on the right allow to apply different color to each plane 15 Surfaces It is possible to have different surface on the same model A surface could show the bone tissue and another surface the soft tissue Each surface has its own values of bone level opacity color etc in this way different colors and transparencies can be applied to the surfaces in order to distinguish them and to show the ones that are located inside the skull For default the software show only one surface Surf 1 The others 4 can be activated using the Enable buttons BON aaa Clicking on the colored area next to the Enable Enebe Sant Select buttons it is possible to modify the color of each Enable Sut 2 fi Select surface The Selected flag is used to define to which Lt surface the current values of Bone level Enable Su 4 i Opacity Color diffuse Color specular and aa age l CROP this last one only if the Apply to all oe enabled surfaces flag is not selected apply Enable Sufi 3 ti 16 Predefined views Different predefined views can be selected for the 3D model Front Rear Left Right Top and Bottom These predefined points of view helps the user to find the best position for the 3D model 17 Add image to study add the current image to the study under the 3
112. ection Please contact Service and provide them ID and Password in order to enable the remote session Password Rev 2 5 March 1 2011 Troubleshooting To have remote support on your computer after ensuring that it is connected on a network that allow internet access select from the starting menu Help gt NNT Remote Support The NNT Remote Support will be lauched Do not close the program and communicate to Service the ID and the Password that you can read in the appropriate fields If some connection problems happened this screenshot would appear In this situation contact your network administrator and ask for NNT Remote Support TeamViewer to work properly Page 199 of 210 IEC61223 Standard 14 IEC61223 Standard Acceptance Test This chapter describes those specific procedures to be performed to facilitate the execution of the acceptance tests prescribed by the IEC61223 3 5 law Each test is linked to the paragraph of the IEC standard 14 1 Positioning of the patient support paragraph 5 1 No specific procedure has been set up 14 2 Patient positioning accuracy paragraph 5 2 14 2 1 Axial patient positioning accuracy paragraph 5 2 1 See paragraph 14 2 2 14 2 2 Sagittal and coronal patient positioning light paragraph 5 2 2 This paragraph describes the procedure for the calibration of the positioning lasers This procedure allows to verify the Axial Sagittal and Coronal centring for the
113. ed the text right click to close the command 7 15 8 6 Delete a line of text 1 Click on the Delete one tex button 2 A blue box will appear around each text 3 Move the cursor over the text to highlight it and then left click to delete it 7 15 8 7 Delete all the text from an image 1 Click on the Delete all texts button 2 Left click over the image from which you want to delete all the text 3 Right click to deselect the command Page 134 of 210 Working with a Study 7 15 9 Tools Toolbar The Tools toolbar is located on the right side of the study window It includes most of the commands that can be found in the single toolbars Each toolbar is identify by a specific button that if pressed expand the command of the selected toolbar 7 16 Enable Disable the delete confirmation messages A confirmation message appears every time the user try to e delete a secondary image single transaxial sequence of transaxials panoramic 3D delete a single transaxial from a sequence of transaxials delete all the angles of an image delete all the distances of an image delete all the lines and arrows of an image delete all the text of an image launch NNT Burner use a Quick Curve after the fifth point is inserted Rev 2 5 March 1 2011 Page 135 of 210 Working with a Study When the aforementioned message is visualized it is possible to decide if the next time it will be shown
114. eeeeatataneeeaes 3 5 5 1 Procedure for devices with automatic reconstruction 0 0 2 cccccccccecececeececececececnenenenececnetaeaeseseneneness 37 5 5 2 Procedure for devices with manual reconstruction or with Advanced mode enabled 0 37 5 5 3 Procedure for devices with Primary amp Study reconstruction enabled cccccseccseeceesseseeneesseesaees 38 5 9 4 ACCONSITUCHION PalaMeClelS WINGOW wieisesitisincredsteceserereriaecrcieess eaceinesesenetereteveds inna AE E E REER 38 5 6 STARTING A PRIMARY RECONSTRUCTION 2cececececceeceeeeeeeeeeeeeeeeeecececesececesucusuceseeeseseaeaeaeaeaeaeaeeaeananeraees 40 5 7 STARTING PRIMARY amp STUDY RECONSTRUCTIONS 2cecececececececeaeaeeeaeaeeeaeeeeeeecuceceeneueeeucususnseaeaeaeaeaeaeaes 43 5 8 NIGHT RECONSTRUCTION 2s asadadsacnncavenduanandvannvadeneuatawsiaushetavanada walla watpeawwawevewntn avin wsieweesnwuawewawsweawnavenenawaweee 45 5 6 otong MUIIPIC FAIMANY TICCOMSU UCN ONS e rissa E E RA 45 D002 RUNDING MMUMIPIS TINALY LOCONSI CHOI reisai Gates Gach ace ieee E EEE EE EEEE EERE 45 5 9 MANAGEMENT OF NON RECONSTRUCTED SCAN 2cecececeececeeeeeececeaeaeececeaeaeeceseaeaeaeeseeeaeaeeeeaeaeaensentanatnneaes 46 6 VOLUMEMRIG DATA E E E E E E O O ETEA A E E A TE 47 ONER ODUC TION araa ae tr a a 47 Ge OPENING VOLUMETRIC DATA tne a aetna eaesete 47 Tea cree a a ere rn re ee 49 ANEREN saeco ee ere eed cient na eaten ia en en ran rn en eee 50 6 4 1 Modifying the ZOOM 1cc
115. een designated within the report Left click on the report to enable it Select Edit gt Report Page Notes Page 150 of 210 Working with reports The Text editor window will appear Bhris Uracerd MS bah cer eae ea erpe i d fetru Elis E Type the notes and format the text as you wish It is possible to change font type size style This IS a and color demonstration report When you have finished select the OK button i prL issu Sve The notes will appear on the report pags i e PE i This is a demonstration report SP be n m Rev 2 5 March 1 2011 Page 151 of 210 Add report page hi Report page layout Report page notes ah Show report notes texts database Load Change pilti 9 1 7 Report notes database ait Pahent pane Add report page Fiz Report page layout i Repot page notes m Change palette Rev 2 5 March 1 2011 Working with reports To remove the notes from a report select Edit gt Empty Report Notes NOTE In case the report is made of more than one page you will be prompted to select the page from which you wish to remove the notes It s possible to create database for the most common comments used on the report this database can be open selecting Edit gt Show report notes texts database A window with the list of the existing comments will ap
116. fects the number and size of the images Adjusting the configuration of the study every time can result in a waste of time For this reason the software includes the possibility to store each configuration in order to retrieve and apply it quickly to a different study Next are the steps to follow to save a configuration Select the Study views confiquration button located on the study toolbar Rev 2 5 March 1 2011 Page 105 of 210 Doig rere Dh 7 12 Hiding the images overlays Working with a Study The Study views configuration window will appear Selecting the Save current study config button the current configuration will be saved You will be prompted to insert a name to identify this configuration that will be added to the list Later it will be possible to retrieve a saved configuration by highlighting it and selecting the Apply to current study button It is possible to set a default configuration using the Set as default button This configuration will appear highlighted in the list To delete a configuration select the Delete configuration button The image overlays are all the graphic objects lines arrows distances angles text profiles markers etc that can be manually added to the images A command is provided in order to temporarily hide these objects and show the images in their original status From the main toolbar of the study select th
117. file from the original location after the export procedure is terminated Once the document s has have been selected click on the OK button The Insert label window will appear Type a distinguishing comment related to this export process This identifies the different export operations completed Type your comment and click on OK Once the process is finished a message will appear Copied 7 Click on the OK button Skipped 0 Ents 0 Rev 2 5 March 1 2011 Page 182 of 210 Managing documents 11 4 Delete Documents re A NNT Select File Delete Document rupert Expat The Choose NNT Document window will appear Select the type of document you wish to delete The selected document delete list will errno appear Select the document s you want to delete Use the Select all button to select all the documents Once the document s has have been selected click on the OK button af knees Fhine oe is In case the selected document sare Raw DataSolo the window will also include the Autodeletebutton Selecting the Autodelete button the Autodelete configuration window will appear Enabled P d This dialog allows to enable disable the Delete rawdata cider than S0 davla automatic RawData deletion and select the n number of days after which the raw data will W oe be erased If en
118. for the three 3D models for the LUT for the 3D image coloration the Rulers visualization and its graduation the image background colour there is also a button that allows to set as the default background colour the one that is currently the background one Select the Load 3D button to create the 3D model Once the Ok button is selected the software will calculate the 3D model enabling the different buttons and controls of the working area These controls are 1 Image preview shows a preview of the image that will be created The preview area can be enlarged or shrinked grabbing the top right corner of the window 2 Reload 3D allows to reload the model and reselect the amount of axial slices to be used 3 3D default settings for modifying the default settings used at the start of the 3D window described before 4 Model color allows to select the color of the Page 75 of 210 Working with a Study E model by choosing among 5 predefined ka Grey options Gray Flame Spectrum Bone and Pilar Linear this last one is selected by default See Change bk color enables to choose the O Uhen background color of the image deafult is is black 5 Predefined views gives the possibility to select the view of the model by choosing among 6 predefined point of view Front Rear Left Right Top and Bottom These predefined points of view helps the user to find the best position for the
119. ght exam acquisition mode see chapter 4 Scanning The status of the buttons is automatically managed by the software Buttons that cannot be used are disabled Each device depending on its features can have different number of FOV see chapter 2 5 Devices differences Following examples will consider just one device type oS i ET oI Rev 2 5 March 1 2011 Page 13 of 210 Getting started 2 5 Devices differences This chapter shows the software differences based on used equipment type The explanation of each single option will be covered in the related chapter Available Field Of Views FOV A il z CAM BAMAGER NewTom VG 3 FOV NewTom 3G 12 NewTom VG NewTom VGi 3 FOV NewTom VGi 7 FOV NewTom 5G Management of the scan data and primary reconstruction options ear mee cae aaa res mode choice NewTomDVT9000 9000 o T E KER 8 NewTom VG po T X S S Standard NewTom VGI 3FOV X J X Advanced NewTom5G X X Advanced X NewTom VGI 7 FOV X J X Advanced _ _ Rev 2 5 March 1 2011 Page 14 of 210 Daily Check 3 Prescan operations In this chapter are described all the mandatory operations to be performed before the patient acquisitions Some of these operations must be performed every day depending on the scanner model It will not be possible to perform a patient s scan before the above mentioned operations are successfully
120. h cia late nau iter eradedasceunes anaadnnaganasangaaanaamamnsamnoannnasnnanese sats 210 15 2 CHECKING THE CONNECTION BETWEEN COMPUTER AND SCANNER 0ccceccceeceeeeceeeceeeeeeeeeeeeeeeeeeueeaeeesaees 210 15 3 RUNNING THE X RAY SOURCE FORMING PROCESS c c0ccsssceecseecsseeoessoeeseeeceeteeescarseessesoueteaesenscerees 210 Rev 2 5 March 1 2011 Page 6 of 210 Quality assurance 1 About this Manual 1 1 Contents This manual has been conceived as a mean of reference to provide information and instructions on the use of the NNT software The user shall fully read and understand this manual before using the equipment It is highly recommended to keep this manual along with further documentation and to use it as an handbook in order to instruct new staff in using the equipment 1 2 Definitions MAIN WORKSTATION Computer connected the CT scan Any computer running NNT software for the sole data processing view SECONDARY WORKSTATION Thus all the MAIN WORKSTATIONS are excluded from this cathegory MACHINE USER MANUAL Manual dedicated to the equipment running the NNT software MULTI FOV DEVICE Equipment which allows to switch to a different FOV 1 3 Structure This manual includes the following sections e Chapter 1 About this Manual provides general information about the structure and the stylistic conventions of the manual e Chapter 2 Getting started contains a general description of the machine and
121. hed it can be retrieved using the Recover scan manager window This window will automatically appear at the software startup in case one or more acquisition has not been reconstructed yet The Recover scan manager can be subsequently shown selecting the Reconstruction gt Recover scan manager command Page 46 of 210 Volumetric Data 6 Volumetric Data 6 1 Introduction After the Primary Reconstruction is finished a stack of axial slices has been generated This stack of axial slices is called Volumetric Data The axial slices that form the Volumetric Data are always horizontal Two different views can be used to display the volumetric data the Volumetric view and the MPR view 6 2 mara pening a Volumetric Data Rev 2 5 March 1 2011 Select File gt Open The Choose NNT Document window will appear Click on the Volumetric Data button On the Volumetric Data List window select the patient and click OK Note Whether the patient does not appear on the upper part of the list insert his her last name initial into the field on the top left corner of the window see image on the side point 7 Furthermore it s possible to search the patient s by applying a filter see illustration on the side point 2 located on the top right corner of the window Page 47 of 210 Volumetric Data The volumetric view will appear Rev 2 5 March
122. hlighting the report boxes every time Following is a brief description of this working modality Open an empty report page Keeping the F1 button pressed select an image that has to be inserted in the report repeat this operation for all the images have to be inserted If the position of the images has to be known in advance select Report Report Wizard The boxes inside the report page will be identified by numbers At the same time the first box will be automatically highlighted Select the image you wish to insert in the first box After the image hasbeen copied inside the report the following box will be highlighted Proceed in the same way until all the boxes have been filled Rev 2 5 March 1 2011 Page 149 of 210 9 1 5 Insert notes in the report r i J rf i a E d aeai he E EA EEr pe arr P _ Ci ae Pe ri a Pala Patent Tae Lease Sige BIT B L ots Show report notes texts database la Change palette Rev 2 5 March 1 2011 Working with reports To delete an image from the report right click on the image in the report A pop up menu will appear Click on the Remove menu item A red cross will be drawn on the selected image You will be prompted to confirm before deleting the image Click on Yes to delete the image Be sure a note field has b
123. howing the patient information Patient data represented in blue Following are the steps to change the aforementioned item colors Rev 2 5 March 1 2011 Page 168 of 210 Repet cols Hue fo Fed 255 l Sat 240 Greer lo ColoSolid ay 120 Bie a Add to Custom Colors Other functions On the Report colors click the button associated with the item you wish to modify The Color dialog will appear Select the color you wish to use and click the OK button The preview image will update according to the last changes 10 4 3 Select the data to be included in the report Exim etd en Repo Choose repot exam info Charge hig reiepligs V Exam date Referred by corme Patient ID Accession Nuniber Ley _ Exposura tine Bigr Axial thickness axia pitch F Air Kerma HDA CTI wp CTD Evel mAs _ Apply to the first report page ony a om Rev 2 5 March 1 2011 In order to choose the data to be included in the report under the patient data area select the Change located in the Exam info on report section From the Exam info on Report window check the fields you wish to be included in the report The Apply to the first report page only field allows to print the additional information only on the first report page Selct the OK button to confirm Page 169 of 210 Other functions 10 4 4 Changing the Overlay Color Conversion B W printer
124. ill be printed in black with a white background like in the Force white BK modality The text with transparent background will be printed in white with a black border 10 4 5 Changing the Printer color usage and color conversion Rev 2 5 March 1 2011 Select one of the three available fields 1 Automatically selected automatically Page 170 of 210 Prine cates utepe ardor eno conversion C Automatically selected C Foce Colus te Force Monochrome 10 4 6 Print Optimize Pirima F Optimized print process 10 4 7 Apply a ruler on the images Other functions recognize the type of printer and how to manage colors 2 Force colors print objects and overlays always using color or variations of gray for any printer 3 Force Monochrome print objects and overlays always using black and white reversing overlay background system for any printer The Optimized print process option located on the Printing section when enabled use a slightly slow process that improves the compatibility with different printersr It is possible to insert a ruler on the right side of scout axials transaxials single and sequence and panoramics images Once the ruler is enabled it will be applied to all the aforementioned images Next are the steps to follow mage FLIRT so gt E Rev 2 5 March 1 2011 On the mage ruler area select the Setup button The Image ruler setup
125. in order to run the Primary Reconstruction process later on Available only for devices with non automatic reconstruction see paragraph 2 5 Devices differences Urda te constuction parameters modtag 3 Cancel to abort the process Click on Start The Primary Reconstruction process will immediately start and a progress bar will open up At the end of the process the Visualization window will open up showing the central axial of the reconstructed volume For more information on this dialog box see paragraph 7 10 1 Visualization window After adjusting the image settings click on Apply NOTE The adjusted settings will apply to all the reconstructed axial images The window showing all the recostructed axial slices a k a volumetric data will open up Rev 2 5 March 1 2011 Page 42 of 210 Primary reconstruction 5 7 Starting Primary amp Study Reconstructions The Primary amp Study Reconstructions consists of two automatic and consecutive processes which allow the user to create a Study directly from the RawData This option is available only for Raw Data created by device with the Primary amp study options see paragraph 2 5 Devices differences The steps to perform the above mentioned process are provided hereunder After a patient s RawData have been open up click on Primary amp Study Reconstruction see the highlighted icon in the picture
126. ionality and voxel size considerations will be the same as explained before Because of the very high resolution the two smallest values doesnt s allow to reconstruct the entire volume and cannot be set as default options the Save current settings as default button will be disabled In case of 3G voxel options after the Primary reconstruction button has been pressed the following options will appear buttons functionality will stay the same as previously explained Reconstruction Step Define the axial slice thickness H High Resolution very thin axial slices providing a higher vertical resolution High Resolution standard axial slices causing a reduction of the image noise and of the reconstruction time Voxel Size Define the resolution of the axial images The voxel size considerations have been previously explained With the usage of Small Field the reconstructed volume will be is slightly Cut out In case of 3G voxel options after the Primary amp Study reconstruction has been pressed the window will also include the following options which will be also explained in paragraph O Errore Il risultato non e valido per una tabella The Miscellaneous group includes The Minimum volume reconstruction and Total volume reconstruction buttons define the height of the volume created by the primary reconstruction process see further descriptions The Delete VolData document setting allo
127. ll open allowing you to modify the text before applying it as a single line to the image g Apply as multiline text you will be ready to apply the text to the image as a multiline line h Edit as multiline text the Text editor window will open allowing you to modify the text before applying it as a multiline to the image 7 15 8 4 Edit text and font size of an existing text 1 Click on the Edit text and size button 2 The text in the window will be highlighted 3 Left click inside the text box Text editor 4 The Text Editor window will appear You can modify iod M5 te a Els i font style size and color Baer p ie a Axial Image Thick 1mm Rev 2 5 March 1 2011 Page 132 of 210 Working with a Study eee 5 Once you have completed your changes click on the PAn aod MS i B e E zla I OK button Axial Image Thick 6 The modified text will appear highlighted Use the mouse to change the size and the position of the box that contains the text 7 Right click to apply the changes 7 15 8 5 Moving text 1 Click on the Drag tex button 2 The text will appear highlighted Use the mouse to change the size and the position of the box that contains the text Rev 2 5 March 1 2011 Page 133 of 210 DEALS BOOS H A b db F A af kA Rev 2 5 March 1 2011 Working with a Study 3 Once you have mov
128. lows the correction of the patient position by means of the workstation please refer to the USER MANUAL to verify whether this option is available it is possible to perform the patient centering procedure directly from the Main Workstation during the scout acquisition Upon the acquisition of one of the two scout views as described at paragraphs 4 1 Scanning a patient 4 2 Scanning a denture and 12 2 Running the QA scan click on CTRL key a yellow border around the scout view will appear showing the movement procedure is activated FIRST SCOUT PATIENT POSITIONING scout view acquisition and verify the positioning by X Ray Flash button then press Next performing a single acquisition with the gt gt A X Ray Flash j Next While keeping the CTRL key pressed click the mouse right button on any point of the scout view and hold it down By moving the mouse the image will move along toward any direction Once the desired position is reached release the mouse button and the patient will be automatically repositioned accordingly At the end of this procedure a new scout view will be automatically acquired and shown on the monitor Now it is possible to release the CTRL key Rev 2 5 March 1 2011 Page 30 of 210 Scanning a patient If the CTRL key is released during the automatic movement to the patient new position the softwar
129. m the one used during the template creation After the conversion the original template will be overwritten from the new one ie Opens CHO Select File gt Template Setup gt Convert Import i Export F Disc burning ODON r Delete Donuirmert pal eer SBP The Convert template window will appear wert Pre POM PS Se a S Sorter Phaser FON PS H 2D peel i er Pras AON PS I s ae Jame PF Linde 220s So a g 14 Select the template to convert click on the OK button Esia POF Creates S07 s S60 mm Select the type of printer you wish to use for the conversion nas iran 3 Digital amp DICOM ao IK corca Rev 2 5 March 1 2011 Page 142 of 210 Templates imposta Hlamoanie 4 The Print Setup window will appear Select the TE printer you wish to use for the conversion and click OK Stak Prorta Tipy naga Fia SEWON FS Fuco IF 132168340 Foge Fomalx A210 257 men A Verticale Almentazone Automatically Selec gt Drizzontisle You will be prompted to choose if you want to keep a sp Dayo want to overwite the oignal seport feinplate selected for Conversion copy of the original template select No or if you g want to overwrite it select Yes 8 6 Copying a template Copying a template means create a copy of a template amp Span oho Select Fil
130. n buttons and select the axial image containing the start or end point of the 3D measurements Yellow targets will be displayed to move the measurements and the label Left click in the target and move them with the left mouse button depressed Page 124 of 210 Working with a Study 4 Release the button when the measurement is in the desired location 5 To terminate the command right click 7 15 5 3 Delete a 3D distance 1 Click on the Delete 3D Distance button 2 The label of the measurement will be highlighted with a yellow border 3 Left click inside a label to delete a distance 4 When finished right click 7 15 5 4 Delete all 3D distances 1 Click on the Delete all 3D Distances button 2 You will be prompted to confirm before deleting all 3D Are you ao you ward te teepve ak SD dikarena frora the study measurements from the selected image 3 Click Yes to delete all the 3D measurements Rev 2 5 March 1 2011 Page 125 of 210 Working with a Study 7 15 6 Working with markers The marker is a graphic object that can be traced on axial cross section and panoramic images having a thickness lower than 1 mm Once the marker has been traced it will be reported on all the images that cross its path with the exception of 3D images The typical usage of the marker is highlighting the path of the mandibular canal in the panoramic image and recognize its position in the
131. n the NNT software only one functionality of the VDDS protocol has been implemented the patient data import To active this function it is necessary after a correct NNT installation to launch the NNT_VDDS exe program that is in the same directory than NNT exe Rev 2 5 March 1 2011 Page 175 of 210 Other functions P WNT _VDDS Administration Registration To permit other VDDS programs to launch NNT with preloaded patient data the Registration is needed when it has to return at the previous condition VDDS disabled the Unregistration button has to be clicked Now after the assuring that NNT is not running using any VDDS patient managing program it is possible to choose a patient and to launch directly from there NNT Rev 2 5 March 1 2011 Page 176 of 210 Managing documents 11 Managing documents 11 1 Importing documents Importing a document Raw Data Volumetric data Studies or Reports means copying it from an external media or network folder to the current working directory There are two different ways to import document importing by document and importing by patient It is also possible to import DICOM datasets selecting the menu File Import Import NNT DICOM dataset the description of this procedure is in the paragraph 7 14 2 Importing the axial images in DICOM format 11 1 1 Importing by document MAT Expat Import by Patient Disc burning ODPOVE i Inp
132. n the image field on the template gg tan BE Ne pty The field color will become yellow E E J m T Ea Ep mij ead mie Emmi bdi ei dF hi ULE ei etd kn TTT Pn e japi niim ee j ee ee aTi CF bran a A M aM coal Lm ET Left click on an image io tn Peas Pele its d If the image is too large to fit in the selected field a green Report Field Frame will be displayed on the image Adjust the frame location by placing the icon a hand with extended index finger anywhere on the green line and moving the mouse Right click after you have moved the field frame to the desired position eg rn a a ws The image will be copied into the report PLE Bee a Fe ae ae ee Rev 2 5 March 1 2011 Page 147 of 210 Working with reports Fp i ak a i i i LTI Move between different types of images repeating the previous step to insert additional images in the report In this example we are inserting a panoramic image a few transaxial sections 3 q iile ae ee ee and a lateral 3D image ie Unie th Le Casaid Silvia At the end the report will be completely full Enik O ke POR lui i ler Rev 2 5 March 1 2011 Page 148 of 210 Working with reports 9 1 3 Automated images insertion The insertion of images in a report can be optimized using the automated modality This modality allows selecting sequentially the images to copy inside the report without hig
133. nd the reconstructed time mor e Lower will be the voxel size higher will be the tings as image resolution Continue Select the Save current settings as default ms 12S Else button to store the settings If the modifications are intended only for the current reconstruction not as default settings select the Continue planning reconstr button Pray etinin hon parameters Meisel dare In case of Standard voxel options the new voxel S S size will be the same of the window on the side gt Standard voral S06 pen Button functionality and voxel size considerations will gt Smal vowel be the same as explained before 2S0 pm Rev 2 5 March 1 2011 Page 38 of 210 Friman rer gt gt r i ME M Cee eo HHNH parane oae pF Sandaig verel PTSD gen Smal woe 125 pen Ven smal vowel 100 po Ula sad voss 7S pm Fima reronskichia parameta ep Wowie d Lage hed H High Fetoltion fr shaver 3i pm as High Retohtion Smal heki a 250 pm Faster d O ia SDA es Perham kinana volume pinen reconstruction Pedom Total volume piman onstaan Delete Volata document O alter Stedy reconstruction keep ord Shady dociumert Rev 2 5 March 1 2011 Primary reconstruction In case of Advanced voxel option the new voxel size will be the same of the window on the side Button funct
134. nine ee nnn 200 14 1 POSITIONING OF THE PATIENT SUPPORT PARAGRAPH 9 1 c0sccseccecceeececceeseeeceecoeeseeeceeeseeeceeseeseeesass 200 14 2 PATIENT POSITIONING ACCURACY PARAGRAPH 5 2 ccscccecceccceeseeececcceeseeeceecaeseceeseneseeecesssnesenscerses 200 14 2 1 Axial patient positioning accuracy paragraph 5 2 1 cccsccccecseccseccsecceecuccsessuessuecsessuesusneesaneses 200 14 2 2 Sagittal and coronal patient positioning light paragraph 5 2 2 ccccccscccsesccssecseessuessesesseesseessees 200 14 3 TOMOGRAPHIC SECTION THICKNESS PARAGRAPH 0 2ccceccseccecceccceecaeeseeecesseeeseeeseeeseesceeseeeseesoeeses 201 14 3 1 Tomographic section thickness for axial scanning paragraph 5 3 1 cccscccsscseecseecseseeesseeeeeees 201 14 3 2 Tomographic section thickness for helical scanning paragraph 5 3 2 ccscccsscssecssecseceneceesseeees 204 14 4 DOSE PARAGRAPH 5 4 cccccceccecccecseeeceecceesneseeccueseecoesseueeesoeesseeeeesoeeseueeeeseeesseeeeeseeeseesseeesensoeeses 204 14 5 NOISE MEAN CT NUMBER AND UNIFORMITY PARAGRAPH 9 5 ccceccceecceceseeeceeceeeeaeeeseeeseesesseeseeesanes 204 14 6 SPATIAL RESOLUTION PARAGRAPH 5 6 c 0ccccscceeceeeeeceeeseeeeeeeaeceseeseeceseeseeeseueeeueesueseeeeseeeseeeseeesanss 207 15 BN ose eed eat dace teeta ecu ees weave save seuecude sume ductesurioder senideceyese ede ladevleddstecicddueddcedessdesedecadegatece 210 15 GETTING OUT THE SOFTWARE dasehotehetahehatene
135. nitial 3D model 4 Image quality Allows to select the image quality of the 3D model Very high High Mean and Low The image quality affects the calculation times so higher quality will mean longer times It is suggested to use a low quality during the 3D model adjustements and move to a higher quality right before inserting the image in the study If the amount of axial image is higher than 150 the Very high option will be disable Page 84 of 210 Working with a Study The Smooth flag applies a smooth filter to the image 5 Enable Disable CROP allows to select the CROP estraction area of the image selection of a parallelepiped from the axial Sone level EE volume in order to reconstruct it This r functionality will be deeply explained later 6 Bone level Using this sliding bar it is possible to select the level of the tissue that will be shown to visualize only the teeth use high levels for the teeth and the skull use F intermediate values while for the soft tissue low values are suggested era ere 7 Opacity Using this sliding bar it is possible to apply a transparency to the image that increase reducing the selected value The LZ EET transparency allows to view the internal areas HG biriap hie of the skull 8 Export 3D model allows to save the current model preview image in Bitmap bmp or Jpeg jpg format Zoom x zoom level of the bitmap file Values are comprised between 1 and 5 Using a
136. ns select the Cross tab then using the provided sliding bar select the desired reference axial image Press New cross 2 Select the Cross setup button from the toolbar on the left side 3 The Analysis setup window will appear allowing changing the parameters for the Sequence of Cross Sections Four parameters can be set a Width set the width of each transaxial image between 30 and 250 mm Cross sections 5 80 85 Width 30 range 20 250 mm 0 Thickness 05 range 0 3 20 men k A b Thickness set the thickness of the cross N i Za OMin Danm 2mm section images from 1 pixel depending on ro raS _ 1G ng a Es See ee the acquisition FOV to 250 mm A Nt O15 mm O5Smm ro c Step select the distance between each Smoothed ine transaxial image in the sequence from 1 mmm aa pixel to 5mm Application wil hind the best smoothed that pass theough the user selected poir Then there it to choose the tracing mode with Brocken line the sequence will follow the exact traced path With Smoothed line the cross sections will be calculated on a curved line which connect the selected points Using Quick curve the sequence is calculated on the curve that well interpolates the 5 user selected points After changing the settings click on the Save button 4 Select the New cross sections button Rev 2 5 March 1 2011 Page 66 of 210 Working with a Study
137. o EXPORTING DOCUMENT S csi 22 2n5 isn chchchenahavchcnchcnchamchamshanskatpatineaeabansbababensbekanenabababanabandbabahanahasahanaheneheeens 179 Lo eX OM OY PaO eea 179 De EPON VOC UN O E ace ace E we E E oe ae eae 181 11 4 DELETE DOCUMENTS S niisama a aaa a a a aA a AAA A A aaa a aa a aaa 183 lio GO REATE OWS AND I Vl c AE EE EE EE E EE ET E E E T E SE E E EEEE ER 183 119 4 Cleale a CISC py DOCUMEN pisna a 184 TL9 2 Creadea dbe Oy Faten a 184 1h Meyer Oi elia al hol A A eee eee E E E EASA 185 TE ANNIE pis Cee OR NCR TRCN C RCC TON UNO ED Te ep ST CET Ten UT ER UT CPST er TT MtnTCrCr en Is SesT epee PCTarCT er ST ep TT arnt Cra en Tar sT er TT Tee evar a 186 12 QUALIFY ASSURANCE aranna b anes tect tne thie cement coer han te Aarne tere eG est aer Coe aN 189 12S ELEC TING THE FOV FORTHE SCAN errre E 189 Rev 2 5 March 1 2011 Page 5 of 210 12 2 RUNNING TAF OA sy are nn ee ee eee 189 12 0 TROUBLESHOOTING anana nanana ee eee 196 T2 A SAMPLES OF IMAGE S saxieedi arciceteeedicnds aa ee ee ete 196 TASCO OR OR IMAGES rae enc ee ee 197 EO OAC OROA sc ee 197 13 TROUBLESHOOTING 2 ncmtintinennnnneateceaeenutcetntientere E 198 T3 L ERRORS B sapere oe tr een eo ee ee ee eee ee eer 198 D2 LOC EROR padaceaasasadcseaaiintdiindguiadd si danaacsase dele snasaats ania sasaianddinigainig sh idaasauiiea iuaeat ants ania saaasesauniganiasmamadanatess 198 oe R ENOTE SUPPOR Iisaciseaainnsiniiainiday A 199 14 IEC61223 STANDARD ACCEPTANCE TES seccnncn
138. of the attributes e Font type allows changing the text type style and size of the object e Font color allows changing the text color of the object e BK font color used to change the background color of the text of the object e Transparent set the background of the font as transparent no background e Overlay color allows changing the color of the object e Ovl width allows changing the thickness of the object Clicking on the Save button the new settings will be applied Additional settings can be found for the last four objects listed on the left side of the window Single cross setup param Cross seq Setup param Panoramic setup param 3D setup param The name and presence of these settings vary depending on the selected object The following are the fields that can be found selecting the Single cross setup param object e Top left corner on report if selected draw the image parameters D in this case only the thickness on the top left corner of the image applicable only for the report not the study e Bottom left corner on report if selected draw the image parameters D in this case only the thickness on the bottom left corner of the image applicable only for the report not the Page 167 of 210 Other functions study e Thickness allow to customize the label associated with the thickness parameter e Autosize font on panoramic if selec
139. on images Multiplanar section number of multiplanar sections in the study 3D reconstructions number of 3D images Axials pitch axial pixel size Axials thickness thickness of axial sections FSV KiloVolt and milliAmpere level used by the x ray source for the first scout view SSV KiloVolt and milliAmpere level used by the x ray source for the second scout view FOV scan modality Exposure Time s time of exposure to the x ray emission during the scan mAs product of the tube current and x ray exposure time measured in seconds Air Kerma DAP CTDIw CTDIvol Scan dose parameters The study is the document that will contain all the cuts performed by the operator Single Cross sections Sequence of Cross Sections Panoramic Section and 3D images As previously explained at the beginning the study contains only the two scout views and the stack of axial images generated from the volumetric data Rev 2 5 March 1 2011 Page 60 of 210 7 4 Axial Images Info 2 hial 340 N MPR 3 Rev 2 5 March 1 2011 Working with a Study 7 4 1 What is an axial image Axial images are horizontal slices of a volume The thickness of each axial depends on the thickness used for the reconstruction from the Volumetric data 7 4 2 Axial images overview The following demonstrates how to display axial images and how to move among them Click on the Axia tab Three axial images will be displayed nex
140. on the side kd a nm i N E 2 P _ ait The Reconstruction parameters window will open see paragraph 0 mine Reconstruction parameters allowing to modify the grome o a primary and study reconstruction settings Study reconsiarnon matanmtere Si x ilg PE f 3 Shee tikras bre al S ME Once the settings has been modified select the Continue planning reconstr button to continue The Antero Posterior AP and Laterol Lateral LL scout views will appear On both images a ROI Region Of Interest will be drawn The ROIs can be adjusted length height and inclination by grabbing the red target markers located on the angles and on the sides of the blue box Adjust the two ROIs in order to define the volume to be analyzed Once the size and the inclination of the ROI blue boxes has been adjusted right click Rev 2 5 March 1 2011 Page 43 of 210 Aud a nate io the ney doce Start the primary reconstruction Sloe the gueri roonchuchon parameters for Rev 2 5 March 1 2011 Primary reconstruction The Reconstruction Options dialog box will open up It is possible to type a distinguishing comment related to these Primary and Study Reconstructions 1 Start to start the Primary Reconstruction process 4 Store to store the settings into the night recostruction list in order to run the Primary Reconstruction process later on Availa
141. ons to be followed in order to perform a correct Blank Acquisition is provided hereunder In case of Newtom 3G device see chapter 2 5 Devices differences from the Scan Manager dialog box select the FOV to be used during the scan For other devices select any FOV The software will automatically run the entire series of blank acquisitions one for each FOV Make sure the scan area is empty see MACHINE USER MANUAL In case no blank have been acquired yet or if they are out of date a new window will automatically open up Click on X Ray Flash to start the Blank Acquisition process After a few seconds the acquired blank image will appear Once the blank has been acquired check the image does not present halos or black spots If the above mentioned spots are present check the gantry is actually empty then click again on X Ray Flash and redo the acquisition procedure If the image is correct click on Stop Rev 2 5 March 1 2011 Page 18 of 210 Scanning a patient This chapter deals with the procedures to be followed in order to get a patient s scan See MACHINE USER MANUAL for the instructions on patient s positioning 4 1 Scanning a patient 4 1 1 Selecting the FOV for scanning At the end of the patient s positioning it is possible to start the scan Select a FOV on the FOV dialog box see chapter 2 5 Devices differences If the FOV is different from the one
142. or bypassed Checking the Don t show this message again flag the software won t show the message for the selected operation The message can always be restored by selecting from the main toolbar the menu File gt Messages options The following window will appear in which the desired options can be selected a El Confematicn deleting a study image ame O Contimnstion deleting single image of study sequence Car mction ii F Corim deleting af anger Horn an mapa LAN U Centienstion deleting all cistanens from an image ge Horison deleting al lines thom ana ae Continuation dabing all beads iria an irae E raii af cahan epa m Gk IK owes For enabling all the confirmation messages including the ones that are not in the list the Enable all confirmation Messages button has to be pressed Rev 2 5 March 1 2011 Page 136 of 210 Templates 8 Templates 8 1 Introduction Templates are required to create a report The Newtom software comes without any templates as templates are created specifically for the available printers Create a template for each type of report you wish to have Once templates are created they can be opened from within the study and then filled with images to create a report A printer must be installed on the computer in order to create a template 8 2 Creating a new template F Save Study Ciis Select File gt Template Setup gt New a Save priage 42 ay Screen shot
143. ormat and to start the selected program importing the sooner created DICOMSET Pioti Tr Rev 2 5 March 1 2011 Page 109 of 210 Working with a Study Note It is possible to import only programs previously tested in QR and correctly installed To have the complete campatible programs list please contact QR 7 15 Working with toolbars Lines distances angles markers text and profiles can be added to all images For the 3D images only lines and text can be added This chapter will show how to apply these overlays to the images 7 15 1 Images creation toolbar ks k s _ ps aeg From the main toolbar select the Images creation Toolbar button SD detances boolbhar Lires tonba Markers toolbar Strings toolbar Profile booths _ Report toodbar The Images creation toolbar wil appear Each command is fully described in the following 6 i B a Fy ra ks E a PRO a Ph Mi abo oa ee Le a j 7 5 Creating new images Fa p na Be fips Be Bi 7 6 Deleting existing images Tf Functions to extract and convert images and 7 8 Modifying an existing image 7 15 2 Working with angles Al GE Images creation toolbar g5 anges toobar E Distances bonbar aA 30 distances toolbar ae Lines toolbar k A Markers booba aie Strings boobar E Profile toolbar Report bootar Click on the Angles Toolbar button The Angles toolbar will
144. ort NNT DICOM dataset Delete Document 1 iL ered pith iea ternal Giaccone Rev 2 5 March 1 2011 Select File Import Import by Document The Choose NNT Document window will appear Select the type of document you wish to import The Import Export path setup window will appear The Current path field displays the location from where the software will import the data Select the Change path button to change the current path Once done select the Browse button to display a list of the documents stored on the selected location A list of the selected document will appear Select the document you want to import by highlighting the corresponding patient Use the Select all button to select all the listed documents Check the Delete Source file flag to delete the file from the original location after the import procedure is terminated Use the Print button to print the list of documents Once the document s has have been selected click on the OK button Page 177 of 210 Managing documents At the end of process a message will appear indicating that the procedure successfully completed A Inport procedise completed Copsed 1 Click on the OK button Skipped 0 Erais 0 11 1 2 Importing by patient This function allows the recovery of a determined document using the LABEL typed during Export
145. p i O Mn 0 5 en O ks K Se 140 O05 am ORE O Quick curve iparabote hee O15 O Broken ire Ropbeaton w tnd the bes smoothed curve that pass rough the user selected porti 3 Select the New multiplanar sectionbutton Rev 2 5 March 1 2011 Page 71 of 210 Working with a Study 4 The cursor will change to reflect the selected Sette commana Spa n Left click inside the axial image to define the first o l point of the path of the panoramic section 5 Drag the line and left click where you wish to bend your arch Using the mouse wheel it is possible to navigate through the axial images while tracing the arch 6 Right click to set the end point of the path 7 The new images will appear beside the axial slice used as reference image Depending on the visualization status of each single cross section the reference line drawn on the axial image could be e Continue if the cross section is completely shown e Dashed if the cross section is partially shown e Hide if the cross section is not shown Vertical reference lines are drawn using the same criteria of the axials on the panoramic image to represent where the cross sections are located These lines can be hide unchecking the options located under the View Show Hide cross reference on panoramic menu For additional information about the panoramic images please refer to chapter 0 Panoramic Sections Rev 2 5
146. pear Highlight the comment you wish to insert press the Select button and then the Apply button The comment will automatically appear inside the report Page 152 of 210 9 1 8 Adding ne Pi m n ai EL k m M a mm w pages to a report E mamie Lassi Salvia E Report page motes dh Show report notes texts database Empty report notes LJ Change palette gt Mins Fratta BDH F sien Prea BDR AT 135a 2 ra immer Per BOND ES SIE Se Lera POF Chester A07 56d ave die PDF Cheptos EF 322 ame i i Comment Haake Potent Haies Legs ina WF Usage Peret Rev 2 5 March 1 2011 Working with reports To add new pages to the report click on Edit gt Add report page The Open Report Page Layout window will appear displaying all the available templates Select a template to insert new report page into and click on the OK button The Report Page Layout window will appear It is possible to modify the template layout at this time before using it These modifications will only apply to this study s report and not to the template itself Click on the OK button Page 153 of 210 Boo report Pag Fa Report page layout Report page notes 3 report notes texts database ee a Empty report notes Rev 2 5 March
147. r the Img1 box The Img1 box will be highlighted and the cursor will change to reflect its active status Each box can be adjusted in two different ways 1 Using the mouse move the cursor of the mouse over the box and left click to move it Move the cursor over the edges of the box and left click to resize it 2 Using the controls buttons A Moves highlighted box horizontally B Moves highlighted box vertically C Change the width of the box D Change the height of the box E Change the scale of the image that will be inserted in the box Note Changing the scale from 100 will cause the images to lose the 1 1 scale Page 138 of 210 Templates Position and resize the box as you wish Click on the Add button to add a new image box Adjust the new image box s size and position Propriet Uoutied template for Xerox Phases 6500001 PS 199 x 28 Continue adding new image fields until finished with fie igt Lmg imgs Liege o5 sa the template Ponia xin Ee TEA Click on the Remove button to delete the voje je highlighted box Tga memi as Click on the OK button YR ka Jel 1S Seale ie 168 E Rev 2 5 March 1 2011 Page 139 of 210 Templates You will be prompted to confirm before saving the new template Click on the OK button 8 3 Modifying an existing template fA Save St
148. raph 7 5 3 added 1 3 pe 2 0 2008 07 01 Paragraph 7 14 modified and i DICOM Paragraphs 7 14 1 7 14 2 7 1 Chapters 11 1 11 1 1 11 1 2 Chapters 11 3 11 3 1 11 3 2 Chapter 9 6 added Chapters 11 5 11 5 1 11 5 2 Chapter 14 2 changed 2 1 2009 02 15 Paragraphs 4 1 3 and 4 1 1 ac Chapter 10 6 added Paragraphs 11 5 1 11 5 2 11 Chapters 13 1 and 13 2 delete Chapters 6 4 6 5 and 6 6 moc Paragraphs 7 5 1 7 5 2 7 5 3 Chapter 5 3 and 12 2 modified Paragraph 9 1 3 adjourned Chapter 2 3 modified 2 2 2009 10 24 Paragraph 5 4 1 modified Paragraphs 7 5 1 7 5 2 7 5 3 Chapter 13 3 added Paragraph 2 3 1 added Paragraphs 7 5 3 and 7 5 7 mi 2010 07 30 Manual completely adjourned Ooo o o Released and approved by the project mana Page 166 of 210 D oka bariki di A A Fontppe p Fort cole Trareparerd Topit comer gn rept Baattoenlelt corner _onreport Thackiness l T Autosize fort on panorama Draw on repot 7 Rev 2 5 March 1 2011 Other functions The Graphics Options window will appear On the left side of the dialog the objects list A can be used to select the object to modify The preview image B displays a preview of the selected object with its current attributes On the right side of the dialog box the graphics attributes C are listed Depending on the selected object attributes could be hidden or grayed Following is a list
149. res each phantom analysis report The reports can be opened by selecting from the main menu View gt QA Report To move among the reports list use the PAGE DOWN PAGE UP keyboard button It is possible to create the PDF version of the QA Report selecting after the document has been opened File gt Save as PDF It is recommended to save a printed copy of each report or the PDF file Rev 2 5 March 1 2011 Page 197 of 210 Troubleshooting 13 Troubleshooting 13 1 Errors Guide For simplifying the solution of eventual problems that could appear in NNT it was created an attached document that collect the all possible software s errors code the description of the occurred error and its possible solutions This document is called Errors Guide and it is a part of the setup CD This is the first page Errors Guide For NNT Software version X XX Rev XX XXth Xxxxxx XXKX 13 2 Log Error Any occurred error is saved in a Log file and the errors history can be seen selecting at the software start Tools gt Open log error file The Log Error can be printed or saved in PDF format in this last case additional informations about the computer are inserted in the file Rev 2 5 March 1 2011 Page 198 of 210 13 3 Remote support i rls l Please contact Service and provide them ID and Password in order to enable the remote session ID Password 415 431 394 4261 Ready to connect secure conn
150. s located in the middle of the function segments can be used to move each segment without changing its lenght LUT 200M The LUT control allows only for Model color different from Linear to modify the palette of the 3D model by adjusting the red points located along the segment inside the LUT area The ZOOM control can be used to enlarge the LUT and Function areas by moving the two T IIU rectangles located on the edges of the Immm segment inside the ZOOM area LUT FUNCTION Z00M 17 Clockwise Counter clockwise rotation sliding bar rotate the image clock or counter clock wise Pressing the two buttons located J on each side of the bar the image will rotate of the number of degrees defined in the Rotation step field 18 Horizontal axis rotation sliding bar rotate the image around the horizontal axis Pressing the two buttons located on each side of the bar the image will rotate of the number of degrees defined in the Rotation step field e Rev 2 5 March 1 2011 Page 78 of 210 Working with a Study 19 Vertical axis rotation sliding bar rotate the image around the vertical axis Pressing the two buttons located on each side of the bar the image will rotate of the number of degrees defined in the Rotation step field 20 Zoom sliding bar increase decrease the magnification of the image La 21 Rotation step defin
151. s only This function defines how to manage the color of overlays lines distances angles text and markers using a Black White printer Oyeuiays and texte poo conversion BAW pnters gri Di color conversion setup o gt Change Al TA FowewiiteBK Qutined Lagier Pie HEAGEPEN Blade F2_NOTHMORPEH Osrariays and texte polar conversion BM omntert gri Ov cole conversion setup gt Change A A FocewhiteBK Dullned Click on the Change button of the Overlay and text color conversion area The Overlay Color Conversion dialog will appear Three options are available 1 Default R2_NOT The overlay will assume a color opposite to the color of the background for each pixel 2 Lighter R2_MERGEPEN The overlay will assume a color opposite to the color of the background for each pixel and then will be made lighter 3 Darker R2_NOTXORPEN The overlay will assume a color opposite to the color of the background for each pixel and then will be made darker The text of the report can be printed in two different way that can be selected using the two buttons here incuded This option applies to the following text text located inside the images patient data report comment report page footer Next are explained the two modalities e Force white BK the text will be printed in black with a white background e Outlined the text with a colored background w
152. scan process Note during the scan it is recommended to inform the patient on the scan process status e g we are one quarter done with the scan one half done etc At this point the acquired data will be manually or automatically managed depending on the current configuration see chapter 2 5 Devices differences 9J 9 ojojojojoj o jo Rev 2 5 March 1 2011 4 1 3 1 Manual management _ Incase of manual management of the RawData at the end of the scan the Raw Data window will automatically open Refer to chapter 5 Running a Primary Reconstruction to get a panoramic of all available functions 4 1 3 2 Automatic management _ If the Primary Reconstruction planning is not expected the reconstruction will automatically start Please refere to the MACHINE USER MANUAL for further information Once the process is finished the Visualization window will appear allowing to adjust the palette of the slices generated by the primary reconstruction process After the palette has been adjusted the volumetric window will automatically open refere to chapter 6 Volumetric Data To modify the automatic reconstruction parameters refer to paragraph 5 5 1 Procedure for devices with automatic reconstruction In case the reconstruction has not successfully completed at the software start up the Recover scan manager window wil appear allowing to run the reconstruction in a second time
153. ser The progress bar 4 represents the compilation s size respect to the disc s capacity When a rewritable disc is inserted in the CD DVD device it is possible to press the Erase button it creates a window where it is possible to choose which delete mode to use for deleting the rewritable disc with Fast the disc is logically deleted datas are not physically removed and it takes only a pair of minutes with Complete the informations on the disc are physically removed but the erasing time is longer about 20 minutes Pressing Options are visualized the all other available options Dyra FO MOTT DR Oe WTS emama nelle fies eg ee Dee Code Comani Faced Sid OFA Study imi Samin Carni Sn ORME Study dee SINOS Swe Pe A RN Tiimi pon 47 Tape GG ae ain GA ord via Sheps 20 a 27135 Verges Fat pine Se eee fae 5045 Ba ie Oren ef cae rk The possible options are 1 Used device it is not possible to use many devices at the same time 2 Burning speed it depends on the selected device and on the used disc 3 Number of copies to do 4 Data verify at the end of the burning process Rev 2 5 March 1 2011 Page 187 of 210 Managing documents 5 Test burn the program does a simulation of the burning process at the end the disc is not written 6 Finalize the disc will be closed and will not be possible to add other datas 7 Informations about the software Once setted your standard options it is possible to save
154. specific angle 4 Right click to finish 7 15 2 4 Delete all angles 1 Click on the Delete All Angles button 2 Left click on the image where you want to remove all the angles 3 Right click to finish the command 7 15 3 Orn with lines and arrows Ary Images creation bocibar GE andes toolbar By Distances toolbar 30 diskances toolbar Click on the Lines Toolbar button The Lines toolbar will appear 7 15 3 1 Trace a new line 1 Click on the New Line button Rev 2 5 March 1 2011 Page 113 of 210 Working with a Study 2 Left click in the image at the start point of the distance 3 Drag the line and left or right click at the end point of the distance 4 To terminate the command right click 7 15 3 2 Trace a new line with text 1 Click on the New Line Tex button 2 The Text Editor window will appear Edit the text you wish to insert next to the line then click on the OK button TMJ 3 Left click in the image at the start point of the distance 4 Drag the line and left or right click at the end point of the distance 5 Drag the text and left or right click in order to fix it 6 To terminate the command right click Rev 2 5 March 1 2011 Page 114 of 210 Rev 2 5 March 1 2011 Working with a Study 7 15 3 3 Trace a new line with text from database
155. ss sections It is possible to delete one or more single sections belonging to a sequence of cross sections 1 From the Image creation tools toolbar select the Delete Single Image bution Rev 2 5 March 1 2011 Page 88 of 210 Working with a Study 2 The cursor will change to reflect the selected command Left click inside the section you want to remove from the sequence of cross sections 3 Right click to terminate the command 7 7 Functions to extract and convert images 7 7 1 Extracting single cross sections from a sequence of cross sections Single cross sections can be created by extracting them from a sequence of cross section Three different commands are provided in order to extract single cross section from a sequence of cross section 7 7 1 1 Extract Cross Sections 1 From the Secondary Reconstruction toolbar a o ays oa p E d select the Extract Cross Section command o Gk amp C a L 2 The cursor will change to reflect the selected command Left click inside the images you want to extract 3 Right click when you have finished Rev 2 5 March 1 2011 Page 89 of 210 Working with a Study 4 The extracted images will appear under the Single Cross Section view beside the existing one 7 7 1 2 Extract Cross Sections L R 1 From the Secondary Reconstruction toolbar select the Extract Cross Section LR command 2 The cursor
156. t the Primary reconstruction button The Reconstruction Parameters window will appear see paragraph 0 Reconstruction parameters Rev 2 5 March 1 2011 Page 37 of 210 Primary reconstruction 5 5 3 Procedure for devices with Primary amp Study reconstruction enabled Poe t gt _ EE After Opening a raw data select the study reconstruction button Primary and The Reconstruction Parameters window will appear see paragraph 0 Reconstruction parameters f z 4 eleiepefeieie s 2 Dita Prana lirare fede BAM bin nde Bacto t Prorat Beate 5 5 4 Reconstruction parameters window The Reconstruction parameters window allow to set up the voxel size Depending ton the Voxel options of the device from which the Raw Data has been generated see paragraph 2 5 Devices differences the window will show different values The Continue planning reconstr button will be available only if the window has been open selecting the Primary Reconstruction or Primary amp Study Reconstruction buttons after a Raw Data has been open In case of 9000 voxel options the window will look E R as the one on the side Piman econniiah paramelere bates Voxel size E Latge fies Defines the voxel size of the primary reconstruction ump values depends from the selected FOV DA e Higher will be the voxel size lower will be the noise of the image the required disk space a
157. t to the lateral view Inside the lateral view a blue ROI will show the size of the reconstructed area Inside the reconstructed area three colored lines red green and blue represent the location of each axial image currently displayed Page 61 of 210 Working with a Study When displayed each axial image is associated with the line drawn on the lateral view by using the same color as border of the window in this case blue A number located in the left top corner of the axial image represents the position of the axial inside the stack of axial images It is possible to select the number of axial slices to be shown in the axial view by selecting from the main toolbar the Show 1 2 3 axials 7 4 3 Moving among axial images There are three different ways to move among the axial images 1 Using the sliding bar it is located on the right bottom corner of the main window see the red circle Use this bar to navigate through the entire sequence of axial images quickly 2 Using the directions buttons located on the main toolbar Used to move between axial images First Image button displays the first axial image Previous Image button displays the axial image below the one currently selected Next Image button displays the axial image above the one currently selected Last Image buiton displays the last axial image 3 Double clicking inside the lateral view the axial images
158. ted automatically resize the font of the cross sections drawn on the panoramic in order to find the best fit It is not shown on the preview image applicable only for the report not the study e Draw on report show hide the image parameters applicable only for the report not the study 10 4 1 Using the GDI options Chveraw drawing enhancement method Check the Use GDI flag to enhance the drawing of the overlay Thechnes nectiphcatton factor of pened oreks Gx Os Or This area also includes the control to define Ce 6 O08 the thickness of the lines of the printed Cy SE Os report Three options are available 1 Thickness x1 the thickness of the printed lines will be the same of the lines on the screen 2 Thickness x2 the thickness of the printed lines will be double the thickness of the lines on the screen 3 Thickness x3 the thickness of the printed lines will be three times the thickness of the lines on the screen 4 Etc Since the thickness of the printed lines can vary depending on the printer is recommended to perform a few tests using different setting to find out which one provide the best quality 10 4 2 Changing the report colors Different areas of the report can be associated with various color these areas are e Report background area Page BK represented in orange e Image background area region not completely filled by the image Item Bk represented in yellow e Text s
159. ted type Next image button display the next image of the selected type Last image button display the last image of the selected type 7 10 Modifying image appearance 7 10 1 Visualization window The visualization window allows selecting the tissues to display on the image depending on their density it modifies the relation between the 256 levels of gray that can be visualized and the values of the single pixels of the image It also allows adjusting the filter that can be applied to the images 1 The Visualization Window can be open in two different ways Rev 2 5 March 1 2011 Page 102 of 210 a orige crot au La Ke STS BEnh Gamma g 0 g Rev 2 5 March 1 2011 Working with a Study e Doubleclicking on the image you wish to modify for the scout view doubleclicking outside the ROI area e Selecting the Change the image palette button from the main toolbar If the window has been open using the toolbar button or the menu command the Select Image Group window will appear This window prompts to select the type of image that will be used as sample during the process of adjustment of the tissues Select the type of image you wish to use The Visualization Window will appear A preview image allows to instantly verify how the modifications apply to the image On the right of the preview image a sliding bar allows moving through all the images of the selected t
160. the path or the name of the disk where you are exporting This is necessary when using the Import by Patient function Type your comment and click on OK Once the process is finished a message will appear Copeed 1 Click on the OK button Skipped 0 Enot 0 Select File Export Export by Document The Choose NNT Document window will appear Select the type of document you wish to import The Import Export path setup window will appear Rev 2 5 March 1 2011 Page 181 of 210 Managing documents The Current path field displays the location e where the software will export the data DF CAMAT HH a Me NG rh SH ll Kee IQ we Select the Change path button to change Se zial an E the current path Use the New Folder field to type the name of a new folder Select the Add Folder button to add the new folder to the current path Once done select the Go on NOTE exporting RawData Volumetric Data Studies and Reports in the added folder another one will be created named Surname_Name_AAAAMMGGOfBirth Such folder will store the DICOM images The selected document export list dialog will appear showing all the available patients for the selected document Select the patient s you want to export Use the Select all button to select all the listed patients Check the Delete Source file flag to delete the
161. them pressing the Save Options button so in the following burning processes the saved options will be used if it is possible The Remove bution removes the selected documents from the compilation the Remove all deletes the all documents from the list The Save files button saves in an user defined folder the files that the program would burn on the disc To close the program there is the Exit button whereas to start the burning process it is sufficient to press the Burn button Before the starting of the burning process the program does a local copy of the datas this could takes several minutes if the documents are in a network If the inserted disc contains old datas it couldn t be burnt NNTBurner during the burning process Drewa and Mare Bathelate tc Tyee See Dos Cede Commeri ee es OP ee Se Shue 13618 ie EF Cau Sieg OF Ae et Shey 171 448 514i Ee E During the burning process three progress bars appear they represent 1 Cache of the datas to write this bar has not to became zero during the burning process else the disc won t be readable 2 Buffer of the disc writer 3 Process state The all controls are invalidated and the Stop button is activated this button when pressed stops the data copying starts the finalizing process and cancel the data Verify if previously setted This is the only procedure to stop the burning process do not close the program during the disc s copy or disc s erasing absolutly
162. tructed area Using the sliding bars located on the left of the image is possible to define the reconstructed area Selecting the Cancel button the changes to the ROI will be reset while selecting the Apply button a new 3D image will be created based on the current ROI Using the Apply to all enabled surfaces it is possible to apply the CROP to all the selected surfaces the ones with the Enable button selected or only to the currente selected Once the image has been created select the Add image to study to insert it in the study Page 87 of 210 Working with a Study 9 The new 3D image will appear beside the axial reference image This axial is the one currently shown on the axial view If three axial images are currently shown the central one will be visualized 7 6 Deleting existing images The only images that can be deleted are Single Cross sections Free cut sequence of cross sections Cross panoramic Panorex Multiplanar and 3D Lateral view axial images and MPR images cannot be deleted since they represent the base of the study 1 Select the Tab which represents the image type to delete 2 From the toolbar on the left select the Delete Image s button 3 The cursor will change to reflect the selected command Left click inside the image s you want to delete 4 Right click to terminate the command 7 6 1 Deleting single cross sections from a sequence of cro
163. ually comes reported to a 64byte size of Ethernet packet Rev 2 5 March 1 2011 Page 11 of 210 Getting started 2 3 2 Validated graphic cards These graphic cards have been tested and validated in QR for using with NNT software ATI Radeon HD 4850 4870 4890 5770 5850 5870 6850 6870 with 1GB or greater Sapphire Radeon HD 6750 6770 VaporX 1GB or greater RAM GDDR5 Sapphire Radeon HD 6950 VaporX if available 1GB or greater RAM GDDRB5 Sapphire Radeon HD 6970 VaporX if available 2GB or greater RAM GDDR5 Rev 2 5 March 1 2011 Page 12 of 210 Getting started 2 4 Main window The following image shows an overview of the NNT software main window New Iatan BEAM 3D IMAGING S J j A brief dexcription of each part is provided hereunder Caption bar it shows the name of the running application and information on the current document Menu bar it shows the available menus they depend on the current document Toolbar it shows the available tools they depend on the current document Communication icon it shows the status of the connection between workstation and scanner see paragraph 15 2 Checking the connection between computer and scanner Working area it shows the current document 6 SCANNER MANAGER dialog box allows to perform the machine prescan operations see chapter 3 Prescan operations to choose the right FOV and to select the ri
164. udy cbs Select File gt Template Setup gt Open nana Save in DICOM Forra Open report page layout window will appear Heron Prose BUON FS Sx Rem 5 i aa Phasa EMON PE 118a ie Select the template to modify and click on the OK Lees PE Gi 23 SS ii ae PF eee tac actions button The template will appear Corenerts Heada i Pason Mates Lage leg 4009 Usage S After modifying the template click on the OK Hisrebedis empie i Rev 2 5 March 1 2011 Page 140 of 210 8 4 Deleting templates fe save tStudy cehs a Save nage a w Screen shoti Cite ae Save n DICOM Format k i Mini Php ESSE eee 5 Hir Peia SUG S 1 eps fi ohh Pe DORA pE l daa PLP Dihi PS we SS ae Rev 2 5 March 1 2011 Templates You will be prompted to confirm before saving the changes to the template Click on the OK button Select File gt Template Setup gt Delete _ The Delete report page layout window will appear Select the template to delete and click on the OK button You will be prompted to confirm before deleting the template Click on the Yes button to delete the template Page 141 of 210 Templates 8 5 Converting a template Converting a template means adapt an existing template to a printer different fro
165. udy select Report gt New The Open Report Page Layout window will appear displaying all of the templates For each template the ID comment associated printer and use rank how often the template has been used are shown Select a template from the list and click on the OK button The Report Page Layout window will appear It is possible to modify the template layout at this time before using it At the end click on the OK button Page 145 of 210 NIM srl Via atone afa italia Rev 2 5 March 1 2011 Smith Ann Birthdate 9 3 1974 Exam date 1 9 2004 Working with reports If the template has been modified the software will show a confirmation message Selecting Yes the changes will affect the original template while selecting No the changes will apply only to this report not to the template _ The template will be placed beside the images of the study and the Report Page Layout will reappear Select a new template and click the Ok button if you wish to add anew page to the report otherwise press the Cancel button 1 Header 2 Patient data 3 Empty image fields 4 Comment field Note the patient data name birth date and scan date and header are automatically displayed in the template Page 146 of 210 Working with reports 9 1 2 Add images to the report Be Rape age pe ne tn te F Left click i
166. urther details Once the denture position has been arranged select one of the buttons X Ray Flash if a further image is needed Back to return to the first scout view window to verify again the first positioning Next to go on with the scan process Stop to stop the scan process and return to the software main window After selecting Next the rotating arm will be reset to the starting position this message will be displayed Then the window will be updated displaying the wait for scan state Select the Start button to start the scan A progress bar will display the percentage of completed scan process Once the scan is over the reconstruction options in the case of a patient s scan are available Refer to the first part of this chapter for details Rev 2 5 March 1 2011 Page 29 of 210 Scanning a patient 4 3 Scanning a patient or a denture in a third party software enviroment NNT software allows for starting a scan procedure through proper third party softwares Refer to such softwares manuals for informations about the management of the procedure Regarding other steps see 4 1 Scanning a patient and 4 2 Scanning a denture paragraphs Patients data are not to be managed in NNT software with this type of scan as this is done automatically more NNT software returns the scan data tipically DICOM axials to third party softwares 4 4 Remote patient position adjustment If the unit al
167. value of 1 the bitmap image will be saved with the same size of the preview image With a higher value the bitmap image will be saved with a larger size keeping the quality of the preview image using a value greater than 1 the preview image will be automatically updated and moved for a few seconds For values of Zoom higher than 1 only the BMP storage format not JPEG will be available 9 Input info show a image to summarize the mouse functionality Left button rotate the image Right button zoom the image Middle button Move the image 10 Input type switch between two different functionality for the rotation Zoom and movements of the image Manual After one of the mouse buttons is pressed the mouse must be move manually in order to apply the desired changes Automatic After one of the mouse buttons is pressed the associated action rotation Zoom and movement is automatically started by the software until the button is released 11 Change bk color allows to change the background color usually black 12 Color specular allows to apply a light reflection effect to the image 13 Color diffuse allows to change the brightness of the color 14 Enable Disable cut planes allows to apply to the 3D model three different planes X Y e Z Once the planes are enabled they can be moved by adjusting the corresponding sliding bars The Enable cut X Enable cut Y and Enable cut Z buttons enable disable the single Op
168. will change to reflect the selected command Left click inside the first image you want to extract 3 Right click inside the last image you want to extract 4 All the images between the two selected images will be extracted and copied under the Single Cross Section view Rev 2 5 March 1 2011 Page 90 of 210 Working with a Study 7 7 1 3 Extract Cross Sections by number 1 From the Secondary Reconstruction toolbar select the Extract Cross Section n command 2 The cursor will change to reflect the selected command Left click inside the first image you want to extract 3 A dialog box will appear Insert the number of images you want to extract starting from the one you have just selected When you click on the OK button the images will be extracted and copied under the Single Cross Section view 4 All the extracted images will be copied under the Single Cross Section view Page 91 of 210 Rev 2 5 March 1 2011 Working with a Study 7 7 2 Extracting panoramic sections from a multiplanar image It is possible to extract the panoramic sections from a multiplanar image Gesti Panorexfi0 Multiplanar 3 1 Select the Multiplanar Tab 2 Select the multiplanar image from which you wish to extract the panoramic sections pi na 3 From the main toolbar select the Images creation toolbar command GL 3 distances toolbar aap Lines toolbar M
169. will reflect the position where you double clicked Rev 2 5 March 1 2011 Page 62 of 210 Working with a Study 7 5 Creating new images Every new image is created starting from an axial image The axial slice that is used to create a new image becomes the reference image view for the newly created one Depending on the type each image will be automatically stored under specific views Cross sections view Sequence of Cross sections view panoramic sections view multiplanar view 3D images view Buttons are provided to navigate through these views Once the images are stored they still need to be saved before closing the study The Secondary reconstruction toolbar provides all the commands necessary to create new images and modify existing images The next sections will introduce each type of images and will explain how to create modify and manage them Each command that will be described can be deselected by pressing the ESC key on the keyboard 7 5 1 Single Cross Sections 7 5 1 1 What is a Single Cross Section The Single Cross section is an image perpendicular to the axial plane The height of the section is the same as the height of the volume indo 2 Assal 340 MERTA Free cut 0 7 5 1 2 Creating a Free cut 1 To create anew cross section select the Free cut tab then using the provided sliding bar select the desired reference axial image Rev 2 5 March 1 2011 Page 63 of 210
170. ws if checked to automatically delete the volumetric data document which will be created during this process Page 39 of 210 Primary reconstruction Referring to the ROI drawn on the LL image during the Primary amp Study reconstructions planning selecting Minimun volume reconstruction analyzed volume will fit the ROI Selecting Total volume reconstruction the analyzed volume will be forced to the maximun size This option can be useful when other than the study the volumetric data of the entire volume is required 5 6 Starting a Primary Reconstruction The NNT software compiles RawData through the process of Primary Reconstruction into a volume The latter consists of a stack of axial slices The steps to perform a Primary Reconstruction are provided hereunder Click on File Open The Choose NNT Document window will open up Click on RawData The Raw Data List window will open up Select the patient and click on OK Rev 2 5 March 1 2011 Page 40 of 210 Primary reconstruction The software will display the first image acquired during the scan Click on Primary Reconstruction see the highlighted icon in the picture on the side EA Rra The Reconstruction setup window will appear from which the primary reconstruction voxel size can be Pinan condici amejert pipaa selected Yopal aze a Standard vawel The available options
171. xial image Spatial resolution millimeters on the vertical diameter of the central axial image Average horizontal distance among the holes of the cylinder on the panoramic image Average vertical distance among the holes of the cylinder on the panoramic image Page 195 of 210 Quality assurance 12 3 Troubleshooting Next table reports possible failures and problem and provides primary indications to solve the malfunctioning If the What to do column lists more than one solution start from the first one and proceed with the following until the problem is solved What to do A Verify the phantom acquisition during the first scout view If inclined adjust the phantom position Verify the phantom acquisition during the second scout view If tilted level the table Check the Phantom is filled up of water Perform a new background acquisition H FWHM amp V FWHM Perform the Auto Calibration 12 4 Samples of images Below are images from the phantom analysis AP LL RNS Lateral View Axial slice Rev 2 5 March 1 2011 Page 196 of 210 Quality assurance Panoramic section 12 5 Copy of QA images A copy of a phantom analysis stored on a CD ROM is provided with the equipment To import the provided phantom analysis follow the procedure described in chapter 11 1 Importing documents importing the QA study from the CD ROM 12 6 Storage of QA data The software automatically sto
172. y Then it s asked whether the document has to become a Volumetric Data or a Study document At the imported documents is disabled the possibility for Studies and relative Reports to store them File DICOM Storage Study and File DICOM Storage Report Note Only DICOMSET exported by NNT or QR DVT9000 can be imported 7 14 3 DICOM Settings Fed ree Gate cules By choosing DICOM settings it will be possible to set the dataset kind ft re GS w Errea AE so oe Save in DICO format Sores Fucks irae k Erro Matti See Huh gam DIOH min ail From this window it is possible to set the DICOM files option choose Multiple files DICOM dataset for a document with a DICOM image for each axial Singke fle DICOM dataset With Single file DICOM datase only one file with the all axial images will be created The selected option is saved and used for the all 7 Cancel future exportations C Multiple files DICOM datacet 7 14 4 Integration between NNT and third party softwares partnering software Save tStucly Chris After that a Study or a Volumetric Data is opened select File Send data to then choose one of the possible programs InVivoDental and SimPlant in the example ay Screenshot gise aa Save in DICOM Format Send data to t i mie Graphic options Storing DICOM Fite Set NNT will provide to export the axials in DICOM f
173. ype On the left of the preview image the filter s sliding bar is located Using this bar is possible to modify the settings of the filter that will be applied to the image To modify the settings move the cursor over the arrows beside the gray scale below the preview image Left click and drag the arrow with the left button depressed Release the button when the arrow is in the desired position The color options located on the right of the gray level sliding bar allow to select the image tone Available tones are Gray Sepia Blu Film Red Flame e Spectrum this last one not available for old exam The button located between the gray scakle and the tone options inverts the image colors On the left of the gray level bar three vertical sliding bars are located Gamma Allows to change the relation between the selected Min and Max value from linear to nonlinear increasing decreasing the bright levels or the dark level gamma BErh not available on old exam filter that enhances the hard tissues improving the contrast with the soft tissues Page 103 of 210 Working with a Study STS not available on old exam filter that smooth the soft tissues heft It is possible to customize and save three f ae predefined levels for the gray scale and the filter a mana To do that a Click one of Wnd1 Wnd2 or Wnd3 az mee buttons The Record button will appear b Modify the gray s
174. zoom level can vary from 15 to 400 Selecting the Setup Zoom a dialog box will appear in which it is possible to customize either the value of the three custom zoom buttons and the initial Zoom value applied at any document opening Page 52 of 210 Tii Batons ae Sice tnickmeass jmi S Large scout view g lenenehic C Minimal scout view VORGE Save CU settings as E ae ee SS ee rs Shy TOO UCIo uaan Slice thickness men x fb F G Lange sco view s PERE EPE C Minenal scout view voe laom vasel Large scout view y Minimal scout view Rev 2 5 March 1 2011 Volumetric Data parameters In order to modify the study reconstruction parameters select the Setup button next to Volume orientation Study reconstruction button The Reconstruction setup window will appear allowing to modify the Study Reconstruction parameters To store the current settings select the Save current settings as default button If the modifications are intended only for the current reconstruction not as default settings select the Continue planning reconstr button Following is the explanation of the other available options The Study reconstruction parameters group includes The Slice Thickness command represents the actual thickness of the axial slices reconstructed into the study This thickness can be modified by using the two buttons and

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